Related Experiment Video
Updated: May 10, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Effortful control, positive emotional expression, and behavior problems in children born preterm
Cynthia Burnson1, Julie Poehlmann, A J Schwichtenberg
1University of Wisconsin-Madison, United States.
Insights
High effortful control in preterm infants was linked to fewer behavior problems. Positive emotion expression was associated with effortful control in boys, while socioeconomic factors benefited all children.
Area of Science:
- Developmental Psychology
- Pediatric Health
- Neuroscience
Background:
- Children born preterm (mean gestational age = 31.4 weeks) face unique developmental challenges.
- Effortful control is crucial for emotional regulation and behavior in early childhood.
- Understanding factors influencing effortful control in this population is vital for early intervention.
Purpose of the Study:
- To investigate the relationship between effortful control, positive emotional expression, and behavior problems in preterm children.
- To examine the moderating roles of gender and socioeconomic assets in these relationships.
Main Methods:
- Prospective longitudinal study design.
- Sample of 173 children born preterm.
- Assessment of effortful control, behavior problems (24 & 36 months), and positive emotional expression (24 months).
Main Results:
- Higher effortful control correlated with fewer behavior problems, an effect reduced by socioeconomic assets.
- Socioeconomic assets were linked to fewer behavior problems and higher effortful control (girls).
- Less positive emotional expression associated with higher effortful control in boys, not girls.
Conclusions:
- Socioeconomic assets are key for effortful control and behavior in preterm children, irrespective of gender.
- Positive emotional expression is important for boys' effortful control development.
- Interventions should target effortful control to promote resilience in high-risk preterm populations.
Abstract:
The present study focused on the role of high effortful control in the expression of positive emotion and development of behavior problems in children born preterm (mean gestational age = 31.4 weeks). Using data from a prospective longitudinal study, the present study assessed effortful control and behavior problems at 24 and 36 months and positive emotional expression at 24 months in a sample of 173 children born preterm. Less positive emotional expression was associated with higher effortful control for boys but not girls. Higher effortful control was associated with fewer total behavior problems, but this relation was attenuated when socioeconomic assets were included in the model. More socioeconomic assets were associated with fewer behavior problems for both boys and girls and higher effortful control for girls. Socioeconomic assets appear to be an important factor in the development of effortful control and behavior problems in children born preterm regardless of gender, whereas positive emotional expression was important for boys. Future intervention research should examine fostering adaptive levels of effortful control in high-risk populations as a means to facilitate resilience processes.
Related Concept Videos
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Oppositional Defiant Disorder
Diagnostic Criteria and...
Information Processing Approach
Psychosexual Stages of Personality: Anal

