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Risk factors and prediction nomogram model for psychosocial and behavioural problems among children and adolescents during the COVID-19 pandemic: A national multicentre study Risk Factors of Childhood Psychosocial Problems

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WOS体系：
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收录情况： ◇ SCIE ◇ SSCI

作者：
Wang, Lin[1] * ; Chen, Li[2] * ; Jia, Feiyong[3] * ; Shi, Xinmiao[1] * ; Zhang, Yiwen[4] ; Li, Fei[5] ; Hao, Yan[6] ; Hou, Yan[7] ; Deng, Hongzhu[8] ; Zhang, Jie[9] ; Huang, Linjuan[10] ; Xie, Xianghui[11] ; Fang, Shuanfeng[12] ; Xu, Qi[1] ; Xu, Liang[13] ; Guan, Hongyan[14] ; Wang, Weijie[15] ; Shen, Jianna[16] ; Li, Feng[17] ; Qian, Ying[18] ; Wang, Xi[1] ; Shan, Ling[4] ; Tan, Chuanxue[9] ; Wang, Jianhong[1] ; Yu, Yabin[1] ; Wang, Xiaoyan[1] ; Zhang, Lili[1] ; Li, Xiaomeng[1] ; Ke, Xiaoyan[13,*2] ; Li, Tingyu[2,*1] ;
单位： [1]Capital Inst Pediat, Childrens Hosp, Dept Child Hlth Care, Beijing, Peoples R China [2]Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorder, Chongqing, Peoples R China [3]First Hosp Jilin Univ, Dept Dev Behav Pediat, Changchun, Jilin, Peoples R China [4]Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Med Sch, Dept Dev & Behav Pediat, Shanghai, Peoples R China [5]Shanghai Jiao Tong Univ, Xinhua Hosp, Med Sch, Dept Dev Behav Pediat, Shanghai, Peoples R China [6]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Child Hlth Care, Wuhan, Hubei, Peoples R China [7]Peking Univ, Dept Biostat, Beijing, Peoples R China [8]Sun Yat Sen Univ, Affiliated Hosp 3, Child Dev & Behav Ctr, Guangzhou, Guangdong, Peoples R China [9]Xian Childrens Hosp, Dept Child Hlth Care, Xian, Shaanxi, Peoples R China [10]Fujian Med Univ, Fuzhou Childrens Hosp, Hlth Management Ctr, Fuzhou, Fujian, Peoples R China [11]Capital Inst Pediat, Childrens Hosp, Childrens Hosp Capital Inst Pediat Beijing China, Beijing, Peoples R China [12]Zhengzhou Univ, Childrens Hosp, Dept Child Hlth Care, Zhengzhou, Henan, Peoples R China [13]Nanjing Med Univ, Brain Hosp, WHO Collaborating Ctr Res & Training Child Mental, Nanjing, Jiangsu, Peoples R China [14]Capital Inst Pediat, Dept Early Childhood Dev, Beijing, Peoples R China [15]Shanghai Pudong Inst Educ Dev, Shanghai, Peoples R China [16]Chongqing Educ Sci Res Acad, Chongqing, Peoples R China [17]Jiangjin Ctr Hosp, Chongqing, Peoples R China [18]Peking Univ, Hosp 6, Natl Clin Res Ctr Mental Disorders, Inst Mental Hlth,NHC Key Lab Mental Hlth, Beijing, Peoples R China
出处：
DOI： 10.1016/j.jad.2021.06.077
ISSN：

关键词： Coronavirus disease 2019 Risk factors Psychosocial and behavioural problems Children and adolescents

摘要：
Background: We aimed to explore the risk profiles attributable to psychosocial and behavioural problems during the coronavirus disease 2019 pandemic. To this end, we created a risk-prediction nomogram model. Methods: A national multicentre study was conducted through an online questionnaire involving 12,186 children (6-11 years old) and adolescents (12-16 years old). Respondents' psychosocial and behavioural functioning were assessed using the Achenbach Child Behaviour Checklist (CBCL). Data were analysed using STATA software and R-language. Results: The positive detection rate of psychological problems within Wuhan was greater than that outside Wuhan for schizoid (P = 0.005), and depression (P = 0.030) in children, and for somatic complaints (P = 0.048), immaturity (P = 0.023), and delinquent behaviour (P = 0.046) in adolescents. After graded multivariable adjustment, seven factors associated with psychological problems in children and adolescents outside Wuhan were parent-child conflict (odds ratio (OR): 4.94, 95% confidence interval (95% CI): 4.27-5.72), sleep problems (OR: 4.05, 95% CI: 3.77-4.36), online study time (OR: 0.41, 95% CI: 0.37-0.47), physical activity time (OR: 0.510, 95% CI: 0.44-0.59), number of close friends (OR: 0.51, 95% CI: 0.44-0.6), time spent playing videogames (OR: 2.26, 95% CI: 1.90-2.69) and eating disorders (OR: 2.71, 95% CI: 2.35-3.11) (all P < 0.001). Contrastingly, within Wuhan, only the first four factors, namely, parent-child conflict (5.95, 2.82-12.57), sleep problems (4.47, 3.06-6.54), online study time (0.37, 0.22-0.64), and physical activity time (0.42, 0.22-0.80) were identified (all P < 0.01). Accordingly, nomogram models were created with significant attributes and had decent prediction performance with C-indexes over 80%. Limitation: A cross-sectional study and self-reported measures. Conclusions: Besides the four significant risk factors within and outside Wuhan, the three additional factors outside Wuhan deserve special attention. The prediction nomogram models constructed in this study have important clinical and public health implications for psychosocial and behavioural assessment.

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]

基金编号： 81771223 cstc2018jscx-mszdX0023 BMR2019-11 2020-2-2104

语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2020]版：
大类 | 2 区 医学
小类 | 3 区 临床神经病学 3 区 精神病学
最新[2025]版：
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 精神病学
JCR分区：
出版当年[2019]版：
Q1 PSYCHIATRY Q1 CLINICAL NEUROLOGY Q2 PSYCHIATRY
最新[2023]版：
Q1 CLINICAL NEUROLOGY Q1 PSYCHIATRY

影响因子： 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者：
第一作者单位： [1]Capital Inst Pediat, Childrens Hosp, Dept Child Hlth Care, Beijing, Peoples R China
共同第一作者：
通讯作者：
通讯机构： [2]Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorder, Chongqing, Peoples R China [13]Nanjing Med Univ, Brain Hosp, WHO Collaborating Ctr Res & Training Child Mental, Nanjing, Jiangsu, Peoples R China [*1]136 Zhongshan Er Rd, Chongqing 400014, Peoples R China [*2]Guangzhou Rd 264, Nanjing 210029, Peoples R China
推荐引用方式(GB/T 7714)：
Wang Lin,Chen Li,Jia Feiyong,et al.Risk factors and prediction nomogram model for psychosocial and behavioural problems among children and adolescents during the COVID-19 pandemic: A national multicentre study Risk Factors of Childhood Psychosocial Problems[J].JOURNAL OF AFFECTIVE DISORDERS.2021,294:128-136.doi:10.1016/j.jad.2021.06.077.
APA：
Wang, Lin,Chen, Li,Jia, Feiyong,Shi, Xinmiao,Zhang, Yiwen...&Li, Tingyu.(2021).Risk factors and prediction nomogram model for psychosocial and behavioural problems among children and adolescents during the COVID-19 pandemic: A national multicentre study Risk Factors of Childhood Psychosocial Problems.JOURNAL OF AFFECTIVE DISORDERS,294,
MLA：
Wang, Lin,et al."Risk factors and prediction nomogram model for psychosocial and behavioural problems among children and adolescents during the COVID-19 pandemic: A national multicentre study Risk Factors of Childhood Psychosocial Problems".JOURNAL OF AFFECTIVE DISORDERS 294.(2021):128-136

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