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Background: Behavioral and emotional problems in children with Developmental Coordination Disorder (DCD) are well documented. However, the heterogeneity of this group has been largely overlooked. Addressing this gap is important to develop individually-tailored interventions. Aims: Our three aims were to assess: (i) behavioral and emotional problems in children with DCD; (ii) behavioral and emotional problems in subtypes of DCD, and (iii) the context-specificity of these problems (home/school). Methods and procedure: Data were extracted from the medical records of a large sample of 93 children with DCD (79 boys, mean age 8.3) referred to a rehabilitation center. Behavioral and emotional problems were assessed with the Child Behavior Checklist (CBCL) and the Teacher Report Form (TRF). Outcomes and results: Two-third of the children presented with behavioral and emotional problems according to both parents and teachers. The subtypes with generalized motor problems were most affected, while the subtype with gross-motor problems was least affected. Children presented with more problems at home than at school. Conclusion and implications: Given the frequent occurrence of behavioral and emotional problems, clinicians should tailor their interventions to these problems in DCD. Knowledge of subtypes can inform these decisions. [ABSTRACT FROM AUTHOR]

Introduction: Meta-analytical findings indicate that high-quality dyadic teacher-student relationships (TSRs) can act as social protective factors against the development or persistence of emotional and behavioral problems (EBPs) by fostering students' social-emotional and cognitive learning. However, previous research primarily focused on samples of students without EBPs and relied on teacher-rated TSRs. Research on dyadic TSRs from the perspective of students with EBPs is scarce, yet their self-perceptions could offer valuable insights into whether and how dyadic TSRs serve as protective factors for them. Therefore, this systematic scoping review is guided by the central question of how research on dyadic TSRs from the perspective of students with EBPs has been conducted and what insights have been gained to date. Methods: This question is explored through a narrative synthesis of existing studies, thereby identifying current research approaches, empirical findings, practical implications, and future research needs. A database search using keywords related to EBPs and TSRs yielded 24 included studies. Results and discussion: Synthesizing these studies reveals five overarching conclusions. First, students with EBPs and their teachers tend to experience dyadic TSRs less favorably than typically developed (TD) students and their teachers. Second, relationship-enhancing interventions focusing on either teacher-student interactions, contextual factors or individual characteristics of teachers and students appear to be effective for students with EBPs. Third, students with EBPs seem to perceive stronger positive affective relationships with their teachers than teachers do with them. Fourth, students with EBPs may perceive their dyadic TSRs as ambivalent, exhibiting both highly positive and highly negative aspects. Fifth, for the social–emotional and academic development of students with EBPs, dyadic TSR-quality seems to be a risk or protective factor, acting differently than in TD-student. However, due to the diverse nature of the included studies, these conclusions remain only preliminary. Consequently, the review concludes with 10 key recommendations that might guide future research on dyadic TSRs from the perspective of students with EBPs. [ABSTRACT FROM AUTHOR]

Introduction: Behavioral inhibition is a temperamental factor that increases the risk of internalizing disorders. Therefore, the identification of highly inhibited children is of great importance. However, informant discrepancies make this process difficult. In a cluster analytic approach, we aimed to use both parent and teacher reports of behavioral inhibition in order to gain a more detailed picture about children's behavioral inhibition in different contexts and to characterize highly inhibited children. Methods: Parents and teachers of 318 preschool children completed a questionnaire, which included the Behavioral Inhibition Questionnaire (BIQ) and the Strengths and Difficulties Questionnaire (SDQ). Parents also reported their parenting behavior on the Multidimensional Assessment of Parenting Questionnaire (MAPS). A two-step cluster analysis was conducted on BIQ parent and teacher reports, and the resulting clusters were compared on the SDQ externalizing and internalizing subscales. Multinomial logistic regression analyses were conducted separately for girls and boys to predict cluster membership based on the MAPS hostility, lax control and physical control subscales. Results: Four clusters were identified, labelled as medium-low (ML), low-elevated (LE), elevated-elevated (EE) and high-high (HH), based on the levels of BIQ parent and teacher reports, respectively. In the HH cluster, mean scores of the SDQ internalizing subscales as reported by parents and teachers were significantly higher, and in boys but not in girls, mean scores of the SDQ externalizing subscale as reported by teachers were lower than in the other clusters. High levels of hostility predicted group membership of HH compared to LE and EE in both genders. Furthermore, in boys, lax control and physical control were also found to be significant when comparing HH to EE and LE, respectively. Discussion: Our results suggest that the joint use of parent and teacher reports on behavioral inhibition may increase the ability to identify highly inhibited children at risk of developing internalizing disorders and add to our understanding of the underpinnings of children's inhibited behavior in different contexts. [ABSTRACT FROM AUTHOR]

Despite the well‐established link between mothers' depressive symptoms and youth behavioral problems, it remains unclear whether the mechanism by which mothers' depressive symptoms promote behavioral problems may also be related to individual differences in this relation. Following the three‐variable system integrating mediation and moderation, this study used an integrative model to simultaneously examine the mediating and moderating role of emotional reactivity in the longitudinal associations between maternal depressive symptoms and internalizing and externalizing problems in youth. Participants were 1060 youth and their mothers from the NICHD Study of Early Child Care and Youth Development (49.7% boys, 81.6% white). Mothers reported their own depressive symptoms at nine waves from infancy through the fifth grade. They also rated adolescents' emotional reactivity in the fifth grade and behavioral problems in the fifth and sixth grades. The results showed that emotional reactivity mediated the longitudinal relations between maternal depressive symptoms and internalizing and externalizing problems in youth. The results also supported the moderation of emotional reactivity. That is, mothers' depressive symptoms were associated with high levels of internalizing and externalizing problems, particularly among youth who were high in emotional reactivity. The findings highlight the dual role of emotional reactivity to better understand the associations between mothers' depressive symptoms and offspring behavioral problems, and emphasize the need to target emotional reactivity to alleviate the adverse impacts of maternal depressive symptoms on behavioral adjustment in early adolescence. [ABSTRACT FROM AUTHOR]

Background: COVID-19 threatened global health, however little is known about the long-term courses of loneliness and their effect on mental health in adolescents. This study aimed to explore the trajectories of loneliness among adolescents in Taizhou, Zhejiang Province, China, during the last phase of the pandemic. We also aimed to identify risk factors in each loneliness course and the impact of loneliness on emotional problems, peer problems, hyperactivity and conduct problems. Methods: The study employed multistage cluster sampling to collect four waves of data from 2347 Chinese adolescents (average baseline age of 14.7 years) covering a period of 20 months (October 2021 – May 2023). The UCLA 3-Item Loneliness Scale and the Strengths and Difficulties Questionnaire were utilized to assess loneliness and mental health problems, respectively. Growth mixture modelling was employed to identify latent classes of loneliness trajectories. Associated risk factors were investigated using multinomial logistic regression model. Mixed-effects logistic regression models were constructed to examine the long-term impact of loneliness classes on mental health outcomes. Results: The overall percentage of loneliness increased from 22.9% at baseline to 32.2% at the fourth wave in our sample. Three classes of loneliness were identified: Decreasing Low Loneliness (58.71%), Increasing Medium Loneliness (36.52%), and Increasing High Loneliness (4.77%). Risk factors for poorer loneliness trajectories included lack of physical exercise habits, poorer mental health literacy, medium or low perceived social support, having study difficulties, being female, higher grades, and lower economic status. Loneliness classes were associated with the severity and variability of emotional problems, peer problems, hyperactivity and conduct problems (ORs for the highest loneliness class: 10.24, 4.21, 3.87, 2.68, respectively). Individuals in the higher loneliness classes experienced a significant increase in these mental health problems over time (p < 0.05 for interactions between loneliness classes and time). Conclusion: During the last phase of the pandemic, a large proportion of adolescents in our study endured medium to high levels of loneliness with no signs of improvement. Both unfavorable loneliness trajectories adversely affected internalizing and externalizing problems and displayed an upward trend in these difficulties. Results highlight the importance of tackling loneliness and improving mental health in adolescents. [ABSTRACT FROM AUTHOR]

Background: Offspring of parents with affective disorders (OAD) are at risk of developing a wide range of mental disorders. Deficits in the rearing environment and high levels of stress are well‐known risk factors for negative outcomes in OAD. Building on prior research, we aim to examine the longitudinal relationships between family dysfunction, stressful life events, and mental health in OAD and control offspring of parents with no affective disorder. In the present study, we hypothesized that high levels of family dysfunction would be associated with more internalizing and externalizing problems across time in OAD than in controls, and that family dysfunction would mediate the relationship between stressful life events in adolescence and poor mental health in adulthood, particularly in OAD. Methods: As part of the TRacking Adolescents' Lives Survey (TRAILS), 2230 participants (51% female, Mage = 11.1 years, SD = 0.6, at baseline) and their parents completed measures across six time points, spanning 15 years. Mental health, family dysfunction, and stressful life events were assessed with the Youth and Adult Self‐Report, Family Assessment Device, and an in‐house measure, respectively. Results: Multi‐group structured equation modeling revealed that family dysfunction was linked to internalizing and externalizing problems in OAD, but not controls, across time. Risk status did not moderate family dysfunction's mediation of the relationship between stressful life events and negative outcomes in adulthood. Conclusions: OAD show high sensitivity to dysfunction in the rearing environment across childhood and adolescence, which supports the use of family based interventions to prevent the development of mental disorders in high‐risk youth. [ABSTRACT FROM AUTHOR]

Objective Empirical evidence underscores an association between parental stress and emotional and behavioral problems in offspring. However, a comprehensive systematic review or meta-analysis on this topic is lacking. Thus, this study aims to address the scientific inquiry: Is there a relationship between parental stress and emotional/behavioral problems in children? Sources This systematic review with a meta-analysis surveyed PubMed, PsycINFO, and the Biblioteca Virtual em Saúde between August and September 2021. The present search combined terms (school-age children) AND (parental stress OR parenting stress OR family stress) AND (emotional and behavioral problems OR internalizing and externalizing problems). Eligibility criteria encompassed cross-sectional, cohort, and case-control studies published within the last five years, exploring the association between parental stress (stressful life events and parenthood-related stress disorders) and emotional/behavioral problems in school-age children. PROSPERO ID CRD42022274034. Summary of the findings Of the 24 studies meeting all inclusion criteria (n = 31,183) for the systematic review, nine were eligible for inclusion in the meta-analysis. The meta-analysis revealed an association between parental stress and emotional problems (COR: 0.46 [95 % CI: 0.27 - 0.61], p < 0.001, Heterogeneity = 89 %) as well as behavioral problems (COR: 0.37 [95 % CI: 0.27 - 0.46], p < 0.001, Heterogeneity = 76 %). Conclusions These findings indicate that parental stress predicts emotional/behavioral problems in school-age children. Since these problems are related to long-term negative effects in adulthood, these results are crucial for preventing mental health problems in offspring and for screening and managing parental stress. [ABSTRACT FROM AUTHOR]

Research suggests that certain mental health disorders are likely to co-occur, with higher order dimensions of psychopathology being discernable. Specifically, mental health disorders tend to be organized into two general dimensions: internalizing and externalizing disorders. Despite substantial evidence supporting this hierarchical structure, no studies have integrated both recognized forms of behavioral addictions, gambling and gaming disorders, into this model utilizing a sample of adolescents. The objective of this study is to examine how risk for problem gambling (PG) and problem video gaming (PVG) load onto the higher order structure of psychopathology. Survey responses were collected from 6,413 adolescents (50.4% male, Mage = 14.74 years, 80.2% White) from Wood County, Ohio. Measures included frequency of gambling, PG symptoms, frequency of video gaming, PVG symptoms, symptoms of depression and anxiety, aggressive problems, and delinquency. Confirmatory factor analyses were conducted and data were fit to a two-factor structure. PG symptoms loaded most highly on the externalizing factor (B = 0.18, SE = 0.02), and PVG symptoms loaded similarly on the externalizing (B = 0.32, SE = 0.02) and internalizing (B = 0.24, SE = 0.02) factors. Model fit indices indicated that the model in which PG and PVG were loaded on the externalizing factor provided the best fit. Exploratory analyses were suggestive of an alternative three-factor model which improved model fit. Findings suggest that youth prevention and intervention approaches need to address behavioral addictions early while considering the impact of other commonly associated problems. [ABSTRACT FROM AUTHOR]

An important correlate of mental health problems is mentalizing capacity, which appears to be particularly influential during adolescence. However, quality of life has not been studied in relation to mentalizing capacity among adolescents. This study aimed to translate the Reflective Function Questionnaire for Youth (RFQY) into Hungarian, present its psychometric properties, and assess its relationship with demographic characteristics, psychopathology and quality of life. A community sample of 384 youths aged 12–18 years completed the RFQY, the Measure of Quality of Life for Children and Adolescents, and the Strengths and Difficulties Questionnaire. First, we conducted an exploratory factor analysis with direct oblimin rotation on the RFQY items. Next, we assessed the associations between the RFQY and demographics, quality of life, and psychopathology. The EFA resulted in four factors: Internal-self, Internal-other, Self-other, and Strong emotions. The Cronbach's alpha coefficients of the scales were.81,.82,.67, and.80, respectively. The subscales were uniquely associated with psychopathology and quality of life. Our study provides the first psychometric support for the Hungarian version of the RFQY and indicates that adolescents suffering from internalizing, externalizing symptoms or lower levels of quality of life could benefit from interventions aimed at enhancing mentalizing capacity. Plain language summary: An important correlate of mental health problems is mentalizing capacity, which appears to be particularly influential during adolescence. However, quality of life has not been studied in relation to mentalizing capacity among adolescents. This study aimed to translate the Reflective Function Questionnaire for Youth (RFQY) into Hungarian, present its psychometric properties, and assess its relationship with demographic characteristics, psychopathology and quality of life. A community sample of 384 youths between the ages of 12 and 18 completed the RFQY, the Measure of Quality of Life for Children and Adolescents, and the Strengths and Difficulties Questionnaire. Our study provides the first psychometric support for the Hungarian version of the RFQY and indicates that adolescents suffering from internalizing, externalizing symptoms or lower levels of quality of life could benefit from interventions aimed at enhancing mentalizing capacity. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to investigate the effectiveness of statebased relaxation therapy on externalizing/internalizing problems in students with Intermittent Explosive Disorder (IED). Methods and Materials: The research method was a quasi-experimental design with a pretest-posttest and follow-up with a control group. The statistical population included all adolescents aged 12-18 years with IED in the 2023-2024 academic year, who were studying in schools in Tehran. The sample size consisted of 30 individuals (15 in the experimental group and 15 in the control group) selected from the statistical population using convenience sampling and assigned to experimental and control groups. The experimental group received state-based relaxation therapy, while the control group remained on the waiting list. The research instruments included the Intermittent Explosive Disorder Questionnaire (Coccaro et al., 2017) and the Achenbach Emotional and Behavioral Problems Questionnaire (Achenbach & Rescorla, 2003). Data were analyzed using repeated measures analysis of variance (ANOVA) and SPSS-27 software. Findings: The results indicated that state-based relaxation therapy had a significant effect on externalizing/internalizing problems in the posttest and follow-up stages. Conclusion: The findings of this study provide useful information regarding statebased relaxation therapy, and psychologists and psychiatrists can use this intervention to improve externalizing/internalizing problems in students with IED. [ABSTRACT FROM AUTHOR]

This study examined whether grandparental support is a protective factor for children's socio‐emotional development in the context of adversity. Using longitudinal data from the Millennium Cohort Study, we investigated the effects of grandparental support across development in children with and without adverse childhood experiences (ACEs). Socio‐emotional development was assessed with the Strengths and Difficulties Questionnaire when children were aged 3 years (N = 10,186), 5 years (N = 10,412) and 7 years (N = 10,551). Parent‐reported grandparental childcare, coresidence and financial help were assessed and parents reported on the occurrence of five ACEs: physical and emotional abuse assessed with the Straus' Conflict Tactics Scale, parental mental illness assessed with the Kessler scale, domestic violence and parental separation. We found that children with relatively higher levels of ACEs showed more prosocial behaviour and less externalizing problems when they received grandparental care compared to non‐grandparental (in)formal care, but only at age 3. By age 7, children with higher levels of ACEs receiving grandparental care showed less prosocial behaviour and more externalizing problems. In addition, grandparental financial support at age 3 was related to more externalizing problems. Post‐hoc analyses showed that internalizing and externalizing behaviours at age 5 were related to an increased probability of grandparental childcare at age 7, indicating that children's socio‐emotional problems trigger grandparental support. Our findings point to a protective effect of grandparental care on children's socio‐emotional development at age 3. Our results highlight the importance of going beyond the nuclear family towards the impact of the wider family network when examining children's socio‐emotional development. Research Highlights: Three‐year‐old children with high levels of adverse childhood experiences (ACEs) show more prosocial behaviour and less externalizing behaviour when they receive grandparental care.Grandparental care has therefore protective effects on young children's socio‐emotional development in the context of family adversity.Grandparents respond to children's socio‐emotional problems and family adversity by increasing financial support and involvement in care.These findings underscore the importance of going beyond the nuclear family towards the impact of the wider family network when examining children's socio‐emotional development. [ABSTRACT FROM AUTHOR]

This study explored racial differences in internalizing and externalizing problems among minority adolescents in impoverished urban communities. The study centered on a sample of 211 participants who were engaged in the 2018 Building Resilience Against Violence Engagement (BRAVE) programs. Their internalizing and externalizing problems were assessed using Youth Self-Report (YSR). The results of a one-way between-subjects Analysis of Variance (ANOVA) uncovered substantial racial disparities, with African American adolescents reporting a higher prevalence of externalizing problems compared to Asian adolescents. Additionally, Latinx adolescents exhibited the highest prevalence of delinquency rate at the p <.05 level. These findings underscore the strong connection between racial groups and youth problems, emphasizing the importance of considering racial factors in the context of service provision for minority adolescents. [ABSTRACT FROM AUTHOR]

Research indicates that loneliness and emotional and behavioral problems increase the risk of suicidal ideation in adolescents, but less is known about the distinct contributions of these problems. This study aimed to distinguish the pathways through which loneliness, internalizing problems, and externalizing problems contribute to suicidal ideation in Chinese adolescents. We did a longitudinal mediation analysis with data collected at 3 time points (2021.05, 2021.10, and 2022.05) from 28 Taizhou high schools. Loneliness and suicidal ideation were assessed using the UCLA 3-Item Loneliness Scale and one suicide item from the Children's Depression Inventory, respectively. The Strength and Difficulties Questionnaire assessed internalizing (emotional and peer problems) and externalizing problems (conduct and hyperactivity problems). Structural equation modeling was used to construct complete longitudinal path models. Using data from 2,190 adolescents in junior and senior high schools, we found that loneliness, internalizing problems, and externalizing problems separately contributed to subsequent higher levels of suicidal ideation. Most notably, loneliness predicted worse subsequent internalizing problems (β = 0.279, p <.001) and externalizing problems (β = 0.159, p <.001), which in turn predicted more severe suicidal ideation (β = 0.019, p <.001; β = 0.018, p <.001). Loneliness also partially mediated the association between internalizing or externalizing problems and suicidal ideation. Loneliness, internalizing problems, and externalizing problems were strongly intertwined with suicidal ideation in adolescents. Public health initiatives could reduce loneliness and emotional and behavioral problems by implementing multifaceted interventions, thereby breaking the vicious circle and protecting against the development of suicidal ideation. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusions Maternal postpartum depression is an important risk factor for internalizing and externalizing problems in children. The role of concurrent paternal depression remains unclear, especially by socioeconomic status. This study examined independent and interactive associations of postpartum maternal and paternal depression with children's internalizing/externalizing symptoms throughout childhood and adolescence (ages 3.5–17 years).We used data from the Québec Longitudinal Study of Child Development, a representative birth cohort (1997–1998) in Canada. Data included self‐reported maternal and paternal depressive symptoms at 5 months' postpartum using the Center for Epidemiologic Studies Depression Scale. Internalizing and externalizing symptoms in children were reported by parents, teachers and children/adolescents using the Social Behaviour Questionnaire (ages 3.5–13 years) and the Mental Health and Social Inadaptation Assessment for Adolescents (ages 15–17 years). We used three‐level mixed effects modelling to test associations after adjusting for confounding factors.With 168 single‐parent families excluded, our sample consisted of 1,700 families with useable data. Of these, 275 (16.2%) families reported maternal depression (clinically elevated symptoms), 135 (7.9%) paternal depression and 39 (2.3%) both. In families with high socioeconomic status, maternal depression was associated with greater child internalizing (β = .34; p < .001) and externalizing symptoms (β = .22; p = .002), regardless of the presence/absence of paternal depression. In families with low socioeconomic status, associations with symptoms were stronger with concurrent paternal depression (internalizing, β = .84, p < .001; externalizing, β = .71, p = .003) than without (internalizing, β = .30, p < .001; externalizing, β = .24, p = .002).Maternal depression increases the risk for children's internalizing/externalizing problems in all socioeconomic contexts. In families with low socioeconomic status, risks were exacerbated by concurrent paternal depression. Postpartum depression, especially in low socioeconomic environments, should be a primary focus to optimize mental health across generations. [ABSTRACT FROM AUTHOR]

Despite ample evidence supporting the association between relational and overt aggression and social-psychological adjustment problems, little is known about how this association occurs among adolescents in non-Western cultures. The present study examined whether potentially traumatic peer experience, such as forms of peer victimization (relational and overt), influences the longitudinal association between forms of aggression (relational and overt) and social-psychological adjustment problems (internalizing and externalizing) among Japanese adolescents. Gender differences in the mediation of peer victimization were also examined. Two hundred and eighty-one Japanese students from nine classrooms and two public middle schools participated in this study (Time 1 M age = 12.72, SD =.45, 50% female). Data included three time points one year apart (Grades 7, 8, and 9). Results of structural equation modeling indicated that higher relational aggression in Grade 7 was associated with more internalizing and externalizing problems in Grade 9. Notably, relational aggression was associated with internalizing problems, but not with externalizing problems, through relational victimization for both boys and girls. Overt aggression in Grade 7 was significantly associated with externalizing problems in Grade 9, but overt victimization did not mediate this association. On the other hand, overt aggression did not predict internalizing problems in Grade 9, but the indirect effect of overt victimization was found in this association. The findings inform us of the need to intervene with at-risk youth, regardless of gender, who use relational aggression, experience potentially traumatic relational victimization, and subsequently exhibit high levels of mental health and behavioral problems in Japan. [ABSTRACT FROM AUTHOR]

Although family and school experiences play an important role in adolescents' adjustment during the transition to high school, most prior studies investigated the effects of these experiences in isolation; their joint implications for both adolescents' concurrent and long-term adjustment outcomes are less clear, and the potential role of individual characteristics within such associations remains understudied. Based on 525 10th graders (Mage = 15.48, SDage = 0.71, 43.6% boys) who participated in a longitudinal study, the present research aimed to identify distinct family and school experience profiles among first-year high school students and examine their associations with adolescents' internalizing problems and externalizing problems, both concurrently and 18 months later. Latent profile analysis revealed four distinctive profiles: thriving, low resources—moderate family risk, developmental stress—high parental conflicts, and developmental stress—high peer victimization profiles. The other three profiles (vs. the thriving profile) reported significantly higher levels of concurrent internalizing problems; while these differences diminished after 18 months. However, the enduring impacts of these profiles on internalizing problems persisted among adolescents with higher levels of environmental sensitivity. Additionally, adolescents characterized by two developmental stress profiles (vs. the thriving profile) exhibited significantly higher levels of externalizing problems both currently and longitudinally. Findings underscore the importance of identifying at-risk populations among adolescents during the transition to high school by including both family and school experiences when examining environmental influence on their adjustment, as well as the necessity to take individual environmental sensitivity into account when examining these associations. [ABSTRACT FROM AUTHOR]

Children vary in how sensitive they are to experiences, with consequences for their developmental outcomes. In the current study, we investigated how behavioral sensitivity at age 3 years predicts mental health in middle childhood. Using a novel repeated measures design, we calculated child sensitivity to multiple psychological and social influences: parent praise, parent stress, child mood, and child sleep. We conceptualized sensitivity as the strength and direction of the relationship between psychosocial influences and child behavior, operationalized as toothbrushing time, at age 3 years. When children were 5–7 years old (n = 60), parents reported on children's internalizing and externalizing problems. Children who were more sensitive to their parents' praise at age 3 had fewer internalizing (r = −0.37, p = 0.016, pFDR = 0.042) and externalizing (r = −0.35, p = 0.021, pFDR = 0.042) problems in middle childhood. Higher average parent praise also marginally predicted fewer externalizing problems (r = −0.33, p = 0.006, pFDR = 0.057). Child sensitivity to mood predicted fewer internalizing (r = −0.32, p = 0.013, pFDR = 0.042) and externalizing (r = −0.38, p = 0.003, pFDR = 0.026) problems. By capturing variability in how children respond to daily fluctuations in their environment, we can contribute to the early prediction of mental health problems and improve access to early intervention services for children and families who need them most. Research Highlights: Children differ in how strongly their behavior depends on psychosocial factors including parent praise, child mood, child sleep, and parent stress.Children who are more sensitive to their parents' praise at age 3 have fewer internalizing and externalizing problems at age 5–7 years.Child sensitivity to mood also predicts fewer internalizing and externalizing problems. [ABSTRACT FROM AUTHOR]

Bullying research has shown repeatedly that victims of bullying have an increased risk for later internalizing problems and bullies have an increased risk for later externalizing problems. Bullying involvement is often, either explicitly or implicitly, presented as part of a causal mechanism for maladjustment. However, genetic vulnerability may confound the reported associations. This study examined to what extent genetic vulnerability can account for the reported associations between bullying involvement (age 11-14) and later internalizing and externalizing problems (age 16), using data from the TRacking Adolescents' Individual Lives Survey (n = 1604). Because polygenic scores capture only a fraction of the total genetic effect, they were extrapolated to the size of single-nucleotide polymorphism and twin heritability estimates to examine genetic confounding while controlling for (hypothetical) polygenic scores that fully capture the genetic effect. Genetic vulnerability for internalizing and externalizing problems confounded, respectively, the association between bullying victimization and later internalizing problems, and the association between bullying perpetration and later externalizing problems. As such, this study showcases a method that can be broadly used to assess the magnitude of genetic confounding. Caution is, however, warranted in interpreting particularly the less straightforward extrapolations of polygenic scores to the size of twin heritability estimates. [ABSTRACT FROM AUTHOR]

Background: Given the heightened risk of developmental challenges associated with preterm birth, it is crucial to explore interventions that may ameliorate potential adverse outcomes. This study aimed to examine whether meeting the 24-h movement behavior (24-HMB) guidelines, which include recommendations on physical activity (PA), screen time (ST), and sleep (SL), is related to indicators of cognitive difficulties, internalizing problems (e.g. depression and anxiety), and externalizing problems (e.g. difficulties in making friends and arguing) in a sample of preterm youth (children and adolescents born preterm). Method: In this cross-sectional study, data from 3410 preterm youth (aged 6 to 17 years) were included for data analyses. Multivariable logistic regression was used to investigate associations between meeting the 24-HMB guidelines and the above-mentioned health outcomes, while controlling for sociodemographic and health-related factors. Results: The prevalence of meeting 24-HMB guidelines varied across independent and integrated components of the 24-HMB guidelines. Meeting the ST guideline alone (p < 0.05) and integrated guidelines (i.e. ST + SL and ST + SL + PA) were associated with fewer cognitive difficulties and reduced internalizing and externalizing problems (p < 0.05). Specifically, meeting the SL guideline alone and integrated guidelines (i.e. SL + ST) were associated with lower odds of depression and anxiety (p < 0.01). Additionally, meeting independent, and integrated (PA and/or ST) guidelines were associated with less pronounced difficulties in making friends and arguing (p < 0.05). Meeting 24-HMB guidelines in an isolated and integrated manner are linked to better cognitive performance and fewer internalizing and externalizing problems in preterm youth. Conclusion: Results suggest that advocating for the implementation of the 24-HMB guidelines may reduce cognitive challenges and behavioral issues, which is of high relevance for improving public health. Future longitudinal studies in preterm youth should investigate how modifying specific 24-HMB behaviors, especially ST, influence cognitive difficulties, internalizing and externalizing problems in this vulnerable population. [ABSTRACT FROM AUTHOR]

BackgroundBehavioral and emotional problems in children with Developmental Coordination Disorder (DCD) are well documented. However, the heterogeneity of this group has been largely overlooked. Addressing this gap is important to develop individually-tailored interventions.AimsOur three aims were to assess: (i) behavioral and emotional problems in children with DCD; (ii) behavioral and emotional problems in subtypes of DCD, and (iii) the context-specificity of these problems (home/school).Methods and procedureData were extracted from the medical records of a large sample of 93 children with DCD (79 boys, mean age 8.3) referred to a rehabilitation center. Behavioral and emotional problems were assessed with the Child Behavior Checklist (CBCL) and the Teacher Report Form (TRF).Outcomes and resultsTwo-third of the children presented with behavioral and emotional problems according to both parents and teachers. The subtypes with generalized motor problems were most affected, while the subtype with gross-motor problems was least affected. Children presented with more problems at home than at school.Conclusion and implicationsGiven the frequent occurrence of behavioral and emotional problems, clinicians should tailor their interventions to these problems in DCD. Knowledge of subtypes can inform these decisions.

IntroductionMeta-analytical findings indicate that high-quality dyadic teacher-student relationships (TSRs) can act as social protective factors against the development or persistence of emotional and behavioral problems (EBPs) by fostering students’ social-emotional and cognitive learning. However, previous research primarily focused on samples of students without EBPs and relied on teacher-rated TSRs. Research on dyadic TSRs from the perspective of students with EBPs is scarce, yet their self-perceptions could offer valuable insights into whether and how dyadic TSRs serve as protective factors for them. Therefore, this systematic scoping review is guided by the central question of how research on dyadic TSRs from the perspective of students with EBPs has been conducted and what insights have been gained to date.MethodsThis question is explored through a narrative synthesis of existing studies, thereby identifying current research approaches, empirical findings, practical implications, and future research needs. A database search using keywords related to EBPs and TSRs yielded 24 included studies.Results and discussionSynthesizing these studies reveals five overarching conclusions. First, students with EBPs and their teachers tend to experience dyadic TSRs less favorably than typically developed (TD) students and their teachers. Second, relationship-enhancing interventions focusing on either teacher-student interactions, contextual factors or individual characteristics of teachers and students appear to be effective for students with EBPs. Third, students with EBPs seem to perceive stronger positive affective relationships with their teachers than teachers do with them. Fourth, students with EBPs may perceive their dyadic TSRs as ambivalent, exhibiting both highly positive and highly negative aspects. Fifth, for the social–emotional and academic development of students with EBPs, dyadic TSR-quality seems to be a risk or protective factor, acting differently than in TD-student. However, due to the diverse nature of the included studies, these conclusions remain only preliminary. Consequently, the review concludes with 10 key recommendations that might guide future research on dyadic TSRs from the perspective of students with EBPs.

ObjectiveTo investigate child-parent concordance in reporting social victimization experiences and whether concordance was associated with child behavioral symptoms.MethodsThis was an observational study with data from the Adolescent Brain Cognitive Development study. The analytic sample was 11,235 9- or 10-year-old children from the United States. Exposure variables were demographic and protective factors (child perceptions of parental relationships, school protective factors, neighborhood safety). The outcome was parent-child concordance on 6 domains of child social victimization: conventional crime, peer victimization, witnessing violence, internet victimization, school victimization, and gun violence. Child behavior symptoms were measured using the Child Behavior Checklist.ResultsExposure to social victimization was low (9% of the sample). Concordance ranged from 18% to 50%. The highest levels of concordance were observed for conventional crime (k = 0.48, P < .001) and witnessing violence (k = 0.48, P < .001). Parents' perceptions of greater neighborhood safety was associated with lower odds of concordant conventional crime (odds ratio [OR] = 0.92, 95% confidence interval [CI] 0.86-0.99) and witnessing violence (OR = 0.92, 95% CI0.84-0.99). Concordance was associated with more internalizing/externalizing behaviors.ConclusionsParents under-report social victimization in relation to children. Concordance in reporting social victimization may be an indicator of the severity of experiences, underscoring the need to consider child reports when screening for adversity.

People experience more rapid physical, social, and emotional development in adolescence than in any other developmental stage. The dramatic changes may cause them volatile mental conditions and difficulties in overcoming various behavioral problems summarised as internalizing (IP) and externalizing problems (EP). One of the protective factors is emotional intelligence (EI) because someone with good emotional intelligence can control emotions when angry and adapt to unpleasant situations. This study aimed to determine the role of EI on IP and EP in Indonesian adolescents. This study used a quantitative research design with a simple random sampling technique. The research subjects were adolescents aged 15 to 18 years (N = 300) who attended nine high schools in East Java, consisting of 96 males and 204 females. The research instruments used were the Schutte Emotional Intelligence Scale (SEIS) and the Strength and Difficulties Questionnaire (SDQ). The results showed a significant negative role between emotional intelligence and internalizing problems (R2 =.391; F(1,298) = 191.649; p

Introduction: Although gifted children can express high cognitive skills, they can also show socioemotional difficulties. Drawing from Olson’s circumplex model, the present paper assessed the role of family functioning in internalizing and externalizing problems in gifted children. Materials and Methods: 362 mothers and their 362 gifted children were included. The unbalanced subscales of the FACES IV—disengagement, enmeshment, rigidity, and chaos—and the CBCL were administered to mothers. The children completed the WISC-IV. Results: The model predicting internalizing problems was significant and explained 5.6% of the variance. Only rigidity had an independent and positive effect on internalizing problems in gifted children over and above sociodemographic variables and QI, whereas disengagement, enmeshment, and chaos were not associated with internalizing problems. The model predicting externalizing problems was significant and explained 10% of the variance. Again, rigidity was the only variable that had an independent and positive effect on externalizing problems in gifted children over and above sociodemographic variables and QI, whereas disengagement, enmeshment, and chaos were not associated with externalizing problems in this population. Discussion: Rigid families with a low ability to change in conditions that require readjustment appear to increase the risk of both internalizing and externalizing problems in gifted children. Although further studies are needed to support these preliminary findings, parental support interventions aimed at increasing flexibility appear to be useful.

Overwhelming evidence shows that poor family functioning is positively associated with adolescent psychopathology, but the psychological mechanism between the two has not been thoroughly explicated. Additionally, the reciprocal interdependence between family members regarding this association has been largely ignored in the literature. The present study filled those prominent gaps by evaluating a conceptually important but empirically less studied factor—materialism—in this association using the actor-partner interdependence framework. A convenience sample of 1330 mother-child dyads (pairs) with 14- to 17-year-old adolescents participated in this study, and the actor-partner interdependence model was employed to analyze this dyadic data. The analyses revealed that mother's materialism was affected by the significant actor and partner effects of both mother's and child's family functioning. Importantly, mother's materialism significantly mediated the negative association between mother's and child's family functioning and child's internalizing and externalizing difficulties. In aggregate, the present findings indicate that mother's materialism stands at a crossroads linking poor family functioning and adolescent psychopathology, and therapists or practitioners working with mothers' materialism could break this vicious linkage. [ABSTRACT FROM AUTHOR]

Introduction: Although gifted children can express high cognitive skills, they can also show socioemotional difficulties. Drawing from Olson's circumplex model, the present paper assessed the role of family functioning in internalizing and externalizing problems in gifted children. Materials and Methods: 362 mothers and their 362 gifted children were included. The unbalanced subscales of the FACES IV—disengagement, enmeshment, rigidity, and chaos—and the CBCL were administered to mothers. The children completed the WISC-IV. Results: The model predicting internalizing problems was significant and explained 5.6% of the variance. Only rigidity had an independent and positive effect on internalizing problems in gifted children over and above sociodemographic variables and QI, whereas disengagement, enmeshment, and chaos were not associated with internalizing problems. The model predicting externalizing problems was significant and explained 10% of the variance. Again, rigidity was the only variable that had an independent and positive effect on externalizing problems in gifted children over and above sociodemographic variables and QI, whereas disengagement, enmeshment, and chaos were not associated with externalizing problems in this population. Discussion: Rigid families with a low ability to change in conditions that require readjustment appear to increase the risk of both internalizing and externalizing problems in gifted children. Although further studies are needed to support these preliminary findings, parental support interventions aimed at increasing flexibility appear to be useful. [ABSTRACT FROM AUTHOR]

This study examined autonomic nervous system activity (respiratory sinus arrhythmia [RSA]) as a biomarker of psychopathology in an ethnically and socioeconomically diverse sample (N = 57) of young children ages 4–7 years. RSA was measured at baseline and across four standardized tasks designed to assess self‐regulation in both affective (i.e., "hot") and cognitive (i.e., "cool") contexts during early childhood. Our findings reveal that age moderated RSA activity, such that reduced RSA suppression was associated with a heightened risk of externalizing problems among older children during "cool" and "hot" contexts; for younger children, only RSA suppression during "hot" contexts predicted externalizing risk. The influence of socioeconomic disadvantage did not moderate the relationship between RSA and the risk of psychopathology, and there were minimal associations between RSA suppression and internalizing symptoms at this age range. These results suggest that autonomic variability may be a more effective predictor of psychopathology risk in older children, perhaps as they transition into formal schooling and face increasingly complex cognitive and social demands. Findings have implications for the identification of psychopathology in early developmental periods when regulation over emotions becomes essential for academic and social success. [ABSTRACT FROM AUTHOR]

Children's screen time increased as a result of the COVID-19 pandemic. In the summer of 2021, we explored the association between high screen time over a period of one year since May 2020 and behavioural problems among children and adolescents. The data were derived from the French EpiCov cohort study, collected in spring 2020, autumn 2020, and spring 2021. Participants (N = 1089) responded to online or telephone interviews about one of their children aged 3 to 14 years. Screen time was categorized as high if the daily mean screen time exceeded recommendations at each collection time. The Strengths and Difficulties Questionnaire (SDQ) was completed by parents to identify internalizing (emotional or peer problems) and externalizing (conduct problems or hyperactivity/inattention) behaviours in their children. Among the 1,089 children, 561 (51.5%) were girls, the average age was 8.6 years (SD 3.7). Internalizing behaviours: High screen time was not associated with internalizing behaviours (OR [95% CI] 1.20 [0.90–1.59]) or emotional symptoms (1.00 [0.71–1.41]) while it was associated with peer problems (1.42 [1.04–1.95]). Externalizing behaviours: High screen time was associated with externalizing problems (1.63 [1.01–2.63]) and conduct problems (1.91 [1.15–3.22]) only among older children aged 11 to 14 years. No association with hyperactivity/inattention was found. In a French cohort, exploration of persistent high screen time in the first year of the pandemic and behaviour difficulties in Summer 2021 resulted in mixed findings according to behaviour's type and children's age. These mixed findings warrant further investigation into screen type and leisure/school screen use to enhance future pandemic responses appropriate for children. [ABSTRACT FROM AUTHOR]

Research has shown that both parenting and emotional dysregulation are associated with mental health outcomes in youth. This cross-sectional research was developed to replicate these noted findings and explore the mediating role of emotional dysregulation to explain the relationship between parenting and emotional and behavioral difficulties (internalizing and externalizing problems) in adolescents. A total of 104 adolescents (61.5% females; M = 15.62 yrs., SD = 1.38) participated in the study. Participants completed the Parental Bonding Instrument (measuring care, promotion of autonomy, and overprotection) referring to both the mother and father, the Difficulties in Emotion Regulation Scale, and the Youth Self-Report. The results showed that difficulties in emotion regulation fully mediated the relationship between overprotection (in both parents) and low maternal care with internalizing problems, on the one hand, and the relationship between maternal overprotection and low care (in both parents) with externalizing problems, on the other hand. Furthermore, emotional dysregulation partially mediated the effect of paternal care on internalizing problems. These findings help to clarify one of the mechanisms through which parenting can affect mental health in youth. Theoretical and clinical implications are discussed. [ABSTRACT FROM AUTHOR]

Self-regulation is associated with many positive outcomes in children with and without autism, including increased mental health and academic achievement, and decreased problem behavior. Less is known regarding whether and how self-regulation and symptoms of mental health challenges (internalizing and externalizing problems) relate to social outcomes, such as friendship quality and loneliness. Parents and teachers of 106 children with autism aged 5-12 reported on children's self-regulation difficulties and externalizing and internalizing symptoms. Four-to-five months later, children reported on the quality of their friendship with their best friend (companionship, conflict, helpfulness, sense of relationship security, closeness), and their feelings of loneliness. Linear regression was used to examine the effects of self-regulation and symptoms of mental health challenges on friendship quality and loneliness. Less self-regulation difficulties predicted stronger companionship and girls had better quality friendships with their best friend than did boys, in terms of companionship, helpfulness, security and closeness, confirming that they have a protective advantage in friendship development. Autism symptoms, IQ, and age were not associated with friendship quality or loneliness. Results highlight the importance of self-regulation and mental health interventions for school-aged children with autism.

Adolescence is when individuals face various developmental tasks that require them to do extensive exploration. Drastic changes and exploration processes during this period can cause internalizing and externalizing problems commonly found in adolescents, particularly when they lack support from the surrounding environment, especially from their parents and family. Family communication patterns are one of the important factors that can help adolescents navigate various developmental tasks while exploring optimally. This study measures the effects of the differences in consensual, pluralistic, protective, and laissez-faire family communication patterns on adolescents' internalizing and externalizing problems. Using a simple random sampling method, this comparative quantitative study involved 408 Muhammadiyah Junior High School students in East Java. The instruments used are the Strengths and Difficulties Questionnaire (SDQ) and The Revised Family Communication Pattern Instrument (FCP-R). The results of the one-way ANOVA test showed that family communication patterns have significant differences in internalizing problems, namely consensual laissez-faire (0.000) and pluralistic-laissez-faire (0.000). Likewise, in externalizing problems, family communication patterns revealed notable differences, namely in consensual-laissez-faire patterns (0.000). Of the various family communication patterns, only consensual laissez-faire and pluralistic laissez-faire can predict internalizing and externalizing problems. They must be tested further to ascertain the extent of their effects.

Internalizing and externalizing problems are common targets for school mental health screening. Prior research supports the interpretation of scores from the Youth Internalizing Problems Screener (YIPS) and the Youth Externalizing Problems Screener (YEPS), which were developed separately yet intended as companion measures. We extended previous work by evaluating the psychometric defensibility of integrated measurement models that combined items from the YIPS and YEPS into a unified screener (YIEPS). Specifically, we evaluated (a) a unidimensional model, (b) a correlated-factors model with two latent variables representing internalizing and externalizing problems, and (c) a bifactor model with two specific factors—internalizing and externalizing—and a general factor representing global mental health problems. We then tested the reliabilities of the several factors from these models and the informational value added of the competing models. Results indicated the bifactor YIEPS model had the best data-model fit for representing the unified screener. However, exploratory analyses suggested an alternative bifactor model with three specific factors—parsing attention problems from externalizing and internalizing content—might be an even better fit for the data. Reliability findings suggested the general factor—representing global mental health problems—was the most psychometrically defensible. Future directions for research and practice are discussed. [ABSTRACT FROM AUTHOR]

It is essential to clarify factors associated with mental health and behavioral problems in early childhood, because children are critical stages of life for mental health. We aimed to prospectively examine the associations between maternal social isolation and behavioral problems in preschool children. We analyzed data from 5842 mother–child pairs who participated in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. The Lubben Social Network Scale-abbreviated version was used to assess social isolation (defined as scores < 12) one year after delivery. The Child Behavior Checklist 1½–5 was used to assess behavioral problems, and its subscales were used to assess internalizing and externalizing problems in children at 4 years of age. Multiple logistic regression analyses were conducted to examine the associations between social isolation and behavioral problems, after adjustment for age, education, income, work status, marital status, extraversion, neuroticism, depressive symptoms, child sex, and number of siblings. Multiple logistic regression analyses were also conducted for internalizing problems and externalizing problems. The prevalence of maternal social isolation was 25.4%. Maternal social isolation was associated with an increased risk of behavioral problems in children: the odds ratio (OR) was 1.37 (95% confidence interval [CI] 1.14–1.64). Maternal social isolation was also associated with increased risks of internalizing problems and externalizing problems in children: the ORs were 1.33 (95% CI, 1.12–1.59) and 1.40 (95% CI, 1.18–1.66), respectively. In conclusion, maternal social isolation one year after delivery was associated with behavioral problems in children at 4 years of age. [ABSTRACT FROM AUTHOR]

Multiple risk is associated with adverse developmental outcomes across domains. However, as risk factors tend to cluster, it is important to investigate formation of risk constellations, and how they relate to child and parental outcomes. By means of latent class analysis patterns of prenatal risk factors were identified, and relations to interactional quality, parenting stress, and child internalizing and externalizing behaviors were investigated. An array of prenatal risk factors was assessed in 1036 Norwegian pregnant women participating in a prospective longitudinal community-based study, Little in Norway. Mother-infant interactions were videotaped and scored with the Early Relational Health Screen (ERHS) at 12 months. The Parenting Stress Index (PSI) and Infant-Toddler Social and Emotional Assessment (ITSEA) were administered at 18 months. First, we analyzed response patterns to prenatal risks to identify number and characteristics of latent classes. Second, we investigated whether latent class membership could predict mother-child interactional quality, parenting stress, and child internalizing and externalizing behavior after the child was born. Results revealed three prenatal risk constellations: broad risk (7.52%), mental health risk (21.62%) and low-risk (70.86%). Membership in the broad risk group predicted lower scores on interactional quality, while membership in the mental health risk group predicted less favorable scores on all outcome measures. Prenatal risks clustered together in specific risk constellations that differentially related to parent, child and interactional outcomes. [ABSTRACT FROM AUTHOR]

During the last years we have noticed an increase in screen time for adolescents while questions about its effects on the development of psychological and social problems are starting to be addressed. We hypothesized that increased screen time is associated with heightened display of internalizing and externalizing symptoms. We investigated this association on a sample of 2497 highschoolers recruited from one big city in southern Romania. They filled in a series of items focusing on screen time average exposure, display of depression and anxiety symptoms, involvement in aggressive and delinquent behavior, and family context. The linear regression model showed that, after controlling for individual and family variables, more screen time exposure is associated to heighten depression and anxiety symptoms and more involvement into aggressive behavior. These findings contribute to the research in this new area of interest and may inform the development of prevention and supportive programs for adolescents and their families by adding evidence for clarifying the relationship. [ABSTRACT FROM AUTHOR]

People experience more rapid physical, social, and emotional development in adolescence than in any other developmental stage. The dramatic changes may cause them volatile mental conditions and difficulties in overcoming various behavioral problems summarised as internalizing (IP) and externalizing problems (EP). One of the protective factors for IP and EP is emotional intelligence (EI) because someone with good emotional intelligence can control emotions when angry and adapt to unpleasant situations. This study aimed to determine the role of EI on IP and EP among Indonesian adolescents. This study used a quantitative research design with a simple random sampling technique. The research subjects were adolescents aged 15 to 18 years (N = 300) who attended nine high schools in East Java, consisting of 96 males and 204 females. The research instruments used were the Schutte Emotional Intelligence Scale (SEIS) and the Strength and Difficulties Questionnaire (SDQ). The results showed a significant negative role between emotional intelligence and internalizing problems (R2 =.391; F(1,298) = 191.649; p <.001) and externalizing problems (R2 =.281; F(1.298) = 116.230; p <.001). The higher one’s ability to understand, regulate, and use emotions, the lower the manifestation of internal and external problematic behavior. It means that EI is confirmed to predict the IP and EP. The way to advance the capacity of adolescents’ emotional intelligence is to try to express emotions and regulate and utilize their feelings so that adolescents do not develop mental health problems. [ABSTRACT FROM AUTHOR]

Background: While maternal at-risk drinking is associated with children's emotional and behavioral problems, there is a paucity of research that properly accounts for genetic confounding and gene–environment interplay. Therefore, it remains uncertain what mechanisms underlie these associations. We assess the moderation of associations between maternal at-risk drinking and childhood emotional and behavioral problems by common genetic variants linked to environmental sensitivity (genotype-by-environment [G × E] interaction) while accounting for shared genetic risk between mothers and offspring (GE correlation). Methods: We use data from 109 727 children born to 90 873 mothers enrolled in the Norwegian Mother, Father, and Child Cohort Study. Women self-reported alcohol consumption and reported emotional and behavioral problems when children were 1.5/3/5 years old. We included child polygenic scores (PGSs) for traits linked to environmental sensitivity as moderators. Results: Associations between maternal drinking and child emotional (β 1 = 0.04 [95% confidence interval (CI) 0.03–0.05]) and behavioral (β 1 = 0.07 [0.06–0.08]) outcomes attenuated after controlling for measured confounders and were almost zero when we accounted for unmeasured confounding (emotional: β 1 = 0.01 [0.00–0.02]; behavioral: β 1 = 0.01 [0.00–0.02]). We observed no moderation of these adjusted exposure effects by any of the PGS. Conclusions: The lack of strong evidence for G × E interaction may indicate that the mechanism is not implicated in this kind of intergenerational association. It may also reflect insufficient power or the relatively benign nature of the exposure in this sample. [ABSTRACT FROM AUTHOR]

Adolescence is when individuals face various developmental tasks that require them to do extensive exploration. Drastic changes and exploration processes during this period can cause internalizing and externalizing problems commonly found in adolescents, particularly when they lack support from the surrounding environment, especially from their parents and family. Family communication patterns are one of the important factors that can help adolescents navigate various developmental tasks while exploring optimally. This study measures the effects of the differences in consensual, pluralistic, protective, and laissez-faire family communication patterns on adolescents’ internalizing and externalizing problems. Using a simple random sampling method, this comparative quantitative study involved 408 Muhammadiyah Junior High School students in East Java. The instruments used are the Strengths and Difficulties Questionnaire (SDQ) and The Revised Family Communication Pattern Instrument (FCP-R). The results of the one-way ANOVA test showed that family communication patterns have significant differences in internalizing problems, namely consensual laissez-faire (0.000) and pluralistic-laissez-faire (0.000). Likewise, in externalizing problems, family communication patterns revealed notable differences, namely in consensual-laissez-faire patterns (0.000). Of the various family communication patterns, only consensual laissez-faire and pluralistic laissez-faire can predict internalizing and externalizing problems. They must be tested further to ascertain the extent of their effects. [ABSTRACT FROM AUTHOR]

The present study characterized sleep profiles in a national longitudinal sample of early adolescents and examined whether profiles predicted later behavioral problems. Three waves of data (2016–2021) were obtained from the Adolescent Behavior and Cognitive Development study, including 3,326 participants with both weekday and weekend sleep data measured by Fitbit wearables (age range 10.58–13.67 years; 49.3% female). Latent profile analysis was utilized to identify sleep profiles using multiple sleep indicators (duration, latency, efficiency, wake minutes, wake counts, and midpoint). We then explored whether demographic predictors predicted profile membership and tested the latent sleep profiles' predictive utility of internalizing and externalizing symptoms. Four profiles were identified: average sleep (40.39%), high duration & high wakefulness (28.58%), high efficiency, low duration & low wakefulness (16.86%), and low duration & low efficiency (14.17%). Participants with older age, males, higher body mass index, and advanced pubertal status were more likely to be classified in the low duration & low efficiency profile than the average group. Participants with lower income, minority identification, older age, and higher body mass index were more likely to be classified in the high efficiency, low duration & low wakefulness than the average group. Participants with lower parental education and males were more likely to be in the high sleep duration & high wakefulness than the average group. The low duration & low efficiency group had the highest attention problems, social problems, and rule-breaking behaviors. Our findings highlight unique sleep patterns in early adolescence and their prospective links with internalizing and externalizing problems. [ABSTRACT FROM AUTHOR]

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Introduction: This study investigated whether internalizing and externalizing behavioral problems in children were associated with fractional anisotropy of white matter tracts connecting other brain regions to the frontal lobes. We contrasted patterns of association between children born at term (FT) and very preterm (PT: gestational age at birth =< 32 weeks). Methods: Parents completed the Child Behavior Checklist/6–18 questionnaire to quantify behavioral problems when their children were age 8 years (N = 36 FT and 37 PT). Diffusion magnetic resonance scans were collected at the same age and analyzed using probabilistic tractography. Multiple linear regressions investigated the strength of association between age-adjusted T-scores of internalizing and externalizing problems and mean fractional anisotropy (mean-FA) of right and left uncinate, arcuate, anterior thalamic radiations, and dorsal cingulate bundle, controlling for birth group and sex. Results: Models predicting internalizing T-scores found significant group-by-tract interactions for left and right arcuate and right uncinate. Internalizing scores were negatively associated with mean-FA of left and right arcuate only in FT children (pleft AF = 0.01, pright AF = 0.01). Models predicting externalizing T-scores found significant group-by-tract interactions for the left arcuate and right uncinate. Externalizing scores were negatively associated with mean-FA of right uncinate in FT (pright UF = 0.01) and positively associated in PT children (pright UF preterm = 0.01). Other models were not significant. Conclusions: In children with a full range of scores on behavioral problems from normal to significantly elevated, internalizing and externalizing behavioral problems were negatively associated with mean-FA of white matter tracts connecting to frontal lobes in FT children; externalizing behavioral problems were positively associated with mean-FA of the right uncinate in PT children. The different associations by birth group suggest that the neurobiology of behavioral problems differs in the two birth groups.

Background: The current systematic review and meta-analysis aims to synthesize findings from Italian studies that have investigated emotional and behavioural problems in clinical and at-risk samples of adolescents, as assessed by the Achenbach System of Empirically Based Assessment (ASEBA) instruments, including Child Behaviour Checklist (CBCL), the self-report Youth Self Report (YSR) and the teacher-report Teacher Report Form (TRF). It also investigates possible effects of gender, age, and time of assessment (pre-post COVID-19 pandemic), and their link with other psychological factors. Methods: The latest PRISMA guidelines were followed, and this study was registered in PROSPERO (CRD42022299999). Scopus, EBSCO, PubMed, Web of Sciences, and ProQuest databases were used considering the time frame from January 2001 to November 2021. Two blinded investigators remove duplicates and double screened 7103 records. They selected and extract information from 40 eligible studies, which were also evaluated through the Newcastle-Ottawa Scale. Results: Overall, emotional-behavioural problems were mainly investigated through the CBCL 6-18 both in clinical samples (N = 2244), mostly composed of adolescents with a diagnosis of eating disorders and externalized disorders, and at-risk samples (N = 868), mostly of adolescents with a medical condition. As expected, adolescents from clinical samples had higher scores on the ASEBA scales than their peers belonging to the at-risk samples. No effect related to gender, time of assessment and study quality on emotional behavioural problems emerged. However, a significant effect of age was found in clinical samples, specifically a decrease in externalizing symptoms with the increase of age. Lastly, emotional-behavioural problems were mainly investigated in association with emotional regulation difficulties both in clinical and at-risk samples. Conclusions: For the first time, meta-analytic data on rates of emotional-behavioral problems in Italian clinical and at-risk adolescents are provided. Implications include the need of more data, especially with the TRF and from Centre e Southern Italy, to solve doubts emerged about the absence of moderators. The authors discuss limitations related to the heterogeneity of the studies, suggesting future research directions.

This study examined the protective roles of early prosocial behaviours (at age 4) on later internalizing and externalizing problems (at age 6) and to what extent emotion regulation skills (at age 5) mediated these longitudinal associations in children from Turkey.  Participants were 293 Turkish preschool children (M age = 49.01 months; 141 girls). Results showed that higher prosocial behaviours at age 4 were linked to higher emotion regulation at age 5, which, in turn, was linked to less internalizing problems at age 6. Additionally, prosocial behaviours at age 4 were negatively linked to emotional lability at age 5, which, in turn, was positively linked to externalizing problems at age 6. We also found that higher prosocial behaviours at age 4 were directly and negatively linked to both internalizing and externalizing problems at age 6. These results were robust for boys and girls and children who lived in big and small cities. Overall, there was supportive evidence on the protective roles of earlier prosocial behaviours on later internalizing and externalizing problems. These findings extend existing models of risk and resilience to a sample of children from a non-Western, relatively collectivist-oriented culture and inform our understanding of these posited relations in young children.

Abstract Background Bullying leads to adverse mental health outcomes and it has also been linked to nonsuicidal self-injury (NSSI) in community adolescents. It is not clear whether different roles of bullying (bully, victim, bully-victim) are associated with NSSI, furthermore the same associations in cyberbullying are even less investigated. Methods The aim of the current study was to test whether students involved in school or online bullying differed from their not involved peers and from each other in psychological symptoms (externalizing and internalizing problems) and in NSSI severity (number of episodes, number of methods). Furthermore, mediation models were tested to explore the possible role of externalizing and internalizing problems in the association of school and online bullying roles with NSSI. In our study, 1011 high school students (66.07% girls; n = 668), aged between 14 and 20 years (Mage = 16.81; SD = 1.41) participated. Results Lifetime prevalence of at least one episode of NSSI was 41.05% (n = 415). Students involved in bullying used more methods of NSSI than not involved adolescents. In general, victim status was associated mostly with internalizing symptoms, while bully role was more strongly associated with externalizing problems. Bully-victims status was associated with both types of psychological problems, but this group did not show a significantly elevated NSSI severity compared to other bullying roles. Externalizing and internalizing problems mediated the relationship between bullying roles and NSSI with different paths at different roles, especially in case of current NSSI that happened in the previous month. Conclusions Results highlight that students involved in bullying are more vulnerable to NSSI and to psychological symptoms compared to their peers who are not involved in bullying. It is suggested that bullying roles, especially bully-victim status, need to be identified in school and online settings and thus special attention should be addressed to them to reduce psychological symptoms and NSSI, for example by enhancing adaptive coping skills.

Jinghui Zhang,1 Chuanmei Dong,2 Yue Jiang,1 Qing Zhang,1 Hui Li,1– 3 Yan Li1 1Shanghai Institute of Early Childhood Education, Shanghai Normal University, Shanghai, People’s Republic of China; 2Macquarie School of Education, Macquarie University, Sydney, NSW, Australia; 3Faculty of Education and Human Development, the Education University of Hong Kong, Hong Kong, SAR, People’s Republic of ChinaCorrespondence: Yan Li, Shanghai Institute of Early Childhood Education, Shanghai Normal University, 100 Guilin Road, Xuhui District, Shanghai, People’s Republic of China, Email liyan@shnu.edu.cnIntroduction: Parental phubbing refers to the act of parents using mobile phones in the presence of their children instead of engaging with them. With increasing smartphone use in many households, parental phubbing is a potential threat to children’s healthy development. This meta-analysis synthesized the existing evidence on the impact of parental phubbing on children’s social-emotional development to examine the effect sizes and identify the moderators.Methods: Following the PRISMA guidelines, we conducted a systematic search across multiple electronic databases (Web of Science, EBSCO, ProQuest, Springer, and China National Knowledge Infrastructure) from 2012 to May 2023. Our search included both English and Chinese literature, encompassing published journal articles as well as thesis. To assess the risk of bias, we utilized the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Publication bias was evaluated using funnel plot interpretation and Egger’s regression intercept.Results: Our comprehensive search identified 42 studies with 56,275 children and 59 effect sizes. A random-effects meta-analysis revealed that parental phubbing was positively associated with children’s internalizing problems (r = 0.270; 95% CI [0.234, 0.304]) and externalizing problems (r = 0.210; 95% CI [0.154, 0.264]), while negatively correlated with children’s self-concept (r = − 0.206; 95% CI [− 0.244, − 0.168]) and social-emotional competence (r = − 0.162; 95% CI [− 0.207, − 0.120]). Furthermore, the parental phubbing group moderated the association between parental phubbing and internalizing problems, when both parents engage in phubbing, there is a stronger association with children’s externalizing problems compared to when only one parent is engaging in phubbing.Discussion: The findings of this meta-analysis provide strong evidence supporting the detrimental effects of parental phubbing on child social-emotional adjustment. Consequently, parents, researchers, and the government must collaborate to mitigate parental phubbing and promote the healthy development of children’s social-emotional abilities.Keywords: internalizing problems, externalizing problems, social-emotional competence, self-concept

BackgroundLimited research has explored the relationship between adhering to 24-h Movement Behaviour guidelines and mental health in Chinese preschool children. The objectives of this study encompassed two primary goals: (1) to investigate the adherence of preschool children in China to the 24-h Movement Behaviour guidelines; and (2) to analyze the relationship between fulfilling various combinations of these guidelines and mental health, identifying the most advantageous combination.MethodsUtilizing a convenience sampling approach, this study included 205 preschool children (117 boys and 88 girls, average age 4.8 ± 0.51 years) from five kindergartens in Hengyang, Hunan Province. The physical activity (PA) and sedentary behaviour of preschool children were objectively assessed using waist-worn accelerometers, while sleep duration and screen time were reported by the children's parents. To evaluate mental health, the parent version of the internationally validated Strength and Difficulties Questionnaire (SDQ) was employed, which measures externalizing problems, internalizing problems, and prosocial behaviour. Employing Mplus 8.0 for Structural Equation Modeling analysis, while controlling for demographic variables, the study explored the connection between preschool children's mental health and their adherence to the 24-h Movement Behaviour guidelines.ResultsWorryingly, merely 14.6% of preschoolers met the recommended guidelines for all three aspects (PA, sleep duration, and screen time). Positive correlations were identified between meeting PA guidelines and displaying prosocial behaviour (β = 0.184; p