{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:17:54Z","timestamp":1769062674383,"version":"3.49.0"},"reference-count":68,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,29]],"date-time":"2023-01-29T00:00:00Z","timestamp":1674950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The National Nature Science Foundation of China","award":["31800935"],"award-info":[{"award-number":["31800935"]}]},{"name":"The National Nature Science Foundation of China","award":["32071072"],"award-info":[{"award-number":["32071072"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Oppositional defiant disorder (ODD) is one of the most prevalent childhood mental health disorders and is extremely affected by family factors. However, limited studies have addressed the issue from the perspective of family systems. The current study examines the associations between multilevel family factors (i.e., family cohesion\/ adaptability at system level, mother\u2013child and father\u2013child attachment at a dyadic level, and child self-esteem at an individual level) and emotional and behavioral problems among children with ODD in China. The participants were 256 Chinese children with ODD and their parents and class master teachers. A multiple-informant approach and structural equation model were used. The results revealed that system level factors (family cohesion\/adaptability) were associated with child emotional and behavior problems indirectly through factors at the dyadic level (mother\u2013child attachment) and the individual level (child self-esteem) in sequence. Mother\u2013child, but not father\u2013child, attachment, mediated the linkage between family cohesion\/adaptability and the emotional problems of children with ODD. Moreover, child self-esteem mediated the association between mother\u2013child attachment and child emotional and behavioral problems. The findings of the present study underscored that multilevel family factors are uniquely related to emotional and behavioral problems in children with ODD.<\/jats:p>","DOI":"10.3390\/bs13020113","type":"journal-article","created":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T01:33:37Z","timestamp":1675042417000},"page":"113","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Contributions of Multilevel Family Factors to Emotional and Behavioral Problems among Children with Oppositional Defiant Disorder in China"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3913-778X","authenticated-orcid":false,"given":"Ting","family":"He","sequence":"first","affiliation":[{"name":"School of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing 100875, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jocelyn","family":"Meza","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of California, Berkeley, CA 94720, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Psychology, Teacher Education College, Zhejiang Normal University, Jinhua 321004, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen P.","family":"Hinshaw","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of California, Berkeley, CA 94720, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8734-5081","authenticated-orcid":false,"given":"Qing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of California, Berkeley, CA 94720, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9980-6164","authenticated-orcid":false,"given":"Umair","family":"Akram","sequence":"additional","affiliation":[{"name":"Hangzhou College of Commerce, Zhejiang Gongshang University, Hangzhou 310018, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiuyun","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing 100875, China"},{"name":"Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, Beijing Normal University, Beijing 100875, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). 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