Association of maternal emotional symptoms and parent-child relationship with emotional and behavioral problems in pri-mary school students
Objective To understand the association of maternal emotional symptoms and parent-child relationship with emo-tional and behavioral problems(EBPs)in primary school students,so as to provide a reference for the prevention of EBPs in prima-ry school students.Methods In May 2023,a convenient cluster sampling method was used to select 1 324 students from two pri-mary schools in Hefei City,Anhui Province as the study subjects.The Generalized Anxiety Disorder-7(GAD-7),Patient Health Questionnaire(PHQ-9),Family Adaptation and Cohesion Evaluation Scales Ⅱ(FACES Ⅱ),and Strengths and Difficulties Ques-tionnaire(SDQ)of parental version were used to investigate maternal emotional symptoms,parent-child relationship,and EBPs of primary school students,respectively.Multivariate Logistic regression analysis model was used to analyze the association of different maternal emotional symptoms and parent-child relationship with EBPs of primary school students.Results The abnormal detection rates of emotional symptoms,conduct problems,hyperactivity disorder,peer problems,prosocial behavior and total difficulties in primary school students were 13.6％,19.4％,20.2％,36.5％,20.9％and 51.9％,respectively.Multivariate Logistic regression a-nalysis showed that the detection rates of EBPs in primary school students whose mothers had anxiety and depression symptoms with low level of parent-child relationship increased(OR=1.52-6.97,P＜0.01).The combined effect of mothers who had anxiety and depression symptoms with low level of parent-child relationship increased the risk of EBPs in all dimensions of primary school students(OR=4.07-10.14,P＜0.01).After gender stratification,the combined effect of mothers who had anxiety and depression symptoms with low level of parent-child relationship increased the risk of EBPs in all dimensions of boys and girls(OR=3.71-10.95,P＜0.01).Conclusions Maternal emotional symptoms and parent-child relationship are associated with EBPs in primary school students.Reducing maternal anxiety and depression symptoms,and improving parent-child relationship are beneficial to re-duce the incidence of EBPs problems in primary school students.
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