Child Behavior Problems Research Articles

Emotional and behavioral outcomes among youths with mental disorders during the first Covid lockdown and school closures in England: a large clinical population study using health care record integrated surveys

PurposeEmotional and behavioral problems in children and young people (CYP) have increased over the pandemic. Those with pre-existing mental disorders are more vulnerable but have been understudied. We investigated emotional and behavioral outcomes in this population; differences across diagnostic groups; and social, educational, and clinical determinants.MethodsWe invited 5386 caregivers and CYP (aged 5–17) under child mental health services pre-pandemic to complete an online survey on CYP’s emotional/behavioral symptoms and pandemic-related circumstances, and integrated responses with clinicodemographic information extracted from electronic health records. We compared four parent-rated outcomes (total emotional/behavioral scores and emotional/behavioral changes as compared to before the pandemic) across the three most common diagnostic groups in our population (Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD) and emotional disorders (EmD)). We then estimated the association of clinicodemographic and pandemic-related characteristics with emotional/behavioral outcomes.ResultsA total of 1741 parents (32.3%) completed the survey. Parents of CYP with ADHD or ASD reported more behavioral difficulties (t(591) = 5.618 (0.001); t(663) = 6.527 (0.001)); greater emotional deterioration (t(591) = 2.592 (0.009); t(664) = 4.670 (< 0.001); and greater behavioral deterioration (t(594) = 4.529 (< 0.001); t(664) = 5.082 (< 0.001)) as compared to the EmD group. Those with ASD and EmD showed more emotional difficulties than ADHD (t(891) = − 4.431 (< 0.001); t(590) = − 3.254 (0.001)). Across diagnoses, poor parental mental health and challenges with education were most strongly associated with worse outcomes.ConclusionsWithin our clinical population, CYP with ADHD/ASD were the most adversely affected during lockdown. Enhancing clinical service provision that tackles parental stress and supports education may help mitigate the impact of future restrictions.

Parental regulation of parent and child screen-based device use

Media use and screen time show both positive and negative effects on child development. Parents’ behaviors, perceptions, and regulation of parent and child screen-based device (SBD) use may be critical understudied factors in explaining these mixed effects. We developed the Parent Screen-Based Device Use Survey (PSUS) to assess parental use of multiple SBDs (e.g., computers, phones, and TVs) and tested its factor structure across two United States samples of mothers of children aged 2–6 years (total N = 402). Subscales captured parental SBD use related to Discipline, Limit-Setting, Involvement, Child Care, Family Norms, Self-Regulation, Dysregulation, and Parenting Support, and showed good factor loadings and internal reliability. Validity was tested in relation to parent distress, parent executive function problems, and child behavior problems. Parental limit-setting and involvement were either unrelated to or related to fewer parent and child problems, whereas parental use of SBDs for self-regulation, child care, discipline, support, and family activities, as well as parents’ more dysregulated use, were related to more parent and child problems. The PSUS holds promise in addressing the parental mechanisms that underlie media effects on child development.

High-risk children and social isolation: the importance of family functioning.

High-risk newborns are exposed to neonatal conditions such as prematurity, very low birth weight, and congenital malformations that can affect development and behavior. Coronavirus disease 2019 (COVID-19) restraint and control measures have been identified as important stressor events and cumulative risk factors for behavioral changes in these children. This study examined social isolation-related factors that contribute to internalizing and externalizing behavior problems in children already at risk for neurodevelopmental disorders. This cross-sectional, multicenter study included 113 children (18 months to 9 years) who were followed in reference services for neonatal follow-up in tertiary units of the public health system in the city of Rio de Janeiro, Brazil. Behavior was assessed using the child behavior checklist, and a structured questionnaire was used to assess sociodemographic aspects. In the bivariate analysis, prematurity was associated with externalizing problems and change in eating habits with internalizing problems. The logistic model indicated that both parents having completed high school and both sharing care of the child were protective factors for behavioral problems; however, reports of sleep problems and living with another child were risk factors. In conclusion, the study identified internalizing and externalizing behavior problems related to prematurity and aspects of family structure and routine in children at risk. The findings confirm the importance of family functioning for child health and family-centered interventions.

Shared parental responsiveness among fathers and mothers with low income and early child outcomes

AbstractObjectiveInformed by the family systems theory, the current study aimed to examine whether shared parental responsiveness between fathers and mothers with low income was associated with preschoolers' developmental outcomes.BackgroundBoth fathers' and mothers' parental responsiveness are key contributors to their young children's development. However, the ways in which fathers and mothers work as a system, as well as the role of shared parental responsiveness in child development, are not well understood, especially among families from low‐income contexts.MethodParticipants were from the Building Strong Families project, a racially diverse group of families from socioeconomically disadvantaged backgrounds (N = 1,173). Fathers' and mothers' parental responsiveness were observed during father–child and mother–child interactions using the two‐bags task. Preschoolers' child behavior problems, prosocial behaviors, and receptive language served as developmental outcomes of interest. A common fate approach to dyadic analysis was employed to create shared responsiveness and individual residual variance latent variables, which the child outcomes were regressed onto. Moderation analysis by fathers' resident status was conducted.ResultsShared responsiveness positively predicted preschoolers' prosocial behaviors (Β = 0.33, p &lt; .001) and receptive language (Β = 14.85, p &lt; .001), above and beyond individual residual variance. Fathers' resident status did not moderate any of the examined relationships.ConclusionThere may be benefits to young children's development when mothers and fathers demonstrate shared responsiveness.Implications.Interventions serving families with low income could help strengthen mother–father shared responsiveness to promote child development.

Exploring bidirectional relationships: Child sleep duration, child behavior problems, and parenting stress in families of children with autism spectrum disorder

BackgroundYouth with Autism Spectrum Disorder (ASD) are at-risk for sleep and behavior problems, and their parents are at-risk for high stress. Child sleep duration, behavior problems, and parenting stress are interrelated; however, directionality of these associations is unclear and research including youth with ASD is lacking. Using a day-to-day, within-person design, this study explores the directionality of these relationships in families of children with ASD. MethodTwenty-six children (ages 3–5, 73.1 % male, 65.4 % Hispanic/Latino) with ASD and their mothers participated in a 14-day study. Child sleep duration (parent-report and actigraphy), behavior problems, and parenting stress were measured daily. Constructs were decomposed into their within- and between-person components and analyzed with random intercept cross-lagged panel models. ResultsWhile between-person relationships were directionally expected in that shorter sleep, more behavior problems, and greater parenting stress were associated, within-person relationships were complicated. Better-than-average child behavior was associated with less next-day parenting stress, yet more parenting stress than average was associated with better next-day child behavior. As expected, longer-than-average child sleep was associated with less next-day parenting stress, while greater child behavior problems were associated with less sleep that night. ConclusionsUnderstanding the directionality of associations between child and parent factors allows for the optimization of interventions to improve the quality of life for families of children with ASD. Interventions that target child behavior and/or help parents manage stress while maintaining effective parenting strategies for sleep and behavior may be useful.

Predicting Sexual Behavior Based on Family Emotional Climate and Exposure to the Sexual Environment in Children with and Without Sexual Problems

Background: Children's sexual development and behavior are important aspects of their overall development and education and are a significant concern for parents. These behaviors can lead to harm to children. The emotional climate and sexual environment within a family can influence the development of sexual behaviors. Objectives: This study aimed to predict sexual behavior problems in children, both with and without pre-existing sexual problems, based on their family's emotional climate and exposure to sexual environments. Methods: The present study was an applied and descriptive-correlational study that utilized discriminant analysis as its primary analysis method. The study population consisted of parents with children between the ages of 6 and 12 in Ahvaz in 2021. A total of 294 parents were selected for the study using voluntary sampling. The data were collected using the Child Sexual Behavior Inventory (CSBI), the Family Emotional Atmosphere Scale, and the Family Sexuality Scale (FSS). The data collected were analyzed using discriminant analysis. Results: The study's findings indicate that the emotional climate within a family and exposure to sexual situations within the family, both individually and in combination, can distinguish children who exhibit sexual behavior problems and those who do not. The conventional linear discriminant analysis (LDA) results indicated a significant combined power of the two variables (WL = 0.70; Kappa = 0.49; P = 0.001). The discriminant analysis results were significant for the family emotional climate (WL = 0.79; Kappa = 0.34) and exposure to the family sexual environment (WL = 0.80; Kappa = 0.36; P = 0.001). Conclusions: Based on the findings of the present study, it can be argued that the emotional climate within a family and exposure to sexual behavior within the family environment significantly impact the development of problematic sexual behaviors in children.

Assessment of Hearing Impairment in Sick Newborns: A Prospective Observational Study.

Undiagnosed neonatal hearing loss causes severe language, cognitive, and behavioral problems in children. Sick newborns who spend 48 hours in the neonatal intensive care unit (NICU) have a 10- to 20-fold increased risk of permanent hearing loss.The aim of this study is to identify hearing impairment in high-risk sick newborns who spend at least 48 hours in the NICU. The present prospective observational study was conducted at a single center.All sick neonates admitted to the NICU for a minimum of 48 hours at the JK Lon Hospital, Zanana Hospital, and Mahila Chikitsalaya, Sawai Man Singh (SMS) Medical College, Jaipur,Rajasthan, India, from June 2017 to May 2018 were considered eligible for the study.The primary outcome was the assessment of hearing loss of high-risk newborns using otoacoustic emissions at the time of discharge, six weeks of age, and automated auditory brainstem response (AABR) at three months of chronological age. The secondary outcome was to analyze the association of hearing loss with different risk factors in high-risk neonates. A total of 150 infants who had one or more risk factors were studied, 60 were female and 90 were male. No statistically significant difference in hearing loss was observed based on birth weight, sex, and gestational age.The firstdistortion-product otoacoustic emission(DPOAE) screening was done on infants at the time of discharge from the NICU. Eighty-three infants (55.33%) had "refer" on the first DPOAE and the remaining 67 (44.67%) were passed results at the time of discharge.At six weeks of life, on repeat screening with a second DPOAE test, 36% "refer"on the first screen had a"refer"result on the second DPOAE. However, 4.4% "pass" on the first screen turned out to be"refer"on the second screen. These 33 infants who had"refer"results on the second screen were subjected to testing.At 10 weeks of life, AABR wasperformedon 33 infants. Eleven infants out of 33 had sensorineural hearing loss (SNHL) on AABR. Hearing impairment with the DPOAE test was observed with risk factors neonatal hyperbilirubinemia (NHH), hypoxic ischemic encephalopathy (HIE), and very low birth weight (VLBW) and was statistically significant among all risk factors.But, no such association (between hearing impairment and risk factors) was observed with the AABR test. In our study, we found that the duration of mechanical ventilation in mean days 7.67±6.24 had statistically significant SNHL compared to the lesser duration of mechanical ventilation (p<0.001). Two-stage DPOAEdone prior to AABR is helpful in the early detection of hearing loss.

Stepping up to COVID-19: A Clinical Trial of a Telepsychology Positive Parenting Program Targeting Behavior Problems in Children With Neurological Risk.

To evaluate the feasibility, acceptability, and preliminary efficacy of a stepped-care parenting program implemented during COVID-19 among families of behaviorally at-risk children with neurological or neurodevelopmental disorders aged 3-9 years. Stepped-care I-InTERACT-North increased psychological support across 3 steps, matched to family needs: (1) guided self-help (podcast), (2) brief support, and (3) longer-term parent support. The intervention was provided by clinicians at The Hospital for Sick Children. Recruitment occurred via hospital and research cohort referral. A single-arm trial using a pragmatic prospective pre-post mixed-method design was utilized to assess accrual, engagement, acceptability, and preliminary efficacy. Over 15 months, 68 families enrolled (83% consent rate) and 56 families completed stepped-care (Step 1 = 56; Step 2 = 39; Step 3 = 28), with high adherence across Steps (100%, 98%, and 93%, respectively). Parents reported high acceptability, reflected in themes surrounding accessibility, comprehension, effectiveness, and targeted care. Positive parenting skill increases were documented, and robust improvement in child behavior problems was apparent upon Step 3 completion (p =.001, d = .390). Stepped-care was as effective as traditional delivery, while improving consent and completion rates within a pandemic context. This stepped-care telepsychology parenting program provides a compelling intervention model to address significant gaps in accessible mental health intervention while simultaneously balancing the need for efficient service. Findings inform program scalability beyond COVID-19 and emphasize the value of stepped-care intervention in delivering and monitoring mental health treatment.

Promoting social-emotional skills and reducing behavioural problems in children through group psychomotor therapy: A randomized controlled trial

This RCT examined psychomotor therapy’s efficacy on promoting social-emotional skills and reducing behavioural problems. The multicentred study randomized children (1st/2nd grade) into intervention (IG) and wait-listed control groups (WG). Five children were excluded from data analysis. Overall, 28 children (Mage = 7.55 years, SD = 0.78) participated, 15 in the IG (Mage = 7.62 years, SD = 0.91) and 13 in the WG (Mage = 7.47 years, SD = 0.63). Due to the distribution of data, a non-parametric procedure (Wilcoxon-test) was used for data analysis in both groups. In pre-test and post-test, all children completed the IDS-2 functional Social-Emotional Skills Scale (IDS-2 SEK), their parents filled out the child behavioural checklist (CBCL / 6–18 R). Results: When comparing t1 (Md = 50.00) with t2 (Md = 57.00), only the IG (z = −2.217, p = 0.013, n = 14) but not the WG improved significantly in Socially Competent Behaviour. The significant improvement in the IG had an effect size of r = .57, which is defined as a large effect. Both groups improved in the functional domain Social-Emotional Skills. The CBCL showed a decrease in scores for Total Problems and Internalizing Problems in WG parents’ but not in IG parents’ reports at t2 compared to t1.

The impact of parental psychological distress on child behavior issues in hospitalized children.

Child hospitalization has a negative impact on both children and parents' psychological well-being. Although prior studies in the general context demonstrated a favorable link between parental psychological distress and child behavior problems, research in the hospital situation was restricted. The purpose of this study was to see if parental psychological distress has an effect on child behavior problems in hospitalized children in Indonesia. This cross-sectional study included 156 parents who were recruited from four pediatric wards using a convenience sampling method between August 17 and December 25, 2020. The Hospital Anxiety and Depression Scale and the Child Behavior Checklist 1.5-5 and 6-18 were utilized. Parental anxiety was found to be a significant predictor of increased total behavior issue, internalizing behavior, externalizing behavior, anxious/ depressed, somatic complaints, and violent conduct in hospitalized children. Parental depression, on the other hand, was not related with any of the child behavior issue syndrome measures. The findings imply that identifying and treating parent anxiety early on is critical for preventing or reducing child behavior problems during hospitalization.

Pentingnya Peran Orangtua Dalam Mencegah Permasalahan Perilaku Sosial AUD

In the social development of children, children's social development is very important in living in society with other people, therefore in socializing in their community children must have good social behavior without any unsocial behavior. The purpose of this study was to describe the important role of parents in preventing AUD social behavior problems. This research uses the method of library research (library research). The results of this study concluded that the role of parents is very important in stimulating the development of social behavior, children print parental behavior at home because children are reliable imitators, the importance of the role of parents in implementing parenting and habituation, religious norms and values ​​in an effort to prevent social behavior problems in children. As parents who want their children to have good social behavior, parents must be able to apply parenting/educational methods and use good habituation methods regarding norms and religion while at home.

Adaptation and Efficacy of a Social-Emotional Learning Intervention (SEL Kernels) in Early Childhood Settings in Southeastern Brazil: A Quasi-Experimental Study

ABSTRACT Prior research has shown that social-emotional learning (SEL) interventions offer promise for supporting young children’s outcomes, but implementation problems are frequent, especially in low-resource contexts. This study describes the adaptation and efficacy of a new, classroom-based SEL intervention for children aged 3 to 6 years in early childhood education programs in Brazil. SEL Kernels are simple, brief, targeted SEL activities that can be flexibly implemented by teachers. Research Findings: Results of a quasi-experimental study using teacher reports with 314 Brazilian children (164 male, 150 female) who did (n = 205) and did not (n = 109) receive SEL Kernels suggested intervention-related improvements in teachers’ reports of child behavior problems (d = .65) and emotion regulation (d = 1.12) in this setting. Practice or Policy: Implications of this work – including the importance of teacher buy-in and implementation – are discussed.

Parental-Led Sexual Abuse Education Amongst At-Risk Parents: Associations with Parenting Practices, and Parent and Child Symptomology

ABSTRACT Considering the emphasis on parent-led sexual abuse education (PLSAE) in child sexual abuse (CSA) prevention, and the imperative of prevention in families living with demonstrated risk factors, it is important to understand the extent to which this group delivers PLSAE to their children, whether this is associated with any barriers or facilitators, whether parents are engaging in other protective behaviors (such as monitoring and involvement) and the relationship between these variables and other risk factors such as parent and child symptomology. We surveyed 117 parents, with children ranging in age from 25–89 months (67% boys), attending a parenting program for assistance with a range of parenting difficulties and child behavior problems from 2020–22. A large majority of parents reported not giving their children comprehensive prevention messages, discussing body integrity and abduction dangers to a greater extent. PLSAE was significantly positively associated with child internalizing and externalizing symptoms; parent and child age; and discussion of body integrity and abduction. However, PLSAE was not associated with any other measured variables (protective parenting; CSA knowledge; parenting self-efficacy; general and own-child risk appraisal; parent burnout, stress, depression or anxiety; child diagnosis; parental education level; employment or marital status; or income). The current findings suggest that investing resources into increasing parental knowledge, risk perception and confidence may be misguided. Future endeavors should consider helping parents be protective in other ways, for example, through the creation of safe environments and reducing the risks of CSA.

A Study on Knowledge of Mothers regarding Behavioural Problems in children in selected hospital at Mangaluru

The study was conducted to assess the knowledge of mother’s regarding behavioural problems in children. A descriptive approach was adopted for this study. The study was conducted in Father Muller Medical college Hospital Mangaluru. The sample consists of 153 subjects selected by purposive sampling technique. A structured knowledge questionnaire was used to assess the knowledge of mothers regarding behavioural problems in children. The collected data was analyzed by using descriptive statistics. The result showed that about 11.1% had good knowledge, 62.7% had average knowledge and 26.1% had poor knowledge among mothers regarding behavioural problems in children. There was a significant association between the knowledge of mothers regarding behavioural problem in children and selected baseline variable like occupation. Findings of the present study indicate that majority of the mothers had average knowledge score. Hence there is a need of health awareness program to improve mother’s knowledge on behavioural problems.

Caregivers' perspectives on the impact of the Group Triple P‐Positive Parenting Program in Pakistani orphanages

AbstractChildren living in the orphanages of low‐ and middle‐income countries often face maltreatment and inadequate caregiving, and caregivers are unprepared and lack training for their role. This study involved a qualitative design with a thematic analysis approach, consisting of focus group discussions with 14 caregivers working in Pakistani orphanages who had participated in Group Triple P. Four main themes emerged: caregiving skills enhancement, behavioural outcomes, personal wellbeing and change in relationships. Findings suggested that the Group Triple P was beneficial in improving the perceived wellbeing of caregivers by equipping them with parenting skills which enhanced caregivers' self‐confidence in handling challenging caregiving situations. Group Triple P promoted the use of positive caregiving practices that reduced emotional and behavioural problems in children under their care, along with building a positive child–caregiver relationship. It also fostered a supportive environment in the orphanages by building respectful relationships among caregivers and the orphanage administration.

LITERATUR REVIEW: PENGARUH SCREEN TIME TERHADAP MASALAH PERILAKU ANAK

Introduction: Technological developments and easy access to digital devices cause excessive screen time in children. Excessive screen time in children can cause various problems in children. This review aimed to examine the association between screen time and behavioral problems of children. Methods: Three databases were searched, including ScienceDirect, Medline/Pubmed, and Google Scholar databases. Articles were selected using inclusion criteria, namely articles that have been limited since the last five years (2019-2023), are pure research articles, full text, and in English. Results: Eight articles were included in this review. The research was conducted in 8 countries namely Spain, Korea, China, Saudi Arabia, Turkey, the United States, Canada, and Israel with an age range from 1-18 years. Research instruments used to measure behavioral problems in children vary. Conclusion: This review identified that there is a relationship between increased screen time and increased behavior problems in children. Keywords: behavior problem; children; screen time

White and Black parents' emotion coaching beliefs: Differential associations with preschooler's behavioral problem tendencies.

Parents' emotion coaching beliefs, a validated construct in majority White samples emphasizing the value of expressing and teaching about emotion, generally predict positive outcomes among White children. However, a racially and culturally sensitive emotion socialization model suggests a need for further understanding of this construct and potential differential outcomes among different racial groups. This study investigated three-way interactions among parental emotion coaching beliefs, toddlers' baseline respiratory sinus arrhythmia (RSA), and child race (Black or White), in predicting preschoolers' behavioral problem tendencies 1 year later. Participants included 204 children (140 White and 64 Black) and their families, recruited from low-income, rural areas. When children were 2, child baseline RSA was collected, and both parents answered questionnaires concerning their emotion coaching beliefs. When children were 3, mothers answered questions about child behavioral problem tendencies. Path analyses revealed a three-way interaction among paternal emotion coaching beliefs, child baseline RSA, and race, in predicting child internalizing tendencies 1 year later. In particular, among Black children, paternal emotion coaching beliefs showed a double-edged effect. It predicted lower internalizing tendencies when child baseline RSA was low, but higher internalizing tendencies when child baseline RSA was high. These associations were not found among White children. Maternal emotion coaching beliefs predicted lower internalizing tendencies regardless of child race and RSA. Findings were discussed in the context of an expanded emotion socialization model, with significant implications for furthering conceptualization and clinical practices. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

COVID-19 Pandemic and Changes in Children's Behavioral Problems: The Mediating Role of Maternal Depressive Symptoms.

The COVID-19 pandemic has been linked to a range of behavioral problems in children. To date, however, longitudinal studies with data prior to the pandemic are rare, and moreover, few studies have examined the family context. This is notable as evidence suggests that mothers were highly vulnerable to the effects of the pandemic, and stress proliferation models would argue that children's wellbeing are undoubtedly affected by maternal wellbeing. In the current investigation, we examine changes in maternal depressive symptoms and children's behavioral problems from prior to the pandemic to the first few months of COVID-19 in the U.S. The results suggest a significant increase in children's internalizing problems and maternal depressive symptoms. Consistent with stress proliferation models, the relationship between COVID-19-related stressors and children's behavioral problems were mediated by maternal mental health.

Emotional and Behavioral Problems of Children with ASD-The Lessons That We Learned from the Pandemic.

The data available for changes in the behavior and emotional state of children with ASD (autism spectrum disorder) in lockdown situations are controversial and scarce. In our research, we compare results before the first COVID-19 lockdown of 21 children with ASD and 21 typically developing children, four to five years of age with those obtained immediately after. The study attempts to answer the question of whether there are changes in the levels of emotional and behavioral problems in children with ASD after the lockdown and how these new living conditions affect some aspects of their functioning. The instruments used for data analysis are the Childhood Autism Spectrum Test (CAST); Child Behavior Checklist (CBCL); Survey on the consequences of COVID-19 on the life and development of the participants. No significant differences in the emotional and behavioral state of the participants were found, except for attention deficit/hyperactivity problems where ASD children showed lower levels after the lockdown. ASD group parents' answers to the survey pointed towards more positive consequences of staying at home. Some reported they had more time for learning together, communicating, playing, and assisting the learning process through online therapy. As negatives, the parents of ASD children reported low physical activity, increased time with electronic devices, and time spent with the same people. Caregivers of typically developing children agreed that the lockdown had only negative effects. To conclude, for children with ASD in the study, the lockdown period demonstrated that more time spent with parents in structured everyday activities is an opportunity that can lead to positive results in their behavior.

Multigenerational Homes Buffered Behavioral Problems among Children of Latinx but not White non-Latinx Mothers.

Guided by a culture-sensitive attachment framework (Keller, 2016), the purpose of the current study was to examine multigenerational homes as moderators on the associations among maternal depressive symptoms, maternal-child attachment, and child behavioral problems, between White and Latinx women. A subsample (n = 2,366) of The Future of Families and Child Wellbeing Study (FFCWS) - previously known as the Fragile Families and Child Wellbeing Study - was used with three time points (at child ages 1-, 3-, and 5-years). Mothers reported their depressive symptoms at child age 1, mother-child attachment at child age 3, and child behavioral problems at child age 5. Home structure was assessed through the mothers' responses at child ages 1 and 3. A path model was used to examine the associations among maternal depressive symptoms, mother-child attachment insecurity, and child behavioral problems, with comparisons among four groups: White non-multigenerational homes, White multigenerational homes, Latinx non-multigenerational homes, and Latinx multigenerational homes. Findings revealed that higher mother-child attachment insecurity at age 3 predicted higher internalizing behaviors at age 5, only among children in Latinx, non-multigenerational homes, but not among those in Latinx, multigenerational homes or White homes. This study revealed significant cultural and ethnical differences in household living arrangements and child wellbeing, with significant theoretical contributions to the understanding of cultural phenomena in attachment research and implications towards designing culturally sensitive intervention programs.