Abstract
Although irritability and sadness are cardinal symptoms of depression, they are also common in preschoolers. The daily experiences of these emotions are not well-understood during early childhood, yet may provide insight into identification of early depressive symptoms. The current longitudinal study examined daily mean levels and emotion dynamics of preschool-aged children’s irritability and sadness and psychiatric outcomes in early school-age. Parents (n = 291) completed 14 consecutive daily diaries about their preschoolers’ emotions. Two years later, parents (n = 164) completed a semi-structured clinical interview and questionnaires about their children’s psychological functioning. Strong correlations between mean and dynamic measures (rs = 0.65–0.91) were identified. Preschoolers’ mean daily levels and dynamics of irritability (variability, instability, inertia) and sadness (instability, inertia) predicted symptoms and impairment 2 years later. Sadness instability and inertia continued to predict difficulties after adjusting for mean daily sadness. Fine-grained daily measures of preschoolers’ affect may be help identify children at-risk for psychological problems.
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Côté SM, Boivin M, Liu X et al (2009) Depression and anxiety symptoms: onset, developmental course and risk factors during early childhood. J Child Psychol Psychiatry 50:1201–1208. https://doi.org/10.1111/j.1469-7610.2009.02099.x
Luby JL (2009) Early childhood depression. Am J Psychiatry 166:974–979. https://doi.org/10.1176/appi.ajp.2009.08111709
Luby JL, Gaffrey MS, Tillman R et al (2014) Trajectories of preschool disorders to full DSM depression at school age and early adolescence: continuity of preschool depression. Am J Psychiatry 171:768–776. https://doi.org/10.1176/appi.ajp.2014.13091198
Tolan PH, Dodge KA (2005) Children’s mental health as a primary care and concern. Am Psychol 60:601–614. https://doi.org/10.1037/0003-066X.60.6.601
Bufferd SJ, Dyson MW, Hernandez IG, Wakschlag LS (2016) Explicating the “developmental” in preschool psychopathology. In: Cicchetti D (ed) Developmental psychopathology. American Cancer Society, Hoboken, pp 1–35
Bufferd SJ, Dougherty LR, Olino TM (2017) Mapping the frequency and severity of depressive behaviors in preschool-aged children. Child Psychiatry Hum Dev. https://doi.org/10.1007/s10578-017-0715-2
Wakschlag LS, Choi SW, Carter AS et al (2012) Defining the developmental parameters of temper loss in early childhood: implications for developmental psychopathology. J Child Psychol Psychiatry 53:1099–1108. https://doi.org/10.1111/j.1469-7610.2012.02595.x
Wiggins JL, Briggs-Gowan MJ, Estabrook R et al (2018) Identifying clinically significant irritability in early childhood. J Am Acad Child Adolesc Psychiatry 57:191-199.e2. https://doi.org/10.1016/j.jaac.2017.12.008
Luby JL, Mrakotsky C, Heffelfinger A et al (2003) Modification of DSM-IV criteria for depressed preschool children. Am J Psychiatry 160:1169–1172. https://doi.org/10.1176/appi.ajp.160.6.1169
Leppert KA, Bufferd SJ, Olino TM, Dougherty LR (2019) A daily diary analysis of preschool depressive behaviors: prospective associations and moderators across 14 days. J Abnorm Child Psychol 47:1547–1558. https://doi.org/10.1007/s10802-019-00535-4
Aunola K, Tolvanen A, Viljaranta J, Nurmi J-E (2013) Psychological control in daily parent-child interactions increases children’s negative emotions. J Fam Psychol JFP J Div Fam Psychol Am Psychol Assoc Div 43(27):453–462. https://doi.org/10.1037/a0032891
Könen T, Dirk J, Leonhardt A, Schmiedek F (2016) The interplay between sleep behavior and affect in elementary school children’s daily life. J Exp Child Psychol 150:1–15. https://doi.org/10.1016/j.jecp.2016.04.003
Sin NL, Almeida DM, Crain TL et al (2017) Bidirectional, temporal associations of sleep with positive events, affect, and stressors in daily life across a week. Ann Behav Med Publ Soc Behav Med 51:402–415. https://doi.org/10.1007/s12160-016-9864-y
Thompson RJ, Mata J, Jaeggi SM et al (2012) The everyday emotional experience of adults with major depressive disorder: examining emotional instability, inertia, and reactivity. J Abnorm Psychol 121:819–829. https://doi.org/10.1037/a0027978
Bai S, Repetti RL (2018) Negative and positive emotion responses to daily school problems: links to internalizing and externalizing symptoms. J Abnorm Child Psychol 46:423–435. https://doi.org/10.1007/s10802-017-0311-8
Morrow MT, Hubbard JA, Barhight LJ, Thomson AK (2014) Fifth-grade children’s daily experiences of peer victimization and negative emotions: moderating effects of sex and peer rejection. J Abnorm Child Psychol 42:1089–1102. https://doi.org/10.1007/s10802-014-9870-0
Achenbach TM (2000) Child behavior checklist for ages 1 1/2–5. ASEBA.University of Vermont, Burlington
Jahng S, Wood PK, Trull TJ (2008) Analysis of affective instability in ecological momentary assessment: indices using successive difference and group comparison via multilevel modeling. Psychol Methods 13:354–375. https://doi.org/10.1037/a0014173
Lamers F, Swendsen J, Cui L et al (2018) Mood reactivity and affective dynamics in mood and anxiety disorders. J Abnorm Psychol 127:659–669. https://doi.org/10.1037/abn0000378
Houben M, Van Den Noortgate W, Kuppens P (2015) The relation between short-term emotion dynamics and psychological well-being: a meta-analysis. Psychol Bull 141:901–930. https://doi.org/10.1037/a0038822
Sperry SH, Walsh MA, Kwapil TR (2020) Emotion dynamics concurrently and prospectively predict mood psychopathology. J Affect Disord 261:67–75. https://doi.org/10.1016/j.jad.2019.09.076
Koval P, Kuppens P, Allen NB, Sheeber L (2012) Getting stuck in depression: the roles of rumination and emotional inertia. Cogn Emot 26:1412–1427. https://doi.org/10.1080/02699931.2012.667392
Panaite V, Bylsma LM, Kovacs M et al (2019) Dysregulated behavioral responses to hedonic probes among youth with depression histories and their high-risk siblings. Emot Wash DC 19:171–177. https://doi.org/10.1037/emo0000409
Silk JS, Steinberg L, Morris AS (2003) Adolescents’ emotion regulation in daily life: links to depressive symptoms and problem behavior. Child Dev 74:1869–1880. https://doi.org/10.1046/j.1467-8624.2003.00643.x
Koval P, Pe ML, Meers K, Kuppens P (2013) Affect dynamics in relation to depressive symptoms: variable, unstable or inert? Emot Wash DC 13:1132–1141. https://doi.org/10.1037/a0033579
Peeters F, Berkhof J, Delespaul P et al (2006) Diurnal mood variation in major depressive disorder. Emot Wash DC 6:383–391. https://doi.org/10.1037/1528-3542.6.3.383
Pfaltz M, Michael T, Grossman P et al (2010) Instability of physical anxiety symptoms in daily life of patients with panic disorder and patients with posttraumatic stress disorder. J Anxiety Disord 24:792–798. https://doi.org/10.1016/j.janxdis.2010.06.001
Schwartz S, Schultz S, Reider A, Saunders EFH (2016) Daily mood monitoring of symptoms using smartphones in bipolar disorder: a pilot study assessing the feasibility of ecological momentary assessment. J Affect Disord 191:88–93. https://doi.org/10.1016/j.jad.2015.11.013
Kuppens P, Sheeber LB, Yap MBH et al (2012) Emotional inertia prospectively predicts the onset of depressive disorder in adolescence. Emot Wash DC 12:283–289. https://doi.org/10.1037/a0025046
Neumann A, van Lier PAC, Frijns T et al (2011) Emotional dynamics in the development of early adolescent psychopathology: a one-year longitudinal study. J Abnorm Child Psychol 39:657–669. https://doi.org/10.1007/s10802-011-9509-3
Röcke C, Brose A (2013) Intraindividual variability and stability of affect and well-being: short-term and long-term change and stabilization processes. GeroPsych J Gerontopsychology Geriatr Psychiatry 26:185–199. https://doi.org/10.1024/1662-9647/a000094
van de Leemput IA, Wichers M, Cramer AOJ et al (2014) Critical slowing down as early warning for the onset and termination of depression. Proc Natl Acad Sci USA 111:87–92. https://doi.org/10.1073/pnas.1312114110
Wichers M, Peeters F, Geschwind N et al (2010) Unveiling patterns of affective responses in daily life may improve outcome prediction in depression: a momentary assessment study. J Affect Disord 124:191–195. https://doi.org/10.1016/j.jad.2009.11.010
Dejonckheere E, Mestdagh M, Houben M et al (2019) Complex affect dynamics add limited information to the prediction of psychological well-being. Nat Hum Behav 3:478–491. https://doi.org/10.1038/s41562-019-0555-0
Cole PM, Luby J, Sullivan MW (2008) Emotions and the development of childhood depression: bridging the gap. Child Dev Perspect 2:141–148. https://doi.org/10.1111/j.1750-8606.2008.00056.x
Egger HL, Angold A (2004) The preschool age psychiatric assessment (PAPA): a structured parent interview for diagnosing psychiatric disorders in preschool children. Handbook of infant, toddler, and preschool mental health assessment. Oxford University Press, New York, US, pp 223–243
Gadow K, Sprafkin J (1997) Early childhood inventory-4 norms manual. Checkmate Plus, Stony Brook, NY
Eid M, Diener E (1999) Intraindividual variability in affect: reliability, validity, and personality correlates. J Pers Soc Psychol 76:662–676. https://doi.org/10.1037/0022-3514.76.4.662
von Neumann J, Kent RH, Bellinson HR, Hart BI (1941) The mean square successive difference. Ann Math Stat 12:153–162. https://doi.org/10.1214/aoms/1177731746
Guttman I (1973) Premium and protection of several procedures for dealing with outliers when sample sizes are moderate to large. Technometrics 15:385–404
Egger H, Ascher B, Angold A (1999) The preschool age psychiatric assessment: Version 1.1. Durham, NC
Lyneham HJ, Rapee RM (2005) Agreement between telephone and in-person delivery of a structured interview for anxiety disorders in children. J Am Acad Child Adolesc Psychiatry 44:274–282. https://doi.org/10.1097/00004583-200503000-00012
Egger H, Erkanli A, Keeler G et al (2006) Test-retest reliability of the preschool age psychiatric assessment (PAPA). J Am Acad Child Adolesc Psychiatry 45:538–549. https://doi.org/10.1097/01.chi.0000205705.71194.b8
Dougherty LR, Smith VC, Bufferd SJ et al (2013) Preschool irritability: longitudinal associations with psychiatric disorders at age 6 and parental psychopathology. J Am Acad Child Adolesc Psychiatry. https://doi.org/10.1016/j.jaac.2013.09.007
Brotman MA, Schmajuk M, Rich BA et al (2006) Prevalence, clinical correlates, and longitudinal course of severe mood dysregulation in children. Biol Psychiatry 60:991–997. https://doi.org/10.1016/j.biopsych.2006.08.042
Copeland WE, Angold A, Costello EJ, Egger H (2013) Prevalence, comorbidity, and correlates of DSM-5 proposed disruptive mood dysregulation disorder. Am J Psychiatry 170:173–179. https://doi.org/10.1176/appi.ajp.2012.12010132
Shaffer D, Gould MS, Brasic J et al (1983) A children’s global assessment scale (CGAS). Arch Gen Psychiatry 40:1228–1231. https://doi.org/10.1001/archpsyc.1983.01790100074010
Fabiano GA, Pelham WE, Waschbusch DA et al (2006) A practical measure of impairment: psychometric properties of the impairment rating scale in samples of children with attention deficit hyperactivity disorder and two school-based samples. J Clin Child Adolesc Psychol Off J Soc Clin Child Adolesc Psychol Am Psychol Assoc Div 53(35):369–385. https://doi.org/10.1207/s15374424jccp3503_3
Gadow KD, Sprafkin J, Nolan EE (2001) DSM-IV symptoms in community and clinic preschool children. J Am Acad Child Adolesc Psychiatry 40:1383–1392. https://doi.org/10.1097/00004583-200112000-00008
Gimpel G, Kuhn B (2000) Maternal report of attention deficit hyperactivity disorder symptoms in preschool children. Child Care Health Dev 26:163–176. https://doi.org/10.1046/j.1365-2214.2000.00126.x
Menard S (2002) Longitudinal research, series: quantitative applications in the social sciences, Publication # 76, 2nd edn. Sage, Thousand Oaks
Mertler C, Vannatta R (2005) Advanced and multivariate statistical methods: practical application and interpretation, 3rd edn. Pyrczak, Los Angeles
Gruber J, Kogan A, Quoidbach J, Mauss IB (2013) Happiness is best kept stable: positive emotion variability is associated with poorer psychological health. Emot Wash DC 13:1–6. https://doi.org/10.1037/a0030262
Koval P, Sütterlin S, Kuppens P (2016) Emotional inertia is associated with lower well-being when controlling for differences in emotional context. Front Psychol. https://doi.org/10.3389/fpsyg.2015.01997
Wakschlag LS, Estabrook R, Petitclerc A et al (2015) Clinical implications of a dimensional approach: the normal:abnormal spectrum of early irritability. J Am Acad Child Adolesc Psychiatry 54:626–634. https://doi.org/10.1016/j.jaac.2015.05.016
Gratz KL, Tull MT (2010) Emotion regulation as a mechanism of change in acceptance- and mindfulness-based treatments. Assessing mindfulness and acceptance processes in clients: illuminating the theory and practice of change. Context Press/New Harbinger Publications, Oakland, CA, US, pp 107–133
Dougherty LR, Leppert KA, Merwin SM et al (2015) Advances and directions in preschool mental health research. Child Dev Perspect 9:14–19. https://doi.org/10.1111/cdep.12099
Brotman MA, Kircanski K, Stringaris A et al (2017) Irritability in youths: a translational model. Am J Psychiatry 174:520–532. https://doi.org/10.1176/appi.ajp.2016.16070839
Vidal-Ribas P, Brotman MA, Valdivieso I et al (2016) The status of irritability in psychiatry: a conceptual and quantitative review. J Am Acad Child Adolesc Psychiatry 55:556–570. https://doi.org/10.1016/j.jaac.2016.04.014
De Los RA, Youngstrom EA, Swan AJ et al (2011) Informant discrepancies in clinical reports of youths and interviewers’ impressions of the reliability of informants. J Child Adolesc Psychopharmacol 21:417–424. https://doi.org/10.1089/cap.2011.0011
Kelley ML, Bravo AJ, Hamrick HC et al (2017) Parents’ reports of children’s internalizing symptoms: associations with parents’ mental health symptoms and substance use disorder. J Child Fam Stud 26:1646–1654. https://doi.org/10.1007/s10826-017-0677-9
Weissman MM, Berry OO, Warner V et al (2016) A 30-year study of 3 generations at high risk and low risk for depression. JAMA Psychiatry 73:970–977. https://doi.org/10.1001/jamapsychiatry.2016.1586
Biederman J, Petty C, Hirshfeld-Becker DR et al (2006) A controlled longitudinal 5-year follow-up study of children at high and low risk for panic disorder and major depression. Psychol Med 36:1141–1152. https://doi.org/10.1017/S0033291706007781
Lieb R, Isensee B, Höfler M et al (2002) Parental major depression and the risk of depression and other mental disorders in offspring: a prospective-longitudinal community study. Arch Gen Psychiatry 59:365–374. https://doi.org/10.1001/archpsyc.59.4.365
Funding
This research was supported by the University of Maryland (UMD) College of Behavioral and Social Sciences Dean’s Research Initiative Award (LRD), the UMD Research and Scholars Award (LRD), the California State University San Marcos (CSUSM) Grant Proposal Seed Money Award (SJB), the CSUSM University Professional Development Award (SJB), and the National Science Foundation Graduate Research Fellowship Program (ECF). We are indebted to the families and staff who made this study possible.
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Chad-Friedman, E., Leppert, K.A., Olino, T.M. et al. Affective Dynamics and Mean Levels of Preschool Irritability and Sadness: Predictors of Children’s Psychological Functioning Two Years Later. Child Psychiatry Hum Dev 53, 244–255 (2022). https://doi.org/10.1007/s10578-021-01121-w
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DOI: https://doi.org/10.1007/s10578-021-01121-w