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Psychosocial functioning in children with neurodevelopmental disorders and externalizing behavior problems
Rubab G Arim1, Dafna E Kohen, Rochelle E Garner
1Health Analysis Division, Statistics Canada , Ottawa, Ontario , Canada .
Insights
Children with neurodevelopmental disorders (NDDs) and externalizing behavior problems (EBPs) show poorer psychosocial functioning. Parenting and socio-demographic factors influence these outcomes, highlighting the need for comprehensive interventions.
Area of Science:
- Child Psychology
- Developmental Neuroscience
- Behavioral Science
Background:
- Neurodevelopmental disorders (NDDs) and externalizing behavior problems (EBPs) can significantly impact a child's social and emotional development.
- Understanding the psychosocial functioning of children with these conditions is crucial for effective intervention and support.
Purpose of the Study:
- To compare the psychosocial functioning of children with NDDs and/or EBPs to that of children without these conditions.
- To examine the role of socio-demographic characteristics and parenting behaviors in these associations.
Main Methods:
- A longitudinal study using data from the Canadian National Longitudinal Survey of Children and Youth (N=3476).
- Children aged 6-9 years were followed biennially, assessing psychosocial functioning (peer relationships, self-esteem, prosocial behavior, anxiety-emotional problems).
- Associations between NDDs/EBPs, child/family factors, and parenting were analyzed.
Main Results:
- Children with NDDs, EBPs, or both reported lower general self-esteem.
- Children with NDDs and those with both conditions reported poorer peer relationships and prosocial behavior.
- Children with both NDDs and EBPs reported higher anxiety-emotional problems; these differences remained significant after accounting for covariates, particularly for children with both conditions.
Conclusions:
- Psychosocial functioning varies significantly in children with NDDs and/or EBPs.
- Children with comorbid NDDs and EBPs exhibit the poorest psychosocial outcomes.
- Socio-demographic factors, parenting, and comorbid conditions are critical considerations for understanding and improving child psychosocial functioning.
Purpose:
This study examines psychosocial functioning in children with neurodevelopmental disorders (NDDs) and/or externalizing behavior problems (EBPs) as compared to children with neither condition.
Methods:
The longitudinal sample, drawn from the Canadian National Longitudinal Survey of Children and Youth, included children who were 6 to 9 years old in Cycle 1 who were followed-up biennially in Cycles 2 and 3 (N = 3476). The associations between NDDs and/or EBPs, child and family socio-demographic characteristics and parenting behaviors (consistency and ineffective parenting), were examined across several measures of child psychosocial functioning: peer relationships, general self-esteem, prosocial behavior and anxiety-emotional problems.
Results:
Children with NDDs, EBPs, and both NDDs and EBPs self-reported lower scores on general self-esteem. Children with NDDs and both NDDs and EBPs reported lower scores on peer relationships and prosocial behavior. Lastly, children with both NDDs and EBPs self-reported higher scores on anxiety-emotional behaviors. After considering family socio-demographic characteristics and parenting behaviors, these differences remained statistically significant only for children with both NDDs and EBPs. Child age and gender, household income and parenting behaviors were important in explaining these associations.
Conclusions:
Psychosocial functioning differs for children with NDDs and/or EBPs. Children with both NDDs and EBPs appear to report poorer psychosocial functioning compared to their peers with neither condition. However, it is important to consider the context of socio-demographic characteristics, parenting behaviors and their interactions to understand differences in children's psychosocial functioning. Implication for Rehabilitation: Practitioners may wish to consider complexity in child health by examining a comprehensive set of determinants of psychosocial outcomes as well as comorbid conditions, such as neurodevelopmental disorders (NDDs) and externalizing behavior problems (EBPs). Other health care professionals working with children with NDDs and/or EBPs may wish to consider several child characteristics together, not just the child's health conditions but also child sex and age. Developing specific intervention programs that improve the psychosocial functioning of children with complex health problems appears to be warranted.
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