A Cross-Domain Growth Analysis: Externalizing and Internalizing Behaviors During 8 Years of Childhood

In a sample of 405 children assessed in kindergarten through the seventh grade, we determined the basic developmental trajectories of mother-reported and teacher-reported externalizing and internalizing behaviors using cross-domain latent growth modeling techniques. We also investigated the effects of race, socioeconomic level, gender, and sociometric peer-rejection status in kindergarten on these trajectories. The results indicated that, on average, the development of these behaviors was different depending upon the source of the data. We found evidence of the codevelopment of externalizing and internalizing behaviors within and across reporters. In addition, we found that African-American children had lower levels of externalizing behavior in kindergarten as reported by mothers than did European-American children but they had greater increases in these behaviors when reported by teachers. Children from homes with lower SES levels had higher initial levels of externalizing behaviors and teacher-reported internalizing behaviors. Males showed greater increases in teacher-reported externalizing behavior over time than did the females. Rejected children had trajectories of mother-reported externalizing and internalizing behavior that began at higher levels and either remained stable or increased more rapidly than did the trajectories for non-rejected children which decreased over time.     

Utilization of Individual versus Family Therapy Among Adolescents with Severe Emotional Disturbance

Service utilization patterns among children with severe emotional and/or behavioral disturbances are described for 89 children and families, interviewed at two time points across a 6-month period. Children received a greater number of individual therapy sessions than family therapy sessions, and children significantly decreased their levels of internalizing and externalizing behaviors. Family therapy was associated with decreases in internalizing behaviors when children reported outcomes. Individual therapy was not associated with changes in either internalizing or externalizing behaviors regardless of reporter. Symptom severity did not dictate whether children were provided individual or family therapy. Recommendations for individualized treatment plans are offered.     

Relations Between Parents’ Anxiety Symptoms,Marital Quality,and Preschoolers’ Externalizing and Internalizing Behaviors

Our objective was to expand understanding of the associations between fathers’ and mothers’ anxiety symptoms, their perceptions of marital quality, and their children’s maladjustment behaviors. Sixty Israeli families with a child aged 3–5 participated. Mothers and fathers completed self-report questionnaires assessing parents’ anxiety symptoms, marital dissatisfaction, and marital overt conflict, and child internalizing and externalizing behaviors. The actor–partner interdependence mediation model (APIMeM) design with distinguishable dyads within a path analysis framework was used. Findings showed that marital dissatisfaction of both mothers and fathers partially mediated the links between mothers’ anxiety and child behaviors. For externalizing behaviors, actor and partner effects were found, so that mothers’ anxiety symptoms predicted mothers’ own marital dissatisfaction (actor effect) and fathers’ marital dissatisfaction (partner effect), which, in turn were linked with children’s externalizing behaviors. As for internalizing behaviors, only actor effect was found, so that mothers’ anxiety symptoms were linked with maternal dissatisfaction, which, in turn, was linked with child internalizing behaviors. For fathers’ anxiety symptoms, the APIMeM indicated only direct effects on both internalizing and externalizing behaviors. These findings highlight the risk associated with parental anxiety and the contribution of the marital relations to children’s adjustment and are discussed in light of Bronfenbrenner’s ecological model and Emotional Security Theory.     

Trajectories of Behavioral Problems and Predictors in Children Aged 4 to 7 Years: a Growth Mixture Model Analysis

The trajectories of behavioral problems have not been fully elucidated to date, particularly in the Chinese cultural context. This study attempted to delineate the trajectories of internalizing and externalizing problems and their predictors for Chinese children based on a longitudinal study. Three waves of data were collected from parent-reported questionnaires from a survey sample of 520 Chinese parents who had children aged 4 to 7 years. Unconditional and conditional growth mixture modeling was conducted in the study. The results showed that trajectories of internalizing and externalizing problems were heterogeneous in children 4 to 7, including Stable and Low pattern and Decreased pattern. The children’s gender, the number of children, and caregivers’ education levels predicted trajectories of internalizing and externalizing problems. These findings suggest that internalizing and externalizing problems may have different trajectories, and prevention strategies should be implemented based on specific subtypes. Additionally, the findings highlight that many more longitudinal studies should be conducted concerning the internalizing and externalizing problems and to examine their trends.

     

Influences of Biological and Adoptive Mothers’ Depression and Antisocial Behavior on Adoptees’ Early Behavior Trajectories

Research clearly demonstrates that parents pass risk for depression and antisocial behavior on to their children. However, most research confounds genetic and environmental mechanisms by studying genetically related individuals. Furthermore, most studies focus on either depression or antisocial behavior in parents or children, despite evidence of co-occurrence and shared etiology, and few consider the early origins of these problems in childhood. We estimated the influence of biological and adoptive mothers’ depression and antisocial behavior on growth in child externalizing and internalizing behaviors across early childhood using data from a prospective adoption study. Participants were 346 matched triads of physically healthy children (196 boys; 150 girls), biological mothers (BM), and adoptive mothers (AM). Latent growth curve models were estimated using AM reports of child internalizing and externalizing behaviors at ages 18, 27, and 54 months. Predictors of intercept (18 months) but not slope were identified. BM lifetime histories of major depressive disorder predicted child externalizing behaviors and BM antisocial behavior predicted child internalizing behavior. AM depressive symptoms and antisocial behavior were associated with both child outcomes. AM paths, but not BM paths were partially replicated using adopted fathers’ reports of child outcomes. BM obstetric complications, prenatal depressive symptoms, and postnatal adoptive family contact with BM did not account for BM paths. This adoption study distinguished risks conferred by biological mothers’ depression and antisocial behavior to children’s behaviors from those associated with adoptive mothers’ related symptoms. Future studies should examine gene-environment interplay to explain the emergence of serious problem trajectories in later childhood.     

Decoupling the Relation Between Risk Factors for Conduct Problems and the Receipt of Intervention Services: Participation Across Multiple Components of a Prevention Program

This study examined whether the link between risk factors for conduct problems and low rates of participation in mental health treatment could be decoupled through the provision of integrated prevention services in multiple easily-accessible contexts. It included 445 families of first-grade children (55% minority), living in four diverse communities, and selected for early signs of conduct problems. Results indicated that, under the right circumstances, these children and families could be enticed to participate at high rates in school-based services, therapeutic groups, and home visits. Because different sets of risk factors were related to different profiles of participation across the components of the prevention program, findings highlight the need to offer services in multiple contexts to reach all children and families who might benefit from them. Ellen Pinderhughes's and Karen Bierman's colleagues in the Conduct Problems Prevention Research Group are, in alphabetical order, John D. Coie, Duke University; Kenneth A. Dodge, Duke University; E. Michael Foster, University of North Carolina; Mark T. Greenberg, Pennsylvania State University; John E. Lochman, University of Alabama; and Robert J. McMahon, University of Washington.     

The Role of Family Income Dynamics in Predicting Trajectories of Internalizing and Externalizing Problems

Economic disparities in children’s behavioral functioning have been observed in prior research. Yet, studies have ignored important perspectives from developmental psychopathology and have not delineated how aspects of income dynamics (i.e., cumulative family income versus income volatility) differentially relate to behavior problems. To address these limitations, the current study examined how both cumulative income and income volatility predict trajectories of children’s internalizing and externalizing problems from kindergarten through fifth grade in a nationally representative sample of 10,900 children (51.4 % male). Results showed four distinct trajectories of internalizing problems and five distinct externalizing trajectories. Family income dynamics were related to trajectory group membership. Specifically, increased cumulative income decreased risk of membership in mid-increasing and mid-stable internalizing groups, and children whose families experienced multiple waves of income loss were 2.4 times as likely to be in the mid-increasing group instead of the low-stable group. With respect to externalizing, higher cumulative income increased the likelihood of belonging in the group exhibiting stably low externalizing problems. Experiencing income loss increased the risk of belonging in the trajectory group exhibiting chronically high externalizing behaviors. These results enhance our knowledge of the role of family income in the development of behavior problems.     

Marital Conflict and Risk for Child Maladjustment over Time: Skin Conductance Level Reactivity as a Vulnerability Factor

Skin conductance level reactivity (SCLR) was examined as a longitudinal mediator and moderator of relations between parental marital conflict and psychopathology among children and young adolescents. Participants were 157 boys and girls (M age at T1 = 9.31 years; SD = 1.97); there was a 2-year lag between T1 and T2 assessments. At T1, participants' SCLR was assessed in response to lab challenges. Parents completed measures of aggressive marital conflict and child adjustment at T1 and T2. Supportive of moderation effects, T1 marital conflict interacted with T1 SCLR and gender in the prediction of changes in maladjustment. The link between marital conflict and increased internalizing and externalizing symptoms was stronger for girls with higher SCLR than girls with lower SCLR. Marital conflict predicted increased externalizing behaviors for boys with lower SCLR but not higher SCLR, although levels of externalizing behaviors were similar among boys with lower and higher SCLR especially at higher levels of marital conflict. Findings build on the literature by illustrating the importance of examinations of both family risk and youth biological vulnerability for the prediction of psychopathology.     

Attachment and temperament in early childhood; implications for later behavior problems

In the context of a French validation study, the Child Behavior Checklist (CBCL) was administered to more than 3000 French speaking mothers of 5‐year‐old children. Scores were factor‐analyzed. Principal components analysis revealed four dimensions: externalizing and internalizing behavior problems, immaturity and somatoform disorders. Another sample of 40 mothers participated in a longitudinal study, filling in the CBCL when their children were 5 years old. These children had been observed previously in the Strange Situation (SSP) at 21 months. Several dichotomous variables derived from the SSP (e.g. secure versus insecure, proximal versus distal interaction with the mother, avoidant behavior) have been used as predictors of the four dimensions extracted from the CBCL. Hierarchical regressions showed that proximal behaviors with the mother, which reflect temperamental characteristics independently of the quality of attachment, predicted internalizing problems, whereas avoidance of the mother, or insecure–avoidant attachment, predicted internalizing as well as externalizing problems at 5 years of age. These results show that attachment and temperament, as assessed by the SSP, may each have specific implications for later behavior problems. Copyright © 2000 John Wiley & Sons, Ltd.     

父母严厉管教与儿童问题行为的关系:儿童自我控制的中介作用

为探讨父母严厉管教、儿童自我控制与儿童问题行为间的关系,采用中文版亲子冲突解决策略量表、社会技能评定量表和儿童行为核查量表对济南市两所公立学校的1097名小学四到六年级儿童及其父母双亲进行测查。结果发现：（1）父母心理攻击和体罚与儿童自我控制均呈显著负相关,与儿童内化和外化问题行为均呈显著正相关,儿童自我控制与其内化和外化问题行为均呈显著负相关;（2）父亲心理攻击可以显著正向预测儿童内化和外化问题行为,母亲体罚可以显著正向预测儿童外化问题行为;（3）儿童自我控制在父亲心理攻击和母亲体罚与儿童内外化问题行为之间起中介作用,在母亲心理攻击和父亲体罚与儿童内外化问题行为关系间的中介作用不显著,中介作用模型不存在显著的儿童性别差异。综上,本研究发现父母严厉管教不仅直接影响儿童的内外化问题行为,而且会通过降低儿童自我控制水平间接导致儿童问题行为的增多。     

父母严厉管教与儿童问题行为的关系:儿童自我控制的中介作用

为探讨父母严厉管教、儿童自我控制与儿童问题行为间的关系,采用中文版亲子冲突解决策略量表、社会技能评定量表和儿童行为核查量表对济南市两所公立学校的1097名小学四到六年级儿童及其父母双亲进行测查。结果发现：（1）父母心理攻击和体罚与儿童自我控制均呈显著负相关,与儿童内化和外化问题行为均呈显著正相关,儿童自我控制与其内化和外化问题行为均呈显著负相关;（2）父亲心理攻击可以显著正向预测儿童内化和外化问题行为,母亲体罚可以显著正向预测儿童外化问题行为;（3）儿童自我控制在父亲心理攻击和母亲体罚与儿童内外化问题行为之间起中介作用,在母亲心理攻击和父亲体罚与儿童内外化问题行为关系间的中介作用不显著,中介作用模型不存在显著的儿童性别差异。综上,本研究发现父母严厉管教不仅直接影响儿童的内外化问题行为,而且会通过降低儿童自我控制水平间接导致儿童问题行为的增多。     

Exposure to Violence,Social Information Processing,and Problem Behavior in Preschool Children

Understanding the mechanisms by which early risk factors for social maladjustment contribute to disruptive behaviors in social settings is vital to developmental research and practice. A major risk factor for social maladjustment is early exposure to violence, which was examined in this short‐term longitudinal study in relation to social information processing (SIP) patterns and externalizing and internalizing behaviors in a sample of 256 preschool children. Data on exposure to violence were obtained via parent report, data on SIP were obtained via child interview, and data on child problem behavior were obtained via teacher report. Findings supported the hypothesis that, compared to children not exposed to violence, children reported to witness and/or experience violence are more likely to attribute hostile intent to peers, generate aggressive responses, and evaluate socially unaccepted responses (aggressive and inept) as socially suitable. The former were also found to exhibit higher levels of externalizing and internalizing behaviors. Finally, SIP mediated the link between exposure to violence and problem behavior thus supporting this study's general approach, which argues that the link between exposure to violence and children's problem behaviors are better understood within the context of their perceptions about social relationships. Aggr. Behav. 38:429‐441, 2012. © 2012 Wiley Periodicals, Inc.     

流动儿童的问题行为与人格、家庭功能的关系

以北京市806名流动儿童和319名城市儿童为被试,采用问题行为问卷、小五人格问卷和家庭功能问卷,考察流动儿童问题行为的特点及其与城市儿童的差异,并探讨人格和家庭功能对流动儿童问题行为的影响。结果发现:(1)流动儿童内、外化问题行为的自我报告率分别达到了31.0%2、0.1%,与城市儿童相比,流动儿童的内化问题行为较为突出。(2)人格的情绪性、开放性显著正向预测流动儿童的内化问题题行为,外向性、家庭功能的亲密度显著负向预测其内化问题行为,情绪性、开放性显著正向预测流动儿童的外化问题行为,宜人性、谨慎性、亲密度显著负向预测外化问题行为。(3)人格在家庭功能的亲密度与内化问题行为之间起部分中介作用,在亲密度与外化问题行为之间起完全中介作用。     

The Course of Childhood Anxiety Symptoms: Developmental Trajectories and Child-Related Factors in Normal Children

This three-wave longitudinal study explored developmental trajectories for various types of childhood anxiety symptoms (i.e., specific fears, social anxiety, generalized anxiety, and separation anxiety) and examined how these trajectories were associated with several factors thought to be involved in the pathogenesis of anxiety. Parents of a community sample of 224 children aged 4 to 11 years repeatedly completed a standardized questionnaire of anxiety symptoms during a 2-year period. At Time 1, parents also filled out scales for measuring children’s level of behavioral inhibition (BI), internalizing and externalizing symptoms, and prosocial behaviors, while an interview was conducted with children to assess Theory-of-Mind (TOM) ability. Growth Mixture Modeling identified multiple developmental trajectories in childhood anxiety symptoms of which the ‘stable-low’ or ‘stable-medium’ reflected the normative trajectories. Further, multinomial regression analyses indicated that the higher developmental trajectories of anxiety were associated with higher levels of BI and internalizing symptoms at Time 1. In sum, results show heterogeneity in the development of anxiety symptoms and underline the importance of early prevention programs for children at high risk for developing an anxiety disorder.     

Exposure to Parental Cigarette Smoking and Child Problem Behaviors: A Longitudinal Study

This study examined exposure to environmental tobacco smoke (ETS), a major public health problem. ETS has been found to be associated with an increased risk of adverse health effects in children. This study utilizes data from a community-based, longitudinal investigation examining the relation between children’s exposure to ETS and later internalizing symptoms and externalizing behaviors. Interviews were administered to a representative community sample of participants from two New York State counties in 1983, with subsequent interviews in 1985–1986, 1992, 1997, and 2002–2003 (when the participants’ mean age was 32). Data was collected on various personality and behavioral characteristics of the participants, and on internalizing symptoms and externalizing behaviors demonstrated by their children. Results indicated that children’s exposure to ETS was associated with an increased risk for both internalizing symptoms and externalizing behaviors. This relationship was maintained despite control on a number of parental psychosocial risk factors (e.g., demographic variables, personality and behavioral attributes) that have been found to be associated with both parental cigarette smoking and behavior problems among children. These data, which indicate an association between exposure to ETS and internalizing symptoms and externalizing behaviors among children, support public health policies to further restrict children’s exposure to ETS.     

Longitudinal Patterns of Self-Regulation among Ethnic Minority Children Facing Poverty

Early poverty is associated with a cumulative load of family and community risk factors that can impact the development of self-regulatory abilities and result in socio-emotional and achievement gaps which begin early and persist across the lifespan. Ethnic minorities are disproportionately represented among children living in poverty. The longitudinal trajectories of self-regulation are important to understand in this population, in order to best inform prevention efforts. This study examines patterns of self-regulation over time among young, ethnic minority children living in low income, urban households. A stratified, random sample of 555 children, ages 2 to 4 years, (46% Black, 46% Hispanic; 47% female) were followed over three waves (including 1 and 5 year follow-ups). Internalizing and externalizing behaviors at approximately age nine were predicted by children’s early self-regulation. Latent class analyses revealed low, medium, and high levels of self-regulatory abilities at wave 1 (mean age: 2.99, SD?=?.81) and low and high levels, 1 year later (mean age: 4.39 (SD?=?.94). A gender effect was found whereby girls were more likely than boys to be in the high self-regulation class relative to the low at both waves. Using Latent Transition Analysis, distal outcomes were examined approximately 5 years after the initial assessment (mean age: 8.83, SD?=?.93). Children who sustained a higher level of self-regulation over time had the lowest internalizing and externalizing behaviors. Transition to low self-regulation at wave 2, regardless of initial self-regulation status, was related to greater severity of internalizing symptoms. Implications for prevention and future research are discussed.     

Associations Between Fathers’ and Mothers’ Psychopathology Symptoms,Parental Emotion Socialization,and Preschoolers’ Social-Emotional Development

In this study we tested whether the relation between fathers’ and mothers’ psychopathology symptoms and child social-emotional development was mediated by parents’ use of emotion talk about negative emotions in a sample of 241 two-parent families. Parents’ internalizing and externalizing problems were measured with the Adult Self Report and parental emotion talk was observed while they discussed a picture book with their children (child age: 3 years). Children’s parent-reported internalizing and externalizing problems and observed prosocial behaviors were assessed at the age of 3 years and again 12 months later. We found that mothers’ use of emotion talk partially mediated the positive association between fathers’ internalizing problems and child internalizing problems. Fathers’ internalizing problems predicted more elaborative mother–child discussions about negative emotions, which in turn predicted more internalizing problems in children a year later. Mothers’ externalizing problems directly predicted more internalizing and externalizing problems in children. These findings emphasize the importance of examining the consequences of parental psychological difficulties for child development from a family-wide perspective.     

The role of child adrenocortical functioning in pathways between interparental conflict and child maladjustment

This study examined the interplay between interparental conflict and child cortisol reactivity to interparental conflict in predicting child maladjustment in a sample of 178 families and their kindergarten children. Consistent with the allostatic load hypothesis (McEwen & Stellar, 1993), results indicated that interparental conflict was indirectly related to child maladjustment through its association with individual differences in child cortisol reactivity. Analyses indicated that the multimethod assessment of interparental conflict was associated with lower levels of child cortisol reactivity to a simulated phone conflict between parents. Diminished cortisol reactivity, in turn, predicted increases in parental reports of child externalizing symptoms over a 2-year period. Associations between interparental conflict, child cortisol reactivity, and child externalizing symptoms remained robust even after demographic factors and other family processes were taken into account.     

Maternal relationship instability and the school behavior of children from disadvantaged families

This longitudinal study examined the relation between the instability of maternal intimate relationships and the school behavior of 3rd-grade children from economically disadvantaged families. After ecological correlates were controlled, chronic relationship instability predicted externalizing behavior for boys and girls and internalizing behavior for girls, but not academic competence. In addition, past and recent instability had independent effects: Recent instability moderated the relation for past instability, and child adjustment in highly unstable families varied with verbal ability and aspects of the family ecology. The theoretical implications concern conceptualizations of the diverse and dynamic nature of family arrangements experienced by disadvantaged children.     

Coparenting Quality Mediates the Association Between Intimate Partner Violence and Child Behavior Problems in Low-income,Racial and Ethnic Minority Families

Exposure to intimate partner violence (IPV) in the family context has detrimental effects for children’s physical health and psychological adjustment. The current study examined the direct links between IPV and children’s externalizing and internalizing behavior problems and the indirect effect of coparenting quality as reported by a sample of 79 (80% African American, 11% Latina, and 9% Multiracial/Other), low-income mothers of children aged 2–12 years, the majority of whom were not in a romantic relationship (61%) or cohabitating with their child’s biological father (64%). Results indicated that IPV history was directly associated with higher rates of internalizing behaviors, but not with externalizing behaviors. Coparenting quality mediated the association between IPV and child externalizing and internalizing behaviors, when controlling for parent relationship status, such that IPV history was associated with lower levels of coparenting quality, which was associated with higher rates of child behavior problems. Findings highlight the importance of culturally appropriate self-report measures of coparenting and implications of IPV in racially and ethnically diverse low-income families on child adjustment.