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Behavioural problems among preschool age children in Shanghai: analysis of 3,000 cases

R Xin1, S K Chen, H Q Tang

  • 1Shanghai Mental Health Center, China.

Insights

This epidemiological study of 3,000 children found no distinct psychopathology in single-child families but noted social withdrawal links. A follow-up revealed increased hyperactivity, suggesting early intervention is key for behaviorally disturbed children.

Area of Science:

  • Child Psychology
  • Epidemiology
  • Developmental Psychology

Background:

  • Child behavior problems are a significant concern in public health.
  • Understanding sociodemographic influences on child psychopathology is crucial for early intervention.
  • The Achenbach Child Behavior Checklist (CBCL) is a widely used tool for assessing child behavioral and emotional problems.

Purpose of the Study:

  • To investigate associations between child behavior problems and sociodemographic variables in a Shanghai cohort.
  • To examine the prevalence and patterns of psychopathology in preschool-aged children.
  • To explore the long-term behavioral trajectories of children with persistent problems.

Main Methods:

  • Epidemiological study of 3,000 children aged four and five in Shanghai.
  • Utilized the Achenbach Child Behavior Checklist (CBCL) to assess behavior problems.
  • Conducted a four-year follow-up on a subset of children with persistent issues.

Main Results:

  • No strong evidence of distinct psychopathology in single-child families, but a correlation with social withdrawal was found.
  • Boys showed higher rates of delinquent behavior and hyperactivity; girls exhibited more somatic complaints, anxiety, and depression.
  • A four-year follow-up indicated a significant increase in hyperactivity syndrome among children with persistent problems.

Conclusions:

  • Early identification of behaviorally disturbed children is essential for timely and effective treatment.
  • The findings suggest a clinically identifiable group of children with persistent behavioral issues, particularly hyperactivity.
  • Further research can compare the efficacy of early versus late treatment interventions for childhood behavioral disorders.

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