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.
Abstract

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