The network structures of mental and behavioral problems among children and adolescents in China using propensity score matching: A comparison between one-child and multi-child families based on a nationwide survey

被引：1

作者：

Chen, Meng-Yi ^{[1
,2
]}

He, Fan ^{[3
]}

Rao, Wen-Wang ^{[4
]}

Qi, Yanjie ^{[3
]}

Rao, Shu-Ying ^{[1
]}

Ho, Tin-Ian ^{[1
]}

Su, Zhaohui ^{[5
]}

Cheung, Teris ^{[6
]}

Smith, Robert D. ^{[1
]}

Ng, Chee H. ^{[7
]}

Zheng, Yi ^{[3
]}

Xiang, Yu-Tao ^{[1
,2
]}

机构：

[1] Univ Macau, Fac Hlth Sci, Dept Publ Hlth & Med Adm, Unit Psychiat,Inst Translat Med, Taipa, Macao, Peoples R China

[2] Univ Macau, Ctr Cognit & Brain Sci, Taipa, Macao, Peoples R China

[3] Capital Med Univ, Beijing Anding Hosp, Natl Clin Res Ctr Mental Disorders & Natl Ctr Ment, Beijing Key Lab Mental Disorders, Beijing, Peoples R China

[4] Shantou Univ Med Coll, Dept Prevent Med, Shantou 515041, Peoples R China

[5] Southeast Univ, Sch Publ Hlth, Nanjing, Peoples R China

[6] Hong Kong Polytech Univ, Sch Nursing, Hong Kong, Peoples R China

[7] Univ Melbourne, Dept Psychiat, Melbourne Clin, Richmond, Vic 3121, Australia

来源：

JOURNAL OF AFFECTIVE DISORDERS | 2024年 / 360卷

关键词：

Adolescents; Children; Mental health; Network analysis; DEPRESSION; PREVALENCE; CHECKLIST; SYMPTOMS; DISORDER; COVID-19; HEALTH; POLICY;

D O I：

10.1016/j.jad.2024.05.121

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Exploring networks of mental and behavioral problems in children and adolescents may identify differences between one-child and multi-child families. This study compared the network structures of mental and behavioral problems in children and adolescents in one-child families versus multi-child families based on a nationwide survey. Methods: Propensity score matching (PSM) was used to match children and adolescents from one-child families with those from multi-child families. Mental and behavioral problems were assessed using the Achenbach's Child Behavior Checklist (CBCL) with eight syndromal subscales. In the network analysis, strength centrality index was used to estimate central symptoms, and case-dropping bootstrap method was used to assess network stability. Results: The study included 39,648 children and adolescents (19,824 from one-child families and 19,824 from multi-child families). Children and adolescents from multi-child families exhibited different network structure and higher global strength compared to those from one-child families. In one-child families, the most central symptoms were "Social problems", "Anxious/depressed" and "Withdrawn/depressed", while in multi-child families, the most central symptoms were "Social problems", "Rule-breaking behavior" and "Anxious/ depressed". Conclusion: Differences in mental and behavioral problems among children and adolescents between one-child and multi-child families were found. To address these problems, interventions targeting "Social problems" and "Anxious/depressed" symptoms should be developed for children and adolescents in both one-child and multichild families, while other interventions targeting "Withdrawn/depressed" and "Rule-breaking behavior" symptoms could be useful for those in one-child and multi-child families, respectively.

引用

页码：206 / 213

页数：8