Association of parenting style with emotional and behavioral problems in preschool children
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摘要:
目的 探讨父母教养方式对学龄前儿童情绪行为问题(EBPs)的影响,为促进儿童身心健康提供理论参考。 方法 2021年10—11月,采用分层整群随机抽样方法从合肥市12所幼儿园选取3 575名3~6岁学龄前儿童,通过电子问卷收集父母教养方式和学龄前儿童EBPs等资料。采用二元Logistic回归模型分析父母教养方式与学龄前儿童EBPs的关联。 结果 学龄前儿童情绪症状、品行、多动、同伴交往和亲社会行为等问题检出率分别为15.5%(554名),23.2%(830名),22.4%(802名),38.2%(1 367名)和29.5%(1 055名)。二元Logistic回归分析结果显示,调整儿童年龄、性别、早产等协变量后,父母高权威型教养方式会降低儿童EBPs的发生风险(OR=0.29~0.78),母亲高专制型(OR=1.36~2.15)和高放纵型(OR=1.36~1.68)教养方式均会增加儿童EBPs的发生风险(P值均<0.05)。进一步分层分析结果表明,在父亲高权威、高专制和高放纵型教养方式的儿童中,母亲高权威型教养方式均可降低同伴交往和亲社会行为问题的发生风险(OR值分别为0.51,0.30;0.44,0.23;0.51,0.29);在父亲高权威型教养方式的儿童中,母亲高专制型教养方式可增加儿童情绪症状问题的发生风险(OR=2.59),母亲高专制型和高放纵型教养方式可增加儿童品行(OR值分别为3.25,2.09)和多动问题(OR值分别为2.35,2.87)的发生风险;在父亲高专制型和高放纵型教养方式的儿童中,母亲高专制型教养方式可增加儿童EBPs的发生风险(OR值分别为1.65~2.71,1.62~2.52)(P值均<0.05)。 结论 父母教养方式是学龄前儿童EBPs的重要相关因素,合适的教养方式有益于儿童心理健康发展。 Abstract:Objective To explore the effects of parenting style on emotional and behavioral problems (EBPs) of preschool children and to provide theoretical reference for promoting children's physical and mental health. Methods In October-November 2021, a stratified cluster random sampling method was adopted to select 3 575 preschool children aged 3-6 years from 12 kindergartens in Hefei. Data on parenting styles and children's EBPs were collected through electronic questionnaires. Binary Logistic regression model was used to explore the effects of parenting styles on children's EBPs. Results The detection rates of emotional symptoms, conduct problems, hyperactivity, peer interaction problems, and prosocial behavior problems were 15.5% (n=554), 23.2% (n=830), 22.4% (n=802), 38.2% (n=1 367), and 29.5% (n=1 055) in preschool children, respectively. Binary Logistic regression analysis showed that after adjusting for covariates such as child's age, sex, and preterm birth, a high authoritative parenting style reduced the risk of EBPs in children (OR=0.29-0.78), while a high authoritarian (OR=1.36-2.15) and high permissive (OR=1.36-1.68) parenting style in mothers increased the risk of EBPs in children (all P < 0.05). Further stratified analysis indicated that among children with fathers exhibiting high authoritative, high authoritarian, or high permissive parenting styles, a high authoritative parenting style in mothers reduced the risk of peer interaction problems and prosocial behavior problems (OR=0.51, 0.30; 0.44, 0.23; 0.51, 0.29, all P < 0.05). Among children with fathers exhibiting a high authoritative parenting style, a high authoritarian parenting style in mothers increased the risk of emotional problems (OR=2.59), and both high authoritarian and high permissive parenting styles in mothers increased the risk of conduct problems (OR=3.25, 2.09) and hyperactivity problems (OR=2.35, 2.87) (all P < 0.05). Among children with fathers exhibiting high authoritarian or high permissive parenting styles, a high authoritarian parenting style in mothers increased the risk of EBPs (OR=1.65-2.71, 1.62-2.52, all P < 0.05). Conclusion Parenting style is an important factor affecting EBPs of preschool children, and appropriate parenting style is beneficial for children's psychological development. -
Key words:
- Health Education /
- Legal guardians /
- Emotions /
- Mental health /
- Regression analysis /
- Child, preschool
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同组别学龄前儿童EBPs检出率比较
Table 1. Comparison of EBPs detection rates in preschoolers with different groups
组别 选项 人数 统计值 情绪症状问题 品行问题 多动问题 同伴交往问题 亲社会行为问题 年龄 3~<4 962 157(16.3) 267(27.8) 217(22.6) 405(42.1) 370(38.5) 4~<5 1 366 193(14.1) 303(22.2) 281(20.6) 491(35.9) 370(27.1) 5~6 1 247 204(16.4) 260(20.9) 304(24.4) 471(37.8) 315(25.3) χ2值 3.16 15.85 5.44 9.23 51.74 P值 0.21 < 0.01 0.07 < 0.01 < 0.01 性别 男 1 875 272(14.5) 452(24.1) 483(25.8) 770(41.1) 618(33.0) 女 1 700 282(16.6) 378(22.2) 319(18.8) 597(35.1) 437(25.7) χ2值 2.95 1.75 25.07 13.36 22.56 P值 0.09 0.19 < 0.01 < 0.01 < 0.01 早产 否 3 340 511(15.3) 775(23.2) 738(22.1) 1225(37.6) 972(29.1) 是 235 43(18.3) 55(23.4) 64(27.2) 112(47.7) 83(35.3) χ2值 1.51 0.01 3.33 11.31 4.08 P值 0.22 0.94 0.07 < 0.01 0.04 出生体重 低体重 124 26(21.0) 24(19.4) 40(32.3) 60(48.4) 44(35.5) 正常体重 2 951 439(14.9) 680(23.0) 641(21.7) 1107(37.5) 867(29.4) 巨大儿 500 89(17.8) 126(25.2) 121(24.2) 200(40.0) 144(28.8) χ2值 5.73 2.19 8.64 6.72 2.27 P值 0.06 0.33 0.01 0.04 0.32 独生子女 否 2 095 326(15.6) 466(22.2) 430(20.5) 858(41.0) 637(30.4) 是 1 480 228(15.4) 364(24.6) 372(25.1) 509(34.4) 418(28.2) χ2值 0.02 2.69 10.59 15.82 1.95 P值 0.90 0.10 < 0.01 < 0.01 0.16 每天视屏时间/h <2 2 566 372(14.5) 590(23.0) 515(20.1) 949(37.0) 745(29.0) ≥2 653 124(19.0) 162(24.8) 196(30.0) 289(44.3) 200(30.6) χ2值 147.93 4.05 29.92 11.64 0.64 P值 < 0.01 0.04 < 0.01 < 0.01 0.42 每天户外活动时间/h <1 137 21(15.3) 31(22.6) 24(17.5) 47(34.3) 38(27.7) 1~<2 1 195 199(16.7) 274(22.9) 246(20.6) 485(40.6) 358(30.0) ≥2 1 837 270(14.7) 434(23.6) 439(23.9) 703(38.3) 537(29.2) χ2值 2.12 0.24 6.52 2.94 0.38 P值 0.35 0.89 0.04 0.23 0.83 父亲文化水平 高中中专及以下 1 309 203(15.5) 291(22.2) 362(27.7) 559(42.7) 382(29.2) 大专及以上 2 266 351(15.5) 539(23.8) 440(19.4) 808(35.6) 673(29.7) χ2值 0.00 1.13 28.63 17.45 0.11 P值 0.99 0.29 < 0.01 < 0.01 0.74 母亲文化水平 高中中专及以下 1 384 235(17.0) 309(22.3) 378(27.3) 617(44.6) 425(30.7) 大专及以上 2 191 319(14.6) 521(23.8) 424(19.4) 750(34.2) 630(28.8) χ2值 3.75 1.00 30.89 38.46 1.56 P值 0.05 0.32 < 0.01 < 0.01 0.21 家庭月收入/元 <6 000 1 516 251(16.6) 339(22.4) 358(23.6) 615(40.6) 464(30.6) 6 000~9 999 1 272 197(15.5) 291(22.9) 295(23.2) 483(38.0) 376(29.6) ≥10 000 787 106(13.5) 200(25.4) 149(18.9) 269(34.2) 215(27.3) χ2值 3.77 2.83 7.18 9.01 2.70 P值 0.15 0.24 0.03 0.01 0.26 家庭结构a 核心家庭 227 36(15.9) 46(20.3) 62(27.3) 105(46.3) 73(32.2) 大家庭 3 226 486(15.1) 758(23.5) 707(21.9) 1 202(37.3) 945(29.3) 其他家庭 122 32(26.2) 26(21.3) 33(27.0) 60(49.2) 37(30.3) χ2值 11.21 1.50 5.10 13.67 0.88 P值 < 0.01 0.47 0.08 < 0.01 0.65 注:()内数字为检出率/%;a核心家庭指父母双方和子女共同组成的家庭,大家庭指外/祖父母、父母双方和子女共同组成的家庭,其他家庭指单亲家庭、重组家庭等。 表 2 父母教养方式与学龄前儿童EBPs关联的Logistic回归分析[OR值(95%CI),n=3 575]
Table 2. Logistic regression analysis of the relationship between parenting style and EBPs in preschoolers[OR(95%CI), n=3 575]
自变量 情绪症状问题 品行问题 多动问题 同伴交往问题 亲社会行为问题 母亲权威型 0.90(0.71~1.15) 0.76(0.61~0.93)* 0.65(0.51~0.83)** 0.47(0.39~0.57)** 0.29(0.24~0.36)** 母亲专制型 1.36(1.09~1.69)* 2.15(1.79~2.60)** 1.84(1.49~2.27)** 1.39(1.16~1.66)** 1.48(1.24~1.77)** 母亲放纵型 1.63(1.32~2.00)** 1.63(1.37~1.96)** 1.68(1.37~2.05)** 1.10(0.93~1.30) 1.36(1.15~1.61)** 父亲权威型 0.78(0.61~0.99)* 0.98(0.81~1.20) 1.21(0.97~1.51) 0.91(0.76~1.09) 0.82(0.68~0.98)* 父亲专制型 1.00(0.80~1.26) 1.18(0.97~1.43) 1.20(0.97~1.48) 0.92(0.77~1.10) 0.98(0.82~1.18) 父亲放纵型 0.94(0.75~1.18) 1.10(0.90~1.33) 1.20(0.97~1.48) 1.00(0.83~1.19) 0.92(0.76~1.10) 注:自变量均以低水平为参照,因变量均以正常为参照,调整儿童年龄、性别、早产、出生体重、独生子女、视屏时间、户外活动、父母文化程度、家庭月收入和家庭结构等协变量;*P < 0.05,**P < 0.01。 表 3 父亲不同教养方式下母亲教养方式与学龄前儿童情绪行为问题的关联分析[OR值(95%CI),n=3 575]
Table 3. Analysis of the association between maternal parenting styles and EBPs in preschoolers under different paternal parenting styles[OR(95%CI), n=3 575]
父亲教养方式 母亲教养方式 情绪症状问题 品行问题 多动问题 同伴交往问题 亲社会行为问题 低权威 低权威 1.00 1.00 1.00 1.00 1.00 高权威 0.74(0.51~1.07) 0.74(0.54~1.02) 0.68(0.49~0.95)* 0.43(0.33~0.57)** 0.29(0.21~0.40)** 低专制 1.00 1.00 1.00 1.00 1.00 高专制 1.72(1.29~2.29)** 2.55(1.98~3.27)** 2.16(1.67~2.80)** 1.56(1.24~1.95)** 1.45(1.14~1.84)** 低放纵 1.00 1.00 1.00 1.00 1.00 高放纵 1.77(1.34~2.34)** 1.77(1.38~2.27)** 1.54(1.19~1.99)** 1.13(0.90~1.41) 1.36(1.08~1.72)* 高权威 低权威 1.00 1.00 1.00 1.00 1.00 高权威 0.78(0.92~1.60) 0.77(0.49~1.21) 0.55(0.34~0.89)* 0.51(0.35~0.76)** 0.30(0.19~0.48)** 低专制 1.00 1.00 1.00 1.00 1.00 高专制 2.59(1.49~4.49)** 3.25(2.07~5.11)** 2.35(1.46~3.78)** 1.38(0.90~2.10) 1.29(0.82~2.03) 低放纵 1.00 1.00 1.00 1.00 1.00 高放纵 1.65(0.97~2.80) 2.09(1.36~3.22)** 2.87(1.81~4.55)** 1.17(0.79~1.73) 1.35(0.89~2.07) 低专制 低权威 1.00 1.00 1.00 1.00 1.00 高权威 0.84(0.59~1.18) 0.77(0.57~1.04) 0.60(0.41~0.80)** 0.46(0.35~0.59)** 0.30(0.22~0.41)** 低专制 1.00 1.00 1.00 1.00 1.00 高专制 1.61(1.17~2.21)** 2.66(2.03~3.50)** 2.24(1.69~2.98)** 1.22(0.95~1.56) 1.30(1.00~1.69) 低放纵 1.00 1.00 1.00 1.00 1.00 高放纵 1.76(1.30~2.37)** 1.87(1.44~2.43)** 1.87(1.42~2.46)** 1.08(0.86~1.36) 1.36(1.07~1.75)* 高专制 低权威 1.00 1.00 1.00 1.00 1.00 高权威 0.56(0.30~1.05) 0.68(0.43~1.09) 0.82(0.52~1.30) 0.44(0.29~0.68)** 0.23(0.14~0.39)** 低专制 1.00 1.00 1.00 1.00 1.00 高专制 2.71(1.71~4.28)** 2.66(1.82~3.89)** 1.83(1.25~2.70)** 2.21(1.56~3.13)** 1.65(1.14~2.38)* 低放纵 1.00 1.00 1.00 1.00 1.00 高放纵 1.56(1.00~2.43) 1.71(1.17~2.49)* 1.56(1.06~2.29)* 1.33(0.93~1.89) 1.40(0.97~2.03) 低放纵 低权威 1.00 1.00 1.00 1.00 1.00 高权威 0.75(0.52~1.06) 0.82(0.61~1.10) 0.64(0.46~0.88)* 0.44(0.34~0.57)** 0.29(0.21~0.39)** 低专制 1.00 1.00 1.00 1.00 1.00 高专制 1.66(1.22~2.25)** 2.88(2.21~3.74)** 2.40(1.82~3.15)** 1.33(1.05~1.69)* 1.35(1.05~1.73)* 低放纵 1.00 1.00 1.00 1.00 1.00 高放纵 1.88(1.40~2.53)** 1.83(1.42~2.37)** 1.78(1.36~2.33)** 1.17(0.93~1.48) 1.34(1.05~1.71)* 高放纵 低权威 1.00 1.00 1.00 1.00 1.00 高权威 0.81(0.45~1.45) 0.57(0.35~0.94)* 0.64(0.39~1.05) 0.51(0.33~0.78)** 0.29(0.17~0.51)** 低专制 1.00 1.00 1.00 1.00 1.00 高专制 2.52(1.58~4.02)** 2.24(1.50~3.33)** 1.62(1.08~2.43)* 2.04(1.41~2.94)** 1.65(1.11~2.44)* 低放纵 1.00 1.00 1.00 1.00 1.00 高放纵 1.39(0.88~2.21) 1.82(1.22~2.72)** 1.63(1.09~2.44)* 1.13(0.79~1.63) 1.50(1.02~2.22)* 注:因变量均以正常为参照;调整儿童年龄、性别、早产、出生体重、独生子女、视屏时间、户外活动、父母文化程度、家庭月收入和家庭结构等协变量;*P < 0.05,**P < 0.01。 -
[1] TRUBEY R, EVANS R, MCDONALD S, et al. Effectiveness of mental health and wellbeing interventions for children and young people in foster, kinship, and residential care: systematic review and Meta-analysis[J]. Trauma Violence Abuse, 2024, 25(4): 2829-2844. doi: 10.1177/15248380241227987 [2] CHARACH A, MOHAMMADZADEH F, BELANGER S A, et al. Identification of preschool children with mental health problems in primary care: systematic review and Meta-analysis[J]. J Can Acad Child Adolesc Psychiatry, 2020, 29(2): 76-105. [3] World Health Organization. Global health estimates for 2019[M]. Geneva, Switzerland: WHO, 2020. [4] ASHOK P, FÄLDT A, DAHLBERG A, et al. Early emotional and behavioural problems predict use of habilitation services among children: findings from a longitudinal follow-up study[J]. PLoS One, 2024, 19(5): e0303685. doi: 10.1371/journal.pone.0303685 [5] MORALES-MUÑOZ I, MALLIKARJUN P K, CHANDAN J S, et al. Impact of anxiety and depression across childhood and adolescence on adverse outcomes in young adulthood: a UK Birth Cohort Study[J]. Br J Psychiatry, 2023, 222(5): 212-220. doi: 10.1192/bjp.2023.23 [6] LIU W, WU X, HUANG K, et al. Early childhood screen time as a predictor of emotional and behavioral problems in children at 4 years: a birth cohort study in China[J]. Environ Health Prev Med, 2021, 26(1): 3. doi: 10.1186/s12199-020-00926-w [7] ERUYAR S, MALTBY J, VOSTANIS P. Mental health problems of syrian refugee children: the role of parental factors[J]. Eur Child Adolesc Psychiatry, 2018, 27(4): 401-409. doi: 10.1007/s00787-017-1101-0 [8] BAUMRIND D. Effective parenting during the early adolescent transition[M]. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc, 1991: 115-120. [9] QUERIDO J G, WARNER T D, EYBERG S M. Parenting styles and child behavior in African American families of preschool children[J]. J Clin Child Adolesc Psychol, 2002, 31(2): 272-277. doi: 10.1207/S15374424JCCP3102_12 [10] THOMPSON A, HOLLIS C, RICHARDS D. Authoritarian parenting attitudes as a risk for conduct problems[J]. Eur Child Adolesc Psychiatry, 2003, 12(2): 84-91. doi: 10.1007/s00787-003-0324-4 [11] BAO P, JING J, JIN Y, et al. Trajectories and the influencing factors of behavior problems in preschool children: a longitudinal study in Guangzhou, China[J]. BMC Psychiatry, 2016, 16(1): 178. doi: 10.1186/s12888-016-0864-z [12] HU Q, FENG Q. Parenting style and prosocial behaviour among Chinese preschool children: a moderation model[J]. Early Child Dev Care, 2022, 192(9): 1444-1461. doi: 10.1080/03004430.2021.1888942 [13] CHAN S M, BOWES J, WYVER S. Parenting style as a context for emotion socialization[J]. Early Educ Dev, 2009, 20(4): 631-656. doi: 10.1080/10409280802541973 [14] MCARTHUR B A, TOUGH S, MADIGAN S. Screen time and developmental and behavioral outcomes for preschool children[J]. Pediatr Res, 2022, 91(6): 1616-1621. doi: 10.1038/s41390-021-01572-w [15] DAHL K L, CHEN T J, NAKAYAMA J Y, et al. Time playing outdoors among children aged 3-5 years: national survey of children's health, 2021[J]. Am J Prev Med, 2024, 66(6): 1024-1034. doi: 10.1016/j.amepre.2023.12.011 [16] ROBINSON C C, MANDLECO B, OLSEN S F, et al. The Parenting Styles and Dimensions Questionnaire (PSDQ)[J]. Handb Fam Meas Tech, 2001(3): 319-321. [17] VASIOU A, KASSIS W, KRASANAKI A, et al. Exploring parenting styles patterns and children's socio-emotional skills[J]. Children, 2023, 10(7): 1126. doi: 10.3390/children10071126 [18] American Psychiatric Association. Diagnostic and statistical manual of mental disorders: fourth edition text revision[M]. Washington D. C: American Psychiatric Press, 2000. [19] International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders. A conceptual framework for the revision of the ICD-10 classification of mental and behavioural disorders[J]. World Psychiatry, 2011, 10(2): 86-92. doi: 10.1002/j.2051-5545.2011.tb00022.x [20] DU Y, KOU J, COGHILL D. The validity, reliability and normative scores of the parent, teacher and self report versions of the Strengths and Difficulties Questionnaire in China[J]. Child Adolesc Psychiatry Ment Health, 2008, 2(1): 8. doi: 10.1186/1753-2000-2-8 [21] GOODMAN R. The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden[J]. J Child Psychol Psychiatry, 1999, 40(5): 791-799. doi: 10.1111/1469-7610.00494 [22] BÖGELS S, PHARES V. Fathers' role in the etiology, prevention and treatment of child anxiety: a review and new model[J]. Clin Psychol Rev, 2008, 28(4): 539-558. doi: 10.1016/j.cpr.2007.07.011 [23] VIGDAL J S, BRØNNICK K K. A systematic review of "helicopter parenting" and its relationship with anxiety and depression[J]. Front Psychol, 2022, 13: 872981. doi: 10.3389/fpsyg.2022.872981 [24] LEE E H, ZHOU Q, EISENBERG N, et al. Bidirectional relations between temperament and parenting styles in Chinese children[J]. Int J Behav Dev, 2013, 37(1): 57-67. doi: 10.1177/0165025412460795 [25] 邹长姗, 丁鹏, 耿梦龙, 等. 父母教养方式及其一致性与学龄前儿童情绪和行为问题的关联研究[J]. 中华预防医学杂志, 2020, 54(3): 283-288.ZOU C S, DING P, GENG M L, et al. Effects of parental rearing patterns and their consistency on the emotional and behavioral problems of preschool children[J]. Chin J Prev Med, 2020, 54(3): 283-288. (in Chinese) [26] ZHANG L, TAM V C, WAN W W, et al. An exploratory study on school children's intent attributions for parental structuring behaviors[J]. Psychol Rep, 2015, 116(1): 249-273. doi: 10.2466/21.PR0.116k17w3 [27] 贾守梅, 汪玲. 儿童攻击性行为影响因素研究进展[J]. 中国学校卫生, 2011, 32(3): 379-381. doi: 10.16835/j.cnki.1000-9817.2011.03.061JIA S M, WANG L. Research progress on influencing factors of aggressive behavior in children[J]. Chin J Sch Health, 2011, 32(3): 379-381. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2011.03.061 [28] 韩阿珠, 张国宝, 苏普玉, 等. 家庭教养方式对学龄前儿童行为和情绪问题的影响[J]. 中国学校卫生, 2018, 39(12): 1773-1778. doi: 10.16835/j.cnki.1000-9817.2018.12.004HAN A Z, ZHANG G B, SU P Y, et al. Relationships between parental rearing styles and emotional and behavioral problems in preschool children[J]. Chin J Sch Health, 2018, 39(12): 1773-1778. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.12.004 [29] KLEVENS J, HALL J. The importance of parental warmth, support, and control in preventing adolescent misbehavior[J]. J Child Adolesc Behav, 2014, 2(1): 121. [30] KOBASA S C, MADDI S R, KAHN S. Hardiness and health: a prospective study[J]. J Per Soc Psychol, 1982, 42(1): 168-177. doi: 10.1037/0022-3514.42.1.168 [31] ALIZADEH S, TALIB M B A, ABDULLAH R, et al. Relationship between parenting style and children's behavior problems[J]. Asian Soc Sci, 2011, 7(12): 195-200. [32] WHITTLE S, SIMMONS J G, DENNISON M, et al. Positive parenting predicts the development of adolescent brain structure: a longitudinal study[J]. Dev Cogn Neurosci, 2014(8): 7-17. [33] MARUSAK H A, THOMASON M E, SALA-HAMRICK K, et al. What's parenting got to do with it: emotional autonomy and brain and behavioral responses to emotional conflict in children and adolescents[J]. Dev Sci, 2018, 21(4): e12605. doi: 10.1111/desc.12605 [34] JIANG H, ZHANG X, ZHANG Y, et al. Effects of parenting styles on adult personality traits, depressive trait, and brain structure[J]. Asian J Psychiatr, 2024, 93: 103939. doi: 10.1016/j.ajp.2024.103939 -

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