Early externalizing behavior problems: Toddlers and preschoolers at risk for later maladjustment
Abstract
The early emergence and developmental implications of externalizing behavior problems in toddlers and preschoolers are discussed with an emphasis on which young children are truly at risk for continuing problems. The extant literature is reviewed with a focus on the stability of early externalizing behavior and the diverse pathways that young children, primarily boys, with early-emerging problems may follow. Findings from a number of studies, both epidemiological and high risk, suggest that the small subgroup of boys with multiple risk factors that include especially high levels of early hyperactivity and aggression, and high levels of negative parenting and family stress, are most likely to evidence continuing problems at school entry. Sociodemographic and neighborhood influences are also discussed, as are implications for future research and policy.
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For a small proportion of children, early behavioral difficulties persist and represent the start of a pathway to mental health challenges.
“While such difficulties usually resolve naturally across the transition into the pre-school years [86], for a small proportion of children, difficulties persist and represent the start of a pathway to mental health challenges [4, 11, 15, 16, 24, 44, 71].”
From Optimizing parenting and child outcomes following parent–child interaction therapy – toddler: a randomized controlled trial (2024) · cites this paper as [15]
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“Finally, the present findings further indicate the important role that physical aggression plays in the lives of young children, particularly boys (see Campbell, Shaw, & Gilliom, 2000; NICHD ECCRN, 2004).”
ResultCoercive family process and early-onset conduct problems from age 2 to school entry
Smith, J. D., Dishion, T. J., Shaw, D. S., Wilson, M. N., Winter, C., & Patterson, G. R. (2014) · Development and Psychopathology · doi:10.1017/s0954579414000169 · Cited by 323 · see citing works
Self-citationConger, R. D., Neppl, T. K., Kim, K. J., & Scaramella, L. V. (2003) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1022570107457 · Cited by 309 · see citing works
“Only truly disruptive noncompliance would be expected to reflect continuing and significant aggressive behaviors ( Campbell, Shaw, & Gilliom, 2000 ).”
BackgroundLi-Grining, C. P. (2007) · Developmental Psychology · doi:10.1037/0012-1649.43.1.208 · Cited by 312 · see citing works
“…may be related to preschoolers' effortful control, although the child psychopathology literature suggests that child risks and ecological risks should be considered as contributors to children's socioemotional adjustment (Campbell et al., 2000; Deater-Deckard et al., 1998; Olson et al., 2005).”
BackgroundBeauchaine, T. P., & McNulty, T. (2013) · Development and Psychopathology · doi:10.1017/s0954579413000746 · Cited by 288 · see citing works
Barker, D. H., Quittner, A. L., Fink, N. E., Eisenberg, L. S., Tobey, E. A., Niparko, J. K., & The CDaCI Investigative Team (2009) · Development and Psychopathology · doi:10.1017/s0954579409000212 · Cited by 298 · see citing works
“Both economic and cognitive factors have been related to child behavior problems of normal hearing children in previous studies (Benasich, Curtiss, & Tallal, 1993; Campbell et al., 2000) and were related to behavior problems, language, and visual attention in this study.”
Social-Emotional Screening Status in Early Childhood Predicts Elementary School Outcomes
Briggs‐Gowan, M. J., & Carter, A. S. (2008) · PEDIATRICS · doi:10.1542/peds.2007-1948 · Cited by 293 · see citing works
The transition to school: adaptation in young children with and without intellectual disability
McIntyre, L. L., Blacher, J., & Baker, B. L. (2006) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2006.00783.x · Cited by 282 · see citing works
Five-Year Growth Trajectories of Kindergarten Children With Learning Difficulties in Mathematics
Morgan, P. L., Farkas, G., & Wu, Q. (2009) · Journal of Learning Disabilities · doi:10.1177/0022219408331037 · Cited by 277 · see citing works
“, those repeatedly displaying MD in kindergarten) may be identified as in need of early intervention (Bennett et al., 1998; Campbell et al., 2000).”
BackgroundEarly Developmental Processes and the Continuity of Risk for Underage Drinking and Problem Drinking
Zucker, R. A., Donovan, J. E., Masten, A. S., Mattson, M. E., & Moss, H. B. (2008) · Pediatrics · doi:10.1542/peds.2007-2243b · Cited by 276 · see citing works
Galéra, C., Côté, S., Bouvard, M., Pingault, J.-B., Melchior, M., Michel, G., Boivin, M., & Tremblay, R. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.138 · Cited by 252 · see citing works
Early Preschool Predictors of Preadolescent Internalizing and Externalizing DSM-IV Diagnoses
MESMAN, J., & KOOT, H. M. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200109000-00011 · Cited by 265 · see citing works
“, 2000) and externalizing problems (Campbell et al., 2000).”
Combining Parent and Child Training for Young Children with ADHD
Webster-Stratton, C. H., Reid, M. J., & Beauchaine, T. (2011) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2011.546044 · Cited by 265 · see citing works
“Attention-deficit/hyperactivity disorder (ADHD) in young children mark significant risk for later oppositional defiant disorder (ODD), which in turn confers risk for early-onset conduct disorder (CD; see Beauchaine, Hinshaw, & Pang, in press; Campbell, Shaw, & Gilliom, 2000 ).”
BackgroundKim, S., & Kochanska, G. (2012) · Child Development · doi:10.1111/j.1467-8624.2012.01778.x · Cited by 267 · see citing works
The Intergenerational Transfer of Psychosocial Risk: Mediators of Vulnerability and Resilience
Serbin, L. A., & Karp, J. (2004) · Annual Review of Psychology · doi:10.1146/annurev.psych.54.101601.145228 · Cited by 262 · see citing works
Havighurst, S. S., Wilson, K. R., Harley, A. E., Kehoe, C. E., Efron, D., & Prior, M. R. (2012) · Child Psychiatry & Human Development · doi:10.1007/s10578-012-0322-1 · Cited by 245 · see citing works
“Behavior problems in young children are associated longitudinally with an increased risk for a range of problems in adolescence and adult life, including substance abuse, poor peer relations, delinquency and violence [1–5].”
BackgroundDevelopmental trajectories of conduct problems and hyperactivity from ages 2 to 10
Shaw, D. S., Lacourse, É., & Nagin, D. S. (2005) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00390.x · Cited by 244 · see citing works
“Based on prior research (Aguilar, Sroufe, Egeland, & Carlson, 2000; Campbell et al., 2000; Greenberg et al., 1999), it was hypothesized that persistent trajectories of CP and persistent trajectories of HAP would both be characterized by a greater number of child and socioeconomic risk factors than…”
BackgroundMethodSelf-citationA Truly Early Starter Model of Antisocial Behavior Revisited
Shaw, D. S., Bell, R. Q., & Gilliom, M. (2000) · Clinical Child and Family Psychology Review · doi:10.1023/a:1009599208790 · Cited by 236 · see citing works
Self-citationTrentacosta, C. J., & Shaw, D. S. (2009) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2008.12.016 · Cited by 234 · see citing works
“Perspectives on earlystarting conduct problems have emphasized the interplay of child temperamental factors and context in the emergence and maintenance of these problems across childhood ( Campbell, Shaw, & Gilliom, 2000; Shaw, Bell, & Gilliom, 2000).”
Self-citationAvan, B., Richter, L. M., Ramchandani, P. G., Norris, S. A., & Stein, A. (2010) · Archives of Disease in Childhood · doi:10.1136/adc.2009.164848 · Cited by 230 · see citing works
Internalizing Disorders in Early Childhood: A Review of Depressive and Anxiety Disorders
Tandon, M., Cardeli, E., & Luby, J. L. (2009) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2009.03.004 · Cited by 226 · see citing works
“because difficulties exhibited during the preschool period are commonly regarded as transient despite growing evidence to the contrary.(83,84) New findings demonstrating the 2-year stability and homotypic continuity of preschool-onset depression”
BackgroundCunningham, C. E., & Boyle, M. H. (2002) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1020855429085 · Cited by 225 · see citing works
Crowell, S. E., Beauchaine, T. P., Gatzke-Kopp, L., Sylvers, P., Mead, H., & Chipman-Chacon, J. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.1.174 · Cited by 221 · see citing works
“Preschool symptoms of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) mark significant risk for more serious externalizing behaviors in middle childhood, including early onset conduct disorder (CD), delinquency, and aggression ( Campbell, Shaw, & Gilliom, 2000 ).”
BackgroundViolence and Externalizing Behavior Among Youth in the United States
Vaughn, M. G., Salas‐Wright, C. P., DeLisi, M., & Maynard, B. R. (2013) · Youth Violence and Juvenile Justice · doi:10.1177/1541204013478973 · Cited by 220 · see citing works
Ten good reasons to consider biological processes in prevention and intervention research
Beauchaine, T. P., Neuhaus, E., Brenner, S. L., & Gatzke-Kopp, L. (2008) · Development and Psychopathology · doi:10.1017/s0954579408000369 · Cited by 215 · see citing works
Wakschlag, L. S., Tolan, P. H., & LEVENTHAL, B. L. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2009.02184.x · Cited by 210 · see citing works
Bowring, D. L., Totsika, V., Hastings, R. P., Toogood, S., & Griffith, G. M. (2016) · British Journal of Clinical Psychology · doi:10.1111/bjc.12118 · Cited by 208 · see citing works
Kerr, D., Lunkenheimer, E. S., & Olson, S. L. (2007) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2007.01776.x · Cited by 206 · see citing works
“Conceptually, derivation of a multiinformant problem estimate is valuable for understanding problem antecedents and sequelae, since children who show disruptive behavior problems in multiple contexts are more likely to have serious and stable problems (Campbell et al., 2000).”
BackgroundPetersen, K. J., Qualter, P., & Humphrey, N. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01214 · Cited by 195 · see citing works
“, hitting out or tantrums) are symptoms of externalizing problems in older children (Campbell et al., 2000; Carter et al., 2004; Fanti and Henrich, 2010).”
BackgroundDifferentiating Early-Onset Persistent Versus Childhood-Limited Conduct Problem Youth
Barker, E. D., & Maughan, B. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.08121770 · Cited by 200 · see citing works
Predicting Kindergarten Peer Social Status from Toddler and Preschool Problem Behavior
Keane, S. P., & Calkins, S. D. (2004) · Research on Child and Adolescent Psychopathology · doi:10.1023/b:jacp.0000030294.11443.41 · Cited by 198 · see citing works
“Given the different ages of assessments, the different reporters, and the varying procedures for data collection, P1: KEG Journal of Abnormal Child Psychology pp1226-jacp-487997 May 27, 2004 4:49 Style file version May 30th, 2002”
MethodChoe, D. E., Olson, S. L., & Sameroff, A. J. (2013) · Development and Psychopathology · doi:10.1017/s0954579412001162 · Cited by 201 · see citing works
“Prevention of early externalizing problems is imperative, given that they increase risk for school-age behavior problems and future psychopathology, particularly when occurring with family adversity (Campbell et al., 2000).”
BackgroundParenting and child externalizing behaviors: Are the associations specific or diffuse?
McKee, L. G., Colletti, C. J. M., Rakow, A., Jones, D. J., & Forehand, R. (2008) · Aggression and Violent Behavior · doi:10.1016/j.avb.2008.03.005 · Cited by 196 · see citing works
Risk Factors for Learning-Related Behavior Problems at 24 Months of Age: Population-Based Estimates
Morgan, P. L., Farkas, G., Hillemeier, M. M., & Maczuga, S. (2008) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-008-9279-8 · Cited by 203 · see citing works
“Empirical studies repeatedly find a link between early delays in self-regulation and the later occurrence of psychopathology (e.g., Campbell et al. 2000; Essex et al. 2006; Hill et al.; Lengua 2006).”
BackgroundProtective Factors and the Development of Resilience in the Context of Neighborhood Disadvantage
Vanderbilt‐Adriance, E., & Shaw, D. S. (2008) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-008-9220-1 · Cited by 188 · see citing works
“Conversely, living in a poor, dangerous neighborhood virtually guarantees exposure to risk factors outside the home that affect child development (Campbell et al. 2000).”
BackgroundSelf-citationKerr, D., Lopez, N. L., Olson, S. L., & Sameroff, A. J. (2004) · Research on Child and Adolescent Psychopathology · doi:10.1023/b:jacp.0000030291.72775.96 · Cited by 187 · see citing works
Reciprocal Associations between Boys’ Externalizing Problems and Mothers’ Depressive Symptoms
Gross, H. E., Shaw, D. S., & Moilanen, K. L. (2008) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-008-9224-x · Cited by 186 · see citing works
“These types of coercive parenting practices have been linked back to long-term difficulties for children, particularly in rates of externalizing behaviors (Campbell et al. 2000; Dishion and Patterson 1997; Keenan and Shaw 1995).”
BackgroundSelf-citationArsenio, W. F. (2004) · Cited by 186 · see citing works
Smith, C. L., Calkins, S. D., Keane, S. P., Anastopoulos, A. D., & Shelton, T. L. (2003) · Developmental Psychology · doi:10.1037/0012-1649.40.1.29 · Cited by 186 · see citing works
“Important questions not yet addressed are whether the toddler’s early problem behavior has effects on subsequent parenting behavior that would serve to further undermine the processes of developing autonomous and self-regulated behavior (Campbell et al., 2000) and whether these effects vary by the gender of the child.”
BackgroundInfluentialWakschlag, L. S., Briggs‐Gowan, M. J., Hill, C., Danis, B., LEVENTHAL, B. L., Keenan, K. E., EGGER, H. L., Cicchetti, D. V., Burns, J. L., & Carter, A. S. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31816c5c10 · Cited by 183 · see citing works
Developmental origins of early antisocial behavior
Calkins, S. D., & Keane, S. P. (2009) · Development and Psychopathology · doi:10.1017/s095457940999006x · Cited by 176 · see citing works
“…research has also demonstrated that early aggressive and oppositional behaviors are risk factors for the development of later, more serious problems such as conduct disorder, attentiondeficit/hyperactivity disorder, and juvenile delinquency (for reviews, see Campbell, 2002; Campbell et al., 2000).”
BackgroundCampbell, S. B. G., Denham, S. A., Howarth, G. Z., Jones, S. M., Whittaker, J. V., Williford, A. P., Willoughby, M. T., Yudron, M., & Darling, K. E. (2016) · Journal of Applied Developmental Psychology · doi:10.1016/j.appdev.2016.01.008 · Cited by 182 · see citing works
Self-citationBasten, M., Tiemeier, H. W., Althoff, R. R., van de Schoot, R., Jaddoe, V. W. V., Albert Hofman, D., Hudziak, J. J., Verhulst, F. C., & van der Ende, J. (2015) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-015-9993-y · Cited by 179 · see citing works
“Several biological and environmental factors have been found to predict stability of problems over time, such as poor family functioning, stressful life events and physical health problems (Briggs-Gowan et al. 2006; Campbell et al. 2000; Mesman and Koot 2001).”
BackgroundLi-Grining, C. P., Raver, C. C., Champion, K. M., Sardin, L., Metzger, M. W., & Jones, S. M. (2010) · Early Education and Development · doi:10.1080/10409280902783509 · Cited by 173 · see citing works
“The literature on low-income families has long considered single parenthood and large family size as risk factors ( Ackerman, Schoff, Levinson, Youngstrom, & Izard, 1999 ; Campbell, Shaw, & Gilliom, 2000 ).”
BackgroundWeaver, C. M., Shaw, D., Dishion, T., & Wilson, M. N. (2008) · Infant Behavior and Development · doi:10.1016/j.infbeh.2008.07.006 · Cited by 183 · see citing works
“Research on parenting in early childhood confirms that parents play a more prominent role in children’s socialization process relative to older ages ( Campbell, Shaw, & Gilliom, 2000; Deater-Deckard, 2000; Fagot, 1997; Gardner, 1987; Pettit & Bates, 1990; Shaw & Bell, 1993).”
Self-citationOlson, S. L., Lopez‐Duran, N. L., Lunkenheimer, E. S., Chang, H., & Sameroff, A. J. (2011) · Development and Psychopathology · doi:10.1017/s0954579410000775 · Cited by 174 · see citing works
Burt, K. B., & Roisman, G. I. (2010) · Development and Psychopathology · doi:10.1017/s0954579410000271 · Cited by 171 · see citing works
“The present study also extends backward effects observed in prior research with the Project Competence data set, consistent with theoretical and empirical work on early disruptive behavior (Campbell et al., 2000), demonstrating that problems with aggressive and disruptive behavior before the start of formal schooling…”
ResultVagal tone and temperament as predictors of emotion regulation strategies in young children
Santucci, A. K., Silk, J. S., Shaw, D. S., Gentzler, A. L., Fox, N. A., & Kovács, M. (2008) · Developmental Psychobiology · doi:10.1002/dev.20283 · Cited by 168 · see citing works
Self-citationEmerson, E., & Einfeld, S. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2009.02179.x · Cited by 164 · see citing works
Mikami, A. Y., & Hinshaw, S. P. (2006) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-006-9062-7 · Cited by 164 · see citing works
Combs-Ronto, L. A., Olson, S. L., Lunkenheimer, E. S., & Sameroff, A. J. (2009) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-009-9332-2 · Cited by 164 · see citing works
“For example, Campbell et al. (2000) found that approximately half of preschool children with significant externalizing symptoms no longer manifested these problems at school entry.”
Effects of Adverse Early‐Life Events on Aggression and Anti‐Social Behaviours in Animals and Humans
Haller, J., Harold, G. T., Sandi, C., & Neumann, I. D. (2014) · Journal of Neuroendocrinology · doi:10.1111/jne.12182 · Cited by 168 · see citing works
Wakschlag, L. S., Briggs‐Gowan, M. J., Carter, A. S., Hill, C., Danis, B., Keenan, K. E., McCarthy, K. J., & LEVENTHAL, B. L. (2007) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2007.01786.x · Cited by 160 · see citing works
Interdependence of parenting of mothers and fathers of infants.
Barnett, M. A., Deng, M., Mills-Koonce, R., Willoughby, M. T., & Cox, M. J. (2008) · Journal of Family Psychology · doi:10.1037/0893-3200.22.3.561 · Cited by 160 · see citing works
“In addition, the long-term stability of child behavior problems (Campbell et al., 2000; NICHD ECCRN, 2004; Shaw et al., 1994, 2003) may in part be accounted for by exposure to negative parenting by both parents.”
BackgroundThe relation between behavioral problems and social competence: A correlational Meta-analysis
Hukkelberg, S. S., Keleş, S., Ogden, T., & Hammerstrøm, K. T. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2343-9 · Cited by 160 · see citing works
“, negative behaviors that are directed toward the external environment [12];) and antisocial problems are often used synonymously, yet the externalizing behaviors is often used to describe less severe disruptive and destructive child behavior [26, 68].”
BackgroundHosokawa, R., & Katsura, T. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16010021 · Cited by 175 · see citing works
Long‐Term Outcomes of Incredible Years Parenting Program: Predictors of Adolescent Adjustment*
Webster-Stratton, C. H., Rinaldi, J., & Reid, J. (2010) · Child and Adolescent Mental Health · doi:10.1111/j.1475-3588.2010.00576.x · Cited by 157 · see citing works
Gardner, F. E. M., Shaw, D. S., Dishion, T. J., Burton, J., & Supplee, L. H. (2007) · Journal of Family Psychology · doi:10.1037/0893-3200.21.3.398 · Cited by 157 · see citing works
Self-citationChristofferson, E. S., & Drabick, D. A. G. (2015) · Child Psychiatry & Human Development · doi:10.1007/s10578-015-0534-2 · Cited by 156 · see citing works
“Toddlers also demonstrate these behaviors as an effort to gain autonomy, test limits, and practice social skills [132].”
BackgroundBeauchaine, T. P., Gatzke‐Kopp, L. M., Neuhaus, E., Chipman, J., Reid, M. J., & Webster-Stratton, C. H. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0032302 · Cited by 153 · see citing works
Braza, P., Carreras, R., Muñoz, J. M., Braza, F., Azurmendi, A., Pascual‐Sagastizábal, E., Cardas, J., & Sánchez‐Martín, J. R. (2013) · Journal of Child and Family Studies · doi:10.1007/s10826-013-9893-0 · Cited by 149 · see citing works
“2002; NICHD Early Child Care Research Network & Arsenio 2004), when they persist in childhood these behaviors predict cascading patterns of maladjustment including peer rejection, conduct problems and antisocial behavior in adolescence (e.g., Broidy et al. 2003; Campbell et al. 2000; Lorber and Egeland 2009).”
BackgroundA developmental perspective on underage alcohol use.
Masten, A. S., Faden, V. B., Zucker, R. A., & SPEAR, L. P. (2009) · Europe PMC (PubMed Central) · Cited by 143 · see citing works
Vieira, J. M., Matias, M., Ferreira, T., Lopez, F. G., & Matos, P. M. (2016) · Journal of Family Psychology · doi:10.1037/fam0000189 · Cited by 145 · see citing works
Early-Starting Conduct Problems: Intersection of Conduct Problems and Poverty
Shaw, D. S., & Shelleby, E. C. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153650 · Cited by 139 · see citing works
“Perhaps the one consensus in the field is that genetic, socialization, and community factors all make independent and important contributions to the emerging development of early-starting CP (Campbell et al. 2000, Shaw 2013).”
InfluentialSelf-citationvan Zeijl, J., Mesman, J., Stolk, M. N., Alink, L. R. A., van IJzendoorn, M. H., Bakermans‐Kranenburg, M. J., Juffer, F., & Koot, H. M. (2007) · Journal of Family Psychology · doi:10.1037/0893-3200.21.4.626 · Cited by 134 · see citing works
Hinshaw, S. P. (2002) · Journal of Abnormal Child Psychology · doi:10.1023/a:1019808712868 · Cited by 101 · see citing works
Psychometric Properties of the Alabama Parenting Questionnaire-Preschool Revision
Clerkin, S. M., Halperin, J. M., Marks, D. J., & Policaro, K. L. (2007) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410709336565 · Cited by 132 · see citing works
“However, the initial signs of behavioral disorders often emerge during the preschool years ( Barkley et al, 2002 ; Campbell, Shaw, & Gilliom, 2000 ; Sonuga-Barke, Auerbach, Campbell, Daly, & Thompson, 2005 ), and early identification of environmental stressors, particularly the quality of parenting, may lead the way t…”
BackgroundCan Early Childhood Interventions Decrease Inequality of Economic Opportunity?
Magnuson, K., & Duncan, G. J. (2016) · RSF The Russell Sage Foundation Journal of the Social Sciences · doi:10.7758/rsf.2016.2.2.05 · Cited by 134 · see citing works
Ghassabian, A., Bongers‐Schokking, J. J., Henrichs, J., Jaddoe, V. W. V., Visser, T. J., Visser, W. E., Keizer‐Schrama, S. M. P. F. D. M., Hooijkaas, H., Steegers, E. A. P., Albert Hofman, D., et al. (2011) · Pediatric Research · doi:10.1203/pdr.0b013e3182125b0c · Cited by 132 · see citing works
“However, the role of thyroid hormones in the normal development of neural structures in the cerebral cortex (3) makes an effect on the externalizing problem scores particularly plausible because cortical structures are responsible for the regulation of inhibitory processes (28).”
BackgroundSelf-administered behavioral family intervention for parents of toddlers: Part I. Efficacy.
Morawska, A., & Sanders, M. R. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.1.10 · Cited by 131 · see citing works
Brotman, L. M., Gouley, K. K., Chesir-Teran, D., Dennis, T. A., KLEIN, R. G., & Shrout, P. E. (2005) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3404_14 · Cited by 130 · see citing works
“Developmental challenges of the preschool period, including the transition to formal schooling, can be especially difficult for children with individual risk factors such as overactivity, impulsivity, social skills deficits, and delayed cognitive development ( Campbell, Shaw, & Gilliom, 2000 ), as well as for children…”
BackgroundGardner, F. E. M., Ward, S., Burton, J., & Wilson, C. E. (2003) · Social Development · doi:10.1111/1467-9507.00238 · Cited by 129 · see citing works
“Positive and negative parenting styles are significant and modifiable factors which, in combination with early difficult temperament and cognitive styles, appear to contribute to the improvement or worsening of early conduct problems over time (Campbell et al., 2000; Patterson, Reid, & Dishion, 1992; Webster-Stratton,…”
BackgroundZilanawala, A., & Pilkauskas, N. V. (2012) · Children and Youth Services Review · doi:10.1016/j.childyouth.2012.01.008 · Cited by 128 · see citing works
Eisenberg, N., Taylor, Z., Widaman, K. F., & Spinrad, T. L. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000620 · Cited by 127 · see citing works
“…predictive power of early externalizing problems for later psychopathology, some of the children in this sample, especially those with higher levels of externalizing symptoms, would be expected to develop clinical levels of problem behaviors over time (Campbell et al., 2000; Keenan et al., 1998).”
BackgroundCalkins, S. D., Blandon, A. Y., Williford, A. P., & Keane, S. P. (2007) · Development and Psychopathology · doi:10.1017/s095457940700034x · Cited by 127 · see citing works
“Risk for behavior problems has been examined in a number of studies (for reviews, see Campbell et al., 2000; Cummings, Davies, & Campbell, 2000; Rutter, 2002).”
Multiple Determinants of Externalizing Behavior in 5-Year-Olds: A Longitudinal Model
Smeekens, S., Riksen‐Walraven, J. M., & van Bakel, H. J. A. (2007) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-006-9095-y · Cited by 124 · see citing works
“The questions/items were derived from Saranson, Johnson, and Siegel’s (1978) Life Experiences Survey and Coddington’s (1972) Life Events Scale for Children.”
MethodSchindler, H. S., Kholoptseva, J., Oh, S. S., Yoshikawa, H., Duncan, G. J., Magnuson, K. A., & Shonkoff, J. P. (2015) · Journal of School Psychology · doi:10.1016/j.jsp.2015.04.001 · Cited by 121 · see citing works
“…and the connections among them are thought to in fl uence whether or not children's behavior improves as they learn to engage in more positive and less negative ways of interacting with others, or alternatively persist into middle childhood and even later (Campbell et al., 2000; Mof fi t, 1993).”
Bennett, D. S., Bendersky, M., & Lewis, M. (2002) · Developmental Psychology · doi:10.1037//0012-1649.38.5.648 · Cited by 121 · see citing works
- Authors
- CAMPBELL, S. B., SHAW, D. S., & GILLIOM, M.
- Affiliations
- University of Pittsburgh (US)
- ORCID
- SHAW, DANIEL S.
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2000-09
- Volume
- 12
- Issue
- 3
- Pages
- 467-488
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- OpenAlex
- W2149804058
- Cited by
- 1,081
- References
- 92
- Citations by year
- 2026: 27 · 2025: 31 · 2024: 39 · 2023: 35 · 2022: 40 · 2021: 40 · 2020: 64 · 2019: 51 · 2018: 63 · 2017: 69 · 2016: 79 · 2015: 63 · 2014: 64 · 2013: 63 · 2012: 62
- FWCI
- 13.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (32735, 50907)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Education › Early Childhood Education and Development
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- externalizing problems, toddlers, preschool children, aggression, negative parenting, family stress, developmental pathways, boys, school entry, sociodemographic risk factors, neighborhood effects
- MeSH terms
- Adjustment Disorders, Age Factors, Child, Child Behavior Disorders, Child, Preschool, Female, Humans, Male, Risk Factors, Time Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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