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Internalizing problems in Chinese adolescents following trauma predict externalizing problems, suggesting they co-develop. Early intervention for internalizing issues may mitigate later externalizing behaviors in trauma-exposed youth.

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Area of Science:

  • Psychology
  • Trauma Studies
  • Developmental Psychology

Background:

  • Traumatic events can lead to internalizing and externalizing problems in adolescents.
  • The optimal intervention strategy (focusing on internalizing, externalizing, or both) remains debated.
  • Previous research often overlooked the co-development and within-person effects of these problem types.

Purpose of the Study:

  • To investigate the co-development of internalizing and externalizing problems in Chinese adolescents post-trauma.
  • To examine the within-person temporal associations between these problem types.
  • To identify potential risk factors for intervention focus.

Main Methods:

  • Longitudinal study with 391 Chinese adolescents.
  • Self-report questionnaires administered at four time points over 2.5 years post-earthquake.
  • Statistical analyses including parallel latent growth curve modeling and random intercept cross-lagged panel modeling.

Main Results:

  • Both internalizing and externalizing problems remained stable over the study period.
  • Internalizing problems significantly predicted externalizing problems at the within-person level.
  • A positive between-person relationship was observed between internalizing and externalizing problems.

Conclusions:

  • Internalizing and externalizing problems appear to co-develop in adolescents after trauma.
  • Internalizing problems act as a risk factor for the development of externalizing problems.
  • Findings suggest interventions may benefit from addressing internalizing problems to potentially prevent externalizing issues.