Evidence map›Paper›PMID 34083509›Full record

ArticleTranslational psychiatry2021

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.

Lin Wang, Yiwen Zhang, Li Chen, Jianhong Wang, Feiyong Jia, Fei Li, Tanya E Froehlich, Yan Hou, Yan Hao, Yuan Shi and 22 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. ABA-based teacher training reduces emotional and behavioral problems in Brazilian children.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026
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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

32 authors at 16 institutions in 2 countries.

Lin Wang *Department of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.ORCID 0000-0001-5536-781X
Yiwen Zhang *Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center Affiliated to Medical School of Shanghai Jiaotong University, Shanghai, China.ORCID 0000-0003-3293-7001
Li Chen *National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.ORCID 0000-0002-1766-5418
Jianhong Wang *Department of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Feiyong JiaDepartment of Developmental-Behavioral Pediatrics, the First Hospital of Jilin University, Changchun, Jilin, China.ORCID 0000-0002-8309-1395
Fei LiDepartment of Developmental-Behavioral Pediatrics, Xinhua Hospital Affiliated to Medical School of Shanghai Jiaotong University, Shanghai, China.ORCID 0000-0002-2455-4986
Tanya E FroehlichDepartment of Pediatrics, University of Cincinnati College of Medicine and Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Yan HouDepartment of Biostatistics, Peking University, Beijing, China.
Yan HaoDepartment of Child Health Care,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.ORCID 0000-0001-8830-8189
Yuan ShiNational Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Hongzhu DengChild Developmental & Behavioral Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-3919-117X
Jie ZhangDepartment of Child Health Care, Xi'an Children's Hospital, Xi'an, Shaanxi, China.
Linjuan HuangHealth Management Center, Fuzhou Children's Hospital of Fujian Medical University, Fuzhou, China.
Xianghui XieChildren's Hospital, Capital Institute of Pediatrics, Beijing, China.
Shuanfeng FangDepartment of Child Health Care, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.ORCID 0000-0002-1511-652X
Liang XuChild Mental Health Research Center, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, China.
Qi XuDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Hongyan GuanDepartment of Early Childhood Development, Capital Institute of Pediatrics, Beijing, China.
Weijie WangShanghai Pudong Institute of Education Development, Shanghai, China.
Jianna ShenChongqing educational science research academy, Chongqing, China.
Ying QianPeking University Sixth Hospital, Peking University Institute of Mental Health, National Clinical Research Center for Mental Disorders, NHC Key Laboratory of Mental Health (Peking University), Beijing, China.ORCID 0000-0002-2012-2617
Xi WangDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.ORCID 0000-0002-1220-6677
Ling ShanDepartment of Developmental-Behavioral Pediatrics, the First Hospital of Jilin University, Changchun, Jilin, China.ORCID 0000-0001-5356-3956
Chuanxue TanDepartment of Child Health Care, Xi'an Children's Hospital, Xi'an, Shaanxi, China.
Yabin YuDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Xiaoyan WangDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Fangfang ChenDepartment of Epidemiology, Capital Institute of Pediatrics, Beijing, China.
Lili ZhangDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Xiaomeng LiDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Xinmiao ShiDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Xiaoyan KeChild Mental Health Research Center, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu, China. kexynj@hotmail.com.
Tingyu LiNational Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China. tyli@vip.sina.com.ORCID 0000-0002-1940-7076
Children's Hospital of Capital Institute of Pediatrics · CNChildren's Hospital of Chongqing Medical University · CNCapital Institute of Pediatrics · CNJilin University · CNNanjing Brain Hospital · CNPeking University · CNXi’an Children’s Hospital · CNChongqing Academy of Environmental Science · CNCincinnati Children's Hospital Medical Center · USFujian Medical University · CNShanghai Children's Medical Center · CNShanghai Pudong Institute of Education Development · CNSun Yat-sen University · CNTongji Hospital · CNXinHua Hospital · CNZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

COVID-19Problem BehaviorAdolescentChildChinaCross-Sectional StudiesFemaleHumansMalePandemicsSARS-CoV-2Schools

Identifiers

PMID34083509
PMCPMC8172553
OpenAlexW3165679178

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.