Evidence map›Paper›PMID 40742664›Full record

ArticleWorld journal of pediatrics : WJP2025

Longitudinal associations between chronic physical conditions, play behavior, and mental health problems in children.

Emmie W Koevoets, Sanne L Nijhof, Maartje D Stutvoet, Remco C Veltkamp, Liesbeth Duijts, Manon H J Hillegers, Pauline W Jansen

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In one paragraph

Article in World journal of pediatrics : WJP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
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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.

Emmie W KoevoetsDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, PO Box 85090, Utrecht, The Netherlands. E.W.koevoets@umcutrecht.nl.ORCID 0000-0002-0570-0810
Sanne L NijhofDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, PO Box 85090, Utrecht, The Netherlands.
Maartje D StutvoetDepartment of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, PO Box 85090, Utrecht, The Netherlands.
Remco C VeltkampDepartment of Information and Computing Sciences, Faculty of Science, Utrecht University, Utrecht, The Netherlands.
Liesbeth DuijtsDepartment of Pediatrics, Division of Respiratory Medicine and Allergology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Manon H J HillegersDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Pauline W JansenDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek NWA.1292.19.226
6 · The paper itself

Abstract

backgroundChildren and adolescents with chronic physical conditions have an increased probability of mental health problems, which may be partly attributed to the variations in play behavior. This study explores the associations between having a chronic physical condition, play behavior, and having mental health problems.

methodsData from the Generation R Study were analyzed, a population-based, prospective cohort in the Netherlands. Chronic physical conditions were typically identified before six years of age. Play behavior was assessed at ages 6 and 10. Mental health problems were measured with the Child Behavior Checklist at 14 years of age. Logistic, ranked-order, and linear regression analyses were used to examine direct associations, and mediation analyses were used to investigate indirect paths. P values were false discovery rate adjusted.

resultsOf the 4043 included participants, 691 (17%) had a chronic physical condition. Having a chronic physical condition was associated with more mental health problems and limited activity at the age of six years. Playing sports and engaging in social interactions at age 10 were related to fewer mental health problems at age 14. Limited activity mediated the relationship between having a chronic physical condition and mental health problems (social: mediated

conclusionsHealth-related limitations in social and physical activities mediate the relationship between having a chronic physical condition and mental health problems in children. Participation in social and physical activities early in life may be crucial for the mental well-being of children with a chronic physical condition.

Indexed as

Mental DisordersMental HealthPlay and PlaythingsAdolescentChildChild, PreschoolChronic DiseaseFemaleHumansLongitudinal StudiesMaleNetherlandsProspective StudiesActivity limitationsChronic conditionMental healthPediatricsPlay behaviorPopulation-based cohort

Identifiers

PMID40742664
PMCPMC12380855

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