Psychosocial and behavioral problems of children and adolescents in the early stage of reopening schools after the COVID-19 pandemic: a national cross-sectional study in China
This study aims to explore the psychosocial and behavioral problems of children and adolescents in the early stage of reopening schools. In this national cross-sectional study, a total of 11072 students from China were naturally divided into two groups based on their schooling status: reopened schools (RS) and home schooling (HS) group. The psychosocial and behavioral functioning were measured by Achenbach Child Behaviour Checklist (CBCL) and compared in these two groups. Multivariable logistic regression analyses were conducted to explore the independent predictors associated with the psychosocial and behavioral problems. Our results showed that the students in the RS group had more adverse behaviors than that of HS group. The RS group had the higher rates of parent-offspring conflict, prolonged homework time, increased sedentary time and sleep problems (all p < 0.001). When separate analyses were conducted in boys and girls, the RS group had the higher scores for (1) overall behavioral problems (p = 0.02 and p = 0.01), internalizing (p = 0.02 and p = 0.02) and externalizing (p = 0.02 and p = 0.004) behaviors in the 6-11 age group; (2) externalizing (p = 0.049 and p = 0.006) behaviors in the 12-16 age group. Multivariable regression showed parent-offspring conflict and increased sedentary time were the most common risk factors, while physical activity and number of close friends were protective factors for behavior problems in RS students (p < 0.01 or 0.05). The present study revealed that students' psychosocial and behavioral problems increased in the early stage of schools reopened unexpectedly. These findings suggest that close attention must be paid and holistic strategies employed in the school reopening process of post-COVID-19 period.
基金:
General Program of National Natural Science Foundation of China (NSFC)National Natural Science Foundation of China (NSFC) [81771223]; Key Research and Development Project of Social Livelihood of Science Innovation and Application Demonstration Project of Chongqing Municipal Science and Technology Commission [cstc2018jscx-mszdX0023]; Public service development and reform pilot project, Beijing Municipal Health Commission [BMR2019-11]; Capital's Funds for Health Improvement and Research [2020-2-2104]
第一作者单位:[1]Childrens Hosp, Capital Inst Pediat, Dept Child Hlth Care, Beijing, Peoples R China
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推荐引用方式(GB/T 7714):
Wang Lin,Zhang Yiwen,Chen Li,et al.Psychosocial and behavioral problems of children and adolescents in the early stage of reopening schools after the COVID-19 pandemic: a national cross-sectional study in China[J].TRANSLATIONAL PSYCHIATRY.2021,11(1):doi:10.1038/s41398-021-01462-z.
APA:
Wang, Lin,Zhang, Yiwen,Chen, Li,Wang, Jianhong,Jia, Feiyong...&Li, Tingyu.(2021).Psychosocial and behavioral problems of children and adolescents in the early stage of reopening schools after the COVID-19 pandemic: a national cross-sectional study in China.TRANSLATIONAL PSYCHIATRY,11,(1)
MLA:
Wang, Lin,et al."Psychosocial and behavioral problems of children and adolescents in the early stage of reopening schools after the COVID-19 pandemic: a national cross-sectional study in China".TRANSLATIONAL PSYCHIATRY 11..1(2021)