Authors: Kate L. Anning; Kate Langley; Christopher Hobson; Stephanie H. M. van Goozen · Research

How Do Self-Regulation Problems in Young Children Relate to Different Mental Health Symptoms?

This study examines how difficulties with controlling thoughts, behaviors and emotions relate to symptoms of common childhood mental health conditions.

Source: Anning, K. L., Langley, K., Hobson, C., & van Goozen, S. H. M. (2024). Cool and hot executive function problems in young children: linking self‑regulation processes to emerging clinical symptoms. European Child & Adolescent Psychiatry, 33, 2705–2718. https://doi.org/10.1007/s00787-023-02344-z

What you need to know

  • Young children with behavioral and emotional problems often struggle with controlling their thoughts, behaviors, and emotions (self-regulation).
  • Different types of self-regulation difficulties relate to different mental health symptoms in children.
  • Assessing specific self-regulation skills may help identify children at risk for certain mental health issues and guide targeted interventions.

The importance of self-regulation in child development

Self-regulation refers to our ability to control our thoughts, behaviors, and emotions in order to achieve goals, even when faced with distractions or contrary impulses. This is a critical skill that develops throughout childhood and impacts many areas of life.

Children with poor self-regulation often struggle in school, have difficulty getting along with peers, and are at higher risk for various mental health and behavioral issues. Problems with self-regulation have been linked to conditions like attention-deficit/hyperactivity disorder (ADHD), anxiety, depression, and oppositional defiant disorder (ODD).

Given how important self-regulation is for healthy child development, researchers want to better understand how specific self-regulation difficulties may relate to different types of mental health symptoms in young children. This could help identify children at risk for certain issues earlier and guide more targeted interventions.

Examining self-regulation and mental health symptoms

This study looked at over 200 young children (ages 4-8) who were identified by their teachers as having moderate to high levels of behavioral or emotional problems at school. The researchers had the children complete computerized tasks measuring different aspects of self-regulation:

  • Cognitive control tasks: These measured things like attention, inhibition, and visuomotor control. For example, one task had children follow a moving star on a screen with their mouse cursor.

  • Decision-making tasks: These assessed how children make choices involving rewards and losses. One task had children decide how much to inflate virtual balloons to earn points without popping them.

The children’s parents also completed questionnaires about ADHD, ODD, anxiety and depression symptoms.

By looking at how performance on the self-regulation tasks related to different mental health symptoms, the researchers aimed to identify connections between specific self-regulation difficulties and particular types of emotional/behavioral problems in young children.

Key findings on self-regulation and mental health symptoms

The study revealed several important findings about the links between self-regulation skills and mental health symptoms in young children:

Cognitive control and ADHD

Children with more severe ADHD symptoms tended to perform worse on the cognitive control tasks measuring attention and inhibition. This aligns with previous research showing that difficulty controlling attention and inhibiting impulses are core features of ADHD.

Interestingly, children with higher anxiety levels actually performed better on cognitive control tasks. The researchers suggest anxiety may lead some children to be more cautious and attentive on these types of tasks.

Reward sensitivity and depression

Children with more depression symptoms showed lower “reward-seeking” behavior on decision-making tasks. In other words, they were less motivated by potential rewards. This fits with how depression often involves reduced enjoyment and motivation.

Reward sensitivity and ODD

In contrast to depression, children with more ODD symptoms showed higher reward-seeking behavior. They were more likely to take risks to gain rewards. This aligns with how ODD often involves more impulsive, sensation-seeking behavior.

General self-regulation difficulties

Some aspects of self-regulation difficulties, like trouble adapting behavior after losses, were associated with symptoms of multiple conditions rather than just one. This suggests there may be some general self-regulation problems that increase risk for various mental health issues.

Implications for understanding child mental health

These findings highlight how different types of self-regulation difficulties may contribute to different patterns of emotional and behavioral symptoms in young children. Rather than all children with self-regulation problems having the same issues, there appear to be more specific connections.

For example, a child struggling mainly with cognitive control and attention may be at higher risk for ADHD symptoms. Meanwhile, a child showing very low motivation by rewards could be at risk for depression. Understanding these patterns could help identify children who may benefit from targeted support earlier.

The results also show the complexity of self-regulation and mental health. While some connections were found between specific skills and symptoms, there was also evidence of more general self-regulation difficulties that may increase risk for various issues. Mental health conditions also frequently co-occur, further complicating the picture.

Practical implications

This research has several potential practical implications for supporting child mental health and development:

Earlier identification of at-risk children

Assessing specific self-regulation skills in young children could potentially help identify those at higher risk for certain mental health issues before more obvious symptoms emerge. This could allow for earlier intervention and support.

More targeted interventions

Understanding the links between particular self-regulation difficulties and mental health symptoms could guide more personalized interventions. For instance, a child struggling with reward sensitivity may benefit from different strategies than one mainly having issues with attention and impulse control.

Focus on building self-regulation skills

Given the important role of self-regulation in mental health, interventions aimed at building these skills broadly in young children may help prevent various issues. Programs that teach strategies for controlling attention, managing emotions, and making good decisions could be beneficial.

Considering multiple aspects of self-regulation

The findings highlight the importance of looking at different components of self-regulation rather than treating it as one unified skill. Comprehensive assessment of various self-regulation abilities may provide a clearer picture of a child’s strengths and difficulties.

Conclusions

  • Different types of self-regulation difficulties in young children relate to different patterns of mental health symptoms.
  • Assessing specific self-regulation skills may help identify children at risk for certain mental health issues earlier.
  • Interventions targeting self-regulation broadly, as well as specific skills, could potentially help prevent various emotional and behavioral problems in children.
  • More research is still needed to clarify the complex relationships between self-regulation and mental health across child development.

While this study provides valuable insights into the connections between self-regulation and mental health in young children, it’s important to note that the relationships are complex. Many factors influence child mental health and development. Self-regulation difficulties alone do not necessarily mean a child will develop mental health issues.

However, this research does suggest that supporting the development of strong self-regulation skills in young children is likely beneficial for their overall wellbeing. Parents and educators may want to focus on helping children build skills like emotional control, attention, and decision-making from an early age. Professional support may also be helpful for children showing significant struggles with self-regulation.

By better understanding how self-regulation relates to mental health, we can work towards identifying at-risk children earlier and providing more targeted, effective interventions to support healthy development.

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