Transactional relations between caregiving stress, executive functioning, and problem behavior from early childhood

Linda L Lagasse1, Elisabeth Conradt2, Sarah L Karalunas3

  • 1Warren Alpert Medical School of Brown University.

Insights

Caregiver stress and child behavior problems influence each other over time. Targeting child executive functioning and caregiver well-being is key for children with prenatal substance exposure and behavioral issues.

Area of Science:

  • Developmental Psychopathology
  • Child Psychology
  • Neurodevelopmental Disorders

Background:

  • Caregiver stress and child behavior problems exhibit transactional relationships, potentially influencing each other's development.
  • The origins, persistence, and moderating factors of these transactional relations remain unclear.
  • Resilience factors, such as child executive functioning, may mitigate problem behavior development.

Purpose of the Study:

  • To examine transactional relations between caregiving stress, executive functioning, and behavior problems.
  • To investigate these relations across three developmental periods: early childhood, middle childhood, and early adolescence.
  • To understand the role of executive functioning in mitigating behavior problems in children with prenatal drug exposure.

Main Methods:

  • Longitudinal study of 1,388 children with prenatal drug exposures.
  • Assessment of caregiving stress, executive functioning, and behavior problems (internalizing and externalizing).
  • Data collected at three time points: early childhood (0-5 years), middle childhood (6-9 years), and early adolescence (10-13 years).

Main Results:

  • Transactional relations varied between caregiving stress and internalizing versus externalizing behaviors.
  • Executive functioning plays a role in the development of behavior problems.
  • Early childhood interventions targeting caregiving psychopathology and stress are important.

Conclusions:

  • Interventions should target executive functioning for children with prenatal substance exposure and internalizing problems.
  • Addressing caregiving psychopathology, depression, and parenting stress in early childhood is crucial.
  • Tailored interventions are necessary based on the type of behavioral problems observed.

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