Abstract
While a large body of research consistently finds that internalizing and externalizing problems are closely related and commonly co-occur, the literature is mixed regarding the unique and shared risk processes in the development of both domains of problems. The present study examined the nature and timing of relationships between internalizing and externalizing problems as well as the mediating effects of negative self-concept on both. Using a developmental cascade model as a guiding framework, we conducted a cross-lagged panel modeling on a sample of 2,844 Korean fourth graders (54% boys and 46% girls) followed over 4 years. Findings suggest that internalizing and externalizing problems were reciprocally reinforcing, each leading to increases in the other indirectly through the mediating influence of negative self-concept. Negative self-concept exacerbates the development of both internalizing and externalizing problems, which in turn further undermines one’s self-concept. Although there were significant gender differences in the stability of internalizing and externalizing problems, the developmental pathways between negative self-concept and both internalizing and externalizing problems held for both boys and girls. Implications for future research and intervention are discussed.
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Notes
Because both internalizing and externalizing problems were highly skewed toward the low end of the scales, a log transformation was used to decrease nonnormality. Running the same models with log-transformed data did not substantially alter findings, indicating the robustness of the present findings.
References
Achenbach, T. M. (1991). Manual for the youth self-report and 1991 profile. Burlington: University of Vermont Department of Psychiatry.
Achenbach, T. M. (2005). Assessment of adult psychopathology: Meta-analyses and implications of cross-informant correlations. Psychological Bulletin, 131, 361–382.
Arbuckle, J. L., & Wothke, W. (2006). Amos 7 user’s guide. Chicago: SmallWaters.
Arnett, J. (1999). Adolescent storm and stress, reconsidered. American Psychologist, 54, 317–326.
Benjamin, L. S. (1993). Interpersonal diagnosis and treatment of personality disorders. New York: Guilford Press.
Beyers, J. M., & Loeber, R. (2003). Untangling developmental relations between depressed mood and delinquency in male adolescents. Journal of Abnormal Child Psychology, 31, 247–266.
Bollen, K. A., & Lennox, R. (1991). Conventional wisdom on measurement: A structural equations perspective. Psychological Bulletin, 110, 305–314.
Boylan, K., Vaillancourt, T., Boyle, M., & Szatmari, P. (2007). Comorbidity of internalizing disorders in children with oppositional defiant disorder. European Child and Adolescent Psychiatry, 16, 484–494.
Branje, S. J. T., Hale III, W. W., & Meeus, W. H. J. (2008). Reciprocal development of parent-adolescent support and adolescent problem behaviors. In M. Kerr, H. Stattin, & R. Engels (Eds.), What can parents do? New insights into the role of parents in adolescent problem behavior. West Sussex: Wiley.
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Beverly Hills: Sage.
Byrne, B. M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah: Erlbaum.
Capaldi, D. M. (1992). Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: II. A 2-year follow-up at Grade 8. Development and Psychopathology, 4, 125–144.
Cole, D. A., & Maxwell, S. E. (2003). Testing meditational models with longitudinal data: Questions and tips in the use of structural equation modeling. Journal of Abnormal Psychology, 112(4), 558–577.
Copeland, W. E., Shanahan, L., Costello, E. J., & Angold, A. (2009). Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Archives of General Psychiatry, 66, 764–772.
Cosgrove, V. E., Rhee, S. H., Gelhorn, H. L., Boeldt, D., Corley, R., Ehringer, M., et al. (2011). Structure and etiology of co-occurring internalizing and externalizing disorders in adolescents. Journal of Abnormal Child Psychology, 39, 109–123.
Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60, 837–844.
Daigle, L. E., Cullen, F., & Wright, J. (2007). Gender differences in the predictors of juvenile delinquency. Youth Violence and Juvenile Justice, 5(3), 254–286.
De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483–509.
Demo, D. H. (1992). The self-concept over time: Research issues and directions. Annual Review of Sociology, 18, 303–326.
Donellan, M. B., Trzesniewski, K. H., Robins, R. W., Moffitt, T. E., & Caspi, A. (2005). Low self-esteem is related to aggression, antisocial behavior, and delinquency. Psychological Science, 16, 328–335.
Drabick, D. A., Ollendick, T. H., & Bubier, J. L. (2010). Co-occurrence of ODD and anxiety: Shared risk processes and evidence for a dual-pathway model. Clinical Psychology: Science and Practice, 17(4), 307–318.
DuBois, D. L., & Flay, B. R. (2004). The healthy pursuit of self-esteem: Comment on and alternative to the Crocker and Park (2004) formulation. Psychological Bulletin, 130, 415–420.
Eder, R. A., & Mangelsdorf, S. C. (1997). The emotional basis of early personality development: Implications for the emergent self-concept. In R. Hogan, J. Johnson, & S. Briggs (Eds.), Handbook of personality psychology (pp. 209–240). San Diego: Academic Press.
Egan, S. K., & Perry, D. G. (1998). Does low self-regard invite victimization? Developmental Psychology, 34, 299–309.
Elliott, D., Huizinga, D., & Menard, S. (1989). Multiple problem youth: Delinquency, substance use, and mental health problems. New York: Springer.
Fergusson, D. M., Lynskey, M. T., & Horwood, L. J. (1996). Origins of comorbidity between conduct and affective disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 451–460.
Fergusson, D. M., Wanner, B., Vitaro, F., Horwood, L. J., & Swain-Campbell, N. (2003). Deviant peer affiliations and depression: Confounding or causation? Journal of Abnormal Child Psychology, 31(6), 605–618.
Gilliom, M., & Shaw, D. S. (2004). Codevelopment of externalizing and internalizing problems in early childhood. Development and Psychopathology, 16(2), 313–333.
Gilman, R., & Huebner, E. S. (2006). Characteristics of adolescents who report very high life satisfaction. Journal of Youth and Adolescence, 35(3), 311–319.
Goodman, R., Meltzer, H., & Bailey, V. (1998). The strengths and difficulties questionnaire: A pilot study on the validity of the self-report version. European Child and Adolescent Psychiatry, 7, 125–130.
Gorman-Smith, D., & Loeber, R. (2005). Are developmental pathways in disruptive behaviors the same for girls and boys?. Journal of Child and Family Studies, 14, 15–27.
Hale, W., Vandervalk, I., Akse, J., & Meeus, W. (2008). The interplay of early adolescents’ depressive symptoms, aggression, and perceived parental rejection: A four-year community study. Journal of Youth and Adolescence, 37, 928–940.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.
Huizinga, D. H., & Elliott, D. S. (1986). Reassessing the reliability and validity of self-report delinquency measures. Journal of Quantitative Criminology, 2, 293–327.
Hussong, A. M., Hicks, R. E., Levy, S. A., & Curran, P. J. (2001). Specifying the relations between affect and heavy alcohol use among young adults. Journal of Abnormal Psychology, 110(3), 449–461.
Jaret, C., Reitzes, D. C., & Shapkina, N. (2005). Reflected appraisals and self-esteem. Sociological Perspectives, 48(3), 403–419.
Jonge, P., & Slaets, J. P. J. (2005). Response sets in self-report data and their associations with personal traits. European Journal of Psychiatry, 19(4), 209–214.
Joshi, P., Cappozoli, J., & Coyle, J. (1989). The Johns Hopkins depression scale: Normative data and validation in child psychiatry patients. Journal of American Academy of Child and Adolescent Psychiatry, 29, 283–288.
Kaplan, H. B., & Lin, C. (2000). Deviant identity as a moderator of the relation between negative self-feelings and deviant behavior. Journal of Early Adolescence, 20(2), 150–177.
Keiley, M. K., Bates, J. E., Dodge, K. A., & Pettit, G. S. (2000). A cross-domain growth analysis: Externalizing and internalizing behaviors during 8 years of childhood. Journal of Abnormal Child Psychology, 28(2), 161–179.
Keiley, M. K., Lofthouse, N., Bates, J. E., Dodge, K. A., & Pettit, G. S. (2003). Differential risks of covarying and pure components in mother and teacher reports of externalizing and internalizing behavior across ages 5 to 14. Journal of Abnormal Child Psychology, 31, 267–283.
Kernis, M. H. (2005). Measuring self-esteem in contest: The importance of stability in self-esteem in psychological functioning. Journal of Personality, 73(6), 1–37.
Kiesner, J. (2002). Depressive symptoms in early adolescence: Their relations with classroom problem behavior and peer status. Journal of Research on Adolescence, 12, 463–478.
Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology and Psychiatry, 1, 47–63.
Lam, T. H., Stewart, S. M., Ho, L. M., & Youth Sexuality Study Task Force. (2001). Prevalence and correlates of smoking and sexual activity among Hong Kong adolescents. Journal of Adolescent Health, 29, 352–358.
Lee, E. J. (2010). Longitudinal co-development of internalizing and externalizing problem behaviors: A cross-domain latent growth modeling approach. Studies on Korean Youth, 21(4), 171–200.
Lee, E. J., & Chung, I.-J. (2009). Reciprocal effects of delinquent behaviors and deviant self-concepts. Studies on Korean Youth, 20(2), 191–221.
Lee, E. J., & Chung, I.-J. (2011). Predictors of deviant self-concept in adolescence. Applying a latent state-trait autoregressive model. Korean Journal of Psychological and Social Issues, 16(4), 447–468.
Leve, L. D., Kim, H. K., & Pears, K. C. (2005). Childhood temperament and family environment as predictors of internalizing and externalizing trajectories from ages 5 to 17. Journal of Abnormal Child Psychology, 33(5), 505–520.
Lilienfeld, S. O. (2003). Comorbidity between and within childhood externalizing and internalizing disorders: Reflections and directions. Journal of Abnormal Child Psychology, 31, 285–291.
Loeber, R., & Burke, J. D. (2011). Developmental pathways in juvenile externalizing and internalizing problems. Journal of Research on Adolescence, 21(1), 34–46.
Loeber, R., & Keenan, K. (1994). The interaction between conduct disorder and its comorbid conditions: Effects of age and gender. Clinical Psychology Review, 14, 497–523.
Marmorstein, N. R. (2007). Relationships between anxiety and externalizing disorders in youth: The influences of age and gender. Journal of Anxiety Disorders, 21, 420–432.
Marsh, H. W., & Craven, R. G. (2006). Reciprocal effects of self-concept and performance from a multidimensional perspective: Beyond seductive pleasure and unidimensional perspectives. Perspectives on Psychological Science, 1, 133–163.
Marsh, H. W., & O’Mara, A. (2008). Reciprocal effects between academic self-concept, self-esteem, achievement, and attainment over seven adolescent years: Unidimensional and multidimensional perspectives of self-concept. Personality and Social Psychology Bulletin, 34(4), 542–552.
Marsh, H. W., Parada, R. H., & Ayotte, V. (2004). A multidimensional perspective of relations between self-concept (Self Description Questionnaire II) and adolescent mental health (Youth Self-Report). Psychological Assessment, 16(1), 27–61.
Marsh, H. W., Parada, R. H., Yeung, A. S., & Healey, J. (2001). Aggressive troublemakers and victims: A longitudinal model examining the pivotal role of self-concept. Journal of Educational Psychology, 93(2), 411–419.
Masten, A. S., & Curtis, W. J. (2000). Integrating competence and psychopathology: Pathways toward a comprehensive science of adaptation in development. Development and Psychopathology, 12, 529–550.
Masten, A. S., Roisman, G. I., Long, J. D., Burt, K. B., Obradovic, J., Riley, J. R., et al. (2005). Developmental Cascades: linking academic achievement and externalizing and internalizing symptoms over 20 years. Developmental Psychology, 41(5), 733–746.
McCullough, G., Huebner, E. S., & Laughlin, J. E. (2000). Life events, self-concept and adolescents’ positive subjective well-being. Psychology in the Schools, 37, 281–290.
McGrath, E. P., & Repetti, R. L. (2002). A longitudinal study of children’s depressive symptoms, self-perceptions, and cognitive distortions about the self. Journal of Abnormal Psychology, 111(1), 77–87.
Measelle, J. R., Stice, E., & Hogansen, J. M. (2006). Developmental trajectories of co-occurring depressive, eating, antisocial, and substance abuse problems in female adolescents. Journal of Abnormal Psychology, 115(3), 524–538.
Nock, M. K., Kazdin, A. E., Hiripi, E., & Kessler, R. C. (2007). Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: Results from the National Comorbidity Survey Replication. Journal of Child Psycholology and Psychiatry, 48, 703–713.
Oland, A. J., & Shaw, D. S. (2005). Pure versus co-occurring externalizing and internalizing symptoms in children: The potential role of socio-developmental milestones. Clinical Child and Family Psychology Review, 8(4), 247–270.
Orth, U., Robins, R. W., & Roberts, B. W. (2008). Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology, 95, 695–708.
Overbeek, G., Biesecker, G., Kerr, M., Stattin, H., Meeus, W., & Engels, R. (2006). Co-occurrence of depressive moods and delinquency in early adolescence: The role of failure expectations, manipulativeness, and social contexts. International Journal of Behavioral Development, 50, 433–443.
Overbeek, G., Vollebergh, W., Meeus, W., Engels, R., & Luijpers, E. (2001). Course, co-occurrence, and longitudinal associations of emotional disturbance and delinquency from adolescence to young adulthood: A six-year three-wave study. Journal of Youth and Adolescence, 30, 401–426.
Ritakallio, M., Koivisto, A.-M., Pahlen, B., Pelkonen, M., Marttunen, M., & Kaltiala-Heino, R. (2008). Continuity, comorbidity and longitudinal associations between depression and antisocial behaviors in middle adolescence: A 2-year prospective follow-up study. Journal of Adolescence, 31, 355–370.
Robinson, N. S., Garber, J., & Hilsman, R. (1995). Cognitions and stress: Direct and moderating effects of depressive versus externalizing symptoms during the junior high transition. Journal of Abnormal Psychology, 104, 453–463.
Rockhill, C. M., Stoep, A. V., McCauley, E., & Katon, W. J. (2009). Social competence and social support as mediators between comorbid depressive and conduct problems and functional outcomes in middle school children. Journal of Adolescence, 32, 535–553.
Rubio, D. M., & Gillespie, D. F. (1995). Problems with error in structural equation models. Structural Equation Modeling, 2(4), 367–378.
Schonberg, M. A., & Shaw, D. S. (2007). Do the predictors of child conduct problems vary by high- and low-levels of socioeconomic and neighborhood risk? Clinical Child and Family Psychology, 10(2), 101–136.
Selig, J. P., & Preacher, K. J. (2009). Mediation models for longitudinal data in developmental research. Research in Human Development, 6, 144–164.
Shahar, G., & Davidson, L. (2003). Depressive symptoms erode self-esteem in severe mental illness: A three-wave, cross-lagged study. Journal of Consulting and Clinical Psychology, 71, 890–900.
Sheidow, A., Strachan, M., Minden, J., Henry, D., Tolan, P., & Gorman-Smith, D. (2008). The relation of antisocial behavior patterns and changes in internalizing symptoms for a sample of inner-city youth: Comorbidity within a developmental framework. Journal of Youth and Adolescence, 37, 821–829.
Steinhausen, H.-C., & Winkler Metzke, C. (2001). Risk, compensatory, vulnerability, and protective factors influencing mental health in adolescence. Journal of Youth and Adolescence, 30, 259–280.
Stewart, S. M., Kennard, B., Lee, P., Hughes, C., Mayes, T., Emslie, G., et al. (2004). A cross-cultural investigation of cognitions and depressive symptoms in adolescents. Journal of Abnormal Psychology, 113(2), 248–257.
Swann, W., Chang-Schneider, C., & McClarty, K. (2007). Do people’s self-views matter? Self-concept and self-esteem in everyday life. American Psychologist, 62(2), 84–94.
Thelen, E. (1989). Self-organization in developmental processes: Can systems approaches work? In M. R. Gunnar & E. Thelen (Eds.), Systems and development: The Minnesota symposia on child psychology (Vol. 22, pp. 77–117). Hillsdale, NJ: Erlbaum.
Timbremont, B., & Braet, C. (2006). Brief report: A longitudinal investigation of the relation between a negative cognitive triad and depressive symptoms in youth. Journal of Adolescence, 29(3), 453–458.
Tomarken, A. J., & Waller, N. G. (2003). Potential problems with “well fitting” models. Journal of Abnormal Psychology, 112(4), 578–598.
Trzesniewski, K., Donnellan, B., Moffitt, T., Robins, R., Poulton, R., & Caspi, A. (2006). Low self-esteem during adolescence predicts poor health, criminal behavior, and limited economic prospects during adulthood. Developmental Psychology, 42, 381–390.
Vermeiren, R. (2003). Psychopathology and delinquency in adolescents: A descriptive and developmental perspective. Clinical Psychology Review, 23, 277–318.
Vieno, A., Kiesner, J., Pastore, M., & Santinello, M. (2008). Antisocial behavior and depressive symptoms: Longitudinal and concurrent relations. Adolescence, 43, 649–660.
Vierhaus, M., & Lohaus, A. (2008). Children and parents as informants of emotional and behavioral problems predicting female and male adolescent risk behavior: A longitudinal cross-informant study. Journal of Youth and Adolescence, 37, 211–224.
Wiesner, M. (2003). A longitudinal latent variable analysis of reciprocal relations between depressive symptoms and delinquency during adolescence. Journal of Abnormal Psychology, 112(4), 633–645.
Wolff, J. C., & Ollendick, T. H. (2006). The comorbidity of conduct problems and depression in childhood and adolescence. Clinical Child and Family Psychology Review, 9, 201–220.
Ybrandt, H. (2008). The relation between self-concept and social functioning in adolescence. Journal of Adolescence, 31, 1–16.
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Lee, E.J., Stone, S.I. Co-Occurring Internalizing and Externalizing Behavioral Problems: The Mediating Effect of Negative Self-Concept. J Youth Adolescence 41, 717–731 (2012). https://doi.org/10.1007/s10964-011-9700-4
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DOI: https://doi.org/10.1007/s10964-011-9700-4