Table 2 Parent–child relationship, and children’s internalizing and externalizing symptoms during the COVID-19 epidemic in Wuhan and Shanghai, n (%).

From: Associations between parent–child relationship, and children’s externalizing and internalizing symptoms, and lifestyle behaviors in China during the COVID-19 epidemic

 

Total sample (n = 1655)

Wuhan (n = 816)

Shanghai (n = 839)

p value*

Panel A: Parent–child relationship indicators

Frequency of children actively asking about the epidemic

 < 0.001

Always

303 (18.3)

145 (17.8)

158 (18.8)

 

Usual

565 (34.1)

269 (33.0)

296 (35.3)

 

Sometimes

469 (28.3)

212 (26.0)

257 (30.6)

 

Rare

222 (13.4)

142 (17.4)

80 (9.5)

 

Never

96 (5.8)

48 (5.9)

48 (5.7)

 

Frequency of parent explaining the epidemic to children

 < 0.001

Always

566 (34.2)

262 (32.1)

304 (36.2)

 

Usual

580 (35.1)

274 (33.6)

306 (36.5)

 

Sometimes

318 (19.2)

148 (18.1)

170 (20.3)

 

Rare

183 (11.1)

129 (15.8)

54 (6.4)

 

Never

8 (0.5)

3 (0.4)

5 (0.6)

 

Frequency of parent expressing negative sentiments or discussed the epidemic in their child’s presence

0.001

Always

130 (7.9)

73 (9.0)

57 (6.8)

 

Usually

217 (13.1)

88 (10.8)

129 (15.4)

 

Sometimes

413 (25.0)

186 (22.8)

227 (27.1)

 

Rare

541 (32.7)

269 (33.0)

272 (32.4)

 

Never

354 (21.4)

200 (24.5)

154 (18.4)

 

Parents’ attitude towards children

0.013

More irritable

258 (15.6)

147 (18.0)

111 (13.2)

 

Unchanged

506 (30.6)

253 (31.0)

253 (30.2)

 

More patient

891 (53.8)

416 (51.0)

475 (56.6)

 

Parent–child closeness

0.008

Worse

177 (10.7)

95 (11.6)

82 (9.8)

 

Unchanged

532 (32.2)

286 (35.1)

246 (29.3)

 

Better

946 (57.2)

435 (53.3)

511 (60.9)

 

Panel B: Children’s internalizing & externalizing symptoms

Having emotional problems#

163 (9.9)

65 (8.0)

98 (11.7)

0.011

Having behavioral problems

812 (49.1)

322 (39.5)

490 (58.4)

 < 0.001

  1. *p value are from Chi square or fisher’s exact tests (when applicable).
  2. #One’s SDQ-Emotional Symptoms Score > 4 for parent version or > 6 for child version was considered to have substantial risk of clinically significant emotional problems (in short, having emotional problems).