Parsing between- and within-person effects: Longitudinal associations between irritability and internalizing and externalizing problems from early childhood through adolescence

2021 ◽  
pp. 1-11
Author(s):  
Emma Chad-Friedman ◽  
Maria M. Galano ◽  
Edward P. Lemay ◽  
Thomas M. Olino ◽  
Daniel N. Klein ◽  
...  

Abstract Introduction: This report examines between- and within-person associations between youth irritability and concurrent and prospective internalizing and externalizing symptoms from early childhood through adolescence. Distinguishing between- and within-person longitudinal associations may yield distinct, clinically relevant information about pathways to multifinality from childhood irritability. Methods: Children’s irritability and co-occurring symptoms were assessed across five waves between ages 3 and 15 years using the mother-reported Child Behavior Checklist (N = 605, 46% female). Parental history of depressive disorders was assessed with a clinical interview. Results: Results demonstrated that between- and within-person irritability were uniquely associated with concurrent depressive, anxiety, and defiance symptoms, but not ADHD. Prior wave within-person irritability also predicted next wave depressive, anxiety, and defiance symptoms, controlling for prior symptoms; these prospective associations were bidirectional. Child sex and parental depressive disorders moderated associations. Discussions: Findings identify pathways from within- and between-person irritability to later internalizing and externalizing psychopathology. Results demonstrate the importance of parsing within- and between-person effects to understand nuanced relations among symptoms over childhood.

2008 ◽  
Vol 20 (2) ◽  
pp. 437-453 ◽  
Author(s):  
Stephan C. J. Huijbregts ◽  
Jean R. Séguin ◽  
Mark Zoccolillo ◽  
Michel Boivin ◽  
Richard E. Tremblay

AbstractThis study investigated joint effects of maternal prenatal smoking and parental history of antisocial behavior on physical aggression between ages 17 and 42 months in a population sample of children born in Québec (N = 1,745). An analysis of variance (ANOVA) showed significant main effects of maternal prenatal smoking and a significant interaction between maternal prenatal smoking and mother's history of antisocial behavior in the prediction of children's probability to display high and rising physical aggression. The interaction indicated that the effects of heavy smoking during pregnancy (≥10 cigarettes/day) were greater when the mother also had a serious history of antisocial behavior. The effects remained significant after the introduction of control variables (e.g., hostile-reactive parenting, family functioning, parental separation/divorce, family income, and maternal education). Another significant interaction not accounted for by control variables was observed for maternal prenatal smoking and family income, indicating more serious effects of maternal prenatal smoking under relatively low-income, conditions. Both interactions indicate critical adversities that, in combination with maternal prenatal smoking, have supra-additive effects on (the development of) physical aggression during early childhood. These findings may have implications for the selection of intervention targets and strategies.


2010 ◽  
Vol 51 (1) ◽  
pp. 115 ◽  
Author(s):  
Lisa A. Jones-Jordan ◽  
Loraine T. Sinnott ◽  
Ruth E. Manny ◽  
Susan A. Cotter ◽  
Robert N. Kleinstein ◽  
...  

2015 ◽  
Vol Ano 5 ◽  
pp. 24-32
Author(s):  
Maísa Novaes Portella Checchia ◽  
Renata Michel ◽  
César de Moraes

Objetivo: Estudar sintomas emocionais (internalização e externalização) em 12 crianças e adolescentes com deficiência visual. Método: Foram pesquisados 12 sujeitos com idade entre 6 e 18 anos, de ambos os sexos, diagnosticados com cegueira total ou visão subnormal (grupo de pesquisa), de acordo com dados fornecidos pela instituição em que as crianças eram assistidas e os relatos dos pais ou responsáveis. Também foram pesquisadas 10 crianças com visão normal (grupo controle), com a mesma faixa etária e também de ambos os sexos. Para as avaliações, foram usados o Critério de Classificação Econômica Brasil, o Child Behavior Checklist (CBCL) e a entrevista introdutória do instrumento Kiddie-Sads-Present and Lifetime Version 1, preenchidos com base nos relatos fornecidos. As análises estatísticas foram feitas através do teste do qui-quadrado, teste de Mann- Whitney e índice de correlação de Pearson. O nível de significância foi estabelecido em 5%. Resultados: Foi encontrada maior incidência de sintomas internalizantes no grupo de pesquisa. Com relação ao grupo controle, foram verificados problemas com regras, ou seja, esse grupo apresentava o padrão clínico dos sintomas de externalização no quesito quebra de regras. Conclusão: Sintomas de internalização foram mais frequentes no grupo de crianças com deficiência visual.


2017 ◽  
Vol 29 (4) ◽  
pp. 1469-1482 ◽  
Author(s):  
Daniel C. Kopala-Sibley ◽  
Caitlin Jelinek ◽  
Ellen M. Kessel ◽  
Allison Frost ◽  
Anna E. S. Allmann ◽  
...  

AbstractThe link between parental depressive history and parenting styles is well established, as is the association of parenting with child psychopathology. However, little research has examined whether a depressive history in one parent predicts the parenting style of the other parent. As well, relatively little research has tested transactional models of the parenting–child psychopathology relationship in the context of parents' depressive histories. In this study, mothers and fathers of 392 children were assessed for a lifetime history of major depression when their children were 3 years old. They then completed measures of permissiveness and authoritarianism and their child's internalizing and externalizing symptoms when children were 3, 6, and 9 years old. The results showed that a depressive history in one parent predicted the other parent's permissiveness. Analyses then showed that child externalizing symptoms at age 3 predicted maternal permissiveness and authoritarianism and paternal permissiveness at age 6. Maternal permissiveness at age 6 predicted child externalizing symptoms at age 9. No relationships in either direction were found between parenting styles and child internalizing symptoms. The results highlight the importance of considering both parents' depressive histories when understanding parenting styles, and support transactional models of parenting styles and child externalizing symptoms.


2019 ◽  
Vol 50 (15) ◽  
pp. 2566-2574
Author(s):  
Dylan Johnson ◽  
John D. McLennan ◽  
Jon Heron ◽  
Ian Colman

AbstractBackgroundAdolescence is a high-risk period for the onset of suicidal thoughts and behaviors. Identification of preceding patterns of internalizing and externalizing symptoms that are associated with subsequent suicidal thoughts may offer a better understanding of how to prevent adolescent suicide.MethodsData from the National Longitudinal Survey of Children and Youth, a prospective population-based Canadian cohort, contained Child Behavior Checklist items which were used to examine profiles and transitions of internalizing and externalizing symptoms in children, aged 6–11 years (n = 8266). The association between these profiles/transitions and suicidal thoughts in adolescents was examined using multivariate logistic regression modeling.ResultsLatent profile analyses identified four measurement invariant profiles of internalizing and externalizing symptoms at ages 6/7 and 10/11: (1) low on all symptoms, (2) moderate on all symptoms, (3) high on all symptoms, and (4) high on hyperactivity/inattention and internalizing. Recurrent (homotypic or heterotypic) and increasing symptoms from 6/7 to 10/11 were associated with suicidal thoughts in adolescence, compared to those with stable low symptoms. Those with decreasing symptoms from 6/7 to 10/11 were not at increased risk of suicidal thought in adolescence.ConclusionsWhile patterns of recurrent symptoms were associated with suicidal thoughts, a similar association was observed between profiles at age 10/11 years and suicidal thoughts. This suggests that the recent assessments of mental health symptoms in children may be as sufficient a predictor of adolescent suicidal thought as transition profiles.


Author(s):  
İldeniz B. Arslan ◽  
Nicole Lucassen ◽  
Pol A. C. van Lier ◽  
Amaranta D. de Haan ◽  
Peter Prinzie

Abstract Purpose A vast amount of studies suggest that internalizing or externalizing problems are related to individual functioning, and often co-occur. Yet, a focus on their additive and interactive effects is scarce. Furthermore, most research has focused on a limited number of developmental domains and mostly on maladaptive functioning. Therefore, the current prospective study examined whether early childhood (ages 4–8) internalizing and externalizing problems and their interaction were related to a broad range of (mal)adaptive functioning outcomes in emerging adulthood (ages 20–24). Methods Data from the Flemish Study on Parenting, Personality and Development were used. At Time 1 (1999) mothers of 374 children (45% boys) and fathers of 357 children (46% boys) rated internalizing and externalizing problems through the Child Behavior Checklist. Outcomes in emerging adulthood were measured through self-reports 16 years later across the following domains: psychological functioning, social functioning, work, physical health, and self-concept. Results Early externalizing problems were related to maladaptive outcomes on the psychological and social domains. With regard to adaptive functioning, externalizing problems were associated with lower satisfaction regarding general health on the physical domain. Early internalizing problems were not associated with any emerging adulthood outcomes. The interaction of (father reported) internalizing and externalizing problems was related to aggressive behavior. Conclusion Early childhood externalizing problems were associated with maladaptive and adaptive functioning over a time span of 16 years. The results add to studies on the implementation of prevention and intervention programs in early childhood and to the value for developing personalized interventions.


Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Emily C Maxwell ◽  
Tonia Ballantyne ◽  
Kathleen E Carlson ◽  
Amanda L Hollatz ◽  
KC Clevenger ◽  
...  

Introduction: Previous research has broadly documented that emotional and behavioral difficulties are seen after pediatric stroke; however, global ratings are generally reported without comparison to age-based norms. Additionally, little is known about the discrete symptomatology exhibited by these children. Thus, the goal of the present study was to evaluate specific psychological symptoms following childhood arterial ischemic stroke (AIS). Hypothesis: Children with AIS were predicted to have increased difficulties in both internalizing and externalizing symptoms compared to the normative sample. Age at AIS was anticipated to influence the presence of psychological symptoms, with internalizing symptoms occurring at higher levels when the AIS occurred at a later age. Methods: Participants were children ( n = 50, mean age = 12.1 years) who suffered an AIS during childhood (range = 1 month to 17.1 years). Parents completed the Child Behavior Checklist at least 10 months post-AIS (mean = 4.1 years). Children were divided into groups by age at AIS: early (<6 years), middle (6-10 years), or late (>10 years) childhood. Data were analyzed using one-sample t -tests and ANOVA. Results: Children with AIS had significantly greater problems on the following DSM-oriented scales compared to the normative sample (all p -values < 0.01): Affective Problems, Anxiety Problems, Somatic Problems, Oppositional Defiant Problems, and Conduct Problems. There was a significant age-at-AIS effect on the Anxiety Problems subscale, F (2, 49) = 3.31, p = 0.05, such that the early childhood group had significantly higher levels of anxiety compared to the late childhood group. Conclusions: Increased internalizing and externalizing symptoms were seen in children with AIS compared to the normative sample, and a higher percentage of children with AIS exceeded a clinically significant threshold in each domain. Contrary to expectations, children who had AIS at an earlier age showed greater number of anxiety symptoms relative to same-age peers. Possible mechanisms for the latter may include changes in family dynamics when young children suffer a neurological injury. These results support the need for careful psychological follow-up in this vulnerable population.


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