{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:51:59Z","timestamp":1792792319517,"version":"4.5.0"},"reference-count":68,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"unspecified","delay-in-days":362,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012245","name":"Science and Technology Planning Project of Guangdong Province","doi-asserted-by":"publisher","award":["No. 2014A020220002 and No. 2016A020225002"],"award-info":[{"award-number":["No. 2014A020220002 and No. 2016A020225002"]}],"id":[{"id":"10.13039\/501100012245","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["No. 81673193 and No. 82273650"],"award-info":[{"award-number":["No. 81673193 and No. 82273650"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0033291725102869_sec1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While mobile gaming addiction (MGA) behavior is increasingly prevalent among children and adolescents, the role of specific emotional-behavioral profiles \u2013 particularly their latent patterns \u2013 in associating with MGA behavior remains poorly understood. This study aimed to examine these associations and age-related variations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291725102869_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were analyzed from 507,188 participants aged 6\u201318\u00a0years in the Children\u2019s Growth Environment, Lifestyle, and Physical and Mental Health Development Project, conducted in Guangzhou, China, in 2020. Latent class analysis was performed on parent-reported Strengths and Difficulties Questionnaire (SDQ) data to identify subgroups with distinct emotional and behavioral problems. Associations between SDQ dimensions, latent classes, and MGA behavior were examined using logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291725102869_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five latent classes were identified: \u2018Low symptom\u2019 (82.2%), \u2018Internalizing\u2019 (0.8%), \u2018Peer and prosocial issues\u2019 (4.3%), \u2018High difficulties\u2019 (5.0%), and \u2018Hyperactive\u2019 (7.6%). Compared to the \u2018Low symptom\u2019 class, all other latent classes showed significantly higher risks for MGA, with the strongest association observed in the \u2018Internalizing\u2019 class (adjusted odds ratio [AOR]: 2.84; 95% confidence interval [95% CI]: 2.67\u20133.02). Among SDQ subscales, conduct problems presented the highest association (AOR: 2.08; 95% CI: 2.04\u20132.12), though all SDQ subdimensions were significantly positively correlated with MGA behavior (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). Notably, these associations were consistently stronger in adolescents (aged 13\u201318 years) than in children (aged 6\u201312 years).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291725102869_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study identifies specific SDQ-based risk characteristics for MGA behavior, with adolescents (aged 13\u201318 years) being the most vulnerable. Future longitudinal studies should verify these associations, and clinicians may prioritize early screening for internalizing and conduct-related difficulties.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0033291725102869","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T09:32:29Z","timestamp":1767000749000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Characterizing heterogeneity in emotional and behavioral problems: Latent class analysis with 507,188 children and adolescents and associations with mobile gaming addiction behavior"],"prefix":"10.1017","volume":"55","author":[{"given":"Zhengge","family":"Jin","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0064kty71","id-type":"ROR","asserted-by":"publisher"}],"name":"Sun Yat-sen 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