Longitudinal Associations between Depression and Aggression in Children and Adolescents

Due to the longstanding and detrimental effects of engaging in aggressive behaviour and of experiencing symptoms of internalizing problems in children and adolescents, there is an increasing interest in identifying the temporal sequence between these 2 problems with previous research yielding inconsistent findings. Therefore, the longitudinal links between relational aggression, physical aggression, and depression were examined across 7 years in a sample of 643 children (54 % girls) aged 10 at Time 1. Three models were compared— (1) the failure model, in which aggression predicted depression, (2) the acting out model, in which depression predicted aggression, and (3) a reciprocal model, in which both aggression and depression shared a reciprocal relation over time. Cross-lagged path analyses using structural equation modeling supported the failure model (i.e., engaging in relational and physical aggression predicts subsequent depressive symptoms). Findings were similar for boys and girls. These findings add to the literature suggesting that externalizing problems precede internalizing problems.     

Effects of Maternal Depression Symptoms and Alcohol Use Problems on Child Internalizing and Externalizing Behavior Problems

Empirical evidence suggests maternal behavioral health problems are significant predictors of child behavioral health difficulties, but it is unclear of the specific relation of maternal alcohol use problems and depression symptoms with child internalizing and externalizing behavior problems. The purpose of the study is to examine the impact of maternal depression symptoms and alcohol use problems on children’s internalizing and externalizing behavior problems over a period of 5 years. Implications for intervention may differ depending on which type of maternal behavioral health concerns predicts which child behavior problem. A total of 1874 families eligible for Early Head Start participated. Maternal depression symptoms and alcohol use problems were assessed when children were in preschool, and internalizing and externalizing behavior problems were assessed when children were in fifth grade. Clinical internalizing behavior problems was best predicted by maternal depression symptoms, whereas clinical externalizing behavior problems was best predicted by maternal alcohol use problems. Children were almost twice as likely to have clinical internalizing behavior problems when mothers exhibited very elevated depression symptoms compared to when mothers displayed minimal symptoms. A similar relation was found with maternal alcohol use problems and clinical externalizing behavior problems. Our findings highlight the importance of understanding and treating various kinds of behavioral health concerns in mothers of young children.     

Locus of control as a mediator of the association between attachment and children’s mental health

Locus of control—the expectation that one is in control of one’s outcomes in life—is linked to well-being. The authors explored one of the possible antecedents of locus of control such as secure children’s attachment. The hypothesis was that locus of control acts as a mediator of the association between children’s attachment and their mental health, in terms of depression, anxiety (internalizing problems), and aggression (externalizing problems). Participants were 206 children with ages ranging from 8 to 14 years. The authors obtained data from teachers as well as by self-report. Structural equations modelling yielded significant results for both a direct path from insecure attachment to internalizing problems and an indirect pathway in which locus of control functions as a mediating variable between children’s attachment and internalizing problems. Although the data were consistent with the mediated pathway with regard to internalizing problems, different findings emerged for aggression. Insecure attachment was a significant predictor of aggressive behavior, while locus of control was not a mediator between attachment and aggressive behavior. The authors’ findings confirm the mediating role of the locus of control between attachment and internalizing problems, but not between attachment and externalizing ones.     

Predicting Suicide Ideation in the Military: The Independent Role of Aggression

The purpose of this study was to examine the longitudinal relationship between aggression and suicide ideation when controlling for other externalizing (i.e., alcohol misuse and risk‐taking) and internalizing (i.e., depression and sleep problems) risk factors in an active duty, military sample. Preexisting data from a longitudinal study were analyzed to assess the wellness of service members across the deployment cycle. Participants were 944 active duty service members (95% male, 48% between 18 and 24 years old) who completed surveys upon initial return from deployment and approximately 3 months later. After controlling for other externalizing (alcohol misuse, risk‐taking) and internalizing (depression, sleep problems) risk factors, service members reporting aggression were significantly more likely to report suicide ideation than those reporting no aggression (OR = 3.19; OR 95% CI: 1.16–8.80). The independent nature of the relationship between anger and suicidality suggests aggression may be an important indicator of suicidality for service members. Understanding the role of aggression in suicidality may improve the ability to identify at‐risk service members and to develop effective interventions to reduce suicide risk.     

The relationship between Turkish children's perceptions of marital conflict and their internalizing and externalizing problems

The present study investigated the relationship between children's perceptions of marital conflict and children's internalizing and externalizing problems. Additionally, investigating gender and age differences in children's perceptions and the type of problems they exhibited were the other purposes of the study. The sample consisted of 9‐ to 12‐year‐old, nonclinical children from intact families (N = 232), one of their parents, and teachers. The data were gathered by administering the Child Behavior Checklist for Ages 4–18 and the Teacher's Report Form to adult participants and the Children's Perception of Interparental Conflict Scale and the Children's Depression Inventory to the child participants. Findings indicated that there was a significant relationship between children's perceptions of marital conflict and their internalizing and externalizing problems. More specifically, children's perceptions of conflict properties were associated with their internalizing problems in parents', teachers', and children's reports. Children's perceptions of threat were associated with child‐reported depression. Children's perceptions of self‐blame were associated with child‐reported depression, parent‐reported internalizing and externalizing problems, and teacher‐reported externalizing problems. Furthermore, it was found that there were gender and age differences in children's perceptions of marital conflict and their internalizing and externalizing problems. Findings indicated that boys have higher self‐blame scores and teacher‐reported externalizing problems than girls and that girls have more parent‐ and teacher‐reported internalizing problems than boys. Additionally, it was found that 9‐year‐old children have more teacher‐reported internalizing and externalizing problems than 12‐year‐old children. Also, 9‐year‐old boys have higher parent‐reported externalizing problems than 9‐year‐old girls and 9‐year‐old boys have higher parent‐reported externalizing problems than 12‐year‐old boys.     

Internalizing and Externalizing Symptoms in Sons and Daughters of Mothers with a History of Depression

The purpose of the present study was to examine the independent and joint effects of child gender and informant (mother-report vs. child self-report) on children’s internalizing and externalizing symptoms in an at-risk sample of children of mothers with a history of depression. Data were obtained from mothers with a history of major depressive disorder (N?=?149) and their 9- to 15-year-old children (74 males, 75 females) to assess children’s internalizing and externalizing symptoms. Little evidence was found that maternal depression amplified the typical gender differences in the prevalence of depressive symptoms and behavioral problems. Partial support was found for the hypothesis that maternal depression may equalize the rates of symptoms in boys and girls. There was also some evidence that maternal depression may reverse typical patterns of gender differences in depressive symptoms; i.e., using normative T scores to account for expected rates of problems, boys reported more symptoms than girls. Mothers and children reported significantly different levels of problems depending on child gender. Future research should investigate the processes of risk that may lead to changes in the normative patterns of gender differences in the context of maternal depression.     

Relational Aggression in Mothers and Children: Links with Psychological Control and Child Adjustment

This study assesses associations between mothers’ use of relational aggression with their peers and psychological control with their children, and child adjustment in a sample of fifty U.S. mothers of elementary and middle school children. Mothers completed surveys assessing their relational aggression and psychological control. Teachers completed surveys assessing children’s externalizing behavior, internalizing symptoms, and relational aggression. Results suggest that mothers who are relationally aggressive with their peers are more likely to be psychologically controlling with their children. Results also showed that relational aggression predicted adjustment problems in youth. Relational aggression was associated with externalizing problems among boys and girls, and with internalizing problems among boys. Few gender differences in mean levels of maternal or child behaviors emerged.     

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 Parental Distress in Moderating the Influence of Child Neglect on Maladjustment

Despite pervasive evidence of the harmful impact of neglect on children’s adjustment, individual differences in adaptation persist. This study examines parental distress as a contextual factor that may moderate the relation between neglect and child adjustment, while considering the specificity of the relation between neglect and internalizing versus externalizing problems. In a sample of 66 children (33 with a documented child protective services history of neglect prior to age six), neglect predicted internalizing, and to a lesser extent externalizing, problems as rated by teachers at age seven. Parental distress moderated the relation between neglect and internalizing, but not externalizing, problems. Specifically, higher levels of neglect predicted more internalizing problems only among children of distressed parents. These findings indicate that parent-level variables are important to consider in evaluating the consequences of neglect, and point to the importance of considering contextual factors when identifying those children most at risk following neglect.     

父母心理控制与对立违抗障碍儿童抑郁和攻击行为的关系:父子依恋和母子依恋的中介效应

采用父母心理控制、亲子依恋、抑郁量表对从北京市、山东省和云南省14所小学筛选出来的246名对立违抗障碍(Oppositional Defiant Disorder,ODD)儿童进行施测,并由被试的班主任填写儿童攻击行为量表,考察父、母心理控制对ODD儿童抑郁和攻击行为的影响,以及父子依恋和母子依恋在其中的中介作用。结果发现:(1)ODD儿童中男生人数更多,且男孩的抑郁和攻击行为更严重;(2)父亲对男孩的心理控制更强,而母亲在对男孩和女孩的心理控制上没有显著差异;(3)父、母心理控制与ODD儿童的父子依恋、母子依恋和抑郁均呈显著相关,但只有父亲心理控制与ODD儿童的攻击行为显著相关;(4)父子依恋在父母心理控制和ODD儿童抑郁之间没有起到显著的中介作用,母子依恋在母亲心理控制和ODD儿童抑郁之间有显著的中介作用。父子依恋和母子依恋在父、母心理控制和ODD儿童攻击行为之间均没有起到显著的中介作用。     

童年晚期亲社会行为与儿童的心理社会适应

对2097名六年级儿童(平均年龄12.27岁, 男生1093名)的亲社会行为以及多种心理社会适应指标进行测量, 主要运用个体定向的方法考察童年晚期亲社会行为与儿童心理社会适应之间的关系。结果发现:(1)亲社会行为与孤独感、攻击等不良适应呈中等程度负相关, 与同伴接纳、社交自我概念等积极适应呈中等程度正相关;(2)童年晚期儿童的心理社会适应表现为内化问题、外化问题、同伴拒绝与正常发展4种模式;(3)个体亲社会行为水平越高, 越可能属于正常发展组, 越不可能属于不良适应组;在各种不良适应组中, 个体亲社会行为水平越高, 更可能属于内化问题组, 而非外化问题和同伴拒绝组;(4)高亲社会组的儿童有6.8%存在内化问题;低亲社会组的儿童有50.2%适应良好;与普通儿童相比, 低亲社会组的儿童表现出更多的适应不良。     

Parent-child conflict and psychological maladjustment: a mediational analysis with reciprocal filial belief and perceived threat

Empirical research has shown that parent–child conflict is positively related to poor adjustment in adolescents; however, the underlying processes have not been adequately examined. To explore the possible mediating pathways, reciprocal filial belief and perceived threat were chosen to represent two likely mechanisms accounting for how parent–child conflict harms adolescents' perceptions of their relationship with their parents and their self‐perceptions within their cognitive‐appraisal framework. The former operates by attenuating children's affection towards their parents and the latter by lowering their self‐perceptions. This study also distinguishes internalizing from externalizing problems in order to examine whether lower reciprocal filial belief more strongly mediates the relation between conflict with parents and adolescents' externalizing problems and whether perceived threat more strongly mediates the relation between conflict with parents and adolescents' internalizing problems. Hypotheses are as follows: (1) the more parent–child conflict adolescents report, the less reciprocal filial belief they recognize, which, in turn, leads to more maladjustments, especially externalizing ones; (2) the more parent–child conflicts adolescents report, the more threat they perceive, which, in turn, leads to more maladjustments, especially internalizing ones. Participants consisted of 603 Taiwanese adolescents (226 males and 377 females) aged 15 to 19 (average age=16.95; SD=0.78). Structural equation modelling analyses confirmed the hypotheses. However, the three direct effects of conflict on internalizing problems, aggression, and deviant behaviour were still significant. In addition, a greater effect of the paternal than the maternal role on the link between conflict and attenuated reciprocal filial belief, and between perceived threat and internalizing problems, was identified. Implications for understanding the mediation processes responsible for all indirect effects, even the subsidiary ones, and the greater impact of conflict with the father than with the mother are discussed. Limitations of the study and considerations for future research are also addressed.     

母子关系、师生关系与儿童入园第一年的问题行为

通过对102名托班幼儿的母亲和教师间隔9个月的两次测查,考察了母子关系、师生关系在儿童入园第一年的问题行为发展中的作用。结果表明：控制了儿童入园三个月时的问题行为后,(1)母子关系无法直接预测入园一年时的问题行为,师生关系冲突性可以反向预测入园一年时的退缩和违纪问题;(2)儿童性别调节了母子关系冲突性对入园一年时攻击问题的预测,即母子关系冲突性对入园一年时攻击问题的正向预测作用仅对女孩成立,对男孩则不成立;(3)师生关系亲密性调节了母子关系亲密性对入园一年时的退缩、焦虑、攻击和违纪问题的预测,即母子关系亲密性对入园一年时各种问题行为的负向预测作用仅对师生关系亲密程度高的儿童成立,对师生关系亲密程度低的儿童则不成立;对师生关系亲密程度低的儿童来说,母子关系亲密性对入园一年时的焦虑问题甚至具有正向预测作用     

Cognitive specificity in internalizing and externalizing problems in community and clinic-referred children

Examined whether cognitive features in Beck's (1967) model of depression and his cognitive content-specificity hypothesis (Beck, Brown, Steer, Eidelson, & Riskind, 1987) are broadband specific features that distinguish internalizing problems from externalizing problems. From a community (n = 389; 196 boys, 193 girls; age M = 9.98, SD = 1.52) and clinic (n = 82; 55 boys, 27 girls; age M = 10.42, SD = 2.91) sample, 4 groups were defined on behavioral measures and then examined on cognitive measures: externalizing only (n = 33), internalizing only (n = 41), comorbid externalizing and internalizing (n = 53), and control (neither externalizing nor internalizing; n = 35). Both the internalizing only and comorbid groups reported significantly more cognitive disturbances (negative cognitive triad, cognitive processing distortions, and "depressive" and "anxious" thought content) than both of the externalizing only and control groups in both the community and clinic samples. The results were not related to either overall level of psychopathology (as reported by mothers) or social desirability in children's reporting. These findings suggest that the cognitive features in Beck's model distinguish internalizing from externalizing problems and add to a growing literature that calls for further conceptual refinement of cognitive models for understanding both narrow-band and broadband syndromes.     

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.

     

父母心理攻击与小学中高年级儿童问题行为的关系：儿童愤怒和悲伤管理的中介作用

以660名小学中高年级儿童及其父母为被试,采用问卷调查法探讨父母心理攻击与学龄中期儿童内外化问题行为之间潜在情绪机制的差异。结果发现：（1）父亲心理攻击显著正向预测儿童外化问题行为,母亲心理攻击显著正向预测儿童内化问题行为;（2）儿童愤怒失调在父亲和母亲心理攻击和儿童外化问题行为之间起中介作用,儿童悲伤失调在母亲心理攻击与儿童内化问题行为之间起中介作用,儿童愤怒应对在母亲心理攻击和儿童内外化问题行为之间存在中介作用。结果表明,父母心理攻击影响儿童内外化问题行为的情绪机制因儿童自身情绪类型与管理策略的不同而表现出差异性。     

Parent-to-child physical aggression,neighborhood cohesion,and development of children's internalizing and externalizing

Taking a risk and resilience approach, this study examined (1) whether child age moderates the association between exposure to parent–child physical aggression (PCPA) and initial levels and growth in internalizing and externalizing problems, and (2) whether neighborhood social cohesion is a protective factor for children who experience PCPA. Data came from 2810 caregivers of children aged 3–15 who participated in the Project on Human Development in Chicago Neighborhoods (PHDCN). Multilevel growth models showed that age moderated PCPA's association with internalizing problems, such that the association was stronger in older children than in younger children. Age also moderated PCPA's association with externalizing problems, such that the association was stronger in younger children than in older children. Neighborhood cohesion partially attenuated the association between PCPA and internalizing but only for older children; living in a neighborhood characterized by high cohesion mitigated levels of internalizing for maltreated children aged 11 years and older.     

童年中期受欺负与问题行为之关系: 一项两年纵向研究

摘要：采用同伴评价和教师评价对733名小学3年级儿童进行为期两年的追踪研究,通过结构方程模型,考察受欺负与两类问题行为的相互预测关系。结果发现：（1）受欺负与外化问题行为和内化问题行为呈显著正相关。（2）受欺负在两年之间呈现较高的稳定性;而外化问题行为和内化问题行为则表现出较低程度的稳定性。 （3）结构方程模型结果表明,三年级时的受欺负可以显著预测五年级时的外化问题行为,而三年级时的外化问题行为不能显著预测五年级时的受欺负;三年级时的内化问题行为可以显著预测五年级时的受欺负,而三年级时的受欺负不能显著预测五年级时的内化问题行为。在受欺负与问题行为的相互预测关系中,内化问题行为更有可能成为受欺负的触发因素,而外化问题行为则更有可能是对受欺负的回应。     

On the Links Between Attachment Style, Parental Rearing Behaviors, and Internalizing and Externalizing Problems in Non-Clinical Children

  We sought to investigate the relationships between negative family factors such as insecure attachment and adverse parental rearing, and internalizing and externalizing symptoms in a large sample of non-clinical children (N = 237) aged 9 to 12 years. All children completed a set of self-report questionnaires including a single-item measure of attachment style towards the mother and the father as well as an index of perceived parental rearing behaviors. Further, measures of internalizing symptoms (e.g., anxiety and depression) and externalizing symptoms (e.g., aggression) were completed. Results showed that perceived rearing behaviors of both mother and father (in particular rejection and anxious rearing) consistently accounted for a significant proportion of the variance in internalizing and externalizing symptoms. Attachment style was found to play a less prominent role. Some support for gender-specific relationships was found, indicating that the presence of negative family factors in fathers had more impact on symptoms in boys, whereas the presence of such factors in the mothers had more influence on symptoms in girls. Altogether, these results suggest that in addition to common pathways by which both parents promote psychopathological symptoms in children, there may also be separate pathways by which the father or the mother may have a unique impact on the development of such symptoms in boys or girls respectively.