Association between screen time and suspected developmental coordination disorder in preschoolers: A national population-based study in China.

Introduction: Excessive screen exposure (ESE) is a growing global public health concern. This study aims to investigate the potential association between ESE and suspected developmental coordination disorder (DCD) in Chinese pre-schoolers, with or without siblings. Method: A retrospective cohort study was conducted, involving 126,433 children from 551 cities in China. The Little Developmental Coordination Disorder Questionnaire (LDCDQ) was employed to evaluate motor impairment in children, while parents provided information on their children's screen time in the past year. A mixed and multi-level logistic regression model was used to analyze the associations of all screen exposure measurements from the past year with LDCDQ scores and the risk of suspected DCD. Results: The prevalence of excessive screen exposure was 67.6% (>1 h per day) and 28.9% (>2 h per day) in Chinese pre-schoolers. One hour's increase in weekday daily screen time, weekend daily screen time, and screen time before sleep in the past year was associated with a decreased total score of the LDCDQ (ß were -0.690, -0.398, and -1.587, p < 0.001) and an increased risk of suspected DCD by 15.3%, 9.1%, and 46.8% when adjusting for the child, family and maternal health characteristics. Excessive screen exposure decreased the total LDCDQ scores by 1.335 (>1 vs. ≤1 h) and 1.162 (>2 vs. ≤2 h) and increased risks of suspected DCD by 44.0% (>1 vs. ≤1 h) and 31.1% (>2 vs. ≤2 h) with statistical significance (each p < 0.05). The stratified analysis showed that the association between screen time and LDCDQ score was stronger in children without siblings than in those with siblings. Conclusion: The risk of suspected DCD was highest for screen time exposure before bed compared with average weekday and weekend exposures. Parents should be advised to prevent their children from using electronic screens unsupervised, especially in one-child families.

Feeling like the sky is falling down: Experiences of parents of adolescents diagnosed with cancer in one-child families in China - A qualitative study.

BACKGROUND: As a result of the one-child policy of 1979, today there are numerous one-child families with adolescents in Mainland China. Little is known about the experiences of parents of such adolescents diagnosed with cancer. OBJECTIVES: This study explored the experiences of parents whose adolescent child was diagnosed with cancer in one-child families in China. METHODS: A qualitative methodology based on hermeneutic phenomenology was employed. The participants were parents of adolescent cancer patients in one-child families. Data were collected using in-depth semi-structured interviews and analysed using van Manen's hermeneutic phenomenological approach. The COREQ checklist was used for this study. RESULTS: Fourteen parents (eleven mothers, three fathers) participated in the study. One overarching theme emerged: feeling like the sky is falling down. In addition, there were five related themes: self-condemnation; 'white lies' - that is, difficulty in telling the truth; struggling with a sense of collapse; fear of losing the child and hopelessness. Almost all the participants experienced insomnia after learning about the diagnosis. In a few cases, hopelessness-induced suicidal ideation or even suicidal behaviour. CONCLUSIONS: Parents of adolescents diagnosed with cancer in one-child families in China experienced extremely painful emotions. The truth about their child's condition not only caused immense psychological trauma but also induced pessimism about their own future. IMPLICATIONS FOR CLINICAL PRACTICE: The experiences of parents in one-child families where an adolescent child has been diagnosed with cancer should be taken seriously. In addition, support should be provided to help parents maintain a normal life and feel hopeful for their future.

Discrepancy in perceived social support and related factors among Chinese college students with and without siblings.

BACKGROUND: Whether there is a difference in perceived social support (PSS) and related factors among college students from one- and multiple-child families was unclear. METHODS: We conducted a population-based, cross-sectional study between October 2017 and February 2018, randomly selected college students with siblings (n=5875; aged 19.41±1.99 years) and their counterparts without siblings (n=5175; aged 19.88±2.38 years), and then conducted an online questionnaire survey via a multi-stage cluster random sampling method. We applied the multidimensional scale of perceived social support (MSPSS) to evaluate PSS among college students. The multivariable logistic regression models were used to predict factors associated with low perceived social support in two student groups. RESULTS: Our study found that there was a statistical difference of PSS between the sibling groups. Sex, single-parent family, irregular daily routine, prevalence of diseases or injuries and psychological distress were significantly associated with low PSS in both college students with and without siblings. Compared with single-child college students, single-parent family structure was associated with a higher odds ratio for low PSS in college students with siblings (ratio of odds ratio: 0.71, 95% confidential interval: 0.53-0.97). LIMITATIONS: Our study was a cross-sectional study design, and all participants in current study were from Wuhan city, Hubei Province. Hence, the sample is not representative of other regions in China. CONCLUSIONS: Although a statistical difference of PSS between the sibling groups was found in our study, single-parent family structure was more strongly associated with low PSS in multiple-child students compared with single-child students.

Intergenerational Support in One- and Multi-child Families in China: Does Child Gender Still Matter?

Using data from the baseline wave of the China Family Panel Studies, we applied three-level random-intercept logistic regression models to investigate how the child gender gap in intergenerational support differed between one- and multi-child families in China based on 16,201 parent-child dyads. The results showed that sons were more likely to receive both financial and instrumental support from elderly parents. Additionally, sons tended to provide financial support and daughters tended to provide instrumental support. Being in a one-child family increased the chance of children's receipt of support, but not support provision from/to elderly parents. A difference in child gender gap was only found for children's receipt of instrumental support, which was less in one-child families than in multi-child families. The findings suggest that the gendered pattern of intergenerational support has not changed in one-child families, which has implications for the provision of services for elderly care, considering families with different structures.

Revision of Coping Style Scale for Adolescents / 中国临床心理学杂志

Objective: To revise a coping style scale for adolescents and analyze the characteristics of adolescents' coping style.Methods: 1013 middle school students were sampled for the research: 783 for the explosive factor analysis and T test,while the other 330 for the confirmative factor analysis.Results: 5 factors were extracted through EFA and explained 45.17% of the variance.The results of CFA showed satisfactory construction validity: RMSEA = 0.067.The results of T tests for the effects of different age,gender,family type were significant.Conclusion: The Coping Style Scale for Adolescents achieves satisfactory reliability and validity;the adolescents' coping styles are influenced by age,gender and one-child family.