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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.
Abstract:
Developmental psychopathologists face the difficult task of identifying the environmental conditions that may contribute to early childhood behavior problems. Highly stressed caregivers can exacerbate behavior problems, while children with behavior problems may make parenting more difficult and increase caregiver stress. Unknown is: (a) how these transactions originate, (b) whether they persist over time to contribute to the development of problem behavior and (c) what role resilience factors, such as child executive functioning, may play in mitigating the development of problem behavior. In the present study, transactional relations between caregiving stress, executive functioning, and behavior problems were examined in a sample of 1,388 children with prenatal drug exposures at three developmental time points: early childhood (birth to age 5), middle childhood (ages 6 to 9), and early adolescence (ages 10 to 13). Transactional relations differed between caregiving stress and internalizing versus externalizing behavior. Targeting executive functioning in evidence-based interventions for children with prenatal substance exposure who present with internalizing problems and treating caregiving psychopathology, depression, and parenting stress in early childhood may be particularly important for children presenting with internalizing behavior.
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