Early childhood aetiology of mental health problems: a longitudinal population-based study
Abstract
Background: Mental health problems comprise an international public health issue affecting up to 20% of children and show considerable stability. We aimed to identify child, parenting, and family predictors from infancy in the development of externalising and internalising behaviour problems by age 3 years. Methods: Design Longitudinal, population‐based survey completed by primary caregivers when children were 7, 12, 18, 24 and 36 months old. Participants 733 children sequentially recruited at 6–7 months from routine well‐child appointments (August–September 2004) across six socio‐economically and culturally diverse government areas in Victoria, Australia; 589 (80%) retained at 3 years. Measures 7 months: sociodemographic characteristics, maternal mental health (Depression Anxiety Stress Scale (DASS)), substance misuse, home violence, social isolation, infant temperament; 12 months: partner relationship, parenting (Parent Behavior Checklist (PBC)); 18, 24 and 36 months: child behaviour (Child Behavior Checklist 1½–5 (CBCL)), PBC, DASS. Results: Sixty‐nine percent of all families attending well‐child clinics took part. The consistent and cumulative predictors of externalising behaviours were parent stress and harsh discipline. Predictors of internalising behaviours included small family size, parent distress, and parenting. Twenty‐five percent of variation in early externalising behaviour and 17% of variation in early internalising behaviour was explained. Conclusions: Effective and cost‐efficient population approaches to preventing mental health problems early in childhood are urgently needed. Programmes must support parents in reducing personal stress as well as negative parenting practices.
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Emotional and behavioural difficulties can manifest because of severe discipline from the caregiver.
“This is of significance as emotional and behavioural difficulties can manifest themselves because of severe discipline from the caregiver towards the child (Bayer et al. 2008).”
From The effects of paternal depression on child and adolescent outcomes: A systematic review (2016) · cites this paper as Bayer et al. 2008
The parenting a child or adolescent receives can significantly impact emotional and behavioural development.
“This corresponds with evidence that the parenting a child or adolescent receives can significantly impact on emotional and behavioural development (Bayer et al. 2008;Stormshak et al. 2000).”
From The effects of paternal depression on child and adolescent outcomes: A systematic review (2016) · cites this paper as Bayer et al. 2008
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- Authors
- Bayer, J. K., Hiscock, H., Ukoumunne, O. C., Price, A., & Wake, M.
- Affiliations
- The University of Melbourne (AU)
- Royal Children's Hospital (AU)
- Murdoch Children's Research Institute (AU)
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2008-10-27
- Volume
- 49
- Issue
- 11
- Pages
- 1166-1174
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2131878256
- Cited by
- 193
- References
- 40
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 12 · 2022: 6 · 2021: 6 · 2020: 21 · 2019: 11 · 2018: 16 · 2017: 8 · 2016: 11 · 2015: 11 · 2014: 15 · 2013: 12 · 2012: 19
- FWCI
- 11.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Australian Rotary Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- child mental health, early childhood, externalizing problems, parenting practices, harsh discipline, parental stress, maternal mental health, family size, infant temperament, domestic violence, child behavior problems, mental health prevention, well-child clinics
- MeSH terms
- Mental Disorders, Child, Preschool, Family, Family Relations, Female, Humans, Infant, Internal-External Control, Longitudinal Studies, Male, Mothers, Parent-Child Relations, Risk Factors, Socioeconomic Factors, Stress, Psychological, Temperament, Victoria, Parenting, Caregivers, Domestic Violence, Sex Distribution
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