Behavior Problems in Four-Year-Old Children from a Brazilian Birth Cohort
DOI:
https://doi.org/10.1590/0102.3772e37301Keywords:
behavior problems; internalizing; externalizing; preschoolers; birth cohortAbstract
This study aimed to investigate the occurrence of behavior problems in 3750 four years old children from a birth cohort. Children were followed from birth to four years old through home visits, and questionnaires on child health and development and the Child Behavior Checklist 4-18/CBCL were applied. Prevalence rates were high (total problems 35.6%), particularly externalizing problems, which occurred in 44.4 % of children (48.3% girls; 40.6% boys; p < 0.001). Internalizing problems were less prevalent, occurring in 15.5 % of children (19.1% boys; 11.6% girls; p < 0.001). Regardless of sex, there was a higher prevalence of behavioral problems in children with younger siblings, whose mothers had less education and had no partner.Downloads
References
Aarnoudse-Moens, C. S. H., Weisglas-Kuperus, N., van Goudoever, J. B., & Oosterlaan, J. (2009). Meta-analysis of neurobehavioral outcomes in very preterm and/or very low birth weight children. Pediatrics, 124(2), 717-728. https://doi.org/10.1542/peds.2008-2816
https://doi.org/10.1542/peds.2008-2816
Achenbach, T. M. (1991). Manual for the Child Behavior Checklist /4-18 and profile Burlington.
Achenbach, T.M., McConaughy, S.H., Howell, C.T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross informant correlations for situational specificity. Psychological bulletin, 101, 213-32. https://doi.org/10.1037/0033-2909.101.2.213
https://doi.org/10.1037/0033-2909.101.2.213
Anselmi, L., Fleitlich-Bilyk, B., Menezes, A. M. B., Araújo, C. L., & Rohde, L. A. (2010). Prevalence of psychiatric disorders in a Brazilian birth cohort of 11-year-olds.Social Psychiatry and Psychiatric Epidemiology,45(1), 135-142. https://doi.org/10.1007/s00127-009-0052-2
https://doi.org/10.1007/s00127-009-0052-2
Anselmi, L., Piccinini, C. A., Barros, F. C., & Lopes, R. S. (2004). Psychosocial determinants of behaviour problems in Brazilian preschool children.Journal of Child Psychology and Psychiatry,45(4), 779-788. https://doi.org/10.1111/j.1469-7610.2004.00271.x
https://doi.org/10.1111/j.1469-7610.2004.00271.x
Assis, S. G., Avanci, J. Q., & Oliveira, R. D. V. C. D. (2009). Socioeconomic inequalities and child mental health.Revista de Saúde Pública,43, 92-100. https://www.scielosp.org/article/rsp/2009.v43suppl1/92-100/en/
https://www.scielosp.org/article/rsp/2009.v43suppl1/92-100/en/
Bee, H. (1997). O ciclo vital Artes Médicas.
Beltrame, G. R., & Bottoli, C. (2010). Retratos do envolvimento paterno na atualidade. Barbarói, 32, 205-226. http://dx.doi.org/10.17058/barbaroi.v0i0.1380
http://dx.doi.org/10.17058/barbaroi.v0i0.1380
Beyer, T., Postert, C., Müller, J. M., & Furniss, T. (2012). Prognosis and continuity of child mental health problems from preschool to primary school: Results of a four-year longitudinal study.Child Psychiatry & Human Development,43(4), 533-543. https://doi.org/10.1007/s10578-012-0282-5
https://doi.org/10.1007/s10578-012-0282-5
Bordin, I. A., Mari, J. J., & Caeiro, M. F. (1995). Validação da versão brasileira do Child Behavior Checklist (CBCL).Revista ABP-APAL,17(2), 55-66.
Borsa, J. C., Souza, D. S. D., & Bandeira, D. R. (2011). Prevalência dos problemas de comportamento em uma amostra de crianças do Rio Grande do Sul.Psicologia: Teoria e Prática,13(2), 15-29. https://www.redalyc.org/articulo.oa?id=115022577004
https://www.redalyc.org/articulo.oa?id=115022577004
Bub, K. L., McCartney, K., Willett, J. B., (2007). Behavior problem trajectories and firstgrade cognitive ability and achievement skills: A latent growth curve analysis. Journal of Educational Psychology, 99(3), 653-670. https://doi.org/10.1037/0022-0663.99.3.653
https://doi.org/10.1037/0022-0663.99.3.653
Burnett, A.C. (2011). Prevalence of psychiatric diagnoses in preterm and full-term children, adolescents and young adults: A meta-analysis. Psychological Medicine 41, 2463-2474. https://doi.org/10.1017/S003329171100081X
https://doi.org/10.1017/S003329171100081X
Cabaj, J. L., McDonald, S. W., & Tough, S. C. (2014). Early childhood risk and resilience factors for behavioural and emotional problems in middle childhood.BMC Pediatrics,14(1), 166-177. https://doi.org/10.1186/1471-2431-14-166
https://doi.org/10.1186/1471-2431-14-166
Cabrera, N. J., Fagan, J., Wight, V., & Schadler, C. (2011). Influence of mother, father, and child risk on parenting and children’s cognitive and social behaviors.Child Development,82(6), 1985-2005. https://doi.org/10.1111/j.1467-8624.2011.01667.x
https://doi.org/10.1111/j.1467-8624.2011.01667.x
Campbell, S. B. (2006).Behavior problems in preschool children: Clinical and developmental issues Guilford Press.
Carr, A., & Pike, A. (2012). Maternal scaffolding behavior: Links with parenting style and maternal education.Developmental Psychology,48(2), 543-551. https://doi.org/10.1037/a0025888
https://doi.org/10.1037/a0025888
Carvalho, A., Beraldo, K., Santos, F., & Ortega, R. (1993). Brincadeiras de menino, brincadeiras de menina.Psicologia: Ciência e Profissão,13(1-4), 30-33. https://doi.org/10.1590/S1414-98931993000100006
https://doi.org/10.1590/S1414-98931993000100006
Chaplin, T. M., Cole, P. M., & Zahn-Waxler, C. (2005). Parental socialization of emotion expression: Gender differences and relations to child adjustment. Emotion, 5(1), 80-88. https://psycnet.apa.org/buy/2005-02259-007
https://psycnet.apa.org/buy/2005-02259-007
Choi, J. K., & Becher, E. H. (2019). Supportive coparenting, parenting stress, harsh parenting, and child behavior problems in nonmarital families.Family Process,58(2), 404-417. https://doi.org/10.1111/famp.12373
https://doi.org/10.1111/famp.12373
Cia, F., & Barham, E. J. (2009). O envolvimento paterno e o desenvolvimento social de crianças iniciando as atividades escolares. Psicologia em Estudo,14(1), 67-74.
Cooke, J. E., Racine, N., Plamondon, A., Tough, S., & Madigan, S. (2019). Maternal adverse childhood experiences, attachment style, and mental health: Pathways of transmission to child behavior problems.Child Abuse & Neglect,93, 27-37. https://doi.org/10.1016/j.chiabu.2019.04.011
https://doi.org/10.1016/j.chiabu.2019.04.011
Cosentino-Rocha, L. & Linhares, M. B. M. (2013). Temperamento de crianças e diferenças de gênero. Paidéia, 23(54), 63-72. https://doi.org/10.1590/1982-43272354201308
https://doi.org/10.1590/1982-43272354201308
Cox, J. L., Chapman, G., Murray, D., & Jones, P. (1996). Validation of the Edinburgh Postnatal Depression Scale (EPDS) in non-postnatal women. Journal of Affective Disorders,39(3), 185-189. https://doi.org/10.1016/0165-0327(96)00008-0
https://doi.org/10.1016/0165-0327(96)00008-0
Coyne, L. W., & Thompson, A. D. (2011). Maternal depression, locus of control, and emotion regulatory strategy as predictors of preschoolers’ internalizing problems.Journal of Child and Family Studies,20(6), 873-883. https://doi.org/10.1007/s10826-011-9455-2
https://doi.org/10.1007/s10826-011-9455-2
Currie, J., & Goodman, J. (2020). Parental socioeconomic status, child health, and human capital. The Economics of Education, (18), 239-248. https://doi.org/10.1016/B978-0-12-815391-8.00018-5
https://doi.org/10.1016/B978-0-12-815391-8.00018-5
de Oliveira, D. S., & Lopes, R. D. C. S. (2010). Implicações emocionais da chegada de um irmão para o primogênito: Uma revisão da literatura. Psicologia em Estudo, 15(1), 97-106.
Davis, S., Votruba - Drzal, E., Silk, J. S. (2015). Trajectories of internalizing symptoms from early childhood to adolescence: Associations with temperament and parenting. Social Development, 24(3), 501-520. https://doi.org/10.1111/sode.12105
https://doi.org/10.1111/sode.12105
Durtschi, J. A., Soloski, K. L., & Kimmes, J. (2017). The dyadic effects of supportive coparenting and parental stress on relationship quality across the transition to parenthood.Journal of Marital and Family Therapy,43(2), 308-321. https://doi.org/10.1111/jmft.12194
https://doi.org/10.1111/jmft.12194
Else-Quest, N. M., Hyde, J. S., Goldsmith, H. H., & Van Hulle, C. A. (2006). Gender differences in temperament: A meta-analysis.Psychological Bulletin, 132(1), 33-72. https://doi.org/10.1037/0033-2909.132.1.33
https://doi.org/10.1037/0033-2909.132.1.33
Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the National Institute of Child Health and Human Development Study of Early Child Care.Developmental Psychology,46(5), 1159-1175. https://doi.org/10.1037/a0020659
https://doi.org/10.1037/a0020659
Faria, A. L. G. (2006). Pequena infância, educação e gênero: Subsídios para um estado da arte. Cadernos Pagu,26, 279-287.
Florsheim, P., Tolan, P., & Gorman-Smith, D. (1998). Family relationships, parenting practices, the availability of male family members, and the behavior of inner-city boys in single-mother and two-parent families.Child Development69,1437-47.
https://doi.org/10.1111/j.1467-8624.1998.tb06222.x
https://doi.org/10.1111/j.1467-8624.1998.tb06222.x
Furniss, T., Beyer, T., & Guggenmos, J. (2006). Prevalence of behavioural and emotional problems among six-years-old preschool children.Social Psychiatry and Psychiatric Epidemiology,41(5), 394-399. https://doi.org/10.1007/s00127-006-0045-3
https://doi.org/10.1007/s00127-006-0045-3
Girard, L. C., Tremblay, R. E., Nagin, D., & Côté, S. M. (2019). Development of aggression subtypes from childhood to adolescence: A group-based multi-trajectory modelling perspective.Journal of Abnormal Child Psychology,47(5), 825-838. https://doi.org/10.1007/s10802-018-0488-5
https://doi.org/10.1007/s10802-018-0488-5
Gleason, M., Zamfirescu, A., Egger, H., Nelson, A., Fox, N., & Zeanah, C. (2011). Epidemiology of psychiatric disorders in very young children in a Romanian pediatric setting. European Child Adolescent Psychiatry, 20, 527-535. https://doi.org/10.1007/s00787-011-0214-0
https://doi.org/10.1007/s00787-011-0214-0
Goodman, S. H. (2007). Depression in mothers.Annual Review of Clinic Psychology, 3, 107-135. https://doi.org/10.1146/annurev.clinpsy.3.022806.091401
https://doi.org/10.1146/annurev.clinpsy.3.022806.091401
Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: A meta-analytic review.Clinical Child and Family Psychology Review,14(1), 1-27. https://doi.org/10.1007/s10567-010-0080-1
https://doi.org/10.1007/s10567-010-0080-1
Henrichs, J., Rescorla, L., Donkersloot, C., Schenk, J. , Raat, H., Jaddoe, V.,..., Tiemeier, H. (2013). Early vocabulary delay and behavioral/emotional problems in early childhood: The generation R study. Journal of Speech, Language, and Hearing Research, 56, 553-566. https://doi.org/10.1044/1092-4388(2012/11-0169)
https://doi.org/10.1044/1092-4388(2012/11-0169)
Hoglund, W.G., & Chisholm, C. A. (2014). Reciprocating risks of peer problems and aggression for children's internalizing problems. Developmental Psychology, 50(2), 586-599. https://doi.org/10.1037/a0033617
https://doi.org/10.1037/a0033617
Jackson, A. P., Preston, K. S., & Thomas, C. A. (2013). Single mothers, nonresident fathers, and preschoolers’ socioemotional development: Social support, psychological well-being, and parenting quality.Journal of Social Service Research,39(1), 129-140. https://doi.org/10.1080/01488376.2012.723241
https://doi.org/10.1080/01488376.2012.723241
Keiley, M. K., Bates, J. E., Dodge, K. A., & Pettit, G. S. (2000). A cross-domain growth analysis: Externalizing and internalizing behaviors during 8 years of childhood.Journal of Abnormal Child Psychology,28(2), 161-179. https://doi.org/10.1023/A:1005122814723
https://doi.org/10.1023/A:1005122814723
Kennell, J. H., & Klaus, M. H. (1998). Bonding: Recent observations that alter perinatal care. Pediatrics in Review, 19, 4-12. https://doi.org/10.1023/A:1005122814723
https://doi.org/10.1023/A:1005122814723
Kim, Y., Lee, S., Jung, H., Jaime, J., & Cubbin, C. (2019). Is neighborhood poverty harmful to every child? Neighborhood poverty, family poverty, and behavioral problems among young children.Journal of Community Psychology,47(3), 594-610. https://doi.org/10.1002/jcop.22140
https://doi.org/10.1002/jcop.22140
Kowaleski-Jones, L., & Dunifon, R. (2004). Children’s home environments understanding the role of family structure changes.Journal of Family Issues,25(1), 3-28. https://doi.org/10.1177/0192513X03256516
https://doi.org/10.1177/0192513X03256516
Kramer, L., & Ramsburg, D. (2002). Advice given to parents on welcoming a second child: A critical review.Family Relations,51(1), 2-14. https://doi.org/10.1111/j.1741-3729.2002.00002.x
https://doi.org/10.1111/j.1741-3729.2002.00002.x
LaGasse, L. L., Derauf, C., Smith, L. M., Newman, E., Shah, R., Neal, C, ... & Lester, M. (2012). Prenatal methamphetamine exposure and childhood behavior problems at 3 and 5 years of age.Pediatrics, 129, 681-688. https://doi.org/10.1542/peds.2011-2209
https://doi.org/10.1542/peds.2011-2209
Levandowski, D. C., Piccinini, C. A., & Lopes, R. D. C. S. (2008). Maternidade Adolescente. Estudos de Psicologia (Campinas), 25(2), 251-263. https://doi.org/10.1590/S0103-166X2008000200010
https://doi.org/10.1590/S0103-166X2008000200010
Linsell, L., Johnson, S., Wolke, D., Morris, J., Kurinczuk, J. J., & Marlow, N. (2019). Trajectories of behavior, attention, social and emotional problems from childhood to early adulthood following extremely preterm birth: A prospective cohort study.European Child & Adolescent Psychiatry,28(4), 531-542. https://doi.org/10.1007/s00787-018-1219-8
https://doi.org/10.1007/s00787-018-1219-8
Liu, J., Cheng, H., & Leung, P. W. (2011). The application of the Preschool Child Behavior Checklist and the Caregiver-Teacher Report form to Mainland Chinese children: Syndrome structure, gender differences, country effects, and inter-informant agreement.Journal of Abnormal Child Psychology,39(2), 251-264. https://doi.org/10.1007/s10802-010-9452-8
https://doi.org/10.1007/s10802-010-9452-8
Lovejoy, M. C., Graczyk, P. A., O'Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review.Clinical Psychology Review,20(5), 561-592. https://doi.org/10.1016/S0272-7358(98)00100-7
https://doi.org/10.1016/S0272-7358(98)00100-7
Marturano, E. M., Toller, G. P., & Elias, L. C. D. S. (2005). Gênero, adversidade e problemas socioemocionais associados à queixa escolar. Estudos de Psicologia (Campinas), 22(4), 371-380. https://doi.org/10.1590/S0103-166X2005000400005
https://doi.org/10.1590/S0103-166X2005000400005
Nauta, M. H., Scholing, A., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent-report measure of children’s anxiety: Psychometric properties and comparison with child-report in a clinic and normal sample.Behaviour Research and Therapy,42(7), 813-839. https://doi.org/10.1016/S0005-7967(03)00200-6
https://doi.org/10.1016/S0005-7967(03)00200-6
Negreiros, T. C. D. G. M., & Féres-Carneiro, T. (2004). Masculino e feminino na família contemporânea.Estudos e Pesquisas em Psicologia, 4(1), 34-47. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1808-42812004000100004&lng=pt&tlng=pt
http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1808-42812004000100004&lng=pt&tlng=pt
Olson, S. L., Choe, D. E., & Sameroff, A. J. (2017). Trajectories of child externalizing problems between ages 3 and 10 years: Contributions of children's early effortful control, theory of mind, and parenting experiences. Development Psychopathology, 29(4), 1333-1351. https://doi:10.1017/S095457941700030X
https://doi:10.1017/S095457941700030X
Olson, S. L., & Hoza, B. (1993). Preschool development antecedents of conduct problems in children beginning school.Journal of Clinical Child Psychology,22(1), 60-67. https://doi.org/10.1207/s15374424jccp2201_6
https://doi.org/10.1207/s15374424jccp2201_6
Paterson, J., Taylor, S., Schluter, P., & Iusitini, L. (2013). Pacific Islands Families (PIF) study: Behavioural problems during childhood.Journal of Child and Family Studies,22(2), 231-243. https://doi.org/10.1007/s10826-012-9572-6
https://doi.org/10.1007/s10826-012-9572-6
Ramchandani, P., & Psychogiou, L. (2009). Paternal psychiatric disorders and children's psychosocial development.The Lancet,374(9690), 646-653. https://doi.org/10.1016/S0140-6736(09)60238-5
https://doi.org/10.1016/S0140-6736(09)60238-5
Ribeiro, J. S. B. (2006). Brincadeiras de meninas e de meninos: Socialização, sexualidade e gênero entre crianças. Cadernos Pagu,26, 145-168. https://doi.org/10.1590/S0104-83332006000100007
https://doi.org/10.1590/S0104-83332006000100007
Ringoot, A. P., Tiemeier, H., Jaddoe, V. W., So, P., Hofman, A., Verhulst, F. C., & Jansen, P. W. (2015). Parental depression and child well-being: Young children's self-reports helped addressing biases in parent reports.Journal of Clinical Epidemiology, 68(8), 928-938. https://doi.org/10.1016/j.jclinepi.2015.03.009
https://doi.org/10.1016/j.jclinepi.2015.03.009
Santos, S. V. S. (2017). Socialização de gênero na educação infantil: Continuidades e rupturas vivenciadas pelas crianças na família, na igreja e na escola.Educação (UFSM),42(3), 731-750. https://doi.org/10.5902/1984644428325
https://doi.org/10.5902/1984644428325
Santos, I. S., Barros, A. J., Matijasevich, A., Domingues, M. R., Barros, F. C., & Victora, C. G. (2011). Cohort profile: The 2004 Pelotas (Brazil) birth cohort study.International Journal of Epidemiology,40(6), 1461-1468. https://doi.org/10.1093/ije/dyq130
https://doi.org/10.1093/ije/dyq130
Santos, I. S., Matijasevich, A., Tavares, B. F., Barros, A. J., Botelho, I. P., Lapolli, C., ..., & Barros, F. C. (2007). Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study.Cadernos de Saúde Pública,23(11), 2577-2588. https://doi.org/10.1590/S0102-311X2007001100005
https://doi.org/10.1590/S0102-311X2007001100005
Sauer, K., Barkmann, C., Klasen, F., Bullinger, M., Glaeske, G., & Ravens-Sieberer, U. (2014). How often do German children and adolescents show signs of common mental health problems? Results from different methodological approaches-a cross-sectional study.BMC Public Health, 14(1), 229-42. https://doi.org/10.1186/1471-2458-14-229
https://doi.org/10.1186/1471-2458-14-229
Stake, R. E. (2005). Qualitative case studies. Em N. K. Denzin & Lincoln, Y. S. (Eds.). The Sage handbook of qualitative research (3rd ed., pp. 443-466). Sage Publications Ltd.
Stanger, C., Achenbach, T. M., & Verhulst, F. C. (1997). Accelerated longitudinal comparisons of aggressive versus delinquent syndromes. Development and Psychopathology, 9(1), 43-58. https://doi.org/10.1017/S0954579497001053
https://doi.org/10.1017/S0954579497001053
StataCorp. (2015).Stata Statistical Software: Release 14 [Software de Computador]. StataCorp LP.
Syed, E. U., Hussein, S. A., & Mahmud, S. (2007). Screening for emotional and behavioural problems amongst 5-11-year-old school children in Karachi, Pakistan.Social Psychiatry and Psychiatric Epidemiology,42(5), 421-427. https://doi.org/10.1007/s00127-007-0188-x
https://doi.org/10.1007/s00127-007-0188-x
Tremblay, R. E., Nagin, D. S., Seguin, J. R., Zoccolillo, M., Zelazo, P. D., Boivin, M., ... & Japel, C. (2004). Physical aggression during early childhood: Trajectories and predictors.Pediatrics,114(1), e43-e50. https://doi.org/10.1542/peds.114.1.e43
https://doi.org/10.1542/peds.114.1.e43
Utendale, W. T., & Hastings, P. D. (2011). Developmental changes in the relations between inhibitory control and externalizing problems during early childhood.Infant and Child Development,20(2), 181-193. https://doi.org/10.1002/icd.691
https://doi.org/10.1002/icd.691
Van Beijsterveldt, C. E. M., Hudziak, J. J., & Boomsma, D. I. (2006). Genetic and environmental influences on cross-gender behavior and relation to behavior problems: A study of Dutch twins at ages 7 and 10 years. Archives of Sexual Behavior,35(6), 647-658. https://doi.org/10.1007/s10508-006-9072-0
https://doi.org/10.1007/s10508-006-9072-0
Velders, F., Dieleman, G., Henrichs, J., Jaddoe, V., Hofman, A., Verhulst, F., ..., Tiemeier, H. (2011). Prenatal and postnatal psychological symptoms of parents and family functioning: The impact on child emotional and behavioral problems. European Child and Adolescent Psychiatry, 20, 341-350. https://doi.org/10.1007/s00787-011-0178-0
https://doi.org/10.1007/s00787-011-0178-0
Vianna, C., & Finco, D. (2009). Meninas e meninos na Educação Infantil: Uma questão de gênero e poder.Cadernos pagu,33, 265-283. https://doi.org/10.1590/S0104-83332009000200010
https://doi.org/10.1590/S0104-83332009000200010
Volling, B. L., Gonzalez, R., Oh, W., Song, J. H., Yu, T., Rosenberg, L., ... & Stevenson, M. M. (2017).Developmental trajectories of children's adjustment across the transition to siblinghood: Pre-birth predictors and sibling outcomes at one year Wiley. http://www-personal.umich.edu
Weeks, M., Ploubidis, G. B., Cairney, J., Wild, T. C., Naicker, K., & Colman, I. (2016). Developmental pathways linking childhood and adolescent internalizing, externalizing, academic competence, and adolescent depression. Journal of Adolescence, 51, 30-40. https://doi.org/10.1016/j.adolescence.2016.05.009
https://doi.org/10.1016/j.adolescence.2016.05.009
Winnicott, D. W. (1966). A criança e o seu mundo (A. Cabral, Trad.). Zahar.
Wolke, D., Eryigit Madzwamuse, S., Gutbrod, T. (2014). Very preterm/very low birthweight infants’ attachment: Infant and maternal characteristics. Archives of Disease in Childhood: Fetal and Neonatal Edition, 99, 70-75.
Yamamoto, N., & Imai-Matsumura, K. (2019). Gender differences in executive function and behavioural self-regulation in 5 years old kindergarteners from East Japan.Early Child Development and Care,189(1), 56-67. https://doi.org/10.1080/03004430.2017.1299148
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