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Nickerson AB, Seay D, Manges ME, Grossman H, Delmerico AM, Godleski SA, Schuetze P, Eiden RD. Caregiving Environmental Risk and Aggression From Infancy to Adolescence in a High-Risk Sample: An Examination of Between-Family and Within-Family Effects. Aggress Behav 2025; 51:e70033. [PMID: 40326679 DOI: 10.1002/ab.70033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 03/24/2025] [Accepted: 04/09/2025] [Indexed: 05/07/2025]
Abstract
The dynamic, longitudinal interplay between caregiving environmental risk (e.g., caregiver postnatal substance use and psychological symptoms, caregiving instability, exposure to violence) and child aggression is not well understood, particularly for substance-exposed children. A random intercept cross-lagged panel model was used to examine within- and between-family variability in the reciprocal relations between caregiving environmental risk and child aggression from infancy to kindergarten age, and their contribution to early adolescent aggression, with prenatal substance exposure as an exogenous predictor, controlling for maternal education, child sex, and peer delinquency. The sample included 216 mother-child dyads (49% boys; 57.6% African American). Multimethod assessments were conducted at infancy, toddlerhood, early-preschool, late-preschool, kindergarten, and early adolescence. Positive cross-lagged effects from child aggression to caregiving environmental risk revealed that after a temporary increase in aggression, children were exposed to more caregiving environmental risk a year later. Positive reciprocal paths from caregiving environmental risk at infancy and toddlerhood to child aggression a year later indicated that children had increased aggression at toddlerhood and early preschool when exposed to higher-than-expected levels of caregiving environmental risk the year prior. In contrast, caregiving environmental risk at early preschool and late preschool did not relate to child aggression a year later and caregiving environmental risk at kindergarten did not relate to early adolescent aggression. Findings highlight the ways in which child behavior impacts caregiving environmental risk and have implications for identifying and intervening with early childhood aggression and the contexts in which it occurs.
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Affiliation(s)
- Amanda B Nickerson
- Alberti Center for Bullying Abuse Prevention, University at Buffalo, The State University of New York, Buffalo, New York, USA
| | - Danielle Seay
- Department of Psychology, Consortium for Combating Substance Abuse, Pennsylvania State University, University Park, Pennsylvania, USA
| | - Margaret E Manges
- Alberti Center for Bullying Abuse Prevention, University at Buffalo, The State University of New York, Buffalo, New York, USA
| | - Hannah Grossman
- Alberti Center for Bullying Abuse Prevention, University at Buffalo, The State University of New York, Buffalo, New York, USA
| | - Alan M Delmerico
- Center for Health and Social Research, Buffalo State College, Buffalo, New York, USA
| | - Stephanie A Godleski
- Department of Psychology, Rochester Institute of Technology, Rochester, New York, USA
| | - Pamela Schuetze
- Department of Psychology, Buffalo State College, Buffalo, New York, USA
| | - Rina D Eiden
- Department of Psychology and the Social Science Research Institute, Pennsylvania State University, University Park, Pennsylvania, USA
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Díaz-Vázquez B, Álvarez-Voces M, Romero E, López-Romero L. Heterogeneity of early-onset conduct problems: assessing different profiles, predictors and outcomes across childhood. Child Adolesc Psychiatry Ment Health 2025; 19:43. [PMID: 40241178 PMCID: PMC12004637 DOI: 10.1186/s13034-025-00897-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2024] [Accepted: 04/07/2025] [Indexed: 04/18/2025] Open
Abstract
BACKGROUND Among early-onset conduct problems (CP), associated with more disruptive behaviors of greater intensity and stability, several domains have been proposed from a variable-centered perspective to capture their heterogeneity: oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder (ADHD), and callous-unemotional traits (CU). Using a person-centered approach, the present study aims to identify distinct profiles of child CP, examining different predictors and developmental outcomes. METHODS Data included parent- and teacher-reported questionnaires from an ongoing longitudinal study (ELISA). Latent profiles were identified first in a community sample (n = 2,103; age 4-8 years; 50.9% boys) and replicated in a high-CP subsample (n = 168; 70.24% boys). RESULTS Four profiles emerged in the community sample (Normative Development, Daring/Impulsive, Low prosociality + Fear; Low prosociality + Psychopathic Traits [PP]), and three in the high-CP sample (same except the normative). The identified CP profiles aligned with the ADHD and CU domains, but not the ODD domain. Differences in activity, punitive and inconsistent parenting emerge as the most significant predictors. Regarding the outcomes, the Low prosociality + PP profile stands out as the group with the most severe emotional, social and behavioral maladjustment. CONCLUSIONS These findings highlight the heterogeneity within CP, and the importance of designing specific and tailored interventions for each identified profile.
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Affiliation(s)
- Beatriz Díaz-Vázquez
- Institute of Psychology (IPsiUS), University of Santiago de Compostela, Santiago de Compostela, Spain.
| | - María Álvarez-Voces
- Institute of Psychology (IPsiUS), University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Estrella Romero
- Institute of Psychology (IPsiUS), University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Laura López-Romero
- Institute of Psychology (IPsiUS), University of Santiago de Compostela, Santiago de Compostela, Spain
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3
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Colins OF, Fanti KA, Hellfeldt K, Frogner L, Andershed H. Developmental trajectories of conduct problems from childhood to adolescence: Early childhood antecedents and outcomes in adolescence. Dev Psychopathol 2025:1-16. [PMID: 39973160 DOI: 10.1017/s0954579424001949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2025]
Abstract
Children and adolescents display varying trajectories of conduct problems (CP), but it is unclear if these CP trajectories can be distinguished by childhood antecedents and adolescent outcomes. Therefore, we tested if child- and environmental-level risk factors predict CP trajectory membership and if CP trajectories are associated with developmental outcomes in adolescence. Six waves of data (teacher-, parent- and child self-reports) were used from 2,045 children. General growth mixture modeling identified four CP trajectories (waves 2-5): childhood-persistent, childhood-limited, adolescent-onset, and low CP. Relative to the adolescent-onset CP trajectory, wave 1 child- and environmental-level risk factors increased the likelihood of being in the childhood-persistent CP trajectory, though all but two (callous-unemotional traits and non-intact family) antecedents lost significance after controlling for wave 1 conduct problems. Few significant differences emerged in risk factors when comparing childhood-persistent and childhood-limited CP trajectories. Individuals identified in the adolescent-onset and childhood-persistent CP trajectories faced a higher risk for later maladjustment than those in the childhood-limited CP trajectory, whereas the adolescent-onset and childhood-persistent CP trajectories only differed in three out of 13 outcomes. Overall, findings indicate that individuals with CP are at risk for later maladjustment, but predicting the childhood-persistent trajectory of CP in young children is difficult.
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Affiliation(s)
- Olivier F Colins
- Department of Special Needs Education, Ghent University, Gent, Belgium
- School of Behavioural, Social and Legal Sciences, Örebro University, Örebro, Sweden
| | - Kostas A Fanti
- Department of Psychology, University of Cyprus, Nicosia, Cyprus
| | - Karin Hellfeldt
- School of Behavioural, Social and Legal Sciences, Örebro University, Örebro, Sweden
| | - Louise Frogner
- School of Behavioural, Social and Legal Sciences, Örebro University, Örebro, Sweden
| | - Henrik Andershed
- School of Behavioural, Social and Legal Sciences, Örebro University, Örebro, Sweden
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Thériault-Couture F, Agnew-Blais J, Leno VC, Danese A, Ganaesan K, Matthews T, Morneau-Vaillancourt G, Thompson KN, Shakoor S, Arseneault L. Trajectories of childhood bullying behaviors and conduct problems: Associations with cognitive functioning in a nationally representative cohort study. Dev Psychol 2025; 61:351-365. [PMID: 39172423 PMCID: PMC12020448 DOI: 10.1037/dev0001788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2024]
Abstract
Bullying behaviors and conduct problems are two forms of antisocial behavior that frequently co-occur in childhood. However, it remains unclear whether their developmental trajectories are distinct and the extent to which different aspects of cognitive functioning account for their development. We aimed to disentangle the developmental trajectories of bullying behaviors and conduct problems, test their interrelations across childhood, and assess associations with children's early cognitive functioning (executive functions, intelligent quotient [IQ], and theory of mind). Participants included 2,232 children from the Environmental Risk (E-Risk) Longitudinal Twin Study. We performed dual group-based trajectory modeling on combined parent and teacher reports of children's bullying behaviors and conduct problems at 5, 7, 10, and 12 years. We assessed associations with age 5 cognitive functioning using regression analyses. We identified five developmental trajectories for bullying behaviors and four for conduct problems. The developmental course of both behaviors was interrelated most strongly among those with high levels. A subgroup of children was likely to transition from conduct problems to bullying behaviors as they got older. Lower IQ was associated with both antisocial behavior trajectories, whereas lower theory of mind was only associated with conduct problems trajectories. The developmental course of bullying behaviors and conduct problems is distinct but linked across childhood. Interventions targeting bullying behaviors or conduct problems could benefit from more integration and should take into account children's cognitive functioning. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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Affiliation(s)
| | - Jessica Agnew-Blais
- Department of Psychology, School of Biological and Behavioural Sciences, Queen Mary University London, London, UK
| | - Virginia Carter Leno
- Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | - Andrea Danese
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | - Keertana Ganaesan
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Timothy Matthews
- School of Human Sciences, Faculty of Education, Health and Human Sciences, University of Greenwich, UK
| | | | | | - Sania Shakoor
- Centre for Psychiatry & Mental Health, Wolfson Institute of Population Health, Barts & The London Faculty of Medicine & Dentistry, Queen Mary University of London, UK
| | - Louise Arseneault
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
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5
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Martins-Silva T, Bauer A, Matijasevich A, Munhoz TN, Barros AJD, Santos IS, Tovo-Rodrigues L, Murray J. Early risk factors for conduct problem trajectories from childhood to adolescence: the 2004 Pelotas (BRAZIL) Birth Cohort. Eur Child Adolesc Psychiatry 2024; 33:881-895. [PMID: 37097345 PMCID: PMC10126565 DOI: 10.1007/s00787-023-02178-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 02/23/2023] [Indexed: 04/26/2023]
Abstract
Conduct problems are associated with an increased risk of a wide range of physical, mental, and social problems. However, there is still uncertainty about how early risk factors differentiate different developmental patterns of conduct problems and whether findings replicate across diverse social contexts. We aimed to identify developmental trajectories of conduct problems, and test early risk factors, in the 2004 Pelotas Birth Cohort in Brazil. Conduct problems were measured at ages 4, 6, 11, and 15 years from caregiver reports on the Child Behaviour Checklist (CBCL) and Strengths and Difficulties Questionnaire (SDQ). Conduct problem trajectories were estimated using group-based semi-parametric modeling (n = 3938). Multinomial logistic regression was used to examine associations between early risk factors and conduct problem trajectories. We identified four trajectories: three with elevated conduct problems, including early-onset persistent (n = 150; 3.8%), adolescence-onset (n = 286; 17.3%), and childhood-limited (n = 697; 17.7%), and one with low conduct problems (n = 2805; 71.2%). The three elevated conduct problem trajectories were associated with a wide range of sociodemographic risk factors, prenatal smoking, maternal mental health, harsh parenting, childhood trauma, and child neurodevelopmental risk factors. Early-onset persistent conduct problems were particularly associated with trauma, living without a father figure, and attention difficulties. The four trajectories of conduct problems from ages 4 to 15 years in this Brazilian cohort have similar longitudinal patterns to those identified in high-income countries. The results confirm previous longitudinal research and developmental taxonomic theories on the etiology of conduct problems in a Brazilian sample.
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Affiliation(s)
- Thais Martins-Silva
- Human Development and Violence Research Centre (DOVE), Federal University of Pelotas, Pelotas, Brazil
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Andreas Bauer
- Human Development and Violence Research Centre (DOVE), Federal University of Pelotas, Pelotas, Brazil
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Alicia Matijasevich
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- Departamento de Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil
| | - Tiago N Munhoz
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Aluísio J D Barros
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- International Center for Equity in Health, Federal University of Pelotas, Pelotas, Brazil
| | - Iná S Santos
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
- Postgraduate Program in Pediatrics and Child Health, School of Medicine, Pontifical Catholic University of Rio Grande Do Sul, Porto Alegre, Brazil
| | - Luciana Tovo-Rodrigues
- Human Development and Violence Research Centre (DOVE), Federal University of Pelotas, Pelotas, Brazil
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Joseph Murray
- Human Development and Violence Research Centre (DOVE), Federal University of Pelotas, Pelotas, Brazil.
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
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Bao R, Yang Z, Memon AR, Chen S, Wang L, Cai Y. Association between meeting the 24-h movement guidelines and psychosocial health in children: A cross-sectional study. Child Care Health Dev 2024; 50:e13191. [PMID: 37899718 DOI: 10.1111/cch.13191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 09/19/2023] [Accepted: 10/08/2023] [Indexed: 10/31/2023]
Abstract
OBJECTIVE Emerging evidence suggests that meeting the 24-h movement guidelines is associated with optimal mental health. However, there remains some uncertainty regarding this association in children. Therefore, this study aimed to examine the association between meeting the 24-h movement guidelines and psychosocial health in children. METHODS A cross-sectional study design was employed to investigate 2005 children aged 9-12 years from four districts of Shanghai, China. The 24-h movement behaviours were assessed using selected items from the Health Behaviour in School-aged Children (HBSC) survey questionnaire. Children's self-rated psychosocial health was evaluated using the Strengths or Difficulties Questionnaire (SDQ). Generalised Linear Models with the ordinal logistic module were employed to analyse the association between meeting the 24-h movement guidelines and psychosocial health. RESULTS The overall prevalence of meeting all three 24-h movement recommendations was 10.2%. Among children, 7.9% of them exhibited abnormal total difficulties, with a notable difference between sex (boys: 11.2%, girls: 7.0%, p = 0.001). Meeting all three 24-h movement behaviour recommendations was associated with reduced total difficulties, emotional symptoms, conduct problems, hyperactivity and peer problems. Furthermore, a dose-response association was observed, indicating that meeting a greater number of 24-h movement behaviour recommendations was associated with enhanced psychosocial health, particularly in boys. CONCLUSION The findings of this study highlight the positive association between meeting the 24-h movement guidelines and psychosocial health in children. Notably, meeting more of these recommendations was associated with a lower likelihood of experiencing psychosocial problems, with greater benefits observed in boys compared with girls.
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Affiliation(s)
- Ran Bao
- Centre for Active Living and Learning, University of Newcastle, Callaghan, New South Wales, Australia
- School of Education, College of Human and Social Futures, University of Newcastle, Callaghan, New South Wales, Australia
- Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia
| | - Zhen Yang
- Department of Movement Sciences, KU Leuven, Leuven, Belgium
| | - Aamir Raoof Memon
- Institute for Health and Sport, Victoria University, Melbourne, Australia
| | - Sitong Chen
- Centre for Mental Health, Shenzhen University, Shenzhen, China
| | - Lei Wang
- School of Physical Education, Shanghai University of Sport, Shanghai, China
| | - Yujun Cai
- School of Physical Education, Shanghai University of Sport, Shanghai, China
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Dong X, Burke MD, Ramirez G, Xu Z, Bowman-Perrott L. A Meta-Analysis of Social Skills Interventions for Preschoolers with or at Risk of Early Emotional and Behavioral Problems. Behav Sci (Basel) 2023; 13:940. [PMID: 37998686 PMCID: PMC10669867 DOI: 10.3390/bs13110940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 11/12/2023] [Accepted: 11/14/2023] [Indexed: 11/25/2023] Open
Abstract
Early social-behavioral intervention that emphasizes social skill training is critical to addressing emotional and behavioral problems in early childhood. In this meta-analysis review, we examined all the social skills intervention studies for preschoolers with, or at risk of, emotional and behavioral problems using group designs. This review included 25 studies that met the inclusion criteria. The robust variance estimation method was used to calculate the overall effect size of all the included studies, as this method can count for the pre-existing difference between the experiment and control groups. The included studies yielded an overall effect of 0.54 from the 151 effect sizes that were obtained for the 3484 preschool participants. Curriculum, integration, and treatment fidelity were identified as significant moderators of effects.
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Affiliation(s)
- Xin Dong
- Department of Teacher Education, Nicholls State University, Thibodaux, LA 70301, USA
| | - Mack D. Burke
- School of Education, Baylor University, Waco, TX 76706, USA;
| | - Gilbert Ramirez
- Department of Global Health, Florida International University, Miami, FL 33199, USA;
| | - Zhihong Xu
- Department of Agricultural Leadership, Education, and Communications, Texas A&M University, College Station, TX 77843, USA;
| | - Lisa Bowman-Perrott
- Department of Educational Psychology, Texas A&M University, College Station, TX 77843, USA;
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8
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Djamnezhad D, Bergström M, Andrén P, Hofvander B. Good behavior game - study protocol for a randomized controlled trial of a preventive behavior management program in a Swedish school context. Front Psychiatry 2023; 14:1256714. [PMID: 37867765 PMCID: PMC10585039 DOI: 10.3389/fpsyt.2023.1256714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 09/20/2023] [Indexed: 10/24/2023] Open
Abstract
Background Early conduct problems and school failure are prominent risk factors for several adverse outcomes in later life. With the potential of reaching many children at early stages of their life, school-based interventions constitute a valuable approach to universal prevention. Good behavior game (GBG) is a promising school-based behavior management program, having shown immediate reductions in conduct problems along with several long-term positive effects. Adapting interventions to new contexts may however affect their effectiveness. The current study aims to evaluate the effectiveness of a Swedish adaption of GBG under pragmatic conditions. The intervention is hypothesized to reduce conduct problems in the classroom (primary outcome). Secondary analyses will investigate changes in conduct problems in common school areas, classroom climate, teacher collective efficacy, on-task behavior, as well as investigating behavioral management practices, implementation, and barriers to implementation. Methods This is a cluster-randomized trial with two parallel groups. Schools will be randomized (1,1, stratified by their areas sociodemographic index score) to be provided training in GBG or perform business-as-usual. The intervention and data collection lasts for a school year. Data will be collected at three time points: at baseline in the beginning of the school year (prior to training in GBG), after three months, and after nine months (at the end of the school year; primary endpoint). Data consists of teacher-rated measures of conduct problems, classroom climate, teacher collective efficacy, behavior management practices, and implementation factors, along with demographic factors. In addition, data will be collected by independent and blinded observers using corresponding measures in a subset of randomly chosen classrooms. Procedural fidelity will be rated and collected by GBG-trainers during nine observations throughout the school year. Statistical analysis will include frequentist intention-to-treat analysis, and comparisons of estimates with a corresponding Bayesian model using weakly informative priors. The study has currently completed data collection. Discussion This study will provide knowledge in universal prevention and school-based interventions with high reach, as well as specific knowledge concerning the effectiveness of an adapted version of GBG under real-world conditions, along with factors affecting its implementation and effects. Clinical trial registration ClinicalTrials.gov, identifier NCT05794893.
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Affiliation(s)
- Dariush Djamnezhad
- Department of Clinical Sciences Lund, Lund Clinical Research on Externalizing and Developmental Psychopathology, Lund University, Lund, Sweden
- Administration of Compulsory Education Department, Malmö, Sweden
| | | | - Per Andrén
- Department of Clinical Sciences Lund, Lund University, Lund, Sweden
- Child and Adolescent Psychiatry Skåne, Lund, Sweden
| | - Björn Hofvander
- Department of Clinical Sciences Lund, Lund Clinical Research on Externalizing and Developmental Psychopathology, Lund University, Lund, Sweden
- Department of Forensic Psychiatry, Region Skåne, Sweden
- Department of Psychiatry and Neurochemistry, Centre of Ethics, Law and Mental Health, University of Gothenburg, Gothenburg, Sweden
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9
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Saputra F, Uthis P, Sukratul S. Conduct problems among middle adolescents in the community settings: A concept analysis. BELITUNG NURSING JOURNAL 2023; 9:293-301. [PMID: 37645575 PMCID: PMC10461166 DOI: 10.33546/bnj.2670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 06/07/2023] [Accepted: 07/04/2023] [Indexed: 08/31/2023] Open
Abstract
Background Adolescent problem behavior in research and practice has been traditionally categorized as Oppositional Deviant Disorder and Conduct Disorder. However, a significant number of adolescents remain underdiagnosed. To address this issue, the term "Conduct Problem" has emerged as a commonly used descriptor for those who have not yet received a formal diagnosis, particularly within the community. It is crucial for nurses to comprehend the characteristics of these conduct problems to address them effectively. Objective This concept analysis aimed to clarify the concept of conduct problems among adolescents aged 14 to 16, specifically within community settings. Methods The concept analysis followed Walker and Avant's approach. The usage of the concept was examined in five databases (PsyINFO, ProQuest, PubMed, ScienceDirect, Scopus), which yielded 41 relevant studies for comprehensive analysis. Results The identified attributes of conduct problems in adolescents included oppositional problems, antisocial problems, and criminal-related problems. These conduct problems were found to have antecedents stemming from personal, parental, and environmental factors. Furthermore, the consequences of conduct problems significantly impacted both middle adolescents and their parents. Conclusion The findings of this concept analysis contribute to a better comprehension of the concept of conduct problems among middle adolescents in community settings. The insights gained from this analysis will assist in using this term more effectively in research and nursing practice, ultimately leading to improved care and support for affected adolescents and their families.
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Affiliation(s)
- Fauzan Saputra
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Penpaktr Uthis
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Sunisa Sukratul
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
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10
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Lau MA, Temcheff CE, Poirier M, Commisso M, Déry M. Longitudinal relationships between conduct problems, depressive symptoms, and school dropout. J Sch Psychol 2023; 96:12-23. [PMID: 36641221 DOI: 10.1016/j.jsp.2022.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 06/24/2022] [Accepted: 10/10/2022] [Indexed: 12/13/2022]
Abstract
School dropout can be an ongoing process of academic failure and disengagement starting as early as elementary school. Given the multitude of factors involved and the importance of early identification of vulnerabilities, this study examined whether (a) initial levels of conduct problems and depressive symptoms predicted school dropout, (b) the rate of change in conduct problems and depressive symptoms predicted dropout, (c) the interaction between trajectories of conduct problems and depressive symptoms affected the likelihood of dropout, and (d) whether there were sex differences in these associations. Using a dataset of 364 children ages 6-9 (T1) years who had displayed conduct problems, mean trajectories of conduct problems and depressive symptoms over 6 years were drawn using parallel process latent growth curve modeling. Results showed that both the initial levels of and rate of change in conduct problems predicted dropout, whereas trajectories of depressive symptoms did not. The interaction between trajectories of conduct problems and depressive symptoms was non-significant and sex differences were not observed. These results suggest that, for boys and girls presenting early conduct problems, although a higher initial levels of conduct problems increases the risk of school dropout, a larger decrease in these problems over time may reduce this likelihood. Recognizing and treating conduct problems consistently may be crucial in reducing the risk of dropout in children with early-onset issues.
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Affiliation(s)
- Marianne A Lau
- Department of Educational and Counselling Psychology, McGill University, 3700 McTavish Street, Montreal H3A 1Y2, Quebec, Canada.
| | - Caroline E Temcheff
- Department of Educational and Counselling Psychology, McGill University, 3700 McTavish Street, Montreal H3A 1Y2, Quebec, Canada.
| | - Martine Poirier
- Department of Educational Science, Université du Québec à Rimouski, 300 allée des Ursulines, Rimouski G5L 3A1, Quebec, Canada.
| | - Melissa Commisso
- Department of Psychology, Concordia University, 7141 Sherbrooke West, PY-146, Montreal H4B 1R6, Quebec, Canada
| | - Michèle Déry
- Faculty of Education, Université de Sherbrooke, 2500 boul. de l'Université, Sherbrooke J1K 2R1, Quebec, Canada.
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11
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Martins‐Silva T, Bauer A, Matijasevich A, Santos I, Barros A, Ekelund U, Tovo‐Rodrigues L, Murray J. Educational performance and conduct problem trajectories from childhood to adolescence: Observational and genetic associations in a Brazilian birth cohort. JCPP ADVANCES 2022; 2:e12105. [PMID: 37431415 PMCID: PMC10242956 DOI: 10.1002/jcv2.12105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 08/24/2022] [Indexed: 11/14/2023] Open
Abstract
Background Educational difficulties are an important potential influence on both the onset and course of children's conduct problems. This study evaluated the association between school failure and children's conduct problems in Brazil, a context with high rates of both conditions, using both observational and genetic approaches. Methods Prospective, population-based, birth cohort study in Pelotas city, Brazil. Parents reported on conduct problems four times between ages 4-15 years, and group-based trajectory analysis was used to classify 3469 children into trajectories of childhood-limited, early-onset persistent, adolescence-onset, or low conduct problems. School failure was measured as having repeated a school grade up to age 11, and a polygenic risk score (PRS) predicting educational attainment was calculated. Multinomial adjusted regression models were used to estimate the association between school failure (observational measure and the PRS) and conduct problem trajectories. To consider possible variation in effects of school failure by social context, interactions were tested with family income and school environment (using both observational and PRS methods). Results Children repeating a school grade had increased odds of being on to childhood-limited (OR: 1.57; 95% CI 1.21; 2.03), adolescence-onset (OR: 1.96; 95% CI 1.39; 2.75), or early-onset persistent trajectory (OR: 2.99; 95% CI 1.85; 4.83), compared to the low conduct problem trajectory. School failure also predicted increased risk for early-onset persistent problems versus the childhood-limited problems (OR: 1.91; 95% CI 1.17; 3.09). Using a genetic PRS approach, similar findings were observed. Associations varied according to the school environment: school failure had larger effects on children in better school environments. Conclusion School performance, whether measured in terms of repeating school grades or genetic susceptibility, was consistently associated with trajectories of child conduct problems into mid-adolescence. We also found a larger association for children in better school environments.
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Affiliation(s)
- Thais Martins‐Silva
- Human Development and Violence Research Centre (DOVE)Federal University of PelotasPelotasBrazil
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
| | - Andreas Bauer
- Human Development and Violence Research Centre (DOVE)Federal University of PelotasPelotasBrazil
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
| | - Alicia Matijasevich
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
- Departamento de Medicina PreventivaFaculdade de Medicina FMUSPUniversidade de São PauloSão PauloBrazil
| | - Iná Santos
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
- Postgraduate Program in Pediatrics and Child HealthSchool of MedicinePontifical Catholic University of Rio Grande do SulPorto AlegreBrazil
| | - Aluísio Barros
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
- International Center for Equity in HealthFederal University of PelotasPelotasBrazil
| | - Ulf Ekelund
- Department of Sport MedicineNorwegian School of Sport SciencesOsloNorway
- Department of Chronic Diseases and AgeingNorwegian Institute of Public HealthOsloNorway
| | - Luciana Tovo‐Rodrigues
- Human Development and Violence Research Centre (DOVE)Federal University of PelotasPelotasBrazil
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
| | - Joseph Murray
- Human Development and Violence Research Centre (DOVE)Federal University of PelotasPelotasBrazil
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
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12
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Halty L, Halty A, Cagigal de Gregorio V. Support for Families During COVID-19 in Spain: The iCygnus Online Tool for Parents. Child Psychiatry Hum Dev 2022; 53:808-821. [PMID: 33864559 PMCID: PMC8052936 DOI: 10.1007/s10578-021-01172-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/06/2021] [Indexed: 12/03/2022]
Abstract
On March 14, 2020 one of the strictest confinements in Europe was imposed on the citizens of Spain. The online tool for parents, iCygnus, was designed to reduce the psychological impact generated by the pandemic on the child population (2-12 years of age) through automatic recommendations to parents based on individual responses about their parenting styles and their child's characteristics. The profiles of the 710 families indicate a higher prevalence of internalizing and externalizing behavior problems in children, as well as a relationship between punitive parenting in families where the parents lost their jobs due to the coronavirus disease (COVID-19). The usefulness of the help offered by iCygnus was evaluated after 6 weeks, and almost 80% of the families indicated that they used the recommendations and that they helped them in their relationship with their children.
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Affiliation(s)
- Lucia Halty
- UNINPSI Universidad Pontificia Comillas, Madrid, Spain
- Universidad De Comillas, 3-5, 28049 Madrid, Spain
| | - Amaia Halty
- UNINPSI Universidad Pontificia Comillas, Madrid, Spain
- Universidad De Comillas, 3-5, 28049 Madrid, Spain
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13
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Canino G, Shrout PE, Wall M, Alegria M, Duarte C, Bird HR. Outcomes of serious antisocial behavior from childhood to early adulthood in two Puerto Rican samples in two contexts. Soc Psychiatry Psychiatr Epidemiol 2022; 57:267-277. [PMID: 34357404 PMCID: PMC9923882 DOI: 10.1007/s00127-021-02148-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 07/09/2021] [Indexed: 01/14/2023]
Abstract
PURPOSE The patterns or trajectories of serious antisocial behavior (ASB) in children are examined to determine the extent to which context, gender, and the severity and persistence of ASB from childhood/early adolescence to later adolescence/early adulthood is associated with negative outcomes. METHODS A four wave longitudinal study obtained data on two multi-stage probability household samples of Puerto Rican background children (5-13 years at baseline) living in the San Juan Metropolitan Area of Puerto Rico (PR) and the South Bronx (SBx) of New York. The outcomes studied were any psychiatric disorder including substance use disorders and teenage pregnancy. RESULTS Both males and females raised in the SBx had much higher risk of serious ASB (42.3%) as compared to those in PR (17.8%). Concurrent ASB4 + in the fourth wave was strongly related to SUD and MDD for both males and females at Wave 4. CONCLUSIONS Serious ASB is likely to persist at least to the next developmental period of a child and is likely to be associated with substance use disorders and major depression later in life.
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Affiliation(s)
- Glorisa Canino
- Behavioral Sciences Research Institute, Medical School, University of Puerto Rico, Medical Sciences Campus, PO Box 5067, San Juan, PR 00936‑5067, USA
| | | | - Melanie Wall
- Department of Psychiatry, New York Psychiatric Institute, New York, USA
| | - Margarita Alegria
- Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
| | - Cristiane Duarte
- Department of Psychiatry, New York Psychiatric Institute, New York, USA
| | - Hector R. Bird
- Department of Psychiatry, New York Psychiatric Institute, New York, USA
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14
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Chesta S, Pérez-Luco R, Alarcón P, Wenger L, Concha-Salgado A, García-Cueto E. Empirical Determination of Transitory and Persistent Delinquency in Chilean Youth: Validation of the Criminal Engagement Severity Scale "EGED". INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031396. [PMID: 35162419 PMCID: PMC8834908 DOI: 10.3390/ijerph19031396] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 01/12/2022] [Accepted: 01/24/2022] [Indexed: 11/16/2022]
Abstract
Evidence from several longitudinal studies has established the relevance of the approach of evolutionary criminology to understanding and intervening with adolescent criminal offenders, seeking to halt the criminal behavior before its potential consolidation in adulthood. The aim of this study is to present the psychometric properties of the Criminal Engagement Severity Scale (EGED) to discriminate between transitory and persistent delinquency in Chilean adolescents of both sexes. The characteristics of the sample are revealed through descriptive analyses, and evidence of validity and reliability is provided that show its discriminant capacity using ROC curves and odds ratios, measures of internal consistency (Cronbach's α and McDonald's Ω), intraclass correlation, and unidimensional statistics. The results indicate that the EGED adequately discriminates between transitory and persistent delinquency, so that its use in contexts of assessment and intervention with adolescent criminal offenders can be recommended, because it helps to determine the intensity of the intervention required.
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Affiliation(s)
- Sergio Chesta
- Departamento de Psicología, Universidad de La Frontera, Temuco 4811322, Chile; (S.C.); (P.A.); (L.W.); (A.C.-S.)
| | - Ricardo Pérez-Luco
- Departamento de Psicología, Universidad de La Frontera, Temuco 4811322, Chile; (S.C.); (P.A.); (L.W.); (A.C.-S.)
- Correspondence: ; Tel.: +56-4523-25606
| | - Paula Alarcón
- Departamento de Psicología, Universidad de La Frontera, Temuco 4811322, Chile; (S.C.); (P.A.); (L.W.); (A.C.-S.)
| | - Lorena Wenger
- Departamento de Psicología, Universidad de La Frontera, Temuco 4811322, Chile; (S.C.); (P.A.); (L.W.); (A.C.-S.)
| | - Andrés Concha-Salgado
- Departamento de Psicología, Universidad de La Frontera, Temuco 4811322, Chile; (S.C.); (P.A.); (L.W.); (A.C.-S.)
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15
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Ganesan K, Shakoor S, Wertz J, Agnew-Blais J, Bowes L, Jaffee SR, Matthews T, Arseneault L. Bullying behaviours and other conduct problems: longitudinal investigation of their independent associations with risk factors and later outcomes. Soc Psychiatry Psychiatr Epidemiol 2021; 56:2041-2052. [PMID: 33856493 PMCID: PMC8521530 DOI: 10.1007/s00127-021-02062-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 03/10/2021] [Indexed: 12/02/2022]
Abstract
PURPOSE Bullying behaviours and other conduct problems often co-occur. However, we do not yet know whether bullying behaviours are associated with early factors and later poor outcomes independently of conduct problems. While there are differing, specific interventions for bullying behaviours and for conduct problems, it is unclear if such specificity is justified given parallels between both behaviours. METHODS We used prospective data from the Environmental Risk (E-Risk) Longitudinal Twin Study, a nationally representative sample of 2232 children. Mothers and teachers reported on children's bullying behaviours and conduct problems at ages 7 and 10. We collected measures of risk factors, including temperament and family factors, when children were age 5. We assessed behavioural, emotional, educational and social problems when participants reached the ages of 12 and 18. RESULTS Bullying behaviours and conduct problems co-occurred in childhood. Our findings indicated that bullying behaviours and other conduct problems were independently associated with the same risk factors. Furthermore, they were associated with the same poor outcomes at both ages 12 and 18. Despite this, bullying behaviours were uniquely associated with behavioural, emotional, educational and social problems at age 18. CONCLUSIONS Our findings suggest that anti-bullying programmes and interventions aimed at reducing conduct problems could benefit from greater integration. Furthermore, our study highlights the mental health problems children who bully may face in later years and the need to consider those in intervention plans.
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Affiliation(s)
- Keertana Ganesan
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Sania Shakoor
- Centre for Psychiatry, Wolfson Institute of Preventative Medicine, Queen Mary, University of London, London, UK
| | - Jasmin Wertz
- Department of Psychology and Neuroscience, Duke University, Durham, NC, USA
| | - Jessica Agnew-Blais
- Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK
| | - Lucy Bowes
- Department of Experimental Psychology, University of Oxford, Oxford, UK
| | - Sara R Jaffee
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA
| | - Timothy Matthews
- Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK
| | - Louise Arseneault
- Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
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16
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Lau MA, Temcheff CE, Poirier M, Bégin V, Commisso M, Déry M. School dropout: The role of childhood conduct problems and depressive symptoms. PSYCHOLOGY IN THE SCHOOLS 2021. [DOI: 10.1002/pits.22594] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Marianne A. Lau
- Department of Educational and Counselling Psychology, Faculty of Education McGill University Montréal Quebec Canada
| | - Caroline E. Temcheff
- Department of Educational and Counselling Psychology, Faculty of Education McGill University Montréal Quebec Canada
| | - Martine Poirier
- Department of Educational Science Université du Québec à Rimouski Rimouski Québec Canada
| | - Vincent Bégin
- School of Criminology, Faculty of Arts and Sciences Université de Montréal Montréal Quebec Canada
| | - Melissa Commisso
- Department of Educational and Counselling Psychology, Faculty of Education McGill University Montréal Quebec Canada
| | - Michèle Déry
- Department of Psychoeducation, Faculty of Education Université de Sherbrooke Sherbrooke Quebec Canada
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17
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Troy D, Russell A, Kidger J, Wright C. Childhood psychopathology mediates associations between childhood adversities and multiple health risk behaviours in adolescence: analysis using the ALSPAC birth cohort. J Child Psychol Psychiatry 2021; 62:1100-1109. [PMID: 33619761 PMCID: PMC8532527 DOI: 10.1111/jcpp.13379] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 12/04/2020] [Accepted: 12/04/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Childhood adversity strongly predicts adolescent multiple health risk behaviours (MRBs) such as alcohol/tobacco use, self-harm and physical inactivity, and both adversities and MRBs are associated with premature mortality and several chronic health conditions that are among the leading causes of death in adults. It is therefore important to understand the relationship between adversities and MRBs and what could mediate any association. The aim of this study was to explore whether childhood psychopathology mediates associations between adversities and MRBs. METHODS Participants were young people in the Avon Longitudinal Study of Parents and Children (ALSPAC) (N = 5,799). Using structural equation modelling, we explored the associations between adversities before 9 years and MRBs at age 16 years. We also explored potential mediating pathways through dimensional psychopathology measured by the Strength and Difficulties Questionnaire subscales at age 12 years. RESULTS There were strong positive associations between adversities and MRBs (β .25, 95% CI 0.20, 0.31, p < .001) suggesting that each additional adversity is associated with a 0.25 increase in number of MRBs out of 13 total risk behaviours. We found robust evidence of mediating pathways from adversities through conduct problems (β .05, 95% CI 0.03, 0.06, p < .001), hyperactivity/inattention (β .02, 95% CI 0.01, 0.03, p < .001) and peer relationship problems (β -.02, 95% CI -0.03, -0.02, p < .001) to MRBs. CONCLUSIONS Increased conduct problems and hyperactivity/inattention appear to partially explain the relationship between adversities and MRBs. Peer relationship problems also appear to reduce the association between adversities and MRBs, and further research is needed to understand how to encourage peer connectivity without increasing risk of MRBs. These results suggest that interventions aimed at reducing MRBs among those exposed to childhood adversities could focus on prevention of behavioural problems.
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Affiliation(s)
- David Troy
- School of Population Health SciencesBristol Medical SchoolUniversity of BristolBristolUK
| | - Abigail Russell
- Children and Young People's Mental Health Research CollaborationCollege of Medicine and HealthUniversity of ExeterExeterUK
| | - Judi Kidger
- School of Population Health SciencesBristol Medical SchoolUniversity of BristolBristolUK
| | - Caroline Wright
- School of Population Health SciencesBristol Medical SchoolUniversity of BristolBristolUK
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18
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Understanding trajectories of externalizing problems: Stability and emergence of risk factors from infancy to middle adolescence. Dev Psychopathol 2021; 33:264-283. [PMID: 32366334 DOI: 10.1017/s0954579419001755] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Despite considerable efforts to understand the processes that underlie the development of externalizing behavior problems, it is still unclear why externalizing problems remain chronically high for some children, emerge early and cease by late childhood for others, and arise in adolescence in some cases. The purpose of this study was to examine how a wide range of child and family risk factors are linked to trajectories of externalizing behavior and how these relationships vary from infancy to middle adolescence. We used data from the community-based Norwegian Tracking Opportunities and Problems (TOPP) study sample (n = 921). A Cholesky factorization model was specified to separate stable and emerging risk doses across four developmental periods (infancy, early and middle childhood, and middle adolescence). Children in the High Stable class were characterized by substantially elevated risk levels in multiple domains throughout the study period. Children in the High Childhood Limited class had very high levels of temperamental emotionality, internalizing symptoms, and maternal mental distress, suggesting a substantial intrinsic emotional basis for their externalizing problems. Intrinsic factors seemed less salient for the Adolescent Onset class. These findings emphasize the need for a dynamic perspective on risk factors and support the importance of prevention and intervention efforts across multiple domains from early childhood and throughout adolescence.
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19
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Domínguez-Álvarez B, Romero E, López-Romero L, Isdahl-Troye A, Wagner NJ, Waller R. A Cross-Sectional and Longitudinal Test of the Low Sensitivity to Threat and Affiliative Reward (STAR) Model of Callous-Unemotional Traits Among Spanish Preschoolers. Res Child Adolesc Psychopathol 2021; 49:877-889. [PMID: 33624154 DOI: 10.1007/s10802-021-00785-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/07/2021] [Indexed: 10/22/2022]
Abstract
Despite advances in the theoretical and empirical literature, a better understanding of the etiological determinants of callous-unemotional (CU) traits is needed. In this study, we tested the hypotheses advanced by the Sensitivity to Threat and Affiliative Reward (STAR) model, a theoretical framework, which proposes that individual differences in two temperament dimensions, fearlessness and low affiliation, jointly contribute to the development of CU traits. Specifically, we examined the unique and interactive effects of fearlessness and low affiliation on CU traits, both cross-sectionally and longitudinally and within and across informants (teachers and parents) in a large community sample of Spanish preschoolers (N = 2467, 48.1% girls, M = 4.25 years; SD = 0.91). Both fearlessness and low affiliation were independently related to higher CU traits across models. Consistent with the purported relationships outlined in the STAR model, we also found that a significant interaction between fearlessness and low affiliation explained unique variance in CU traits. The results suggested that main and interactive effects were specific to CU traits and not to other related dimensions of psychopathic traits that are measurable in early childhood (i.e. grandiose-deceitfulness and impulse need of stimulation). Thus, we provide new empirical support to the hypotheses generated by the STAR model in relation to the development of CU traits. Fearlessness and low affiliation are potential targets of future child-focused interventions to prevent or treat the development of CU traits and childhood conduct problems.
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Affiliation(s)
- Beatriz Domínguez-Álvarez
- Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Coruña, Spain.
| | - Estrella Romero
- Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Coruña, Spain
| | - Laura López-Romero
- Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Coruña, Spain
| | - Aimé Isdahl-Troye
- Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Coruña, Spain
| | - Nicholas J Wagner
- Department of Psychological and Brain Sciences, Boston University, Boston, USA
| | - Rebecca Waller
- Department of Psychology, University of Pennsylvania, Philadelphia, USA
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20
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A long-term look at "early starters": Predicting adult psychosocial outcomes from childhood conduct problem trajectories. Dev Psychopathol 2020; 34:225-240. [PMID: 33004093 DOI: 10.1017/s0954579420000760] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Current evidence suggests that multiple pathways of "early-starting" conduct problems exist, including persisting and declining trajectories. Since relatively little is known about the early onset-declining pathway, this study examined the long-term outcomes of different childhood conduct problem trajectories in a disproportionately high-risk sample (N = 754). Parents reported on children's conduct problems at six time points (kindergarten to grade 7). At age 25, psychosocial outcomes were assessed across five domains (psychopathology, substance use, risky sexual behavior, antisocial behavior, and adaptive outcomes). Four childhood conduct problem trajectories were identified: extremely high increasing (EHI; 3.7%), high stable (HS; 22.0%), moderate decreasing (MD; 38.8%), and low decreasing (LD; 35.5%). The EHI and HS groups displayed the poorest psychosocial functioning at age 25, whereas the LD group exhibited the most positive adjustment. Although individuals in the MD group displayed relatively positive adjustment on some outcomes, they displayed more psychopathology and lower well-being in adulthood than the LD group. These findings suggest that there are diverse pathways of early-starting conduct problems, and that all early starters are at risk for later maladjustment. However, the degree and type of risk is related to the severity of conduct problems throughout childhood.
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21
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Filion F, Lachapelle M, Gagné LM, Gagné MH. Which Risk Factors for Child Maltreatment Predict Mothers' Enrollment in a Parenting Support Program? PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2020; 21:1007-1016. [PMID: 32623626 DOI: 10.1007/s11121-020-01138-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Parenting support programs are an effective means of preventing child maltreatment. However, these programs are often criticized for their limited ability to enroll and engage the parents who need them most. The present study aimed to determine which risk factors associated with child maltreatment predicted mothers' enrollment in the Triple P-Positive Parenting Program in Quebec. To this end, 240 mothers of children aged 6 months to 8 years enrolled in Triple P were compared with 834 mothers randomly selected from the general population. The results suggest that mothers who perceived their child to be more difficult, used fewer positive parenting practices, and reported a lower parenting sense of competence were more likely to enroll in the program. Being unemployed, having a lower income, and being a single parent or part of a stepfamily also increased the mothers' likelihood of participating in Triple P. These results suggest that Triple P was implemented in such a way as to attract families presenting various risk factors, which is promising in a child maltreatment prevention context.
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22
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Wang Y, Yan N. Trajectories of internalizing and externalizing problems in preschoolers of depressed mothers: Examining gender differences. J Affect Disord 2019; 257:551-561. [PMID: 31325897 DOI: 10.1016/j.jad.2019.07.047] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2018] [Revised: 06/05/2019] [Accepted: 07/04/2019] [Indexed: 11/16/2022]
Abstract
BACKGROUND This study sought to examine the development of global and co-occurring internalizing and externalizing problems in preschoolers whose mothers have high depressive symptoms, a topic that is less often studied. METHOD This longitudinal study consisted of 201 families with mothers who reported clinically-relevant depressive symptoms. Mothers rated their depressive symptoms across children's first two years. Children's internalizing and externalizing problems were reported by caregivers or teachers at three waves in early childhood. RESULTS Using growth curve analyses, findings revealed gender-variant patterns in the development of internalizing and externalizing problems. Across early childhood, boys of mothers with depressive symptoms exhibited stable internalizing and increasing externalizing problems whereas girls exhibited declining trajectories of both problems. Further examination of within-gender variation indicated the heterogeneity in trajectories of internalizing and externalizing problems only among girls. Moreover, the co-occurrence of internalizing and externalizing problems was evident in both genders. LIMITATIONS This study was based on a community sample and thus caution should be exerted to generalize findings to clinical samples. CONCLUSIONS Findings suggest that boys may be at heightened risk for behavioral problems in the face of high maternal depressive symptoms and that internalizing and externalizing problems tend to co-occur in this group of at-risk preschoolers.
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Affiliation(s)
- Yiji Wang
- School of Psychology and Cognitive Science, East China Normal University, 402 Junxiu Building, 3663 North Zhongshan Road, Shanghai 200062, China.
| | - Ni Yan
- Faculty of Psychology, Southwest University, China
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23
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Do Conduct Problem Pathways Differ for Black and Minority Ethnic Children in the UK? An Examination of Trajectories from Early Childhood to Adolescence. J Youth Adolesc 2019; 48:1967-1979. [PMID: 31482516 PMCID: PMC6813283 DOI: 10.1007/s10964-019-01116-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 08/16/2019] [Indexed: 11/11/2022]
Abstract
A substantial body of evidence has examined developmental pathways into and out of conduct problems. However, there is a dearth of research examining whether the same conduct problem pathways are evident in minority ethnic, as in white, populations. Drawing on the UK Millennium Cohort Study (MCS), a nationally representative longitudinal study of children born between 2000 and 2002, this study examines differences in group-based trajectories of conduct problems according to broad categories of ethnicity. Using pathways identified in a prior study (n = 17,206, 49% female, 18% ethnic minority), including persistently high (8%), childhood-limited (23%), adolescent-onset (13%), and low (56%), significant ethnic differences were found. As a result, trajectories of conduct problems were identified separately for Asian, black, mixed ethnicity, and white children. For Asian, black, and mixed ethnicity children, three trajectories were identified: persistently high, childhood-limited, and low, but not adolescent-onset. Although these pathways have similar labels, their patterns and shapes seem to differ among the three ethnic groups. For white children, the same four trajectory groups were identified as in the prior study. Risk factors also differed among the groups according to ethnicity, although a worse child-parent relationship was a significant predictor of the higher problem trajectories for all ethnic groups. Overall, the findings suggest that black and minority ethnic children may follow different developmental pathways of conduct problems than white children, particularly during adolescence, having implications for service use and early intervention.
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24
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Co-occurring change in children's conduct problems and maternal depression: Latent class individual participant data meta-analysis of the Incredible Years parenting program. Dev Psychopathol 2019; 31:1851-1862. [DOI: 10.1017/s0954579419001068] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
AbstractChildren vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2–10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur.
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25
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Gutman LM, Joshi H, Schoon I. Developmental Trajectories of Conduct Problems and Cumulative Risk from Early Childhood to Adolescence. J Youth Adolesc 2019; 48:181-198. [PMID: 30706288 PMCID: PMC6394532 DOI: 10.1007/s10964-018-0971-x] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Accepted: 11/29/2018] [Indexed: 11/30/2022]
Abstract
Pathways into and out of conduct problems differ by circumstances experienced since infancy. There is a research gap in understanding how these developmental patterns vary according to the timing and persistence of risk and whether there are differences across ecological domains. This study examines variations in trajectories of conduct problems between ages 3 to 14 years and associated child, family and socio-economic risk factors from ages 9 months to 14 years, drawing on the UK Millennium Cohort Study (n = 17,206, 49% female), a nationally representative longitudinal study of children born between 2000/02. Group-based modeling was used to identify four distinct trajectories of conduct problems: low (56%), persistent high (8%), childhood-limited (23%) and adolescent-onset (13%). All three problem pathways were associated with high levels of exposure to risk, particularly early socio-economic and persisting child and family risks. However, while for the persistent and adolescent-onset pathways, exposure to higher levels of family and child risks continued through adolescence, it receded for the childhood-limited trajectory. The effects of early socio-economic disadvantage persisted for those on the adolescent-onset trajectory, highlighting the importance of early markers for this later onset group. Maternal smoking in pregnancy continued to be a significant predictor for all three conduct problem groups, even up to age 14 years. The findings indicate that different influences and processes may explain diverse pathways of conduct problems. This offers insights into who and what might be targeted and when might be the most effective developmental window for intervention.
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Affiliation(s)
| | - Heather Joshi
- UCL Institute of Education, 20 Bedford Way, London, WC1H 0AL, UK
| | - Ingrid Schoon
- UCL Institute of Education, 20 Bedford Way, London, WC1H 0AL, UK
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26
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Bevilacqua L, Hale D, Barker ED, Viner R. Conduct problems trajectories and psychosocial outcomes: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry 2018; 27:1239-1260. [PMID: 28983792 DOI: 10.1007/s00787-017-1053-4] [Citation(s) in RCA: 87] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Accepted: 09/15/2017] [Indexed: 10/18/2022]
Abstract
There is increasing evidence that youth who follow the early onset persistent (EOP), adolescent-onset (AO) and childhood-limited (CL) trajectories of conduct problems show varying patterns of health, mental health, educational, and social outcomes in adulthood. However, there has been no systematic review and meta-analysis on outcomes associated with different conduct problems trajectories. We systematically reviewed the literature of longitudinal studies considering outcomes of three conduct problems trajectories: EOP, AO, and CL compared with individuals with low levels of conduct problems (low). We performed a series of meta-analyses comparing each trajectory to the low group for eight different outcomes in early adulthood or later. Thirteen studies met our inclusion criteria. Outcomes were mental health (depression), cannabis use, alcohol use, self-reported aggression, official records of antisocial behaviour, poor general health, poor education, and poor employment. Overall, EOP individuals showed significant higher risk of poor outcome followed by AO individuals, CL individuals, and finally participants in the low group. All conduct problems trajectories showed higher risk of poor psychosocial outcomes compared to the low group, but the magnitude of risk differed across trajectories, with a general trend for the EOP to perform significantly worse, followed by the AO and CL. Early intervention is recommended across domains to maximise likelihood of desistance from antisocial behaviour and improvement on several psychosocial outcomes.
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Affiliation(s)
- Leonardo Bevilacqua
- University College London GOS Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.
| | - Daniel Hale
- School of Social Sciences, Heriot-Watt University, Edinburgh, EH14 4AS, UK
| | - Edward D Barker
- Department of Psychology, King's College London Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK
| | - Russell Viner
- University College London GOS Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK
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Cui N, Ji X, Liu J. Child Physical Abuse, Non-anemic Iron Deficiency and Behavior Problems. J Pediatr Nurs 2018; 39:74-79. [PMID: 29223314 PMCID: PMC10082585 DOI: 10.1016/j.pedn.2017.11.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 11/28/2017] [Accepted: 11/28/2017] [Indexed: 12/01/2022]
Abstract
PURPOSE Child abuse is regarded as a life-course social determinant of health problems. However, little is known about the nutritional status of physically abused children and their cumulative effect on child behavior. The present study aimed to examine the non-anemic iron deficiency status of abused children and the combined effect of physical abuse and non-anemic iron deficiency on child behavior in China. METHODS This cross-sectional study comprised 314 children aged 11-14 (12.30±0.57) years old from Jintan, China. Children self-reported their physical abuse experiences and behavior problems. Blood iron and hemoglobin concentrations were also measured. RESULTS Thirty-eight percent of children reported physical abuse experience, 17.5% had non-anemic iron deficiency, and the two risk factors co-occurred in 8.0% children. Physically abused children were more likely to be affected by non-anemic iron deficiency than their non-abused counterparts. Children who had experienced both physical abuse and non-anemic iron deficiency reported more behavior problems than children with neither or either risk factors. CONCLUSIONS Physically abused children are more likely to have non-anemic iron deficiency. Children with the presence of both physical abuse experience and non-anemic iron deficiency have more behavior problems. There is a need to prevent both child abuse and non-anemic iron deficiency simultaneously to maintain normal child behavior development.
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Affiliation(s)
- Naixue Cui
- School of Nursing, University of Pennsylvania, Philadelphia, USA; School of Nursing, Shandong University, Jinan, China
| | - Xiaopeng Ji
- School of Nursing, University of Pennsylvania, Philadelphia, USA; School of Nursing, University of Delaware, Newark, USA
| | - Jianghong Liu
- School of Nursing, University of Pennsylvania, Philadelphia, USA.
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