Frühkindliche Prädiktoren externalisierender Verhaltensauffälligkeiten
Evidenzen aus Längsschnittstudien
Abstract
Zusammenfassung. Externalisierende Verhaltensauffälligkeiten sind mit hohen gesellschaftlichen Kosten verbunden. Damit wirksame Präventions- und frühe Therapieprogramme entwickelt werden können, ist es notwendig, bereits in den ersten Lebensjahren Risiken für einen externalisierenden Entwicklungsverlauf zu identifizieren. In einer systematischen Literaturrecherche konnten aus 21 Publikationen zu 12 längsschnittlichen Geburtskohorten mit insgesamt 55 077 Kindern frühe Risiken bezogen auf eine elterliche Psychopathologie, einen niedrigen sozio-ökonomischen Status und ungünstige Eltern-Kind-Interaktionen identifiziert werden. Insbesondere eine mütterliche Depression, ein niedriger sozio-ökonomischer Status und ein harsches Erziehungsverhalten in den ersten Lebensjahren waren prädiktiv für externalisierende Verhaltensauffälligkeiten im Kindergarten und bei Schuleintritt. Implikationen für die klinische Praxis werden vorgestellt.
Abstract. As externalizing behavior is associated with long-term economic costs (e. g., related to additional health care, school problems, and criminality), several programs aim at reducing the risk of developing externalizing symptoms from early on. Yet, although prevention programs and early interventions are most effective during the first years of life (Heckman, Pinto & Savelyev, 2013), most programs have been developed for preschool and primary school children (Buchanan-Pascall, Gray, Gordon, & Melvin, 2018). Early prevention programs for externalizing behavior problems, however, need to address risk factors in the first 3 years of life. Cross-sectional and older longitudinal studies suggested parental psychopathology, a low socioeconomic status, and maladaptive parent–child interactions to be associated with externalizing behavior problems. Therefore, this systematic review aims at summarizing evidence from longitudinal studies on these risk factors during the first 3 years of life predicting externalizing behavior problems in preschool and up to school enrollment. Using the search terms birth cohort AND temperament and birth cohort AND externali*, 21 studies covering 12 birth cohorts from Europe (France, UK), USA, Asia (Taiwan), South America (Brazil), and Oceania (Australia, New Zeeland) comprising a total sample of 55,077 children were identified. These studies related to three different clusters of predictors of externalizing behavior, namely, (a) parental psychopathology, (b) a low socioeconomic status, and (c) maladaptive parent–child interactions. With regard to parental psychopathology, depressive symptoms of the mother were the most important predictor for the development of externalizing behavior problems in the first years of life across various cohorts and countries; paternal depressive symptoms, however, were investigated in only one of the studies. In addition to maternal depressive symptoms, a low socioeconomic status predicted the development of externalizing behavior symptoms – despite various different operationalizations between studies (e. g., level of education, occupation, income, quality of the residential area). Finally, maladaptive parent–child relations, in particular inconsistent and harsh parenting with little parental control, were observed as one of the most important factors predicting externalizing behavior problems in early childhood. Maternal sensitivity, on the other hand, did not have a direct effect, but rather showed an interaction with a difficult temperament of the child when predicting externalizing behavior. The results of this review suggest that there is a lack of knowledge on how paternal variables affect externalizing behaviors of children; future longitudinal studies should therefore try to not only obtain maternal data but also to consider paternal influences. They should also examine the interaction of different risk factors for the development of externalizing behavior problems with more dense measurement points in order to be able to describe the specific influences on the course of development in a more differentiated way. The review supports the notion that early childhood intervention programs that support families in various areas are of great importance and that health professionals should pay attention to the development of early childhood behavioral symptoms and consider them along with the psychopathology of the parents when working with families.
Literatur
1990). Parenting stress index short form–test manual. Charlottesville, VA: Pediatric Psychology Press.
(1991). Manual for the child behavior checklist 4 – 18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.
(1992). Manual for child behavior checklist/2 – 3 and 1992 profile. Burlington: VT: University of Vermont.
(1986). Validity. Manual for the teacher’s report form and teacher version of the child behavior profile. Burlington: University of Vermont Department of Psychiatry.
(1987). Empirically based assessment of the behavioral/emotional problems of 2- and 3-year-old children. Journal of Abnormal Psychology, 15, 629 – 650.
(2000). Manual for the ASEBA preschool forms & profiles. Burlington: VT: University of Vermont, Research Center for Children, Youth, & Families.
(2001). Manual for the ASEBA school-age forms & profiles. Burlington: VT: University of Vermont, Research Center for Children, Youth, & Families.
(2011). Parental psychopathology and socioeconomic position predict adolescent offspring’s mental health independently and do not interact: The TRAILS study. Journal of Epidemiology and Community Health, 65, 57 – 63.
(2011). Risk factors for childhood mental health symptoms: National Longitudinal Study of Australian Children. Pediatrics, 128, E865–E879.
(2012). Development of children’s internalising and externalising problems from infancy to five years of age. Australian and New Zealand Journal of Psychiatry, 46, 659 – 668.
(1993). Bayley scales of infant development: Manual (2nd ed.). San Antonio, TX: Psychological Corporation.
(2009). Beyond diathesis stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135, 885 – 908.
(2008). ADHD from a socio-economic perspective. Acta Paediatrica, International Journal of Paediatrics, 97, 239 – 245.
(2017). Callous-unemotional Traits und aggressives Verhalten: Zur Bedeutung der Bindungsqualität zu Eltern und Gleichaltrigen. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 65, 175 – 185.
(2017). Conduct disorder symptoms in pre-school children exposed to intimate partner violence: Gender differences in risk and resilience. Journal of Child & Adolescent Trauma, 10, 97 – 107.
(1994). The Home Inventory: Review and reflections. Advances in Child Development and Behavior, 25, 241 – 288.
(1988). Home Observation for Measurement of the Environment: Development of a home inventory for use with families having children 6 to 10 years old. Contemporary Educational Psychology, 13, 58 – 71.
(2007). Externalizing problems in fifth grade: Relations with productive activity, maternal sensitivity, and harsh parenting from infancy through middle childhood. Developmental Psychology, 43, 1390 – 1401.
(2008). Infant temperament, parenting, and externalizing behavior in first grade: A test of the differential susceptibility hypothesis. Journal of Child Psychology and Psychiatry and Allied Disciplines, 49, 124 – 131.
(2014). The role of parent psychopathology in the development of preschool children with behavior problems. Journal of Clinical Child & Adolescent Psychology, 43, 777 – 790.
(1998). Parental discipline and behavior problems in young children. The Journal of Genetic Psychology, 159, 251 – 256.
(2018). Systematic review and meta-analysis of parent group interventions for primary school children aged 4 – 12 years with externalizing and/or internalizing problems. Child Psychiatry and Human Development, 49, 244 – 267.
(2014). Why poor children are more likely to become poor readers: The early years. Educational Review, 66, 428 – 446.
(2005). How are parent-child conflict and childhood externalizing symptoms related over time? Results from a genetically informative cross-lagged study. Development and Psychopathology, 17, 145 – 165.
(2011). Influence of mother, father, and child risk on parenting and children’s cognitive and social behaviors. Child Development, 82, 1985 – 2005.
(1984). Home observation for measurement of the environment. Arkansas: University of Arkansas at Little Rock.
(2010).
(Carolina Abecederian Project . In A. J. Reynold A. J. Rolnic M. M. EnglundJ. A. Temple (Eds.), Childhood programs and practices in the first decade of life: A human capital integration (pp. 4 – 98). Cambridge: Cambridge University Press.2000). Early externalizing behavior problems: Toddlers and preschoolers at risk for later maladjustment. Development and Psychopathology, 12, 467 – 488.
(2016). Parental psychopathology in families of children with ADHD: A meta-analysis. Journal of Child and Family Studies, 25, 3451 – 3461.
(2015). Preschool hyperactivity is associated with long-term economic burden: Evidence from a longitudinal health economic analysis of costs incurred across childhood, adolescence and young adulthood. Journal of Child Psychology and Psychiatry and Allied Disciplines, 56, 966 – 975.
(2011). Maternal psychosocial factors around delivery, and the behavior of 2-year-old children. Pediatrics International, 53, 656 – 661.
(2006).
(Development and Psychopathology . In D. Cicchetti D. J. Cohen (Eds.), Developmental Psychopathology (2nd ed., pp. 1 – 23). New York: Wiley.2012). Externalizing psychopathology and persistence of offending in childhood first-time arrestees. European Child and Adolescent Psychiatry, 21, 243 – 251.
(2002). The association between psychopathology in fathers versus mothers and children’s internalizing and externalizing behavior problems: A meta-analysis. Psychological Bulletin, 128, 746 – 770.
(2013). The developmental approach to child and adult health. Pediatrics, 131, 133 – 141.
(1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782 – 786.
(2010). ADHD and academic performance: Why does ADHD impact on academic performance and what can be done to support ADHD children in the classroom? Child: Care, Health and Development, 36, 455 – 464.
(2017). The pathways between socioeconomic status and adolescent outcomes: A systematic review. American Journal of Community Psychology, 59, 1 – 2.
(2011). Differential susceptibility to the environment: An evolutionary-neurodevelopmental theory. Development and Psychopathology, 23, 7 – 28.
(2009). Parenting practices and attention-deficit/hyperactivity disorder: New findings suggest partial specificity of effects. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 146 – 154.
(2017). Poverty dynamics and parental mental health: Determinants of childhood mental health in the UK. Social Science and Medicine, 175, 43 – 51.
(1994). Parent behavior checklist. Brandon, VT: Clinical Psychology Publishing Co.
(2018). Profitieren psychisch erkrankte Eltern und psychisch belastete Kinder von einer gemeinsamen Behandlung? Erste Langzeiteffekte. Kindheit und Entwicklung, 27, 253 – 267.
(2012). Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database of Systematic Reviews, 2, CD008225.
(1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581 – 586.
(2000). The development and well-being assessment: Description and initial validation of an integrated assessment of child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 41, 645 – 655.
(2015). Socioeconomic status and oppositional defiant disorder in preschoolers: Parenting practices and executive functioning as mediating variables. Frontiers in Psychology, 6, 1 – 12.
(1990). Social Skills Rating System. Circle Pines, MN: American Guidance Service.
(2011). Why early intervention works. Infants & Young Children, 24, 6 – 28.
(2015). Paternal depression in the postnatal period and child development: Mediators and moderators. Pediatrics, 135, e339–e347.
(2015). Child negative emotionality and caregiver sensitivity across context: Links with children’s kindergarten behaviour problems. Infant and Child Development, 24, 107 – 129.
(2015). Predicting externalizing and internalizing behavior in kindergarten: Examining the buffering role of early social support. Journal of Clinical Child and Adolescent Psychology, 44, 640 – 654.
(2013). Understanding the mechanisms through which an influential early childhood program boosted adult outcomes. The American Economic Review, 103, 2052 – 2086.
(2017). Children’s development and parental input: Evidence from the UK Millennium Cohort Study. Demography, 54, 485 – 511.
(2017). Resilienz und Ressourcen im Verlauf der Entwicklung. Kindheit und Entwicklung, 26, 230 – 239.
(2017). A longitudinal study of socioeconomic status, family processes, and child adjustment from preschool until early elementary school: The role of social competence. Child and Adolescent Psychiatry and Mental Health, 11, 1 – 28.
(2009). Impairment and distress judgments of symptoms composing childhood externalizing and internalizing syndromes. Journal of Child and Family Studies, 18, 172 – 182.
(2006).
(A developmental psychopathology approach to the prevention of mental health disorders . In D. Cicchetti D. J. Cohen (Eds.), Developmental psychopathology (2nd ed., pp. 968 – 1018). New York: Wiley.2015). Comprehensive evaluation of the Pro Kind home visiting program: A summary of results. Mental Health and Prevention, 3, 89 – 97.
(2017). Poverty and child behavioral problems: The mediating role of parenting and parental well-being. International Journal of Environmental Research and Public Health, 14, 1 – 10.
(2004). The relations among depression in fathers, children’s psychopathology, and father-child conflict: A meta-analysis. Clinical Psychology Review, 24, 339 – 360.
(2018). Temperament in der frühen Kindheit und die Entwicklung externalisierender Störungen: Implikationen für die klinische Diagnostik. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie, 66, 177 – 186.
(2016). Verlauf psychischer Auffälligkeiten von Kindern und Jugendlichen: Ergebnisse der BELLA-Kohortenstudie. Kindheit und Entwicklung, 25, 10 – 20.
(2012). Früherkennung von Verhaltensstörungen durch die schulärztliche Eingangsuntersuchung. Praxis der Kinderpsychologie und Kinderpsychiatrie, 61, 691 – 705.
(2014). Outcomes of childhood conduct problem trajectories in early adulthood: Findings from the ALSPAC study. European Child and Adolescent Psychiatry, 23, 539 – 549.
(2014). The heritability of clinically diagnosed Attention-Deficit/Hyperactivity Disorder across the life span. Psychological Medicine, 44, 2223 – 2229.
(2009). Fathers, physical abuse, and neglect: Advancing the knowledge base. Child Maltreatment, 14, 227 – 231.
(2006). Child care and social support modify the association between maternal depressive symptoms and early childhood behaviour problems: A US national study. Journal of Epidemiology and Community Health, 60, 305 – 310.
(1995). Manual for the Depression Anxiety Stress Scales. Psychology Foundation monograph. Sydney, NSW: Psychology Foundation of Australia.
(2013). Parents psychopathology of children with Attention Deficit Hyperactivity Disorder. Research in Developmental Disabilities, 34, 1036 – 1043.
(2009). Alcohol and illicit drug dependence among parents: Associations with offspring externalizing disorders. Psychological Medicine, 39, 149 – 155.
(2015). Trajectories of maternal depression and offspring psychopathology at 6 years: 2004 Pelotas cohort study. Journal of Affective Disorders, 174, 424 – 431.
(2007). Harsh discipline and child problem behaviors: The roles of positive parenting and gender. Journal of Family Violence, 22, 187 – 196.
(2017). Paternal risk factors for child maltreatment and father’s participation in a primary preventions program in Germany. Journal of Social Science Service Research, 43, 299 – 307.
(2016). Parents of children with psychopathology: Psychiatric problems and the association with their child’s problems. European Child and Adolescent Psychiatry, 25, 919 – 927.
(2010). The importance of friendship for youth with Attention-Deficit/Hyperactivity Disorder. Clinical Child and Family Psychology Review, 13, 181 – 198.
(2017). Internalizing and externalizing problems in childhood and adolescence as predictors of work incapacity in young adulthood. Social Psychiatry and Psychiatric Epidemiology, 52, 1159 – 1168.
(2017). Disentangling the influence of socioeconomic risks on children’s early self-control. Journal of Personality, 85, 793 – 806.
(2013). Pacific Islands Families (PIF) Study: Behavioural problems during childhood. Journal of Child and Family Studies, 22, 231 – 243.
(2007). The economic impact of Attention-Deficit / Hyperactivity Disorder in children and adolescents. Ambulatory Pediatrics, 32, 711 – 727.
(2015). Socioeconomic status and antisocial behaviour among children and adolescents: A systematic review and meta-analysis. Clinical Psychology Review, 35, 47 – 55.
(2010). Children’s differential susceptibility to effects of parenting. Family Science, 1, 14 – 25.
(2016). Associations between fathers’ and mothers’ psychopathology symptoms, parental emotion socialization, and preschoolers’ social-emotional development. Journal of Child and Family Studies, 25, 3367 – 3380.
(2015). The Dunedin multidisciplinary health and development study: Overview of the first 40 years, with an eye to the future. Social Psychiatry and Psychiatric Epidemiology, 50, 679 – 693.
(2014). Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven: A nested, case-control ALSPAC study. BMC Pediatrics, 14, 1 – 8.
(1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385 – 401.
(2010).
(Early Head Start impacts at age 3 and a description of the age 5 follow-up study . In A. J. ReynoldA. J. RolnicM. M. EnglundJ. A. Temple (Eds.), Childhood programs and practices in the first decade of life: A human capital integration (pp. 99 – 118). Cambridge: Cambridge University Press.2013). The relation of parenting, child temperament, and attachment security in early childhood to social competence at school entry. Journal of School Psychology, 51, 643 – 658.
(2018). Externalizing behavior from early childhood to adolescence: Prediction from inhibition, language, parenting, and attachment. Development and Psychopathology. Advance online publication https://doi.org/10.1017/S0954579418000135
(2016). Parenting and preschool self-regulation as predictors of social emotional competence in 1st grade. Journal of Research in Childhood Education, 30, 153 – 169.
(2003). Entwicklungsorientierte Prävention von aggressiv-dissozialem Verhalten und Substanzmissbrauch. Kindheit und Entwicklung, 12, 84 – 99.
(2015). Programs for prevention of externalizing problems in children: Limited evidence for effect beyond 6 months post intervention. Child and Youth Care Forum, 44, 251 – 276.
(2003). Social patterning and prediction of parent-reported behaviour problems at 3 years in a cohort study. Child Care Health and Development, 29, 329 – 336.
(2008). Infant temperament moderates relations between maternal parenting in early childhood and children’s adjustment in first grade. Child Development, 79, 186 – 200.
(1994). NCAST caregiver/parent–child interaction teaching manual. Seattle, WA: School of Nursing, University of Washington, NCAST Publications.
(2003). Twins as a natural experiment to study the causes of mild language delay: II: Family interaction risk factors. Journal of Child Psychology and Psychiatry and Allied Disciplines, 44, 342 – 355.
(2014). Parenting practices as mediating variables between parents’ psychopathology and oppositional defiant disorder in preschoolers. Psicothema, 26, 497 – 504.
(2016). Consequences and possible predictors of health-damaging behaviors and mental health problems in pregnancy: A review. Geburtshilfe und Frauenheilkunde, 76, 1136 – 1156.
(2017). Elterliche Emotionsregulation als Risikofaktor für die kindliche Entwicklung. Kindheit und Entwicklung, 26, 133 – 146.
(2018). Den transgenerationalen Kreislauf der Gewalt durchbrechen. Kindheit und Entwicklung, 27, 91 – 101.
(2006). Relationship between parental psychopathology, parenting strategies and child mental health: Findings from the GB national study. Social Psychiatry and Psychiatric Epidemiology, 41, 509 – 514.
(2015). Maternal depression trajectories and children’s behavior at age 5 years. Journal of Pediatrics, 166, 1440 – 1448.
(1993). SF-36 Health Survey: Manual and interpretation guide. Health Institute, New England Medical Center, Boston, MA.
(2018). Associations between psychopathology in mothers, fathers and their children: A structural modeling approach. Journal of Child and Family Studies, 27, 1992 – 2003.
(2017). The effect of a transition into poverty on child and maternal mental health: A longitudinal analysis of the UK Millennium Cohort Study. The Lancet Public Health, 2, e141–e148.
(2015). Differential susceptibility in a developmental perspective: DRD4 and maternal sensitivity predicting externalizing behavior. Developmental Psychobiology, 57, 35 – 49.
(2015). Selbstkontrolle in der Schule: Der Zusammenhang von geringer Selbstkontrolle und schlechten Schulleistungen bei Kindern mit ADHS. Lernen und Lernstörungen, 4, 245 – 259.
(2017). Examining the relationship between children’s ADHD symptomatology and inadequate parenting: The role of household chaos. Journal of Attention Disorders, 21, 1 – 10.
(2016). Children’s resilience in the presence of mothers’ depressive symptoms: Examining regulatory processes related to active agency. Children and Youth Services Review, 61, 90 – 100.
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