Psychological Well-being Of Children Research Articles

Orofacial manifestations of child maltreatment: A review.

The recognition and reporting of child abuse and neglect continues to be a challenge in the healthcare setting. All healthcare providers, including dentists, should be aware of the high prevalence of orofacial injuries and conditions that are concerning for abuse and neglect. Sentinel injuries may appear trivial and do not require medical attention, but are unlikely caused by accidental mechanisms and, if not properly identified, often precede more severe abusive injuries. Concerning orofacial findings can manifest as bruising, eye injuries, intraoral injuries, pharyngeal perforations, facial bone fractures, and sexually transmitted infections. Abusive caregivers are likely to give inadequate explanations or no history at all to explain concerning findings. Medical providers' failure to make mandated reports about their concerns to the appropriate agencies can have significant long-term impacts on the physical and psychological well-being of children.

Emotional Problems of Children and Adolescents in the COVID-19-Pandemic: Patterns of Change and Predictors

The COVID-19-pandemic showed largely negative, but heterogeneous effects on the psychological well-being of children and adolescents.The present study aimed to (1) identify differential trajectories of emotional problems as young people entered the pandemic, (2) compare pre-pandemic trends to changes one year after its onset, and (3) analyze sociodemographic and social predictors of trajectories. 555 children and adolescents, aged 7 - 14 years at T1 (M = 10.53 years, 46.5 % female), were interviewed in three waves of the German family panel pairfam. Latent class growth analysis (LCGA) revealed four distinct trajectories of emotional problems: an increase after the onset of COVID-19 ("Mean increasing"), a decrease ("Mean decreasing"), no change at low level ("Low stable") or at high level ("Chronic high"), each after a stable trajectory before the pandemic.Multinomial logistic regressions showed that females and youth experiencing an increase in financial deprivation were at higher risk of increasing or chronically high level of emotional problems, while sociability proved protective. Migration background and rejection by peers showed mixed effects. The results emphasize the importance of a differential perspective on how the COVID-19-pandemic affected children's and adolescents' well-being. Besides negative consequences for vulnerable groups, also beneficial aspects of the pandemic should be considered.

Quality of Life and Psychological Well-Being in Children and Adolescents After Renal Transplantation

Kidney transplantation is the predominant treatment option in patients with end-stage renal disease. The aim of this study was to evaluate the effect of the presence of a psychiatric disorder on the quality of life in children and adolescents after kidney transplantation. A total of 43 patients aged 6 to 18 years were included in the study. All participants and their parents were asked to complete the Pediatric Quality of Life Inventory (PedsQL), and families only, the Strengths and Challenges Questionnaire. Psychiatric symptoms and disorders of the patients were evaluated according to the Schedule for Mood Disorders and Schizophrenia for School-Age Children/Now and Lifetime Turkish Version. Patients were divided into 2 groups according to psychiatric symptoms and disorders. The most common psychiatric disorder was attention deficit and hyperactivity disorder (26%). The questionnaires filled out by the patients revealed a lower Total PedsQL Score (P = .003), PedsQL Physical Functionality Score (P = .019), and PedsQL Social Functioning Score (P = .016) in patients with psychiatric disorders. When the parents filled out the questionnaires, the Total PedsQL Score was similar in both groups. The PedsQL Emotional Functionality Score (P = .001) and PedsQL School Functionality Score (P = .004) were significantly lower in patients with psychiatric disorders. The Strengths and Difficulties Questionnaire revealed significantly higher total (P = .014) and hyperactivity/inattention subscale scores (P = .001) in those with a psychiatric disorder. Psychiatric disorders in kidney transplant patients adversely affect the quality of life.

Preparing children to cope with earthquakes: Building emotional competence.

Natural disasters, including earthquakes, can have a traumatic impact on children's psychological wellbeing and development. The efficacy of interventions aimed at enhancing children's socio-emotional learning has been documented in the literature. At the same time, these techniques are the key for training children for possible future disasters by enhancing their knowledge about behavioural preparedness and emotional competence. However, research on evidence-based training programs on earthquakes combining digital and traditional activities is scarce. We tested the efficacy of a 10-unit training program for primary school children, developed within the Emotional Prevention and Earthquakes in Primary School (PrEmT)project. The program aimed at increasing knowledge of and metacognition about earthquakes, safety behaviours, emotions, and coping strategies, through digital (using the web-application HEMOT® , Helmet for EMOTions, developed ad-hoc) and traditional activities (completing paper-and-pencil tasks). The participants were 548 second and fourth-graders from Italian schools. They were divided into an experimental group (participating in the training program) and a control group. Both groups participated in pretests and posttests to evaluate changes in their knowledge of training-related contents. For ethical reasons, we also measured children's wellbeing. Generalized linear mixed models indicated an improvement in the experimental group's knowledge and metacognition about earthquakes, safety behaviours, emotions, and coping strategies after the training program, compared to the control group. Children's general wellbeing did not deteriorate during participation in the project. The results documented the efficacy of the evidence-based training program developed within the PrEmT project. The program provides a preventive method for enhancing earthquake-related resilience that could be generalized to other kinds of disasters.

Implications of Early Diagnosis and Intervention in the Management of Neurodevelopmental Delay (NDD) in Children: A Systematic Review and Meta-Analysis.

Neuro-developmental delay (NDD) is when a child's reflexes and nervous system are underdeveloped or immature at a given stage of child development. Neurodevelopmental delays accountfor delayed skilldevelopment surrounding speech, social, emotional, behavioral, motor, and cognitive delays. NDD might affect the child's psychological and physical well-being, resulting in chronic disease and disabilities throughout adulthood. This review sought to investigate the implication of early diagnosis and intervention of NDD in children. In this regard, this research opted for a systematic meta-analysis that used keywords and Boolean operators to search through main databases, including the Web of Science, JStor, PsychINFO, Science Direct, Cochrane, Scopus, and ASSIA. The result identified that telehealth interventions improved the management of NDD in children. Also, the Early Start Denver Model (ESDM) model was determined to improve the quality of life for NDD children. Another model was LEAP (Learning Experience and Alternative Program for Preschoolers and Their Parents) and Leap (Learning, engaging, and Playing), which improved behavioral, education, and social interventions in NDD children. The study identified that technology could revolutionize NDD interventions in children, possibly improving the quality of life. The parent-children relationship was shown to enhance the management of this condition; thus, it is recommended as one of the best ways to intervene in the management of NDD. Most importantly, the integration of machine learning algorithms and technology can create models; while this may not besignificant in the treatment of childhood NDD but instead might be ideal in improving the quality of life for NDD children. Moreover, their social and communication skills along with academic achievements will improve. The study proposes further research in order to understand the different types of NDDs and their intervention strategies to help the researchers identify the most accurate models to improve the conditions and support the parents and guardians in the management.

Short-term and long-term effects of the COVID-19 pandemic on child psychological well-being: a four-wave longitudinal study.

As the COVID-19 pandemic further unfolds, it becomes a key theoretical and practical question to identify trajectories of child psychological well-being and to explore risk and resilience factors for developmental adjustment. The current study addressed this research gap by means of an ecological design: A (lockdown)-B (relaxation)-B (relaxation)-A (lockdown). We collected parental reports via online questionnaires over four measurement occasions during the COVID-19 pandemic in Germany (non-probabilistic sample): from the first lockdown (T1-spring 2020, N = 1769) to the following period of relaxation (T2-summer 2020, n = 873; T3-fall 2020, n = 729) on to the second lockdown (T4-winter 2020/21, n = 748). Key measures at T1-T4 were child emotional and behavioral problems as well as hyperactivity, child emotional and family-related well-being, parental strain, and parent-child relationship quality. We found evidence for quadratic growth models. While child problem behaviors (b = 0.32, p < 0.001) and emotional well-being (b = -0.33, p < 0.001) improved after the first lockdown during subsequent periods of relaxation before worsening again in the second lockdown, child family-related well-being steadily decreased over all four measurement points (T1-T2: p < 0.001; T2-T3: p = 0.045; T3-T4: p = 0.030). Importantly, parental stress emerged as a strong risk factor (ps < 0.11) and the parent-child relationship quality constituted a resilience factor (p = 0.049) for child psychological well-being. These findings have major implications for policies aiming to further child health during the COVID-19 pandemic.

Implementasi Konsep Perawatan Berpusat pada Keluarga

This study aims to explore Family Centered Care (FCC) and its impact on the psychological well-being of children and parents in the non-intensive pediatric care area. The method used is a systematic review by searching the literature from several online databases. The results showed that parents' perceptions of knowledge about FCC were respect and dignity, collaboration, communication and sharing of information, involvement in care, and influencing factors. The impact of the FCC on the psychological well-being of children and parents is to reduce the anxiety of children and parents and increase parental satisfaction. In conclusion, these findings provide strong evidence for understanding what is most important to parents and the impact of the FCC on positive psychological well-being for children and parents in non-intensive pediatric care areas.&#x0D; &#x0D; Keywords: Implementation, Psychological Well-being, Family-Centered Care

PSYCHOCORRECTION IN PRESCHOOL CHILDREN WITH PRENEUROTIC SYMPTOMS DURING TIMES OF WAR: A COMPREHENSIVE ANALYSIS

This scientific abstract explores the features of psychocorrection in preschool children exhibiting preneurotic symptoms in the context of war. By analyzing modern scientific trends and research conducted during times of acute stress and distress caused by war in Ukraine, the practical aspects of psychological and corrective work with preschool-aged children are considered and analyzed. Due to the ongoing war, both adults and children face daily life-and-death situations, which disrupt their psychological balance and subject them to cruel uncertainty. As a result, the psychological well-being of children is deeply affected, leading to a high incidence of neurotic states, including neuropsychological disorders, heightened anxiety, fear, lack of confidence, and excessive vulnerability, among others. It is observed that the emergence of neuroses in such situations is often preceded by preneurotic states, which later develop into neurotic reactions and disorders. Psychological correction is identified as a primary approach in working with children exhibiting preneurotic tendencies. Psychological correction refers to a form of psychological intervention aimed at creating optimal conditions for the child's psychological development and providing specialized psychological support. The abstract emphasizes that the most accessible types of psychological and corrective work with preschool children are behavioral, emotional, and cognitive methods. These approaches facilitate conflict resolution and help release tension on a subconscious level. Furthermore, the research highlights effective and modern approaches to psychological correction of preschool children in war conditions through various forms of art therapy. The abstract categorizes the following methods of art therapy as highly efficient and effective in modern psychological correction: isotherapy (therapeutic impact through art), fairy tale therapy (using fairy tales as a therapeutic tool), music therapy (utilizing music and choreographic movements), game therapy (organized game activities), doll therapy, and canister therapy, among others. Art therapy is described as a method of uncovering a child's concerns, relieving negative emotional states, and allowing them to identify their unconscious worries and overcome their destructive impacts through the natural state of play and art. Different forms of art therapy provide conditions for individuals to experience success in various activities, enabling them to tap into their psychic potential for stress management. The abstract concludes by highlighting the importance of further research and work in the field of psychocorrection for preschool children with preneurotic symptoms.

Child psychological well-being and adult health behavior and body mass index.

Psychological well-being (PWB) is linked with health behaviors among adults, but it is unclear if childhood PWB prospectively predicts healthy adulthood biobehavioral profiles. Such evidence may identify developmental windows for establishing positive health trajectories across the lifespan. Using data spanning 30 years, we investigated whether PWB at age 11 was associated with health behaviors and body mass index (BMI) at ages 33 and 42. We hypothesized children with higher versus lower PWB would engage in healthier behaviors, have lower BMI in adulthood, and be more likely to maintain optimal levels over time. Data were from 4,728 participants of the 1958 National Child Development Study. At age 11, participants wrote an essay about how they imagined their lives at age 25. Two judges rated each essay for multiple facets of PWB, which were combined into a summary score (Cronbach's α = .91). At ages 33 and 42, participants reported on cigarette smoking, physical activity, and diet; BMI was also assessed. Regression models evaluated PWB's association with adult outcomes at each follow-up, and with patterns over time. Child PWB was unassociated with smoking in adulthood. However, greater child PWB was associated with healthier adult physical activity, diet, and BMI when adjusting for sex. Child PWB was associated with the likelihood of maintaining optimal BMI in adulthood, but not with maintaining healthy behaviors. Some associations were not independent of other childhood covariates. Early life lays the foundation for lifelong health. Childhood PWB may contribute to healthier behaviors and BMI in adulthood. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Longitudinal associations between parental migration and children's psychological well-being in Southeast Asia: The roles of caregivers' mental health and caregiving quality

ObjectiveThis study investigates the longer-term effects of parental migration on the psychological well-being of children who stay behind in two major labor-sending countries in Southeast Asia, namely, Indonesia and the Philippines. Adopting the framework of the ‘care triangle’, we further examine how caregivers' mental health and caregiving quality moderate the associations between parental migration and children's psychological well-being. MethodsUsing longitudinal data collected in 2008 and 2016/17, we assess children's psychological well-being during early childhood (aged 3–5 years) and again in adolescence (aged 11–13 years). We apply both fixed-effects and random-effects models, using the Hausman test to indicate the preferred model. ResultsThe findings indicate that there is no significant longer-term effect of parental migration on children's psychological well-being, but parental migration tends to show adverse effects on Filipino children's psychological well-being when they are cared for by a caregiver with poor mental health. ConclusionsThe two-country comparison demonstrates the complexities of understanding the gender-based influences of parental migration on children's psychological well-being. The findings also highlight the caregiver's role in maintaining frequent communications with migrant parents within the care triangle, which is crucial to children's well-being.

Modeling the impact of individual, educational and external factors affecting psychological well-being in children with the mediating role of life skills media education

Aim: The current research was conducted with the aim of modeling individual, educational and external factors affecting psychological well-being in children with the mediating role of life skills media education. Methods: This research is descriptive in terms of its purpose and is considered a survey study in terms of data collection. To conduct the research, all the factors related to the issue of psychological well-being in children were identified in the literature by relying on the theoretical foundations and the literature, and then, in order to validate the items, the factor loadings of the items were presented. The statistical population of the research was the experts in the field of psychology, who especially had studies in the field of children. Purposeful sampling and snowball method were used to select the participants and finally 20 people were considered as a statistical sample. Data analysis was also done using interpretive structural model. Results: The findings of the research showed that the factors underlying well-being are divided into three personal, educational and external dimensions, which include factors such as emotional intelligence, personality traits, self-regulation, responsibility, self-efficacy, emotion regulation, perceived social support, mindfulness, communication patterns, stress and anxiety. social for the individual dimension, parent management training, academic performance, positive intelligence training, life skills training and family performance for the educational dimension and finally, parent-child relationship, family cohesion and flexibility, socio-economic status, social networks, parental employment, Internet addiction and computer games have been proposed as external factors affecting children's psychological well-being in the model. Conclusion: Therefore, it is recommended that families strengthen the spirit of expressing feelings and experiences in their children by increasing their presence in social environments and trusting their children, because this issue strengthens the psychological well-being of children

Social trauma and disaster psychology: The impact of earthquakes on children’s mental health from the perspective of dissoanalysis theory and modern psychotraumatology

Earthquakes are devastating natural disasters that can have significant impacts on the psychological well-being of children. This article reviews the literature on the psychological effects of earthquakes on children’s mental health from the perspective of modern psychotraumatology and dissoanalysis theory. The article discusses the short-term and long-term adaptive strategies employed by children in response to social traumas and grief, as well as the emergence of psychopathologies such as dissociative disorders and posttraumatic stress disorder when traumatic experiences are not metabolized and neutralized in a timely manner. It highlights the importance of immediate institutionally supportive and structured crisis and disaster psychology-oriented mental health support systems in nations where mass traumatizing events occur. The authors suggest that effective interventions in both social traumas and crisis situations and trauma-centered psychotherapies can enable traumatized and/or dissociated children, adolescents, and adults to return to their daily lives in an integrated manner as soon as possible. The article concludes by highlighting the need for mental health experts to be sent to the field through associations and non-governmental organizations to provide psychological first aid and disaster psychology practices immediately after earthquakes.

The Relationship between Parents' Islamic Lifestyle on the Moral Development and Psychological Well-Being of male Students in the East of Tehran

Background and Aim: In the field of education, one of the most important, influential and at the same time, most difficult topics is the moral and ethical development of children. Therefore, dealing with issues related to ethics and, as a result, moral development has a high status. The present study was conducted with the aim of investigating the relationship between parents' Islamic lifestyle and moral development and psychological well-being of male students in the east of Tehran. Methods: The present research method was descriptive-correlation. The statistical population included all male students in the eastern region of Tehran and their parents in 2022. The statistical sample included 250 people and was done by multi-stage cluster random sampling method. The research tools included the Islamic lifestyle test (short form) by Kaviani (2013), the scale of moral development of children, adolescents and young people by Lotfabadi (2010) and the psychological well-being of Ryff (1989). Data were analysed by SPSS and with regression analysis and Pearson correlation methods. Results: The results of Pearson's correlation test and multivariate regression showed that there is a positive and significant correlation between the two variables of parents' Islamic lifestyle with the moral development and psychological well-being of their sons. between the Islamic lifestyle of parents and the components of their child's moral development; Environmental ethics, personal ethics, ethics in family relationships, social ethics and human ethics have not been observed significant correlation. However, there is a positive and meaningful connection and correlation between the Islamic lifestyle of parents and the superior morals of male children; This means that with the increase in the level and level of the Islamic lifestyle of the parents, the level and level of moral excellence in their sons increases and improves. Also, between the parents' Islamic lifestyle and their child's psychological well-being; Positive relationships with others, autonomy or independence, purposeful life and personal growth, no significant correlation was observed. However, there is a positive and significant correlation between the Islamic lifestyle of parents with self-acceptance and mastering the environment of male children. Conclusion: This means that with the increase in the level and level of Islamic lifestyle of parents, the level and level of two components of psychological well-being; Self-acceptance and mastery of the environment increases and improves in their male children.

Children's autonomous mobility and their well-being

The notion of children's independent mobility is often used to help to understand how much freedom children have in their neighbourhoods, but it does not provide evidence on how autonomous and in control they are over their actions. This is important when considering the influence of children's neighbourhood mobility on their well-being, with autonomy known to be an important element of children's psychological well-being.This paper draws on findings from a research study working with 9 and 10 year olds living in inner London, England. Findings from the study highlight the importance of children's autonomous time within their neighbourhoods. They suggest that this measure is more reflective of the children's experiences of their neighbourhoods and more closely linked to their well-being than their independent mobility. Analysis highlights the importance of active travel and play within the neighbourhood, whether independent or not.

Psychological wellbeing of college going Adolescent: Study of dual earner family in metropolitan cities

WHO reported that almost twenty percent of adolescent around the world suffers from psychological issue. The reported prevalence of mental issues ranges from 1-to-25 percent across different states. Due to changes in lifestyle, both parents have to work to fulfill the needs of the children growing in metropolitan cities. This study attempts to understand mental issues among the adolescents of the dual-earners. A self-administered questionnaire was developed to assess the lifestyle, and psychological wellbeing of the adolescents aged 15-19 years studying in the colleges of Delhi and Mumbai University. GHQ-12 was used to analyses the Psychological issues among the students. Total of 447 adolescent fulfilling the selection criteria, completed the questionnaire. The Results show that 22% in Mumbai and 27% in Delhi are suffering from Anxiety and Depression while almost one-fourth have Social Dysfunction in both cities. Adolescent with lower socio-economic status is suffering from multiple forms of mental health issues. Odds of psychological-wellbeing are less among adolescents who are studying in either Arts or Commerce field as compare to science students. Adolescents who have ever smoked, chew tobacco and drink alcohol have shown the significant higher symptoms of Anxiety and Depression. Anxiety &amp; Depression and Loss of confidence is higher among the adolescent who spend less than two hours with their father either on weekdays or weekends and whose father drinks alcohol or smokes. The Permissive and authoritative/flexible parents have positive impact over their children psychological wellbeing. The study reflects the growing mental-health issues among adolescents due to varying factors and points the need of psychological counsellor for parent-child duo.

Supplemental Material for Child Psychological Well-Being and Adult Health Behavior and Body Mass Index

Supplemental Material for Child Psychological Well-Being and Adult Health Behavior and Body Mass Index

The benefits and risks of child-dog attachment and child-dog behaviours for child psychological well-being

Abstract The importance of secure human attachments in childhood for healthy psychological development is well-established, yet the well-being implications of child-dog symbiotic relationships are less understood. Children form strong emotional bonds with their pet dogs that meet the prerequisites for an attachment relationship. These bonds can be mutually reinforcing and beneficial and could indicate positive child well-being. However, not all child-dog relationships are positive and here we explore whether harmful and unsafe interactions are associated with poorer emotional and behavioural functioning. The aim of this study was to examine whether the type of child-dog behaviour (positive or negative) mediates the relationship between child-dog attachment and well-being indicators. Data from caregiver reports (N = 117) and child self-reports (N = 77) were collected through an online survey. The results revealed that positive child-dog interactions significantly mediated the relationship between high attachment scores and better child outcomes (higher scores for well-being, positive outlook, happiness, quality of life, higher social satisfaction, and lower loneliness), whereas the reverse was found for negative child-dog interactions, predicting lower attachment scores and worse child outcomes (negative outlook, increased loneliness and social dissatisfaction, lower quality of life). This study has identified important mechanisms through which pet dogs may pose both benefits and risks to children’s psychological well-being. These findings will aid the development and evaluation of interventions that promote positive and safe child-dog interactions and subsequent child and dog psychological health and welfare.

Связь учебной мотивации и психологического благополучия в младшем школьном возрасте

&lt;p&gt;The article presents data on the psychological well-being of primary school-age children with different types of academic motivation. The study involved 87 students of the 3rd-4th grades of Moscow secondary schools (41 boys and 46 girls). The questionnaires "Academic self-regulation" SRQ-A (modification and approbation on the Russian-language sample of T.O.Gordeeva, O.A.Sychev, M.F.Lynch), "Scale of psychological well-being of children aged 8-12 years" PWB-c (adaptation by D.V.Lubovsky, N.S.Milova), the projective technique "Unfinished sentences", allowing to identify indicators of motivation and psychological well-being (positive and negative aspects of children's lives). Positive connections of psychological well&amp;ndash;being and components of its structure with intrinsic educational motivation, negative connections - with extrinsic academic motivation are established. It is shown that primary schoolchildren with a high level of psychological well&amp;ndash;being are characterized by cognitive motivation, self-development motivation, awareness of the importance of educational activities for themselves, but at the same time - orientation to high academic performance. With a low level of psychological well-being in children, there is a pronounced extrinsic motivation, reflecting primarily the requirements of the teacher, a subjective perception of learning difficulties, a negative attitude to learning, preschool-type motivation with its hedonistic orientation.&lt;/p&gt;

Preservice preschool teachers’ perspectives on the psychological well-being of preschoolers

The school has a vital role to play in developing well-being and it should be a major goal of education. The aim of the present study was to generate knowledge about how psychological well-being of children in preschool education is understood by pre-service preschool teachers. It explores their views on the importance of cultivating psychological well-being in preschool age, the significance of several skills and competencies for developing preschoolers’ psychological well-being, the obstacles to promoting it, as well as the characteristics and skills that preschool educators that should have in order to be able to promote the psychological well-being of preschool children. The research sample consisted of 135 pre-service preschool teachers. A questionnaire based on the relevant literature review was used as a data collection tool. The results indicate that pre-service teachers suggest that the perception of emotions, constructive emotion expression and cooperation skills are very important skills that should be cultivated for developing psychological well-being. Emotional intelligence, empathy and communications skills are among the competencies that preschool educators should possess according to preservice preschool teachers’ perceptions for promoting children’s well-being. The absence of teachers’ training in mental health issues and emotional literacy skills, the pressure for achieving learning goals and the absence of teacher emotional well-being are among the main obstacles that hinder the promotion of children’s psychological well-being. Research findings may be utilized to the design of preschool education curricula that should prioritize preschoolers’ well-being.

The long-term association between paternal involvement in infant care and children's psychological well-being at age 16 years: An analysis of the Japanese Longitudinal Survey of Newborns in the 21st Century 2001 cohort

BackgroundSome studies conducted in the United Kingdom have shown long-term associations between paternal involvement in childcare and adolescents' mental health issues. However, findings were inconsistent, and similar epidemiologic studies have not been conducted in other countries in Europe or Asia. Thus, we aimed to examine this association using Japanese population-based cohort study data. MethodsThe Japanese Longitudinal Survey of Newborns in the 21st Century commenced in 2001. Data from 18,568 16-year-olds enrolled in the survey were analyzed. Poor psychological well-being was assessed using the WHO-5 Well-being Index. Paternal involvement in childcare—in tasks such as changing diapers—was assessed at the children's 6 months of age. We created four groups from least involvement to most active involvement based on the frequency of fathers' performing the tasks. ResultsThe risk of poor psychological well-being was lower among more active involvement groups compared with the least involvement group, after adjusting for potential confounders (risk ratios = 0.90 [95 % confidence intervals: 0.85, 0.95] for the most active group). LimitationsDue to 16 years of follow-up, loss to follow-up may have caused a selection bias. ConclusionsOur study is the first in Asian countries to show that fathers' active involvement in childcare is associated with poor psychological well-being in adolescence. Encouraging fathers' involvement in childcare may ameliorate prevalent issues of school refusals and withdrawals in the long term in Japan.