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Change in children's emotional and behavioural problems over a one-year period: Associations with parental problem

Marieke Zwaanswijk1, Peter F M Verhaak, Jan van der Ende

  • 1NIVEL, Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN, Utrecht, The Netherlands. M.Zwaanswijk@nivel.nl

European Child & Adolescent Psychiatry
|January 18, 2006
PubMed

Insights

Child emotional and behavioral problems decreased over one year, but service use did not influence this change. Specific groups, including younger children, boys, and those with less educated parents, showed higher problem levels, indicating a need for targeted prevention.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Behavioral Health Services Research

Background:

  • Emotional and behavioral problems in children increase future risks.
  • Factors influencing the persistence and change of these problems are not well understood.
  • Early identification and intervention are crucial for better outcomes.

Purpose of the Study:

  • To investigate factors associated with changes in child emotional and behavioral problems over one year.
  • To examine the role of parental recognition, service utilization, and sociodemographics.
  • To identify specific groups needing targeted preventive actions.

Main Methods:

  • Repeated measures analyses of variance were used.
  • A sample of 360 children and adolescents with emotional and behavioral problems was studied.
  • Data collected over a one-year period included problem levels, service use, and sociodemographics.

Main Results:

  • Higher problem levels were observed in younger children (4-11 years), boys, and those with less educated parents.
  • Children accessing general practitioner or mental health services had higher initial problem levels.
  • Child emotional and behavioral problems significantly decreased over time, irrespective of service utilization.

Conclusions:

  • Targeted preventive strategies are needed for at-risk groups (younger children, boys, children of less educated parents).
  • Current service use patterns suggest that children with higher needs are accessing professional care.
  • Further methodologically rigorous research is required to determine the effectiveness of services for child emotional and behavioral problems.

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