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01-07-2014 | Uitgave 5/2014

Research on Child and Adolescent Psychopathology 5/2014

Infant and Toddler Crying, Sleeping and Feeding Problems and Trajectories of Dysregulated Behavior Across Childhood

Tijdschrift:
Research on Child and Adolescent Psychopathology > Uitgave 5/2014
Auteurs:
Catherine Winsper, Dieter Wolke
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Electronic supplementary material

The online version of this article (doi:10.​1007/​s10802-013-9813-1) contains supplementary material, which is available to authorized users.

Abstract

Infant and toddler regulatory problems (RPs) including crying, sleeping and feeding, are a frequent concern for parents and have been associated with negative behavioral outcomes in early and middle childhood. Uncertain is whether infant and toddler RPs predict stable, trait-like dysregulated behavior across childhood. We addressed this gap in the literature using data from the Avon Longitudinal Study of Parents and Children (ALSPAC). RPs at 6, 15–18, & 24–30 months and childhood dysregulated behavior at 4, 7, 8, & 9.5 years were assessed using mother report. Latent Class Growth Analysis (LCGA) indicated that trajectories of childhood dysregulated behavior were stable over time. All single RPs (i.e., crying, sleeping & feeding problems) were significantly associated with childhood dysregulated behavior. For example, crying problems at 6 months after controlling for confounders (Odds Ratios; 95 % Confidence Intervals): Moderate dysregulated behavior: OR = 1.50, 95 % CI [1.09 to 2.06], high dysregulated behavior: OR = 2.13, 95 % CI [1.49 to 3.05] and very high dysregulated behavior: OR = 2.85, 95 % CI [1.64 to 4.94]. Multiple RPs were especially strongly associated with dysregulated behavior. For example, the RP composite at 15–18 months: 1 RP, very high dysregulated behavior: OR = 2.79, 95 % CI [2.17 to 3.57], 2 RPs, very high dysregulated behavior: OR = 3.46, 95 % CI [2.38 to 5.01], 3 RPs, very high dysregulated behavior: OR = 12.57, 95 % CI [6.38 to 24.74]. These findings suggest that RPs in infants and toddlers predict stable dysregulated behavior trajectories across childhood. Interventions for early RPs could help prevent the development of chronic, highly dysregulated behavior.

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