Abstract
In a four-year longitudinal study, changes in and continuity of behavioral and emotional problems were examined in 814 subjects from kindergarten to primary school. Mental health problems were assessed by means of the Child Behavior Checklist (CBCL). The distribution of the CBCL broadband groups revealed a high level of continuity of internalizing symptoms over the four-year period and a shift from externalizing symptoms at baseline towards a combination of internalizing and externalizing symptoms at follow-up. The presence of mental health problems at follow-up was correlated with gender (higher amongst boys), pre-existing mental health problems at baseline, and separation or divorce of the parents, but not with single-family status or the age and educational level of the mother. The increasing number of children with a combination of internalizing and externalizing symptoms demonstrates the increasing complexity of child mental health problems in the developmental span from preschool age to school age.
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References
Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60:837–844
Ford T, Goodman R, Meltzer H (2003) The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry 42:1203–1211
Kim-Cohen J, Caspi A, Moffitt TE, Harrington HL, Milne BJ, Poulton R (2003) Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 60:709–717
Lavigne JV, Arend R, Rosenbaum D, Binns HJ, Christoffel KK, Gibbons RD (1998) Psychiatric disorders with onset in the preschool years: I. stability of diagnoses. J Am Acad Child Adolesc Psychiatry 37:1246–1254
Loeber R, Stouthamer-Loeber M (1998) Development of juvenile aggression and violence. Some common misconceptions and controversies. Am Psychol 53:242–259
Eisenberg N, Cumberland A, Spinrad TL (2001) The relations of regulation and emotionality to children’s externalizing and internalizing problem behavior. Child Dev 72:1112–1134
Keenan K, Shaw DS (1997) Developmental influences on young girls’ behavioral and emotional problems. Psychol Bull 121:95–113
Colder CR, Stice E (1998) A longitudinal study of the interactive effect of impulsivity and anger on adolescent problem behaviour. J Youth Adolesc 27:255–274
Angold A, Costello J, Erkanli A (1999) Comorbidity. J Child Psychol Psychiatry 40:57–87
Lahey BB, Rathouz PJ, van Hulle C, Urbano RC, Krueger RF, Applegate B et al (2008) Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. J Abnorm Child Psychol 36:187–206
Bongers I, Koot H, van der Ende J, Verhulst FC (2003) The normative development of child and adolescent problem behavior. J Abnorm Psychol 112:179–192
Verhulst FC, van der Ende J (1997) Factors associated with child mental health service use in the community. J Am Acad Child Adolesc Psychiatry 36:901–909
Zahn-Waxler C, Klimes-Dougan B, Slattery MJ (2000) Internalizing problems of childhood and adolescence: prospects, pitfalls, and progress in understanding the development of anxiety and depression. Dev Psychopathol 12:443–466
Campbell SB (1995) Behaviour problems in preschool children: a review of recent research. J Child Psychol Psychiatry 36:113–149
Keiley MK, Bates JE, Dodge KA, Pettit GS (2000) A cross-domain growth analysis: externalizing and internalizing behaviors during 8 years of childhood. J Abnorm Child Psychol 28:161–179
Ford T, Goodman R, Meltzer H (2004) The relative importance of child, family, school and neighbourhood correlates of childhood psychiatric disorder. Soc Psychiatry Psychiatr Epidemiol 39:487–496
Furniss T, Beyer T, Muller JM (2009) Impact of life events on child mental health before school entry at age six. Eur Child Adolesc Psychiatry 18:717–724
Caughty MO, O’Campo PJ, Muntaner C (2003) When being alone might be better: neighbourhood poverty, social capital and child mental health. Soc Sci Med 57:227–237
Dunn J (2001) Children’s development and adjustment in different family settings. In: Association of Child Psychology and Psychiatry Occasional Papers, Child Mental Health in Europe, vol 17. ACPP, London, pp 19–37
Furniss T, Beyer T, Guggenmos J (2006) Prevalence of behavioural and emotional problems among six-years-old preschool children: baseline results of a prospective longitudinal study. Soc Psychiatry Psychiatr Epidemiol 41:394–399
Achenbach TM (1991) Manual for the Child Behavior Checklist/4–18 and 1991 profile. Department of Psychiatry, University of Vermont, Burlington
Verhulst FC, Achenbach TM (1995) Empirically based assessment and taxonomy of psychopathology: cross-cultural applications. A review. Eur Child Adolesc Psychiatry 4:61–76
Doepfner M, Schmeck K, Berner W, Lehmkuhl G, Poustka F (1994) Zur Reliabilitaet und faktoriellen Validitaet der Child Behavior Checklist: eine Analyse in einer klinischen und einer Feldstichprobe. Z Kinder Jugendpsychiatr 22:189–205
Haffner J, Esther C, Muench H, Parzer P, Raue B, Steen R et al (2002) Verhaltens-auffaelligkeiten im Einschulungsalter aus elterlicher Perspektive: Ergebnisse zu Praevalenz und Risikofaktoren in einer epidemiologischen Studie. Prax Kinderpsychol Kinderpsychiatr 51:675–696
Arbeitsgruppe Deutsche Child Behavior Checklist (1998) German version of the Child Behavior Checklist cbcl/4–18, 2nd edn. KJFD, Cologne
Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Erlbaum, Hillsdale, NJ
Tremblay RE (2000) The development of aggressive behaviour during childhood: what have we learned in the past century? Int J Behav Dev 24:129–141
Ashford J, van Pier PA, Timmermans M, Cuipers P, Koot HM (2008) Prenatal smoking and internalizing and externalizing problems in children studied from childhood to late adolescence. J Am Acad Child Adolesc Psychiatry 47:779–787
Fite PJ, Stoppelbein L, Greening L, Dhossche D (2008) Child internalizing and externalizing behavior as predictors of age at first admission and risk for repeat admission to a child inpatient facility. Am J Orthopsychiatry 78:63–69
Oland AA, Shaw DS (2005) Pure versus co-occurring externalizing and internalizing symptoms in children: the potential role of socio-developmental milestones. Clin Child Fam Psychol Rev 8:247–270
Harland P, Reijneveld SA, Brugman E, Verloove-Vanhorick SP, Verhulst FC (2002) Family factors and life events as risk factors for behavioural and emotional problems in children. Eur Child Adolesc Psychiatry 11:176–184
Kroes M, Kalff AC, Steyaert J, Kessels AG, Feron FJ, Hendriksen JG et al (2002) A longitudinal community study: do psychosocial risk factors and Child Behavior Checklist scores at 5 years of age predict psychiatric diagnoses at a later age? J Am Acad Child Adolesc Psychiatry 41:955–963
Mesman J, Koot HM (2001) Early preschool predictors of preadolescent internalizing and externalizing DSM-IV diagnoses. J Am Acad Child Adolesc Psychiatry 40:1029–1036
Edelbrock C, Costello AJ (1988) Convergence between statistically derived behaviour problem syndromes and child psychiatric diagnosis. J Abnorm Child Psychol 16:219–231
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Beyer, T., Postert, C., Müller, J.M. et al. Prognosis and Continuity of Child Mental Health Problems from Preschool to Primary School: Results of a Four-Year Longitudinal Study. Child Psychiatry Hum Dev 43, 533–543 (2012). https://doi.org/10.1007/s10578-012-0282-5
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DOI: https://doi.org/10.1007/s10578-012-0282-5