Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-26T09:22:44.279Z Has data issue: false hasContentIssue false

Behavior problems at 3 and 6 years: Prevalence and continuity in full-terms and preterms

Published online by Cambridge University Press:  31 October 2008

Susan A. Rose*
Affiliation:
Albert Einstein College of Medicine and Montefiore Medical Center
Judith F. Feldman
Affiliation:
Albert Einstein College of Medicine and Montefiore Medical Center
Susan L. Rose
Affiliation:
Albert Einstein College of Medicine and Montefiore Medical Center
Ina F. Wallace
Affiliation:
Albert Einstein College of Medicine and Montefiore Medical Center
Cecelia McCarton
Affiliation:
Albert Einstein College of Medicine and Montefiore Medical Center
*
Address correspondence to: Susan A. Rose, Departments of Pediatrics and Psychiatry, Kennedy Center, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461.

Abstract

Results are reported for a 3-year prospective longitudinal study of behavior problems in a group of children born at very low birthweight (<1,500 g) and a full-term control. Behavior problems were assessed with the Behavior Screening Questionnaire (BSQ) at 3 years and with the Child Behavior Checklist (CBCL) and the hyperactivity index from the Conners parent and teacher scales at 6 years. The findings indicate that the preterms manifested more behavior problems than full-terms at both ages and that the overall prevalence of clinically significant problems increased with age. Although cross-age continuity on parent rating scales was similar and modest for both groups (r = .24–.35), the persistence of significant problems was quite high (50%). Early BSQ scores predicted later externalizing problems, even after the effects of prematurity, socioeconomic status, and family stress were removed, but not later internalizing problems. The latter were more strongly influenced by low SES and family stress. Findings for the full-terms, who had received the CBCL as well as the BSQ at 3 years, suggest that these two instruments may tap somewhat different dimensions of behavior disturbance at age 3.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achenbach, T. M., & Edelbrock, C. (1983). Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington: University of Vermont, Department of Psychiatry.Google Scholar
Achenbach, T. M., Edelbrock, C., & Howell, C. (1987). Empirically-based assessment of the behavioral/emotional problems of 2–3 year old children. Journal of Abnormal Child Psychology, 15, 629650.CrossRefGoogle ScholarPubMed
Barkley, R. A. (1981). Hyperactive children: A hand-book for diagnosis and treatment. New York: Guilford Press.Google Scholar
Benton, A. L. (1940). Mental development of prematurely born children. American Journal of Orthopsychiatry, 10, 719746.CrossRefGoogle Scholar
Breslau, N., Klein, N. K., & Allen, L. (1988). Very low birthweight: Sequelae at nine years of age. Journal of the Academy of Child and Adolescent Psychiatry, 27, 605612.CrossRefGoogle ScholarPubMed
Campbell, S. B. (1991). Longitudinal studies of active and aggressive preschoolers: Individual differences in early behavior and outcome. In Cicchetti, D. & Toth, S. (Eds.), Rochester symposium on developmental psychopathology: Vol. 2. Internalizing and externalizing expressions of dysfunction (pp. 5790). Hillsdale, NJ: Erlbaum.Google Scholar
Campbell, S. B., Ewing, L. J., Breaux, A. M., & Szumowski, E. K. (1986). Parent-referred problem three-year-olds: Follow-up at school entry. Journal of Child Psychology and Psychiatry, 27, 473488.CrossRefGoogle ScholarPubMed
Cicchetti, D., & Toth, S. (1991). A developmental perspective on internalizing and externalizing disorders. In Cicchetti, D. & Toth, S. (Eds.), Rochester symposium on developmental psychopathology: Vol. 2. Internalizing and externalizing expressions of dysfunction (pp. 119). Hillsdale, NJ: Erlbaum.Google Scholar
Cohen, P., Velez, C. N., Brook, J., & Smith, J. (1989). Mechanisms of the relation between perinatal problems, early childhood illness, and psychopathology in late childhood and adolescence. Child Development, 60, 701709.CrossRefGoogle ScholarPubMed
Earls, F. (1980). Prevalence of behavior problems in 3-year-old children: A cross-national replication. Archives of General Psychiatry, 37, 11531157.CrossRefGoogle ScholarPubMed
Earls, F. (1981). Epidemiological child psychiatry: An American perspective. In Purcell, E. F. (Ed.), Psychopathology of children and youth: A cross cultural perspective (pp. 328). New York: Josiah Macy, Jr. Foundation.Google Scholar
Earls, F., & Jung, K. G. (1987). Temperament and home environment characteristics as causal factors in the early development of childhood psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 491498.CrossRefGoogle ScholarPubMed
Escalona, S. (1982). Babies at double hazard: Early development of infants at biologic and social risk. Pediatrics, 70, 670676.CrossRefGoogle ScholarPubMed
Escalona, S. (1984). Social and other environmental influences on the cognitive and personality development of low birthweight infants. American Journal of Mental Deficiency, 88, 508512.Google ScholarPubMed
Field, T. M., Dempsey, J. K., & Shuman, H. H. (1983). Five-year followup of preterm respiratory distress syndrome and post-term postmaturity in infants. In Field, T. M. & Sostek, A. (Eds.), Infants born at risk: Physiological, perceptual and cognitive processes. New York: Grune & Stratton.Google Scholar
Fischer, M., Rolf, J., Hasazi, J., & Cummings, L. (1984). Follow-up of a preschool epidemiological sample: Cross-age continuities and predictions of later adjustment with internalizing and externalizing dimensions of behavior. Child Development, 55, 137150.CrossRefGoogle ScholarPubMed
Garrison, W., & Earls, F. (1985). Change and continuity in behavior problems from the pre-school period through school entry: An analysis of mothers' reports. In Stevenson, J. E. (Ed.), Recent research in developmental psychopathology (pp. 5165). A book supplement to the Journal of Child Psychology and Psychiatry, No. 4, M. Berger & E. Taylor (Series Eds.). Oxford: Pergamon Press.Google Scholar
Goldberg, S., Corter, C., Lojkasek, M., & Minde, K. (1990). Prediction of behavior problems in 4-year-olds born prematurely. Development and Psychopathology, 2, 1530.CrossRefGoogle Scholar
Gould, M., Wunsch-Hitzig, R., & Dohrenwend, B. (1981). Estimating the prevalence of childhood psychopathology. Journal of the American Academy of Child Psychopathology, 20, 462476.CrossRefGoogle ScholarPubMed
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on revised Conners parent and teacher rating scales. Journal of Abnormal Child Psychology, 6, 221236.CrossRefGoogle ScholarPubMed
Hollingshead, A. (1975). Four Factor Index as social status. Unpublished manuscript, Yale University, Department of Sociology, New Haven.Google Scholar
Hoy, E., Bill, J., & Sykes, D. (1988). Very low birthweight: A long term developmental impairment. International Journal of Behavioural Development, 11, 3767.CrossRefGoogle Scholar
McCormick, M. C. (1989). Long-term follow-up of infants discharged from neonatal intensive care units. Journal of the American Medical Association, 261, 17671772.CrossRefGoogle ScholarPubMed
McCormick, M. C., Gortmaker, S. L., & Sobol, A. M. (1990). Very low birth weight children: Behavior problems and school difficulty in a national sample. Journal of Pediatrics, 117, 687693.CrossRefGoogle ScholarPubMed
Minde, K., Goldberg, S., Perrotta, M., Washington, J., Lojkasek, M., Corter, C., & Parker, K. (1989). Continuities and discontinuities in the development of 64 very small premature infants to 4 years of age. Journal of Child Psychology and Psychiatry, 30, 391404.Google ScholarPubMed
Pianta, R. C., & Caldwell, C. B. (1990). Stability of externalizing symptoms from kindergarten to first grade and factors related to instability. Development and Psychopathology, 2, 247258.CrossRefGoogle Scholar
Pianta, R. C., & Castaldi, J. (1989). Stability of internalizing symptoms from kindergarten to first grade and factors related to instability. Development and Psychopathology, 1, 305316.CrossRefGoogle Scholar
Pasamanick, B., Rogers, M. E., & Lilienfield, A. M. (1956). Pregnancy experience and the development of behavior disorders in children. American Journal of Psychiatry, 112, 613618.CrossRefGoogle ScholarPubMed
Rende, R. D., & Plomin, R. (1991). Child and parent perceptions of the upsettingness of major life events. Journal of Child Psychology and Psychiatry, 22, 627633.CrossRefGoogle Scholar
Richman, N. (1977). Behaviour problems in pre-school children: Family and social factors. British Journal of Psychiatry, 131, 523527.CrossRefGoogle ScholarPubMed
Richman, N., & Graham, P. (1971). A behavioral screening questionnaire for use with three-year-old children: Preliminary findings. Journal of Child Psychology and Psychiatry, 12, 533.CrossRefGoogle ScholarPubMed
Richman, N., Stevenson, J., & Graham, P. (1982). Preschool to school: A behavioral study. London: Academic Press.Google Scholar
Rose, S. A., & Feldman, J. F. (1987). Infant visual attention: Stability of individual differences from 6 to 8 months, Developmental Psychology, 23, 490498.CrossRefGoogle Scholar
Rose, S. A., & Feldman, J. F., McCarton, C. M., & Wolfson, J. (1988). Information processing in seven-month-old infants as a function of risk status. Child Development, 59, 589603.CrossRefGoogle ScholarPubMed
Rose, S. A., Feldman, J. F., & Wallace, I. F. (1988). Individual differences in infant information processing: Reliability, stability, and prediction. Child Development, 59, 11771197.CrossRefGoogle ScholarPubMed
Rose, S. A., Feldman, J. F., & Wallace, I. F. (in press). Infant information processing in relation to six-year cognitive outcome. Child Development.Google Scholar
Rose, S. A., Feldman, J. F., Wallace, I. F., & Cohen, P. (1991). Language: A partial link between infant attention and later intelligence. Developmental Psychology, 27, 798805.CrossRefGoogle Scholar
Rose, S. A., Feldman, J. F., Wallace, I. F., & McCarton, C. M. (1989). Infant Visual Attention: Relation to birth status and developmental outcome during the first 5 years. Developmental Psychology, 25, 560575.CrossRefGoogle Scholar
Rose, S. A., Feldman, J. F., Wallace, I. F., & McCarton, C. (1991). Information processing at 1 year: Relation to birth status and developmental outcome during the first five years. Developmental Psychology, 27, 723737.CrossRefGoogle Scholar
Rose, S. L., Rose, S. A., & Feldman, J. F. (1989). Stability of behavior problems in very young children. Development and Psychopathology, 1, 519.CrossRefGoogle Scholar
Ross, G., Lipper, E. G., & Auld, P. A. M. (1990). Social competence and behavior problems in premature children at school age. Pediatrics, 86, 391397.CrossRefGoogle ScholarPubMed
Rutter, M. (1987). Continuities and discontinuities from infancy. In Osofsky, J. D. (Ed.), Handbook of infant development (2nd ed., pp. 12561296). New York: Wiley Press.Google Scholar
Sameroff, A. J., & Chandler, M. J. (1975). Reproductive risk and the continuum of caretaking casualty. In Horowitz, F. D., Hetherington, E. M., Scarrsalapatek, S., & Siegel, G. M. (Eds.), Review of child development research (Vol. 4, pp. 187244). Chicago: University of Chicago Press.Google Scholar
Sarason, I., Johnson, J., & Siegel, J. (1978). Assessing the impact of life changes: Development of the life experience survey. Journal of Consulting and Clinical Psychology, 46, 932946.CrossRefGoogle Scholar
Silva, P. A., McGee, R. O., & Williams, S. M. (1984). A longitudinal study of the intelligence and behavior of preterm and small for gestational age children. Journal of Developmental and Behavioral Pediatrics, 5, 15.CrossRefGoogle ScholarPubMed
Simonds, J. F., Silva, P., & Ashton, L. (1981). Behavioral and psychiatric assessment of preterm and full term low birthweight children at 9–11 years of age. Journal of Developmental and Behavioral Pediatrics, 2, 8288.CrossRefGoogle ScholarPubMed
Werner, E. E., & Smith, R. S. (1977). Kauai's children come of age. Honolulu: University Press of Hawaii.Google Scholar
Werner, E. E., & Smith, R. S. (1979). An epidemiologic perspective on some antecedents and consequences of childhood mental health problems and learning disabilities. Journal of the American Academy of Child Psychopathology, 18, 292306.CrossRefGoogle ScholarPubMed
Werner, E. E., & Smith, R. S. (1982). Vulnerable but invincible: Kauai's children come of age. New York: McGraw Hill.Google Scholar