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Co-development of internalizing and externalizing behavior problems during early childhood among child welfare-involved children

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  • Yoon, Susan
  • Yoon, Dalhee
  • Wang, Xiafei
  • Tebben, Erin
  • Lee, Guijin
  • Pei, Fei

Abstract

Using parallel-process latent growth curve modeling, we examine developmental trajectories of internalizing and externalizing behavior problems and identify early risk factors for behavior problems among 329 child welfare-involved children followed from age 2years to 5 years. Data are drawn from the National Survey of Child and Adolescent Well-Being II. On average, internalizing behavior problems remained stable, while externalizing behavior problems decreased over time. Higher initial levels of internalizing behavior problems were associated with higher initial levels of externalizing behavior problems. Rates of change also had positive cross-domain relationships. Child neglect, exposure to intimate partner violence (IPV), insecure caregiver-child attachment, and caregiver mental health problems were associated with higher initial levels of internalizing and externalizing behavior problems. Exposure to IPV, out-of-home care, and caregiver drug use predicted rates of change in behavior problems. Our findings highlight the importance of comprehensive assessment and treatment for co-occurring internalizing and externalizing behavior problems in young children involved in the child welfare system. Results also indicate the need for identifying and addressing early risk factors to prevent early onset and continued development of behavior problems in high-risk children.

Suggested Citation

  • Yoon, Susan & Yoon, Dalhee & Wang, Xiafei & Tebben, Erin & Lee, Guijin & Pei, Fei, 2017. "Co-development of internalizing and externalizing behavior problems during early childhood among child welfare-involved children," Children and Youth Services Review, Elsevier, vol. 82(C), pages 455-465.
    • Handle: RePEc:eee:cysrev:v:82:y:2017:i:c:p:455-465
    DOI: 10.1016/j.childyouth.2017.10.016
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    1. repec:mpr:mprres:7983 is not listed on IDEAS
    2. Lawrence S. Wissow & Jonathan Brown & Kate E. Fothergill & Anne Gadomski & Karen Hacker & Peter Salmon & Rachel Zelkowitz, 2013. "Universal Mental Health Screening in Pediatric Primary Care: A Systematic Review," Mathematica Policy Research Reports 3f0bf7f6f498418fb2583bf38, Mathematica Policy Research.
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    Cited by:

    1. Cheng, Tyrone C. & Lo, Celia C., 2020. "Mental health services receipt among caregivers in the child welfare system: A longitudinal analysis," Children and Youth Services Review, Elsevier, vol. 113(C).
    2. Susan Yoon & Nathan Helsabeck & Xiafei Wang & Jessica Logan & Fei Pei & Sherry Hamby & Natasha Slesnick, 2021. "Profiles of Resilience among Children Exposed to Non-Maltreatment Adverse Childhood Experiences," IJERPH, MDPI, vol. 18(20), pages 1-18, October.
    3. Lee, Jane Jiyoun & Holmes, Lisa, 2021. "Longitudinal trajectories of behavioral problems among children in out-of-home care: A systematic review," Children and Youth Services Review, Elsevier, vol. 127(C).
    4. Zhiyou Wang & Ji-Kang Chen, 2022. "Influence of Parent–Child Conflict on Psychological Distress among Chinese Adolescents: Moderating Effects of School Connectedness and Neighborhood Disorder," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    5. Jacobsen, Heidi & Bergsund, Hans Bugge & Wentzel-Larsen, Tore & Smith, Lars & Moe, Vibeke, 2020. "Foster children are at risk for developing problems in social-emotional functioning: A follow-up study at 8 years of age," Children and Youth Services Review, Elsevier, vol. 108(C).

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