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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Infant risk factors associated with internalizing, externalizing, and co-occurring behavior problems in young
Renee C Edwards1, Sydney L Hans1
1School of Social Service Administration, The University of Chicago.
Insights
Infant negative emotionality and family risk factors uniquely predict specific child behavior problems. Hostile parenting and infant distress are key, with combined risks for co-occurring issues.
Area of Science:
- Developmental Psychology
- Child Psychiatry
- Family Studies
Background:
- Understanding the etiology of early childhood behavior problems is crucial for timely intervention.
- Differentiating between internalizing-only, externalizing-only, and co-occurring problems offers nuanced insights.
- The interplay between infant temperament and family environment warrants further investigation.
Purpose of the Study:
- To investigate the distinct and interactive roles of infant negative emotionality and family risk factors.
- To examine their contributions to the development of internalizing-only, externalizing-only, and co-occurring behavior problems.
- To analyze how these associations evolve from infancy to early childhood.
Main Methods:
- Longitudinal study of 412 infants and primary caregivers.
- Data collection included infant temperament assessments (5-7 months) and caregiver-reported child behavior ratings (2.5 and 5 years).
- Mixed-effects multinomial logistic regression analyzed risk factors and behavior problem trajectories.
Main Results:
- Hostile parenting predicted internalizing-only problems; infant distress predicted externalizing-only problems.
- Maternal anxiety/depression, family conflict, and younger maternal age predicted co-occurring problems.
- An interaction between infant anger and hostile parenting increased co-occurring problems early on, diminishing by age 5.
Conclusions:
- Infant negative emotionality and family context significantly influence distinct behavior problem trajectories.
- Differentiating between 'pure' and co-occurring problems is essential for understanding developmental pathways.
- Findings highlight the need for integrated approaches considering both child and family factors in early intervention.
Abstract:
The purpose of the current study was to examine the unique and interactive contributions of infant negative emotionality and family risk factors in the development of internalizing-only, externalizing-only, and co-occurring behavior problems in early childhood. The sample included 412 infants and their primary caregivers. Interviews and temperament assessments took place when infants were 5-7 months old, and primary caregivers completed child behavior ratings at ages 2 1/2 and 5 years. Mixed-effects multinomial logistic regression was used to examine associations between infant risk factors and "pure" and co-occurring child behavior problems, and test whether these associations changed over time. The results of this study showed that hostile parenting during infancy increased the likelihood that children would develop internalizing-only problems, whereas infants who were highly distressed in response to novelty were at increased risk of developing externalizing-only problems. Multiple risk factors, including maternal anxious and depressive symptoms, family conflict, and younger maternal age, independently predicted early childhood co-occurring problems. Additionally, there was a significant interaction between infant anger/frustration and hostile parenting: In the context of hostile parenting, infants high in anger were at increased risk of developing early co-occurring problems, though this association faded by age 5. These findings point to the importance of considering the infant's family context, and differentiating between "pure" and co-occurring behaviors when examining the etiology of early childhood behavior problems.
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