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

Katherine D Ellingson1, Margaret J Briggs-Gowan, Alice S Carter

  • 1School of Epidemiology and Public Health, School of Medicine, Yale University, New Haven, CT 06520-8034, USA. katherine.ellingson@yale.edu

Insights

Parental worry about child behavior problems strongly predicts seeking professional help. Low social-emotional competence in children also increases parental concern and help-seeking behavior for early identification.

Area of Science:

  • Child Psychology
  • Pediatric Healthcare
  • Behavioral Health

Background:

  • Early identification of child behavior problems is crucial for timely intervention.
  • Parental communication with healthcare providers is a key pathway for identifying these issues.
  • Understanding predictors of parental help-seeking is essential for improving early detection rates.

Purpose of the Study:

  • To identify factors that predict parental discussions with pediatric care providers about early child behavior problems.
  • To suggest strategies for healthcare settings to elicit early identification of behavioral issues from parents.

Main Methods:

  • Cross-sectional survey of parents of children aged 11-39 months from a healthy birth cohort.
  • Utilized the Infant-Toddler Social Emotional Assessment to identify elevated problematic behavior symptoms.
  • Assessed parental worry regarding behavior and collected demographic data.

Main Results:

  • Only 17.7% of parents with elevated problematic behavior symptoms discussed these concerns with a provider.
  • Parental worry (OR, 3.47) and low child social-emotional competence (OR, 2.68) were associated with discussing behavior problems.
  • Low child competence (OR, 2.18) and disrupted family routines (OR, 2.38) predicted parental worry.

Conclusions:

  • Parental worry is a significant predictor of help-seeking for child behavior problems.
  • Deficits in social-emotional competence contribute to parental concern and the likelihood of seeking help.
  • Systematic inquiry by healthcare providers is vital for identifying early behavioral health issues in children.
Abstract

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