Shared reading is associated with fewer emotional/behavioral problems and better prosocial behavior in preschool children: a cross-sectional study in western China - Report - MDSpire

Shared reading is associated with fewer emotional/behavioral problems and better prosocial behavior in preschool children: a cross-sectional study in western China

  • By

  • Hongli Sun

  • Huifang Zhang

  • Huiping Zhang

  • Yudan Zhang

  • June 24, 2026

  • 0 min

Share

Clinical Report: The Impact of Shared Reading on Preschoolers' Behavior

Overview

This study investigates the relationship between shared reading and emotional/behavioral issues in preschool children, finding that higher shared reading scores correlate with lower odds of such problems and higher prosocial behavior.

Background

Shared reading is a critical component of early literacy development and has been linked to various positive outcomes in preschool children, including cognitive and socioemotional growth. Understanding its impact on emotional and behavioral issues is essential, as these challenges can lead to significant functional impairments and adverse mental health outcomes in children.

Data Highlights

MeasureAdjusted Odds Ratio (OR)Confidence Interval (CI)P-value
Emotional/Behavioral Problems0.96 per point increase0.95–0.97< 0.0001
Prosocial Behavior1.091.08–1.10< 0.0001

Key Findings

  • Higher shared reading scores are associated with lower odds of emotional/behavioral problems.
  • Higher shared reading scores correlate with higher odds of adequate prosocial behavior.
  • All four dimensions of shared reading showed independent associations with emotional and behavioral outcomes.
  • Nonlinear analyses indicated threshold effects for emotional/behavioral problems and prosocial behavior.
  • Associations were consistent across various subgroups after correcting for multiple testing.

Clinical Implications

The findings highlight the importance of shared reading practices among parents and caregivers.

Conclusion

This study examines the associations between shared reading and emotional and behavioral outcomes in preschoolers, although causality cannot be established due to the cross-sectional design.

Related Resources & Content

  1. BMC Psychiatry (Springer), 2026 -- Impact of Reading Difficulties on Emotional and Behavioral Issues in Children: The Mediating Role of Parenting Stress and Parental Anxiety/Depressive Symptoms
  2. BMC Psychiatry (Springer), 2025 -- Characterizing Symptoms of SpLD, ADHD, and ASD in Chinese Children: A Biopsychosocial and Transdiagnostic Approach
  3. Literacy Promotion: An Essential Component of Primary Care Pediatric Practice: Policy Statement | Pediatrics | American Academy of Pediatrics
  4. Frontiers in Pediatrics — Association between parenting styles and weight-for-length z scores among infants and toddlers aged 0–36 months in China: a cross-sectional study
  5. BMC Psychiatry (Springer) — An Investigation into the Factors Affecting Acceptance of Students with Autism by Mainstream Educators and Non-Autistic Classmates in China
  6. WHO Guidelines and Tools that Support Early Childhood Development - Improving Early Childhood Development: WHO Guideline - NCBI Bookshelf
  7. Frontiers | Shared book reading and promoting social and emotional competences in educational settings: a narrative review
  8. Literacy Promotion: An Essential Component of Primary Care Pediatric Practice: Policy Statement | Pediatrics | American Academy of Pediatrics
  9. Full article: How the Type and Context of Children's Storybook Reading Relate to Select Empathy Skills: A Meta-Analysis
  10. Frontiers | Home-based shared book reading and developmental outcomes in young children: a systematic review with meta-analyses
  11. Efficacy of a dialogic book-sharing intervention in a South African birth cohort: A randomized controlled trial - PMC
  12. Effectiveness of a community-led shared book reading intervention in Syrian refugee children: a randomised controlled trial | Scientific Reports
  13. Frontiers | School-based delivery of a dialogic book sharing intervention: a feasibility study of Books Together
  14. Frontiers | SAGA: results of a second trial testing a mentalizing-based reading intervention on children and staff in early childhood education

Original Source(s)

Related Content