Most young children lose their temper sometimes, but daily tantrums or tantrums with severe behaviors, such as aggressive or destructive tantrums, are unusual and could signal a larger problem, according to an National Institure of Mental Health-funded study published online in the Journal of Child Psychology and Psychiatry.
Distinguishing “normal” misbehaviors of early childhood from clinically worrisome problems can be challenging for pediatricians, parents, and others who work with young children.
To address this issue, Lauren Wakschlag, Ph.D., of Northwestern University, Margaret Briggs-Gowan, Ph.D., of University of Connecticut Health Center, and their colleagues examined temper loss among preschoolers as a spectrum of behaviors ranging from mild or normal to “problem indicators” that may be signs of a greater, underlying mental health issue.
For this study, the researchers developed the Multidimensional Assessment of Preschool Disruptive Behavior (MAP-DB) questionnaire. Rather than merely asking whether a child had tantrums or not, the MAP-DB assesses the frequency, quality, and severity of behaviors related to temper tantrums and the extent of a child’s anger management skills over the past month. Parents of almost 1,500 preschoolers, ages 3-5, took part in the study.
The researchers found that more than 80 percent of preschoolers had one or more tantrums in the past month. However, less than 10 percent had tantrums every day. Also, normal temper loss behaviors showed similar patterns and could be reliably distinguished from problem indicators.
For example, over a one month period, tantrums typically occurred:
- when preschoolers were frustrated, angry, or upset (61 percent)
- during daily routines, such as bedtime, mealtime, or getting dressed (58 percent)
- with their parents (56 percent).
In contrast, it was less typical for preschoolers to have a tantrum:
- with an adult who was not their parent, such as a babysitter or teacher (36 percent)
- during which they broke or destroyed things (28 percent)
- “out of the blue,” or for which parents could not discern a reason (26 percent)
- that lasted an unusually long time (26 percent)
- during which they hit, bit, or kicked someone else (24 percent).
The findings provide early evidence that studying behaviors as a spectrum may provide new insights into how mental disorders develop and better target early diagnosis, prevention, and treatment.