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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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“…and youth’s problem behavior, mainly due to its relation to difficulties in later behavioral, emotional, cognitive, and social adjustment (Calkins et al., 2007; Campbell et al., 2000; Keane & Calkins, 2004; Lier et al., 2012; Liu et al., 2011; Min et al., 2018; Rinaldi & Howe, 2012; Sommer, 2010).”
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Vafai, Y., Steinberg, J. R., & Shenassa, E. D. (2016) · Infant Behavior and Development · doi:10.1016/j.infbeh.2015.12.002 · Cited by 15
Zulauf-McCurdy, C. A., Sokolovsky, A. W., Grabell, A. S., & Olson, S. L. (2018) · Aggressive Behavior · doi:10.1002/ab.21744 · Cited by 15
Poitras, K., Tarabulsy, G. M., & Varela, N. (2021) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045211049295 · Cited by 20
“For preschoolers, externalized behavior usually centers around manifestations of aggressiveness, oppositional behavior, and noncompliance, and problems with regulatory behavior and impulses (Shaw & Gilliom, 2000).”
BackgroundThe Contribution of Middle Childhood Contexts to Adolescent Achievement and Behavior
Magnuson, K., Duncan, G. J., & Kalil, A. (2006) · Cambridge University Press eBooks · doi:10.1017/cbo9780511499760.009 · Cited by 15
Cascading effects of BPT for child internalizing problems and caregiver depression
Gonzalez, M. A., & Jones, D. J. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.09.007 · Cited by 15
Ma, J. (2016) · Children and Youth Services Review · doi:10.1016/j.childyouth.2016.09.028 · Cited by 17
Knowles, C., Blakely, A. W., Hansen, S. G., & Machalicek, W. (2016) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12303 · Cited by 15
Parental depression and parent and child stress physiology: Moderation by parental hostility
Merwin, S. M., Leppert, K. A., Smith, V. C., & Dougherty, L. R. (2017) · Developmental Psychobiology · doi:10.1002/dev.21556 · Cited by 15
The Emergence of Parent–Child Coercive Processes in Toddlerhood
Chang, H., & Shaw, D. S. (2015) · Child Psychiatry & Human Development · doi:10.1007/s10578-015-0559-6 · Cited by 15
“Disruptive behaviors such as noncompliance and aggression are most problematic when children are around the age of 2 years [13].”
Self-citationZahn‐Waxler, C., Usher, B. A., Suomi, S. J., & Cole, P. M. (2005) · Cambridge University Press eBooks · doi:10.1017/cbo9780511499883.008 · Cited by 15
Cheung, A. K., Harden, K. P., & Tucker–Drob, E. M. (2014) · Behavior Genetics · doi:10.1007/s10519-014-9664-8 · Cited by 17
“Early externalizing behaviors are associated with increased risk for a variety of long-term maladaptive outcomes, including academic failure (Arnold 1997), later socioemotional maladjustment (Campbell et al. 2000; Moffitt 1993; Moffitt et al. 2002), and poor economic outcomes (Moffitt 1993; Moffitt et al.”
BackgroundGustafsson, B. M. (2018) · Linköping University medical dissertations · doi:10.3384/diss.diva-153581 · Cited by 12
Brady, R. G., Leverett, S. D., Mueller, L., Ruscitti, M., Latham, A. R., Smyser, T. A., Gerstein, E. D., Warner, B. B., Barch, D. M., Luby, J. L., et al. (2023) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2023.09.547 · Cited by 14
Optimizing outcomes in ADHD treatment: from clinical targets to novel delivery systems
Mattingly, G., & Anderson, R. H. (2016) · CNS Spectrums · doi:10.1017/s1092852916000808 · Cited by 17
“and other countries around the world have found that ADHD commonly presents with a constellation of comorbid challenges and disorders.(13,36) Young children with ADHD frequently have associated learning disorders or developmental disabilities, such as difficulties with sensory integration, problems with working memory…”
BackgroundLansing, A. E., Plante, W. Y., Golshan, S., Fennema‐Notestine, C., & Thuret, S. (2017) · Learning and Individual Differences · doi:10.1016/j.lindif.2017.01.014 · Cited by 18
Zhang, N., Beauregard, J. L., Kramer, M. R., & Bécares, L. (2017) · Population Research and Policy Review · doi:10.1007/s11113-017-9445-1 · Cited by 14
“…as mediated through family processes (e.g. maternal mental health, parenting, family dysfunction and the social support received by the mother) (Campbell et al. 2000; Chase-Lansdale et al. 1997; Klebanov et al. 1997; Kohen et al. 2008), since most of their time is spent at home, and their…”
BackgroundReid, K., Sacrey, L.-A. R., Zwaigenbaum, L., Raza, S., Brian, J. A., Smith, I. M., Bryson, S. E., Armstrong, V. L., Roberts, W., Szatmári, P., et al. (2020) · Development and Psychopathology · doi:10.1017/s0954579420000711 · Cited by 16
“…are associated in the long-term with poor academic performance (Campbell et al., 2006) and neurodevelopmental and mental health disorders (Campbell et al., 2000; Campbell et al., 2006; Fox, 2004; Shaw et al., 1994), collecting information on early social-emotional development is valuable…”
Background
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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