Preschool program linked with better social and emotional skills years later

December 10, 2020

UNIVERSITY PARK, Pa. -- A preschool enrichment program developed at Penn State helps boost social and emotional skills that still have positive effects years later during middle and high school, according to a new study.

The researchers found that students attending Head Start preschools that implemented the Research-based, Developmentally Informed (REDI) program were less likely to experience behavioral problems, trouble with peers and emotional symptoms like feeling anxious or depressed by the time they reached seventh and ninth grade.

Karen Bierman, Penn State Evan Pugh Professor of Psychology, said she was encouraged that the students were still showing benefits from the program years later.

"The program had an effect on internal benefits, including better emotion management and emotional well-being, as well as external benefits, such as reduced conduct problems," Bierman said. "So not only did the program result in fewer distressed adolescents, but it also resulted in less distress for their teachers and peers, as well. It's an important finding to know we can promote these long-term benefits by intervening early with a strategic prevention programming embedded in a well-established public program like Head Start."

According to the researchers, living in poverty is difficult for children and their families. The lack of resources and added stress increase the chance that a child may develop gaps in social, emotional and language skills by the time they begin school, placing them behind other children growing up in more well-resourced circumstances. Moreover, this gap tends to widen over time, placing children in low income families at risk for developing emotional and behavioral problems by the time they reach adolescence.

But Bierman said previous research has also shown that stronger early social-emotional and self-regulation skills can protect against these effects, creating an opportunity for preschool programs to help close some of these gaps.

The REDI program was developed at Penn State as a way to build upon the existing Head Start program, which provides preschool education to low-income children. The REDI program aims to improve social and emotional skills, as well as early language and literacy skills, by incorporating stories, puppets and other activities that introduce concepts like understanding feelings, cooperation, friendship skills and self-control skills.

Bierman said the program uses a classroom curriculum called Preschool PATHS, which stands for Promoting Alternative Thinking Strategies.

"It's a program that teaches skills like how to make friends, how to be aware of your and others' feelings, and how to manage strong feelings and conflict," Bierman said. "These programs are designed to enhance the child's ability to get along with others, regulate their emotions, and develop coping skills."

She added that REDI also promotes language development with daily interactive reading and discussion sessions that involve children in talking through the social and emotional challenges faced by story characters.

For the study, the researchers identified 25 preschool centers participating in Head Start. After obtaining consent from the children's parents, 356 children were cleared to participate in the study. Classrooms were randomly assigned to be part of the intervention group -- which included the REDI program enhancements -- or the comparison group, which was instructed to proceed with the school year as usual.

Students were assessed at the beginning and end of the preschool year, as well as at several checkpoints as they moved into elementary, middle, and high school. For this study, teachers rated students during seventh and ninth grade on such factors as conduct problems, emotional symptoms, hyperactivity and inattention, and peer problems.

"After the children left preschool, they moved on to many different schools and school districts," Bierman said. "Once they reached seventh and ninth grade, their teachers who provided ratings for this study didn't know who had been in the REDI classrooms and who hadn't, so it was very much a blind rating."

After analyzing the data, the researchers found that the number of students with clinically significant levels of conduct problems, emotional symptoms and peer problems was lower for children who had been in the Head Start classrooms implementing the REDI program compared to those in the Head Start classrooms without REDI enhancements.

By ninth grade, 6 percent of the REDI program students had ratings of very high conduct problems compared to 17 percent in the comparison group, and 3 percent of REDI program students had very high emotional symptoms compared to 15 percent in the comparison group. Additionally, 2 percent of REDI program students had very high peer problems compared to 8 percent in the comparison group.

"Teachers gave these ratings using clinical screening questionnaires, so students with very high difficulties may have problems significant enough to be referred for mental health treatment," Bierman said. "The main effect of the REDI program was to reduce the number of adolescents scoring in the highest risk category in adolescence and move them to a lower risk category."

The researchers said the results -- published today (Dec. 10) in the American Journal of Psychiatry -- suggest that programs like REDI can help reduce the gaps in school readiness and mental health that can come when early development is disadvantaged by financial hardship and lack of access to resources and supports.

"We found that the effects that lasted through adolescence weren't in the academic areas like literacy and math, but in the social-emotional areas," Bierman said. "Perhaps in the past, we've been too focused boosting academic learning in preschool and not paid enough attention to the value of enriching preschool with the social-emotional supports that build character and enhance school adjustment. We know from other research that these skills become very important in predicting overall success in graduating from high school, supporting future employment and fostering overall well-being in life."
Janet Welsh, Penn State; Brenda Heinrichs, Penn State; and Robert Nix, University of Wisconsin-Madison, also participated in this work.

The National Institute of Child Health and Human Development helped support this research.

Penn State

Related Mental Health Articles from Brightsurf:

Mental health strained by disaster
A new study found that suicide rates increase during all types of disasters -- including severe storms, floods, hurricanes and ice storms -- with the largest overall increase occurring two years after a disaster.

The mental health impact of pandemics for front line health care staff
New research shows the impact that pandemics have on the mental health of front-line health care staff.

World Mental Health Day -- CACTUS releases report of largest researcher mental health survey
On the occasion of 'World Mental Health Day' 2020, CACTUS, a global scientific communications company, has released a global survey on mental health, wellbeing and fulfilment in academia.

Mental illness, mental health care use among police officers
A survey study of Texas police officers examines how common mental illness and mental health care use are in a large urban department.

COVID-19 outbreak and mental health
The use of online platforms to guide effective consumption of information, facilitate social support and continue mental health care delivery during the COVID-19 pandemic is discussed in this Viewpoint.

COVID-19 may have consequences for mental health
The COVID-19 pandemic appears to be adversely affecting mental health among hospitalised patients, the healthcare professionals treating them and the general population.

Mental health outcomes among health care workers during COVID-19 pandemic in Italy
Symptoms of posttraumatic stress disorder, depression, anxiety and insomnia among health care workers in Italy during the COVID-19 pandemic are reported in this observational study.

Mental ill health 'substantial health concern' among police, finds international study
Mental health issues among police officers are a 'substantial health concern,' with around 1 in 4 potentially drinking at hazardous levels and around 1 in 7 meeting the criteria for post traumatic stress disorder and depression, finds a pooled data analysis of the available international evidence, published online in Occupational & Environmental Medicine.

Examining health insurance nondiscrimination policies with mental health among gender minority individuals
A large private health insurance database was used to examine the association between between health insurance nondiscrimination policies and mental health outcomes for gender minority individuals.

Mental health care for adolescents
Researchers examined changes over time in the kinds of mental health problems for which adolescents in the United States received care and where they got that care in this survey study with findings that should be interpreted within the context of several limitations including self-reported information.

Read More: Mental Health News and Mental Health Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to