Evidence map›Paper›PMID 42637265›Full record

ArticleChild: care, health and development2026

Frequency of Organised Enrichment Activities and Later Self-Esteem in Japanese Children: A Longitudinal Cohort Study.

Takahiro Asada, Naomi Matsumoto, Shinji Sakamoto, Akiyoshi Yokode, Yoshio Ohya, Kenji Hinotsu, Yuko Okahisa, Soshi Takao, Takashi Yorifuji, Manabu Takaki

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Article in Child: care, health and development, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Takahiro AsadaDepartment of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Naomi MatsumotoDepartment of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Shinji SakamotoDepartment of Neuropsychiatry, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.ORCID https://orcid.org/0000-0001-5498-551X
Akiyoshi YokodeDepartment of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Yoshio OhyaDepartment of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Kenji HinotsuDepartment of Neuropsychiatry, Okayama University Hospital, Okayama, Japan.ORCID https://orcid.org/0000-0002-0392-4378
Yuko OkahisaHealth Service Center, Okayama University, Okayama, Japan.ORCID https://orcid.org/0000-0003-1125-0761
Soshi TakaoDepartment of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.ORCID https://orcid.org/0000-0002-7628-1254
Takashi YorifujiDepartment of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Manabu TakakiDepartment of Neuropsychiatry, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.ORCID https://orcid.org/0000-0002-7371-2821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough participation in organised extracurricular activities has been associated with higher self-esteem, high participation frequency may have adverse effects, as proposed by the overscheduling hypothesis. Longitudinal evidence from non-Western countries is limited. We examined whether the frequency of enrichment-oriented out-of-school lessons (naraigoto) in fourth grade was associated with self-esteem in sixth grade in a Japanese large-scale cohort.

methodsWe analysed longitudinal data from the Japanese Longitudinal Study of Children and Parents from fourth grade (baseline, 2017-2019) to sixth grade (follow-up, 2019-2021) (n = 3399). The exposure was the frequency of enrichment-oriented activities in fourth grade, excluding academic tutoring (juku). The outcome was self-confidence in sixth grade (4-point Likert scale). Ordinal logistic regression models were employed for estimating odds ratios and 95% confidence intervals, and possible confounders (sociodemographic factors, baseline self-confidence) were adjusted. Sensitivity analyses were also conducted using alternative outcome and alternative exposure definitions.

resultsIn the fully adjusted model, the adjusted odds ratios for higher self-confidence were 1.22 (95% confidence interval 0.96-1.55) for one session/week, 1.30 (1.02-1.66) for two sessions/week, 1.34 (1.04-1.73) for three session/week, 1.41 (1.10-1.82) for four to five sessions/week, and 1.22 (0.87-1.71) for six or more sessions/week, compared with zero sessions/week (reference). Associations were strongest at two to five sessions/week, with no increase at six or more sessions/week. Results were similar in sensitivity analyses. Gender-stratified analyses suggested that these associations were significant only in male participants.

conclusionsEnrichment activity participation was associated with self-esteem 2 years later, with the strongest associations at moderate frequencies. Future studies should examine total amount of time and qualitative aspects of participation.

Indexed as

Self ConceptChildEast Asian PeopleFemaleHumansJapanLongitudinal StudiesMaleJapanese childrenlongitudinal cohort studyorganised enrichment activitiesoverscheduling hypothesisself‐esteem

Identifiers

PMID42637265
PMCPMC13503046

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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.