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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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“However, a signifi-cant number of children experience difficulties interacting with their peers, resulting in bullying, social isolation, and peer rejection (Buhs et al. 2006; Campbell et al. 2000; Johnson et al. 2000).”
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BackgroundSelf-citationSingle Mother Parenting and Adolescent Psychopathology
Daryanani, I., Hamilton, J. L., Abramson, L. Y., & Alloy, L. B. (2016) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-016-0128-x · Cited by 108
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“However research in children on the relations between biological factors such as autonomic reactivity or brain activity and externalizing problems suggests that the association is not direct, but rather mediated by underlying processes such as emotion regulation and impulse control (Campbell et al., 2000; Eisenberg &…”
BackgroundInfluentialPrior problem behavior accounts for the racial gap in school suspensions
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“…non-compliance, which are behavioral manifestations associated with child psychopathology, such as Attention Deficit and Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD) (e.g., Campbell, Shaw, & Gilliom, 2000; Caspi, Henry, McGee, Moffitt, & Silva, 1995; Compas et al., 2017).”
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“For instance, studies have consistently documented the developmental continuity of conduct problems from early childhood to antisocial behavior in middle childhood and adolescence (Brook et al. 1992; Campbell et al. 2000; Caspi et al. 1998; Hawkins et al. 1986; Shaw et al. 2003; Vicary and Lerner 1983).”
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“In particular, Oppositional Defiant Disorder (ODD) and early-onset Conduct Disorder (CD) have been cited as troubling diagnoses that may predict more serious behavioral and emotional difficulties (Campbell et al. 2000; Hinshaw and Lee 2003).”
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“…untimely and inappropriate responses to infant/toddler signals, interfere with emotion regulation development, placing children at risk for increased internalizing (e.g., Briggs-Gowan, Carter, Bosson-Heenan, Guyer, & Horowitz, 2006) and externalizing symptoms (e.g., Campbell et al., 2000).”
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“Moreover, individual differences in externalizing behaviors persist at moderate levels across the transition from early to middle childhood (Campbell et al. 2000).”
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“Results suggest that mothers with depression who are critical of their toddlers have offspring who may be at heightened risk for developing externalizing symptoms, which can be a precursor to later psychopathology, including oppositional behavior and conduct problems (Campbell et al. 2000).”
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“On the other hand, there is evidence to suggest that adversity experienced during early childhood, as opposed to later exposure, has a crucial impact on future adjustment (Duncan et al. 1998; Schoon et al. 2011), or that concurrent risk plays a crucial role (Campbell et al. 2000).”
BackgroundPreschool interactive peer play mediates problem behavior and learning for low-income children
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“Although toddlerhood marks an important period for emerging selfregulation, toddlers frequently display defiant, aggressive, and noncompliant behavior because of their limited cognitive and regulatory skills (Campbell et al. 2000).”
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“The non-significant main effect of overreactive parenting is inconsistent with previous research that has consistently documented links between overreactive parenting and high levels of externalizing problems during early childhood and the early school-age years (Campbell et al. 2000; Maccoby 2000; Rothbaum andWeisz 1…”
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BackgroundCortical thickness, cortico-amygdalar networks, and externalizing behaviors in healthy children.
Ameis, S., Ducharme, S., Albaugh, M. D., Hudziak, J., Botteron, K., Lepage, C., Zhao, L., Khundrakpam, B. S., Collins, D. L., Lerch, J. P., et al. (2014) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.06.008 · Cited by 79
“Severe and persistent externalizing behaviors are characteristic of externalizing disorders, such as oppositional defiant disorder, conduct disorder, and attention-deficit/hyperactivity disorder (ADHD) (3).”
InfluentialTemperament at 7, 12, and 25 months in children at familial risk for ADHD
Auerbach, J. G., Berger, A., Atzaba‐Poria, N., Arbelle, S., Cypin, N., Friedman, A., & Landau, R. (2008) · Infant and Child Development · doi:10.1002/icd.579 · Cited by 83
Behavioral Problems of Infancy and Preschool Children (0–5)
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“Most children demonstrate some of these behaviors, considered as part of a standard development path [2], but when pervasive and intensive—for 5% to 14% according to studies [3,4], EB can have negative effects on children’s social and learning skills, as well as on family life [5].”
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“In some cases, early aggressive behavior remains stable and becomes associated with peer rejection and other peer problems in childhood ( Campbell, Shaw, & Gilliom, 2000 ; Cummings, Iannotti, & Zahn-Waxler, 1989 ; Denham, Blair, Schmidt, & DeMulder, 2002 ; NICHD Early Child Care Research Network [ECCRN], 2004).”
BackgroundSelf-citationWhat we have Learned about Early Childhood and the Development of Delinquency
Shaw, D. S., & Gross, H. E. (2007) · Springer eBooks · doi:10.1007/978-0-387-71165-2_3 · Cited by 71
Self-citationPreadolescent Health Risk Behavior as a Function of Prenatal Cocaine Exposure and Gender
Bennett, D. S., Bendersky, M., & Lewis, M. (2007) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e31811320d8 · Cited by 69
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Engle, J. M., & McElwain, N. L. (2010) · Social Development · doi:10.1111/j.1467-9507.2010.00583.x · Cited by 67
Smith, C. L., & Bell, M. A. (2010) · Developmental Psychobiology · doi:10.1002/dev.20427 · Cited by 67
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Dubois‐Comtois, K., Bernier, A., Tarabulsy, G. M., Cyr, C. P., St‐Laurent, D., Lanctôt, A.-S., St-Onge, J., Moss, E., & Béliveau, M. (2015) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.06.009 · Cited by 67
Miller-Lewis, L., Baghurst, P., Sawyer, M., Prior, M., Clark, J., Arney, F., & Carbone, J. (2006) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-006-9071-6 · Cited by 77
A Multi-Domain Model of Risk Factors for ODD Symptoms in a Community Sample of 4-Year-Olds
Lavigne, J. V., Gouze, K. R., Hopkins, J., Bryant, F. B., & LeBailly, S. A. (2011) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-011-9603-6 · Cited by 74
Coyne, S. M., Warburton, W., Essig, L. W., & Stockdale, L. (2018) · Developmental Psychology · doi:10.1037/dev0000574 · Cited by 66
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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