Addressing Early Childhood Emotional and Behavioral Problems

Pediatrics. 2016 Dec;138(6):e20163025. doi: 10.1542/peds.2016-3025.

Abstract

More than 10% of young children experience clinically significant mental health problems, with rates of impairment and persistence comparable to those seen in older children. For many of these clinical disorders, effective treatments supported by rigorous data are available. On the other hand, rigorous support for psychopharmacologic interventions is limited to 2 large randomized controlled trials. Access to psychotherapeutic interventions is limited. The pediatrician has a critical role as the leader of the medical home to promote well-being that includes emotional, behavioral, and relationship health. To be effective in this role, pediatricians promote the use of safe and effective treatments and recognize the limitations of psychopharmacologic interventions. This technical report reviews the data supporting treatments for young children with emotional, behavioral, and relationship problems and supports the policy statement of the same name.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Attention Deficit Disorder with Hyperactivity / diagnosis
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / therapy
  • Behavior Therapy / methods*
  • Child
  • Child Behavior Disorders / diagnosis*
  • Child Behavior Disorders / epidemiology
  • Child Behavior Disorders / therapy*
  • Child, Preschool
  • Emotions
  • Evidence-Based Medicine
  • Female
  • Humans
  • Male
  • Parent-Child Relations*
  • Parenting / psychology
  • Problem Behavior
  • Prognosis
  • Psychotropic Drugs / administration & dosage*
  • Risk Assessment
  • Severity of Illness Index
  • Sex Factors
  • Treatment Outcome

Substances

  • Psychotropic Drugs