Skip to main content
Log in

Emotion Understanding (and Misunderstanding) in Clinically Referred Preschoolers: The Role of Child Language and Maternal Depressive Symptoms

  • Original Paper
  • Published:
Journal of Child and Family Studies Aims and scope Submit manuscript

Abstract

There is growing evidence to suggest that children with mental health problems have difficulties in emotion understanding, including particular biases in their processing of emotion information. However, less is known about the specific developmental and socialization processes that may contribute to difficulties in emotion understanding in young children with emotional and behavioral problems. The present study examines the roles of child receptive language and maternal depressive symptoms in predicting emotion understanding in clinically referred preschoolers. Participants were 79 preschool-aged children (3–5 years of age) who were admitted to a psychiatric day treatment program for young children and their families. Children participated in assessments of receptive language skills and emotion understanding and mothers completed self-report measures of depressive symptoms and child behavior problems. Children’s receptive language skills were positively associated with accuracy in identifying happy, sad, angry, and scared emotions, whereas maternal depressive symptoms were specifically linked to children’s biased perceptions of sadness. Findings underscore the role of both child and family factors as related to individual differences in emotion understanding in clinically referred preschoolers, with implications for developmentally informed and emotion-focused approaches to treatment of early childhood psychopathology.

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.

Similar content being viewed by others

References

  • Abela, J. R. Z., & Hankin, B. L. (2008). Cognitive vulnerability to depression in children and adolescents: A developmental psychopathology perspective. In J. R. Z. Abela & B. L. Hankins (Eds.), Handbook of depression in children and adolescents (pp. 35–78). New York, NY: Guilford Press.

    Google Scholar 

  • Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families.

    Google Scholar 

  • Arsenio, W. F., Cooperman, S., & Lover, A. (2000). Affective predictors of preschoolers’ aggression and peer acceptance: Direct and indirect effects. Developmental Psychology, 36, 438–448. doi:10.1037//0012-1649.36.4.438.

    Article  PubMed  Google Scholar 

  • Bal, E., Harden, E., Lamb, D., Vaughan Van Hecke, A., Denver, J. W., & Porges, S. W. (2010). Emotion recognition in children with autism spectrum disorders: Relations to eye gaze and autonomic state. Journal of Autism and Developmental Disorders, 40, 358–370. doi:10.1007/s10803-009-0884-3.

    Article  PubMed  Google Scholar 

  • Beck, L., Kumschick, I. R., Eid, M., & Klann-Delius, G. (2012). Relationship between language competence and emotional competence in middle childhood. Emotion, 12, 503–514. doi:10.1037/a0026320.

    Article  PubMed  Google Scholar 

  • Benner, G., Nelson, J., & Epstein, M. (2002). Language skills of children with EBD: A literature review. Journal of Emotional and Behavioral Disorders, 10, 43–59. doi:10.1177/106342660201000105.

    Article  Google Scholar 

  • Blair, R. J. R., Colledge, E., Murray, L., & Mitchell, D. G. V. (2001). A selective impairment in the processing of sad and fearful expressions in children with psychopathic tendencies. Journal of Abnormal Child Psychology, 29, 491–498. doi:10.1023/A:1012225108281.

    Article  PubMed  Google Scholar 

  • Bosacki, S. L., & Moore, C. (2004). Preschoolers’ understanding of simple and complex emotions: Links with gender and language. Sex Roles, 50, 659–675. doi:10.1023/B:SERS.0000027568.26966.27.

    Article  Google Scholar 

  • Cadesky, E. B., Mota, V. L., & Schachar, R. J. (2000). Beyond words: How do problem children with ADHD and/or conduct problems process nonverbal information about affect? Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1160–1167. doi:10.1097/00004583-200009000-00016.

    Article  PubMed  Google Scholar 

  • Carpenter, J. L., & Drabick, D. A. G. (2011). Co-occurrence of linguistic and behavioural difficulties in early childhood: A developmental psychopathology perspective. Early Child Development and Care, 181, 1021–1045. doi:10.1080/03004430.2010.509795.

    Article  PubMed Central  PubMed  Google Scholar 

  • Casey, R. J. (1996). Emotional competence in children with externalizing and internalizing disorders. In M. Lewis & M. W. Sullivan (Eds.), Emotional development in atypical children (pp. 161–183). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum.

    Google Scholar 

  • Cohen, N. J., Davine, M., Horodezsky, N., Lipsett, L., & Isaacson, L. (1993). Unsuspected language impairment in psychiatrically disturbed children: Prevalence and language and behavioral characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 595–603. doi:10.1097/00004583-199305000-00016.

    Article  PubMed  Google Scholar 

  • Cohen, J. S., & Mendez, J. L. (2009). Emotion regulation, language ability, and the stability of preschool children’s peer play behavior. Early Education and Development, 20, 1016–1037. doi:10.1080/10409280903305716.

    Article  Google Scholar 

  • Cole, P. M., Armstrong, L. M., & Pemberton, C. K. (2010). The role of language in the development of emotion regulation. In S. D. Calkins & M. A. Bell (Eds.), Child development at the intersection of emotion and cognition (pp. 59–77). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Connor, D. F., Edwards, G., Fletcher, K. E., Baird, J., Barkley, R. A., & Steingard, R. J. (2003). Correlates of comorbid psychopathology in children with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 193–200. doi:10.1097/01.CHI.0000024918.60748.B0.

    Article  PubMed  Google Scholar 

  • Cummings, E. M., & Davies, P. T. (2010). Marital conflict and children: An emotional security perspective. New York, NY: Guilford Press.

    Google Scholar 

  • Cutting, A. L., & Dunn, J. (1999). Theory of mind, emotion understanding, language, and family background: Individual differences and interrelations. Child Development, 70, 853–865. doi:10.1111/1467-8624.00061.

    Article  PubMed  Google Scholar 

  • Da Fonseca, D., Seguier, V., Santos, A., Poinso, F., & Deruelle, C. (2009). Emotion understanding in children with ADHD. Child Psychiatry and Human Development, 40, 111–121. doi:10.1007/s10578-008-0114-9.

    Article  PubMed  Google Scholar 

  • Denham, S. A. (1986). Social cognition, prosocial behavior, and emotion in preschoolers: Contextual validation. Child Development, 57, 194–201. doi:10.2307/1130651.

    Article  Google Scholar 

  • Denham, S. A., Caverly, S., Schmidt, M., Blair, K., DeMulder, E., Caal, S., et al. (2002). Preschool understanding of emotions: Contributions to classroom anger and aggression. Journal of Child Psychology and Psychiatry, 43, 901–916. doi:10.1111/1469-7610.00139.

    Article  PubMed  Google Scholar 

  • Denham, S. A., & Kochanoff, A. T. (2002). Parental contributions to preschoolers’ understanding of emotion. Marriage & Family Review, 34, 311–343. doi:10.1300/J002v34n03_06.

    Article  Google Scholar 

  • Denham, S. A., Zoller, D., & Couchoud, E. A. (1994). Socialization of preschoolers’ emotion understanding. Developmental Psychology, 30, 928–936. doi:10.1037/0012-1649.30.6.928.

    Article  Google Scholar 

  • Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76. doi:10.1037/0033-2909.108.1.50.

    Article  PubMed  Google Scholar 

  • Dunn, J., & Brown, J. (1994). Affect expression in the family, children’s understanding of emotions, and their interactions with others. Merrill-Palmer Quarterly, 40, 120–137.

    Google Scholar 

  • Dunn, L. M., & Dunn, D. M. (2007). PPVT-4: Peabody picture vocabulary test. Bloomington, MN: NCS Pearson, Inc.

    Google Scholar 

  • Fairchild, G., Van Goozen, S. H. M., Calder, A. J., Stollery, S. J., & Goodyer, I. M. (2009). Deficits in facial expression recognition in male adolescents with early-onset or adolescence-onset conduct disorder. Journal of Child Psychology and Psychiatry, 50, 627–636. doi:10.1111/j.1469-7610.2008.02020.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fine, S. E., Izard, C. E., & Trentacosta, C. J. (2006). Emotion situation knowledge in elementary school: Models of longitudinal growth and preschool correlates. Social Development, 15, 730–751. doi:10.1111/j.1467-9507.2006.00367.x.

    Article  Google Scholar 

  • Fine, S. E., Trentacosta, C. J., Izard, C. E., Mostow, A. J., & Campbell, J. L. (2004). Anger perception, caregivers’ use of physical discipline, and aggression in children at risk. Social Development, 13, 213–228. doi:10.1111/j.1467-9507.2004.000264.x.

    Article  Google Scholar 

  • Goodman, S. H., Rouse, M. H., Connell, A. M., Robbins Broth, M., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: A meta-analytic review. Clinical Child and Family Psychology Review, 14, 1–27. doi:10.1007/s10567-010-0080-1.

    Article  PubMed  Google Scholar 

  • Gray, S., Plante, E., Vance, R., & Henrichsen, M. (1999). The diagnostic accuracy of four vocabulary tests administered to preschool age children. Language, Speech, and Hearing Services in Schools, 30, 196–206.

    Article  Google Scholar 

  • Greig, A., & Howe, D. (2001). Social understanding, attachment security of preschool children and maternal mental health. British Journal of Developmental Psychology, 19, 381–393. doi:10.1348/026151001166164.

    Article  Google Scholar 

  • Halberstadt, A. G., Denham, S. A., & Dunsmore, J. C. (2001). Affective social competence. Social Development, 10, 79–119. doi:10.1111/1467-9507.00150.

    Article  Google Scholar 

  • Hankin, B. L., Gibb, B. E., Abela, J. R. Z., & Flory, K. (2010). Selective attention to affective stimuli and clinical depression among youths: Role of anxiety and specificity of emotion. Journal of Abnormal Psychology, 119, 491–501. doi:10.1037/a0019609.

    Article  PubMed Central  PubMed  Google Scholar 

  • Happé, F. G. (1995). The role of age and verbal ability in the theory of mind task performance of subjects with autism. Child Development, 66, 843–855. doi:10.2307/1131954.

    Article  PubMed  Google Scholar 

  • Harris, P. L., de Rosnay, M., & Pons, F. (2005). Language and children’s understanding of mental states. Current Directions in Psychological Science, 14, 69–73. doi:10.1111/j.0963-7214.2005.00337.x.

    Article  Google Scholar 

  • Hughes, C., Dunn, J., & White, A. (1998). Trick or treat? Uneven understanding of mind and emotion and executive dysfunction in “hard to manage” preschoolers. Journal of Child Psychology and Psychiatry, 39, 981–994. doi:10.1111/1469-7610.00401.

    Article  PubMed  Google Scholar 

  • Hughes, C., & Ensor, R. (2009). Independence and interplay between maternal and child risk factors for preschool problem behaviors? International Journal of Behavioral Development, 33, 312–322. doi:10.1177/0165025408101274.

    Article  Google Scholar 

  • Ivanova, M. Y., Achenbach, T. M., Dumenci, L., Rescorla, L. A., Almqvist, F., Weintraub, S., et al. (2007). Testing the 8-syndrome structure of the child behavior checklist in 30 societies. Journal of Clinical Child and Adolescent Psychology, 36, 405–417. doi:10.1080/15374410701444363.

    Article  PubMed  Google Scholar 

  • Izard, C. E., Fine, S., Mostow, A., Trentacosta, C., & Campbell, J. (2002). Emotion processes in normal and abnormal development and preventive intervention. Development and Psychopathology, 14, 761–787. doi:10.1017/S0954579402004066.

    Article  PubMed  Google Scholar 

  • Joormann, J., Gilbert, K., & Gotlib, I. H. (2010). Emotion identification in girls at high risk for depression. Journal of Child Psychology and Psychiatry, 51, 575–582. doi:10.1111/j.1469-7610.2009.02175.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Joormann, J., Talbot, L., & Gotlib, I. H. (2007). Biased processing of emotional information in girls at risk for depression. Journal of Abnormal Psychology, 116, 135–143. doi:10.1037/0021-843X.116.1.135.

    Article  PubMed  Google Scholar 

  • Kujawa, A. J., Torpey, D., Kim, J., Hajcak, G., Rose, S., Gotlib, I. H., et al. (2011). Attentional biases for emotional faces in young children of mothers with chronic or recurrent depression. Journal of Abnormal Child Psychology, 39, 125–135. doi:10.1007/s10802-010-9438-6.

    Article  PubMed Central  PubMed  Google Scholar 

  • Laible, D. (2011). Does it matter if preschool children and mothers discuss positive vs. negative events during reminiscing? Links with mother-reported attachment, family emotional climate, and socioemotional development. Social Development, 20, 394–411. doi:10.1111/j.1467-9507.2010.00584.x.

    Article  Google Scholar 

  • Lavigne, J. V., Gibbons, R. D., Christoffel, K. K., Arend, R., Rosenbaum, D., Binns, H., et al. (1996). Prevalence rates and correlates of psychiatric disorders among preschool children. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 204–214. doi:10.1097/00004583-199602000-00014.

    Article  PubMed  Google Scholar 

  • Lengua, L. J., Sadowski, C. A., Friedrich, W. N., & Fisher, J. (2001). Rationally and empirically derived dimensions of children’s symptomatology: Expert ratings and confirmatory factor analyses of the CBCL. Journal of Consulting and Clinical Psychology, 69, 683–698. doi:10.1037/0022-006X.69.4.683.

    Article  PubMed  Google Scholar 

  • Lindsey, E. W., & Colwell, M. J. (2003). Preschoolers’ emotional competence: Links to pretend and physical play. Child Study Journal, 33, 39–52.

    Google Scholar 

  • Luby, J., & Belden, A. (2012). Depressive-symptom onset during toddlerhood in a sample of depressed preschoolers: Implications for future investigations of major depressive disorder in toddlers. Infant Mental Health Journal, 33, 139–147. doi:10.1002/imhj.21314.

    Article  Google Scholar 

  • Luby, J., Lenze, S., & Tillman, R. (2012). A novel early intervention for preschool depression: Findings from a pilot randomized controlled trial. The Journal of Child Psychology and Psychiatry, 53, 313–322. doi:10.1111/j.1469-7610.2011.02483.x.

    Article  Google Scholar 

  • Martin, S. E., Boekamp, J. R., McConville, D. W., & Wheeler, E. E. (2010). Anger and sadness perception in clinically referred preschoolers: Emotion processes and externalizing behavior symptoms. Child Psychiatry and Human Development, 41, 30–46. doi:10.1007/s10578-009-0153-x.

    Article  PubMed  Google Scholar 

  • Mathieson, K., & Banerjee, R. (2010). Pre-school peer play: The beginnings of social competence. Educational and Child Psychology, 27, 9–20.

    Google Scholar 

  • McElwain, N. L., Halberstadt, A. G., & Volling, B. L. (2007). Mother- and father-reported reactions to children’s negative emotions: Relations to young children’s emotional understanding and friendship quality. Child Development, 78, 1407–1425. doi:10.1111/j.1467-8624.2007.01074.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mcquaid, N., Bigelow, A. E., McLaughlin, J., & MacLean, K. (2008). Maternal mental state language and preschool children’s attachment security: Relation to children’s mental state language and expressions of emotional understanding. Social Development, 17, 61–83. doi:10.1111/j.1467-9507.2007.00415.x.

    Article  Google Scholar 

  • Miller, A. L., Gouley, K. K., Seifer, R., Zakriski, A., Eguia, M., & Vergnani, M. (2005). Emotion knowledge skills in low-income elementary school children: Associations with social status and peer experiences. Social Development, 14, 637–651. doi:10.1111/j.1467-9507.2005.00321.

    Article  Google Scholar 

  • Mills-Koonce, W. R., Garrett-Peters, P., Barnett, M., Granger, D. A., Blair, C., Cox, M. J., et al. (2011). Father contributions to cortisol responses in infancy and toddlerhood. Developmental Psychology, 47, 388–395. doi:10.1037/a0021066.

    Article  PubMed  Google Scholar 

  • Nixon, C. L., & Watson, A. C. (2001). Family experiences and early emotion understanding. Merrill-Palmer Quarterly, 47, 300–322. doi:10.1353/mpq.2001.0011.

    Article  Google Scholar 

  • Norvilitis, J. M., Casey, R. J., Brooklier, K. M., & Bonello, P. J. (2000). Emotional appraisal in children with attention-deficit/hyperactivity disorder and their parents. Journal of Attention Disorders, 4, 15–26. doi:10.1177/108705470000400102.

    Article  Google Scholar 

  • Prior, M., Smart, D., Sanson, A., & Oberklaid, F. (1993). Sex differences in psychological adjustment from infancy to 8 years. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 291–304. doi:10.1097/00004583-199303000-00009.

    Article  PubMed  Google Scholar 

  • Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi:10.1177/014662167700100306.

    Article  Google Scholar 

  • Raikes, H. A., & Thompson, R. A. (2006). Family emotional climate, attachment security and young children’s emotion knowledge in a high risk sample. British Journal of Developmental Psychology, 24, 89–104. doi:10.1348/026151005X70427.

    Article  Google Scholar 

  • Santor, D. A., Zuroff, D. C., Cervantes, P., & Palacios, J. (1995). Examining scale discriminability in the BDI and CES-D as a function of depressive severity. Psychological Assessment, 7, 131–139. doi:10.1037/1040-3590.7.2.131.

    Article  Google Scholar 

  • Scheeringa, M. S., & Haslett, N. (2010). The reliability and criterion validity of the diagnostic infant and preschool assessment: A new diagnostic instrument for young children. Child Psychiatry and Human Development, 41, 299–312. doi:10.1007/s10578-009-0169-2.

    Article  PubMed Central  PubMed  Google Scholar 

  • Schepman, K., Taylor, E., Collishaw, S., & Fombonne, E. (2012). Face emotion processing in depressed children and adolescents with and without comorbid conduct disorder. Journal of Abnormal Child Psychology, 40, 583–593. doi:10.1007/s10802-011-9587-2.

    Article  PubMed  Google Scholar 

  • Schultz, D., Izard, C. E., & Ackerman, B. P. (2000). Children’s anger attribution bias: Relations to family environment and social adjustment. Social Development, 9, 284–301. doi:10.1111/1467-9507.00126.

    Article  Google Scholar 

  • Schultz, D., Izard, C. E., & Bear, G. (2004). Children’s emotion processing: Relations to emotionality and aggression. Developmental Psychopathology, 16, 371–387. doi:10.1017/S0954579404044566.

    Article  Google Scholar 

  • Singh, S. D., Ellis, C. R., Winton, A. S. W., Singh, N. N., Leung, J. P., & Oswald, D. P. (1998). Recognition of facial expressions of emotion by children with attention-deficit/hyperactivity disorder. Behavior Modification, 22, 128–142. doi:10.1177/01454455980222002.

    Article  PubMed  Google Scholar 

  • Southam-Gerow, M. A. (2013). Emotion regulation in children and adolescents: A practitioner’s guide. New York, NY, US: Guilford Press.

    Google Scholar 

  • Taumoepeau, M., & Ruffman, T. (2008). Stepping stones to others’ minds: Maternal talk relates to child mental state language and emotion understanding in 15, 24, and 33 months. Child Development, 79, 284–302. doi:10.1111/j.1467-8624.2007.01126.x.

    Article  PubMed  Google Scholar 

  • Thompson, R. A., & Calkins, S. D. (1996). The double-edged sword: Emotional regulation for children at risk. Development and Psychopathology, 8, 163–182. doi:10.1017/S0954579400007021.

    Article  Google Scholar 

  • Trentacosta, C., & Fine, S. E. (2010). Emotion knowledge, social competence, and behavior problems in childhood and adolescence: A meta-analytic review. Social Development, 19, 1–29. doi:10.1111/j.1467-9507.2009.00543.x.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wagner, H. L. (1993). On measuring performance in category judgment studies on nonverbal behavior. Journal of Nonverbal Behavior, 17, 3–28. doi:10.1007/BF00987006.

    Article  Google Scholar 

  • Weinberg, K. M., Olson, K. L., Beeghly, M., & Tronick, E. Z. (2006). Making up is hard to do, especially for mothers and high levels of depressive symptoms and their infant sons. Journal of Child Psychology and Psychiatry, 47, 670–683. doi:10.1111/j.1469-7610.2005.01545.x.

    Article  PubMed  Google Scholar 

  • Woodworth, M., & Waschbusch, D. (2008). Emotional processing in children with conduct problems and callous/unemotional traits. Child: Care, Health and Development, 34, 234–244. doi:10.1111/j.1365-2214.2007.00792.x.

    Google Scholar 

  • Zadeh, Z. Y., Im-Bolter, N., & Cohen, N. J. (2007). Social cognition and externalizing psychopathology: An investigation of the mediating role of language. Journal of Abnormal Child Psychology, 35, 141–152. doi:10.1007/s10802-006-9052-9.

    Article  PubMed  Google Scholar 

  • Zahn-Waxler, C., & Kochanska, G. (1990). The origins of guilt. In R.A. Thompson (Ed.), Nebraska symposium on motivation, 1988: Socioemotional development (pp. 183–258). Lincoln, NE: University of Nebraska Press.

Download references

Acknowledgments

We are grateful to the children and parents who participated in this study. We also thank Mia Demarco and Julia Lynford for their assistance with this research project.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sarah E. Martin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Martin, S.E., Williamson, L.R., Kurtz-Nelson, E.C. et al. Emotion Understanding (and Misunderstanding) in Clinically Referred Preschoolers: The Role of Child Language and Maternal Depressive Symptoms. J Child Fam Stud 24, 24–37 (2015). https://doi.org/10.1007/s10826-013-9810-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10826-013-9810-6

Keywords

Navigation