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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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“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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BackgroundMethodSelf-citationA Truly Early Starter Model of Antisocial Behavior Revisited
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“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).”
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“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
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“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
“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 ).”
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“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 193
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“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
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“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
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“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
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“, 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].”
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Long‐Term Outcomes of Incredible Years Parenting Program: Predictors of Adolescent Adjustment*
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“Toddlers also demonstrate these behaviors as an effort to gain autonomy, test limits, and practice social skills [132].”
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“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.
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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 159
“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 158
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Psychometric Properties of the Alabama Parenting Questionnaire-Preschool Revision
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“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?
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“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).”
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“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…”
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“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,…”
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“…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).”
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“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
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“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
“…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 124
Metadata
- 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
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