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

作者全名："Wang, Lin; Zhang, Yiwen; Chen, Li; Wang, Jianhong; Jia, Feiyong; Li, Fei; Froehlich, Tanya E.; Hou, Yan; Hao, Yan; Shi, Yuan; Deng, Hongzhu; Zhang, Jie; Huang, Linjuan; Xie, Xianghui; Fang, Shuanfeng; Xu, Liang; Xu, Qi; Guan, Hongyan; Wang, Weijie; Shen, Jianna; Qian, Ying; Wang, Xi; Shan, Ling; Tan, Chuanxue; Yu, Yabin; Wang, Xiaoyan; Chen, Fangfang; Zhang, Lili; Li, Xiaomeng; Shi, Xinmiao; Ke, Xiaoyan; Li, Tingyu"

作者地址："[Wang, Lin; Wang, Jianhong; Xu, Qi; Wang, Xi; Yu, Yabin; Wang, Xiaoyan; Zhang, Lili; Li, Xiaomeng; Shi, Xinmiao] Childrens Hosp, Capital Inst Pediat, Dept Child Hlth Care, Beijing, Peoples R China; [Zhang, Yiwen] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Med Sch, Dept Dev & Behav Pediat, Shanghai, Peoples R China; [Chen, Li; Shi, Yuan; Li, Tingyu] Chongqing Med Univ, Nat Clin Res Ctr Child Hlth & Disorders, Minist Educ Key Lab Child Dev & Disorders, Childrens Hosp, Chongqing, Peoples R China; [Chen, Li; Jia, Feiyong; Shan, Ling] First Hosp Jilin Univ, Dept Dev Behav Pediat, Jilin, Peoples R China; [Jia, Feiyong] Shanghai Jiao Tong Univ, Xinhua Hosp, Dept Dev Behav Pediat, Med Sch, Shanghai, Peoples R China; [Li, Fei] Univ Cincinnati, Dept Pediat, Coll Med, Cincinnati, OH USA; [Froehlich, Tanya E.] Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH USA; [Hou, Yan] Peking Univ, Dept Stat, Beijing, Peoples R China; [Hao, Yan; Deng, Hongzhu] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Child Hlth Care, Wuhan, Hubei, Peoples R China; [Hao, Yan] Sun Yat Sen Univ, Affiliated Hosp 3, Child Dev & Behav Ctr, Guangzhou, Guangdong, Peoples R China; [Zhang, Jie] Xian Childrens Hosp, Dept Child Hlth Care, Xian, Shaanxi, Peoples R China; [Huang, Linjuan] Fujian Med Univ, Fuzhou Childrens Hosp, Hlth Management Ctr, Fuzhou, Fujian, Peoples R China; [Xie, Xianghui] Childrens Hosp, Capital Inst Pediat, Beijing, Peoples R China; [Fang, Shuanfeng] Zhengzhou Univ, Dept Child Hlth Care, Childrens Hosp, Zhengzhou, Henan, Peoples R China; [Xu, Liang; Ke, Xiaoyan] Nanjing Med Univ, Child Mental Hlth Res Ctr, Brain Hosp, Nanjing, Jiangsu, Peoples R China; [Guan, Hongyan] Capital Inst Pediat, Dept Early Childhood Dev, Beijing, Peoples R China; [Wang, Weijie] Shanghai Pudong Inst Educ Dev, Shanghai, Peoples R China; [Shen, Jianna] Chongqing Educ Sci Res Acad, Chongqing, Peoples R China; [Qian, Ying] Peking Univ Sixth Hosp, Peking Univ Inst Mental Hlth, Natl Clin Res Ctr Mental Disorders, NHC Key Lab Mental Hlth, Beijing, Peoples R China; [Chen, Fangfang] Capital Inst Pediat, Dept Epidemiol, Beijing, Peoples R China"

通信作者："Li, TY (corresponding author), Chongqing Med Univ, Nat Clin Res Ctr Child Hlth & Disorders, Minist Educ Key Lab Child Dev & Disorders, Childrens Hosp, Chongqing, Peoples R China.; Ke, XY (corresponding author), Nanjing Med Univ, Child Mental Hlth Res Ctr, Brain Hosp, Nanjing, Jiangsu, Peoples R China."

来源：TRANSLATIONAL PSYCHIATRY

ESI学科分类：PSYCHIATRY/PSYCHOLOGY

WOS号：WOS:000660848400001

JCR分区：Q1

影响因子：6.8

年份：2021

卷号：11

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：　

摘要："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."

基金机构："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]"

基金资助正文："We acknowledge all health-care workers and education instructions staff in these cities involved in the recruitment and we thank parents of students who participated in the survey. The acknowledgment was also expressed to Prof. Myron Belfer (Boston Children's Hospital, Harvard Medical School, Boston, MA, USA), Mary Margaret Gleason(Children's Hospital of the King's Daughters, New Orleans, LA, USA), Mark L. Wolraich (University of Oklahoma Health Sciences Center, the University of Oklahoma, Oklahoma, USA) and Xinyin Chen (Graduate School of Education, University of Pennsylvania, Philadelphia, PA, USA) for guidance in study design and interpretation of results, and review of the manuscript. This research was supported by the General Program of National Natural Science Foundation of China (NSFC No.81771223), the Key Research and Development Project of Social Livelihood of Science Innovation and Application Demonstration Project of Chongqing Municipal Science and Technology Commission (No.cstc2018jscx-mszdX0023), Public service development and reform pilot project, Beijing Municipal Health Commission (BMR2019-11) and Capital's Funds for Health Improvement and Research (2020-2-2104). The sponsors had no role in the collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication."