Temper Tantrums in Toddlers and Preschoolers: Longitudinal Associations with Adjustment Problems.

Abstract

We examined parent reports of temper tantrum characteristics (e.g., frequency, duration, and behavioral profile) in toddlers and preschoolers and their longitudinal association with internalizing and externalizing adjustment problems. Parents of 1- to 5-year-olds (N = 861, M age = 36 months, 47% girls) reported their child's temper tantrum frequency, duration, and behaviors. A subsample also reported on their child's tantrums and adjustment problems 1 year later (n = 252). We first compared the distribution of temper tantrum frequency and duration for different ages. Next, we examined which factors underlie the tantrum behaviors and whether behavioral profiles could be distinguished based on configurations of these factors within children. Finally, we performed regression analyses predicting internalizing and externalizing adjustment problems by temper tantrum frequency, duration, and behavioral profile, controlling for child sex and age. Chi-square tests indicated that overall, tantrum frequency declined, whereas tantrum duration increased across the 1- to 5-year age range. We found that based on 4 tantrum behavior factors (anger, distress, aggression, and self-injurious behavior), 3 profiles characterized the tantrum behavior of children in the sample: a low-intensity profile (26%), a moderate-intensity profile (32%), and a high aggressive/self-injurious profile (42%). More frequent tantrums predicted more externalizing problems, whereas longer tantrum duration predicted internalizing problems. The high aggressive/self-injurious profile predicted adjustment problems above and beyond tantrum duration and frequency. Parent reports of different tantrum characteristics are uniquely predictive of different types of problems and may each be important to include in screening efforts for adjustment problems in young children.