Trajectories of Internalizing and Externalizing Behavior Problems in Children with Developmental Disabilities
Trajectories of Internalizing and Externalizing Behavior Problems in Children with Developmental Disabilities
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DOI：
10.1007/s10802-015-0055-2
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发表时间：
2016-05-01
影响因子：
3.6
通讯作者：
Woodman, Ashley C.
中科院分区：
文献类型：
--
作者：
Hauser-Cram, Penny;Woodman, Ashley C.
残疾儿童往往比其他儿童有更严重的行为问题。这些问题对青年时期的精神病理学有影响，可能对就业和独立生活等生命历程机会产生影响。本研究采用以人为中心的分析方法，对169名3岁至18岁早期诊断为残疾的儿童（54%为男性）的行为问题变化模式进行了研究，考察了内化和外化行为问题的发展过程。这些模式的早期儿童预测表明，母亲抑郁症状越严重，两种行为问题的不良模式越多。残疾儿童对家庭的影响越大，内化行为问题的不良模式就越多。更多的外化行为问题的适应模式是由积极的母亲对孩子的痛苦敏感预测。这些发现表明需要对家庭系统进行早期干预。
Children with disabilities tend to have higher levels of behavior problems than other children. Such problems have implications for psychopathology in the young adult years, with possible effects on life course opportunities such as employment and independent living. This investigation examines the developmental course of both internalizing and externalizing behavior problems by employing person-centered analyses to construct patterns of change in behavior problems in 169 children (54 % male) with early diagnosed disabilities, from age 3 to age 18. Early childhood predictors of these patterns indicated that more adverse patterns of both types of behavior problems were predicted by higher maternal depressive symptoms. Greater impacts on the family of having a child with a disability predicted more adverse patterns of internalizing behavior problems. More adaptive patterns of externalizing behavior problems were predicted by positive maternal sensitivity to a child's distress. These findings suggest the need for early intervention focused on the family system.