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A panel network approach of internalizing and externalizing problems in early childhood: Evidence from American and Chinese preschoolers

Published online by Cambridge University Press:  04 November 2024

Hongting Chen
Affiliation:
Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
Yiji Wang*
Affiliation:
Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, School of Psychology and Cognitive Science, East China Normal University, Shanghai, China Key Laboratory of Philosophy and Social Science of Anhui Province on Adolescent Mental Health and Crisis Intelligence Intervention, Hefei Normal University, Hefei, China Shanghai Changning Mental Health Center, Shanghai, China
*
Corresponding author: Yiji Wang; Email: [email protected]

Abstract

Internalizing and externalizing problems tend to co-occur beginning in early childhood. However, the dynamic interplay of symptom-level internalizing and externalizing problems that may drive their co-occurrence is poorly understood. Within the frameworks of the Network Approaches to Psychopathology and the Developmental Cascade Perspective, this study used a panel network approach to examine how symptoms of internalizing and externalizing problems are related in early childhood both concurrently and longitudinally and whether the pattern may differ in American (N = 1,202) and Chinese (N = 180) preschoolers. Internalizing and externalizing problems were rated by mothers in two waves. Results from cross-sectional networks showed that the bridge symptoms underlying the co-occurrence of internalizing and externalizing problems were largely consistent in American and Chinese preschoolers (e.g., withdrawal, aggressive behavior, anxiety and depressive moods). Results from cross-lagged panel networks further showed that the co-occurrence was manifested by unidirectional relations from internalizing to subsequent externalizing symptoms in both American and Chinese preschoolers. The findings contribute needed cross-cultural evidence to better understand the co-occurrence of internalizing and externalizing problems and highlight the temporal heterogeneity of the symptom networks of internalizing and externalizing problems in early childhood.

Type
Regular Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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References

Achenbach, T. M. (1991). Manual for the child behavior checklist/4-18 and 1991 Profile. Department of Psychiatry, University of Vermont.Google Scholar
Achenbach, T. M. (1992). Manual for the child behavior checklist/2-3 and 1992 Profile. Department of Psychiatry, University of Vermont.Google Scholar
Achenbach, T. M., Ivanova, M. Y. P. D., Rescorla, L. A. P. D., Turner, L. V. M. A., & Althoff, R. R. M. D. P. D. (2016). Internalizing/externalizing problems: Review and recommendations for clinical and research applications. Journal of the American Academy of Child and Adolescent Psychiatry, 55(8), 647656. https://doi.org/10.1016/j.jaac.2016.05.012 CrossRefGoogle ScholarPubMed
Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40(1), 5787. https://doi.org/10.1111/1469-7610.00424 CrossRefGoogle ScholarPubMed
Armour, C., Fried, E. I., Deserno, M. K., Tsai, J., & Pietrzak, R. H. (2017). A network analysis of DSM-5 posttraumatic stress disorder symptoms and correlates in U.S. military veterans. Journal of Anxiety Disorders, 45, 4959. https://doi.org/10.1016/j.janxdis.2016.11.008 CrossRefGoogle ScholarPubMed
Barzeva, S. A., Richards, J. S., Meeus, W. H. J., & Oldehinkel, A. J. (2020). The social withdrawal and social anxiety feedback loop and the role of peer victimization and acceptance in the pathways. Development and Psychopathology, 32(4), 14021417. https://doi.org/10.1017/S0954579419001354 CrossRefGoogle ScholarPubMed
Bierman, K. L., Kalvin, C. B., & Heinrichs, B. S. (2015). Early childhood precursors and adolescent sequelae of grade school peer rejection and victimization. Journal of Clinical Child and Adolescent Psychology, 44(3), 367379. https://doi.org/10.1080/15374416.2013.873983 CrossRefGoogle ScholarPubMed
Borsboom, D. (2017). A network theory of mental disorders. World Psychiatry, 16(1), 513. https://doi.org/10.1002/wps.20375 CrossRefGoogle ScholarPubMed
Borsboom, D., & Cramer, A. O. J. (2013). Network analysis: An integrative approach to the structure of psychopathology. Annual Review of Clinical Psychology, 9(1), 91121. https://doi.org/10.1146/annurev-clinpsy-050212-185608 CrossRefGoogle Scholar
Boutin, S., Roy, V., St-Pierre, R. A., Déry, M., Lemelin, J.-P., Martin-Storey, A., Poirier, M., Toupin, J., Verlaan, P., & Temcheff, C. E. (2020). The longitudinal association between externalizing and internalizing problems: An exploration of the dual failure model. Developmental Psychology, 56(7), 13721384. https://doi.org/10.1037/dev0000935 CrossRefGoogle ScholarPubMed
Capaldi, D. M. (1992). Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: II. A 2-year follow-up at grade 8. Development and Psychopathology, 4(1), 125144. https://doi.org/10.1017/S0954579400005605 CrossRefGoogle Scholar
Chavez-Baldini, U. Y., Verweij, K., de Beurs, D., Bockting, C., Lok, A., Sutterland, A. L., van Rooijen, G., van Wingen, G., Denys, D., Vulink, N., & Nieman, D. (2022). The interplay between psychopathological symptoms: Transdiagnostic cross-lagged panel network model. BJPsych Open, 8(4), e116. https://doi.org/10.1192/bjo.2022.516 CrossRefGoogle ScholarPubMed
Chen, L., Zhang, W., Ji, L., & Deater-Deckard, K. (2019). Developmental trajectories of Chinese adolescents’ relational aggression: Associations with changes in social-psychological adjustment. Child Development, 90(6), 21532170. https://doi.org/10.1111/cdev.13090 CrossRefGoogle ScholarPubMed
Constantin, M. (2018). Sample size recommendations for estimating cross-sectional network models. Tilburg University.Google Scholar
Cramer, A. O. J., Waldorp, L. J., van der Maas, H. L. J., & Borsboom, D. (2010). Complex realities require complex theories: Refining and extending the network approach to mental disorders. The Behavioral and Brain Sciences, 33(2-3), 178193. https://doi.org/10.1017/S0140525X10000920 CrossRefGoogle Scholar
Epskamp, S., Borsboom, D., & Fried, E. I. (2018). Estimating psychological networks and their accuracy: A tutorial paper. Behavior Research Methods, 50(1), 195212. https://doi.org/10.3758/s13428-017-0862-1 CrossRefGoogle ScholarPubMed
Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the National Institute of Child Health and Human Development study of early child care. Developmental Psychology, 46(5), 11591175. https://doi.org/10.1037/a0020659 CrossRefGoogle ScholarPubMed
Flouri, E., Papachristou, E., Midouhas, E., Ploubidis, G. B., Lewis, G., & Joshi, H. (2019). Developmental cascades of internalising symptoms, externalising problems and cognitive ability from early childhood to middle adolescence. European Psychiatry, 57, 6169. https://doi.org/10.1016/j.eurpsy.2018.12.005 CrossRefGoogle ScholarPubMed
Freichel, R., Pfirrmann, J., de Jong, P. J., Cousijn, J., Franken, I. H. A., Oldehinkel, A. J., Veer, I. M., & Wiers, R. W. (2024). Executive functioning, internalizing and externalizing symptoms: Understanding developmental dynamics through panel network approaches. JAACAP Open, 2(1), 6677. https://doi.org/10.1016/j.jaacop.2023.11.001 CrossRefGoogle Scholar
Funkhouser, C. J., Chacko, A. A., Correa, K. A., Kaiser, A. J. E., & Shankman, S. A. (2021). Unique longitudinal relationships between symptoms of psychopathology in youth: A cross-lagged panel network analysis in the ABCD study. Journal of Child Psychology and Psychiatry, 62(2), 184194. https://doi.org/10.1111/jcpp.13256 CrossRefGoogle ScholarPubMed
Funkhouser, C. J., Correa, K. A., Gorka, S. M., Nelson, B. D., Phan, K. L., & Shankman, S. A. (2020). The replicability and generalizability of internalizing symptom networks across five samples. Journal of Abnormal Psychology, 129(2), 191203. https://doi.org/10.1037/abn0000496 CrossRefGoogle ScholarPubMed
Gao, S., Assink, M., Cipriani, A., & Lin, K. (2017). Associations between rejection sensitivity and mental health outcomes: A meta-analytic review. Clinical Psychology Review, 57, 5974. https://doi.org/10.1016/j.cpr.2017.08.007 CrossRefGoogle ScholarPubMed
Gilliom, M., & Shaw, D. S. (2004). Codevelopment of externalizing and internalizing problems in early childhood. Development and Psychopathology, 16(2), 313333. https://doi.org/10.1017/S0954579404044530 CrossRefGoogle ScholarPubMed
Hoglund, W. L. G., & Chisholm, C. A. (2014). Reciprocating risks of peer problems and aggression for children’s internalizing problems. Developmental Psychology, 50(2), 586599. https://doi.org/10.1037/a0033617 CrossRefGoogle ScholarPubMed
Hu, H.-X., Liu, C., Zhang, J.-B., Wang, L.-L., Chu, M.-Y., Li, S.-B., Lv, Q.-Y., Lui, S. S. Y., Hui, L., Yi, Z.-H., & Chan, R. C. K. (2023). A transdiagnostic network analysis of motivation and pleasure, expressivity and social functioning. Nature Mental Health, 1(8), 586595.CrossRefGoogle Scholar
Huber, L., Plötner, M., & Schmitz, J. (2019). Social competence and psychopathology in early childhood: A systematic review. European Child & Adolescent Psychiatry, 28(4), 443459. https://doi.org/10.1007/s00787-018-1152-x CrossRefGoogle ScholarPubMed
Jones, P. J., Ma, R., & McNally, R. J. (2021). Bridge centrality: A network approach to understanding comorbidity. Multivariate Behavioral Research, 56(2), 353367.CrossRefGoogle ScholarPubMed
Kiel, E. J., & Buss, K. A. (2014). Dysregulated fear in toddlerhood predicts kindergarten social withdrawal through protective parenting. Infant and Child Development, 23(3), 304313. https://doi.org/10.1002/icd.1855 CrossRefGoogle ScholarPubMed
Lansford, J. E., Malone, P. S., Dodge, K. A., Pettit, G. S., & Bates, J. E. (2010). Developmental cascades of peer rejection, social information processing biases, and aggression during middle childhood. Development and Psychopathology, 22(3), 593602. https://doi.org/10.1017/S0954579410000301 CrossRefGoogle ScholarPubMed
Lee, H. Y., Jamieson, J. P., Reis, H. T., Beevers, C. G., Josephs, R. A., Mullarkey, M. C., O’Brien, J. M., & Yeager, D. S. (2020). Getting fewer “likes” than others on social media elicits emotional distress among victimized adolescents. Child Development, 91(6), 21412159. https://doi.org/10.1111/cdev.13422 CrossRefGoogle ScholarPubMed
Levy, SR., Ayduk, O., & Downey, G. (2001). The role of rejection sensitivity in people’s relationships with significant others and valued social groups. In Leary, M. R. (Ed.), Interpersonal rejection (pp. 251289). Oxford University Press.Google Scholar
Masten, A. S., & Cicchetti, D. (2010). Developmental cascades. Development and Psychopathology, 22(3), 491495. https://doi.org/10.1017/S0954579410000222 CrossRefGoogle ScholarPubMed
McElroy, E., Shevlin, M., Murphy, J., & McBride, O. (2018). Co-occurring internalizing and externalizing psychopathology in childhood and adolescence: A network approach. European Child & Adolescent Psychiatry, 27(11), 14491457. https://doi.org/10.1007/s00787-018-1128-x CrossRefGoogle ScholarPubMed
Moilanen, K. L., Shaw, D. S., & Maxwell, K. L. (2010). Developmental cascades: Externalizing, internalizing, and academic competence from middle childhood to early adolescence. Development and Psychopathology, 22(3), 635653. https://doi.org/10.1017/S0954579410000337 CrossRefGoogle ScholarPubMed
Morin, A. J. S., Arens, A. K., Maïano, C., Ciarrochi, J., Tracey, D., Parker, P. D., & Craven, R. G. (2017). Reciprocal relationships between teacher ratings of internalizing and externalizing behaviors in adolescents with different levels of cognitive abilities. Journal of Youth and Adolescence, 46(4), 801825. https://doi.org/10.1007/s10964-016-0574-3 CrossRefGoogle ScholarPubMed
Morneau‐Vaillancourt, G., Andlauer, T. F. M., Ouellet‐Morin, I., Paquin, S., Brendgen, M. R., Vitaro, F., Gouin, J‐P., Séguin, J. R., Gagnon, É., Cheesman, R., Forget‐Dubois, N., Rouleau, G. A., Turecki, G., Tremblay, R. E., Côté, S. M., Dionne, G., & Boivin, M. (2021). Polygenic scores differentially predict developmental trajectories of subtypes of social withdrawal in childhood. Journal of Child Psychology and Psychiatry, 62(11), 13201329. https://doi.org/10.1111/jcpp.13459 CrossRefGoogle ScholarPubMed
Murray, A. L., Eisner, M., Nagin, D., & Ribeaud, D. (2022). A multi-trajectory analysis of commonly co-occurring mental health issues across childhood and adolescence. European Child & Adolescent Psychiatry, 31(1), 145159. https://doi.org/10.1007/s00787-020-01679-1 CrossRefGoogle ScholarPubMed
National Inst of Child Health & Human Development (1999). Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 Months. Developmental Psychology, 35(5), 12971310. https://doi.org/10.1037/0012-1649.35.5.1297 CrossRefGoogle Scholar
Pascual-Sanchez, A., Hickey, N., Mateu, A., Martinez-Herves, M., Kramer, T., & Nicholls, D. (2021). Personality traits and self-esteem in traditional bullying and cyberbullying. Personality and Individual Differences, 177, 110809. https://doi.org/10.1016/j.paid.2021.110809 CrossRefGoogle Scholar
Pedersen, S., Vitaro, F., Barker, E. D., & Borge, A. I. H. (2007). The timing of middle-childhood peer rejection and friendship: Linking early behavior to early-adolescent adjustment. Child Development, 78(4), 10371051. https://doi.org/10.1111/j.1467-8624.2007.01051.x CrossRefGoogle ScholarPubMed
Poirier, M., Déry, M., Temcheff, C. E., Toupin, J., Verlaan, P., & Lemelin, J.-P. (2016). Erratum to: Longitudinal associations between conduct problems and depressive symptoms among girls and boys with early conduct problems. European Child & Adolescent Psychiatry, 25(7), 755755. https://doi.org/10.1007/s00787-015-0802-5 CrossRefGoogle ScholarPubMed
Rotenberg, K. J., & Hymel, S. (1999). Loneliness in childhood and adolescence. Cambridge University Press.CrossRefGoogle Scholar
Rothenberg, W. A., Bizzego, A., Esposito, G., Lansford, J. E., Al-Hassan, S. M., Bacchini, D., Bornstein, M. H., Chang, L., Deater-Deckard, K., Di Giunta, L., Dodge, K. A., Gurdal, S., Liu, Q., Long, Q., Oburu, P., Pastorelli, C., Skinner, A. T., Sorbring, E., Tapanya, S., Steinberg, L., Tirado, L. M. U., Yotanyamaneewong, S., & Alampay, L. P.ña (2023). Predicting adolescent mental health outcomes across cultures: A machine learning approach. Journal of Youth and Adolescence, 52(8), 15951619. https://doi.org/10.1007/s10964-023-01767-w CrossRefGoogle ScholarPubMed
Rubin, K. H., Asendorpf, J. B., & Asendorpfz, J. (2014). Social withdrawal, inhibition, and shyness in childhood. Psychology Press.CrossRefGoogle Scholar
Shi, Q., & Ettekal, I. (2021). Co-occurring trajectories of internalizing and externalizing problems from grades 1 to 12: Longitudinal associations with teacher-child relationship quality and academic performance. Journal of Educational Psychology, 113(4), 808829. https://doi.org/10.1037/edu0000525.supp CrossRefGoogle Scholar
Speyer, L. G., Eisner, M., Ribeaud, D., Luciano, M., Auyeung, B., & Murray, A. L. (2021). Developmental relations between internalising problems and ADHD in childhood: A symptom level perspective. Journal of Abnormal Child Psychology, 49(12), 15671579. https://doi.org/10.1007/s10802-021-00856-3 Google ScholarPubMed
Wang, S., Shi, X., Wang, Z., Li, Z., Wang, A., Hu, X., & Li, Z. (2023). Joint developmental trajectories and correlates of internalizing and externalizing problems among Chinese adolescents. Journal of Clinical Psychology, 79(2), 558572. https://doi.org/10.1002/jclp.23436 CrossRefGoogle ScholarPubMed
Wang, Y., & Liu, Y. (2021). The development of internalizing and externalizing problems in primary school: Contributions of executive function and social competence. Child Development, 92(3), 889903. https://doi.org/10.1111/cdev.13462 CrossRefGoogle ScholarPubMed
Wang, Y., & Yan, N. (2019). Trajectories of internalizing and externalizing problems in preschoolers of depressed mothers: Examining gender differences. Journal of Affective Disorders, 257, 551561. https://doi.org/10.1016/j.jad.2019.07.047 CrossRefGoogle ScholarPubMed
Wang, Y., & Zhou, X. (2019). Longitudinal relations between executive function and internalizing problems in grade school: The role of peer difficulty and academic performance. Developmental Psychology, 55(10), 21472158. https://doi.org/10.1037/dev0000790 CrossRefGoogle ScholarPubMed
Weeks, M., Ploubidis, G. B., Cairney, J., Wild, T. C., Naicker, K., & Colman, I. (2016). Developmental pathways linking childhood and adolescent internalizing, externalizing, academic competence, and adolescent depression. Journal of Adolescence, 51(1), 3040. https://doi.org/10.1016/j.adolescence.2016.05.009 CrossRefGoogle ScholarPubMed
Willner, C. J., Gatzke-Kopp, L. M., & Bray, B. C. (2016). The dynamics of internalizing and externalizing comorbidity across the early school years. Developmental and Psychopathology, 28(4), 10331052. https://doi.org/10.1017/S0954579416000687 CrossRefGoogle ScholarPubMed
Wolff, J. C., & Ollendick, T. H. (2006). The comorbidity of conduct problems and depression in childhood and adolescence. Clinical Child and Family Psychology Review, 9(3-4), 201220. https://doi.org/10.1007/s10567-006-0011-3 CrossRefGoogle ScholarPubMed
Xiaoli, Y., Chao, J., Wen, P., Wenming, X., Fang, L., Ning, L., Huijuan, M., Jun, N., Ming, L., Xiaoxia, A., Chuanyou, Y., Zenguo, F., Lili, L., Lianzheng, Y., Lijuan, T., Guowei, P., & Suzuki, K. (2014). Prevalence of psychiatric disorders among children and adolescents in northeast China. Plos One, 9(10), e111223. https://doi.org/10.1371/journal.pone.0111223 CrossRefGoogle ScholarPubMed
Zaharakis, N. M., Mason, M. J., Brown, A., Moore, M., Garcia, C., Foster, R., & Richards, S. (2018). Resiliency moderates the influence of somatization on externalizing problems. Journal of Child and Family Studies, 27(9), 29782989. https://doi.org/10.1007/s10826-018-1141-1 CrossRefGoogle Scholar
Zhou, J., Zhang, L., & Gong, X. (2023). Longitudinal network relations between symptoms of problematic internet game use and internalizing and externalizing problems among Chinese early adolescents. Social Science & Medicine, 333, 116162. https://doi.org/10.1016/j.socscimed.2023.116162 CrossRefGoogle ScholarPubMed
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