An investigation of adolescents’ emotional and behavioral manifestations and the factors influencing cases from Bulgan Province, Mongolia
DOI:
https://doi.org/10.24079/CAJMS.2026.01.001Keywords:
Behavior, Cell Phone Use, Emotion, Peer Group, Sleep DeprivationAbstract
Objective: This study aimed to investigate factors potentially influencing the mental health of adolescents. Methods: A population-based birth cohort study was conducted in Bulgan Province from 2016 to 2022. Emotional and behavioral manifestations in children were assessed using the Strengths and Difficulties Questionnaire – Mongolia (SDQ-Mongolia). Risk factors affecting emotional and behavioral outcomes among children aged 6, 9, and 12 years were analyzed using multinomial logistic regression models. Results: The study included 1,077 parent–child pairs in 2016, 890 pairs in 2019, and 781 pairs in 2022. According to maternal reports, 81.89% of children in 2016, 71.8% in 2019, and 81.05% in 2022 exhibited abnormal emotional and behavioral manifestations. Among 12-year-old children, abnormal emotional and behavioral manifestations were significantly associated with lack of parental attention (adjusted Relative Risk Ratio [aRRR] 2.0, 95% Confidence Interval [CI] 1.09–3.68), reduced sleep duration (aRRR 2.22, 95% CI 1.21–4.08), and increased mobile phone use (aRRR 3.36, 95% CI 1.02–11.0). Conclusions: Lack of parental attention, reduced sleep duration, and higher mobile phone usage are significant factors influencing abnormal emotional and behavioral manifestations among adolescents.
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References
1. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ, eds. Global Burden of Disease and Risk Factors. The International Bank for Reconstruction and Development / The World Bank; 2006.
2. Kieling C, Baker-Henningham H, Belfer M, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515-1525. https://doi.org/10.1016/s0140-6736(11)60827-1
3. Bele SD, Bodhare TN, Valsangkar S, et al. An epidemiological study of emotional and behavioral disorders among children in an urban slum. Psychol Health Med. 2013;18(2):223-232. https://doi.org/10.1080/13548506.2012.701751
4. Lim C, Loh H, Renjan V, et al. Child Community Mental Health Services in Asia Pacific and Singapore’s REACH Model. Brain Sci. 2017;7(10):126. https://doi.org/10.3390/brainsci7100126
5. World Health Organization. Adolescent mental health. 2012 https://www.who.int/publications/i/item/adolescent-mental-health
6. Vanchindorj B. Research on Determining Adolescent’s Emotional and Behavioral Problems. Doctoral dissertation. Mongolian National University of Medical Sciences; 2019.
7. Begz N, Sanjaabadam S, Enkhbayar B, et al. Changes in the Comprehensive Development of Mongolian Children and Factors Affecting Them. Institute of Education; 2021.
8. Polanczyk GV, Salum GA, Sugaya LS, et al. Annual Research Review: A meta‐analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry. 2015;56(3):345-365. https://doi.org/10.1111/jcpp.12381
9. Vanchindorj V, Naidansuren T, Bayartsogt B, et al. Prevalence of Emotional and Behavioral Problems among Adolescence and Some Risk Factors. J Ment Disord Treat. 2017;03(01). https://doi.org/10.4172/2471-271x.1000136
10. Battuvshin L, Byambasuren S, Sharma N, et al. Identification of gaps in child and adolescent mental health system in Mongolia. Mongolian Journal of Health Sciences. 2008;5(1):23-29.
11. Liu X, Liu J, Flores DD, et al. Family factors related to adolescent screen media use and mental health outcomes: A systematic review and recommendation for practices. J Adolesc. 2024;96(7):1401-1427. https://doi.org/10.1002/jad.12367
12. Crowhurst S, Hosseinzadeh H. Risk Factors of Smartphone Addiction: A Systematic Review of Longitudinal Studies. Public Health Chall. 2024;3(2):e202. https://doi.org/10.1002/puh2.202
13. Butterfield RD, Silk JS, Lee KH, et al. Parents still matter! Parental warmth predicts adolescent brain function and anxiety and depressive symptoms 2 years later. Dev Psychopathol. 2021;33(1):226-239. https://doi.org/10.1017/s0954579419001718
14. Billaux P, Billieux J, Baggio S, et al. Thinking beyond cut-off scores in the assessment of potentially addictive behaviors: A brief illustration in the context of binge-watching. J Behav Addict. 2023;12(2):303-308. https://doi.org/10.1556/2006.2023.00032
15. Cao L, Wang S, Li Y, et al. Bidirectional association between sleep quality or duration and aggressive behaviour in early adolescents: A cross-lagged longitudinal study. J Affect Disord. 2023;334:197-204. https://doi.org/10.1016/j.jad.2023.04.119
16. Owens J, Wang G, Lewin D, et al. Association Between Short Sleep Duration and Risk Behavior Factors in Middle School Students. Sleep. 2017;1:40(1). https://doi.org/10.1093/sleep/zsw004
17. Bacaro V, Miletic K, Crocetti E. A meta-analysis of longitudinal studies on the interplay between sleep, mental health, and positive well-being in adolescents. Int J Clin Health Psychol. 2024;24(1):100424. https://doi.org/10.1016/j.ijchp.2023.100424
18. Lemola S, Perkinson-Gloor N, Brand S, et al. Adolescents’ Electronic Media Use at Night, Sleep Disturbance, and Depressive Symptoms in the Smartphone Age. J Youth Adolesc. 2015;44(2):405-418. https://doi.org/10.1007/s10964-014-0176-x
19. Zhang J, Yuan G, Guo H, et al. Longitudinal association between problematic smartphone use and sleep disorder among Chinese college students during the COVID-19 pandemic. Addict Behav. 2023;144:107715. https://doi.org/10.1016/j.addbeh.2023.107715
20. Hysing M, Sivertsen B, Stormark KM, et al. Sleep problems and self-harm in adolescence. Br J Psychiatry. 2015;207(4):306-312. https://doi.org/10.1192/bjp.bp.114.146514
21. Schweizer A, Berchtold A, Barrense-Dias Y, et al. Adolescents with a smartphone sleep less than their peers. Eur J Pediatr. 2017;176(1):131-136. https://doi.org/10.1007/s00431-016-2823-6
22. Touchette E, Fréchette-Boilard G, Petit D, et al. Longitudinal study of childhood sleep trajectories and adolescent mental health problems. Sleep Adv. 2024;5(1):zpae013. https://doi.org/10.1093/sleepadvances/zpae013
23. Kortesoja L, Vainikainen MP, Hotulainen R, et al. Bidirectional Relationship of Sleep with Emotional and Behavioral Difficulties: A Five-year Follow-up of Finnish Adolescents. J Youth Adolesc. 2020;49(6):1277-1291. https://doi.org/10.1007/s10964-020-01203-3
24. Short MA, Weber N. Sleep duration and risk-taking in adolescents: A systematic review and meta-analysis. Sleep Med Rev. 2018;41:185-196. https://doi.org/10.1016/j.smrv.2018.03.006
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