Child care research: a clinical perspective.

Area of Science:

• Child Development
• Pediatrics
• Psychology

Background:

• Two studies investigated the effects of day care on young children's behavior and stress.
• Previous research indicates potential links between out-of-home care and child development outcomes.

Purpose of the Study:

• To examine the relationship between time spent in day care and aggressive behavior in children.
• To assess the impact of full-time, group-oriented, out-of-home care on children's cortisol levels.
• To identify individual and environmental factors influencing these outcomes.

Main Methods:

• Observational studies analyzing children's behavior in day care settings.
• Measurement of cortisol levels to assess physiological stress responses.
• Assessment of child, family, and child care environment characteristics.

Main Results:

• Children demonstrated increased aggressive behavior correlated with more time spent in day care.
• Full-time, group-oriented, out-of-home care was associated with elevated cortisol levels.
• Risk factors included sensory processing challenges, family stress, and lower quality child care interactions.

Conclusions:

• Day care, particularly full-time, group settings, may be associated with increased aggression and stress in young children.
• Individual differences in children, family stress, and child care quality significantly moderate these effects.
• Families should carefully consider care options, prioritizing high-quality, nurturing environments for at least half the day.