Evidence map›Paper›PMID 39158262›Full record

ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2025

Internalizing problems can differ in boys and girls since early childhood: findings from the Child Behavioral Checklist 1.5-5.

Adriana Maldonado-Martinez, Sheila C Caetano, Marcos V Ribeiro, Alexandra Restrepo-Henao, Paola M Okuda, Thiago M Fidalgo, Pamela J Surkan, Luis Manuel Silva, Silvia S Martins

Abstract read
In one paragraph

Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Adriana Maldonado-MartinezDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. Facultad Nacional de Salud Pública, Universidad de Antioquia, Medellín, Colombia.
Sheila C CaetanoDepartamento de Psiquiatria, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Marcos V RibeiroDepartamento de Psiquiatria, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Alexandra Restrepo-HenaoDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. Facultad Nacional de Salud Pública, Universidad de Antioquia, Medellín, Colombia.
Paola M OkudaDepartamento de Psiquiatria, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Thiago M FidalgoDepartamento de Psiquiatria, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Pamela J SurkanDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Luis Manuel SilvaFacultad de Psicología, Pontificia Universidad Javeriana, Bogotá, Colombia.
Silvia S MartinsDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.

Funding

Instituto Colombiano de Crédito Educativo y Estudios Técnicos en el Exterior
6 · The paper itself

Abstract

objectiveInternalizing problems disproportionately affect females in adolescence and adulthood, but research at earlier ages is limited due to a focus on disruptive behaviors. Our study addresses this gap by exploring the structure of internalizing problems and gender differences in Brazilian preschoolers.

methodsWe analyzed data from the Child Behavioral Checklist 1.5-5 (CBCL 1.5-5) as administered in the Preschool Mental Health Study (PreK Survey), involving 1,292 children aged 4 to 5 in Embu das Artes, state of São Paulo, Brazil. Confirmatory factor analysis and comparisons of means explored internalizing problems and gender variations.

resultsA two-factor model best fit both internalizing and externalizing problems. A hierarchical model with four factors (emotionally reactive, anxiety/depression, somatic complaints, and withdrawn) best fit internalizing problems, achieving partial invariance between boys and girls. Boys scored higher in the withdrawn syndrome, while girls scored higher in the somatic complaint syndrome.

conclusionsPreschoolers' internalizing problems warrant attention beyond their link to externalizing problems. While the overall construct is similar in boys and girls, divergent syndrome scores indicate potential distinct risk patterns requiring further exploration.

Indexed as

Child BehaviorChild Behavior DisordersProblem BehaviorAnxietyBrazilChecklistChild, PreschoolDepressionFactor Analysis, StatisticalFemaleHumansMaleSex Factorsanxietyconfirmatory factor analysisdepressiongender differencesPreschool mental health

Identifiers

PMID39158262
PMCPMC12681354

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.