Evidence map›Paper›PMID 28286550›Full record

ArticleChild and adolescent psychiatry and mental health2017

Risk and protective factors for mental health problems in preschool-aged children: cross-sectional results of the BELLA preschool study.

Olga Wlodarczyk, Silke Pawils, Franka Metzner, Levente Kriston, Fionna Klasen, Ulrike Ravens-Sieberer, BELLA Study Group

Open access · goldAbstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 40 citations in OpenAlex.

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  7. Age, Sex and Relationship Strengths: Internalizing Symptom Differences in Children and Youth Within a Clinical Sample.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022
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  15. Impact of the Familiar Environment in 11⁻14-Year-Old Minors' Mental Health.International journal of environmental research and public health · 2018
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Olga WlodarczykInstitute and Outpatients Clinic of Medical Psychology, Centre for Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52 (Building W26), 20246 Hamburg, Germany.ORCID 0000-0001-8006-815X
Silke PawilsInstitute and Outpatients Clinic of Medical Psychology, Centre for Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52 (Building W26), 20246 Hamburg, Germany.
Franka MetznerInstitute and Outpatients Clinic of Medical Psychology, Centre for Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52 (Building W26), 20246 Hamburg, Germany.
Levente KristonInstitute and Outpatients Clinic of Medical Psychology, Centre for Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52 (Building W26), 20246 Hamburg, Germany.
Fionna KlasenDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Research Division "Child Public Health", Centre for Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52 (Building W26), 20246 Hamburg, Germany.
Ulrike Ravens-SiebererDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Research Division "Child Public Health", Centre for Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52 (Building W26), 20246 Hamburg, Germany.
BELLA Study Group
Universität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health problems (MHPs) in preschoolers are precursors of mental disorders which have shown to be associated with suffering, functional impairment, exposure to stigma and discrimination, as well as enhanced risk of premature death. A better understanding of factors associated with MHPs in preschoolers can facilitate early identification of children at risk and inform prevention programs. This cross-sectional study investigated the association of risk and protective factors with MHPs within a German representative community sample.

methodsMHPs were assessed in a sample of 391 preschoolers aged 3-6 years using the Strength and Difficulties Questionnaire (SDQ). The effects of parental MHPs, children's temperament, parental socioeconomic status (SES), social support and perceived self-competence on MHPs were assessed using bivariate and multivariate logistic regression analyses that controlled for sociodemographic characteristics.

resultsOverall, 18.2% of preschoolers were classified as 'borderline or abnormal' on the total difficulties score of the SDQ. Bivariate analyses showed that parental MHPs, children's difficult temperament, and parental low SES increased the likelihood, whereas high perceived parental competence decreased the likelihood of preschool MHPs. In the multivariate analyses, only difficult child temperament remained significantly associated with preschool MHPs when other variables were controlled.

conclusionsThe results underline the importance of children's difficult temperamental characteristics as a risk factor for mental health in preschoolers and suggest that these may also be an appropriate target for prevention of preschool MHPs. More research on specific aspects of preschool children's temperament, the socioeconomic environment and longitudinal studies on the effects of these in the development of preschool MHPs is needed.

Indexed as

Cross-sectional studiesMental healthPreschoolProtective factorRisk factor

Identifiers

PMID28286550
PMCPMC5341413
OpenAlexW2592571583

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.