Related Experiment Video
Updated: May 23, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The Association of Birth Complications and Externalizing Behavior in Early Adolescents: Direct and Mediating Effects
Jianghong Liu1, Adrian Raine, Anne Wuerker
1University of Pennsylvania.
Insights
Birth complications increase the risk of externalizing behavior problems in children. Lower Intelligence Quotient (IQ) mediates this link, highlighting potential early intervention targets.
Area of Science:
- Developmental Psychology
- Neuroscience
- Public Health
Background:
- Birth complications and psychosocial factors are linked to childhood externalizing behavior and adult criminality.
- The direct impact of birth complications on externalizing behavior and its underlying mechanisms require further investigation.
Purpose of the Study:
- To determine if birth complications predict externalizing behavior in early adolescence.
- To examine if Intelligence Quotient (IQ) mediates the relationship between birth complications and externalizing behavior.
Main Methods:
- Prospective, longitudinal study of 1,795 children from a birth cohort in Mauritius.
- Data collected on birth complications, malnutrition, psychosocial adversity, and externalizing behavior problems at ages 3 and 11 years.
Main Results:
- Children with birth complications showed a higher likelihood of developing externalizing behavior problems at age 11.
- Low IQ was associated with birth complications and mediated the association between early predictors and later externalizing behavior.
Conclusions:
- Birth complications are a significant predictor of early adolescent externalizing behavior.
- IQ plays a mediating role, suggesting potential targets for early intervention and prevention strategies.
Abstract:
Prior studies have shown that birth complications interact with psychosocial risk factors in predisposing to increased externalizing behavior in childhood and criminal behavior in adulthood. However, little is known about the direct relationship between birth complications and externalizing behavior. Furthermore, the mechanism by which the birth complications predispose to externalizing behavior is not well explored. This study aims to assess whether birth complications predispose to early adolescent externalizing behavior and to test whether Intelligence Quotient (IQ) mediates relationships between predictor and outcome variables. We used data from a prospective, longitudinal birth cohort of 1,795 3-year-old boys and girls from Mauritius to test hypotheses. Birth complications were assessed from hospital record data, malnutrition from a pediatric exam at age 3 years, psychosocial adversity from parental interviews at age 3 years, and externalizing behavior problems from parental ratings at age 11 years. We found that babies with birth complications are more likely to develop externalizing behavior problems at age 11. Low IQ was associated with birth complications and was found to mediate the link between early predictors and later externalizing behavior. These prospective, longitudinal findings have potential clinical implications for the identification of early adolescent externalizing behavior and for public health attempts to prevent the occurrence of child externalizing behavior problems.
Related Concept Videos
Conduct Disorder
Bullying
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Causes of Social Behavior III: Biological and Environmental Influences
Oppositional Defiant Disorder
Diagnostic Criteria and...
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...

