With findings that are bound to rekindle the debate over
its effects on children, two studies being published today
build on evidence that those who spend long hours in child
care may experience more stress and are at increased risk
of becoming overly aggressive and developing other behavior
problems.
One of the studies found that the more time children
spent in child care, the more likely they were to be
disobedient and have trouble getting along with others,
though it suggested that factors like a mother's
sensitivity to the child's needs could moderate that
outcome.
This report is from the Study of Early Child Care and
Youth Development, the largest long-term study of child
care in the United States, which was undertaken by the
National Institute of Child Health and Human Development, a
branch of the National Institutes of Health. The findings
elaborate on preliminary research that created a storm of
debate when presented by the study's investigators at a
child development meeting two years ago.
The other study found that in children younger than 3,
levels of cortisol, a hormone associated with stress, rose
in the afternoon during full days they spent in day care,
but fell as the hours passed on days they spent at home.
This study's researchers, from the Institute of Child
Development of the University of Minnesota, had earlier
found the same pattern in 3- and 4-year-olds.
Cortisol levels in the saliva of day care children were
highest and rose most steeply in those judged by day care
center personnel to be the shyest. "These children struggle
in group situations and find them stressful," said the
study's lead author, Dr. Megan R. Gunnar.
Dr. Gunnar said that while none of the cortisol levels
measured were high enough to be considered signs of
psychological trauma, they were nonetheless a cause for
concern.
In a measure of how sensitive the topic of child care
has become, the studies, appearing in the journal Child
Development, are accompanied by nine commentaries from
researchers around the world that put the findings into
perspective and, in some cases, rebut them. The editors of
the journal delayed publication of the studies for several
months while they circulated the manuscripts to more than
1,000 child development experts and invited them to write
commentaries.
"I think it was worth holding up publication of the
research so that we could put it in context," said Dr. Lynn
S. Liben, editor in chief of Child Development. "Child care
is a controversial issue."
Unlike the University of Minnesota research, which dealt
only with children in day care, the study by the National
Institute of Child Health and Human Development followed
more than 1,000 children in 10 cities who were in the full
range of child care arrangements, including day care
centers, preschools, care with nannies and care with
relatives other than their mothers. The children's behavior
was evaluated by their mothers, caregivers and kindergarten
teachers.
The study, which began in 1991, found that the more
hours the children spent in child care, the higher the
incidence of problem behavior and the greater its
severity.
Over all, about 17 percent of the children had above-
average levels of problem behavior like disobedience and
overassertiveness. Though their behavior fell within normal
limits, children exhibiting such traits would be at risk of
developing behavioral abnormalities, said the study's
scientific coordinator, Dr. Sarah L. Friedman.
Most of the children in the study spent 10 or more hours
a week in child care, and 10 percent spent more than 45
hours a week there. The correlation between quantity of
child care and behavior problems remained even when other
variables were taken into account, including the quality
and type of the child care, the mother's sensitivity to her
child's needs and the family's socioeconomic status.
Indeed, the study found that the time spent in child care
was linked more strongly with children's behavior than was
the quality of care.
But while none of those variables entirely offset the
negative effects that the study found, the mother's
sensitivity and the family's socioeconomic status had a
greater influence on children's behavior than did the
amount of time spent in child care. Greater maternal
sensitivity and higher level of family income and education
correlated with better behavior in the children, the study
found.
The commentaries published along with the two studies
elaborated on some of the findings and challenged others.
Susan C. Crockenberg, a professor of psychology at the
University of Vermont, cited other research concluding that
boys were more vulnerable than girls to negative effects of
child care.
A few of the commentators argued that contrary to the
findings of the National Institute study, the quality of
child care mattered a great deal in fostering young
children's social and emotional development. A commentary
by several researchers led by John M. Love, a senior fellow
at Mathematica Policy Research of Princeton, N.J., noted
that the more time that infants and toddlers spent in Head
Start programs, considered to be of high quality, the fewer
their behavior problems and the greater their intellectual
and language development.
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