Hauser-Cram Penny, Woodman Ashley C
Lynch School of Education, Boston College, Chestnut Hill, MA, 02467, USA.
University of Massachusetts Amherst, Tobin Hall 135 Hicks Way, Amherst, MA, 01002, USA.
J Abnorm Child Psychol. 2016 May;44(4):811-21. doi: 10.1007/s10802-015-0055-2.
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.
残疾儿童往往比其他儿童有更高水平的行为问题。这些问题对青少年时期的精神病理学有影响，可能会对就业和独立生活等人生历程机会产生影响。本研究通过以人为中心的分析方法，构建了169名（54%为男性）早诊断残疾儿童从3岁到18岁行为问题的变化模式，考察了内化和外化行为问题的发展过程。这些模式的幼儿期预测因素表明，母亲抑郁症状较高预示着两种行为问题的更不利模式。孩子残疾对家庭的更大影响预示着内化行为问题的更不利模式。母亲对孩子痛苦的积极敏感性预示着外化行为问题的更适应性模式。这些发现表明需要针对家庭系统进行早期干预。
