Abstract
Language development and the home language environment during early childhood are critical for long-term child outcomes. Caregiver mental health may influence early language outcomes directly, but it can also introduce perception bias, which refers to the discrepancies between caregiver self-assessments and the actual status of child language outcomes. This study examines the associations between caregivers mental health symptoms and (1) child language development and home language environment, and (2) caregiver perception bias in self-report assessments of child language development and home language environment. The stduy recruited 137 rural Chinese households with children aged 16–24 months. Objective measures of child language development and the home language environment were collected using Language Environment Analysis (LENA) technology. Caregiver perception bias were measured by the descrepency between the objective and caregiver self-report measurements. Results show that caregiver anxiety and stress symptoms were linked to poor child language development, while symptoms of depression and anxiety symptoms were associated with less stimulating home language environment. Caregivers with depressive and anxiety symptoms tended to overestimate their children’s language development, and those with depressive symptoms also overestimated their own verbal inputs. These findings call for caution when implementing self-report assessments of early childhood development.
Data availability
Data and analytic code necessary to reproduce the analyses presented in this paper are available from the first author upon reasonable request. The analyses presented here were not preregistered.
Abbreviations
- AWC:
-
Adult word count
- CDI:
-
MacArthur–Bates Communicative Development Inventory
- CTC:
-
Conversational turn count
- CVC:
-
Child vocalization count
- DASS-21:
-
Depression, Anxiety, and Stress Scale-21
- FCI:
-
Family care indicators
- LENA:
-
Language environment analysis (LENA) technology
- LMICs:
-
Low- and middle-income countries
- OLS:
-
Ordinary least squares
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This study was supported by private gifts from individual donors. The funders had no role in studydesign, data collection and analysis, decision to publish, or preparation of the manuscript.
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**QJ: ** Conceptualization, Investigation, Methodology, Software, Formal Analysis, Writing- Original draft preparation, Writing- Reviewing and Editing. **YQ: ** Writing- Reviewing and Editing, Methodology, Formal Analysis. **TF** : Investigation. **MD: ** Investigation **. HZ: ** Writing- Reviewing and Editing. **EZ: ** Writing- Original draft preparation. **S-ED: ** Writing- Reviewing and Editing. **YM: ** Conceptualization, Data curation. **SR: ** Conceptualization, Writing- Reviewing and Editing.
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The study was approved by the Stanford University Institutional Review Board (Protocol ID 49552). The study was conducted in accordance with the Declaration of Helsinki. Informed consent was obtained from the legal guardians or parents prior to data collection. Enumerators introduced the study, allowed time for questions, and used a standardized script in both Mandarin and the Sichuan dialect to obtain consent. Caregivers were made aware that their recordings would be collected and reviewed for research purposes. The caregivers were compensated for their participation in the study with books and educational toys.
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Jiang, Q., Qian, Y., Feng, T. et al. Caregiver mental health is associated with early childhood language outcomes and perception bias in rural China. Sci Rep (2026). https://doi.org/10.1038/s41598-026-39674-2
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DOI: https://doi.org/10.1038/s41598-026-39674-2