Skip to main content

Advertisement

Log in

Investigating subtypes of children’s social, emotional and behavioral problems using latent profile analysis

  • Published:
Current Psychology Aims and scope Submit manuscript

Abstract

The current study aimed to explore subtypes of elementary school children regarding their social, emotional, and behavioral problems, validate the derived profiles with the mean differences of two outcomes (i.e., children’s peer problems and prosocial behaviors) across the profile groups, and then examine the association between predictors (i.e., gender, ethnicity, and covid-19 impact status) and students’ profile membership. Elementary school teachers rated 639 children ages 5 to 12 with the Pediatric Symptom Checklist-17 (PSC-17). Four groups were identified using the Latent Profile Analysis (LPA): Well-adjusted (51.6%), Comorbid Attention and Externalizing Risk (21.9%), Internalizing Risk (18.2%), and Severe Risk (8.3%). Students in the Well-adjusted profile showed a low-risk level for peer problems and high prosocial skills. The Well-adjusted group tends to have more females than the Comorbid Attention and Externalizing Risk group and Severe Risk group. More children from the minority group were represented in the Comorbid Attention and Externalizing Risk group rather than the Well-adjusted group. The Well-adjusted group tends to have more children whose behaviors were not affected by Covid-19 than the other three profiles. The findings highlight the importance of early intervention to prevent the potential occurrence of specific or comorbid aspects of social, emotional, and behavioral problems.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data availability

The datasets generated for this study are available on request to the corresponding author.

References

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA School-age Forms & Profiles. Research Center for Children, Youth & Families, University of Vermont.

    Google Scholar 

  • Aebi, M., Giger, J., Plattner, B., Metzke, C. W., & Steinhausen, H. C. (2014). Problem coping skills, psychosocial adversities, and mental health problems in children and adolescents as predictors of criminal outcomes in young adulthood. European Child & Adolescent Psychiatry, 23(5), 283–293.

    Google Scholar 

  • Albano, A. M., & Krain, A. (2005). Anxiety and anxiety disorders in girls. In D. J. Bell, S. L. Foster, & E. J. Mash (Eds.), Handbook of behavioral and emotional problems in girls (pp. 79–116). Springer.

    Google Scholar 

  • Althoff, R. R., Rettew, D. C., Ayer, L. A., & Hudziak, J. J. (2010). Cross-informant agreement of the dysregulation profile of the child behavior checklist. Psychiatry Research, 178(3), 550–555.

    PubMed  PubMed Central  Google Scholar 

  • Ara, E. (2016). Internalizing and externalizing problems in adolescents analyzing the gender difference. International Journal of Research in Social Sciences, 6(1), 328–337.

    Google Scholar 

  • Bagwell, C. L., Coie, J. D., Terry, R. A., & Lochman, J. E. (2000). Peer clique participation and social status in preadolescence. MerrillPalmer Q., 45, 280–305.

    Google Scholar 

  • Basten, M. M., Althoff, R. R., Tiemeier, H., Jaddoe, V. W., Hofman, A., Hudziak, J. J., ... & van der Ende, J. (2013). The dysregulation profile in young children: Empirically defined classes in the generation R study. Journal of the American Academy of Child & Adolescent Psychiatry, 52(8), 841–850.

  • Basten, M., Tiemeier, H., Althoff, R. R., van de Schoot, R., Jaddoe, V. W., Hofman, A., ... & van der Ende, J. (2016). The stability of problem behavior across the preschool years: An empirical approach in the general population. Journal of Abnormal Child Psychology, 44(2), 393–404.

  • Beg, M. R., Casey, J. E., & Saunders, C. D. (2007). A typology of behavior problems in preschool children. Assessment, 14(2), 111–128.

    PubMed  Google Scholar 

  • Bergman, L. R., & Magnusson, D. (1997). A person-oriented approach in research on developmental psychopathology. Development and Psychopathology, 9(2), 291–319.

    PubMed  Google Scholar 

  • Bergman, L. R., Andershed, H., & Andershed, A. K. (2009). Types and continua in developmental psychopathology: Problem behaviors in school and their relationship to later antisocial behavior. Development and Psychopathology, 21(3), 975–992.

    PubMed  Google Scholar 

  • Bergmann, P., Lucke, C., Nguyen, T., Jellinek, M., & Murphy, J. M. (2018). Identification and utility of a short form of the pediatric symptom checklist-youth self-report (PSC-17-Y). European Journal of Psychological Assessment.

  • Berlin, K. S., Williams, N. A., & Parra, G. R. (2014). An introduction to latent variable mixture modeling (part 1): Overview and cross-sectional latent class and latent profile analyses. Journal of Pediatric Psychology, 39(2), 174–187.

    PubMed  Google Scholar 

  • Blucker, R. T., Jackson, D., Gillaspy, J. A., Hale, J., Wolraich, M., & Gillaspy, S. R. (2014). Pediatric behavioral health screening in primary care: A preliminary analysis of the pediatric symptom checklist-17 with functional impairment items. Clinical Pediatrics, 53(5), 449–455.

    PubMed  Google Scholar 

  • Borowsky, I. W., Mozayeny, S., & Ireland, M. (2003). Brief psychosocial screening at health supervision and acute care visits. Pediatrics, 112(1), 129–113.

    PubMed  Google Scholar 

  • Briggs, R. D., Stettler, E. M., Silver, E. J., et al. (2012). Social-emotional screening for infants and toddlers in primary care. Pediatrics, 129(2), e377–e384.

    PubMed  Google Scholar 

  • Briggs-Gowan, M. J., Carter, A. S., Bosson-Heenan, J., Guyer, A. E., & Horwitz, S. M. (2006). Are infant-toddler social-emotional and behavioral problems transient? Journal of the American Academy of Child & Adolescent Psychiatry, 45(7), 849–858.

    Google Scholar 

  • Brown, T. N. (2003). Critical race theory speaks to the sociology of mental health: Mental health problems produced by racial stratification. Journal of Health and Social Behavior, 292–301.

  • Brown, B. B., & Klute, C. (2003). Cliques, crowds, and friendships. In G. R. Adams & M. Berzonsky (Eds.), Handbook of adolescent development (pp. 330–348). Blackwell.

    Google Scholar 

  • Bruhn, A. L., Woods-Groves, S., & Huddle, S. (2014). A preliminary investigation of emotional and behavioral screening practices in K–12 schools. Education and Treatment of Children, 37(4), 611–634.

    Google Scholar 

  • Caci, H., Morin, A. J., & Tran, A. (2015). Investigation of a bifactor model of the strengths and difficulties questionnaire. European Child & Adolescent Psychiatry, 24(10), 1291–1301.

    Google Scholar 

  • Chaffin, M., Campbell, C., Whitworth, D. N., Gillaspy, S. R., Bard, D., Bonner, B. L., & Wolraich, M. L. (2017). Accuracy of a pediatric behavioral health screener to detect untreated behavioral health problems in primary care settings. Clinical Pediatrics, 56(5), 427–434.

    PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • Cicchetti, D. (1993). Developmental psychopathology: Reactions, reflections, projections. Developmental Review, 13(4), 471–502.

    Google Scholar 

  • Cicchetti, D., & Rogosch, F. A. (1996). Equifinality and multifinality in developmental psychopathology. Development and Psychopathology, 8(4), 597–600.

    Google Scholar 

  • Connell, A., Bullock, B. M., Dishion, T. J., Shaw, D., Wilson, M., & Gardner, F. (2008). Family intervention effects on co-occurring early childhood behavioral and emotional problems: A latent transition analysis approach. Journal of Abnormal Child Psychology, 36(8), 211–1225.

    Google Scholar 

  • Cullins, L. M., & Mian, A. I. (2015). Global child and adolescent mental health: A culturally informed focus. Child and Adolescent Psychiatric Clinics, 24(4), 823–830.

    Google Scholar 

  • Culpepper, S. A., & Aguinis, H. (2011). Using analysis of covariance (ANCOVA) with fallible covariates. Psychological Methods, 16(2), 166.

    PubMed  Google Scholar 

  • Dahle, A. E., & Knivsberg, A. M. (2014). Internalizing, externalizing and attention problems in dyslexia. Scandinavian Journal of Disability Research, 16(2), 179–193.

    Google Scholar 

  • Darling, S., Dawson, G., Quach, J., Smith, R., Perkins, A., Connolly, A., ... & Oberklaid, F. (2021). Mental health and wellbeing coordinators in primary schools to support student mental health: Protocol for a quasi-experimental cluster study. BMC Public Health, 21(1), 1–14.

  • DiStefano, C., & Kamphaus, R. W. (2006). Investigating subtypes of child development: A comparison of cluster analysis and latent class cluster analysis in typology creation. Educational and Psychological Measurement, 66(5), 778–794.

    Google Scholar 

  • DiStefano, C. A., & Kamphaus, R. W. (2007). Development and validation of a behavioral screener for preschool-age children. Journal of Emotional and Behavioral Disorders, 15(2), 93–102.

    Google Scholar 

  • DiStefano, C., Liu, J., & Burgess, Y. (2017). Investigating the structure of the Pediatric Symptoms Checklist in the preschool setting. Journal of Psychoeducational Assessment, 35(5), 494–505.

    Google Scholar 

  • DiStefano, C., Barth, S. G., & Greer, F. (2019). Assessing equivalency of PSC-17 ratings: Does it matter if mixed or grouped item format is used? Journal of Psychoeducational Assessment, 37(7), 920–924.

    Google Scholar 

  • Duncan, G. J., & Magnuson, K. (2011). The nature of early achievement skills, attention, and behavior problems. In G. J. Duncan & R. J. Murnane (Eds.), Whither opportunity? Rising inequality, schools, and children’s life chances (pp. 47–69). Russell Sage.

    Google Scholar 

  • DuPaul, G. J., Reid, R., Anastopoulos, A. D., Lambert, M. C., Watkins, M. W., & Power, T. J. (2016). Parent and teacher ratings of attention-deficit/hyperactivity disorder symptoms: Factor structure and normative data. Psychological Assessment, 28(2), 214.

    PubMed  Google Scholar 

  • Duprey, E. B., Oshri, A., & Liu, S. (2020). Developmental pathways from child maltreatment to adolescent suicide-related behaviors: The internalizing and externalizing comorbidity hypothesis. Development and psychopathology, 32(3), 945–959.

    PubMed  PubMed Central  Google Scholar 

  • El-Habil, A. M. (2012). An application on multinomial logistic regression model. Pakistan Journal of Statistics and Operation Research, 271–291.

  • Erdogan, S., & Ozturk, M. (2011). Psychometric evaluation of the Turkish version of the pediatric symptom Checklist-17 for detecting psychosocial problems in low-income children. Journal of Clinical Nursing, 20(17–18), 2591–2599.

    PubMed  Google Scholar 

  • Essex, M. J., Kraemer, H. C., Slattery, M. J., Burk, L. R., Thomas Boyce, W., Woodward, H. R., & Kupfer, D. J. (2009). Screening for childhood mental health problems: Outcomes and early identification. Journal of Child Psychology and Psychiatry, 50(5), 562–570.

    PubMed  Google Scholar 

  • Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalizing 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.

    PubMed  Google Scholar 

  • Fonseca-Pedrero, E., Ortuño-Sierra, J., & Pérez-Albéniz, A. (2020). Emotional and behavioural difficulties and prosocial behaviour in adolescents: A latent profile analysis. Revista de Psiquiatría y Salud Mental (English Edition), 13(4), 202–212.

    Google Scholar 

  • Frick, P. J., Barry, C. T., & Kamphaus, R. W. (2010). Clinical assessment of child and adolescent personality and behavior (pp. 413–435). Springer.

    Google Scholar 

  • Furr, M. (2011). Scale construction and psychometrics for social and personality psychology. SAGE Publications Ltd..

    Google Scholar 

  • Gage, N. A. (2013). Characteristics of students with emotional disturbance manifesting internalizing behaviors: A latent class analysis. Education and Treatment of Children, 36(4), 127–145.

    Google Scholar 

  • Gao, R., Raygoza, A., Distefano, C., Greer, F., & Dowdy, E. (2022). Assessing measurement equivalence of PSC-17 across teacher and parent respondents. School Psychology International, 43(5), 477–495.

    Google Scholar 

  • Garcia, E. (2015). Inequalities at the Starting Gate: Cognitive and Noncognitive Skills Gaps between 2010–2011 Kindergarten Classmates. Report. Economic Policy Institute.

  • Gardner, W., Murphy, M., Childs, G., Kelleher, K., Pagano, M., Jellinek, M., ... & Chiappetta, L. (1999). The PSC-17: A brief pediatric symptom checklist with psychosocial problem subscales. A report from PROS and ASPN. Ambulatory Child Health, 5, 225–222.

  • Gillberg, C., Gillberg, I. C., Rasmussen, P., Kadesjö, B., Söderström, H., Råstam, M., ... & Niklasson, L. (2004). Co–existing disorders in ADHD–implications for diagnosis and intervention. European Child & Adolescent Psychiatry, 13(1), i80-i92.

  • Glover, T. A., & Albers, C. A. (2007). Considerations for evaluating universal screening assessments. Journal of School Psychology, 45(2), 117–135.

    Google Scholar 

  • Goldbaum, S., Craig, W. M., Pepler, D., & Connolly, J. (2003). Developmental trajectories of victimization: Identifying risk and protective factors. Journal of Applied School Psychology, 19(2), 139–156.

    Google Scholar 

  • Goodman, R., & Scott, S. (1999). Comparing the strengths and difficulties questionnaire and the child behavior checklist: Is small beautiful? Journal of Abnormal Child Psychology, 27, 17–24.

    PubMed  Google Scholar 

  • Halle, T. G., & Darling-Churchill, K. E. (2016). Review of measures of social and emotional development. Journal of Applied Developmental Psychology, 45, 8–18.

    Google Scholar 

  • Harrison, J. R., Vannest, K. J., & Reynolds, C. R. (2013). Social acceptability of five screening instruments for social, emotional, and behavioral challenges. Behavioral Disorders, 38(3), 171–189.

    Google Scholar 

  • Hill, A. L., Degnan, K. A., Calkins, S. D., & Keane, S. P. (2006). Profiles of externalizing behavior problems for boys and girls across preschool: The roles of emotion regulation and inattention. Developmental Psychology, 42(5), 913.

    PubMed  Google Scholar 

  • Hinnant, J. B., & El-Sheikh, M. (2013). Codevelopment of externalizing and internalizing symptoms in middle to late childhood: Sex, baseline respiratory sinus arrhythmia, and respiratory sinus arrhythmia reactivity as predictors. Development and Psychopathology, 25(2), 419–436.

    PubMed  Google Scholar 

  • Hipp, J. R., & Bauer, D. J. (2006). Local solutions in the estimation of growth mixture models. Psychological Methods, 11(1), 36.

    PubMed  Google Scholar 

  • Hirsh-Pasek, K., Kochanoff, A., Newcombe, N. S., & De Villiers, J. (2005). Using scientific knowledge to inform preschool assessment: Making the case for “empirical validity”. Social Policy Report, 19(1), 1–20.

    Google Scholar 

  • Hosokawa, R., & Katsura, T. (2018). Socioeconomic status, emotional/behavioral difficulties, and social competence among preschool children in Japan. Journal of Child and Family Studies, 27(12), 4001–4014.

    Google Scholar 

  • Howard, M. C., & Hoffman, M. E. (2018). Variable-centered, person-centered, and person-specific approaches: Where theory meets the method. Organizational Research Methods, 21(4), 846–876.

    Google Scholar 

  • Hoza, B., Mrug, S., Gerdes, A. C., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., ... & Arnold, L. E. (2005). What aspects of peer relationships are impaired in children with attention-deficit/hyperactivity disorder?. Journal of consulting and clinical psychology, 73(3), 411.

  • Hybels, C. F., Blazer, D. G., Pieper, C. F., Landerman, L. R., & Steffens, D. C. (2009). Profiles of depressive symptoms in older adults diagnosed with major depression: A latent cluster analysis. American Journal of Geriatric Psychiatry, 17, 387–396.

    Google Scholar 

  • Jacobson, J. H., Pullmann, M. D., Parker, E. M., & Kerns, S. E. (2019). Measurement based care in child welfare-involved children and youth: Reliability and validity of the PSC-17. Child Psychiatry & Human Development, 50(2), 332–345.

    Google Scholar 

  • Jenkins, L. N., & Fredrick, S. S. (2017). Social capital and bystander behavior in bullying: Internalizing problems as a barrier to prosocial intervention. Journal of Youth and Adolescence, 46(4), 757–771.

    PubMed  Google Scholar 

  • Jung, T., & Wickrama, K. A. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2(1), 302–317.

    Google Scholar 

  • Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & Ustun, T. B. (2007). Age of onset of mental disorders: A review of recent literature. Current Opinion in Psychiatry, 20(4), 359.

    PubMed  PubMed Central  Google Scholar 

  • King, K. R., Lembke, E. S., & Reinke, W. M. (2016). Using latent class analysis to identify academic and behavioral risk status in elementary students. School Psychology Quarterly, 31(1), 43.

    PubMed  Google Scholar 

  • Kochanska, G., & Knaack, A. (2003). Effortful control as a personality characteristic of young children: Antecedents, correlates, and consequences. Journal of Personality, 71(6), 1087–1112.

    PubMed  Google Scholar 

  • Koerhuis, M. J. (2007). Maladaptive social behaviour of students in secondary vocational education. Education Studies, Faculty of Social and Behavioral Sciences, Leiden University.

  • Konold, T. R., Walthall, J. C., & Pianta, R. C. (2004). The behavior of child behavior ratings: Measurement structure of the child behavior checklist across time, informants, and child gender. Behavioral Disorders, 29(4), 372–383.

    Google Scholar 

  • Kuja-Halkola, R., Lichtenstein, P., D'Onofrio, B. M., & Larsson, H. (2015). Codevelopment of ADHD and externalizing behavior from childhood to adulthood. Journal of Child Psychology and Psychiatry, 56(6), 640–647.

    PubMed  Google Scholar 

  • Lambert, M. C., & Lyubansky, M. (1999). Behavioral and emotional problems among Jamaican children and adolescents: An epidemiological survey of parent, teacher, and self-reports for ages 6–18 years. International Journal of Intercultural Relations, 23(5), 727–751.

    Google Scholar 

  • Lane, K. L., & Menzies, H. M. (2003). A school-wide intervention with primary and secondary levels of support for elementary students: Outcomes and considerations. Education and Treatment of Children, 26, 431–451.

  • Lane, K. L., Menzies, H. M., Oakes, W. P., & Kalberg, J. R. (2012). Systematic screenings of behavior to support instruction. Guilford.

    Google Scholar 

  • Lange, K. W., Reichl, S., Lange, K. M., Tucha, L., & Tucha, O. (2010). The history of attention deficit hyperactivity disorder. ADHD Attention Deficit and Hyperactivity Disorders, 2(4), 241–255.

    PubMed  Google Scholar 

  • Laursen, B. P., & Hoff, E. (2006). Person-centered and variable-centered approaches to longitudinal data. Merrill-Palmer Quarterly, 52, 377–389.

    Google Scholar 

  • Leadbeater, B. J., Kuperminc, G. P., Blatt, S. J., & Hertzog, C. (1999). A multivariate model of gender differences in adolescents' internalizing and externalizing problems. Developmental Psychology, 35(5), 1268.

    PubMed  Google Scholar 

  • Liu, J., Chen, X., & Lewis, G. (2011). Childhood internalizing behaviour: Analysis and implications. Journal of Psychiatric and Mental Health Nursing, 18(10), 884–894.

    PubMed  PubMed Central  Google Scholar 

  • Liu, J., Burgess, Y., DiStefano, C., Pan, F., & Jiang, N. (2020a). Validating the pediatric symptoms checklist–17 in the preschool environment. Journal of Psychoeducational Assessment, 38(4), 460–474.

    Google Scholar 

  • Liu, J., Ding, R., Gao, R., Bao, Y., Hood, S. K., & Ni, S. (2022). A preliminary investigation of psychometric properties of the youth-reported Pediatric Symptom Checklist (PSC-Y) in Chinese elementary, middle, and high schools. Journal of Affective Disorders, 311, 205–213.

    PubMed  Google Scholar 

  • Liu, J., Guo, S., Gao, R., & DiStefano, C. (2020b). Investigating school children’s behavioral and emotional problems using pediatric symptoms checklist-17 in a structural equation modeling framework. School Psychology International, 41(3), 257–275.

    Google Scholar 

  • Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88(3), 767–778.

    Google Scholar 

  • Maag, J. W., & Katsiyannis, A. (2010). School-based mental health services: Funding options and issues. Journal of Disability Policy Studies, 21(3), 173–180.

    Google Scholar 

  • Masten, A. S. (2006). Developmental psychopathology: Pathways to the future. International Journal of Behavioral Development, 30(1), 47–54.

    Google Scholar 

  • Melero, S., Orgilés, M., Espada, J. P., & Morales, A. (2021). How does depression facilitate psychological difficulties in children? The mediating role of cognitive emotion regulation strategies. Clinical Psychology & Psychotherapy, 28(2), 384–393.

    Google Scholar 

  • Midouhas, E., Kuang, Y., & Flouri, E. (2014). Neighbourhood human capital and the development of children’s emotional and behavioural problems: The mediating role of parenting and schools. Health & Place, 27, 155–161.

    Google Scholar 

  • Molina, B. S., Pelham, W. E., Blumenthal, J., & Galiszewski, E. (1998). Agreement among teachers' behavior ratings of adolescents with a childhood history of attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 27(3), 330–339.

    PubMed  PubMed Central  Google Scholar 

  • Morales, A., Melero, S., Tomczyk, S., Espada, J. P., & Orgilés, M. (2021a). Subtyping of strengths and difficulties in a Spanish children sample: A latent class analysis. Journal of Affective Disorders, 280, 272–278.

    PubMed  Google Scholar 

  • Morales, A., Rodríguez-Menchón, M., Tomczyk, S., Fernández-Martínez, I., Orgilés, M., & Espada, J. P. (2021b). Internalizing and externalizing symptoms in Spanish children aged 6–8: Results of a latent profile analysis. Journal of affective disorders, 279, 617–623.

    PubMed  Google Scholar 

  • Murphy, J. M., Bergmann, P., Chiang, C., Sturner, R., Howard, B., Abel, M. R., & Jellinek, M. (2016). The PSC-17: Subscale scores, reliability, and factor structure in a new national sample. Pediatrics, 138(3), 1–8.

    Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (2017). Mplus user’s guide (8th ed.). Muthén & Muthén.

    Google Scholar 

  • Nagin, D. (2005). Group-based modeling of development. Harvard University Press.

    Google Scholar 

  • Nantel-Vivier, A., Pihl, R. O., Côté, S., & Tremblay, R. E. (2014). Developmental association of prosocial behaviour with aggression, anxiety and depression from infancy to preadolescence. Journal of Child Psychology and Psychiatry, 55(10), 1135–1144.

    PubMed  Google Scholar 

  • National Association of School Psychologists (NASP) (2020). Countering COVID-19 (Coronavirus) stigma and racism: Tips for parents and caregivers. https://www.nasponline.org/resources-and-publications/resources-and-podcasts/school-climate-safety-and-crisis/health-crisis-resources/countering-covid-19-(coronavirus)-stigma-and-racism-tips-for-parents-and-caregivers

  • Nigg, J., & Nikolas, M. (2008). Attention-deficit/hyperactivity disorder. In T. P. Beauchaine & S. P. Hinshaw (Eds.), Child and adolescent psychopathology (pp. 301–334). Wiley.

    Google Scholar 

  • Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535–569.

    Google Scholar 

  • Nylund-Gibson, K., & Choi, A. Y. (2018). Ten frequently asked questions about latent class analysis. Translational Issues in Psychological Science, 4(4), 440.

    Google Scholar 

  • Olivier, E., Morin, A. J., Langlois, J., Tardif-Grenier, K., & Archambault, I. (2020). Internalizing and externalizing behavior problems and student engagement in elementary and secondary school students. Journal of Youth and Adolescence, 49(11), 2327–2346.

    PubMed  Google Scholar 

  • Olson, S. L., Sameroff, A. J., Kerr, D. C., Lopez, N. L., & Wellman, H. M. (2005). Developmental foundations of externalizing problems in young children: The role of effortful control. Development and Psychopathology, 17(1), 25–45.

    PubMed  Google Scholar 

  • Orpinas, P., & Horne, A. M. (2006). Bullying prevention: Creating a positive school climate and developing social competence. American Psychological Association.

    Google Scholar 

  • Orpinas, P., Raczynski, K., Peters, J. W., Colman, L., & Bandalos, D. (2015). Latent profile analysis of sixth graders based on teacher ratings: Association with school dropout. School Psychology Quarterly, 30(4), 577.

    PubMed  Google Scholar 

  • Parker, E. M., Jacobson, J., Pullmann, M. D., & Kerns, S. E. (2019). Identifying psychosocial problems among children and youth in the child welfare system using the PSC-17: Exploring convergent and discriminant validity with multiple informants. Child Psychiatry & Human Development, 50(1), 108–120.

    Google Scholar 

  • Racer, K. H., & Dishion, T. J. (2012). Disordered attention: Implications for understanding and treating internalizing and externalizing disorders in childhood. Cognitive and Behavioral Practice, 19(1), 31–40.

    PubMed  PubMed Central  Google Scholar 

  • Reid, R., Riccio, C. A., Kessler, R. H., Dupaul, G. J., Power, T. J., Anastopoulos, A. D., ... & Noll, M. B. (2000). Gender and ethnic differences in ADHD as assessed by behavior ratings. Journal of Emotional and Behavioral Disorders, 8(1), 38–48.

  • Reiss, F. (2013). Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review. Social Science & Medicine, 90, 24–31.

    Google Scholar 

  • Romano, E., Babchishin, L., Pagani, L. S., & Kohen, D. (2010). School readiness and later achievement: Replication and extension using a nationwide Canadian survey. Developmental Psychology, 46(5), 995.

    PubMed  Google Scholar 

  • Rubin, K. H., Chen, X., McDougall, P., Bowker, A., & McKinnon, J. (1995). The Waterloo longitudinal project: Predicting internalizing and externalizing problems in adolescence. Development and Psychopathology, 7(4), 751–764.

    Google Scholar 

  • Rucklidge, J. J. (2010). Gender differences in attention-deficit/hyperactivity disorder. Psychiatric Clinics, 33(2), 357–373.

    PubMed  Google Scholar 

  • Rutter, M. (1995). Relationships between mental disorders in childhood and adulthood. Acta Psychiatrica Scandinavica, 91(2), 73–85.

    PubMed  Google Scholar 

  • Saeki, E., Jimerson, S. R., Earhart, J., Hart, S. R., Renshaw, T., Singh, R. D., & Stewart, K. (2011). Response to intervention (RtI) in the social, emotional, and behavioral domains: Current challenges and emerging possibilities. Contemporary School Psychology: Formerly" The California School Psychologist", 15(1), 43–52.

    Google Scholar 

  • Severson, H. H., Walker, H. M., Hope-Doolittle, J., Kratochwill, T. R., & Gresham, F. M. (2007). Proactive, early screening to detect behaviorally at-risk students: Issues, approaches, emerging innovations, and professional practices. Journal of School Psychology, 45(2), 193–223.

    Google Scholar 

  • Simpson, G. A., Cohen, R. A., Bloom, B., & Blumberg, S. J. (2009). The impact of children's emotional and behavioural difficulties on their lives and their use of mental health services. Paediatric and Perinatal Epidemiology, 23(5), 472–481.

    PubMed  Google Scholar 

  • Singh, I. (2008). Beyond polemics: Science and ethics of ADHD. Nature Reviews Neuroscience, 9(12), 957–964.

    PubMed  Google Scholar 

  • Singh, S., Roy, M. D., Sinha, C. P. T. M. K., Parveen, C. P. T. M. S., Sharma, C. P. T. G., & Joshi, C. P. T. G. (2020). Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Research, 113429.

  • Spurk, D., Hirschi, A., Wang, M., Valero, D., & Kauffeld, S. (2020). Latent profile analysis: A review and “how to” guide of its application within vocational behavior research. Journal of Vocational Behavior, 120, 103445.

    Google Scholar 

  • Stapleton, L. M. (2013). Multilevel structural equation modeling with complex sample data. In G. R. Hancock & R. O. Mueller (Eds.), Quantitative methods in education and the behavioral sciences: Issues, research, and teaching. Structural equation modeling: A second course (pp. 521–562). IAP Information Age Publishing.

    Google Scholar 

  • Tseng, W. L., Kawabata, Y., Gau, S. S. F., Banny, A. M., Lingras, K. A., & Crick, N. R. (2012). Relations of inattention and hyperactivity/impulsivity to preadolescent peer functioning: The mediating roles of aggressive and prosocial behaviors. Journal of Clinical Child & Adolescent Psychology, 41(3), 275–287.

    Google Scholar 

  • Vermunt, J. K. (2008). Latent class and finite mixture models for multilevel data sets. Statistical Methods in Medical Research, 17(1), 33–51.

    PubMed  Google Scholar 

  • Vermunt, J. K. (2010). Latent class modeling with covariates: Two improved three-step approaches. Political Analysis, 18(4), 450–469.

    Google Scholar 

  • Viner, R. M., Russell, S. J., Croker, H., Packer, J., Ward, J., Stansfield, C., ... & Booy, R. (2020). School closure and management practices during coronavirus outbreaks including COVID-19: A rapid systematic review. The Lancet Child & Adolescent Health, 4(5), 397–404.

  • Wagner, J. L., Guilfoyle, S. M., Rausch, J., & Modi, A. C. (2015). Psychometric validation of the pediatric symptom Checklist-17 in a pediatric population with epilepsy: A methods study. Epilepsy & Behavior, 51, 112–116.

    Google Scholar 

  • Walker, H. M., & Shinn, M. R. (2002). Structuring school-based interventions to achieve integrated primary, secondary, and tertiary prevention goals for safe and effective schools. Interventions for academic and behavior problems II: Preventive and remedial approaches, 44, 1–25.

    Google Scholar 

  • Waller, R., Hyde, L. W., Baskin-Sommers, A. R., & Olson, S. L. (2017). Interactions between callous unemotional behaviors and executive function in early childhood predict later aggression and lower peer-liking in late-childhood. Journal of Abnormal Child Psychology, 45(3), 597–609.

    PubMed  PubMed Central  Google Scholar 

  • Westfall, J., & Yarkoni, T. (2016). Statistically controlling for confounding constructs is harder than you think. PLoS One, 11(3), e0152719.

    PubMed  PubMed Central  Google Scholar 

  • Wilens, T. E., Biederman, J., Brown, S., Monuteaux, M., Prince, J., & Spencer, T. J. (2002). Patterns of psychopathology and dysfunction in clinically referred preschoolers. Journal of Developmental & Behavioral Pediatrics, 23, S31–S36.

    Google Scholar 

  • Williams, K. E., Berthelsen, D., Walker, S., & Nicholson, J. M. (2017). A developmental cascade model of behavioral sleep problems and emotional and attentional self-regulation across early childhood. Behavioral Sleep Medicine, 15(1), 1–21.

    PubMed  Google Scholar 

  • Willner, C. J., Gatzke-Kopp, L. M., & Bray, B. C. (2016). The dynamics of internalizing and externalizing comorbidity across the early school years. Development and Psychopathology, 28(4 Pt 1), 1033.

    PubMed  PubMed Central  Google Scholar 

  • Zevenbergen, A. A., & Ryan, M. M. (2010). Gender differences in the relationship between attention problems and expressive language and emerging academic skills in preschool-aged children. Early Child Development and Care, 180(10), 1337–1331.

    Google Scholar 

  • Zhou, Q., Hofer, C., Eisenberg, N., Reiser, M., Spinrad, T. L., & Fabes, R. A. (2007). The developmental trajectories of attention focusing, attentional and behavioral persistence, and externalizing problems during school-age years. Developmental Psychology, 43(2), 369.

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ruiqin Gao.

Ethics declarations

Ethics approval

This study involving human participants was reviewed and approved by the Institutional Review Board at the University of South Carolina.

Conflict of interest

The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gao, R., Liu, J., Hardie, S. et al. Investigating subtypes of children’s social, emotional and behavioral problems using latent profile analysis. Curr Psychol 43, 8896–8912 (2024). https://doi.org/10.1007/s12144-023-04939-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12144-023-04939-w

Keywords

Navigation