Work

Association of parental verbal responsivity with reduced mental health problems in preschool-aged children: a cross-sectional study of 21,366 dyads in western China

Year: 2026
Type: article
Study design: Observational Study
Abstract: Background: Mental health problems affect 7%-18% of preschool-aged children globally, with early interventions crucial for mitigating long-term impacts. Parental verbal responsivity (PVR) is a modifiable factor linked to cognitive and emotional development, yet large-scale studies on its association with mental health in young children remain scarce. Methods: This cross-sectional study was conducted between February 28 and March 5, 2025, in a western Chinese city, involving 21,366 parent-child dyads from 189 kindergartens. Parental Verbal Responsivity (PVR) was assessed using the parent-reported StimQ, which measures verbal interactions during daily routines, play, and regulation activities. Child mental health was evaluated via the parent-reported Strengths and Difficulties Questionnaire (SDQ). Multivariable logistic regression models were employed, adjusting for relevant sociodemographic and lifestyle covariates. Results: < 0.0001 significance. Subgroup analyses revealed effect modifications by parental gender, education, employment status, annual family income, and smoking status and alcohol intake status. Conclusion: In this large-scale study, a weak association was found between verbal interaction frequency and child mental health, explaining less than 1% of outcome variance. This highlights the limitation of measuring only interaction frequency and underscores the need for future research to incorporate multi-informant and observational methods to better understand pathways to child mental health.
Authors: Fenling Feng, Hongli Sun, Yujun Wang
Language: English
Field: Psychology
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W7128086884
FWCI: 8.521
Cites: 41
Cited by: 1
Related to: