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Emotional and Behavioural Difficulties in Preschool

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Abstract

The rapid developmental changes occurring during early childhood place children at risk of emotional and or behavioural difficulties (EBD). While some preschool children sooner or later overcome the transient developmental difficulties, there is a large number of children for whom these difficulties are predictive of future developmental maladjustment. The preschool period is deemed as the optimal time to identify and reduce early signs of problems, before they develop into permanent patterns. Studies suggest that children’s preschools represent a key component in building a comprehensive system of prevention and early intervention. Yet, the picture of emotional and behavioural difficulties in early childhood is rather fragmented and clinically oriented. This paper aims to present recent empirical evidence over the nature and different aspects of emotional and behavioural difficulties of preschool children (children ages 3–6 years old), and address the need to consider EBD from an educationally oriented perspective. Recent findings concerning the definition, taxonomy, prevalence, stability, comorbidity, gender and age differences, aetiological factors, identification, assessment, prevention and early intervention of emotional and behavioural difficulties are reviewed. This review will aid researchers, educators and other health professionals working in the area of EBD.

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References

  • Anselmi, L., Barros, F. C., Maycoln, L. M., Piccinini, C. A., Menezes, A. M. B., Araujo, C. L., et al. (2008). Continuity of behavioral and emotional problems from pre-school years to pre-adolescence in a developing country. Journal of Child Psychology and Psychiatry, 49(5), 499–507.

    Article  PubMed  Google Scholar 

  • Asendorpf, B. J., Denissen, J. J. A., & van Aken, M. A. G. (2008). Inhibited and aggressive preschool children at 23 years of age: Personality and social transitions into adulthood. Developmental Psychology, 44(4), 997–1011.

    Article  PubMed  Google Scholar 

  • Bagner, D. M., Rodriguez, G. M., Blake, C. A., Linares, D., & Carter, A. S. (2012). Assessment of behaviorial and emotional problems in infancy: A systematic review. Clinical Child and Family Psychological Review, 5, 113–128.

    Article  Google Scholar 

  • Bayer, J. K., Hiscock, H., Ukoumunne, O. C., Price, A., & Wake, M. (2008). Early childhood aetiology of mental health problems: A longitudinal population-based study. Journal of Child Psychology and Psychiatry, 49(11), 1166–1174.

    PubMed  Google Scholar 

  • Bayer, J. K., Rapee, R. M., Hiscock, H., Ukoumunne, O. C., Mihalopoulos, C., & Wake, M. (2011). Translational research to prevent internalizing problems early in childhood. Depression and Anxiety, 28, 50–57.

    Article  PubMed  Google Scholar 

  • Bayer, J. K., Sanson, A. V., & Hemphill, S. A. (2006). Parent influences on early childhood internalizing difficulties. Journal of Applied Developmental Psychology, 27, 542–559.

    Article  Google Scholar 

  • Berg-Nielsen, T. S., Solheim, E., Belsky, J., & Wichstrom, L. (2012). Preschoolers’ psychosocial problems: in the eyes of the beholder? Adding teacher characteristics as determinants of discrepant parent–teacher reports. Child Psychiatry and Human Development, 43(3), 393–413.

    Article  PubMed Central  PubMed  Google Scholar 

  • Brauner, C. B., & Stephens, C. B. (2006). Estimating the prevalence of early childhood serious emotional/behavioural disorders: Challenges and recommendations. Public Health Reports, 121, 303–310.

    PubMed Central  PubMed  Google Scholar 

  • Brenner, V., & Fox, R. A. (1998). Parental discipline and behaviour problems in young children. Journal of Genetic Psychology, 159, 251–256.

    Article  PubMed  Google Scholar 

  • Bulotsky-Shearer, R. J., Fantuzzo, J. W., & McDermott, P. A. (2008). An investigation of classroom situational dimensions of emotional and behavioral adjustment and cognitive and social outcomes for Head Start children. Developmental Psychology, 44(1), 139–154.

    Article  PubMed  Google Scholar 

  • Campbell, S. B. (1995). Behavior problems in preschool children: A review of recent research. Journal of Child Psychology and Psychiatry, 55(1), 113–149.

    Article  Google Scholar 

  • Campbell, S. B., Shaw, D. S., & Gilliom, M. (2000). Early externalizing behaviour problems: Toodlers and preschoolers at risk for later maladjustment. Development and Psychopathology, 12, 467–488.

    Article  PubMed  Google Scholar 

  • Cassidy, K. W., Werner, R. S., Rourke, M., Zubernis, L. S., & Mawr, B. (2003). The relationship between psychological understanding and positive social behaviors. Social Development, 12(2), 198–221.

    Article  Google Scholar 

  • Ciarrochi, J., & Scott, G. (2006). The link between emotional competence and well-being: A longitudinal study. British Journal of Guidance and Counselling, 34(2), 231–243.

    Article  Google Scholar 

  • Cicchetti, D., & Toth, S. L. (1991). A developmental perspective on internalizing and externalizing disorders. In D. Cicchetti & S. L. Toth (Eds.), Rochester symposium on developmental psychopathology: Internalizing and externalizing expressions of dysfunction (Vol. 16, pp. 1–19). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Cole, P., Fox, N. A., Zahn-Waxler, C., Usher, B. A., & Welsh, J. D. (1996). Individual differences in emotion regulation and behavior problems in preschool children. Journal of Abnormal Psychology, 105(4), 518–529.

    Article  PubMed  Google Scholar 

  • Coolahan, K., Fantuzzo, J., Mendez, J., & McDermott, P. (2000). Preschool peer interactions and readiness to learn: Relationships between classroom peer play and learning behaviors and conduct. Journal of Educational Psychology, 92(2), 458–465.

    Article  Google Scholar 

  • Cooper, P. (2011). Teacher strategies for effective intervention with students presenting social, emotional and behavioural difficulties: An international review. European Journal of Special Needs Education, 26(1), 7–86.

    Google Scholar 

  • Cooper, P., & Jacobs, B. (2011). From inclusion to engagement. Helping students engage with schooling through policy and practice. London: Wiley-Blackwell.

    Google Scholar 

  • Coplan, R. J., Closson, L. M., & Arbeau, K. (2007). Gender differences in the behavioral associates of loneliness and social dissatisfaction in kindergarten. Journal of Child Psychology and Psychiatry, 48(10), 988–995.

    Article  PubMed  Google Scholar 

  • Coplan, R. J., Rubin, K. H., Fox, N. A., Calkins, S. D., & Stewart, S. L. (1994). Being alone, playing alone, and acting alone: Distinguishing among reticence and passive and active solitude in young children. Child Development, 65, 129–137.

    Article  PubMed  Google Scholar 

  • Derauf, C., LagGasse, L., Smith, L., Newman, E., Shah, R., Arria, A., et al. (2011). Journal of Developmental and Behavioral Pediatrics, 32(2), 125–135.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dobbs, J., & Arnold, D. H. (2009). Relationship between preschool teachers’ reports of children’s behavior and their behavior toward those children. School Psychology Quarterly, 24(2), 95–105.

    Article  PubMed Central  PubMed  Google Scholar 

  • Egger, L. H., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology and epidemiology. Journal of Child and Psychiatry, 47(3–4), 313–337.

    Article  Google Scholar 

  • Elias, M. (1997). The missing piece: Making the case for greater attention to social and emotional learning in the schools. Education Week, 17(5), 36–38.

    Google Scholar 

  • Essex, M. J., Kraemer, H. C., Slattery, M. J., Burk, L. R., Boyce, W. T., Woodward, H. R., et al. (2009). Screening for childhood mental health problems: Outcomes and early identification. Journal of Child Psychology and Psychiatry, 50(5), 562–570.

    Article  PubMed Central  PubMed  Google Scholar 

  • Evangelista, N., & McLellan, M. (2004). The zero to three diagnostic system: A framework for considering emotional and behavioural problems in young children. School Psychology Review, 33(1), 159–173.

    Google Scholar 

  • Fantuzzo, J., Grim, S., Mordell, M., McDermott, P., & Miller, L. (2001). A multivariate analysis of the revised Conners’ Teacher rating scale with low-income, urban preschool children. Journal of Abnormal Child Psychology, 29(2), 141–152.

    Article  PubMed  Google Scholar 

  • Gardner, F., & Shaw, D. S. (2008). Behavioral problems of infancy and preschool children (0–5). In M. Rutter, D. Bishop, D. Pine, S. Scott, J. Stevenson, E. Taylor, & A. Thapar (Eds.), Rutter’s child and adolescent psychiatry (5th ed.). London: Blackwell publishing.

    Google Scholar 

  • Gewirtz, S., Stanton-Chapman, T., & Reeve, R. E. (2009). Can inhibition at preschool age predict attention-deficit/hyperactivity disorder symptoms and social difficulties in third grade? Early Child Development and Care, 179(3), 353–368.

    Article  Google Scholar 

  • Gothelf, D., Gertner, S., Mimouni-Bloch, A., Freudenstein, O., Yirmiya, N., Weitz, R., et al. (2006). Follow-up of preschool children with severe emotional and behavioural symptoms. Israel Journal of Psychiatry and Related Science, 43(1), 16–20.

    Google Scholar 

  • Harrington, R., & Clark, A. (1998). Prevention and early intervention for depression in adolescence and early adult life. European Archives of Psychiatry and Clinical Neuroscience, 248, 32–45.

    Article  PubMed  Google Scholar 

  • Hastings, P. D., Zahn-Waxler, C., Robinson, J., Usher, B., & Bridges, D. (2000). The development of concern for others in children with behavior problems. Developmental Psychology, 36(5), 531–546.

    Article  PubMed  Google Scholar 

  • Hetherington, E. M. (1989). Coping with family transitions: Winners, losers and survivors. Child Development, 60, 1–14.

    Article  PubMed  Google Scholar 

  • Hughes, J. N., Cavell, T. A., & Wilson, V. (2001). Further support for the developmental significance of the quality of the teacher–student relationship. Journal of School Psychology, 39(4), 289–301.

    Article  Google Scholar 

  • Hughes, C., & Esnor, R. (2007). Positive and protective: Effects of early theory of mind on problem behaviours in at-risk preschoolers. Journal of Child Psychology and Psychiatry, 48(10), 1025–1032.

    Article  PubMed  Google Scholar 

  • Hughes, C., & Kwok, O. (2006). Classroom engagement mediates the effect of teacher–student support on elementary students’ peer acceptance: A prospective analysis. Journal of School Psychology, 43, 465–480.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hughes, C., White, A., Sharpen, J., & Dunn, J. (2000). Antisocial, angry and unsympathetic: “Hard-to-manage” preschoolers’ peer problems and possible cognitive influences. Journal of Child Psychology and Psychiatry, 41(2), 169–179.

    Article  PubMed  Google Scholar 

  • Hulle, V. C. A., Lemery-Chalfant, K., & Goldsmith, H. H. (2007). Genetic and environmental influences on socioemotional behaviour in toddlers: An initial twin study of the infant toddler social and emotional assessment. Journal of Child Psychology and Psychiatry, 48(10), 1014–1024.

    Article  PubMed  Google Scholar 

  • Karevold, E., Roysamb, E., Ystrom, E., & Mathiesen, K. S. (2009). Predictors and pathways from infancy to symptoms of anxiety and depression in early adolescence. Developmental Psychology, 45, 1051–1060.

    Article  PubMed  Google Scholar 

  • Kerr, D. C. R., Lunkenheimer, E. S., & Olson, S. L. (2007). Assessment of child problem behaviors by multiple informants: a longitudinal study from preschool to school entry. Journal of Child Psychology and Psychiatry, 48(10), 967975.

    Article  Google Scholar 

  • Koglin, U., & Peterman, F. (2011). The effectiveness of the behavioural training for preschool children. European Early Childhood Education Research Journal, 19(1), 97–111.

    Article  Google Scholar 

  • Kontopoulou, M. (2003). Adjustment difficulties in preschool education: Greek educators’ aspects. Early Child Development and Care, 173(2–3), 259–269.

    Article  Google Scholar 

  • Lavigne, J. V., Arend, R., Rosenbaum, D., Binns, H., Christoffel, K. K., & Gibbons, R. D. (1998). Psychiatric disorders with onset in the preschool years: I. Stability of diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 37(12), 1246–1254.

    Article  PubMed  Google Scholar 

  • Lavigne, J. V., Gibbons, R. D., Christoffel, K. K., Arend, R., Rosenbaum, D., Binns, H., et al. (1996). Prevalence rates and correlates of psychiatric disorders among preschool children. Journal of the American Academy of Child and Adolescent Psychiatry, 35(2), 204–214.

    Article  PubMed  Google Scholar 

  • Lutz, M. N., Fantuzzo, J., & McDermott, P. (2002). Multidimensional assessment of emotional and behavioral adjustment problems of low-income preschool children: Development and initial validation. Early Childhood Research Quarterly, 17, 338–355.

    Article  Google Scholar 

  • Meagher, S. M., Arnold, D. H., Doctoroff, C. L., Dobbs, J., & Fisher, P. H. (2009). Social-emotional problems in early childhood and the development of depressive symptoms in school-age children. Early Education and Development, 20(1), 1–24.

    Article  Google Scholar 

  • Mesman, J., Bongers, I. L., & Koot, H. M. (2001). Preschool developmental pathways to preadolescent internalizing and externalizing problems. Journal of Child Psychology and Psychiatry, 42, 679–689.

    Article  PubMed  Google Scholar 

  • Mesman, J., & Koot, H. M. (2000). Child-reported depression and anxiety in preadolescence: II. Preschool predictors. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1379–1386.

    Article  PubMed  Google Scholar 

  • Mesman, J., & Koot, H. M. (2001). Early preschool predictors of preadolescent internalizing and externalizing DSM-IV diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 40(9), 1029–1036.

    Article  PubMed  Google Scholar 

  • Njoroge, W. F. M., & Bernhart, K. P. (2011). Assessment of behavioral disorders in preschool-aged children. Current Psychiatry Reports, 13, 84–92.

    Article  PubMed  Google Scholar 

  • Nordahl, H. M., Ingul, J. M., Nordvik, H., & Wells, A. (2007). Does maternal psychopathology discriminate between children with DSM-IV generalised anxiety disorder or oppositional defiant disorder? The predictive validity of maternal axis I and axis II psychopathology. European Child and Adolescent Psychiatry, 16, 87–95.

    Article  PubMed  Google Scholar 

  • Nutbrown, C., & Clough, P. (2004). Inclusion and exclusion in the early years: Conversations with European educators. European Journal of Special Needs Education, 19(3), 301–315.

    Article  Google Scholar 

  • O’Connor, M., Hodkinson, A., Burton, D., & Torstensson, G. (2011). Pupil voice: Listening to and hearing the educational experiences of young people with behavioural, emotional and social difficulties (BESD). Emotional and Behavioural Difficulties, 16(3), 289–302.

    Article  Google Scholar 

  • Ogden, T. (2001). The prevention and management of behavior difficulties in school. Research and practice. In J. Visser, H. Daniels, & T. Cole (Eds.), Emotional and behavioural difficulties in mainstream schools (pp. 75–89). Oxford: Elsevier Science.

    Chapter  Google Scholar 

  • 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, 247–258.

    Article  Google Scholar 

  • Pickles, A., & Angold, A. (2003). Natural categories or fundamental dimensions: On carving nature at the joints and the rearticulation of psychopathology. Development and Psychopathology, 15, 529–551.

    Article  PubMed  Google Scholar 

  • Pihlakoski, L., Sourander, A., Aromaa, M., Rautava, P., Helenius, H., & Sillanpaa, M. (2006). The continuity of psychopathology from early childhood to preadolescence: A prospective cohort study of 3 to 12-year-old children. European Child and Adolescent Psychiatry, 15, 409–417.

    Article  PubMed  Google Scholar 

  • Pike, A., Iervolino, A. C., Eley, T. C., Price, T. S., & Plomin, R. (2006). Environmental risk and young children’s cognitive and behavioural development. International Journal of Behavioural Development, 30, 55–66.

    Article  Google Scholar 

  • Raver, C. C., Jones, S. M., Li-Grining, C., Zhai, F., Metzger, M. W., & Solomon, B. (2009). Targeting children’s behavior problems in preschool classrooms: A cluster-randomized controlled trial. Journal of Consulting and Clinical Psychology, 77(2), 302–316.

    Article  PubMed  Google Scholar 

  • Rubin, K., Burgess, K. B., Dwyer, K. M., & Hastings, P. (2003). Predicting preschoolers’ externalizing behaviors from toddler temperament, conflict, and maternal negativity. Developmental Psychology, 39(1), 164–176.

    Article  PubMed  Google Scholar 

  • Sameroff, A. J., & Fiese, B. H. (2000). Models of development and developmental risk. In C. H. Zeanah Jr (Ed.), Handbook of infant mental health (2nd ed., pp. 3–19). New York: Guilford Press.

    Google Scholar 

  • Slemming, K., Sorensen, M. J., Thomsen, P. H., Obel, C., Henriksen, T. B., & Linnet, K. M. (2010). The association between preschool behavioural problems and internalizing difficulties at age 10–12 years. European Child and Adolescent Psychiatry, 19, 787–795.

    Article  PubMed  Google Scholar 

  • Sterba, S., Egger, H. L., & Angold, A. (2007). Diagnostic specificity and nonspecificity in the dimensions of preschool psychopathology. Journal of Child Psychology and Psychiatry, 48(10), 1005–1013.

    Article  PubMed Central  PubMed  Google Scholar 

  • Thomas, B. H., Byrne, C., Offord, D. R., & Boyle, M. H. (1991). Prevalence of behavioral symptoms and the relationship of child, parent, and family variables in 4 and 5 year-olds: results from the Ontario Child Health Study. Journal of Developmental and Behavioral Pediatrics, 12, 177–184.

    Article  PubMed  Google Scholar 

  • Tremblay, R. E. (2000). The development of aggressive behaviour during childhood: What have we learned in the past century? International Journal of Behavioral Development, 24(2), 129–141.

    Article  Google Scholar 

  • Wakschlag, L. S., Tolan, P. H., & Leventhal, B. (2010). Research review: ‘ain’t misbehaving’: Towards a developmentally-specified nosology for preschool disruptive behaviour. Journal of Child Psychology and Psychiatry, 51(1), 3–22.

    Article  PubMed Central  PubMed  Google Scholar 

  • Walker, E., Bettes, B., & Ceci, S. (1984). Teachers’ assumptions regarding the severity, causes and outcomes of behavioural problems in preschoolers: Implications for referral. Journal of Consulting and Clinical Psychology, 52(5), 899–902.

    Article  PubMed  Google Scholar 

  • Wichstrom, L., Berg-Nielsen, T. S., Angold, A., Egger, H. L., Solheim, E., & Hamre Sveen, T. (2011). Prevalence of psychiatric disorders in preschoolers. Journal of Child Psychology and Psychiatry. doi:10.1111/j.1469-7610.2011.02514.x.

  • Winsler, A., & Wallace, G. L. (2002). Behavior problems and social skills in preschool children: Parent–teacher agreement and relations with classroom observations. Early Education and Development, 13(1), 41–58.

    Article  Google Scholar 

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  1. Department of Educational Science and Early Childhood Education, University of Patras, Patras, Greece

    Maria S. Poulou

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Poulou, M.S. Emotional and Behavioural Difficulties in Preschool. J Child Fam Stud 24, 225–236 (2015). https://doi.org/10.1007/s10826-013-9828-9

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