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open access
COVID-19 Impacts and Child Psychological Distress: A Twin Direction-of-Causation Study
COVID-19 disrupted children's social, economic, and psychological circumstances, yet the causal direction of this association with child distress remains unresolved. We applied twin Direction of Causation (DoC) modeling to 579 twin families (183 MZ, 396 DZ pairs; grades 3–12) from the NatPAT COVID 2
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