Early Childhood Behavior Problems Research Articles

Gender differences in the behavioral associates of loneliness and social dissatisfaction in kindergarten

Much of the evidence suggesting that loneliness is a risk factor for socio-emotional adjustment difficulties comes from studies with older children and adolescents. Comparatively less is known about the mental health implications of loneliness in early childhood. The goals of the present study were to provide additional convergent validity of the Loneliness and Social Dissatisfaction Questionnaire for Young Children (Cassidy & Asher, 1992) and explore potential gender differences in relations between loneliness and behavior problems in early childhood. A multiple source assessment of 139 kindergarten-aged children (M(age) = 64.76 mos., SD = 4.48) was undertaken, including parental ratings, behavioral observations, child interviews, and teacher ratings. Overall, loneliness was positively associated with anxiety, aggression, and peer exclusion. However, several gender differences were also observed. Loneliness may be a marker variable for both early internalizing and externalizing problems. However, gender differences in the behavioral associates of loneliness are also evident.

On the association of interparental conflict with developing behavioral inhibition and behavior problems in early childhood.

Associations between interparental conflict and the development of temperament characteristics have seldom been addressed; moreover, studies on the impact of interparental conflict on developing behavior problems in infancy and early childhood are relatively rare. The authors therefore aimed to contribute to the study of these issues. A sample of 64 families was investigated longitudinally. At the infant age of 4 months, negative emotionality was measured with a laboratory routine. When infants were 4, 8, and 12 months old, maternal sensitivity was assessed during home observations, and interparental conflict was measured by means of questionnaires. When infants were 30 months old, behavioral inhibition was measured in 2 laboratory fear episodes, and behavior problems were assessed with a structured clinical interview of the primary caregiver. Interparental conflict and infant negative emotionality were significantly and independently associated with subsequent behavioral inhibition. The association of interparental conflict with behavior problems was moderated by infant negative emotionality. Infants high in negative emotionality developed more serious behavior problems when exposed to high interparental conflict, whereas the association was not significant in infants low in negative emotionality.

Anwendbarkeit der Child Behavior Checklist 1½-5 als orientierendes Untersuchungsinstrument bei Vorschulkindern mit Entwicklungsproblemen

The diagnostic evaluation of developmental problems and behavior problems in early childhood is difficult and time consuming. This study analyses the usefulness of the Child Behavior Checklist (CBCL) as a screening instrument in a special clinic for children with pervasive and specific developmental disorders. 106 children under the age of 6 years were enrolled in the study. All children were individually assessed. Psychiatric diagnoses were based on parent interview, observation of the child, speech and language assessment as well as cognitive assessment and extensive neurological examination. In addition, behavior and emotional problems were recorded with the CBCL. The results show that less than half of the children with a psychiatric diagnosis had a total score (CBCL) above the cut-off value. However, all children with a total score in the clinical range had a psychiatric diagnosis. The syndrome scales and diagnostic scales are not sensitive. The diagnostic scale "pervasive developmental disorder" is not specific enough to be used as a reliable instrument. In order to improve the usefulness of the checklist, a adjustment of the cut-off values should be considered.

Biological, behavioral, and relational levels of resilience in the context of risk for early childhood behavior problems

Longitudinal growth patterns of internalizing and externalizing behavior problems were examined in a community sample of 441 children across the ages of 2 to 5 using hierarchical linear modeling. Contextual risk was measured using five indicators (socioeconomic status, marital status, number of siblings, parent stress, parent psychopathology), and three levels of child resilience (biological, behavioral, and relational) were also assessed. Results indicate that a general pattern of decline in both types of behavior problems was observed for the entire sample across time, although considerable individual variability in this pattern was observed. Children's externalizing and internalizing behavior at age 5 was predicted by the level of risk at age 2. All three child resilience factors were also predictive of externalizing and internalizing behaviors at age 5. In the prediction of the slope of problem behavior over time, risk status interacted with both temperamental fearlessness and a mutually responsive orientation with the mother to predict the decline in externalizing and internalizing problem behavior. Results underscore the complex interactions of risk and multiple levels of resilience that are implicated in the maintenance of problem behavior over time. They highlight the importance of considering whether expected resilience factors operate similarly across different levels of risk.

Impact of neighborhood disadvantage on overt behavior problems during early childhood

Researchers have yet to examine the impact of neighborhood disadvantage on early child behavior problems (BPs) longitudinally. We examined the impact of neighborhood disadvantage on overt BPs in a low-income, urban sample of 281 African American and European American boys followed longitudinally from toddlerhood to school entry. Measures included census data and maternal report of BPs, sociocultural factors, parental criminality, and maternal depressive symptomatology. After controlling for age 2 overt BPs, family selection variables, and residential instability, neighborhood effects on boys' behavior emerged, but only at age 6 and only at the extreme of neighborhood disadvantage (i.e., underclass). Findings suggest boys in underclass neighborhoods are at risk for overt BPs as they make the transition to elementary school.

Behavioral and psychiatric disorders in Prader-Willi syndrome: A population study in Japan

Prader-Willi syndrome (PWS) is a genetically determined neurodevelopmental disorder characterized by mental retardation and distinct physical, behavioral, and psychiatric features. Based on parents’ questionnaires, we examined the prevalence of behavioral and psychiatric disorders of 165 persons with PWS aged 2–31 years in Japan. The data were analyzed comparing four different age groups with PWS: group 1, 2–5 years ( n = 34); group 2, 6–11 years ( n = 57); group 3, 12–17 years ( n = 45); and group 4, 18–31 years ( n = 29). Further, we compared the results of our PWS group 4 with those of 42 age-, gender-, and intelligence level-matched intellectual disability (ID) individuals without PWS. Our results showed that repetitive speech and stubbornness were prominent from early childhood and other behavioral problems such as hyperphagia, stealing food, temper tantrums, lying, and emotional lability tended to be more frequent with age among persons with PWS. Moreover, young adults with PWS have significantly higher rates of behavioral and psychiatric disorders than IDs without PWS, such as stubbornness, hyperphagia, temper tantrums, self-injurious behavior (skin picking), hypersomnia, inactivity, and delusion. Degree of obesity was not necessarily related to behavioral and psychiatric features associated with PWS. Our findings revealed that persons with PWS are more vulnerable to behavioral and psychiatric disorders particularly in young adulthood compared to those with ID from other etiologies in Japan.

Negative emotionality, attachment quality, and behavior problems in early childhood.

Negative emotionality, as well as attachment security and disorganization, are seen as major contributors to social adjustment and maladjustment in childhood. However, relatively little is known about whether infant negative emotionality and attachment quality operate together to affect developing behavior problems. The present study thus aims to contribute to this question. Participants were 64 healthy firstborn children and their primary caregivers. Negative emotionality was assessed at the infant ages of 4, 8, and 12 months using laboratory routines. At 18 months, the Strange Situation procedure was conducted to assess infant attachment security and disorganization, and at 30 months, the child's behavior problems were assessed within a structured clinical interview. Attachment security and attachment disorganization were significantly associated with subsequent behavior problems. There was no significant relation between infant negative emotionality and behavior problems. However, there were indications of a stronger association between attachment disorganization and behavior problems in infants high in negative emotionality. The results underpin the importance of attachment quality as well as negative emotionality in social adjustment. Disorganized attachment precedes poor adjustment, especially in infants high in negative emotionality.

Parental corporal punishment predicts behavior problems in early childhood.

Using data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (Research Triangle Institute, 2002), this study examined the impact of corporal punishment (CP) on children's behavior problems. Longitudinal analyses were specified that controlled for covarying contextual and parenting variables and that partialed child effects. The results indicate that parental CP uniquely contributes to negative behavioral adjustment in children at both 36 months and at 1st grade, with the effects at the earlier age more pronounced in children with difficult temperaments. Parents and mental health professionals who work to modify children's negative behavior should be aware of the unique impact that CP likely plays in triggering and maintaining children's behavior problems. Broad-based family policies that reduce the use of this parenting behavior would potentially increase children's mental health and decrease the incidence of children's behavior problems.

Cardiac vagal regulation differentiates among children at risk for behavior problems

A sample of 335 five-year-old children participating in an ongoing longitudinal study was the focus of a study on the effects of emotional and behavioral challenge on cardiac activity in children with different patterns of early childhood behavior problems. The children were placed in one of three behavior problem groups (low behavior problems, risk for externalizing problems, risk for mixed externalizing/internalizing problems) based on their scores on the Child Behavior Checklist for 4–18-year-olds [Achenbach, T.M., 1991. Integrative guide for the 1991 CBCL/4-18, YSR & TRF profiles. University of Vermont Department of Psychiatry, Burlington, VT], completed by their mothers. To assess cardiac vagal regulation, resting measures of respiratory sinus arrhythmia (RSA) and RSA change (vagal withdrawal) to five emotionally and behaviorally challenging tasks were derived. In addition, heart period (HP) and heart period change (HR acceleration) was examined. Results indicated that the behavior problem groups did not differ in terms of resting measures of either RSA or HP. Analyses of the challenge tasks indicated that the children at risk for mixed problems displayed greater cardiac vagal withdrawal across the five tasks than did the other two groups of children. There was a trend for the children at risk for externalizing problems to display less vagal withdrawal than the control group. In addition, the children at risk for mixed problems displayed greater heart rate acceleration to the tasks than did the other two groups of children. Follow-up analyses indicated that the greater cardiac acceleration observed in the mixed group was largely a function of greater vagal withdrawal. These findings are discussed in terms of the emotion regulatory function of cardiac vagal regulation, and its implications for patterns of risk for behavior problems in young children.

Spanking in Early Childhood and Later Behavior Problems: A Prospective Study of Infants and Young Toddlers

Spanking in Early Childhood and Later Behavior Problems: A Prospective Study of Infants and Young Toddlers

Association of Television Viewing During Childhood With Poor Educational Achievement

Excessive television viewing in childhood has been associated with adverse effects on health and behavior. A common concern is that watching too much television may also have a negative impact on education. However, no long-term studies have measured childhood viewing and educational achievement. To explore these associations in a birth cohort followed up to adulthood. Prospective birth cohort study. Dunedin, New Zealand. Approximately 1000 unselected individuals born between April 1, 1972, and March 31, 1973. Ninety-six percent of the living cohort participated at 26 years of age. Educational achievement by 26 years of age. The mean time spent watching television during childhood and adolescence was significantly associated with leaving school without qualifications and negatively associated with attaining a university degree. Risk ratios for each hour of television viewing per weeknight, adjusted for IQ and sex, were 1.43 (95% confidence interval [CI], 1.24-1.65) and 0.75 (95% CI, 0.67-0.85), respectively (both, P<.001). The findings were similar in men and women and persisted after further adjustment for socioeconomic status and early childhood behavioral problems. Television viewing during childhood (ages 5-11 years) and adolescence (ages 13 and 15 years) had adverse associations with later educational achievement. However, adolescent viewing was a stronger predictor of leaving school without qualifications, whereas childhood viewing was a stronger predictor of nonattainment of a university degree. Television viewing in childhood and adolescence is associated with poor educational achievement by 26 years of age. Excessive television viewing in childhood may have long-lasting adverse consequences for educational achievement and subsequent socioeconomic status and well-being.

Using an Ecological Framework for Understanding and Treating Externalizing Behavior in Early Childhood

This paper will review the literature on the rate, stability, and outcomes associated with externalizing behavior problems prior to kindergarten entry. Bronfenbrenner’s (The ecology of human development. Cambridge, MA: Harvard University Press) ecological framework will be used to present the factors related to the onset and persistence of externalizing behavior problems in young children. Behavior problems prior to school entry are somewhat developmentally appropriate and most can be resolved within the classroom or child care setting. Intervention for children with moderate to severe behavior problems in early childhood is crucial because behavior problems are likely to persist into elementary school leading to a variety of social and academic concerns. Steps will be presented to help teachers determine whether or not a referral to a specialist is needed and locate an appropriate specialist.

Use of and Need for Professional Help for Emotional and Behavioral Problems Among Preadolescents: A Prospective Cohort Study of 3- to 12-Year-Old Children

To determine the effect of child-, parent- and family-related factors on the use of and need for mental health services by 12 years of age. A prospective population-based questionnaire study of 1,287 first-born children was launched in Finland in 1985. The Child Behavior Checklist (CBCL) was completed by 1,086 parents when the children were aged 3 years. At the age of 12, the CBCL, the Youth Self-Report, and other potential determinants of service need and use were obtained from 908 parents and 900 children (80% response rate). Of the total sample, 7.2% had used professional services, and 3.3% had needed services without obtaining them. Elevated scores on the age 3 CBCL Total Problems and Externalizing scale predicted independently later service use but not perceived need of services. In cross-sectional data at age 12, parental ratings of the child's problem behavior were associated with both the need for and use of services. Poor social competence and parental distress were independently associated with use of services. Recognizing behavior problems in early childhood and evaluating family stress factors are important in social and health care systems designed for children.

Parental discipline and externalizing behavior problems in early childhood: the roles of moral regulation and child gender.

We tested whether individual differences in a component of early conscience mediated relations between parental discipline and externalizing behavior problems in 238 3.5-year-olds. Parents contributed assessments of discipline practices and child moral regulation. Observations of children's behavioral restraint supplemented parental reports. Parents and teachers reported on child externalizing symptoms. Parental induction, warm responsiveness, and less frequent use of physical punishment generally were associated with higher levels of moral regulation and fewer externalizing problems. Moreover, moral regulation partially mediated relationships between discipline and externalizing symptoms, with the clearest case of mediation involving induction. However, relationships were found for boys only. Results support a mediation model wherein inductive and physical discipline may influence the expression of boys' externalizing behavior through effects on conscience. Finally, results suggest that different developmental processes may be associated with early externalizing problems in boys and girls, and confirm that fathers' reports contribute to our understanding of the origins of child externalizing problems.

Parent identification of early emerging child behavior problems: predictors of sharing parental concern with health providers.

To better understand the predictors of parental discussions with pediatric care providers (pediatricians, psychologists/psychiatrists, social workers, early intervention providers, or other medical specialists) regarding early child behavior problems and to suggest strategies for eliciting early identification from parents in health care settings. A cross-sectional survey of parents of children from a representative healthy birth cohort. The survey included the Infant-Toddler Social Emotional Assessment, measurement of parental worry regarding problematic behavior, and demographic factors. Fifteen urban and suburban towns in the northeastern United States. The study sample consisted of all parents of 11- to 39-month-olds (n = 269) who exceeded the 90th percentile on 1 or more Infant-Toddler Social Emotional Assessment problem domain scores (representing elevated problematic behavior symptoms) from an original sample of 1278. Few parents (17.7%) who reported elevated problematic behavior spoke to a provider about such problems. In adjusted models, speaking to a provider was associated with reported worry about behavior (odds ratio [OR], 3.47 [95% confidence interval (CI), 1.74-6.92]) and with low reported child social-emotional competence (OR, 2.68 [95% CI, 1.23-5.84]). In adjusted models, worry was most likely among parents who reported low child competence (OR, 2.18 [95% CI, 1.07-4.22]) and disruption in family routines attributed to the child's behavior (OR, 2.38 [95% CI, 1.31-4.33]). Parental worry is a robust predictor of help seeking among parents of children with behavioral problems. Further, lags in social competence contribute to both parental worry and help seeking. These findings, in conjunction with previous evidence that child behavior problems amenable to early intervention are often unidentified, suggest that systematic inquiry by health care providers about parental concerns is important in the identification of early emerging behavioral health problems.

Spanking in early childhood and later behavior problems: a prospective study of infants and young toddlers.

To explore the relationship of spanking frequency before age 2 with behavior problems near time of entry into school. Children who were younger than 2 years were followed up approximately 4 years later, after they had entered school. The likelihood of significant behavior problems at follow-up was estimated in multivariate analyses that controlled for baseline spanking frequency and other characteristics. Participants were mothers from a large-scale national study and their children. Statistical analysis included an ethnically diverse sample of 1966 children aged 0 to 23 months at baseline. Two dichotomous indicators of behavior problems were used. The first indicated that maternal rating of child behavior problems exceeded a threshold. The second indicated that a mother met with a school administrator to discuss her child's behavior problems. White non-Hispanic children who were spanked more frequently before age 2 were substantially more likely to have behavior problems after entry into school, controlling for other factors. For Hispanic and black children, associations between spanking frequency and behavior problems were not statistically significant and were not consistent across outcome measures. Among white non-Hispanic children but not among black and Hispanic children, spanking frequency before age 2 is significantly and positively associated with child behavior problems at school age. These findings are consistent with those reported in studies of children older than 2 years but extend these findings to children who are spanked beginning at a relatively early age.

Testing a maternal attachment model of behavior problems in early childhood

The purpose of the present study was to test a maternal attachment model of behavior problems in early childhood using phase I data from the NICHD Study of Early Child Care, a prospective study of 1,364 children from birth through sixth grade. Mothers' and caregivers' ratings of children's internalizing and externalizing problems at age three were regressed separately on a set of fifteen predictors that included security and disorganization scores from 15, 24, and 36 months using hierarchical and logistical modeling. There were three main findings. First, Q-set mother-child attachment security, based on home observations at 24 months, provided the best evidence that attachment was associated with behavior problems, especially above-average levels of problems. Second, insecurity in the 36-month modified Strange Situation predicted mothers' and caregivers' ratings of internalizing problems for boys and girls as well as their ratings of externalizing problems for boys. Third, maternal depressive symptoms predicted mothers' ratings of internalizing and externalizing problems. There are meaningful associations between attachment insecurity and behavior problems as assessed not only by mothers but also by caregivers.

Parental depression, parenting and family adjustment, and child effortful control: Explaining externalizing behaviors for preschool children

Contributions of symptoms of parental depression, marital/family adjustment, parents' coercive (physical restraint, criticism, directives) and instructional behaviors (cognitive guidance, i.e., explanations of goals/strategies, suggestions regarding strategies for completing tasks), and children's effortful control to preschool children's externalizing behavior problems were investigated. It was hypothesized that children's higher levels of effortful control serve a protective function, leading to lower levels of child conduct difficulties despite parental/familial risk factors. Higher levels of depressive symptoms, coercion, and cognitive guidance, along with lower levels of child effortful control, were associated with higher levels of child externalizing behaviors. Differences in hierarchical regression models were observed for data obtained from mothers and fathers, with maternal coercive behavior and cognitive guidance serving as statistically significant predictors of children's externalizing behavior and reports of marital/family adjustment predicting child externalizing problems described by fathers. These parental/family factors, along with child effortful control, should be considered in understanding the development of behavior problems in early childhood, and could be addressed within school or community-based interventions.

The interactive effects of infant activity level and fear on growth trajectories of early childhood behavior problems.

The current study examined the interactive effects of infant activity level and fear on growth trajectories of behavior problems in early childhood (age 4 to 8 years) using maternal ratings. The sample was drawn from the National Longitudinal Survey of Youth (NLSY) and included children who were between 1 and 11 months in 1986. Findings suggested that boys characterized by high activity level and low levels of fear in infancy escalated in both externalizing and internalizing symptoms. Also, boys characterized by high fear and low activity level increased in internalizing symptoms and these effects seemed to be specific to depression rather than anxiety. Temperament did not predict escalation in externalizing symptomatology for girls, but low levels of fear predicted increases in internalizing symptoms. There was also evidence for a decline in depression specific symptoms for girls characterized by high fear and low activity in infancy. These findings suggest the importance of examining interactive models of temperament risk and considering gender specific pathways to behavior problems.

A mediational model for the impact of exposure to community violence on early child behavior problems.

This study examined how maternal distress mediates the link between exposure to community violence (CV) and the development of early child behavior problems. Research was conducted among 160 children, 3,0 to 5,11 in age, who resided in high-crime neighborhoods. Using structural equation modeling, latent variables were constructed to identify model components: maternal socioeconomic status (SES) and public assistance status, exposure to CV (maternal perceptions of local violence, social disorder, and fear of crime; and frequency of child cowitnessing violent events), family aggression (partner aggression toward mother and partner aggression toward child), maternal distress (global distress and posttraumatic stress disorder symptoms), and early child behavior problems (internalizing and externalizing). Bivariate correlations indicated that CV, maternal distress, and early child behavior problems were significantly intercorrelated. A series of structural equation models was specified to estimate the direct and indirect effect of CV on early child behavior problems. A direct model indicated a significant path from CV to early child behavior problems, after controlling for maternal SES and family aggression. The direct CV-early child behavior problems path diminished, however, when maternal distress was included in the model, after controlling for maternal SES and family aggression. Results are consistent with a mediation model of the impact of maternal distress symptoms on the link between CV and early child behavior problems.