scholarly journals Trajectories of problem behaviors from 4 to 23 years in former preterm infants

2017 ◽  
Vol 42 (2) ◽  
pp. 237-247 ◽  
Author(s):  
Allie Scott ◽  
Suzy Barcelos Winchester ◽  
Mary C. Sullivan
Keyword(s):  
Problem Behaviors ◽  
Preterm Infants ◽  
Premature Infants ◽  
Internalizing Problems ◽  
Child Behavior Checklist ◽  
Significant Risk ◽  
Neonatal Morbidity ◽  
Childhood And Adolescence ◽  
Attention Problem ◽  
Externalizing And Internalizing Problems

Premature infants have significant risk for later behavior problems. This study examined growth trajectories of three problem behaviors across five developmental age points from preschool to early adulthood in a well-characterized sample of premature infants. The effects of neonatal risk, gender, and socioeconomic context were modeled on these trajectories. The longitudinal sample was comprised of preterm infants ( N = 160) with full variation of neonatal morbidity and birth weight (640–1,950 g). Trajectories of externalizing, internalizing and attention problem behaviors from 4 to 23 years, measured by the Child Behavior Checklist, were tested using latent growth curve modeling. The results indicate individual variation in the number of externalizing and internalizing problems over time. Externalizing problems were not significantly different for males and females, but male scores were consistently higher. Neonatal risk was significantly associated with higher internalizing problems at age 4, but was not predictive at school age and beyond. Attention-problem scores increased from early preschool through adolescence for males, but females had little change over the same ages. SES was not predictive of any problem behavior trajectories and no significant two-way interactions were found. The results advance understanding of stability and change of three important problem behaviors through preschool, childhood, and adolescence to young adulthood in prematurely born infants in order to inform clinicians about timely assessment and the refinement of effective interventions.

scholarly journals Advances on Parental Educational Styles Predictors of Internalizing and Externalizing Behaviors in Children

2019 ◽  
Vol 18 (5) ◽  
pp. 1-10
Author(s):  
Jaime Humberto Moreno Méndez ◽  
José Pedro Espada Sánchez ◽  
Inmaculada Gómez Becerra
Keyword(s):  
Public Schools ◽  
Internalizing Problems ◽  
Externalizing Problems ◽  
Child Behavior Checklist ◽  
Externalizing Behaviors ◽  
Internalizing And Externalizing Problems ◽  
Internalizing And Externalizing Behaviors ◽  
Externalizing And Internalizing Problems ◽  
Communication Difficulties ◽  
Internalizing And Externalizing

The purposes of this study were to perform a psychometric analysis of the Parental Educational Styles Questionnaire and to evaluate its predictive validity on externalizing and internalizing problems in Colombian children. Participants were 680 parents (M= 37.34; SD= 9.2) of children aged between 8 and 12 years enrolled in public schools in Bogota, Colombia. The parental educational styles questionnaire and the child behavior checklist -parents format- were applied to the participants. The resulting model presents the best indicators of favorable fit according to confirmatory factorial analyses. These values show an internal consistence of the instrument. The results indicate that dysfunctional reaction to disobedience, communication difficulties and conflicts predicted internalizing and externalizing problems.

scholarly journals A Twin-Singleton Comparison of Developmental Trajectories of Externalizing and Internalizing Problems in 6- to 12-Year-Old Children

2010 ◽  
Vol 13 (1) ◽  
pp. 79-87 ◽  
Author(s):  
Sylvana C. C. Robbers ◽  
Meike Bartels ◽  
Floor V. A. van Oort ◽  
C. E. M. (Toos) van Beijsterveldt ◽  
Jan van der Ende ◽  
...  
Keyword(s):  
Early Adolescence ◽  
Internalizing Problems ◽  
Externalizing Problems ◽  
Internalizing Symptoms ◽  
Child Behavior Checklist ◽  
Protective Factor ◽  
Developmental Trajectories ◽  
Population Sample ◽  
Growth Curves ◽  
Externalizing And Internalizing Problems

AbstractResearch on twin-singleton differences in externalizing and internalizing problems in childhood is largely cross-sectional and yields contrasting results. The goal of this study was to compare developmental trajectories of externalizing and internalizing problems in 6- to 12-year-old twins and singletons. Child Behavior Checklist (CBCL) maternal reports of externalizing and internalizing problems were obtained for a sample of 9651 twins from the Netherlands Twin Register and for a representative general population sample of 1351 singletons. Latent growth modeling was applied to estimate growth curves for twins and singletons. Twin-singleton differences in the intercepts and slopes of the growth curves were examined. The developmental trajectories of externalizing problems showed a linear decrease over time, and were not significantly different for twins and singletons. Internalizing problems seem to develop similarly for twins and singletons up to age 9. After this age twins' internalizing symptoms start to decrease in comparison to those of singletons, resulting in less internalizing problems than singletons by the age of 12 years. Our findings confirm the generalizability of twin studies to singleton populations with regard to externalizing problems in middle and late childhood. The generalizability of studies on internalizing problems in early adolescence in twin samples should be addressed with care. Twinship may be a protective factor in the development of internalizing problems during early adolescence.

scholarly journals Presepsin level as risk factor for mortality in premature infants with neonatal sepsis

2021 ◽  
Vol 61 (3) ◽  
pp. 165-70
Author(s):  
Muhammad Ifan Romli ◽  
Tetty Yuniati ◽  
Dany Hilmanto
Keyword(s):  
Risk Factor ◽  
Blood Culture ◽  
Preterm Infants ◽  
Premature Infants ◽  
Neonatal Sepsis ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Observational Prospective Cohort Study ◽  
Early Biomarker ◽  
Receiver Operator Characteristics

Background Prematurity is a risk factor of neonatal sepsis and its associated morbidities and mortality. Most deaths in neonatal sepsis occur within the first seven days. Presepsin has been reported as one of the earliest biomarkers for predicting mortality. Objective To determine the association between presepsin levels and mortality risk, as well as the optimal presepsin cut-off point for predicting mortality, in premature infants with neonatal sepsis .Method This was an observational prospective cohort study on 62 preterm infants born at 28 to <37 weeks’ gestation. We recorded clinical and laboratory characteristics, performed blood culture, and measured presepsin levels at initial diagnosis of sepsis. Subjects were followed for seven days and their outcome (death or survival) recorded. We evaluated the association between clinical and laboratory characteristics, including presepsin levels, with sepsis outcome. We also constructed a receiver-operator characteristics curve to determine the optimal cut-off point of presepsin as a predictor of sepsis mortality. Results Only blood culture results (P=0.006) and presepsin level (P<0.001) were significantly associated with sepsis outcome on the seventh day. The optimal presepsin cut-off value for predicting mortality was 1057 ng/mL, with an area under curve of 80.4%, sensitivity of 60.71%, and specificity of 88.24%. A presepsin level of >1057 ng/mL was associated with increased mortality [RR 3.02; 95%CI  68.3 to 89.4; P<0.001]. Conclusion In preterm infants with neonatal sepsis, an elevated presepsin level at diagnosis is a significant risk factor for mortality within seven days. Presepsin can be used as an early biomarker of sepsis outcome.

scholarly journals Role of temperament in early adolescent pure and co-occurring internalizing and externalizing problems using a bifactor model: Moderation by parenting and gender

2015 ◽  
Vol 28 (4pt2) ◽  
pp. 1487-1504 ◽  
Author(s):  
Frances L. Wang ◽  
Nancy Eisenberg ◽  
Carlos Valiente ◽  
Tracy L. Spinrad
Keyword(s):  
Problem Behaviors ◽  
Internalizing Problems ◽  
Externalizing Problems ◽  
Effortful Control ◽  
Early Adolescents ◽  
Early Adolescent ◽  
Emotional Expressivity ◽  
Internalizing And Externalizing Problems ◽  
Externalizing And Internalizing Problems ◽  
Internalizing And Externalizing

AbstractWe contribute to the literature on the relations of temperament to externalizing and internalizing problems by considering parental emotional expressivity and child gender as moderators of such relations and examining prediction of pure and co-occurring problem behaviors during early to middle adolescence using bifactor models (which provide unique and continuous factors for pure and co-occurring internalizing and externalizing problems). Parents and teachers reported on children's (4.5- to 8-year-olds; N = 214) and early adolescents’ (6 years later; N = 168) effortful control, impulsivity, anger, sadness, and problem behaviors. Parental emotional expressivity was measured observationally and with parents’ self-reports. Early-adolescents’ pure externalizing and co-occurring problems shared childhood and/or early-adolescent risk factors of low effortful control, high impulsivity, and high anger. Lower childhood and early-adolescent impulsivity and higher early-adolescent sadness predicted early-adolescents’ pure internalizing. Childhood positive parental emotional expressivity more consistently related to early-adolescents’ lower pure externalizing compared to co-occurring problems and pure internalizing. Lower effortful control predicted changes in externalizing (pure and co-occurring) over 6 years, but only when parental positive expressivity was low. Higher impulsivity predicted co-occurring problems only for boys. Findings highlight the probable complex developmental pathways to adolescent pure and co-occurring externalizing and internalizing problems.

scholarly journals BESIFORMUOJANČIŲ SUAUGUSIŲJŲ PROBLEMINIO ELGESIO, VAIDMENŲ KAITOS MEILĖS IR DARBO SRITYSE BEI SUAUGUSIAM ASMENIUI BŪDINGŲ SAVYBIŲ ĮGIJIMO RYŠIAI

Psichologija ◽  
2013 ◽  
Vol 48 ◽  
pp. 54-69
Author(s):  
R. Vosylis ◽  
S. Raižienė ◽  
R. Žukauskienė
Keyword(s):  
Emerging Adults ◽  
Problem Behaviors ◽  
Internalizing Problems ◽  
Externalizing Problems ◽  
Self Report ◽  
Work Commitment ◽  
Role Changes ◽  
Externalizing And Internalizing Problems ◽  
Anxiety Depression ◽  
Internalizing And Externalizing

  nemažai diskutuojama apie ilgėjantį laikotarpį, per kurį iš paauglystės pereinama į suaugusiojo gyvenimo tarpsnį. Taip pat diskutuojama apie tai, kad Vakarų šalyse suaugusio asmens statusas, ypač jaunuolių akimis, yra siejamas ne tiek su vaidmenų kaita, pavyzdžiui, mokslų baigimu ar tapimu tėvais, kiek su asmens savybių, kaip antai nepriklausomybė ar savarankiškumas, įgijimu. Šis laiko tarpsnis tarp paauglystės ir jauno suaugusiojo amžiaus taip pat pasižymi nemaža emocinių ir elgesio sunkumų kaita, kuri vyksta kartu su vaidmenų pokyčiais, bei suaugusio asmens savybių įgijimu. Tyrimų, nagrinėjančių, kaip probleminis elgesys, vaidmenų kaita ir suaugusio asmens savybių įgijimas yra susiję, netrūksta, tačiau maža tokių, kurie nagrinėtų šių kintamųjų ryšius kartu paėmus. Šiuo tyrimu ir siekta įvertinti besiformuojančių Lietuvos suaugusiųjų emocinių ir elgesio sunkumų, įsipareigojimo partneriui ir darbinei karjerai bei suaugusiojo bruožų įgijimo ryšius.Tyrimo dalyviai buvo atrinkti patogiosios imties būdu. Tyrime dalyvavo 241 tiriamasis – 198 merginos ir 43 vaikinai. Vidutinis tiriamųjų amžius buvo 22,22 metų (st. nuokr. – 2,91). Tiriamieji atsakė į interneto svetainėje paskelbtą anketą, kurioje buvo pateiktas J. J. Arnett (2003) klausimynas, vertinantis suaugusio asmens kriterijų svarbą, taip pat papildomi klausimai apie tai, kiek asmuo atitinka šiuos kriterijus. Anketoje taip pat buvo pateiktas ASR (Achenbach and Rescorla, 2003) klausimynas, skirtas įvertinti suaugusiųjų emocinius ir elgesio sunkumus. Remiantis tuo, ką tyrimo dalyviai įvardijo svarbiais suaugusio asmens kriterijais, ir tuo, kaip įvardijo, kiek tuos kriterijus yra įvykdę, buvo sudarytos trys skalės, rodančios suaugusio asmens bruožų įgijimą: pasiektą nepriklausomybę nuo tėvų, pasiektą normų paisymą ir įgytas kompetencijas rūpintis šeima. Taip pat panašiu būdu buvo sudaryti du kintamieji, rodantys įsipareigojimą partneriui ir darbinei karjerai.Tyrimo metu buvo atskleista, kad jaunuolių tiek įsipareigojimas darbinei karjerai, tiek partneriui yra neigiamai susijęs su nerimo ir depresijos sunkumais, tačiau įsipareigojimas darbinei karjerai yra teigiamai susijęs su erzinančiu elgesiu. Didesnė nepriklausomybė yra neigiamai susijusi su nerimo ir depresijos sunkumais ir užsisklendimu. Prognozuojant nerimo ir depresijos sunkumus, kai yra atsižvelgiama į suaugusio asmens bruožų įgijimą, įsipareigojimo darbinei karjerai bei partneriui efektas išnyksta. Prognozuojant erzinantį elgesį, įsipareigojimas darbinei karjerai išlieka reikšmingas veiksnys net ir tada, kai atsižvelgiama į suaugusiojo savybių įgijimą.Pagrindiniai žodžiai: probleminis elgesys, besiformuojančio suaugusiojo raidos tarpsnis, vaidmenų kaita, suaugusįjį žyminčių kriterijų atitikimas.Relationships between problem behaviors, role changes in areas of work, love, and achievement of adult character qualities among emerging adultsVosylis R., Raižienė S., Žukauskienė R. The goal of the current study is to evaluate the relationships between externalizing and internalizing problems, partner and work commitment, and the achievement of adult character qualities. A sample of 241 Lithuanian emerging adults participated in the study (mean age 22.22, SD = 2.91, 198 women and 43 men). Participants filled an internet-based questionnaire which consisted of Arnett’s questionnaire on adulthood criteria, additional questions on achieving these criteria, and the Adult Self-report questionnaire which measures internalizing and externalizing problems. Both partner and work commitments were found to be negatively related to anxiety / depression problems, and commitment to work was positively related to intrusive behavior. Achievement of independence was negatively related with anxiety / depression and withdrawal problems. The effect of commitment to work and to partner on anxiety / depression and the effect of commitment to partner on withdrawal was suppressed when it was controlled for achieving independence. Commitment to work positively predicts a more intrusive behavior even when achieving adult character qualities is taken into account.Keywords: problem behavior, emerging adulthood, role changes, achievement of adulthood criteria

scholarly journals Internalizing and externalizing problems across childhood and psychotic-like experiences in adulthood: The role of developmental period

2020 ◽  
Author(s):  
Keri Ka-Yee Wong ◽  
Marta Francesconi ◽  
Eirini Flouri
Keyword(s):  
Problem Behaviors ◽  
Internalizing Problems ◽  
Externalizing Problems ◽  
Parental Education ◽  
Developmental Period ◽  
Childhood And Adolescence ◽  
Internalizing And Externalizing Problems ◽  
Externalizing Problem Behaviors ◽  
Externalizing Problem ◽  
Internalizing And Externalizing

Author NotesThis manuscript has been submitted for publication and is likely to be edited as part of the peer-review process. Correspondence regarding this paper should be addressed to Keri Ka-Yee Wong, [email protected] Psychopathology in childhood and adolescence, commonly indexed by co-occurring internalizing and externalizing problem behaviors, has been found to predict psychotic-like experiences (PLEs) in adults. However, studies to date have rarely examined internalizing and externalizing problem behaviors simultaneously or identified in which developmental period do these problem behaviors predict PLEs in adults. This study tests to what extent internalizing and externalizing problem behaviors in childhood (4–9 years) or adolescence (11–16 years) predict PLEs in adulthood (18 years). Methods Parent-rated child internalizing and externalizing problems on the Strengths and Difficulties Questionnaire at ages 4, 6, 8, 9, 11, 13, and 16 years from the Avon Longitudinal Study of Parents and Children (N=4717) were modelled using two-piece latent growth curve modelling to predict clinician-rated PLEs at age 18 years, controlling for confounders (gender, ethnicity, socio-economic status, parental education and stressful life events) assessed prior to baseline at age 4 years.Results Controlling for confounders, an increase in childhood internalizing problems from 4 to 9 years and externalizing problems at baseline (at 4 years) predicted PLEs at 18 years, explaining 9.5% of the variance in adult PLEs. These associations were independent to controls for any changes in adolescent internalizing and externalizing problems from 11 to 16 years.Conclusions High baseline levels of externalizing problems and increasing internalizing problems throughout childhood can predict PLEs at 18 years. Externalizing problems around the transition to primary school and internalizing problems throughout childhood may be particularly helpful in informing risk of PLEs in adulthood.Keywords: ALSPAC; psychotic-like experiences; internalizing; externalizing; developmental; childhood.

scholarly journals Maternal Preeclampsia and Neonatal Outcomes

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Carl H. Backes ◽  
Kara Markham ◽  
Pamela Moorehead ◽  
Leandro Cordero ◽  
Craig A. Nankervis ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Clinical Decision Making ◽  
Significant Risk ◽  
Optimal Strategies ◽  
Neonatal Morbidity ◽  
Neonatal Outcomes ◽  
Late Preterm ◽  
Morbidity And Mortality ◽  
Premature Delivery ◽  
Late Preterm Infants

Preeclampsia is a multiorgan, heterogeneous disorder of pregnancy associated with significant maternal and neonatal morbidity and mortality. Optimal strategies in the care of the women with preeclampsia have not been fully elucidated, leaving physicians with incomplete data to guide their clinical decision making. Because preeclampsia is a progressive disorder, in some circumstances, delivery is needed to halt the progression to the benefit of the mother and fetus. However, the need for premature delivery has adverse effects on important neonatal outcomes not limited to the most premature infants. Late-preterm infants account for approximately two thirds of all preterm deliveries and are at significant risk for morbidity and mortality. Reviewed is the current literature in the diagnosis and obstetrical management of preeclampsia, the outcomes of late-preterm infants, and potential strategies to optimize fetal outcomes in pregnancies complicated by preeclampsia.

Early Vocabulary Delay and Behavioral/Emotional Problems in Early Childhood: The Generation R Study

2013 ◽  
Vol 56 (2) ◽  
pp. 553-566 ◽  
Author(s):  
Jens Henrichs ◽  
Leslie Rescorla ◽  
Cootje Donkersloot ◽  
Jacqueline J. Schenk ◽  
Hein Raat ◽  
...  
Keyword(s):  
Internalizing Problems ◽  
Externalizing Problems ◽  
Child Behavior Checklist ◽  
Emotional Problems ◽  
Population Based ◽  
Expressive Vocabulary ◽  
Population Based Study ◽  
Communicative Development ◽  
Externalizing And Internalizing Problems ◽  
And Gender

Purpose The authors tested associations between (a) parent-reported temporary vs. persistent vocabulary delay and (b) parent-reported behavioral/emotional problems in a sample of 5,497 young Dutch children participating in a prospective population-based study. Method Mothers completed the MacArthur Communicative Development Inventory—Netherlands (Zink & Lejaegere, 2003) at age 18 months and the Language Development Survey (Rescorla, 1989) at age 30 months, with expressive vocabulary delay defined as scores in the lowest 15th age- and gender-specific percentiles. The Child Behavior Checklist (Achenbach & Rescorla, 2000) was completed by mothers when their children were age 18 months and by both parents when their children were age 36 months, from which Internalizing Problems and Externalizing Problems scores were analyzed. Results All analyses were adjusted for covariates. Expressive vocabulary delay at age 18 months was weakly related to Internalizing Problems scores at age 18 months as well as mother-reported Externalizing and Internalizing Problems scores at age 36 months (the latter for boys only). Expressive vocabulary delay at age 30 months was weakly associated with mother-reported Externalizing and Internalizing Problems scores (the latter for boys only) and father-reported Internalizing Problems scores. Persistent expressive vocabulary delay predicted the highest risk of mother-reported internalizing and externalizing problems at age 36 months. Conclusion This population-based study showed modest associations between vocabulary delay and behavioral/emotional problems detectable from 18 months onward.

scholarly journals Youth in Residential Care: A Cross-Sectional Mediation Analysis of Youth’s Perceptions of Their Social Images, Self-Representations, and Adjustment Outcomes

2021 ◽  
Vol 12 ◽  
Author(s):  
Maria Manuela Calheiros ◽  
Carla Sofia Silva ◽  
Joana Nunes Patrício ◽  
Helena Carvalho
Keyword(s):  
Residential Care ◽  
Stress Responses ◽  
Internalizing Problems ◽  
Externalizing Behavior ◽  
Child Behavior Checklist ◽  
Protective Factor ◽  
Self Report ◽  
Externalizing And Internalizing Problems ◽  
Social Images ◽  
Mediation Models

Individuals’ perceptions of their social images [i.e., meta-representations (MR)] and perceived stereotyping threat create involuntary stress responses that may affect important outcomes, such as self-esteem, academic achievement, and mental health. This study aimed to (1) analyze the indirect associations between residential care youth’s MR and their psychological adjustment (i.e., externalizing and internalizing problems) through their self-representations (SR) and (2) test the moderating role of youth’s age and residential unit size in those associations. A sample of 926 youth aged between 12 and 25years old filled out self-report questionnaires regarding their representations about how people in general perceive them (i.e., MR) and their SR. Residential care professionals filled in the socio-demographic questionnaires and the Child Behavior Checklist. Data were analyzed through multiple mediation models and moderated mediation models. Results showed that (1) youth’s behavioral MR were indirectly associated with higher internalizing and externalizing behavior through higher levels of behavioral SR and (2) youth’s emotional MR were associated with higher internalizing problems through higher emotional SR, but also with lower internalizing problems through lower levels of behavioral SR. These results emphasize the importance of stimulating positive SR, by showing that they can be a protective factor for youth in residential care.

Personality of parents with bipolar disorder and interpersonal functioning among their offspring: A prospective 10-year study

2012 ◽  
Vol 24 (2) ◽  
pp. 573-587 ◽  
Author(s):  
Caroline S. Ostiguy ◽  
Mark A. Ellenbogen ◽  
Sheilagh Hodgins
Keyword(s):  
Bipolar Disorder ◽  
Middle Childhood ◽  
Behavioral Problems ◽  
Internalizing Problems ◽  
Child Behavior Checklist ◽  
Early Adulthood ◽  
Interpersonal Functioning ◽  
Neo Personality Inventory ◽  
Externalizing And Internalizing Problems ◽  
Internalizing And Externalizing

AbstractA comparison of offspring of parents with bipolar disorder (OBD) and offspring of parents with no mental disorder (ONMD) showed that parents' neuroticism was associated with internalizing and externalizing problems among their children. The present study examined whether parents' neuroticism predicted poor interpersonal functioning among offspring 10 years later and whether the problems observed in middle childhood mediated the association between parents' neuroticism and offspring functioning. When offspring were in middle childhood, parents completed the revised NEO Personality Inventory and rated the child's behavior on the Child Behavior Checklist. Ten years later, 65 OBD and 59 ONMD completed interviews assessing mental disorders and interpersonal and noninterpersonal functioning. High neuroticism and low agreeableness in parents predicted poor interpersonal functioning in their offspring in late adolescence–early adulthood. The offspring's externalizing and internalizing problems in middle childhood partially mediated the association between parents' personality and offspring interpersonal functioning. Moreover, the association between parents' neuroticism and offspring internalizing problems was stronger among the OBD than the ONMD. Overall, the results suggested an intergenerational transmission of risk whereby high neuroticism and low agreeableness in parents were associated with behavioral problems among offspring in middle childhood that, in turn, predicted poor interpersonal functioning 10 years later.

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