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Follow-up of preschool children with severe emotional and behavioral symptoms

Doron Gothelf1, Smadar Gertner, Aviva Mimouni-Bloch

  • 1Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel. gothelf@post.tau.ac.il

The Israel Journal of Psychiatry and Related Sciences
|August 17, 2006
PubMed

Insights

Low socioeconomic status and stressful life events predict poor clinical outcomes in preschool children with emotional and behavioral disorders. Female gender was also a significant factor.

Area of Science:

  • Child Psychology
  • Developmental Psychiatry
  • Pediatric Mental Health

Background:

  • Psychopathology in preschool children is influenced by biological and environmental factors.
  • Identifying predictors of clinical outcome is crucial for early intervention.

Purpose of the Study:

  • To identify factors predicting the clinical outcome in preschool inpatients with emotional and behavioral disorders.

Main Methods:

  • Retrospective chart review of 28 children (aged 3-6.5 years) in a therapeutic nursery.
  • Data collected included biological parameters, developmental milestones, intelligence, socioeconomic status, and stressful life events.
  • Clinical Global Impression Scale assessed symptom severity at follow-up.

Main Results:

  • Low socioeconomic status, numerous stressful life events, and female gender were associated with poorer clinical outcomes.
  • Biological factors (pregnancy/birth complications, genetics) were not significant predictors.

Conclusions:

  • Social interventions and family therapy may improve outcomes for young children with emotional and behavioral problems.
  • Study limitations include retrospective design and small sample size.
Abstract

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