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Bidirectional Relations between Adverse Childhood Experiences and Children’s Behavioral Problems

Child and Adolescent Social Work Journal volume 39, pages 183–193 (2022)Cite this article

Abstract

Research has shown that adverse childhood experiences (ACEs) increase the risk of poor health and well-being, yet less is known about the pathways through which these life outcomes emerge. For instance, prospective, longitudinal research into the link between ACEs and the trajectories of children’s behavioral problems is limited. Moreover, no longitudinal study has investigated whether children’s behavioral problems also increase their risk of adverse experiences over time. Therefore, the main purpose of this study is to explore bidirectional relations between adverse childhood experiences (ACEs) and children’s behavioral problems in a sample of low-income children. This study uses the Fragile Families and Child Wellbeing Study, a birth cohort study of 4898 children followed from birth through 15 years of age. A random intercept cross-lagged panel model was fit to examine the bidirectional relations between ACEs and child behavioral problems. Study findings indicated that age 5 ACEs score significantly predicted age 9 anxious or depressed problems and age 9 aggressive problems. Age 5 anxious or depressed problems also significantly predicted age 9 ACEs exposure. From age 3 to age 9, ACEs also played a dominant role in the bidirectional relations with behavioral problems. There were certain bidirectional relations between ACEs and child behavioral problems. The findings have implications for understanding the etiology and consequences of adversities as well as the design of prevention and intervention strategies.

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References

  • Achenbach, T. M. (1991). Manual for the Child Behvaior Checklist/4-18 and 1991 profile. Burlingto: Department of Psychiatry, University of Vermont.

    Google Scholar 

  • Angold, A., Messer, S. C., Stangl, D., & Burns, E. J. (1998). Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88, 75–80.

    PubMed  PubMed Central  Google Scholar 

  • Appleyard, K., Egeland, B., van Dulman, M. H., & Sroufe, L. A. (2005). When more is not better: The role of cumulative risk in child behavior outcomes. Journal of Child Psychology and Psychiatry, 46, 235–245.

    PubMed  Google Scholar 

  • Berger, L. M., & Font, S. A. (2015). The role of the family and family-centered programs and policies. The Future of Children, 25(1), 155–176.

    PubMed  PubMed Central  Google Scholar 

  • Bongers, I. L., Koot, H. M., van der Ende, J., & Verhulst, F. C. (2003). The normative development of child and adolescent problem behavior. Journal of Abnormal Psychology, 112(2), 179–192.

    PubMed  Google Scholar 

  • Bountress, K., & Chassin, L. (2015). Risk for behavior problems in children of parents with substance use disorders. American Journal of Orthopsychiatry, 85(3), 275–286.

    Google Scholar 

  • Broidy, L. M., Nagin, D. S., Tremblay, R. E., Bates, J. E., Brame, B., Dodge, K. A., & Vitaro, F. (2003). Developmental trajectories of childhood disruptive behaviors and adolescent delinquency: A six-site, cross-national study. Developmental Psychology, 39(2), 222–245.

    PubMed  PubMed Central  Google Scholar 

  • Brown, J., Cohen, P., Johnson, J. G., & Salzinger, S. (1998). A longitudinal analysis of risk factors for child maltreatment: Findings of a 17-year prospective study of officially recorded and self-reported child abuse and neglect. Child Abuse and Neglect, 22, 1065–1078.

    PubMed  Google Scholar 

  • Chung, E. K., Nurmohamed, L., Mathew, L., Elo, I. T., Coyne, J. C., & Culhane, J. F. (2010). Risky health behaviors among mothers-to-be: The impact of adverse childhood experiences. Academic Pediatrics, 10(4), 245–251.

    PubMed  PubMed Central  Google Scholar 

  • Coie, J. D., & Dodge, K. A. (1998). Aggression and antisocial behavior. In W. Damon & N. Eisenberg (Eds.), Handbook of child psychology: Social, emotional, and personality development (Vol. 3, pp. 779–862). New York: Wiley.

    Google Scholar 

  • Cooke, J. E., Racine, N., Plamondon, A., Tough, S., & Madigan, S. (2019). Maternal adverse childhood experiences, attachment style, and mental health: Pathways of transmission to child behavior problems. Child Abuse and Neglect, 93, 27–37.

    PubMed  Google Scholar 

  • Dube, S. R., Williamson, D. F., Thompson, T., Felitti, V. J., & Anda, R. F. (2004). Assessing the reliability of retrospective reports of adverse childhood experiences among adult HMO members attending a primary care clinic. Child Abuse and Neglect, 28, 729–737.

    PubMed  Google Scholar 

  • Elder, G. H. (1998). The life course as developmental theory. Child Development, 69, 1–12.

    PubMed  Google Scholar 

  • Ethier, L. S., Lemelin, J. P., & Lacharite, C. (2004). A longitudinal study of the effects of chronic maltreatment on children’s behavioral and emotional problems. Child Abuse and Neglect, 28, 1265–1278.

    PubMed  Google Scholar 

  • Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalzing problems from age 2 to age 12: findings from the National Institute of Child Health and Human Development Study of Early Child Care. Developmental Psychology, 46(5), 1159–1175.

    PubMed  Google Scholar 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., … Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.

    PubMed  Google Scholar 

  • Finkelhor, D., Shattuck, A., Turner, H., & Hamby, S. (2015). A revised inventory of adverse childhood experiences. Child Abuse and Neglect, 48, 13–21.

    PubMed  Google Scholar 

  • Font, S. A., & Berger, L. M. (2015). Child maltreatment and children’s developmental trajectories in early to middle childhood. Child Development, 86(2), 536–556.

    PubMed  Google Scholar 

  • Garber, J., Quiggle, N., Panak, W., & Dodge, K. (1991). Aggression and depression in children: Comorbidity, specificity, and social cognitive processing. In D. Cicchetti & S. L. Toth (Eds.), Rochester Symposium on Developmental Psychopathology (Vol. 2, pp. 225–264)., Internalizing and externalizing expressions of dysfunction Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Godinet, M., Li, F., & Berg, T. (2014). Early childhood maltreatment and trajectories of behavioral problems: Exploring gender and racial differences. Child Abuse and Neglect, 38, 544–556.

    PubMed  Google Scholar 

  • Green, J. G., McLaughlin, K. A., Berglund, P. A., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010). Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67(2), 113–123.

    PubMed  PubMed Central  Google Scholar 

  • Hamaker, E. L. (2018). How to run the RI-CLPM with Mplus. Retrieved from https://www.statmodel.com/download/RI-CLPM%20Hamaker%20input.pdf

  • Hamaker, E. L., Kuiper, R. M., & Grasman, R. P. (2015). A critique of the cross-lagged panel model. Psychological Methods, 20(1), 102–116.

    PubMed  Google Scholar 

  • Hatcher, S. S., Maschi, T., Morgen, K., & Toldson, I. A. (2009). Exploring the impact of racial and ethnic differences in the emotional and behavioral responses of maltreated youth: Implications for culturally competent services. Children and Youth Services Review, 31, 1042–1048.

    Google Scholar 

  • Howard, K. S., & Brooks-Gunn, J. (2009). The role of home visiting programs in preventing child abuse and neglect. The Future of Children, 19(2), 119–146.

    PubMed  Google Scholar 

  • Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., & Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis. The Lancet Public Health, 2(8), e356–e366.

    PubMed  Google Scholar 

  • Hunt, T. K. A., Slack, K. S., & Berger, L. M. (2017). Adverse childhood experiences and behavioral problems in middle childhood. Child Abuse and Neglect, 67, 391–402.

    PubMed  Google Scholar 

  • Ireland, T. O., Smith, C. A., & Thornberry, T. P. (2002). Developmental issues in the impact of child maltreatment on later delinquency and drug use. Criminology, 40, 359–399.

    Google Scholar 

  • Jimenez, M. E., Wade, R., Jr., Lin, Y., Morrow, L. M., & Reichman, N. E. (2016). Adverse experiences in early childhood and kindergarten outcomes. Pediatrics, 137(2), e20151839.

    PubMed  PubMed Central  Google Scholar 

  • Jimenez, M. E., Wade, R., Jr., Schwartz-Soicher, O., Lin, Y., & Reichman, N. E. (2017). Adverse childhood experiences and ADHD diagnosis at age 9 years in a national urban sample. Academic Pediatrics, 17, 356–361.

    PubMed  Google Scholar 

  • Jöreskog, K., & Sörbom, D. (1993). LISREL 8: Structural Equation Modeling with the SIMPLIS Command Language. Chicago, IL: Scientific Software International Inc.

    Google Scholar 

  • Kalmakis, K. A., & Chandler, G. E. (2015). Health consequences of adverse childhood experiences: A systematic review. Journal of the American Association of Nurse Practitioners, 27, 457–465.

    PubMed  Google Scholar 

  • Keiley, M. K., Lofthouse, N., Bates, J. E., Dodge, K. A., & Pettit, G. S. (2003). Differential risks of covarying and pure components in mother and teacher reports of externalizing and internalzing behavior across ages 5 to 14. Journal of Abnormal Child Psychology, 31, 267–283.

    PubMed  PubMed Central  Google Scholar 

  • Kessler, R. C., Andrews, G., Mroczek, D., Ustun, T. B., & Wittchen, H. U. (1998). The world health organization composite international diagnostic interview short-form (CIDI-SF). International Journal of Methods in Psychiatric Research, 7, 171–185.

    Google Scholar 

  • Kovacs, M., & Devline, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology and Psychiatry, 1, 47–63.

    Google Scholar 

  • Lê-Scherban, F., Wang, X., Boyle-Steed, K. H., Lee, M., & Pachter, D. O. (2018). Intergenerational associations of parent adverse childhood experiences and child health outcomes. Pediatrics, 141(6), e20174274.

    PubMed  Google Scholar 

  • Li, F., & Godinet, M. T. (2014). The impact of repeated maltreatment on behavioral trajectories from early childhood to early adolescence. Chilren and Youth Services Review, 36, 22–29.

    Google Scholar 

  • MacKenzie, M. J., Kotch, J. B., & Lee, L. (2011). Toward a cumulative ecological risk model for the etiology of child maltreatment. Chilren and Youth Services Review, 33(9), 1638–1647.

    Google Scholar 

  • McKelvey, L. M., Whiteside-Mansell, L., Conners-Burrow, N. A., Swindle, T., & Fitzgerald, S. (2016). Assessing adverse experiences from infancy through early childhood in home visiting programs. Child Abuse and Neglect, 51, 295–302.

    PubMed  Google Scholar 

  • McLanahan, S., Garfinkel, I., Waldfogel, J., & Edin, K. (2019). Fragile Families and Child Wellbeing Study, Public Use, United States, 1998-2017. Inter-university Consortium for Political and Social Research [distributor].

  • Merrick, M. T., Ford, D. C., Ports, K. A., & Guinn, A. S. (2018). Prevalence of adverse childhood experiences from the 2011-2014 behavioral risk factor surveillance system in 23 states. JAMA Pediatrics, 172(11), 1038–1044.

    PubMed  PubMed Central  Google Scholar 

  • Mersky, J. P., Janczewski, C. E., & Topitzes, J. (2017). Rethinking the measurement of adversity: Moving toward second-generation research on adverse childhood experiences. Child Maltreatment, 22(1), 58–68.

    PubMed  Google Scholar 

  • Moylan, C. A., Herrenkohl, T. I., Sousa, C., Tajima, E. A., Herrenkohl, R. C., & Russo, M. J. (2010). The effects of child abuse and exposure to domestic violence on adolescent internalizing and externalizing behavior problems. Journal of Family Violence, 25(1), 53–63.

    PubMed  PubMed Central  Google Scholar 

  • Reichman, N., Teitler, J., Garfinkel, I., & McLanahan, S. (2001). Fragile families: Sample and design. Children and Youth Services Review, 23(4–5), 303–326.

    Google Scholar 

  • Roza, S. J., Hofstra, M. B., van der Ende, J., & Verhulst, F. C. (2003). Stable prediction of mood and anxiety disorders based on behavioral and emotional problems in childhood: A 14-Year follow-up during childhood, adolescence, and young adulthood. American Journal of Psychiatry, 160(12), 2116–2121.

    Google Scholar 

  • Sameroff, A. (2009). The transactional model. In A. Sameroff (Ed.), The transactional model of development: How children and contexts shape each other (pp. 3–21). Washington, DC: American Psychological Association.

    Google Scholar 

  • Sterba, S. K., Prinstein, M. J., & Cox, M. J. (2007). Trajectories of internalizing problems across childhood: Heterogeneity, external validity, and gender differences. Development and Psychopathology, 19, 345–366.

    PubMed  Google Scholar 

  • Stith, S. M., Liu, T., Davies, C., Boykin, E. L., Alder, M. C., Harris, J. M., … Dees, J. (2009). Risk factors in child maltreatment: A meta-analytic review of the literature. Aggression and Violent Behavior, 14(1), 13–29.

    Google Scholar 

  • Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised Conflict Tactics Scales (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17(3), 283–316.

    Google Scholar 

  • Straus, M. A., Hamby, S. L., Finkelhor, D., Moore, D. W., & Runyan, D. (1998). Identification of child maltreatment with the Parent-Child Conflict Tactics Scales: Development and Psychometric Data for a national sample of American parents. Child Abuse and Neglect, 22(4), 249–270.

    PubMed  Google Scholar 

  • Thornberry, T. P., Ireland, T. O., & Smith, C. A. (2001). The importance of timing: The varying impact of childhood and adolescent maltreatment on multiple problem outcomes. Developmental Psychopathology, 13, 957–979.

    Google Scholar 

  • Topitzes, J., Pate, D. J., Berman, N. D., & Medina-Kirchner, C. (2016). Adverse childhood experiences, health, and employment: A study of men seeking job services. Child Abuse and Neglect, 61, 23–34.

    PubMed  Google Scholar 

  • Turney, K. (2012). Pathways of disadvantage: Explaining the relationship between maternal depression and children’s problem behaviors. Social Science Research, 41, 1546–1564.

    PubMed  Google Scholar 

  • Wade, R., Shea, J. A., Rubin, D., & Wood, J. (2014). Adverse childhood experiences of low-income urban youth. Pediatrics, 134(1), e13–e20.

    PubMed  Google Scholar 

  • Walters, E. E., Kessler, R. C., Nelson, R. C., & Mroczek, D. (2002). Scoring the World Health Organization Composite International Diagnostic Interview Short Form (CIDI-SF). Geneva: World Health Organization.

    Google Scholar 

  • Wang, X., & Maguire-Jack, K. (2018). Family and environmental influences on child behavioral health: The role of neighborhood disorder and adverse childhood experiences. Journal of Developmental and Behavioral Pediatrics, 39(1), 28–36.

    PubMed  Google Scholar 

  • Weiss, B., & Catron, T. (1994). Specificity of the comorbidity of aggression and depression in children. Journal of Abnormal Child Psychology, 22(3), 389–401.

    PubMed  Google Scholar 

  • Wildeman, C. (2010). Paternal incarceration and children’s physically aggressive behaviors: Evidence from the Fragile Families and Child Wellbeing Study. Social Forces, 89(1), 285–309.

    Google Scholar 

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Authors and Affiliations

  1. Department of Social Work, University of Northern Iowa, 1227 W 27th St, Sabin Hall 257, Cedar Falls, IA, 50614, USA

    Lixia Zhang

  2. Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, Milwaukee, USA

    Joshua P. Mersky

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  1. Lixia Zhang
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  2. Joshua P. Mersky
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Correspondence to Lixia Zhang.

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Zhang, L., Mersky, J.P. Bidirectional Relations between Adverse Childhood Experiences and Children’s Behavioral Problems. Child Adolesc Soc Work J 39, 183–193 (2022). https://doi.org/10.1007/s10560-020-00720-1

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