Background Children and adolescents with chronic physical conditions have an increased probability of mental health problems,which may be partly attributed to the variations in play behavior.This study explores the as...Background Children and adolescents with chronic physical conditions have an increased probability of mental health problems,which may be partly attributed to the variations in play behavior.This study explores the associations between having a chronic physical condition,play behavior,and having mental health problems.Methods Data from the Generation R Study were analyzed,a population-based,prospective cohort in the Netherlands.Chronic physical conditions were typically identified before six years of age.Play behavior was assessed at ages 6 and 10.Mental health problems were measured with the Child Behavior Checklist at 14 years of age.Logistic,ranked-order,and linear regression analyses were used to examine direct associations,and mediation analyses were used to investigate indirect paths.P values were false discovery rate adjusted.Results Of the 4043 included participants,691(17%)had a chronic physical condition.Having a chronic physical condition was associated with more mental health problems and limited activity at the age of six years.Playing sports and engaging in social interactions at age 10 were related to fewer mental health problems at age 14.Limited activity mediated the relationship between having a chronic physical condition and mental health problems(social:mediated_(proportion)=8.33%,95%CI=2.02%;15.7%,P_(adj)<0.001;physical:mediated_(proportion)=7.72%,95%CI=1.73%;19.1%,P_(adj)=0.040).Conclusions Health-related limitations in social and physical activities mediate the relationship between having a chronic physical condition and mental health problems in children.Participation in social and physical activities early in life may be crucial for the mental well-being of children with a chronic physical condition.展开更多
In this study,990 preschool children of 3-to 6-year-old were selected as participants to explore the influence of shyness and unsociability on peer play behavior in preschool children,focusing on the mediating and mod...In this study,990 preschool children of 3-to 6-year-old were selected as participants to explore the influence of shyness and unsociability on peer play behavior in preschool children,focusing on the mediating and moderating roles of playfulness.The study employed the Child Social Preference Scale,Children’s Playfulness Scale,and Penn Interactive Peer Play Scale to assess the variables.The findings indicate that preschool children’s shyness and unsociability negatively predict their play interaction and positively predict their play disruption and play disconnection.Playfulness partially mediates and moderates the relationships between shyness and unsociability with peer play behavior.To promote the social development of shy and unsociable preschool children,it is imperative for teachers and parents to respect and accept the characteristics of children,guide them in adopting positive problem-solving strategies,and improve their playfulness.展开更多
基金supporting the well-being of chronically ill children’project of the eHealth Junior consortium[NWA.1292.19.226]of the NWA research program'Research on Routes by Consortia(ORC)'funded by the Netherlands Organization for Scientific Research(NWO)+2 种基金funded by the European Union's Horizon 2020 research and innovation programme(EUCAN-Connect grant agreement No 824989ATHLETE,grant agreement No 874583ENDOMIX grant agreement No 101136566).
文摘Background Children and adolescents with chronic physical conditions have an increased probability of mental health problems,which may be partly attributed to the variations in play behavior.This study explores the associations between having a chronic physical condition,play behavior,and having mental health problems.Methods Data from the Generation R Study were analyzed,a population-based,prospective cohort in the Netherlands.Chronic physical conditions were typically identified before six years of age.Play behavior was assessed at ages 6 and 10.Mental health problems were measured with the Child Behavior Checklist at 14 years of age.Logistic,ranked-order,and linear regression analyses were used to examine direct associations,and mediation analyses were used to investigate indirect paths.P values were false discovery rate adjusted.Results Of the 4043 included participants,691(17%)had a chronic physical condition.Having a chronic physical condition was associated with more mental health problems and limited activity at the age of six years.Playing sports and engaging in social interactions at age 10 were related to fewer mental health problems at age 14.Limited activity mediated the relationship between having a chronic physical condition and mental health problems(social:mediated_(proportion)=8.33%,95%CI=2.02%;15.7%,P_(adj)<0.001;physical:mediated_(proportion)=7.72%,95%CI=1.73%;19.1%,P_(adj)=0.040).Conclusions Health-related limitations in social and physical activities mediate the relationship between having a chronic physical condition and mental health problems in children.Participation in social and physical activities early in life may be crucial for the mental well-being of children with a chronic physical condition.
基金supported by the National Social Science Fund of China in 2022“Study on the Effect of Media on the Prosociality of Children and Guiding Strategies”(No.22BSH091).
文摘In this study,990 preschool children of 3-to 6-year-old were selected as participants to explore the influence of shyness and unsociability on peer play behavior in preschool children,focusing on the mediating and moderating roles of playfulness.The study employed the Child Social Preference Scale,Children’s Playfulness Scale,and Penn Interactive Peer Play Scale to assess the variables.The findings indicate that preschool children’s shyness and unsociability negatively predict their play interaction and positively predict their play disruption and play disconnection.Playfulness partially mediates and moderates the relationships between shyness and unsociability with peer play behavior.To promote the social development of shy and unsociable preschool children,it is imperative for teachers and parents to respect and accept the characteristics of children,guide them in adopting positive problem-solving strategies,and improve their playfulness.
