Contents lists available at ScienceDirect
Children and Youth Services Review
journal homepage: www.elsevier.com/locate/childyouth
Predictors of behavioral problems in young children 3 to 9 years old: The
role of maternal and child factors
Daniel Keyser
⁎
, Haksoon Ahn, Jay Unick
University of Maryland, School of Social Work, 525 W. Redwood St., Baltimore, MD 21201, United States
ARTICLE INFO
Keywords:
Child behavior
Parent stress
Child welfare
Multilevel model
ABSTRACT
The purpose of this study is to examine the impact of maternal level factors (maternal depression, maternal
spanking, parenting stress) and child level factors (cognitive ability, attachment, child welfare involvement)
with children's problem behavior trajectory from age 3 to age 9. The study used data from the Fragile Families
and Child Wellbeing Study (FFCW), a 20-city sample of 4898 children born in urban areas in the United States
between 1998 and 2001. Results indicate an association of all maternal and child level variables with Child
Behavior Checklist (CBCL) scores. The multilevel model analysis indicates having an insecure attachment type at
age 3 had the largest increasing impact on child behavior problems from age 3 to 9. Children's cognitive ability
also had an increasing impact on child behavior problems over time and the impact of parenting stress at age 3
had a decreasing impact on behavior problems from age 3 to 9. Implications for research and practice are
discussed.
1. Introduction
The purpose of this study is to assess risk factors and potential
predictors of child wellbeing from age 3 to age 9 in vulnerable family
environments. Children who come from a vulnerable family environ-
ment including poor family functioning, low social support and par-
ental psychological distress predicted increased mental health needs of
children (Thompson et al., 2007). Despite this risk, few surveys have
focused on the complex experiences of children and families at the in-
dividual, family and community level in a longitudinal process.
Mental health problems have a significant prevalence and impact on
children. Approximately 1 out of 5 children in the general population
have a mental health disorder (Merikangas et al., 2010). The National
Survey of American Families reported 7.5 million children need mental
health services but did not receive them (Bringwatt & Gershoff, 2010).
Intervention is important in the early years of life and trauma untreated
manifests itself through behavior, developmental and mental health
problems (Williams et al., 2012). Early childhood is a critical time for
social emotional development and what happens in early childhood
impacts future child wellbeing. This study will examine the impact of
maternal and child characteristics on child behavior from early to
middle childhood. Knowing the factors impacting child behavior pro-
blems from early to middle childhood will contribute to the literature
on the maternal and child factors impacting behavior trajectories.
2. Factors associated with child behavior problems
The developmental psychopathology (Cicchetti & Toth, 1995) and
life course theory (Elder, 1998) provide a framework for understanding
the impact of child and parent factors on children's behavior over time.
Developmental psychopathology describes the impact of stress and re-
silience factors related to the ability to function in society. Develop-
mental psychopathology can be used to describe changes in children's
behavior problems across childhood as it is compared to typically de-
veloping behavior and has been used to demonstrate the relationship
between maltreatment in early childhood and children's behavior pro-
blems across childhood (Egeland, Yates, Appleyard, & van Dulmen,
2002; Horwitz, Widom, McLaughlin, & White, 2001; Toth & Cicchetti,
2013). The life course theory highlights the importance of examining
the antecedents and consequences of behavior patterns within the
context of time (Elder, Johnson, & Crosnoe, 2003). Both the develop-
mental psychopathology perspective and life course perspective pro-
vide a framework for understanding the association of child and parent
factors, and their impact on children's behavior trajectories.
Major depression impacts 12 million individuals annually world-
wide and is a debilitating disorder (Kessler et al., 2003). Major de-
pression among mothers is especially troubling because of the negative
impacts on the individual and the effects a mother parenting with de-
pression can have on children's wellbeing. Children of mothers with
depression can have impaired cognitive and behavioral outcomes and
http://dx.doi.org/10.1016/j.childyouth.2017.09.018
Received 4 May 2017; Received in revised form 8 September 2017; Accepted 8 September 2017
⁎
Corresponding author.
E-mail addresses: dkeyser@ssw.umaryland.edu (D. Keyser), hahn@ssw.umaryland.edu (H. Ahn), junick@ssw.umaryland.edu (J. Unick).
Children and Youth Services Review 82 (2017) 149–155
Available online 09 September 2017
0190-7409/ © 2017 Elsevier Ltd. All rights reserved.
T