Subtyping of Internalizing and Externalizing Behaviors in Japanese Community-Based Children: A Latent Class Analysis and Association with Family Activities

Xiang Li, Yan Tong Zhu, Dan Dan Jiao, Yuko Sawada, Emiko Tanaka, Taeko Watanabe, Etsuko Tomisaki, Zhu Zhu, Ammara Ajmal, Munenori Matsumoto, Jin Rui Zhang, Alpona Afsari Banu, Yang Liu, Ming Yu Cui, Yolanda Graça, Yan Lin Wang, Mei Ling Qian, Tokie Anme

Research output: Contribution to journalArticlepeer-review

Abstract

Externalizing and internalizing behavioral problems occurs at a high rate among children. However, this has rarely been examined among Japanese children using a person-oriented method. Hence, this study aims to explore its subtypes and clarify their association with family-based group activities. We conducted a cross-sectional survey in a typical community-based suburban area for all families with primary school children in Japan. We investigated children’s internalizing and externalizing behaviors based on the Japanese version of the Strengths and Difficulties Questionnaire (SDQ), and different types of activities that family members frequently engaged in. Data from 206 families were collected and used for the analysis. The subtypes were explored using latent class analysis (LCA). The relationship between family activities and latent class membership was analyzed using a logistic regression model. Moreover, three latent class models and their probabilities were identified, namely, risk group (31.3%), moderate group (44.9%), and normal group (23.8%). Frequent family activities including play sports, traveling or hiking, watching TV and communicating, cooking or making a dessert, and doing housework, which were significantly related to the normal group. These results would add evidence to potential types of children’s behavioral problems and preventive childcare practices needed in the primary gate of families.

Original languageEnglish
Article number210
JournalChildren
Volume9
Issue number2
DOIs
Publication statusPublished - 2022 Feb

Keywords

  • Community-based
  • Family activities
  • Internalizing and externalizing behaviors
  • Japanese children
  • Latent class analysis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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