Quantifying Severity of Preschool-Aged Children's Internalizing Behaviors: A Daily Diary Analysis.

Quantifying Severity of Preschool-Aged Children's Internalizing Behaviors: A Daily Diary Analysis.
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DOI:
10.1177/10731911211046661
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发表时间:
2023-01
期刊:
影响因子:
3.8
通讯作者:
Dougherty LR
Dougherty LR
中科院分区:
心理学2区
文献类型:
--
作者:
Bufferd SJ;Olino TM;Dougherty LR

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一部分学龄前儿童符合损害性和持续性焦虑和抑郁的标准。然而,规范的情绪发展和损害症状之间的重叠复杂化的评估内化问题在幼儿期。考虑到早期识别/预防和避免过度病理化典型发展的好处,需要经验信息来规范内化行为的表达。在这项为期14天的在线日记研究中,609名3-5岁儿童的主要照顾者报告了儿童日常分离的频率以及社交焦虑和抑郁行为和障碍。项目反应理论分析量化的特定频率,在每个行为是心理测量严重/罕见。每种行为的模式各不相同;例如,在14天内,预期分离时的痛苦至少发生10次,悲伤至少发生35次才被认为是严重的。大多数社交焦虑行为必须大约每隔一天发生一次才被认为是严重的。参数没有因儿童年龄或性别而变化,行为与损伤显著相关。这些数据为完善学龄前儿童的内化行为评估提供了经验信息,并可作为儿童医生的基准,以评估频率落入发育典型行为范围的程度与那些可能更严重的行为。
A subset of preschool-aged children meets criteria for impairing and persistent anxiety and depression. However, the overlap between normative emotional development and impairing symptoms complicates assessments of internalizing problems in early childhood. Given the benefits of early identification/prevention and avoiding over-pathologizing typical development, empirical information is needed to norm expression of internalizing behaviors. In this 14-day online diary study, 609 primary caregivers of 3–5-year-old children reported the frequency of children’s daily separation and social anxiety and depressive behaviors and impairment. Item response theory analyses quantified specific frequencies at which each behavior was psychometrically severe/rare. Patterns varied for each behavior; for example, distress when anticipating separation had to occur at least 10 times and sadness at least 35 times over 14 days to be considered severe. Most social anxiety behaviors had to occur approximately every other day to be considered severe. Parameters did not vary by child age or sex, and behaviors were significantly associated with impairment. These data provide empirical information for refining internalizing behavior assessment in preschool-aged children and can be used as benchmarks by child practitioners to assess the extent to which frequencies fall in the range of developmentally typical behavior versus those that may be more severe.
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