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Updated: Jul 20, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Rational service planning in pediatric primary care: continuity and change in psychopathology among children enrolled
J V Lavigne1, R D Gibbons, R Arend
1Children's Memorial Hospital, Chicago, IL, USA. j-lavigne@nwu.edu
Insights
Psychiatric disorders in young children showed shifting prevalence over time, with disruptive disorders decreasing and emotional disorders increasing. These changes were linked to family environment and maternal factors, impacting pediatric primary care services.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Pediatric Mental Health
Background:
- Understanding the stability and trajectory of psychiatric disorders in early childhood is crucial for timely intervention.
- Pediatric primary care settings are increasingly recognized as vital points for identifying and managing childhood mental health issues.
Purpose of the Study:
- To investigate the longitudinal stability and changes in psychiatric disorder prevalence among young children in a nonpsychiatric sample.
- To identify demographic and environmental correlates associated with specific disorder trajectories.
Main Methods:
- Longitudinal study following 510 children aged 2-5 years across three waves of data collection over 42-48 months.
- Utilized a comprehensive assessment battery for best-estimate consensus DSM-III-R diagnoses and dimensional psychopathology assessments.
Main Results:
- Prevalence of disruptive disorders (DDs) decreased, while emotional disorders (EDs) and comorbid DDs increased over time.
- DDs were associated with lower family cohesion, maternal negative affect, and stressful life events.
- EDs were linked to older age, lower family cohesion, and maternal negative affect.
Conclusions:
- Findings highlight dynamic shifts in childhood psychiatric disorders, necessitating adaptive service planning in pediatric primary care.
- The study underscores the influence of family environment and maternal factors on disorder development and persistence.
Objective:
To examine the stability of the occurrence of psychiatric disorders in a nonpsychiatric sample of young children.
Method:
There were 510 children ages 2-5 years enrolled through pediatric practices, with 391 children participating in the second wave, and 344 in the third wave of data collection 42-48 months later. The assessment battery administered at each wave yielded best-estimate consensus DSM-III-R diagnoses and dimensional assessments of psychopathology.
Results:
The prevalence of disruptive disorders (DDs) decreased, while emotional disorders (EDs), other disorders, and comorbid DD increased. The DDs were associated with lower family cohesion, more maternal negative affect, stressful life events, and male gender. Comorbid DDs were associated with increasing age and family cohesion. Older children, lower family cohesion, and maternal negative affect were associated with EDs. Time trends for the dimensional assessment of psychopathology was similar to DSM-III-R disorders, but correlates differed.
Conclusions:
We discuss implications for service planning in pediatric primary care.
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