ArticleEuropean child & adolescent psychiatry2021
The prevalence of behavioral and emotional problems among Chinese school children and adolescents aged 6-16: a national survey.
Article in European child & adolescent psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.
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Who cites it
57 citing papers in PubMed, 1 synthesis or guideline pooled it, 123 citations in OpenAlex.
- The Prevalence of Mental Problems for Chinese Children and Adolescents During COVID-19 in China: A Systematic Review and Meta-Analysis.Frontiers in pediatrics · 2021Pooled it
- Lower Severity, Denser Network: Profile-Specific Symptom Architecture in Adolescent Internalizing and Externalizing Problems.Behavioral sciences (Basel, Switzerland) · 2026Article
- The Developmental Trajectory of Social Adjustment Among Left-Behind Children in China: The Predictive Role of Gender, Left-Behind Status and Parent-Child Cohesion.Developmental science · 2026Article
- Associations Among Bullying Victimization, Executive Functions, and Adolescent Internalizing and Externalizing Symptoms: A Random-Intercept Cross-Lagged Panel Model.Journal of adolescence · 2026Article
- Nature Exposure and Problematic Smartphone Use Among Chinese High School Students: The Mediating Roles of Anxiety and Self-Control.Behavioral sciences (Basel, Switzerland) · 2026Article
- Sleep problems and emotional and behavioral problems among adolescents: examining independent types, cumulative scores, and latent patterns.Child and adolescent psychiatry and mental health · 2026Article
- Factors influencing clinical decision-making skills among nurses in Malaysia: A three-level general linear mixed-effects analysis.International journal of nursing studies advances · 2026Article
- Mother-Child Synchrony and Behavioral Problems in Chinese Children: A Preliminary fNIRS-Hyperscanning Study.Brain and behavior · 2026Article
- Psychometric properties of the Child and Adolescent Behavior Inventory in Chinese children aged 8-11 years.Pediatric investigation · 2026Article
- Network analysis of psychological problems in school-attending students aged 6-16 years in China: A comparison between rural and urban areas.Pediatric investigation · 2026Article
- Behavioral and emotional problems and quality of life in Chinese children with Langerhans cell histiocytosis.BMC pediatrics · 2026Article
- Parental Health Literacy as a Contextual Factor in Proxy-Reported Child Mental Health: A Population-Based Study of Children Aged 6-10 Years.Children (Basel, Switzerland) · 2026Article
- A clinical review of acute poisoning among pediatric individuals.European journal of medical research · 2025Article
- Configurations of Family Risk Factors and Mental Health Symptoms Among Grade 4-6 Children in Guangdong, China: A Large-Scale Crisp-Set Qualitative Comparative Analysis Based on a Cumulative Risk Model.Alpha psychiatry · 2025Article
- Article
- Prevalence and comorbidity of attention deficit hyperactivity disorder in Chinese school-attending students aged 6-16: a national survey.Annals of general psychiatry · 2025Article
- Twelve-month prevalence of DSM-5 mental disorders and the psychosocial correlates- a child and adolescent psychiatric epidemiologic survey in Hong Kong SAR.The Lancet regional health. Western Pacific · 2025Article
- Psychopathology of cognitive disengagement syndrome (CDS): a network analysis based on CBCL scales in 72,106 Chinese school students.European child & adolescent psychiatry · 2025Article
- Excessive screen time and problem behaviours among school-age children in Fujian, China: a cross-sectional study.BMC public health · 2025Article
- Dealing with Childhood Externalizing Behavior: Protocol for a Feasibility RCT of the Being a Parent Program.Healthcare (Basel, Switzerland) · 2025Article
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
Abstract
Improving the mental health of children and adolescents is a critical priority in China. However, only minimal information is available concerning the prevalence of mental disorders. In the present study, a two-stage national survey has been completed in five regions of China. In the first stage, data from the Achenbach Child Behavior Checklist (CBCL) were collected for each participant to identify the prevalence of the behavioral and emotional problems in China. A multistage cluster stratified random sampling design was used, and a total of 71,929 individuals aged 6-16 years were collected. In this large cohort, 36,893 (49.86%) were males, and 49,015 (66.24%) were living in urban communities. Overall, 17.6% (90% confidence interval 17.4%, 17.9%) of the children and adolescents were identified as having behavioral and emotional problems. Moreover, age and sex effect was found for the CBCL scores. The boys' cohort had a higher prevalence of behavioral and emotional problems than girls (18.6% versus 16.6%). In the older cohort aged 12-16, the prevalence was higher than for the younger cohort aged 6-11 (19.0% versus 15.9%). Notably, it seems that the prevalence of the behavioral and emotional problems for children and adolescents had a rise in the past 30 years, but the scarcity of pediatric psychiatrists in China needs to be addressed. To reduce the behavioral and emotional problems, the whole society, including mental health providers, educators, and parents, needs to focus on and pay more attention to it. It will have long-term benefits for China.
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