Callous little kids may have behavior trouble later

"A focus on understanding the emergence and development of behavior problems before they become severe is important for creating new treatments that could help prevent children following a lifetime of violence or crime," says Rebecca Waller. (Credit: Philippe Put/Flickr)

Toddlers who don’t feel guilty after misbehaving or don’t care much about giving or receiving affection may be more prone to behavior problems when they get to first grade.

Early preschool behavior problems seldom raise a red flag and often improve over time. But when that doesn’t happen through grade school, children are more likely to become aggressive and violent as teens and adults, a new study shows.

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Previous research on these different types of behavior problems has focused on older children and teens.

“Little analysis had been done among preschoolers, who undergo rapid physical and psychological development, making this a difficult time for parents to manage behaviors and an important time to help children improve their behavior,” says lead author Rebecca Waller, a psychology research fellow at University of Michigan.

“Adults who are aggressive or violent have often shown early-starting behavior problems as young children. Thus, a focus on understanding the emergence and development of behavior problems before they become severe is important for creating new treatments that could help prevent children following a lifetime of violence or crime.”

Less empathy and guilt

Published in the Journal of Child Psychology and Psychiatry, the research uses data from 240 children and their parents who were part of the Michigan Longitudinal Study, an ongoing study of young children at risk for behavior problems.

Data were collected from parents when children were three years old and again by teachers when they were six years old. Parents completed questionnaires about their children’s behavior, while the children completed six tasks that were videotaped and coded by researchers.

The study identified three types of early behavior problems at age three, including oppositional behaviors, ADHD behaviors, and callous and unemotional behaviors. For oppositional behavior, parents reported that their children were often angry, frustrated, and had difficulty regulating their emotions.

Not surprisingly, children whose parents rated them high on ADHD behaviors had difficulty maintaining their focus and attention during tasks. Finally, if parents reported “callous and unemotional behavior” in their preschooler, the children were reported to have less empathy, guilt, and moral regulation of their behavior.

Early intervention

Children with the highest levels of these kinds of behaviors were more likely to show this behavior during first grade and were also more likely to have continued behavior problems as rated by their teachers.

“A key thing for parents and educators to take from this work is that many children during the preschool years show normative levels of behavior problems and aggression, but there may be different types of behavior problems that may need different interventions if the behavior is not declining as children get towards school age,” says study coauthor Luke Hyde, assistant professor of psychology.

For example, children with callous and unemotional behavior may be the most at risk and need treatment that focuses on the child’s emotional understanding of others, he said.

“The good news is that we know from other work that early interventions are very successful and helpful with early child behavior problems,” Hyde says.

“If parents or teachers are concerned about a child’s behavior, they should seek out a mental health provider such as a clinical psychologist, who is trained in a treatment called Parent Management Training. This treatment is very effective and can help a child learn better behavior, particularly early in childhood.”

Researchers from University of Pittsburgh contributed to the study that was supported by a grant from the National Institute of Mental Health.

Source: University of Michigan