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Updated: Sep 29, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only Children
Lulu Sheng1, Bo Yang1, Mary Story2
1School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing, China.
Insights
Firstborn children exhibit fewer emotional and behavioral problems compared to only children. This study highlights factors influencing child behavior and the societal impact of China's two-child policy.
Area of Science:
- Child Psychology
- Developmental Psychology
- Behavioral Science
Background:
- The implementation of China's two-child policy necessitates understanding its impact on child development.
- Previous research has explored sibling dynamics, but less is known about firstborns during a sibling's gestation versus only children.
Purpose of the Study:
- To compare emotional and behavioral characteristics between firstborn children (during a second child's pregnancy) and school-aged only children.
- To identify factors influencing emotional and behavioral problems in these child groups.
Main Methods:
- A comparative study involving 1,155 children (477 firstborns, 678 only children) in urban Chongqing, China.
- Data collected via questionnaires and the Parental Child Behavior Checklist (CBCL), assessing demographics, socioeconomic status, family atmosphere, and child behavior.
- Statistical analysis adjusted for covariates including parenting style, family relationships, and child temperament.
Main Results:
- Firstborn children demonstrated significantly lower scores for internalizing, externalizing, and total emotional and behavioral problems compared to only children.
- Factors associated with increased problems included difficult temperament, economic pressure, poor mother-child relationships, disharmonious family atmosphere, and permissive fathering.
- Boys exhibited more externalizing and total problems than girls.
Conclusions:
- Firstborn children generally present with fewer emotional and behavioral issues than only children.
- Findings offer insights into the social implications of the two-child policy, particularly concerning child well-being and family dynamics.
Objective:
To compare the emotional and behavioral characteristics of firstborn children during the pregnancy of a second child and only children of school-age in urban districts of Chongqing, China, and to explore the influencing factors of emotional and behavioral problems.
Methods:
We recruited mothers of firstborn children and only children from two hospitals and one primary school using purposive sampling. Questionnaires and the Parental Child Behavior Checklist (CBCL) were used to collect basic information, family socioeconomic status, family atmosphere and emotional and behavioral characteristics of their children in the survey.
Results:
The sample consisted of 1,155 children, including 477 firstborn children and 678 only children. The average scores of internalizing (4.47), externalizing (6.05), total problems (22.04), and six emotional and behavioral of firstborn children were significantly lower than those of only children (p < 0.05). When adjusted for children's demographic, socioeconomic and family relationship covariates, the scores of firstborn children internalizing problems (β = -1.423, p = 0.000), externalizing problems (β = -0.661, p = 0.048), and total problems (β = -4.387, p = 0.000) were also significantly lower than those of only children. All children with more difficult parenting and development temperament, greater family economic pressure, poorer relationships between mother and child, less harmonious family atmosphere and father's permissive parenting style had more internalizing problems, externalizing problems and total problems (p < 0.05). Boys had more externalizing problems (β = 1.939, 95% CI = 1.380-2.497) and total problems (β = 4.908, 95% CI = 3.045-6.772) than girls.
Conclusion:
Firstborn children had fewer emotional and behavioral problems than their counterparts who were only children. This research helps to understand the social impact of the implementation of the two-child policy in multiple dimensions.
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