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Continuity of behavioral and emotional problems from pre-school years to pre-adolescence in a developing country
Luciana Anselmi1, Fernando C Barros, Maycoln L M Teodoro
1Post-Graduate Program in Psychiatry, Federal University of Rio Grande do Sul, Brazil. luanselmi@terra.com.br
Insights
Childhood behavioral and emotional problems show moderate continuity into pre-adolescence. Externalizing behaviors at age 4 are key predictors of later issues, similar to findings in developed nations.
Area of Science:
- Child Psychology
- Developmental Epidemiology
- Behavioral Science
Background:
- Longitudinal studies on child behavioral/emotional problems have historically focused on developed nations.
- This study addresses a gap by examining such continuity in a developing country context.
Purpose of the Study:
- To assess the longitudinal continuity and stability of child behavioral/emotional problems from preschool to pre-adolescence.
- To identify predictors of persistent behavioral/emotional problems.
Main Methods:
- A Brazilian birth cohort of 601 children was assessed at ages 4 and 12.
- The Child Behavior Checklist (CBCL) was administered via mother interview using a standardized procedure.
Main Results:
- Moderate stability (r = .42) was observed for the CBCL Total Problem score, with externalizing problems showing higher continuity than internalizing problems.
- Only 31% of children with deviant scores at age 4 remained deviant at age 12.
- Rule-Breaking Behavior and Social Problems at age 4 predicted deviant scores at age 12.
Conclusions:
- Childhood behavioral/emotional problems exhibit moderate persistence into pre-adolescence within a community sample.
- Externalizing problems in early childhood are significant precursors to later behavioral/emotional issues.
- Findings align with those from developed countries regarding continuity, stability, and predictability.
Background:
All previous longitudinal community studies assessing the continuity of child behavioral/emotional problems were conducted in developed countries.
Method:
Six hundred and one children randomly selected from a Brazilian birth cohort were evaluated for behavioral/emotional problems through mother interview at 4 and 12 years with the same standard procedure - Child Behavior Checklist (CBCL).
Results:
CBCL Total Problem score presented a medium stability (r = .42) with externalizing problems showing higher stability and more homotypic continuity than internalizing problems. Of the children presenting deviant scores at the age of 4, only 31% remained deviant at the age of 12 (p < .001). A deviant CBCL Total Problem score at 12 years old was predicted by Rule-Breaking Behavior [OR = 7.46, 95% CI 2.76-20.19] and Social Problems [OR = 3.56, 95% CI 1.36-9.30] scores at 4 years of age. Either Rule-Breaking or Aggressive Behavior - externalizing syndromes - were part of the predictors for the three broad-band CBCL scores and six out of the eight CBCL syndromes.
Conclusions:
Behavioral/emotional problems in preschool children persist moderately up to pre-adolescence in a community sample. Externalizing problems at the age of 4 comprise the developmental history of most behavioral/emotional problems at pre-adolescence. Our findings concur with findings from developed countries and are quite similar for continuity, stability and predictability.
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