School of Health Sciences, Wuhan University, Wuhan, China.
Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, 3125, Australia.
Behav Res Ther. 2021 Nov;146:103950. doi: 10.1016/j.brat.2021.103950. Epub 2021 Aug 27.
Child neglect robustly predicts many behavioral problems and adulthood mental disorders, but little is known about its association with daily lifestyles and psychological development during childhood, particularly in the longitudinal study. We aimed to examine the association of child neglect with physical activity (PA), screen time (ST), eating habits (EHs), and depression/self-esteem using a two-wave follow-up study of primary schoolchildren in Wuhan, China. Data of 1085 schoolchildren aged 8-10 years (boys: 53.5%) were analyzed. Child neglect, lifestyles, and depression/self-esteem were collected in 2018 (T1) and 2019 (T2). Autoregressive cross-lagged models (ARCLMs) were fitted to explore the interrelationships among these variables. In ARCLM including child neglect and lifestyles, higher child neglect at T1 was significantly associated with higher ST and more risky EHs at T2, while insignificantly associated with PA. In ARCLM including child neglect and depression/self-esteem, lower T1 child neglect significantly predicted a higher T2 depression, but insignificantly for T2 self-esteem. In ARCLM including all variables, child neglect still significantly predicted later ST and depression, but insignificantly predicted EHs. Our study underscores that child neglect is strongly intertwined with ST, EHs, and depression during childhood. The prevention of child neglect may promote some healthy lifestyles and depression in children.
儿童忽视与许多行为问题和成年期精神障碍密切相关，但对于其与儿童期日常生活方式和心理发展的关系，特别是在纵向研究中，知之甚少。我们旨在使用中国武汉小学生的两波随访研究，检验儿童忽视与身体活动（PA）、屏幕时间（ST）、饮食习惯（EHs）和抑郁/自尊之间的关系。共分析了 1085 名 8-10 岁儿童（男生：53.5%）的数据。儿童忽视、生活方式和抑郁/自尊在 2018 年（T1）和 2019 年（T2）收集。采用自回归交叉滞后模型（ARCLM）来探讨这些变量之间的相互关系。在包含儿童忽视和生活方式的 ARCLM 中，T1 期较高的儿童忽视与 T2 期较高的 ST 和更危险的 EHs 显著相关，而与 PA 无关。在包含儿童忽视和抑郁/自尊的 ARCLM 中，T1 期较低的儿童忽视显著预测 T2 期抑郁较高，但 T2 期自尊则无显著预测作用。在包含所有变量的 ARCLM 中，儿童忽视仍显著预测随后的 ST 和抑郁，但对 EHs 无显著预测作用。我们的研究强调，儿童忽视与儿童期的 ST、EHs 和抑郁密切相关。预防儿童忽视可能有助于促进儿童养成一些健康的生活方式并预防抑郁。
