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The Association between Stressful Life Events and Emotional and Behavioral Problems in Children 0-7 Years Old: The
Yuan Fang1, Hein Raat1, Dafna A Windhorst1,2,3
1Department of Public Health, Erasmus University Medical Centre, 3000 CA Rotterdam, The Netherlands.
Insights
Stressful life events (SLEs) are linked to increased emotional and behavioral problems in young children. Identifying specific SLEs can help target interventions for better child well-being.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Public Health
Background:
- Stressful life events (SLEs) are known risk factors for emotional and behavioral issues.
- The association between SLEs and problems in young children (up to 7 years) is understudied.
Purpose of the Study:
- To examine the association between exposure to SLEs and emotional/behavioral problems in young children.
- To identify specific SLEs impacting child well-being.
Main Methods:
- Analysis of baseline data from 959 children (mean age 3.3 years) in a Dutch longitudinal study.
- Linear regression used to assess associations between SLEs and emotional/behavioral problems (CBCL 1.5-5).
- Exploration of interactions between SLEs and child demographics (age, sex, ethnicity, SES).
Main Results:
- Higher total SLE exposure correlated with increased CBCL total, internalizing, and externalizing problem scores.
- Six specific SLEs were independently associated with higher problem scores.
- No significant differences in associations based on child age, sex, ethnicity, or SES.
Conclusions:
- SLE exposure is associated with heightened emotional and behavioral problems in young children.
- The type of SLE may influence its impact on child well-being.
- Targeting SLEs in interventions could improve emotional and behavioral outcomes for young children.
Background:
Stressful life events (SLEs) are recognized risk factors for emotional and behavioral problems, but the association is understudied among young children. Our aim was to examine the association between exposure to SLEs and emotional and behavioral problems in young children up to 7 years old.
Methods:
We analyzed baseline data from 959 children (mean age = 3.3 years; SD = 1.9; 47.5% girls) in the CIKEO study, a community-based longitudinal study in the Netherlands. Linear regression was used to assess the associations between the total as well as the individual exposure to SLEs experienced in the past 12 months, and emotional and behavioral problems assessed by CBCL 1.5-5. Interactions of SLEs and child age, sex, ethnic background, and socioeconomic status were explored.
Results:
Higher total exposure to SLEs, as indicated by the number of SLEs, was significantly associated with higher CBCL total, internalizing and externalizing problem scores (p for trend < 0.05). The results did not differ by child age, sex, ethnic background, or family SES. Six out of the 12 SLEs explored were independently associated with greater CBCL total/externalizing/internalizing scores (p < 0.05).
Conclusions:
Exposure to SLEs is associated with higher levels of emotional and behavioral problems in young children, and the impact of SLEs may vary depending on the types of events. Stressful life events might be a useful target for interventions to improve emotional and behavioral well-being among young children.
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