Behavioral Changes in Preschool- and School-Age Korean Children: A Network Analysis
Eun-Kyoung Goh1, Hyo Jeong Jeon2
1Human Life Research Center, Dong-A University, Busan 49315, Korea.
Insights
Childhood behavioral problems, including depression/anxiety, persist from preschool to school age. Posttraumatic stress also emerges as a key issue in 7-year-olds, requiring early intervention for better adaptation.
Area of Science:
- Child Psychology
- Developmental Psychology
- Network Analysis
Background:
- Understanding the longitudinal development of childhood behavioral problems is crucial for effective long-term support.
- Identifying key symptoms and their evolving relationships is essential for early intervention strategies.
Purpose of the Study:
- To track changes in the relationships between behavioral problem symptoms in preschool and school-aged children.
- To identify critical symptoms within the behavioral problem network over time.
- To inform support strategies for children's adaptation into school age.
Main Methods:
- Utilized Gaussian graphical network analysis to examine symptom interactions.
- Analyzed data from the Panel Study on Korean Children (PSKC) using the Korean Child Behavior Checklist (K-CBCL) across different age groups (1.5-5 and 6-18).
- Compared network centrality in nonclinical and (sub)clinical groups (T-score ≥ 60) among 1323 children.
Main Results:
- Depression/anxiety emerged as a persistent core symptom in the behavioral problem network for 5- and 7-year-old children.
- Posttraumatic stress problems became a newly identified core symptom in 7-year-olds, as captured by the K-CBCL/6-18.
- Significant differences in node centrality were observed between clinical and nonclinical groups.
Conclusions:
- Anxiety/depression are persistent core symptoms requiring ongoing attention from preschool through school age.
- The emergence of posttraumatic stress problems in 7-year-olds necessitates its consideration in early support.
- Integrated assessment and intervention addressing both anxiety/depression and posttraumatic stress are vital for successful school-age adaptation.
Abstract:
The relationships between symptoms that comprise behavioral problems in children can be traced longitudinally to provide long-term support. This study identified signs that should be considered important in school age children by tracking changes in the relationships between different symptoms of behavioral problems in preschool and school age children. This study used Gaussian graphical network analysis to clarify the interaction of the overall subscales constituting the K-CBCL (Korean Child Behavior Checklist) and centrality in the network. In the Panel Study on Korean Children (PSKC), the K-CBCL/1.5-5 was used for children up to age six (first grade, elementary school), and the K-CBCL/6-18 was used for older children. In this study, 1323 PSKC samples (boys, n = 671; girls, n = 652) were used to distinguish nonclinical and (sub)clinical groups (T-score ≥ 60) compared to node centrality in each group's CBCL subscale networks. Depression/anxiety was a persistent core symptom of the behavioral problem network in 5- and 7-year-old children. A new core symptom in 7-year-old children was posttraumatic stress problems added in version CBCL/6-18. Based on these results, it is necessary to consider both anxiety/depression and posttraumatic stress problems in preschool children to support the adaptation of school-age children.
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