scholarly journals Parental Mental Health and Hostility Are Associated With Longitudinal Increases in Child Internalizing and Externalizing Problems During COVID-19

2021 ◽  
Vol 12 ◽  
Author(s):  
Jennifer E. Khoury ◽  
Hargun Kaur ◽  
Andrea Gonzalez
Keyword(s):  
Mental Health ◽  
Externalizing Problems ◽  
Mental Health Problems ◽  
Parenting Behavior ◽  
Child Gender ◽  
Internalizing And Externalizing Problems ◽  
Parent Mental Health ◽  
The Impact ◽  
Internalizing And Externalizing

Children are at high risk for negative COVID-19 related outcomes. The present longitudinal study assessed (1) changes in child internalizing and externalizing problems from before to during the pandemic and (2) whether parent mental health (depression, anxiety, stress) or parenting behavior during COVID-19 were associated with changes in child mental health problems. Sixty eight mother-child dyads participated in this study. Children were approximately five years-old at the time of enrollment and were between the ages of 7–9 years old at the time of the follow-up survey. Parenting behavior, parental depression, anxiety, perceived stress and child internalizing and externalizing problems were measured using validated questionnaires. Children experienced greater internalizing (t = 6.46, p < 0.001) and externalizing (t = 6.13, p < 0.001) problems during the pandemic compared to before the pandemic. After taking into account child gender and COVID-related stressors, parental hostility was uniquely associated with greater changes in externalizing problems (β = 0.355, SE = 0.178, p < 0.05), while maternal anxiety was associated with greater increases in internalizing problems (β = 0.513, SE = 0.208, p < 0.05). Findings highlight the need for mental health supports for families to limit the impact of the COVID-19 pandemic on child and parent mental health.

The Self and Mental Health: Self-Salience and the Emergence of Internalizing and Externalizing Problems

2005 ◽  
Vol 46 (4) ◽  
pp. 323-340 ◽  
Author(s):  
Sarah Rosenfield ◽  
Mary Clare Lennon ◽  
Helene Raskin White
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Social Relations ◽  
Externalizing Problems ◽  
Internalizing Symptoms ◽  
Mental Health Problems ◽  
Externalizing Behaviors ◽  
The Self ◽  
Internalizing And Externalizing Problems ◽  
Internalizing And Externalizing

How do schemas about self-salience—the importance of the self versus the collective in social relations—affect mental health? We propose that self-salience shapes the likelihood of experiencing internalizing or externalizing problems. Schemas that privilege others over the self increase the risk of internalizing symptoms, including depressive symptoms and anxiety, whereas those that privilege the self over others predispose individuals to externalizing behaviors of antisocial behavior and substance abuse. Furthermore, we propose that these schemas contribute to the gender differences that exist in these problems. We test these predictions with data from adolescents, the stage at which these problems and the gender differences in them arise. Results show that self-salience underlies both internalizing and externalizing problems. In addition, schemas about self-salience help explain the gender differences found in mental health problems.

scholarly journals Charting the trajectories of adopted children's emotional and behavioral problems: The impact of early adversity and postadoptive parental warmth

2020 ◽  
pp. 1-15 ◽  
Author(s):  
Amy L. Paine ◽  
Oliver Perra ◽  
Rebecca Anthony ◽  
Katherine H. Shelton
Keyword(s):  
Mental Health ◽  
Behavioral Problems ◽  
Externalizing Problems ◽  
Mental Health Problems ◽  
Health Problems ◽  
Emotional And Behavioral Problems ◽  
Parental Warmth ◽  
Internalizing And Externalizing Problems ◽  
Prospective Longitudinal ◽  
Internalizing And Externalizing

Abstract Children who are adopted from care are more likely to experience enduring emotional and behavioral problems across development; however, adoptees’ trajectories of mental health problems and factors that impact their trajectories are poorly understood. Therefore, we used multilevel growth analyses to chart adoptees’ internalizing and externalizing problems across childhood, and examined the associations between preadoptive risk and postadoptive protective factors on their trajectories. This was investigated in a prospective longitudinal study of case file records (N = 374) and questionnaire-based follow-ups (N = 96) at approximately 5, 21, and 36 months postadoptive placement. Preadoptive adversity (indexed by age at placement, days in care, and number of adverse childhood experiences) was associated with higher internalizing and externalizing scores; the decrease in internalizing scores over childhood was accelerated for those exposed to lower levels of preadoptive risk. Warm adoptive parenting was associated with a marked reduction in children's internalizing and externalizing problems over time. Although potentially limited by shared methods variance and lack of variability in parental warmth scores, these findings demonstrate the deleterious impact of preadoptive risk and the positive role of exceptionally warm adoptive parenting on children's trajectories of mental health problems and have relevance for prevention and intervention strategies.

scholarly journals Cumulative Childhood Adversity and Its Associations With Mental Health in Childhood, Adolescence, and Adulthood in Rural China

2021 ◽  
Vol 12 ◽  
Author(s):  
Wensong Shen
Keyword(s):  
Mental Health ◽  
Significant Relationship ◽  
Externalizing Problems ◽  
Mental Health Problems ◽  
Rural China ◽  
Childhood Adversity ◽  
Self Esteem ◽  
Health Problems ◽  
Internalizing And Externalizing Problems ◽  
Internalizing And Externalizing

Capitalizing on a 15-year longitudinal dataset of 9–12 years old children in rural China, this study adopts a life course perspective and analyzes cumulative childhood adversity and its associations with mental health problems from childhood to adulthood. Four domains of childhood life are selected to construct cumulative childhood adversity: socioeconomic hardship, family disruption, physical issue, and academic setback. Overall, cumulative childhood adversity significantly associates with children’s internalizing and externalizing problems as well as adults’ depression and self-esteem. However, cumulative childhood adversity has no significant relationship with internalizing and externalizing problems in adolescence. Furthermore, different domains of childhood adversity matter differently for mental health problems in different life stages. Physical issue and academic setback have the strongest association with internalizing and externalizing problems in childhood, while only socioeconomic hardship has a significant relationship with depression and self-esteem in adulthood. The relationship between cumulative childhood adversity and adult mental health problems is fully mediated by educational attainment. Finally, there is no gender difference in either the occurrence of cumulative childhood adversity or the association between cumulative childhood adversity and mental health problems.

scholarly journals Domestic violence and risk of internalizing and externalizing problems in adolescents living with relatives displaying substance use disorders

2020 ◽  
Vol 69 (2) ◽  
pp. 93-102
Author(s):  
Thaís dos Reis Vilela ◽  
Marina Monzani da Rocha ◽  
Neliana Buzi Figlie ◽  
Sandra Cristina Pillon ◽  
Alessandra Diehl ◽  
...  
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Behavioral Problems ◽  
Externalizing Problems ◽  
Mental Health Problems ◽  
Internalizing And Externalizing Problems ◽  
Increased Risk ◽  
Internalizing And Externalizing

ABSTRACT Objective To investigate the association between exposure to domestic violence and increased risk of internalizing and externalizing problems and substance use among adolescents living with relatives with substance use disorder (SUD) at a low-income community of São Paulo, Brazil. Methods A cross-sectional study was conducted with 102 adolescents aged 12-17 years (M = 14.2, SD = 1.7) who were living with relatives suffering from SUD. Outcomes were measured using the Youth Self-Report (YSR), psychosocial stress factors questionnaire, Drug Use Screening Inventory (DUSI) and Phrase Inventory of Intrafamily Child Abuse (PIICA). Results The sample presented high prevalence of emotional/behavioral problems with YSR’s scores in the clinical range for Internalizing Problems (24.5%), Externalizing Problems (21.6%), and Total Problems (26.5%). The presence of mental health problems predicted substance use (PR = 2.22; 95% CI = 1.2-4.13), and substance use predicted increased risk of mental health problems. Alcohol use predicted more than double the risk of emotional/behavioral problems (PR = 2.01; 95% CI = 1.08-3.76), while illicit drug use was associated with an almost threefold increase in the prevalence of Internalizing (PR = 2.87; 95% CI = 1.19-6.89) and Externalizing Problems (PR = 3.3; 95% CI = 1.35-8.04). Conclusion Adolescents of relatives with SUD are at risk of developing emotional and behavioral problems. These findings reinforce the need to develop public mental health policies, which include protective interventions to adolescents living in families affected by substance use disorders.

scholarly journals Impact of childhood and adulthood psychological health on labour force participation and exit in later life

2017 ◽  
Vol 47 (9) ◽  
pp. 1597-1608 ◽  
Author(s):  
C. Clark ◽  
M. Smuk ◽  
D. Lain ◽  
S. A. Stansfeld ◽  
E. Carr ◽  
...  
Keyword(s):  
Psychological Health ◽  
Externalizing Problems ◽  
Mental Health Problems ◽  
Labour Force ◽  
Later Life ◽  
Labour Force Participation ◽  
Internalizing And Externalizing Problems ◽  
Number Of Children ◽  
Increased Risk ◽  
Internalizing And Externalizing

BackgroundAdulthood psychological health predicts labour force activity but few studies have examined childhood psychological health. We hypothesized that childhood psychological ill-health would be associated with labour force exit at 55 years.MethodData were from the 55-year follow-up of the National Child Development Study (n = 9137). Labour force participation and exit (unemployment, retirement, permanent sickness, homemaking/other) were self-reported at 55 years. Internalizing and externalizing problems in childhood (7, 11 and 16 years) and malaise in adulthood (23, 33, 42, 50 years) were assessed. Education, social class, periods of unemployment, partnership separations, number of children, and homemaking activity were measured throughout adulthood.ResultsChildhood internalizing and externalizing problems were associated with unemployment, permanent sickness and homemaking/other at 55 years, after adjustment for adulthood psychological health and education: one or two reports of internalizing was associated with increased risk for unemployment [relative risk (RR) 1.59, 95% confidence interval (CI) 1.12–2.25; RR 2.37, 95% CI 1.48–3.79] and permanent sickness (RR 1.32, 95% CI 1.00–1.74; RR, 1.48, 95% CI 1.00–2.17); three reports of externalizing was associated with increased risk for unemployment (RR 2.26, 95% CI 1.01–5.04), permanent sickness (RR 2.63, 95% CI 1.46–4.73) and homemaking/other (RR 1.95, 95% CI 1.00–3.78).ConclusionsPsychological ill-health across the lifecourse, including during childhood, reduces the likelihood of working in older age. Support for those with mental health problems at different life stages and for those with limited connections to the labour market, including homemakers, is an essential dimension of attempts to extend working lives.

Beyond Trauma Exposure: Discrimination and Posttraumatic Stress, Internalizing, and Externalizing Problems Among Detained Youth

2020 ◽  
pp. 088626052092631 ◽  
Author(s):  
Lucybel Mendez ◽  
Michaela M. Mozley ◽  
Patricia K. Kerig
Keyword(s):  
Posttraumatic Stress ◽  
Racial Discrimination ◽  
Externalizing Problems ◽  
Posttraumatic Stress Symptoms ◽  
Traumatic Experience ◽  
Internalizing And Externalizing Problems ◽  
Stress Symptoms ◽  
Externalizing And Internalizing Problems ◽  
The Impact ◽  
Internalizing And Externalizing

According to the race-based traumatic stress model, racial discrimination is proposed to comprise a traumatic experience that results in posttraumatic stress symptoms, as well as internalizing and externalizing problems among youth. Accordingly, a significant body of research has emerged that supports the associations among these constructs. However, the majority of these empirical studies have not accounted for the potential role of traditionally defined traumatic events in these associations. This study investigated whether self-reported racial discrimination was related to posttraumatic stress symptoms, internalizing, and externalizing symptoms above and beyond the impact of other trauma exposures in a sample of 266 detained youth (79% boys, 60% identified as an ethnic minority). Results of hierarchical linear regressions demonstrated that, after accounting for youths’ other trauma exposures, racial discrimination accounted for significant variance in the models predicting delinquency and risk-taking but no other externalizing and internalizing problems, or posttraumatic stress symptoms. These findings indicate that racial discrimination may be particularly important for understanding offending behavior among detained youth.

scholarly journals Parenting Behavior at 18 Months Predicts Internalizing and Externalizing Problems at 6 Years in Moderately Preterm and Full Term Children

2020 ◽  
Vol 17 (22) ◽  
pp. 8679
Author(s):  
Lisa Oosterom ◽  
Lilly Bogičević ◽  
Marjolein Verhoeven ◽  
Anneloes L. van Baar
Keyword(s):  
Behavior Problems ◽  
Externalizing Problems ◽  
Child Behavior Problems ◽  
Parenting Behavior ◽  
Attention Problems ◽  
Internalizing And Externalizing Problems ◽  
Child Interaction ◽  
Mother Child Interaction ◽  
Moderately Preterm ◽  
Internalizing And Externalizing

Moderately preterm born children (MPT) are at increased risk for behavior problems compared to full term born (FT) children. MPT children may receive less optimal parenting, and in response, may develop behavior problems. Our aims were to examine whether parenting behavior and mother–child interaction quality mediate the association between birth status and child behavior problems. Participants were 120 MPT children and 100 FT children. At 18 months of age, mothers reported on their parenting behavior (support and structure), and mother–child interaction (sensitivity and limit-setting) was observed. At 6 years of age, mothers reported on children’s behavior problems. Using structural equation modeling, birth status was found to predict attention problems, but not internalizing and externalizing problems. Mothers of MPT children set less appropriate limits than mothers of FT children at 18 months of age. More maternal structure at 18 months predicted fewer internalizing and externalizing problems, but not attention problems, at 6 years. These associations between parenting behavior, mother–child interaction quality, and child behavior problems were similar for MPT and FT children. Our findings indicate that maternal structure in toddlerhood is an important predictor of later internalizing and externalizing problems for both MPT and FT children.

scholarly journals Polygenic Risks for Joint Developmental Trajectories of Internalizing and Externalizing Problems: Findings from the ALSPAC Cohort

2021 ◽  
Author(s):  
Lydia Gabriela Speyer ◽  
Samuel Neaves ◽  
Hildigunnur Anna Hall ◽  
Gibran Hemani ◽  
MIchael Lombardo ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Externalizing Problems ◽  
Maternal Mental Health ◽  
Developmental Trajectories ◽  
Externalizing Symptoms ◽  
Internalizing And Externalizing Problems ◽  
Shared Risk ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

Background: Joint developmental trajectories of internalizing and externalizing problems show considerable heterogeneity; however, this can be parsed into a small number of meaningful subgroups. Doing so offered insights into risk factors that lead to different patterns of internalizing/externalizing trajectories. However, despite both domains of problems showing strong heritability, no study has yet considered genetic risks as predictors of joint internalizing/externalizing problem trajectories. Methods: Using parallel process latent class growth analysis, we estimated joint developmental trajectories of internalizing and externalizing difficulties assessed across ages 4 to 16 using the Strengths and Difficulties Questionnaire. Multinomial logistic regression was used to evaluate a range of demographic, perinatal, maternal mental health, and child and maternal polygenic predictors of group membership. Participants included 11049 children taking part in the Avon Longitudinal Study of Parents and Children. Polygenic data was available for 7127 children and 6836 mothers.Results: Five distinct classes were identified: Unaffected, Moderate Externalizing Symptoms, High Externalizing Symptoms, Moderate Internalizing and Externalizing Symptoms and High Internalizing and Externalizing Symptoms. Male sex, lower maternal age, maternal mental health problems, maternal smoking during pregnancy, higher child polygenic risk scores for ADHD as well as lower polygenic scores for IQ distinguished affected classes from the unaffected class.Conclusions: While affected classes could be relatively well separated from the unaffected class, phenotypic and polygenic predictors were limited in their ability to distinguish between different affected classes. Thus, results add to existing evidence that internalizing and externalizing problems have mostly shared risk factors.

The origins of mental toughness–internalizing and externalizing problems at the age of 5 years predict higher mental toughness scores at the age of 14 years

2017 ◽  
Vol 41 (S1) ◽  
pp. S452-S453
Author(s):  
D. Sadeghi Bahmani ◽  
M. Hatzinger ◽  
M. Gerber ◽  
S. Lemola ◽  
P.J. Clough ◽  
...  
Keyword(s):  
Prosocial Behavior ◽  
Peer Relationships ◽  
Externalizing Problems ◽  
Sleep Disturbances ◽  
Demographic Data ◽  
Explanatory Power ◽  
Mental Toughness ◽  
Internalizing And Externalizing Problems ◽  
Internalizing And Externalizing

BackgroundThe concept of mental toughness has gained increasing importance among non-elite athletes for its psychological importance and explanatory power for a broad range of health-related behaviors. On the flip side, no study has focused so far on the psychological origins of mental toughness. Therefore, the aims of the present study were three-fold: to explore, to what extent psychological profiles of preschoolers at the age of five years predicted mental toughness scores and sleep disturbances at the age of 14 years, and to explore possible gender differences.MethodNine years after their first assessment at the age of five years (preschoolers), a total of 77 adolescents (mean age: 14.35 years; SD = 1.22; 42% females) took part in the present follow-up study. At baseline, both parents and teachers completed the Strengths and Difficulties Questionnaire (SDQ), covering internalizing and externalizing problems, hyperactivity, negative peer relationships, and prosocial behavior. At follow-up, participants completed a booklet of questionnaires covering socio-demographic data, mental toughness, and sleep disturbances.ResultsPreschoolers with high prosocial behavior and low internalizing and externalizing problems, as rated by parents and teachers, at the age of 14 years self-reported higher mental toughness and lower sleep disturbances. At the age of 14 years, and relative to their male counterparts, female participants reported lower MT scores and higher sleep disturbances.ConclusionsThe pattern of results suggests that mental toughness traits during adolescence have their origins during pre-school years.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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