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Updated: May 19, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Social-emotional problems in preschool-aged children: opportunities for prevention and early intervention
Courtney M Brown1, Kristen A Copeland, Heidi Sucharew
1Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. courtneym.brown@cchmc.org
Insights
One in four low-income preschoolers show social-emotional problems. Most parents are receptive to mental health referrals, indicating a key opportunity for early intervention.
Area of Science:
- Child Development
- Pediatric Primary Care
- Mental Health Interventions
Background:
- Social-emotional problems are common in preschool-aged children.
- Early identification and intervention are crucial for long-term outcomes.
- Low-income populations often face barriers to accessing care.
Purpose of the Study:
- To determine the prevalence of social-emotional problems in low-income preschoolers.
- To examine the family context of these children.
- To assess parental receptivity to mental health referrals.
Main Methods:
- Cross-sectional study in urban primary care clinics.
- 254 parents of 3- and 4-year-olds completed surveys.
- Used the Ages and Stages Questionnaire: Social-Emotional (ASQ:SE) and additional questionnaires.
Main Results:
- 24% of children screened positive for social-emotional problems.
- Parents of children with positive screens often had depressive symptoms (45%) or lacked non-parental childcare (27%).
- 79% of parents were open to mental health referrals, yet only 16% had received one previously.
Conclusions:
- A significant proportion of low-income preschoolers exhibit social-emotional challenges.
- Primary care settings can facilitate early identification and intervention.
- Parental openness to referrals presents a vital opportunity for developing targeted support systems.
Objectives:
To estimate the prevalence of positive screens for social-emotional problems among preschool-aged children in a low-income clinical population and to explore the family context and receptivity to referrals to help guide development of interventions.
Design:
Observational, cross-sectional study.
Setting:
Two urban primary care clinics.
Participants:
A total of 254 parents of 3- and 4-year-old children at 2 urban primary care clinics.
Main Outcome Measures:
Score on a standardized screen for social-emotional problems (Ages and Stages Questionnaire: Social-Emotional) and answers to additional survey questions about child care arrangements, parental depressive symptoms, and attitudes toward preschool and behavioral health referrals.
Results:
Twenty-four percent (95% CI, 16.5%-31.5%) of children screened positive for social-emotional problems. Among those screening positive, 45% had a parent with depressive symptoms, and 27% had no nonparental child care. Among parents of children who screened positive for social-emotional problems, 79% reported they would welcome or would not mind a referral to a counselor or psychologist; only 16% reported a prior referral.
Conclusions:
In a clinical sample, 1 in 4 low-income preschool-aged children screened positive for social-emotional problems, and most parents were amenable to referrals to preschool or early childhood mental health. This represents an opportunity for improvement in primary prevention and early intervention for social-emotional problems.
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