Search

Due to China's three years of 'Zero COVID' containment policy, the vast majority of vocational and technological education (VTE) high school students could not participate in work-based learning, had to take classes online, and often were isolated from their families. Although the impact of the unprecedented disruptions of the COVID-19 pandemic on students' wellbeing has been well documented, little is known about the experiences of vocational and technical high school students whose vocational identity development depends heavily on work-based learning experiences. In the following study, we applied a risk and resilience framework to examine Chinese VTE student burnout following the exposure to the 'Zero COVID' policy for their entire high school career. Specifically, we tested how variations in Chinese vocational and technical high school students' perceived impact of the COVID-19 pandemic, career adaptability, psychological capital, academic performance, and parental career guidance were related to differences in their sense of burnout. Regression results showed that paternal education level and perceived impact of COVID-19 pandemic positively and significantly predicted burnout, while academic performance and parental career support negatively and significantly predicted burnout. Age, sex, internship participation, career adaptability and parental career interference and parental lack-of-engagement did not predict burnout. Overall, the variables accounted for 53.6% of the variance in student burnout.

Background: Attention-deficit hyperactivity disorder (ADHD) is a risk for learning. Because ADHD commonly includes behaviours of inattention and behaviours of hyperactivity/impulsivity, how the two types of behaviours independently affect children's academic competence remains poorly understood. Aims: To investigate the impact of behaviours of inattention and behaviours of hyperactivity/impulsivity on Chinese students' academic competence. Samples: Parents of 167 preschoolers (Cohort 1), parents of 313 first graders (Cohort 2), and 1,003 high school students (Cohort 3). Methods: The ADHD-RS-IV Preschool version (Cohort 1), ADHD-RS-IV Home version (Cohort 2), and BASC-SRP (Cohort 3) were used to measure behaviours of inattention and hyperactivity/impulsivity. Academic competence was operationalized as school readiness (Cohort 1), math and language arts scores at two time points provided by school (Cohort 2), and self-reported academic performance (Cohort 3). Multiple regressions were performed to investigate the relationship between academic performance and behaviours of inattention alone (Step 1), and behaviours of hyperactivity/impulsivity alone (Step 2), and behaviours of inattention together with behaviours of hyperactivity/impulsivity (Step 3). Results: For each cohort, both types of behaviours were negatively correlated with academic competence. However, regression analyses showed that in Step 3, behaviours of hyperactivity/impulsivity either failed to predict academic competence or predicted better academic competence. Overall, behaviours of inattention alone accounted for a similar amount of variance in academic competence as did behaviours of inattention and hyperactivity/impulsivity combined. Conclusions: Behaviours of inattention presented a risk for academic competence but the effect of behaviours of hyperactivity/impulsivity varied. Implications for instructional strategies for behaviours of inattention were discussed.

Increase in individualism and a coinciding increase in anxiety among Chinese youth propelled our inquiry on Chinese college students' self-construals and their anxiety. We surveyed 335 Chinese college students (females: n = 229; 68.4%) aged 18-24 (M = 19.30, SD = 1.16) on their self-construals and anxiety. We found that the students scored similarly on interdependent self-construal and independent self-construal, but independent self-construal predicted lower anxiety score ([beta] = -0.28, p < 0.05), while interdependent self-construal did not ([beta] = -0.01, p = 0.86). Findings were discussed within China's higher education context where competition is encouraged and celebrated.

Collectivism remains a dominant force in the Chinese society and schooling is a process to instill collectivistic values in the students, although there has been a noticeable increase in individualistic orientation among Chinese youth. Because China's meritocratic educational system endorses high individualism to enhance academic competitiveness and performance, the Chinese educational system is contradictorily both collectivistic and individualistic. Within meritocratic educational systems, academic performance influences students' psychosocial adjustment. However, the role of students' individualistic orientation and collectivistic orientation on their psychosocial adjustment and the role of them on the link between academic performance and psychosocial adjustment are not well understood. To address this issue, we obtained survey data from 1003 6-12th grade Chinese students on their academic performance, individualistic orientation, collectivistic orientation, and psychosocial adjustment (i.e., self-esteem, anxiety symptoms, depression symptoms, peer relations, and parent-child relationship quality). Results showed the students' academic performance scores predicted scores for all five psychosocial adjustment subscales in expected directions; higher collectivistic orientation scores predicted lower depression scores, higher parent-child relationship quality scores and peer relation scores, while higher individualistic orientation scores predicted higher self-esteem scores and higher depression scores. Finally, the influence of academic performance on anxiety symptoms was moderated by the students' individualistic orientation.

This paper reports a follow up analysis of longitudinal date. We (1) examined urban Chinese mothers' occupations as a function of their educational levels, (2) tested mediating effects of home environment variables after fine-tuning key variables of maternal education and home environment by excluding data that were provided by the children's fathers, and (3) tested if home environment variables mattered differently for academic performance in the first grade, second grade, and changes the children's grade. Data on maternal education level (Group 1: No More than Junior High School; Group 2: High School; Group 3: At Least College), maternal occupation and 12 home environment variables were directly obtained from urban mothers in January of 2019 (Time 1; N = 231); data on academic performance were directly obtained from the children's school in February (Time 1; N = 231) and then in October of 2019 (Time 2; N = 226). We found partial support for our earlier speculation that mothers in Group 1 and Group 2 were similarly positioned on the job market. Similar to our earlier finding, we found that children whose mothers were in Group 3 outperformed their peers in academic performance but children from the first two groups performed similarly. In both times, the link between maternal education and children's academic performance was mediated by some home environment variables such as number of children's books at home. However, the role of home environment variables in the link between maternal education and children's academic performance is complex and may vary with time.

To test whether adoption differentially benefited adopted youth's behavioral health, 243 female American youth who were adopted from China were compared with 234 non-adopted American peers, and 955 non-adopted Chinese peers living in China on four composite scales: School Problems, Internalizing Problems, Attention-Deficit/Hyperactivity Disorder (ADHD), and Personal Adjustment. The adopted youth were from high socioeconomic status (SES) families, while the two comparison groups were from average SES families. Self-report data were collected with the third edition of the Behavior Assessment System for Children (BASC-3). Effect sizes showed that the adopted youth outperformed their non-adopted American and Chinese peers. Latent mean comparison using Mplus 8 showed that, controlling for age difference, the adopted youth's advantages over the comparison groups in some subscales dissipated. These findings were explained with possible compensating effects afforded by growing up in high SES adoptive environment, as well as on children's differential susceptibility to the benefit of intervention.

We tested the reliability and construct validity of a Chinese translation of one of the forms of the Behavior Assessment System for Children (3rd Edition)--Self-Report of Personality for adolescent 11- to 21-year olds (BASC-3-SRP-A). The BASC-3-SRP-A yields 16 subscales that form four composite scales. Data were obtained from 444 12- to 14-year olds (Group 1; girls: 59.0%) and 759 15- to 18-year olds (Group 2; girls: 69.2%). For both groups, Cronbach's alphas for most of the 16 subscales were higher than 0.70 and were higher than 0.83 for the four composite scales. Confirmatory factor analysis (CFA) using Mplus 8 on the combined sample yielded support for the construct validity of the Chinese translation of the BASC-3-SRP-A. Findings support the use of BASC-3-SRP-A among Chinese youth.

Research shows that maternal education influences children's academic performance indirectly through the quality of the home environment. In this study, we tested the role of 12 variables within the home environment (e.g., eating meals together, reading for fun at home, number of children's books, watching TV, and bedtime) to help identify those that were effected by maternal education and then in turn affected first graders' performance in Language and Literacy and Math. We collected home environment data from 313 Chinese parents and academic performance data directly from the children's school. From the 12 variables, path analyses identified three that were significant: the number of children's books at home, the number of hours that the child watched TV daily, and the number of extracurricular activities. Specifically, a higher maternal education level was related to more children's books at home and fewer hours of TV watching daily, which were related to better performance in Language and Literacy; a higher maternal education level was related to more children's books at home and more extracurricular activities, which were then related to better performance in math. As the identified variables are all malleable, intervention strategies that make reading materials available to children at home, limit children's exposure to excessive TV, and promote extracurricular activity involvement may benefit children's academic performance. Interventions that focus on increasing less educated mother's awareness of the importance of providing reading materials to children at home, regulating children's TV time, and involving children in extracurricular activities could also be beneficial.

We tested possible mediating effect of 12 variables within the home environment on the link between maternal education level and Language and Literacy and Math scores in a sample of Chinese second graders (N = 303-306). Data on maternal education and home environment variables were obtained from the parents in January of 2019, while data on test scores were directly obtained from the children's school in October of 2019. Path analyses showed that maternal education both directly and indirectly affected the children's Language and Literacy scores and Math scores. The significant mediators included number of books at home and number of days that the children read for fun at home each week. As the identified mediating variables are malleable, strategies that promote maternal awareness on the benefit of cognitively enriched home environment might benefit children's academic performance.

In response to the COVID-19, a 76-day city-wide strict lockdown was imposed in Wuhan, China. This study aimed to document the family's psychological status during the lockdown and test the role of family functioning, children's mental health, child-parent relationship as well as parenting time during pandemic on parenting stress. The results showed that nearly 18% of the children exhibited clinical-level mental health problems. The children's mental health and child-parent conflict fully mediated general family functioning's impact on parenting stress. The change in childcaring time moderated the effect of the children's mental health problems and child-parent conflict on parenting stress. Findings indicated that, during COVID-19 lockdown, children's mental health and child-parent conflict contributed to parenting stress. More childrearing time would reduce the impact of children's mental health on parenting stress. [ABSTRACT FROM AUTHOR]

Purpose: We tested the role of age and sex in surgery following pediatric TBI hospitalization. Methods: Records of 1745 children hospitalized at a pediatric neurotrauma center in China included age, sex, cause of injury, diagnosis of injury, days of hospitalization, in-house rehabilitation, Glasgow Coma Scale score, mortality, 6-month post-discharge Glasgow Outcome Scale score, and surgery intervention. The children were 0-13 years (M= 3.56 years; SD = 3.06), with 47.4% 0-2 years of age. Results: The mortality rate was 1.49%. Logistic regression on 1027 children with epidural hematoma, subdural hematoma, intracerebral hemorrhage, and intraventricular hemorrhage showed that controlling for other variables, the odds for younger children to receive surgery was statistically lower for epidural hematomas (OR = 0.75; 95% CI = 0.68–0.82), subdural hematomas (OR = 0.59; 95% CI = 0.47-0.74), and intraventricular hemorrhage (OR = 0.52; 95% CI = 0.28-0.98). Conclusions: While severity of TBI and type of TBI were expected predictors for surgery, a younger age also predicted a significantly lower likelihood of surgery in our sample. Sex of the child was unrelated to surgical intervention. [ABSTRACT FROM AUTHOR]

This study reported mother-daughter agreement on adolescent adopted Chinese girls' adjustment. Data on the girls' academic performance and internalizing syndromes were collected from the adopted Chinese girls and their adoptive mothers separately. The adoptive mothers also provided data on mother-daughter relationship quality. There were 219 girls who were in secondary schools and were 13.6 years (SD = 2.1) and were adopted from China at 17.4 months (SD = 18.2). Consistent with existing literature on nonadopted adolescents, the mother-daughter agreement on the adopted Chinese girls' adjustment was modest to moderate. Age of the girls positively correlated with self-reported anxiety, depression, and attention problems. Better mother-daughter relationship quality was positively correlated with mother-reported and self-reported academic performance but negatively correlated with mother-reported depression, social problems, and attention problems and with self-reported depression. Finally, mother-daughter relationship quality was negatively correlated with mother-daughter discrepancy in adoptees' anxiety, depression, and attention problems. Implications of these findings for the practice of school psychologists were discussed.

Long-term child-parent relationship quality following hospitalization for pediatric traumatic brain injury (TBI) remains poorly understood. We tested whether current child-parent conflict and closeness were related to the children's history of TBI-related experiences and contemporary child/family characteristics. The sample included 202 Chinese children (Boys: 60.4%) with a history of hospitalization for TBI. On average, the children were 11.2 years old (SD = 1.59) and sustained TBI at 8.5 years old (SD = 1.6). TBI-related data were obtained from hospital medical records. Parents provided data on child-parent closeness, child-parent conflict, and parental efficacy 2–4 years (M = 2.7, SD = 0.7) after discharge. Forty-nine children (24.3%) had mild TBI, 139 (68.8%) had moderate TBI, and 14 (6.9%) had severe TBI. Surgical intervention occurred among 128 (63.4%) of the 202 children. Contemporaneous child and family characteristics explained 19% of the variance, history of surgery, length of hospitalization, and recovery status explained another 7%, and the interaction between length of hospitalization and parental efficacy explained another 4% in child-parent conflict. Contemporaneous child and family characteristics explained 29% of the variance, and TBI-related variables explained another 2% in child-parent closeness. Post-TBI child-parent relationship was more associated with child/family characteristics than with TBI variables. Practitioners and families should be aware of the long-term challenges to child-parent relationship following hospitalization for pediatric TBI. [ABSTRACT FROM AUTHOR]

In this study we investigated adopted Chinese girls' expressive English language outcomes in relation to their age at adoption, chronological age, length of exposure to English and developmental risk status at the time of adoption. Vocabulary and phrase utterance data on 318 girls were collected from the adoptive mothers using the Language Development Survey (LDS) (Achenbach & Rescorla, 2000). The girls, aged 18-35 months (M=26[middle dot]2 months, SD=4[middle dot]9 months), were adopted at ages ranging from 6[middle dot]8 to 24 months (M=12[middle dot]6 months, SD=3[middle dot]1 months), and had been exposed to English for periods ranging from 1[middle dot]6 to 27[middle dot]6 months (M=13[middle dot]7, SD=5[middle dot]7). Findings suggest that vocabulary and mean length of phrase scores were negatively correlated with age at adoption but positively correlated with chronological age and length of exposure to English. Developmental risk status at the time of adoption was not correlated with language outcomes. The gap between their expressive language and that of same-age girls from the US normative sample was wider for children aged 18-23 months but was closed for children aged 30-35 months. About 16% of the children met the LDS criteria for delays in vocabulary and 17% met the LDS criteria for delays in mean length of phrase. Speech/language interventions were received by 33[middle dot]3% of the children with delays in vocabulary and 25% with delays in phrase.

This study seeks to extend previous research on family stress, parenting, and child adjustment to families with adopted Chinese children. In doing so, we also seek to strengthen inferences regarding the experiential underpinnings of previously obtained relationships among these variables by determining if they also occur in families where parents and children are not biologically related. Participants were families of 133 preschool-age adopted Chinese girls (M[subscript age] = 5.2 years, SD = 0.7; M[subscript age at adoption] = 12.8 months, SD = 4.1). Data on family stress, parenting styles, and children's behavioral adjustment were collected from the adoptive mothers with the Social Problem Questionnaire (SPQ), Parenting Styles and Dimensions Questionnaire (PSDQ), and Child Behavior Checklist (CBCL) respectively. Results showed that adoptive mothers reported relatively mild family stress, frequent authoritative parenting, and few behavior problems in their children. Nonetheless, family stress, authoritarian and permissive parenting styles positively correlated with children's behavioral problems. Finally, authoritarian parenting mediated the effect of non-child-related family stress (NCR-stress) on the adopted Chinese girls' CBCL internalizing and overall problems, even after controlling for corresponding CBCL scores from 2 years earlier. Our results showed that the overall pattern of relationships found in non-adoptive families is also seen in families with adopted Chinese children. (Contains 4 tables.)

The central goal of this longitudinal study was to examine behavioral adjustment outcomes in a sample of preschool-age adopted Chinese girls. Research examining the effects of institutional deprivation on post-adoption behavioral outcomes for internationally adopted children has been constrained by the frequent unavailability of data on the institutional experiences of adopted children. Using child-level measures of the residual effects of pre-adoption deprivation or adversity, the present study of 452 preschool-age girls adopted from China tested the hypothesis that these measures will better predict behavioral adjustment (as measured on the CBCL/1.5-5) than age at adoption (AAA), used conventionally as a proxy measure of the magnitude of deprivation effects. Along with AAA (M = 13.1 months, SD = 5.1), our measures were used to predict behavioral adjustment at two time points (M[subscript age] = 2.7 years at Time 1 and 4.8 years at Time 2). There was strong stability in behavioral adjustment across time, and the regression results showed that delays in social skills, refusal/avoidance behaviors, and crying/clinging behaviors at the time of adoption, rather than AAA, predicted behavioral adjustment outcomes. (Contains 3 tables.)

Confirmatory factor analysis with robust weighted least squares estimation of the 103 dichotomously scored items of the Child Behavior Checklist/6-18 (T. M. Achenbach & L. A. Rescorla, 2001) in a sample of 516 girls adopted from China (ages 6.0-15.7 years; M = 8.2, SD = 1.9) indicated that the fit of the 8-factor model was good (root-mean-square error of approximation = 0.047) and was slightly better than what T. M. Achenbach and L. A. Rescorla (2001) reported for the same model (0.06). Support for the 2nd-order factor structure of Internalizing and Externalizing Problems also was provided. Comparisons of the mean scores for the syndromes and Internalizing, Externalizing, and Total Problems revealed mostly small differences between the sample of adopted Chinese girls and T. M. Achenbach and L. A. Rescorla's normative samples.

Research on the role of early relationships with parents on youth's anxiety and depression, especially in collectivist societies such as China, is limited. To fill this gap, we investigated the unique role of early relationship with mothers and fathers, respectively, in Chinese youth's anxiety and depression outcomes. The participants were 347 Chinese college students from 20 provinces. They first separately rated the frequency of experiencing 13 emotions (e.g., anger) from recalling early relationships with their mothers and fathers, then completed the Zung Self-Rating Anxiety Scale and the Zung Self-Rating Depression Scale. Logistic regression was performed to determine the unique contribution of early relationships with mothers and fathers, respectively, to the participants' clinical-level anxiety and depression. Based on the final model of our logistical regression, we found that an increase in negative affective representation of early relationship with the mother was associated with a higher likelihood of clinical level anxiety (OR = 3.58; 95% CI = 1.32–9.70), while an increase in positive affective representation of early relationship with the mother was associated with a lower likelihood of clinical-level depression (OR = 0.47; 95% CI = 0.25–0.87). Furthermore, an increase in negative affective representation of early relationship with the father was associated with a higher likelihood of clinical-level anxiety (OR = 3.36; 95% CI = 1.37-8.26) and depression (OR = 3.68; 95% CI = 1.59-8.52), above and beyond their affective representation of early relationship with the mother. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the neglect of left-behind children (LBC) in China. Method: Participants: Children separated from one or both parents for at least 6 months. Intervention: Trauma of separation. Comparison: Non-left-behind children (NLBC). Outcomes: Neglect rates and severity. Only case–control studies were included. Results: Thirteen studies were included; there were 18,688 LBC in a large sample (N = 42,003) of children aged 0–18 years in China. The overall neglect rate was significantly higher in LBC compared to NLBC (odds ratio [ OR ] = 1.58, 95% confidence interval [CI] = [1.50, 1.67], p <.01) based on the Chinese Rural Child Neglected Evaluation Model (CRCNEM) and the Parents–Child Conflict Tactics Scales (OR = 1.44, 95% CI [1.35, 1.54], p <.01). The overall neglect severity in LBC was also significantly higher than NLBC (SMD = 0.31, 95% CI [0.28, 0.33], p <.01). The same trends were observed in sex subgroups. With regard to subtypes, LBC were significantly more likely to have emotional neglect (OR = 2.29, 95% CI [1.88, 2.78], p <.01), medical neglect (OR = 1.79, 95% CI [1.62, 1.98], p <.01), physical neglect (OR = 1.75, 95% CI [1.60, 1.91], p <.01), security neglect (OR = 1.52, 95% CI [1.32, 1.75], p <.01), educational neglect (OR = 1.50, 95% CI [1.31, 1.72], p <.01), and social neglect (OR = 1.33, 95% CI [1.18, 1.51], p <.01). Furthermore, LBC had significantly higher severity in medical neglect (SMD = 0.31, 95% CI [0.27, 0.35], p <.01), emotional neglect (SMD = 0.28, 95% CI [0.24, 0.32], p <.01), physical neglect (SMD = 0.24, 95% CI [0.18, 0.29], p <.01), security neglect (SMD = 0.26, 95% CI [0.23, 0.29], p <.01), educational neglect (SMD = 0.25, 95% CI [0.20, 0.31], p <.01), and social neglect (SMD = 0.25, 95% CI [0.10, 0.40], p <.01). Conclusion: The neglect rates and severity in LBC in China were both significantly higher than those in NLBC. There was a strong association between neglect and LBC. Public policy changes are urgently needed to improve the dire situation and the well-being of the LBC. [ABSTRACT FROM AUTHOR]

This five-year single case study was aimed to understand the role of birth families in the family dynamics of one American family with two daughters adopted from China over the course of their transition into adolescence. Six open-ended interviews with the adoptive mother, triangulated with two unstructured observations, revealed that despite their physical absence, the adoptees’ birth families occupied an important space in the family dynamics of this adoptive family. Interviews with the adoptive mother revealed that for the two adopted children, the absent presence of their respective birth families had different cognitive, affective, and behavioral manifestations. Over the course of transitioning from childhood to adolescence, there was a gradual and noticeable increase of autonomy in both adoptees in initiating adoption conversations. There was also a power shift from the adoptive mother to the two daughters in family discussions on birth families, although differences between the two adoptees in handling birth family-related issues were also apparent. Findings highlighted the palpable presence of birth families in the lives of adopted children and meaningful differences between the two adoptees raised in one adoptive family. Implications for family clinicians working with adoptive families were discussed. [ABSTRACT FROM AUTHOR]

Background In the US, recent years have seen a significant increase in the number of internationally adopted children, especially those from China, with congenital medical conditions. To date, there is little research on the long-term wellbeing of international adoptees with congenital medical conditions. Method We investigated the relationship between congenital conditions and post-adoption mental disorder diagnosis and treatment in 235 female youth who were adopted from China about 15 years prior. The youth provided survey data on type of congenital conditions that they had, their developmental difficulties at the time of adoption, type of mental disorders that they currently had and the type of treatments that they were currently receiving. Results At adoption, the adoptees with congenital medical conditions were, on average, 20 months older than those without congenital medical conditions and had more developmental difficulties. The adopted youth who had two or more congenital conditions at adoption were more than twice as likely as their peers without congenital conditions to have mental disorder diagnoses (62.5% versus 27.63%), and >2.5 times as likely to be receiving treatments (54.17% versus 20.39%). Youth with two or more congenital medical conditions at adoption were 5.5 times as likely as their peers with no congenital conditions to currently have three or more mental disorder diagnoses (33.3% versus 5.9%), and were about 3 times as likely as their peers with no congenital conditions to be receiving medical/psychological treatments (25.0% versus 8.55%). Path analysis showed that developmental difficulties at adoption functioned as a full mediator between the number of congenital conditions at adoption and current number of current mental disorders and number of treatments. [ABSTRACT FROM AUTHOR]

We investigated the association between adopted Chinese girls’ nighttime sleep problems and adoptive parents’ self-judgment about their parenting. The girls were 1.7–6.9 years old (M= 4.6 years,SD= 1.0) and were adopted at 7–56 months (M= 13.9 months,SD= 6.6) by families in North America. At Wave 2 of a longitudinal study on adopted Chinese children’s development, the adoptive parents provided survey data on bedtime resistance or anxiety and parasomnias in their daughters and their own parental sense of entitlement and parenting competence. Results showed that controlling for child and family demographics, parasomnias, but not bedtime resistance or anxiety, negatively predicted parental sense of entitlement (B= -.13,p< .01) and parenting competence (B= -.14,p< .01). [ABSTRACT FROM AUTHOR]

In this study, we report findings on the role of preadoption adversity on long-term clinical-range problems in adopted Chinese girls. Four waves (2005, 2007, 2009 and 2011) of problem behavior data on 1,223 adopted Chinese girls (M = 4.86 years, SD = 2.82 in 2005) were collected from the adoptive mothers with the Child Behavior Checklist (CBCL). At Wave 1 (2005), data on the following indicators of preadoption adversity was collected: age at adoption, physical signs/symptoms (e.g., sores) of preadoption adversity, developmental delays at arrival, refusal/avoidance behaviors and crying/clinging behaviors toward adoptive parents during the first 3 weeks of adoption. We found that the percentage of clinical-range internalizing problems was 11.1%, 16.5%, 11.3%, and 16.1% at Wave 1, Wave 2, Wave 3, and Wave 4, respectively; the corresponding percentage of clinical-range externalizing problems was 8.4%, 10.5%, 8.4% and 9.9% respectively; and the corresponding percentage of clinical-range total CBCL problems was 9.3%, 13.0%, 9.8% and 12.6% respectively. Analyses with Mplus showed that controlling for demographic variables, indicators of preadoption adversity, except age at adoption, increased the odds for clinical-range behavior problems. Longitudinal path models revealed that controlling for demographic variables and the children's adjustment status in the previous wave, refusal/ avoidance remained significant in predicting clinical-range internalizing, externalizing and total CBCL problems at Wave 2, delays at arrival and signs/symptoms were significant in predicting clinical-range internalizing problems at Wave 3. Overall, adoptees with clinical-range CBCL problems in earlier waves were 9-28 times as likely to show clinical-range CBCL problems in subsequent waves. [ABSTRACT FROM AUTHOR]

Parenting has been conceptualized to mediate or moderate children's adaptation to family stress. Our study expanded the literature to determine, within the adoptive context, how non-child-related family stress (NCR-family stress; e.g., parent's problems at work) and parenting styles were related to internalizing and externalizing problems in school-age girls adopted from China. Using data from the third wave of a longitudinal study, 651 school-age girls were identified for the current analysis. On average, the girls were 9.3 years old ( SD = 2.7) and were adopted at 15.6 months ( SD = 13.8). Data on NCR-family stress, parenting styles and child behavior problems were collected from the adoptive mothers using the social problem questionnaire, parenting styles and dimensions questions, and Child Behavior Checklist (CBCL/6-18), respectively. After controlling for age at adoption, age, the adoptive mother's education level, household income, and the girls' corresponding behavior problems from the second wave of data (2 years prior), we found that that the association between NCR-family stress and the adopted Chinese girls' internalizing problems and externalizing problems was mediated by authoritarian parenting and moderated by authoritative parenting. [ABSTRACT FROM AUTHOR]

Abstract: This study examines adopted Chinese girls'' social skills at home and in school as well as the effect of pre-adoption adversity on these skills. Parent ratings of 869 girls and teacher ratings of 611 of the 869 girls were obtained using the Social Skills Rating System for parent (SSRS-P) and teacher (SSRS-T) respectively. The girls were adopted on average at 15.6months (SD =13.9) and were in three age groups, including preschool, elementary school, and secondary school. Data on five indicators of pre-adoption adversity (i.e., signs/symptoms, delays at adoption, initial refusal/avoidance of adoptive mothers, crying/clinging behaviors, and age at adoption) were obtained from the same adoptive parents 2years prior. Findings suggest that both parents and teachers rated the girls as either similar to or better than US norms on the SSRS. Parent–teacher agreement on SSRS subscales was significant but modest (rs=0.12–0.25). Two indicators of pre-adoption adversity (i.e., delays at adoption and initial refusal/avoidance of adoptive mothers) predicted poorer social skills at home; two other indicators of pre-adoption adversity (i.e., signs/symptoms and age at adoption) predicted poorer social skills in school. [Copyright &y& Elsevier]

Mary Beth Bruder Carl J Dunst Cristina Mogro-Wilson Tony Xing Tan and used an analytic procedure called structural equation modelling (SEM) to evaluate the effects of adoption and post-adoption child behaviour measures on parents' self-judgements of their parenting competence, confidence and enjoyment. SEM is a statistical procedure for investigating complex relationships among multiple variables simultaneously. The study participants were 314 adults (mostly mothers) who had adopted a child from China. Parents' recall of their children's behaviour at the time of adoption was related to two outcomes: concerns about their children's development and post-adoption behavioural ratings of child functioning. The more positive the parents' ratings of their children's behaviour, the more positive they judged their parenting competence, confidence and enjoyment. Findings supported the main hypothesis that parents' judgements of their children's behaviour at and following adoption are both directly and indirectly related to their sense of parenting. [ABSTRACT FROM AUTHOR]

Designed to examine the relationship between family sleep arrangements and children's sleep problems in families with preschool-age children adopted from China, this study documented types of sleep arrangements and explored the nature and sources of advice received by parents on co-sleeping. Mothers of 480 children provided survey data on their children's night-time sleep locations, sleep and wake schedules, and changes in sleep arrangements. Children's sleep problems were measured with the Sleep Problem Scale of the Child Behavior Checklist. Descriptive and qualitative analyses showed that most children (71.3%) had a single exclusive sleep location (e.g. solitary sleeping, sharing bedroom with a sibling, sleeping in parents' bedroom, or co-sleeping with parents) and the rest used a combination of two or three different locations. Children with more sleep problems were more likely to have more sleep locations and to co-sleep or share a bedroom with parents. Parents of children with more sleep problems were more likely to seek advice on co-sleeping. When they did, paediatricians were more likely than extended family members and fellow adoptive parents to recommend against co-sleeping. Careful integration of the descriptive and qualitative data permitted us to draw the conclusion that sleep arrangements reflected parental responsiveness to children's sleep behaviours. Copyright © 2009 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Mislevy's sociocognitive perspective on assessment argues that examinees' linguistic, cultural, and substantive (LCS) patterns serve to organize their ways of knowing and their knowledge construction. In this study, we used a purposefully designed prompt to obtain essays from 70 Chinese undergraduate English majors and 66 American undergraduate students to illustrate LCS patterns conveyed in texts produced by students in collectivistic and individualistic cultures (i.e., China and United States). We found that linguistically, compared to American students, Chinese students used more adjectives, adverbs, modal verbs of obligation, and were more direct in offering value judgements; culturally, while the texts from the two groups yielded overlapping themes, there were clear group difference in the rank order of number of codes for the themes and in the supporting text for each theme; substantively, there were noticeable group difference in the conceptualizations of how the themes were related to each other. Because it remains unknown how cultural and substantive features expressed in L2 essays may affect writing assessment, these differences presented both challenges and opportunities for the field of writing assessment. Implications for the equity and validity of L2 writing assessment were discussed. • L2 essays showed lower proficiency than L1 essays in linguistic patterns. • Cultural and substantive patterns of L2 essays came from native cultural system. • L1 and L2 essays differed little in effectively conveying cultural patterns. • L1 and L2 essays differed little in effectively conveying substantive patterns. [ABSTRACT FROM AUTHOR]

Abstract: Since 1994, China has been a leading source of international adoptions in the US, and since 2000, an increasing number of these children have entered the country under the special needs classification. While there is a large body of research on domestic special needs adoptions, very little is known about special needs adoptions from China. This study took advantage of a large survey of 1096 adopted Chinese children to explore a number of questions on special needs adoptions from China. The sample included 124 children adopted under the special needs classification. In addition to parental reports of child behavioral problems on the Child Behavior Checklist (CBCL), data on age at adoption, type of special needs, pre-adoption adversity, developmental delays at adoption, and Initial Adaptation to Adoption were collected retrospectively from the adoptive parents. The analysis revealed no differences between special needs (SN) and non-special needs (NS) children on any of the measures. In addition, the nature of the disabilities associated with the SN classification for many of the children may not pose significant challenges to optimal development. Policy and practice implications are discussed in light of these findings. [Copyright &y& Elsevier]

Abstract: Parental ratings of 695 adopted Chinese girls'' internalizing, externalizing, and total problem behaviors were analyzed in 4 stages to: (1) Compare adjustment profiles of Chinese adoptee samples with relevant US normative data; (2) analyze age differences in behavioral adjustment differences of Chinese adoptees; (3) examine interrelationships among the 3 behavior problem scores and child''s age at adoption, current age, pre-adoption neglect, and post-adoption initial rejection behaviors; and (4) explore the degree to which the 4 child-level independent variables worked individually or collectively to predict behavioral adjustment outcomes. Chinese adoptees had better adjustment scores than normative samples from the U.S. Preschool-age adoptees had better adjustment scores than school-age adoptees. No relationships were observed between the age-related variables and behavioral adjustment measures. However, pre-adoption neglect and post-adoption initial rejection behaviors were predictors of behavioral adjustment scores. The implications of these findings for future research, clinical practice and parenting education were discussed. [Copyright &y& Elsevier]

• Adopted Chinese youth scored more favorably on BASC-3 than non-adopted Chinese youth. • Adopted Chinese youth scored more favorably on BASC-3 than non-adopted US youth. • High adoptive family SES benefited adopted youth adjustment. • Testing measurement invariance is important for cross-cultural comparison. In this paper, we examined if high SES families had an effect on youth's adjustment by comparing 226 internationally adopted female Chinese youth who experienced pre-adoption institutionalization with 1059 non-adopted Chinese peers living in China, as well as 209 non-adopted American peers. On average, the adopted youth's families had a higher SES status than the two comparison groups. Survey data on behavioral problems and prosocial adjustment were collected with the third edition of the Behavioral Assessment for Children (BASC-3). We found the adopted Chinese youth outperformed their Chinese counterparts in all comparisons and their US counterparts in most comparisons. These results offer some evidence that a high family SES may compensate for the adoption-related risks such as earlier institutionalization. Possible mechanisms underlying the benefit of high SES were discussed. [ABSTRACT FROM AUTHOR]

Abstract Objective: Left-behind children have a high incidence of behavioral problems in some Eastern countries, especially China. We sought to assess the combined effects of physical neglect, a major embodiment of the left-behind phenomenon, and the trauma of being left behind on subsequent behavioral problems. Method: 776 children (including 600 left-behind children) aged 12–16 years were chosen by cluster sampling in rural China. The Childhood Trauma Questionnaire-Short Form and the Conners Teacher Rating Scale were used to evaluate physical neglect and behavioral problems. Results: Left-behind children experienced more physical neglect (mean difference = 0.63; 95%CI 0.15–1.10; P = 0.01) and were more inattentive (mean difference=0.11; 95%CI 0.03–0.19; P = 0.009) than non-left-behind children. Physically neglected left-behind children had higher scores for conduct problems, inattention, and hyperactivity index than non-left-behind without physical neglect group (P < 0.05 for each). Among left-behind children, physical neglect group had significantly more conduct problems than those of controls (mean difference=0.14; 95%CI 0.05–0.23; P = 0.008). Physically neglected non-left-behind children had higher scores for conduct problems than those of left-behind children without physical neglect (mean difference=0.31; 95%CI 0.13–0.47; P = 0.003). Among physically neglected children, left-behind children had significantly higher scores for inattention than those of non-left-behind children (mean difference=0.13; 95%CI 0.04–0.22; P = 0.037). Conclusion: Left-behind children have more behavioral problems than non-left-behind children. Physical neglect may result in more severe conduct problems than those associated with staying behind, and staying behind may lead to inattention. Exposure to both may lead to more obvious behavioral problems. Therefore, we should accord more attention to physically neglected and left-behind children. [ABSTRACT FROM AUTHOR]

Aims: To determine the associations between COVID-19 school closures and school readiness skills for Chinese kindergarteners., Design: We utilized the natural experimental condition created by local COVID-19 outbreaks in 2022 (Study 1) to compare school readiness skills of children whose kindergartens were closed for 5 months (Group 1) with children whose kindergartens stayed open (Group 2). We further compared the school readiness skills of one pre-COVID-19 cohort (Cohort 2019) with one COVID-19 cohort (Cohort 2021) from a fifth kindergarten (Study 2)., Samples: For Study 1, Group 1 included 445 children and Group 2 included 584 children aged 4-6 years. For Study 2, Cohort 2019 included 156 children and Cohort 2021 included 228 children aged 3-6 years., Measures: For both studies, survey data on four school readiness skills were collected from parents. Additionally, Study 1 collected parental locus of control data from parents., Results: Controlling for covariates, Study 1 revealed that Group 1 and Group 2 did not differ in terms of language and emergent literacy or approaches to learning. However, Group 1 scored lower than Group 2 on health and well-being and arts and imagination. Study 2 revealed that Cohort 2021 scored higher than Cohort 2019 on language and emergent literacy but lower on the other three skills., Conclusions: The associations of COVID-19 school closures with Chinese children's school readiness skills were not uniform, with a positive relation with language and emergent literacy and negative associations with health and well-being, approaches to learning, as well as arts and imagination., (© 2024 British Psychological Society.)

Objective: Research suggests that screen exposure presents a risk for ADHD behaviors in young children. However, the operationalization of screen exposure remains murky and longitudinal data is scarce. In this paper, we examined the relations between better operationalized daily screen time and behaviors of inattention and behaviors of hyperactivity/impulsivity in three cohorts of community samples of young Chinese children., Method: Study 1 was longitudinal and included 111 children who were 3.6 years old (Range = 2.4-4.9; SD = 0.4) at Baseline and 4.8 years old (Range = 3.9-6.0; SD = 0.4) at Follow-Up. Study 2 was cross-sectional and included 172 children aged 4.9 years (Range = 3.0-7.1; SD = 1.0). Study 3 was also cross-sectional and included 313 children who were 6.9 years old (Range = 5.7-8.3; SD = 0.4). In each study, the parents reported how much time that their children spent daily on iPad/tablet, smart phone, and online games and watching TV in the previous week, and their children's behaviors of inattention (I/A) and hyperactivity/impulsivity (H/I)., Results: Regression analysis revealed that in Study 1, controlling for child demographics, mother's education, family SES, and corresponding I/A or H/I scores at Baseline, screen time at Baseline predicted I/A scores ( β = .27, p < .01) and H/I scores ( β = .32, p < .001) at Follow-Up. Similarly, controlling for covariates, screen time predicted I/A scores ( β = .25, p < .01) and H/I scores ( β = .25, p < .01) in Study 2; I/A scores ( β = 0.16, p < .01) and H/I scores ( β = .15, p < .05) in Study 3., Conclusion: Screen exposure was a risk for inattention and hyperactivity/impulsivity behaviors in urban Chinese children.

In this article, we used results from two studies to show the need to go beyond linguistic equivalence to establish construct validity and measurement invariance in cross-cultural research. Study 1 examined Rosenberg Self-Esteem (RSE; 10 items) data from 156 Mainland Chinese youth (M = 13.8 years, SD = .53) and 213 Chinese-American youth (M = 13.6 years, SD = 2.1) from high socioeconomic status (SES) families. The Chinese translation of the RSE has been widely used. Study 2 included 1060 Mainland Chinese youth (M = 15.6 years, SD = 2.3) and 412 racially diverse American youth (M = 16.0, SD = 2.9) from all SES backgrounds. Data were collected with the third and newest edition of the Behavioural Assessment System for Children-Self Report of Personality (BASC-3-SRP; 189 items). We translated and back-translated the BASC-3-SRP between English and Chinese to establish linguistic equivalence. All participants were females. Study 1 showed that the RSE had acceptable internal consistency but lacked construct validity. Study 2 showed that the original and the translated BASC-3-SRP had good internal consistency and construct validity, but nine of its 16 subscales lacked measurement invariance. These results highlight measurement issues facing international and cross-cultural research., (© 2020 International Union of Psychological Science.)

In this article, we tested if female adopted Chinese youth's sense of exclusion predicted their behavioral adjustment and mental disorder diagnoses concurrently (Study 1) and longitudinally 5 years later (Study 2). In Study 1, 224 adoptees ( M = 13.6 years, SD = 2.1) provided survey data on sense of exclusion (as indexed by ethnic marginality, ethnic identity search, and negative feelings toward adoption) and Internalizing Problems (i.e., anxiety, withdrawal, and somatic complaints), measured with the Child Behavior Checklist (CBCL)-Youth Self-Report. In Study 1, the adoptive parents additionally completed the CBCL parent-report on the adopted children's Internalizing Problems and reported if the adopted children had any mental disorder diagnoses. In Study 2, 60 youth from Study 1 ( M = 18.6 years, SD = 2.1) completed the 3rd edition of the Behavioral Assessment System for Children-Self Report of Personality (BASC-3-SRP) that measures School Problems (i.e., negative attitudes toward teacher, negative attitudes toward school, and sensation seeking), Internalizing Problems (i.e., atypicality, locus of control, social stress, anxiety, depression, sense of inadequacy, and somatization), Attention-Deficit/Hyperactivity Disorder (ADHD; i.e., inattention and hyperactivity), and Personal Adjustment (i.e., relations with parents, peer relations, self-esteem, and self-reliance). They also responded to questions on receiving mental disorder diagnoses and treatments. We found that in Study 1, 33.2% of the youth had at least one diagnosis, with Anxiety Disorder (21.4%), ADD/ADHD (16.7%), and Attachment Disorder (7.5%) being the top three disorders. In Study 2, 40.3% had at least one diagnosis, with Anxiety Disorder (25.0%), Depression (21.7%), and ADD/ADHD (16.7%) being the top three disorders. Path analyses showed that in Study 1, ethnic marginality and negative feelings about adoption, but not ethnic identity search, significantly predicted parent-reported and self-reported Internalizing Problems; in Study 2, none of the three indicators of sense of exclusion predicted the adopted youth's adjustment. Implications for clinical practice and future research were discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

We adopted a person-centered approach to identify maternal feeding profiles among urban Chinese mothers of preschoolers, including two previously unexamined culturally-emphasized practices, and examine the associations between these feeding profiles and child and parent characteristics. Participants included 167 mothers and their preschoolers residing in Shanghai, China. Mothers reported on their feeding beliefs and practices, perceptions of child's body shapes, child dietary intake, and family demographic information. The hierarchical clustering method revealed 3 feeding clusters: uninvolved feeding (35.3%), concerned and restrictive feeding (21.6%), and high-pressure feeding (43.1%). Child BMI, weight status, maternal length of staying in Shanghai, maternal perceptions of child actual body shape and ideal body shape, and child unhealthy dietary intake were significantly different across the three clusters. The person-centered approach allowed for the examination of various feeding beliefs and practices simultaneously and revealed patterns of maternal feeding in Chinese families with preschoolers. Our oversampling of underweight and overweight groups of children in the present study allowed for the derivation of feeding profiles across children in all weight status groups. Moreover, the examination of whether demographic, maternal body shape perceptions, and child dietary intake differed across the clusters of mothers provided a more complete picture of family context and processes that may underlie and contribute to mothers' feeding practices, and ultimately their children's weight., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

The co-occurrence of behaviors of attention-deficit/hyperactivity disorder (ADHD) with behaviors of anxiety or behaviors of depression is the norm, but little is known on how the co-occurrence accounted for youths' peer relations. The authors report results on difficult peer relations in relation to behaviors of ADHD, co-occurring behaviors of depression, and behaviors of anxiety from three studies on 862 youths in China and in the United States. Study 1 included 313 ethnically and socioeconomically diverse American youths; Study 2 included 250 youths who were adopted out of Chinese orphanages by American parents; and Study 3 included 299 youths from Beijing, China. Data on difficult peer relations and behaviors of ADHD, depression, and anxiety were collected with the third edition of Behavior Assessment System for Children-Self Report of Personality. In all three studies, each type of problems alone significantly predicted difficult peer relations, but behaviors of ADHD were not significant when co-occurring behaviors of depression or co-occurring behaviors of anxiety were considered. Despite that the youths in our study had different cultural and personal backgrounds, there was no evidence that behaviors of ADHD were detrimental to youths' peer relations when behaviors of depression or anxiety were considered. Implications for intervention were discussed.

Factors underlying developmental delays and psychosocial risks are of interest to international adoption communities. The current study administered a Pre-Adoption Adversity (PAA) Questionnaire to mostly American parents raising (a) adopted Chinese twins or (b) same-age unrelated adopted siblings. A goal was to replicate earlier analyses of pre-adoption adversity/adjustment among adopted preschool-age Chinese girls. A second goal was to conduct genetic analyses of four content areas (Developmental Delays at Adoption, Initial Adaptation to Adoption, Crying/Clinging, and Refusal/Avoidance) derived from the PAA Questionnaire. A key finding was that age at adoption added less than other predictors to adoptees' externalizing and internalizing behaviors. Family factors (e.g., parental education) contributed significantly to behavioral outcomes among the adopted Chinese twins. Genetic effects were indicated for all four content areas, with shared environmental effects evident for Developmental Delays at Adoption and Crying/Clinging. Future investigators should consider incorporating genetically sensitive designs into developmental research programs., (Copyright © 2015 Elsevier Inc. All rights reserved.)

Internationally adopted (IA) children often have delays at adoption and undergo massive catch-up after adoption. Before achieving developmental catch-up, however, delays at adoption present a risk for IA children's adjustment, but it remains unknown whether such delays foreshadow IA children's outcomes after catch-up development has completed or ceased. In the current analysis, we utilized menarche as a practical marker to indicate the cessation of developmental catch-up. We investigated how delays at arrival predicted long-term outcomes in 132 postmenarcheal teens (M = 14.2 years, SD = 1.7) who were adopted from China at 16.6 months (SD = 17.1). In 2005, adoptive parents provided data of medical evaluation results on their children's delay status in gross motor skills, fine motor skills, social development, emotional development, and cognitive development. Six years later in 2011, data on parent-child relationship quality were collected from parents, and data on the adoptees' academic competence and internalizing problems were also collected from both parents and adoptees. We found that gross motor delay at arrival predicted academic performance (parent-report: b = -.34, p < .01) and internalizing problems (self-report: b = .26, p < .05; parent-report: b = .33, p < .01). Other delays were not significant in predicting any of the outcomes. The impact of early nutritional deprivation on gross motor development was discussed.

The author investigated the extent of developmental delays in girls adopted from China, their subsequent early intervention (EI) enrollment, and how the delays and EI were related to their academic performance and internalizing problems in adolescence. The sample included 180 adolescent girls (M = 13.4 years, SD = 2.0 years) who were adopted at 3-23.5 months (M = 11.5 months, SD = 3.7 months). Data on the adopted Chinese girls' delays at arrival and EI enrollment in physical therapy (PT) and speech-language therapy (SLT) were collected from the adoptive mothers at the Baseline; data on the adopted Chinese girls' present academic performance and internalizing problems were collected from the adoptive mothers and adopted girls at Wave 4 six years later. Data analyses revealed that 55% of the adoptees had moderate-to-severe delays when first arrived at the adoptive homes. Motor delays significantly increased the odds for PT (odds ratio [OR] = 3.98, 95% CI [2.18, 7.82], p <.001) and SLT (OR = 2.36, 95% CI [1.50-3.72, p <.001). Social-cognitive delays also significantly increased the odds for PT (OR = 1.90, 95% CI [1.36, 2.63], p <.001) and SLT (OR = 1.63, 95% CI [1.22, 2.17], p <.001). Motor delays were negatively associated with academic performance but positively associated with internalizing problems. General linear modeling showed that the adoptees who had developmental delays at arrival and subsequently enrolled in EI scored significantly lower on academic performance than their peers who had delays but did not enroll in EI, as well their peers who had no delays and did not enroll in EI. Implications of these findings are discussed.

Longitudinal data on 177 school-age adopted Chinese girls (Time 1: mean age = 8.92 years, SD = 1.76; Time 2: mean age = 11.18 years, SD = 1.79) were analyzed to determine their long-term outcomes in behavioral adjustment, academic performance (measured with the Child Behavior Checklist/6-18), and social skills (measured with the Social Skills Rating System) and how these outcomes were related to preadoption adversity. More than 90% of the girls were adopted at 24 months or younger (M = 19.25, SD = 21.67). Results revealed that over a 2-year period, there was a moderate to strong stability in the children's behavioral adjustment and academic performance. However, there was a significant increase in the number of children with deviant internalizing problems. At both times, higher degrees of preadoption adversity were related to more internalizing problems and poorer academic performance. Children who were adopted at older ages had poorer academic performance. Children who were older had a lower level of assertion and a higher level of responsibility. Children's attention problems at Time 1 mediated the effect of preadoption adversity on academic performance at Time 2., ((c) 2009 APA, all rights reserved.)

Objective: This study assessed psychometric properties of the Child Behavior Checklist (CBCL/1.5-5) and explored clinical insights from its use in a sample of adopted Chinese girls., Methods: Parental ratings were obtained on 707 adopted Chinese girls, ages 1.50-5.92 years (M = 3.24, SD = 1.26). Confirmatory factor analysis (CFA), employing robust weighted least squares estimation, was used to evaluate the instrument's seven-factor correlated structure. Profiles of scores were analyzed descriptively for clinical insights., Results: The CFAs indicated that the fit of Achenbach and Rescorla's (2000 Manual for the ASEBA preschool forms & profiles. Burlington, VT: University of Vermont, Research Centre for Children, Youth, & Families) model to the data obtained from the adopted Chinese girls was acceptable using either a 2-point response scale or the original 3-point response scale for the 67 items from which the seven syndromes or correlated factors are derived. Values for the root mean square error of approximation (RMSEA) for the 2-point and 3-point response scales were .049 and .053, respectively. The RMSEA of .049 for the model using the dichotomously scored items was slightly better than what Achenbach and Rescorla (2000) reported for the same model (.06)., Conclusions: The study provides additional evidence of the factorial validity of the CBCL/1.5-5 and supports its use with Chinese girls adopted into North American families. While the Chinese girls showed similar or better behavioral adjustment, compared to a reference group from the CBCL's normative sample, they tended to manifest higher levels of sleep problems.