Behavioral and emotional health and associated factors among first-born children in Harbin
	    		
	    			
	    			
		        		
			        		
		        		
			        
		        		
			        		
		        		
			        
		        		
			        		
		        		
			        
		   		
		   		
		   			
		   		
	    	
    	 
    	10.16835/j.cnki.1000-9817.2019.05.016
   		
        
        	
        		- VernacularTitle:哈尔滨市头胎儿童心理行为及影响因素研究
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		WANG Miao, YU Deli, ZHU Liwan, WANG Zhe, MA Long, CUI Jing, WANG Yijun
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Child and Adolescent Health, Public Health College of Harbin Medical University, Harbin (150081), China
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Mental health;
			        		
			        		
			        		
				        		Behavior;
			        		
			        		
			        		
				        		Regression analysis;
			        		
			        		
			        		
				        		Child
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of School Health
	            		
	            		 2019;40(5):700-703
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective:To compare behavioral and emotional health among first-born children and the only-child in Harbin, as well as associated factors including parents, family background, parenting and family environment.
				        	
				        
				        	Methods:A questionnaire survey was conducted for 156 parents of first-born children and the only-children, matched in age (<3 months), class and gender. Achenbach Child behavior scale (CBCL), the Self-evaluation of Anxiety Scale (SAS), the Self-rating Depression Scale(SDS), the Parents Rearing Behavior Questionnaire (CRPR) and the Family Assessment Device Scale (FAD) were used.
				        	
				        
				        	Results:There was no statistically significant difference in the scores of each dimension of children's emotional and behavioral health between the two groups(17.88±5.93)(19.13±6.01),total score(t=-0.74,P>0.05). There was no statistical difference in anxiety and depression between the two groups of parents(χ2=0.51,0.40,P>0.05); In terms of parenting style, the acceptance and encouragement achievement score for first-born children was significantly higher than that of the only child (t=2.10,2.12, P<0.05). In terms of family functions, there was no statistical difference in total function (t=-0.43, P>0.05). Behavioral problems associated with parents' anxiety, depression, parental rearing style and family function. Regression analysis showed that behavioral problems were mainly affected by sibling relationship for first-born children(B=8.74) and family role function for the only child (B=1.27).
				        	
				        
				        	Conclusion:No significant differences in behavioral and emotional health between first-born child and the only child are observed. However, harmonious sibling relationship, emotionally supportive parents and home environment could help improving behavioral and emotional health.