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Trajectories of Internalizing and Externalizing Behavior Problems in Children with Developmental Disabilities.
Penny Hauser-Cram1, Ashley C Woodman2
1Lynch School of Education, Boston College, Chestnut Hill, MA, 02467, USA. hausercr@bc.edu.
Journal of Abnormal Child Psychology
|July 30, 2015
Summary
Children with disabilities often exhibit behavior problems. Early maternal depression and family impact predict adverse patterns, while maternal sensitivity predicts better outcomes, highlighting the need for family-centered interventions.
Area of Science:
- Developmental Psychology
- Child Psychology
- Clinical Psychology
Background:
- Children with disabilities experience higher rates of behavior problems, impacting future psychopathology and life opportunities.
- Understanding the developmental trajectory of these behavior problems is crucial for effective intervention.
- Internalizing and externalizing behaviors in children with disabilities require distinct predictive models.
Purpose of the Study:
- To examine the developmental patterns of internalizing and externalizing behavior problems in children with disabilities from early childhood to young adulthood.
- To identify early childhood predictors associated with different developmental trajectories of behavior problems.
- To inform the development of targeted, family-focused early interventions.
Main Methods:
- Longitudinal study of 169 children (54% male) diagnosed with disabilities in early childhood.
- Person-centered analyses were used to identify distinct patterns of change in behavior problems from age 3 to 18.
- Maternal depressive symptoms, family impact, and maternal sensitivity were assessed as early childhood predictors.
Main Results:
- Higher maternal depressive symptoms predicted more adverse patterns of both internalizing and externalizing behavior problems.
- Greater family impact associated with having a child with a disability predicted more adverse internalizing behavior patterns.
- Positive maternal sensitivity to a child's distress predicted more adaptive patterns of externalizing behavior problems.
Conclusions:
- Developmental patterns of behavior problems in children with disabilities are influenced by early family and maternal factors.
- Early interventions should focus on supporting the family system, addressing maternal mental health, and enhancing parent-child interactions.
- Targeted support can mitigate adverse behavioral outcomes and improve life course opportunities for children with disabilities.
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