Prevalence of social-emotional and behavioral problems in a community sample of 1-and 2-year-old children
Prevalence of social-emotional and behavioral problems in a community sample of 1-and 2-year-old children
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DOI：
10.1097/00004583-200107000-00016
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发表时间：
2001-07-01
影响因子：
13.3
通讯作者：
Horwitz, SM
中科院分区：
文献类型：
--
作者：
Briggs-Gowan, MJ;Carter, AS;Horwitz, SM
目的：研究婴幼儿社会情绪和行为问题的患病率，以及与社会情绪能力、家庭生活干扰和父母担忧的关系。方法：样本包括1岁和2岁的儿童（平均[MN]年龄= 24.8个月），来自健康出生的代表性样本（N = 1，280）的基线调查。父母问卷包括儿童行为检查表（CBCL/2-3），父母压力指数简表（PSI/SF），婴幼儿社会和情感评估社会情感能力量表，以及父母的担忧和家庭活动的问题。结果：约80%的合格受试者参与了研究。2岁儿童的父母报告的亚临床/临床CBCL/2-3评分的加权患病率为11.8%。大约6%的1岁和2岁儿童的父母报告了PSI困难儿童（PSI/DC）量表的临床水平评分，该量表被列为1岁儿童行为问题的代表，对他们来说，措施是有限的。未观察到性别差异。CBCL/2-3和PSI/DC评分与经济劣势唯一相关（相对风险分别为1.89和2.24）。大约32%的亚临床/临床CBCL/2-3评分的2岁儿童具有延迟的社会情感能力。问题还与父母对孩子行为的担忧和对家庭活动的干扰有关。结论：一个显着的需要，早期识别的情绪/行为问题，在非常年幼的儿童是突出的协会与延迟的能力和中断的家庭生活，可能会进一步促进风险的持续性问题。
Objective: To examine the prevalence of infant-toddler social-emotional and behavioral problems and associations with social-emotional competence, interference in family life, and parental worry. Method: The sample consisted of 1- and 2-year-old children (mean [MN] age = 24.8 months) from the baseline survey of a representative sample of healthy births (N = 1,280). Parent questionnaires included the Child Behavior Checklist (CBCL/2-3), Parenting Stress Index Short Form (PSI/SF), and Infant-Toddler Social and Emotional Assessment social-emotional competence scales, as well as questions about parental worry and family activities. Results: Approximately 80% of eligible subjects participated. The weighted prevalence of parent-reported subclinical/clinical CBCL/2-3 scores was 11.8% for 2-year-olds. Approximately 6% of parents of 1- and 2-year-olds reported clinical-level scores on the PSI Difficult Child (PSI/DC) scale, which was included as a proxy for behavior problems among 1-year-olds, for whom measures were limited. Sex differences were not observed. CBCL/2-3 and PSI/DC scores were uniquely associated with economic disadvantage (relative risk = 1.89 and 2.24, respectively). Approximately 32% of 2-year-olds with subclinical/clinical CBCL/2-3 scores had delayed social-emotional competence. Problems were also associated with parental worry about child behavior and interference in family activities. Conclusions: A significant need for early identification of emotional/behavioral problems in very young children is highlighted by associations with delayed competence and disruptions in family life that may further contribute to risk for persistent problems.