Abstract
There is support for a differentiated model of early internalizing emotions and behaviors, yet researchers have not examined the course of multiple components of an internalizing domain across early childhood. In this paper we present growth models for the Internalizing domain of the Infant-Toddler Social and Emotional Assessment and its component scales (General Anxiety, Separation Distress, Depression/Withdrawal, and Inhibition to Novelty) in a sample of 510 one- to three-year-old children. For all children, Internalizing domain scores decreased over the study, although girls had significantly higher initial levels and boys had steeper declines. General Anxiety increased over the study period and, when modeled individually, girls evidenced higher initial levels and greater increases. For all children, Separation Distress and Inhibition to Novelty decreased significantly over time, while Depression/Withdrawal remained low without change. Findings from our parallel process model, in which all components were modeled simultaneously, revealed that initial levels of internalizing scales were closely associated while rates of change were less closely related. Sex differences in variability around initial levels and rates of change emerged on some scales. Findings suggest that, for one- to three-year-olds, examining scales of the internalizing domain separately rather than as a unitary construct reveals more meaningful developmental and gender variation.
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Angold, A., & Egger, H. L. (2007). Preschool psychopathology: lessons for the lifespan. Journal of Child Psychology and Psychiatry, 48, 961–966.
Biederman, J., Hirshfeld-Becker, D. R., Rosenbaum, J. F., Hérot, C., Friedman, D., Snidman, N., et al. (2001). Further evidence of association between behavioral inhibition and social anxiety in children. American Journal of Psychiatry, 158, 1673–1679.
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.
Boomsma, D. I., van Beijsterveldt, C. E. M., & Hudziak, J. J. (2005). Genetic and environmental influences on anxious/depression during childhood: a study from the Netherlands Twin Register. Genes, Brain & Behavior, 4, 466–481.
Bracha, Z., Perez-Diaz, F., Gerardin, P., de La Perriot, Y., Rocque, F., Flament, M., et al. (2004). A French adaptation of the infant-toddler social and emotional assessment. Infant Mental Health Journal, 25, 117–129.
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, 849–858.
Carter, A. S., & Briggs-Gowan, M. J. (2006). Infant-toddler social and emotional assessment (ITSEA): Examiner’s manual. San Antonio: Harcourt Assessment.
Carter, A. S., Briggs-Gowan, M. J., Jones, S. M., & Little, T. D. (2003). The Infant-toddler social and emotional assessment (ITSEA): factor structure, reliability, and validity. Journal of Abnormal Child Psychology, 31, 495–514.
Carter, A. S., Godoy, L., Marakovitz, S., & Briggs-Gowan, M. J. (2009). Parent reports and infant-toddler mental health assessment. In C. H. Zeanah (Ed.), Handbook of infant mental health (3rd ed., pp. 233–251). New York: The Guilford.
Cicchetti, D., & Rogosch, F. A. (2002). A developmental psychopathology perspective on adolescence. Journal of Consulting and Clinical Psychology, 70, 6–20.
Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60, 837–844.
Dubi, K., Rapee, R. M., Emerton, J. L., & Schniering, C. A. (2008). Maternal modeling and the acquisition of fear and avoidance in toddlers: influence of stimulus preparedness and child temperament. Journal of Abnormal Child Psychology, 36, 499–512.
Egger, H. L., & Angold, A. (2004). The Preschool Age Psychiatric Assessment (PAPA): A structured parent interview for diagnosing psychiatric disorders in preschool children. In R. Del Carmen-Wiggins & A. S. Carter (Eds.), Handbook of infant, toddler, and preschool mental health assessment (pp. 421–440). New York: Oxford University Press.
Egger, H. L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47, 313–337.
Egger, H. L., Erkanli, A., Keeler, G., Potts, E., Walter, B. K., & Angold, A. (2006). The test-retest reliability of the Preschool Age Psychiatric Assessment (PAPA). Journal of the American Academy of Child & Adolescent Psychiatry, 45, 538–549.
Eley, T. C., Bolton, D., O’Connor, T. G., Perrin, S., Smith, P., & Plomin, R. (2003). A twin study of anxiety-related behaviours in pre-school children. Journal of Child Psychology and Psychiatry, 44, 945–960.
Feigon, S. A., Waldman, I. D., Levy, F., & Hay, D. A. (2001). Genetic and environmental influences on separation anxiety disorder symptoms and their moderation by age and sex. Behavior Genetics, 31, 403–411.
Feng, X., Shaw, D. S., & Silk, J. S. (2008). Developmental trajectories of anxiety symptoms among boys across early and middle childhood. Journal of Abnormal Psychology, 117, 32–47.
Fox, N. A., & Calkins, S. D. (2003). The development of self-control of emotion: intrinsic and extrinsic influences. Motivation and Emotion, 27, 7–26.
Fox, N. A., Henderson, H. A., Marshall, P. J., Nichols, K. E., & Ghera, M. M. (2005). Behavioral inhibition: linking biology and behavior within a developmental framework. Annual Review of Psychology, 56, 235–262.
Gerard, J. M., & Buehler, C. (2004). Cumulative environmental risk and youth problem behavior. Journal of Marriage and Family, 66, 702–720.
Hirshfeld, D. R., Rosenbaum, J. F., Biederman, J., Bolduc, E. A., Faraone, S. V., Snidman, N., et al. (1992). Stable behavioral inhibition and its association with anxiety disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 31, 103–111.
Kagan, J., Reznick, J. S., & Snidman, N. (1988). Biological bases of childhood shyness. Science, 240, 167–171.
Kagan, J., Snidman, N., & Arcus, D. (1998). Childhood derivatives of high and low reactivity in infancy. Child Development, 69, 1483–1493.
Keenan, K., & Shaw, D. (1997). Developmental and social influences on young girls’ early problem behavior. Psychological Bulletin, 121, 95–113.
Knapp, M., McCrone, P., Fombonne, E., Beecham, J., & Wostear, G. (2002). The Maudsley long-term follow-up of child and adolescent depression: impact of comorbid conduct disorder on service use and costs in adulthood. British Journal of Psychiatry, 180, 19–23.
Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology and Psychiatry, 39, 47–63.
Lahey, B. B. (2004). Commentary: role of temperament in developmental models of psychopathology. Journal of Clinical Child and Adolescent Psychology, 33, 88–93.
Leve, L. D., Kim, H. K., & Pears, K. C. (2005). Childhood temperament and family environment as predictors of internalizing and externalizing trajectories from ages 5 to 17. Journal of Abnormal Child Psychology, 33, 505–520.
Lewinsohn, P. M., Holm-Denoma, J. M., Small, J. W., Seeley, J. R., & Joiner, T. E. (2008). Separation anxiety disorder in childhood as a risk factor for future mental illness. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 548–555.
Luby, J. (2000). Depression. In C. H. Zeanah (Ed.), Handbook of infant mental health (2nd ed., pp. 382–396). New York: Guilford.
Luby, J., Heffelfinger, A., Mrakotsky, C., Hessler, M., Brown, K., & Hildebrand, T. (2002). Preschool major depressive disorder: preliminary validation for developmentally modified DSM-IV criteria. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 928–937.
Mesman, J., Bongers, I. L., & Koot, H. M. (2001). Preschool developmental pathways to preadolescent internalizing and externalizing problems. Journal of Child Psychology and Psychiatry, 42, 679–689.
Mesman, J., & Koot, H. M. (2001). Early preschool predictors of preadolescent internalizing and externalizing DSM-IV diagnoses. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1029–1036.
Nigg, J. T. (2000). On inhibition/disinhibition in developmental psychopathology: views from cognitive and personality psychology and a working taxonomy. Psychological Bulletin, 126, 220–246.
Perez-Edgar, K., & Fox, N. A. (2005). Temperament and anxiety disorders. Child and Adolescent Psychiatric Clinics of North America, 14, 681–706.
Pipp, S., Easterbrooks, M. A., & Brown, S. R. (1993). Attachment status and complexity of infants’ self- and other-knowledge when tested with mother and father. Social Development, 2, 1–14.
Rothbart, M. K. (2007). Temperament, development, and personality. Current Directions in Psychological Science, 16, 207–212.
Sanson, A., Pedlow, R., Cann, W., Prior, M., & Oberklaid, F. (1996). Shyness ratings: stability and correlates in early childhood. International Journal of Behavioral Development, 19, 705–24.
Spence, S. H., Rapee, R., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behaviour Research and Therapy, 39, 1293–1316.
Sterba, S. K., Egger, H. L., & Angold, A. (2007a). Diagnostic specificity and nonspecificity in the dimensions of preschool psychopathology. Journal of Child Psychology and Psychiatry, 48, 1005–1013.
Sterba, S. K., Prinstein, M. J., & Cox, M. J. (2007b). Trajectories of internalizing problems across childhood: heterogeneity, external validity, and gender differences. Development and Psychopathology, 19, 345–366.
Strauss, C. C., Frame, C. L., & Forehand, R. (1987). Psychosocial impairment associated with anxiety in children. Journal of Clinical Child Psychology, 16, 235–239.
The President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final report. (DHHS Publication No. SMA-03-3832). Rockville, MD: Department of Health and Human Services.
Verhulst, F. C., & van der Ende, J. (1992). Six-year developmental course of internalizing and externalizing problem behaviors. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 924–931.
Warren, S. L. (2004). Anxiety disorders. In R. Del Carmen-Wiggins & A. S. Carter (Eds.), Handbook of infant and toddler mental health assessment (pp. 355–375). New York: Oxford University Press.
Warren, S. L., & Simmens, S. J. (2005). Predicting toddler anxiety/depressive symptoms: effects of caregiver sensitivity on temperamentally vulnerable children. Infant Mental Health Journal, 26, 40–55.
Zahn-Waxler, C., Klimes-Dougan, B., & Slattery, M. J. (2000). Internalizing problems of childhood and adolescence: prospects, pitfalls, and progress in understanding the development of anxiety and depression. Development and Psychopathology, 12, 443–466.
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Carter, A.S., Godoy, L., Wagmiller, R.L. et al. Internalizing Trajectories in Young Boys and Girls: The Whole is Not a Simple Sum of its Parts. J Abnorm Child Psychol 38, 19–31 (2010). https://doi.org/10.1007/s10802-009-9342-0
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DOI: https://doi.org/10.1007/s10802-009-9342-0