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Updated: Dec 2, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
[Emotional and behavioral problems associated with health-risk behaviors in preschool children]
1Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University/Key Laboratory of Population Health Across Life Cycle, Ministry of Education of the People's Republic of China/Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, National Health and Health Commission of the People's Republic of China/Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei 230032, China.
Insights
Multiple health-risk behaviors in young children are linked to increased emotional and behavioral problems. This includes issues like conduct problems, hyperactivity, and peer difficulties, highlighting the need for early intervention.
Area of Science:
- Child Psychology
- Public Health
- Behavioral Science
Background:
- Preschool children's emotional and behavioral problems are a growing concern.
- Understanding the link between health-risk behaviors and these problems is crucial for early intervention.
Purpose of the Study:
- To investigate the association between multiple health-risk behaviors and emotional/behavioral issues in preschool-aged children.
- To quantify the risk of emotional and behavioral problems associated with varying levels of health-risk behaviors.
Main Methods:
- A large-scale survey involving 27,200 preschool children (aged 3-6) across 11 cities.
- Data collected via questionnaires on demographic characteristics, lifestyle factors (screen time, outdoor activity, diet, sleep), and emotional/behavioral problems.
- Multivariate logistic regression analysis used to determine associations, controlling for confounding factors.
Main Results:
- Prevalence rates for emotional symptoms, conduct problems, hyperactivity, peer problems, and prosocial behavior abnormalities were reported.
- A significant proportion of children exhibited medium (60.9%) and high (8.5%) scores for multiple health-risk behaviors.
- Children with medium and high health-risk behavior scores showed significantly higher risks for emotional symptoms, conduct problems, hyperactivity, peer problems, total difficulties, and prosocial behavior issues (P<0.05).
Conclusions:
- Health-risk behaviors are significantly associated with a higher prevalence of emotional and behavioral problems in preschool children.
- Findings underscore the importance of addressing health-risk behaviors to mitigate emotional and behavioral difficulties in early childhood.
- Early identification and intervention for health-risk behaviors may help prevent or reduce the severity of emotional and behavioral problems.
Abstract:
Objective: To explore the relationship between multiple health-risk behaviors and emotional and behavioral problems in preschool children. Method: From October to November 2017, 27 987 children aged 3 to 6 years from 109 kindergartens of 11 cities from Hubei, Anhui and Jiangsu Provinces in the middle and lower reaches of the Yangtze River were selected by using the cluster sampling method. Finally, 27 200 valid questionnaires were collected. A questionnaire was used to investigate the demographic characteristics, video time and outdoor activities, eating behavior, sleep time, emotional and behavioral problems of parents and children. Multivariate logistic regression model was used to quantify the association between multiple health-risk behaviors and emotional and behavioral problems. Results: Emotional symptoms, conduct problems, hyperactivity, peer problems, total difficulties and prosocial behavior abnormalities were detected in 9.5% (2 587), 9.5% (2 590), 18.2% (4 958), 24.5% (6 670), 11.2% (3 058) and 10.2% (2 770), respectively. Three groups of low, medium and high scores of multiple health-risk behaviors were accounted for 30.6% (8 316), 60.9% (16 568) and 8.5% (2 316), respectively. Multivariate logistic regression model analysis showed that after controlling for the confounding factors, compared with those in the low score group, preschool children in the middle and high score groups had higher risks of emotional symptoms, conduct problems, hyperactivity, peer problems, total difficulties and prosocial behavior (all P values<0.05). Conclusion: Health-risk behaviors are associated with the emotional and behavioral problems of preschool children.
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