Objective To explore the prevalence and the risk factors for mental health problems in preschool children,in order to provide reference for taking intervention. Methods A total of 15 008 children from 86 kindergartens were selected in the Nanshan by cluster sampling from March to June 2018.All parents were asked to fill out the basic information questionnaire and Strength and Difficulty Questionnaire(SDQ).And Logistic analysis was used to analyze the influencing factors of mental health problems. Results 1) A total of 6.5% preschool children were detected with abnormal results.Peer interaction problem was the most prevalent mental health problem,followed by conduct problem,prosocial behavior,emotional symptoms and hyperactivity-inattention according to the prevalence rate.The emotional problems of girls was higher than that of boys(χ2=18.000),while the hyperactivity(χ2=63.499)and prosocial behaviors(χ2=131.533)of boys were significantly higher than those of girls(P<0.05).2) Mental health problems were significantly higher in children who were at lower age(χ2=45.990),with high risk factors at birth(χ2=19.165),unregistered residents in Shenzhen(χ2=182.178),born outside Shenzhen(χ2=28.470),with younger mother and father(χ2=56.082,74.737),with less-educated mother and father(χ2=243.298,247.481),complex family structure(χ2=43.567),and second-hand smoking(χ2=103.434).3) Multivariate analysis indicated that the risk factors for mental health problems included high risk factors at birth(OR=1.535),short dwelling time in Shenzhen(OR=1.729),less-educated mother and father(OR=2.318,1.492)and second-hand smoking(OR=1.293),while the core family type was a protective factor(OR=0.564). Conclusions The peer interaction problem is the most common mental health problem for preschool children.And the mental health problems are affected by biological factors and environmental factors.
Key words
preschool children /
mental health /
Strengths and Difficulties Questionnaire
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] von KK,Dohnert M,Kroll M,et al. Mental disorders in early childhood[J]. Dtsch Arztebl Znt,2015,112(21-22):375-386.
[2] 寇建华,杜亚松,夏黎明. 儿童长处和困难问卷(父母版)上海常模的信度和效度[J]. 上海精神医学,2005,17(1):25-28.
[3] 孙力菁,姜艳蕊,杨友,等. 上海地区学龄前儿童心理卫生状况及相关影响因素的研究[J]. 中国儿童保健杂志,2014,22(3):248-251.
[4] Maartje B,Henning T,Robert RA,et al. The stability of problem behavior across the preschool years:an empirical approach in the general population[J]. J Abnorm Child Psych,2016,44(2):393-404.
[5] Olga W,Silke P,Franka M,et al. Risk and protective factors for mental health problems in preschool-aged children:cross-sectional results of the BELLA preschool study[J/OL]. Child Adol Ment H-UK,2017. https://doi.org/10.1186/s13034-017-0149-4.
[6] Claude AM,Qi X,Danielle FN,et al. Screening for mental health among young south African children:the use of the Strengths and Difficulties Questionnaire(SDQ) [J]. Global Social Welfare,2018,5(1):29-38.
[7] 焦鹏涛. 学龄前儿童行为问题影响因素分析及干预措施[J]. 中国妇幼保健,2017,32(17):4160-4162.
[8] Rachel LG,Johnny LM. Premature birth as a risk factor for autism spectrum disorder[J]. Dev Neurorehabil,2016,19(3):203-206.
[9] Elgen SK,Sommerfelt K,Leversen KT,et al. Minor neurodevelopmental impairments are associated with increased occurrence of ADHD symptoms in children born extremely preterm[J]. Eur Child Adolesc Psychiatry,2015,24(4):463-470.
[10] Jesse LC,Patrick TD,Melissa LS. The multivariate roles of family instability and interparental conflict in predicting children's representations of insecurity in the family system and early school adjustment problems[J]. J Abnorm Child Psych,2017,45(2):211-224.
[11] 陈静,刘漪,杜亚松. 中小班学龄前儿童父母亲职压力与儿童心理状况的影响因素研究[J]. 中国儿童保健杂志,2018,26(7):737-740.
[12] 汪燕妮,薛红丽,陈倩. 家庭亲密度和适应性对学龄前儿童行为问题的影响[J]. 中国当代儿科杂志,2016,18(5):421-425.
[13] Lucinda JE,Rebecca EB,Terry FP,et al. Nicotine and the developing human:a neglected element in the electronic cigarette debate[J]. Am J Prev Med,2015,49(2):286-293.
[14] Alicia P,Inaki G,Esther GE,et al. Exposure to secondhand smoke in the home and mental health in children:a population-based study[J]. J Epidemol Commun H,2016,25(3):307-312