  Behavior Problems
Are behavior problems common?
Behavior is a complex interaction of a child's biologic vulnerabilities, innate strengths, a nurturing environment and parenting styles. A problem in any single area may lead to undesirable behaviors. A mismatch between these areas (for example a very strong-will child with a parent who is unable to set limits) can also emerge as behavior problems. Behavioral problems are not limited to infants who were born prematurely, but they are more common in former preemies. Children with other learning problems are at greater risk for behavioral problems, and behavioral problems can interfere with learning.
What behaviors might be a sign of future problems?
Behavior problems usually start before school age. They often are exaggerations of normal responses or behaviors, or persistence of behaviors beyond the usual age where they are common. Some of these include:
- Too aggressive at play, other children won't play with him/her
- Temper tantrums- severe, long, or age-inappropriate
- Won't comply with requests
- Can't tolerate any change in routine
- Excessive fears
- Can't play quietly
- Can't stay seated for meals or short activities
- Always moving
How will I know if my school age child has behavior problems?
Almost all children have periods of time when they misbehave or go through difficult stages. Your child's teacher or school will probably alert you if your child's behavior is out of the usual range. However, if you have concerns, discuss them with your child's teacher or pediatrician. Common signs of behavioral problems include:
- Doing poorly in school
- Difficulty paying attention
- Not completing projects or tasks
- Not following directions
- Difficulty sitting still for even short periods of time; always moving
- Impulsive behavior; acting before thinking about it
- Fighting, bullying or stealing
The above listed behaviors usually catch a teacher's attention quickly. Another behavior pattern is one characterized by anxiety and withdrawal. Signs include the following:
- Extreme shyness
- Not wanting to play or be with others
- Extreme fears or worry about the unknown, such as new activities or places
- Being over-sensitive to touch or sound
What can I do about behavior problems?
Children who have these problems are often in need of greater structure in their environment and more defined limits. Sometimes parents of preemies are reluctant to set limits, enforce rules or deny their child's requests because the child had to go through so much in the early months or because they don't want to dampen their child's strong will that made him/her a survivor. But, consistency in rules and limits and more structure often lead to a more secure environment in which to develop. If behavior problems persist or get worse, discuss them with your child's doctor or pre-school teacher.
Additional Resources
Developmental and Behavioral Pediatrics
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