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Disruptive behaviors in early childhood: the influence of family practices and functionality in a Turkish sample
Merve Çıkılı Uytun1, Esra Yürümez1, Gökçe Yağmur Efendi2
1Department of Child and Adolescent Psychiatry, Faculty of Medicine, Ankara University, Ankara, Türkiye.
Insights
Disruptive behaviors in preschoolers negatively impact child and parent functioning. Factors like ADHD and parental issues also predict impairment, highlighting the need for early intervention.
Area of Science:
- Child Psychology
- Developmental Psychiatry
Background:
- Disruptive behaviors (DB) are prevalent in young children.
- These behaviors significantly affect children's and families' overall functionality.
Purpose of the Study:
- To examine the impact of disruptive behaviors on preschool children's functionality.
- To identify factors associated with impaired functionality in this population.
Main Methods:
- Study included 223 preschool children, with 93 diagnosed with disruptive behavior problems.
- Assessments used included the Preschool Age Psychiatric Assessment (PAPA) and Child Behavior Checklist for Ages 1.5-5 (CBCL/1½-5).
Main Results:
- Parents of children with DB used more physical and verbal disciplinary methods.
- DB symptoms negatively impacted child functioning and parental well-being.
- Higher CBCL scores were observed in the DB group.
- Attention deficit hyperactivity disorder, parental psychopathology, and child's age predicted functional impairment.
Conclusions:
- Disruptive behaviors significantly affect preschool-aged children and their families.
- Early identification and intervention for disruptive behaviors are crucial for improving functionality.
Background:
Disruptive behaviors (DB) are common problems in young children. The aim of the current study was to highlight the effect of disruptive behaviors on functionality in preschool children and their families and identify factors that may be related to functionality.
Materials And Methods:
A total of 223 patients were included in the current study from the Turkish Validity and Reliability Study of Preschool Age Psychiatric Assessment (PAPA). The disruptive behavior problems group (n=93) was selected according to PAPA and consisted of patients who had more than 3 conduct problem symptoms, with these symptoms leading to impairment. The control group (n=130) was selected from patients with no disruptive behavior disorder and 3 or fewer conduct problem symptoms . Preschool Age Psychiatric Assessment and Child Behavior Checklist for Ages 1.5-5 (CBCL/1½-5) were used for assessment.
Results:
We found that spanking with the hand, verbal dispraise, and selective negative view to child were more frequent in the DB group than in the control group. DB symptoms were found to have a negative impact both on the child's functioning in several areas and on the parent's life in specific areas. Additionally, most of the CBCL scores were significantly higher in the DB group. Finally, it was shown that not only disruptive symptoms but factors such as the presence of attention deficit hyperactivity disorder, parental psychopathology, and the age of the child predicted impairment in this functioning.
Conclusion:
These findings emphasize that parents' and child's functionalities can be highly affected by disruptive problems even in an early period such as preschool and that this area should not be ignored in evaluation and interventions.
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