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Gender differences in behavioral and emotional problems among school children and adolescents in China: National survey findings from a comparative network perspective
Sun, He Li1,2; He, Fan3; Rao, Wen Wang4; Qi, Yanjie3; Rao, Shu Ying1; Ho, Tin Ian1; Su, Zhaohui5; Cheung, Teris6; Wong, Katrine K.7; Smith, Robert D.1; Jackson, Todd8; Zheng, Yi3; Xiang, Yu Tao1,2
2025-01-15
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume369Pages:227-233
Abstract

Background: Behavioral and emotional problems are common and often co-occur during childhood and adolescence. The aim of this study was to assess gender differences in the network structures of behavioral and emotional problems of children and adolescents in China based on a national survey. Methods: The Parent version of Achenbach' s Child Behavior Checklist (CBCL) was used to assess behavioral and emotional problems. To account for potential confounding factors in comparisons between boys and girls, propensity score matching was utilized. Network model differences were assessed using Network Comparison Test (NCT). Results: Data from 60,715 children and adolescents were included for analyses. Boys exhibited more severe total behavioral and emotional problems compared to girls. While several edges showed significant differences between boys and girls, the strongest association was consistently found between “Attention problems” (CBCL6) and “Aggressive behavior”(CBCL8) in both boys and girls, regardless of age. Network centrality was higher among adolescents compared to children. The most central problems commonly found across different genders and age groups were “Aggressive behavior” (CBCL8) (centrality values were 1.142 for boys aged 6–11 years, 1.051 for boys aged 12–16 years, 1.148 for girls aged 6–11 years, and 1.028 for girls aged 12–16 years), “Anxious/depressed” (CBCL1) (centrality values of 0.892 for boys aged between 6 and 11 years, 1.031 for boys aged 12–16 years, 0.951 for girls aged 6–11 years, and 1.099 for girls aged 12–16 years) and “Social problems” (CBCL4) (centrality values of 1.080 for boys aged 6–11 years, 0.978 for boys aged 12–16 years, 1.086 for girls aged between 6 and 11 years, and 0.929 for girls aged 12–16 years). Conclusion: Testing effective interventions that address aggressive behavior, anxiety/depression, and social problems may be beneficial for reducing risk of psychopathology among children and adolescents.

KeywordChildren And Adolescents China Gender Difference Mental Health Network Analysis
DOI10.1016/j.jad.2024.09.067
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:001330804600001
PublisherELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS
Scopus ID2-s2.0-85205344874
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Document TypeJournal article
CollectionFaculty of Arts and Humanities
Faculty of Health Sciences
Faculty of Social Sciences
Institute of Chinese Medical Sciences
DEPARTMENT OF PSYCHOLOGY
INSTITUTE OF COLLABORATIVE INNOVATION
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorZheng, Yi; Xiang, Yu Tao
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
3.Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Advanced Innovation Center for Human rain Protection, Capital Medical University, Beijing, China
4.Department of Preventive Medicine, Shantou University Medical College, Shantou, Guandong province, China
5.School of Public Health, Southeast University, Nanjing, China
6.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China
7.Faculty of Arts and Humanities, University of Macau, Macao SAR, China
8.Department of Psychology, University of Macau, Macao SAR, China
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Sun, He Li,He, Fan,Rao, Wen Wang,et al. Gender differences in behavioral and emotional problems among school children and adolescents in China: National survey findings from a comparative network perspective[J]. Journal of Affective Disorders, 2025, 369, 227-233.
APA Sun, He Li., He, Fan., Rao, Wen Wang., Qi, Yanjie., Rao, Shu Ying., Ho, Tin Ian., Su, Zhaohui., Cheung, Teris., Wong, Katrine K.., Smith, Robert D.., Jackson, Todd., Zheng, Yi., & Xiang, Yu Tao (2025). Gender differences in behavioral and emotional problems among school children and adolescents in China: National survey findings from a comparative network perspective. Journal of Affective Disorders, 369, 227-233.
MLA Sun, He Li,et al."Gender differences in behavioral and emotional problems among school children and adolescents in China: National survey findings from a comparative network perspective".Journal of Affective Disorders 369(2025):227-233.
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