Overreactivity

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Peter Prinzie - One of the best experts on this subject based on the ideXlab platform.

  • Emotionele stabiliteit en depressieve klachten van moeders en teruggetrokken/depressieve en angstig/depressieve problemen van adolescenten: de mediërende rol van opvoeding
    Kind en adolescent, 2019
    Co-Authors: Marieke Dalen, Rianne Kok, Peter Prinzie
    Abstract:

    Objective In this study we examined the extent to which the relationship between depressive complaints and emotional stability in mothers on the one hand and withdrawn/depressed and anxious/depressed adolescents on the other hand could be explained by parenting. Method The participants were 478 mothers, each with their son or daughter ( M _ age  = 13.57 years, SD _ age  = 1.15 years). The mothers reported on their depressive complaints, emotional stability, overprotection and Overreactivity in their parenting, and adolescent internalizing problem behaviour. Results Only depressive complaints in the mother were associated with the child being withdrawn/depressed or anxious/depressed. Depressive complaints and emotional stability were both related to overprotection and Overreactivity. The relationship between the mothers’ depressive complaints and the children being anxious/depressed was partially mediated by overprotection. Conclusion The children of mothers with depressive complaints scored higher for withdrawn/depressed and anxious/depressed. The mothers’ emotional stability was related to anxious/depressed symptoms through overprotective parenting. Inleiding In deze studie werd onderzocht in hoeverre het verband tussen depressieve klachten en emotionele stabiliteit bij moeders enerzijds en teruggetrokken/depressieve en angstig/depressieve problemen bij adolescenten anderzijds verklaard wordt door opvoeding. Methode Participanten waren 478 moeders met hun zoon of dochter ( M _ lft   =  13,57 jaar, SD _ lft  = 1,15 jaar). Moeders rapporteerden over depressieve klachten, emotionele stabiliteit, overbescherming en overreactiviteit in de opvoeding en internaliserende problemen bij hun adolescent. Resultaten Alleen depressieve klachten bij moeders waren gerelateerd aan hogere scores voor teruggetrokken/depressieve en angstig/depressieve problemen bij kinderen. Depressieve klachten en emotionele stabiliteit waren beide gerelateerd aan overbescherming en overreactiviteit. De relatie tussen emotionele stabiliteit van moeders en angstig/depressieve problemen bij de adolescent werd gedeeltelijk gemedieerd door overbescherming. Conclusie Kinderen van moeders met depressieve klachten hadden hogere scores op teruggetrokken/depressieve en angstig/depressieve problemen. Emotionele stabiliteit van de moeder is gerelateerd aan angstig/depressief gedrag van de adolescent via overbescherming.

  • Child personality facets and overreactive parenting as predictors of aggression and rule-breaking trajectories from childhood to adolescence
    Development and Psychopathology, 2015
    Co-Authors: Andrik I. Becht, Peter Prinzie, Maja Deković, Alithe L. Van Den Akker, Rebecca L. Shiner
    Abstract:

    This study examined trajectories of aggression and rule breaking during the transition from childhood to adolescence (ages 9-15), and determined whether these trajectories were predicted by lower order personality facets, overreactive parenting, and their interaction. At three time points separated by 2-year intervals, mothers and fathers reported on their children's aggression and rule breaking (N = 290, M age = 8.8 years at Time 1). At Time 1, parents reported on their children's personality traits and their own Overreactivity. Growth mixture modeling identified three aggression trajectories (low decreasing, high decreasing, and high increasing) and two rule-breaking trajectories (low and high). Lower optimism and compliance and higher energy predicted trajectories for both aggression and rule breaking, whereas higher expressiveness and irritability and lower orderliness and perseverance were unique risk factors for increasing aggression into adolescence. Lower concentration was a unique risk factor for increasing rule breaking. Parental Overreactivity predicted higher trajectories of aggression but not rule breaking. Only two Trait × Overreactivity interactions were found. Our results indicate that personality facets could differentiate children at risk for different developmental trajectories of aggression and rule breaking. Language: en

  • Child personality facets and overreactive parenting as predictors of aggression and rule-breaking trajectories from childhood to adolescence
    Development and psychopathology, 2015
    Co-Authors: Andrik I. Becht, Peter Prinzie, Maja Deković, Alithe L. Van Den Akker, Rebecca L. Shiner
    Abstract:

    This study examined trajectories of aggression and rule breaking during the transition from childhood to adolescence (ages 9-15), and determined whether these trajectories were predicted by lower order personality facets, overreactive parenting, and their interaction. At three time points separated by 2-year intervals, mothers and fathers reported on their children's aggression and rule breaking (N = 290, M age = 8.8 years at Time 1). At Time 1, parents reported on their children's personality traits and their own Overreactivity. Growth mixture modeling identified three aggression trajectories (low decreasing, high decreasing, and high increasing) and two rule-breaking trajectories (low and high). Lower optimism and compliance and higher energy predicted trajectories for both aggression and rule breaking, whereas higher expressiveness and irritability and lower orderliness and perseverance were unique risk factors for increasing aggression into adolescence. Lower concentration was a unique risk factor for increasing rule breaking. Parental Overreactivity predicted higher trajectories of aggression but not rule breaking. Only two Trait × Overreactivity interactions were found. Our results indicate that personality facets could differentiate children at risk for different developmental trajectories of aggression and rule breaking.

  • The prospective relationship between child personality and perceived parenting: Mediation by parental sense of competence
    Personality and Individual Differences, 2015
    Co-Authors: Marthe R. Egberts, Peter Prinzie, Maja Deković, Amaranta D. De Haan, Alithe L. Van Den Akker
    Abstract:

    This study examined the prospective relationship between childhood Big Five personality characteristics and perceived parenting in adolescence. In addition, we investigated whether this relationship was mediated by parental sense of competence, and whether associations were different for mothers and fathers. For 274 children, teachers reported on children’s Big Five personality characteristics at Time 1, mothers and fathers reported on their sense of competence at Time 2, and the children (who had now become adolescents) rated their parents’ warmth, Overreactivity and psychological control at Time 3. Mediation analysis revealed both direct and indirect effects. No differences in associations were found for perceived parenting of mothers and fathers. This study demonstrates that child personality in late childhood is significantly related to perceived parental warmth, Overreactivity and psychological control in adolescence. In addition, parental sense of competence mediates the relationship between child conscientiousness and perceived parental warmth, Overreactivity and psychological control.

  • Personality types in childhood: relations to latent trajectory classes of problem behavior and overreactive parenting across the transition into adolescence
    Journal of personality and social psychology, 2012
    Co-Authors: Alithe L. Van Den Akker, Maja Deković, Rebecca L. Shiner, Jessica J. Asscher, Peter Prinzie
    Abstract:

    This study investigated relations among children's personality types, trajectories of internalizing and externalizing problems, and overreactive parenting across 6 years. Latent Class Analysis of the Big 5 personality dimensions (modeled as latent factors, based on mother, father and teacher reports) for 429 children (mean age 8 years at Time 1) replicated the Resilient, Under-, and Overcontroller types. Latent Class Growth Analysis of externalizing and internalizing problems (modeled as latent factors, based on mother and father reports), revealed that Undercontrollers were at greater risk of belonging to a high/decreasing externalizing problem class and a high/stable co-occurring problem class than were Resilients. Overcontrollers were more likely to be in a high/stable internalizing class and less likely to be in the externalizing problem class, but only at low levels of parental Overreactivity. Undercontrollers appeared at double risk as they were at risk for high overreactive parenting, which was an independent risk-factor for the elevated problem trajectories. Because childhood personality types were a risk factor for adjustment problems that persisted into adolescence, Under- and Overcontrollers might be considered as a target for early intervention, with a focus on overreactive parenting for Undercontrollers specifically.

Maja Deković - One of the best experts on this subject based on the ideXlab platform.

  • Bidirectional Effects between Parenting and Aggressive Child Behavior in the Context of a Preventive Intervention
    Journal of Abnormal Child Psychology, 2017
    Co-Authors: Lysanne W. Brinke, Maja Deković, Sabine E. M. J. Stoltz, Antonius H. N. Cillessen
    Abstract:

    Over time, developmental theories and empirical studies have gradually started to adopt a bidirectional viewpoint. The area of intervention research is, however, lagging behind in this respect. This longitudinal study examined whether bidirectional associations between (changes in) parenting and (changes in) aggressive child behavior over time differed in three conditions: a child intervention condition, a child + parent intervention condition and a control condition. Participants were 267 children (74 % boys, 26 % girls) with elevated levels of aggression, their mothers and their teachers. Reactive aggression, proactive aggression and perceived parenting were measured at four measurement times from pretest to one-year after intervention termination. Results showed that associations between aggressive child behavior and perceived parenting are different in an intervention context, compared to a general developmental context. Aggressive behavior and perceived parenting were unrelated over time for children who did not receive an intervention. In an intervention context, however, decreases in aggressive child behavior were related to increases in perceived positive parenting and decreases in perceived Overreactivity. These findings underscore the importance of addressing child-driven processes in interventions aimed at children, but also in interventions aimed at both children and their parents.

  • Child personality facets and overreactive parenting as predictors of aggression and rule-breaking trajectories from childhood to adolescence
    Development and Psychopathology, 2015
    Co-Authors: Andrik I. Becht, Peter Prinzie, Maja Deković, Alithe L. Van Den Akker, Rebecca L. Shiner
    Abstract:

    This study examined trajectories of aggression and rule breaking during the transition from childhood to adolescence (ages 9-15), and determined whether these trajectories were predicted by lower order personality facets, overreactive parenting, and their interaction. At three time points separated by 2-year intervals, mothers and fathers reported on their children's aggression and rule breaking (N = 290, M age = 8.8 years at Time 1). At Time 1, parents reported on their children's personality traits and their own Overreactivity. Growth mixture modeling identified three aggression trajectories (low decreasing, high decreasing, and high increasing) and two rule-breaking trajectories (low and high). Lower optimism and compliance and higher energy predicted trajectories for both aggression and rule breaking, whereas higher expressiveness and irritability and lower orderliness and perseverance were unique risk factors for increasing aggression into adolescence. Lower concentration was a unique risk factor for increasing rule breaking. Parental Overreactivity predicted higher trajectories of aggression but not rule breaking. Only two Trait × Overreactivity interactions were found. Our results indicate that personality facets could differentiate children at risk for different developmental trajectories of aggression and rule breaking. Language: en

  • Child personality facets and overreactive parenting as predictors of aggression and rule-breaking trajectories from childhood to adolescence
    Development and psychopathology, 2015
    Co-Authors: Andrik I. Becht, Peter Prinzie, Maja Deković, Alithe L. Van Den Akker, Rebecca L. Shiner
    Abstract:

    This study examined trajectories of aggression and rule breaking during the transition from childhood to adolescence (ages 9-15), and determined whether these trajectories were predicted by lower order personality facets, overreactive parenting, and their interaction. At three time points separated by 2-year intervals, mothers and fathers reported on their children's aggression and rule breaking (N = 290, M age = 8.8 years at Time 1). At Time 1, parents reported on their children's personality traits and their own Overreactivity. Growth mixture modeling identified three aggression trajectories (low decreasing, high decreasing, and high increasing) and two rule-breaking trajectories (low and high). Lower optimism and compliance and higher energy predicted trajectories for both aggression and rule breaking, whereas higher expressiveness and irritability and lower orderliness and perseverance were unique risk factors for increasing aggression into adolescence. Lower concentration was a unique risk factor for increasing rule breaking. Parental Overreactivity predicted higher trajectories of aggression but not rule breaking. Only two Trait × Overreactivity interactions were found. Our results indicate that personality facets could differentiate children at risk for different developmental trajectories of aggression and rule breaking.

  • The prospective relationship between child personality and perceived parenting: Mediation by parental sense of competence
    Personality and Individual Differences, 2015
    Co-Authors: Marthe R. Egberts, Peter Prinzie, Maja Deković, Amaranta D. De Haan, Alithe L. Van Den Akker
    Abstract:

    This study examined the prospective relationship between childhood Big Five personality characteristics and perceived parenting in adolescence. In addition, we investigated whether this relationship was mediated by parental sense of competence, and whether associations were different for mothers and fathers. For 274 children, teachers reported on children’s Big Five personality characteristics at Time 1, mothers and fathers reported on their sense of competence at Time 2, and the children (who had now become adolescents) rated their parents’ warmth, Overreactivity and psychological control at Time 3. Mediation analysis revealed both direct and indirect effects. No differences in associations were found for perceived parenting of mothers and fathers. This study demonstrates that child personality in late childhood is significantly related to perceived parental warmth, Overreactivity and psychological control in adolescence. In addition, parental sense of competence mediates the relationship between child conscientiousness and perceived parental warmth, Overreactivity and psychological control.

  • Personality types in childhood: relations to latent trajectory classes of problem behavior and overreactive parenting across the transition into adolescence
    Journal of personality and social psychology, 2012
    Co-Authors: Alithe L. Van Den Akker, Maja Deković, Rebecca L. Shiner, Jessica J. Asscher, Peter Prinzie
    Abstract:

    This study investigated relations among children's personality types, trajectories of internalizing and externalizing problems, and overreactive parenting across 6 years. Latent Class Analysis of the Big 5 personality dimensions (modeled as latent factors, based on mother, father and teacher reports) for 429 children (mean age 8 years at Time 1) replicated the Resilient, Under-, and Overcontroller types. Latent Class Growth Analysis of externalizing and internalizing problems (modeled as latent factors, based on mother and father reports), revealed that Undercontrollers were at greater risk of belonging to a high/decreasing externalizing problem class and a high/stable co-occurring problem class than were Resilients. Overcontrollers were more likely to be in a high/stable internalizing class and less likely to be in the externalizing problem class, but only at low levels of parental Overreactivity. Undercontrollers appeared at double risk as they were at risk for high overreactive parenting, which was an independent risk-factor for the elevated problem trajectories. Because childhood personality types were a risk factor for adjustment problems that persisted into adolescence, Under- and Overcontrollers might be considered as a target for early intervention, with a focus on overreactive parenting for Undercontrollers specifically.

Susan G. O'leary - One of the best experts on this subject based on the ideXlab platform.

  • A New Look at the Psychometrics of the Parenting Scale through the Lens of Item Response Theory
    Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology American Psycho, 2014
    Co-Authors: Michael F. Lorber, Amy M. Smith Slep, Lisanne J. Bulling, Susan G. O'leary
    Abstract:

    The psychometrics of the Parenting Scale's Overreactivity and Laxness subscales were evaluated using item response theory (IRT) techniques. The IRT analyses were based on 2 community samples of cohabiting parents of 3- to 8-year-old children, combined to yield a total sample size of 852 families. The results supported the utility of the Overreactivity and Laxness subscales, particularly in discriminating among parents in the mid to upper reaches of each construct. The original versions of the Overreactivity and Laxness subscales were more reliable than alternative, shorter versions identified in replicated factor analyses from previously published research and in IRT analyses in the present research. Moreover, in several cases, the original versions of these subscales, in comparison with the shortened versions, exhibited greater 6-month stabilities and correlations with child externalizing behavior and couple relationship satisfaction. Reliability was greater for the Laxness than for the Overreactivity su...

  • Mothers' Overreactive Discipline and Their Encoding and Appraisals of Toddler Behavior
    Journal of Abnormal Child Psychology, 2003
    Co-Authors: Michael F. Lorber, Susan G. O'leary, Kimberly T. Kendziora
    Abstract:

    The relations of observed overreactive discipline with mothers' tendencies to notice negative, relative to positive, child behavior (preferential negative encoding), and mothers' negative appraisals of neutral and positive child behavior (negative appraisal bias), were examined in mothers of toddlers. The mothers rated both their own children's and unfamiliar children's behavior. Negative appraisal bias with respect to mothers' own (but not unfamiliar) children was related to mothers' Overreactivity, independent of child misbehavior. Overreactivity was not related to mothers' preferential negative encoding either of their own or of unfamiliar children's behavior. However, in the case of mothers' own children, preferential negative encoding moderated the relation between negative appraisal bias and overreactive discipline, such that the negative appraisal bias-Overreactivity relation was significant only in the context of high preferential negative encoding.

  • A Longitudinal Study of Mothers' Overreactive Discipline and Toddlers' Externalizing Behavior
    Journal of Abnormal Child Psychology, 1999
    Co-Authors: Susan G. O'leary, Amy M. Smith Slep, M. Jamila Reid
    Abstract:

    The association between children's externalizing behavior problems and mothers' overreactive discipline was examined in a longitudinally assessed sample of toddlers and their mothers. Path analyses indicated that mothers' overreactive discipline and children's externalizing behaviors were significantly and similarly stable over a 2 1/2-year period. No evidence of a cross-time influence of either variable on the other was observed. Mothers' overreactive discipline at Time 2 had a significant effect on Time 2 externalizing behavior. No significant effects of children's behavior on mothers' discipline were found. Mothers' depressive symptomatology and marital discord predicted initial Overreactivity and were related to externalizing problems through their relations to Overreactivity. The results support the appropriateness of implementing parenting interventions for externalizing problems before age 2 years.

  • Mothers' and Fathers' Discipline of Hard-to-Manage Toddlers
    Child & Family Behavior Therapy, 1997
    Co-Authors: Elizabeth Harvey Arnold, Susan G. O'leary
    Abstract:

    This study compares discipline strategies of mothers and fathers with hard-to-manage toddlers. Discipline strategies of 38 parents (19 couples) were assessed using both observational and self-report methods. Parents were observed interacting individually with their children in a structured laboratory situation, and parents completed a self-report measure of discipline. Both assessments indicate that mothers were more overreactive in their discipline than fathers, however no difference in lax parenting was found. Depression and time spent in child care tasks were examined as possible determinants of mothers' greater Overreactivity.

  • The effect of child negative affect on maternal discipline behavior
    Journal of Abnormal Child Psychology, 1995
    Co-Authors: Elizabeth Harvey Arnold, Susan G. O'leary
    Abstract:

    The effect of children's negative affect on maternal discipline behavior was evaluated in a sample of 39 children (19 to 41 months old) and their mothers. Mothers were randomly assigned to view a videotape that contained either a high level of child negative affect (NA) or no negative affect (NNA). After viewing the videotape, mothers were observed interacting with their own children in three tasks designed to elicit child misbehavior. Mothers in the NA condition displayed significantly greater Overreactivity to child misbehavior; no significant difference in laxness was observed between the two groups of mothers. Children of mothers in the NA condition tended to display more misbehavior during the last two tasks of the interaction. Maternal negative affect received mixed support as one possible mediator of this effect.

Walter Hellinckx - One of the best experts on this subject based on the ideXlab platform.

  • reexamining the parenting scale reliability factor structure and concurrent validity of a scale for assessing the discipline practices of mothers and fathers of elementary school aged children
    European Journal of Psychological Assessment, 2007
    Co-Authors: Peter Prinzie, Patrick Onghena, Walter Hellinckx
    Abstract:

    The reliability, factor structure, and concurrent validity of the Parenting Scale (Arnold, O'Leary, Wolff, & Acker, 1993), a 30-item instrument originally developed to assess the discipline practices of parents of preschool children, was examined for parents of elementary school-aged children. Participants were 596 mothers and 559 fathers of a proportionally stratified sample of nonclinical elementary school-aged children. A confirmatory factor analysis could not replicate the three factors found by Arnold et al. (1993). An exploratory factor analysis, using data of the mother sample, revealed two interpretable factors corresponding with the Overreactivity and laxness factors identified in previous studies of the parenting scale. The first factor contains 11 and the second factor 9 items. Confirmatory factor analyses, using 3-year follow-up data from the mother and the father sample separately, replicated this factor structure. The internal consistency and test-retest stability were acceptable to good. Ev...

Elizabeth A. Harvey - One of the best experts on this subject based on the ideXlab platform.

  • Reciprocal Relations Between Parenting Behaviors and Conduct Disorder Symptoms in Preschool Children
    Child psychiatry and human development, 2018
    Co-Authors: Benjamin Rolon-arroyo, David Arnold, Rosanna P. Breaux, Elizabeth A. Harvey
    Abstract:

    Reciprocal relations between children’s conduct disorder (CD) symptoms and parenting behaviors were examined across the preschool years. Participants were 199 children (M = 44.26 months, SD = 3.37; 92 girls) and their 199 mothers and 158 fathers. CD symptoms were assessed via structured interviews; parenting was assessed via observational and self-report measures. Fixed effects models were used to assess within-individual changes and traditional cross-lagged models were used to assess between-individual changes; comparisons by sex were also carried out. Increases in maternal Overreactivity predicted increases in CD symptoms. During the later preschool years, decreases in maternal warmth predicted increases in CD symptoms and increases in CD symptoms predicted increases in paternal Overreactivity. Reciprocal effects were found between girls’ CD symptoms and paternal negative affect. Findings suggest maternal and paternal influence on the development of CD symptoms and suggest that CD symptoms influence fathers’ parenting during the preschool years.

  • A Longitudinal Study of the Relation Between Depressive Symptomatology and Parenting Practices.
    Family relations, 2012
    Co-Authors: Paula Errázuriz, Elizabeth A. Harvey, Dhara A. Thakar
    Abstract:

    This longitudinal study examined whether mothers' depressive symptomatology predicted parenting practices in a sample of 199 mothers of 3-year-old children with behavior problems who were assessed yearly until age 6. Higher maternal depressive symptoms were associated with higher Overreactivity and laxness and lower warmth when children were 6 years old. Higher maternal depressive symptoms were also related to increases in Overreactivity across the preschool years. Moreover, depression and parenting practices (Overreactivity and laxness) covaried over time within mothers. These results provide evidence of a strong link between maternal depression and parenting during the preschool years.

  • Psychopathology and Parenting Practices of Parents of Preschool Children with Behavior Problems.
    Parenting science and practice, 2011
    Co-Authors: Elizabeth A. Harvey, Brian Stoessel, Sharonne D. Herbert
    Abstract:

    Objective . This study investigated associations among different types of parental psychopathology and several specific parenting practices. Design . Mothers (n = 182) and fathers (n = 126) of preschool-aged children with behavior problems completed questionnaires assessing parental psychopathology and parenting practices and participated in observed parent–child interactions. Results . Maternal depression, anxiety, substance abuse, and several different personality disorder traits were related to maternal negativity, laxness, and lack of warmth. Paranoid, schizoid, schizotypal, and borderline personality disorder symptoms predicted mothers' parenting practices, even when statistically controlling for other types of psychopathology. For fathers, those same symptoms, dependent and avoidant symptoms, and substance abuse symptoms were associated with self-reported lax parenting. Some evidence emerged that psychopathology in one parent was associated with less Overreactivity in the other. Conclusions . Many a...

  • The role of family experiences and ADHD in the early development of oppositional defiant disorder.
    Journal of consulting and clinical psychology, 2011
    Co-Authors: Elizabeth A. Harvey, Lindsay A. Metcalfe, Sharonne D. Herbert, John H. Fanton
    Abstract:

    Objective The present study examined the role of family experiences in the early development and maintenance of oppositional defiant disorder (ODD) symptoms in preschool-age children with behavior problems. Method Participants were 199 3-year-old children with behavior problems who took part in 4 annual child and family assessments. Results Children with behavior problems who were exposed to overreactive parenting practices, maternal depression, marital conflict, and lower family income tended to have more ODD symptoms 3 years later. Moreover, initial changes in paternal Overreactivity and changes in maternal depression corresponded to initial changes in ODD symptoms. Children who met criteria for attention-deficit/hyperactivity disorder at 6 years of age were less likely to show improvement in ODD symptoms from 3 to 6 years of age, and they were more likely to have been exposed to negative parenting practices, marital conflict, and parental depression during the preschool years. Maternal depression and Overreactivity mediated the relation between early hyperactivity and later ODD symptoms. Conclusions Results point to the importance of early family functioning in the development of ODD.

  • The Role of Family Experiences and ADHD in the Early Development of Oppositional Defiant Disorder
    2011
    Co-Authors: Elizabeth Harvey, Elizabeth A. Harvey, Lindsay A. Metcalfe, Sharonne D. Herbert, John H. Fanton
    Abstract:

    Objective—The present study examined the role of family experiences in the early development and maintenance of oppositional defiant disorder (ODD) symptoms in preschool aged children with behavior problems. Method—Participants were 199 3-year-old children with behavior problems who took part in four annual child and family assessments. Results—Children with behavior problems who were exposed to overreactive parenting practices, maternal depression, marital conflict, and lower family income tended to have more ODD symptoms 3 years later. Moreover, initial changes in paternal Overreactivity, and changes in maternal depression corresponded to initial changes in ODD symptoms. Children who met criteria for ADHD at age 6 were less likely to show improvement in ODD symptoms from age 3 to 6, and were more likely to have been exposed to negative parenting practices, marital conflict, and parental depression during the preschool years. Maternal depression and Overreactivity mediated the relation between early hyperactivity and later ODD symptoms. Conclusions—Results point to the importance of early family functioning in the development o