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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Translational research to prevent internalizing problems early in childhood
Jordana K Bayer1, Ronald M Rapee, Harriet Hiscock
1Centre for Community Child Health, and 3Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.
Insights
Early intervention for internalizing problems in preschoolers is crucial. Translational research is evaluating population-level screening and parenting interventions to prevent these issues effectively.
Area of Science:
- Child Psychology
- Developmental Psychiatry
- Public Health
Background:
- Internalizing problems affect 1 in 7 school-aged children, with significant long-term impacts.
- The World Health Organisation (WHO) predicts a substantial global burden of internalizing problems by 2030.
- Early childhood intervention shows cost-effective benefits for developmental outcomes compared to later interventions.
Purpose of the Study:
- To discuss the importance of translational research for early prevention of child internalizing problems.
- To describe an approach to translational effectiveness research for preschooler internalizing issues.
- To address gaps in early childhood prevention strategies for internalizing disorders.
Main Methods:
- Review of existing randomized "efficacy" trials of parenting group interventions for inhibited preschoolers.
- Initiation of translational "effectiveness" research at the population level.
- Systematic screening of preschoolers for inhibition and subsequent intervention evaluation.
Main Results:
- Previous efficacy trials demonstrated that parenting interventions reduced internalizing disorders in preschoolers up to 3 years later.
- Ongoing effectiveness research aims to determine the benefits and harms of population-level screening and intervention.
- The research addresses critical needs identified by the WHO Prevention of Mental Disorders report.
Conclusions:
- Early intervention during preschool years is vital for preventing internalizing problems.
- Translational effectiveness research is essential to implement and scale up evidence-based interventions.
- Systematic screening and targeted interventions can mitigate the impact of risk factors like temperamental inhibition and overinvolved parenting.
Abstract:
This article discusses the importance of and one approach to translational research to prevent internalizing problems very early in life. The World Health Organisation (WHO) predicts that by 2,030 internalizing problems will be second only to HIV/AIDS in the international burden of disease. Internalizing problems affect one in every seven school age children, with negative impacts on peer relations, school engagement, and later mental health, adult relationships, and employment. There is persuasive evidence that intervention in the preschool years can have a cost-effective impact on general developmental outcomes, compared to later school or adult intervention. However, the development of early childhood prevention for internalizing problems is in its infancy. Two significant risk factors for child internalizing problems are temperamental inhibition (characterized by fearfulness and withdrawal) and overinvolved/protective parenting practices. Rapee et al. have conducted two randomized "efficacy" trials with inhibited preschoolers in which a parenting group intervention reduced internalizing disorders up to 3 years later. Translational "effectiveness" research is now underway at the population level, to determine the balance of benefits and harms of systematically screening preschoolers for inhibition and subsequent intervention for all those affected. This rigorous public health research, followed by effective dissemination, addresses gaps identified in the WHO Prevention of Mental Disorders report.
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