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Understanding disruptive behavior problems in preschool children
Susan M Breitenstein1, Carri Hill, Deborah Gross
1Rush University College of Nursing, Chicago, IL 60612, USA. susan_m_breitenstein@rush.edu
Insights
Identifying disruptive behavior problems in preschoolers is crucial for early intervention. This review discusses definitions, risk factors, and clinical implications for nurses to improve identification and treatment of these common childhood behavioral issues.
Area of Science:
- Child Psychology
- Pediatric Nursing
- Developmental Behavioral Pediatrics
Background:
- Disruptive behavior problems are a leading cause for mental health referrals in young children.
- Challenges in distinguishing clinical behaviors from typical development lead to underdiagnosis and undertreatment.
- Early identification and intervention are vital to prevent escalation of disruptive behaviors.
Observation:
- Preschool-aged children are a key demographic for disruptive behavior concerns.
- Emotion and behavior regulation difficulties are implicated in the development of these problems.
- Risk factors contributing to disruptive behaviors require careful consideration.
Findings:
- Current definitions of disruptive behavior problems and emotion regulation are presented.
- A review of risk factors and underlying regulatory deficits is provided.
- Clinical implications for nurses in identifying these issues in preschoolers are discussed.
Implications:
- Pediatric nurses play a critical role in the early identification of disruptive behavior problems.
- Improved identification can lead to timely and effective treatment, altering negative developmental trajectories.
- Understanding emotion and behavior regulation is key for effective nursing interventions.
Abstract:
Disruptive behavior problems in young children are the number one reason for referral to mental health agencies. However, owing to difficulties differentiating clinically significant disruptive behaviors from typical development, a significant proportion of young children with disruptive behavior problems go unidentified and untreated. Research supports the existence of disruptive behavior disorders in young children, and early identification and treatment are critical to interrupt the trajectory of early problems to more significant and impairing difficulties. The purposes of this article were to identify and discuss disruptive behavior problems in preschool children and to introduce readers to current definitions of disruptive behavior problems and emotion regulation. A review of risk factors and underlying emotion and behavior regulation difficulties implicated in the development of disruptive behavior problems is provided. Furthermore, clinical implications for nurses in the identification of disruptive behavior problems in preschool children for pediatric nurses are discussed.
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