Articles

Prevalence of Behavioral Inhibition among Preschool Aged Children in Tehran, Iran

Abstract

One of the identified risk factors for anxiety disorders in adolescence and adulthood is inhibited behaviors in childhood. The present study sought to examine the relationship between behavioral inhibition with some of the internal (personal) and external (family environment) factors in a sample of preschool children in kindergartens. In a cross sectional study in 2009, data was collected trough a structured questionnaire completed by parents and teachers in day-care centers. A total of 1403 children were assessed. Analysis was performed through complex sample analysis. The results showed that 7.4% (CI95%= 6.1%-9.1%) of children according to parents' and 8.1% (CI95%= 6%- 10.7%) according to teachers' evaluation classified as behaviorally inhibited. The higher levels of behavioral inhibition were shown by girls, first children, single parent families and older children. Birth year before 2004, birth rank, living in a single parent family and maternal level of education were independent predictors for behavioral inhibition in logistic regression modeling. There is relatively high prevalence of inhibited behaviors among Iranian children. Further examination of diagnosed children with behavioral inhibition by experienced psychiatrists is needed. Also establishing consultation centers for behaviorally inhibited children and instructing their parents and teachers are recommended.

Kagan J, Reznick JS, Snidman N, et al. Childhood derivatives of inhibition and lack of inhibition to the unfamiliar. Child Dev 1988;59(6):1580-9.

Keeton CP, Kolos AC, Walkup JT. Pediatric Generalized Anxiety Disorder Epidemiology, Diagnosis, and Management. Pediatr Drugs 2009;11(3);171-83.

Mick MA, Telch MJ. Social Anxiety and History of Behavioral Inhibition in Young Adults. J Anxiety Disord 1998;12(1):1-20.

Hirshfeld-Becker DR, Biederman J, Henin A, et al.Behavioral inhibition in preschool children at risk is a specific predictor of middle childhood social anxiety: A five-year follow-up. J Dev Behav Pediatr 2007;28(3):225-33.

Essex MJ, Klein MH, M Slattery MJ, et al. Early Risk Factors and Developmental Pathways to Chronic High Inhibition and Social Anxiety Disorder in Adolescence.Am J Psychiatry 2010;167(1):40-6.

White LK, McDermott JM, Degnan KA, et al. Behavioral inhibition and anxiety: the moderating roles of inhibitory control and attention shifting. J Abnorm Child Psychol 2011;39(5):735-47.

Meysamie AP, Daneshvardfard M, Mohammadi MR. Prevalence of Attention-Deficit/Hyperactivity Disorder Symptoms in Preschool-aged Iranian Children. Iran J Pediatr 2011;21(4):467-72.

Meysamie A, Ghalehtaki R, Ghazanfari A, et al. Prevalence and Associated Factors of Physical, Verbal and Relational Aggression among Iranian Preschoolers. Iran J Psychiatry 2013;8(3):138-144.

Biederman J, Rosenbaum JF, Hirshfeld DR et al, Psychiatric correlates of behavioral inhibition in youngchildren of parents with and without psychiatric disorders. Arch Gen Psychiatry 1990;47(1):21-6.

Asendorpf JB. The malleability of behavioral inhibition: astudy of individual developmental functions. Dev Psychol, 1994;30(6):912-19.

Asendorpf JB. Development of inhibition during childhood: evidence for situational specificity and a twofactor model. Dev Psychol 1990;26(5):721-30.

Essex MJ, Klein MH, Slattery M, et al. Early risk factors and developmental pathways to chronic high inhibition and social anxiety disorder in adolescence. Am J Psychiatry 2010;167(1):40-6.

Broberg A, Lamb ME, Hwang P. Inhibition: its stability and correlates in sixteen- to forty-month-old children. Child Dev 1990;61(4):1153-63.

Kagan J, Reznick JS, Snidman N. Biological bases of childhood shyness. Science 1988;240(4849):167-71.

Mesman J, Koot HM. Child-reported depression and anxiety in preadolescence: I. Associations with parent- and teacher-reported problems. J Am Acad Child Adolesc Psychiatry 2000;39(11):1371-8.

Mesman J, Koot HM. Child-reported depression and anxiety in preadolescence: II. Preschool predictors. J Am Acad Child Adolesc Psychiatry 2000;39(11):1379-86.

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IssueVol 52, No 4 (2014) QRcode
SectionArticles
Keywords
Behavioral Inhibition Anxiety Child Psychology Kindergarten Iran
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Meysamie A, Ghalehtaki R, Borjian A, Daneshvar-fard M, Mohammadi MR, Saboohi F. Prevalence of Behavioral Inhibition among Preschool Aged Children in Tehran, Iran. Acta Med Iran. 1;52(4):298-302.