2026-10-12T16:27:42Z https://api.figshare.com/v2/oai

oai:figshare.com:article/33949972 2026-09-21T05:36:45Z category_319 portal_316 item_type_3 month_year_09_2026

Table 1_Parental depressive symptoms and shared reading practices among preschool children in western China: cross-sectional study.docx Ziyi Wang (1956610) Hongli Sun (487391) Jie Mi (152887) Jiahua Liu (4669222) Psychiatry (incl. Psychotherapy) non-linear dose-response parental depression preschool children shared reading threshold effect Background<p>Shared reading supports early child development, but parental depressive symptoms may reduce its frequency and quality. Most previous studies assumed linear relationships with small samples. This large cross-sectional study examined linear and non-linear associations between parental depressive symptoms and shared reading practices in Chinese preschoolers.</p>Methods<p>We recruited 21,366 parent-child dyads (children aged 3–6 years) from 189 kindergartens in western China. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D). Shared reading was assessed using the StimQ READ subscale. Multivariable linear regression, piecewise linear regression with threshold estimation, and natural spline analysis were performed, adjusting for sociodemographic covariates.</p>Results<p>Higher CES-D scores were linearly associated with lower total reading scores (adjusted β = –0.074 per point, 95% CI: –0.081 to –0.067). Piecewise regression identified a significant estimated breakpoint at CES-D score = 19.0 (95% CI: 11.9–26.1), below this threshold the slope was steeper (β = –0.085) than above (β = –0.051). Natural spline analysis confirmed non-linearity (P = 0.026) and located the point of maximum curvature at CES-D score = 10.9, indicating the most rapid change in slope occurred at subclinical symptom levels. The association was consistent across all subgroups (after Bonferroni correction).</p>Conclusions<p>Parental depressive symptoms are negatively associated with shared reading in a non-linear, breakpoint-dependent manner. Even subclinical symptoms (CES-D score≈ 11) are associated with steeper declines, while the association attenuates at higher levels (CES-D score ≈ 19). Interventions targeting parental mental health, especially at subclinical to moderate symptom levels, may help preserve high-quality home literacy environments.</p> 2026-09-21T05:36:45Z Dataset Dataset 10.3389/fpsyt.2026.1957666.s001 https://figshare.com/articles/dataset/Table_1_Parental_depressive_symptoms_and_shared_reading_practices_among_preschool_children_in_western_China_cross-sectional_study_docx/33949972 CC BY 4.0