Abstract
The trajectories of behavioral problems have not been fully elucidated to date, particularly in the Chinese cultural context. This study attempted to delineate the trajectories of internalizing and externalizing problems and their predictors for Chinese children based on a longitudinal study. Three waves of data were collected from parent-reported questionnaires from a survey sample of 520 Chinese parents who had children aged 4 to 7 years. Unconditional and conditional growth mixture modeling was conducted in the study. The results showed that trajectories of internalizing and externalizing problems were heterogeneous in children 4 to 7, including Stable and Low pattern and Decreased pattern. The children’s gender, the number of children, and caregivers’ education levels predicted trajectories of internalizing and externalizing problems. These findings suggest that internalizing and externalizing problems may have different trajectories, and prevention strategies should be implemented based on specific subtypes. Additionally, the findings highlight that many more longitudinal studies should be conducted concerning the internalizing and externalizing problems and to examine their trends.
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References
Bao, P., Jing, J., Jin, Y., Hu, X., Liu, B., & Hu, M. (2016). Trajectories and the influencing factors of behavior problems in preschool children: a longitudinal study in Guangzhou, China. BMC Psychiatry, 16, 178. https://doi.org/10.1186/s12888-016-0864-z
Bernstein, D. P., & Fink, L. (1998). Childhood Trauma Questionnaire: a retrospective self-report: Manual. The Psychological Corporation.
Bevilacqua, L., Kelly, Y., Heilmann, A., Priest, N., & Lacey, R. E. (2021). Adverse childhood experiences and trajectories of internalizing, externalizing, and prosocial behaviors from childhood to adolescence. Child Abuse & Neglect, 112, 104890. https://doi.org/10.1016/j.chiabu.2020.104890
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, 179–192. https://doi.org/10.1037/0021-843X.112.2.179
Bornstein, M. H., Hahn, C. S., & Haynes, O. M. (2010). Social competence, externalizing, and internalizing behavioral adjustment from early childhood through early adolescence: Developmental cascades. Development and Psychopathology, 22(04), 717–735. https://doi.org/10.1017/S0954579410000416
Bronfenbrenner, U. (1976). The experimental ecology of education. Teachers College Record, 78, 157–204.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Carter, A. S., Godoy, L., Wagmiller, R. L., Veliz, P., Marakovitz, S., & Briggs-Gowan, M. J. (2010). Internalizing trajectories in young boys and girls: the whole is not a simple sum of its parts. Journal of Abnormal Child Psychology, 38, 19–31. https://doi.org/10.1007/s10802-009-9342-0
Chen, C., Wang, X., Qin, J., Huang, Z. (2019). Psychometric testing of the Chinese version of ISPCAN child abuse screening tools parents’ version (ICAST-P). Children and Youth Services Review, 109. https://doi.org/10.1016/j.childyouth.2019.104715
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9, 233–255. https://doi.org/10.1207/S15328007SEM0902_5
Chi, X., & Cui, X. (2020). Externalizing problem behaviors among adolescents in a southern city of China: Gender differences in prevalence and correlates. Children and Youth Services Review, 119, 105632. https://doi.org/10.1016/j.childyouth.2020.105632
Collins, L., & Lanza, S. (2010). Latent class and latent transition analysis (Wiley series in probability and statistics). Hoboken: John Wiley & Sons, Incorporated.
Davis, S., Votruba-Drzal, E., & Silk, J. S. (2015). Trajectories of internalizing symptoms from early childhood to adolescence: Associations with temperament and parenting. Social Development, 24(3), 501–520. https://doi.org/10.1111/sode.1210
Deater-Deckard, K., Dodge, K. A., Bates, J. E., & Pettit, G. S. (1998). Multiple risk factors in the development of externalizing behavior problems: Group and individual differences. Development and Psychopathology, 10, 469–493. https://doi.org/10.1017/S0954579498001709
Dong, H. (2016). A survey on family factors influencing problem behaviors of primary school students. Education Research, 3, 99–110.
Faleschini, S., Matte-Gagné, C., Côté, S., Tremblay, R. E., & Boivin, M. (2020). Trajectories of behavioral problems among moderate-late preterm children from 4 to 10 years: a prospective population-based study. Early Human Development, 143, 104964. https://doi.org/10.1016/j.earlhumdev.2020.104964
Feldman, B., Masyn, K. E., & Conger, R. (2009). New approaches to studying problem behaviors: a comparison of methods for modeling longitudinal, categorical adolescent drinking data. Developmental Psychology, 45(3), 652–676. https://doi.org/10.1037/a0014851
Gallagher, S., Pilch, M., & Hannigan, A. (2018). Prior depressive symptoms and persistent child problem behaviours predict future depression in parents of children with developmental disabilities: the growing up in Ireland cohort study. Research in Developmental Disabilities, 80, 170–179. https://doi.org/10.1016/j.ridd.2018.07.001
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Keiley, M., 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 internalizing behavior across ages 5 to 14. Journal of Abnormal Child Psychology, 31, 267–284. https://doi.org/10.1023/A:1023277413027
Kjellstrand, J., Yu, G., Eddy, J. M., Clark, M., & Jackson, A. (2020). The role of parental incarceration in predicting trajectories of child internalizing problems. Children and Youth Services Review, 115, 105055. https://doi.org/10.1016/j.childyouth.2020.105055
Liu, Q., Zhou, Y., Xie, X., Xue, Q., Zhu, K., Wan, Z., Wu, H., Zhang, J., & Song, R. (2021). The prevalence of behavioral problems among school-aged children in home quarantine during the COVID-19 pandemic in China. Journal of Affective Disorders, 279, 412–416. https://doi.org/10.1016/j.jad.2020.10.008
Min, M. O., Minnes, S., Park, H., Ridenour, T., Kim, J., Yoon, M., & Singer, L. T. (2018). Developmental trajectories of externalizing behavior from ages 4 to 12: Prenatal cocaine exposure and adolescent correlates. Drug and Alcohol Dependence, 192, 223–232. https://doi.org/10.1016/j.drugalcdep.2018.08.007
Nagin, D. S. (2005). Group-based modeling of development. Harvard University Press.
Petersen, I. T., Bates, J. E., Dodge, K. A., Lansford, J. E., & Pettit, G. S. (2015). Describing and predicting developmental profiles of externalizing problems from childhood to adulthood. Development and Psychopathology, 27, 791–818. https://doi.org/10.1017/S0954579414000789
Prinzie, P., Onghena, P., & Hellinckx, W. (2006). A cohort-sequential multivariate latent growth curve analysis of normative CBCL aggressive and delinquent problem behavior: Associations with harsh discipline and gender. International Journal of Behavioral Development, 30, 444–459. https://doi.org/10.1177/0165025406071901
Scott, A., Winchester, S. B., & Sullivan, M. C. (2018). Trajectories of problem behaviors from 4 to 23 years in former preterm infants. International Journal of Behavioral Development, 42(2), 237–247. https://doi.org/10.1177/0165025417692899
Sterba, S., 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. https://doi.org/10.1017/S0954579407070174
Thomas-Giyer, J., & Keesler, J. M. (2020). Exploring maternal adversity and childhood outcomes among low-income rural families. Child Abuse & Neglect, 111, 104817. https://doi.org/10.1016/j.chiabu.2020.104817
Wang, C., Williams, K. E., Shahaeian, A., & Harrison, L. J. (2018). Early predictors of escalating internalizing problems across middle childhood. School Psychology Quarterly, 33(2), 200–212. https://doi.org/10.1037/spq0000218
Wang, Y., & Yan, N. (2019). Trajectories of internalizing and externalizing problems in preschoolers of depressed mothers: Examining gender differences. Journal of Affective Disorders, 257, 551–561. https://doi.org/10.1016/j.jad.2019.07.047
Wickrama, K. K. A. S., Lee, T. K., O’Neal, C. W., & Lorenz, F. O. (2016). Higher-order growth curves and mixture modeling with Mplus. Taylor & Francis.
Winsler, A., Diaz, R. M., Atencio, D. J., McCarthy, E. M., & Adams Chabay, L. (2000). Verbal self-regulation over time in preschool children at-risk for attention and behavior problems. Journal of Child Psychology and Psychiatry and Allied Disciplines, 41, 875–886. https://doi.org/10.1111/1469-7610.00675
Yoon, Y., Cederbaum, J. A., Mennen, F. E., Traube, D. E., Chou, C., & Lee, J. O. (2019). Linkage between teen mother’s childhood adversity and externalizing behaviors in their children at age 11: Three aspects of parenting. Child Abuse & Neglect, 88, 326–336. https://doi.org/10.1016/j.chiabu.2018.12.005
Yoon, S., Yoon, D., Wang, X., Tebben, E., Lee, G., & Pei, F. (2017). Co-development of internalizing and externalizing behavior problems during early childhood among child welfare-involved children. Children and Youth Services Review, 82, 455–465. https://doi.org/10.1016/j.childyouth.2017.10.016
Zhao, X., Zhang, Y., & Li, L. (2005). Reliability and validity of the Chinese version of childhood trauma questionnaire. Chinese Journal of Tissue Engineering Research, 9(20), 105–107.
Zhang, G., Liang Z., Chen, H., & Zhang, P. (2008). The stability of children’s behavior problem from 2 to 11 years old. Psychological Development and Education, 2, 1–5. https://doi.org/10.16187/j.cnki.issn1001-4918.2008.02.004
Zhang, M., Boyd, A., Cheung, S., Sharland, E., & Scourfield, J. (2020). Social work contact in a UK cohort study: Under-reporting, predictors of contact and the emotional and behavioural problems of children. Children and Youth Services Review, 115, 105071. https://doi.org/10.1016/j.childyouth.2020.105071
Acknowledgements
We wish to thank, the children, caregivers and teachers to participate in the study.
Funding
Beijing Normal University at Zhuhai(28817-111032102); Ministry of Education of the People’s Republic of China (21YJC880005); Philosophy and social science grant of Zhuhai city (2021YBA049).
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Chen, C. Trajectories of Behavioral Problems and Predictors in Children Aged 4 to 7 Years: a Growth Mixture Model Analysis. J Psychopathol Behav Assess 44, 636–648 (2022). https://doi.org/10.1007/s10862-022-09953-z
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DOI: https://doi.org/10.1007/s10862-022-09953-z