Children who experience difficulties controlling their emotions and behavior in early childhood are more likely to show symptoms of attention deficit hyperactivity disorder (ADHD) and other mental health challenges by age seven, a new study reveals.
The research, led by the University of Edinburgh, highlights the importance of early emotional development in predicting mental health outcomes. According to the study, children aged three to seven who take longer to develop emotional regulation skills are at greater risk of not only ADHD but also conduct issues and internalizing behaviors like sadness and anxiety.
Emotional Development and Mental Health

The study analyzed data from the UK Millennium Cohort Study, a long-term research project tracking the lives of approximately 19,000 children born between 2000 and 2002. Researchers from the Universities of Edinburgh, Northumbria, and Oxford examined parental surveys and interviews to assess children’s emotional regulation, social behaviors, and conduct.
Using statistical models, the team found that children who showed intense emotional reactions and slower progress in regulating those emotions were more likely to exhibit ADHD symptoms, conduct problems, and internalizing behaviors by the age of seven. This pattern held even after accounting for pre-existing neurodevelopmental or mental health conditions.
A New Perspective on ADHD Preventative Care

The findings offer crucial insights for early childhood care. Emotion regulation skills are acquired early in life and are thought to strengthen gradually over childhood, said Dr. Aja Murray from the University of Edinburgh’s School of Philosophy, Psychology, and Language Sciences. “Children acquire these skills at different rates, and slower acquisition may serve as a marker for neurodevelopmental and mental health issues.”
Dr. Murray emphasized the importance of monitoring emotional development to identify at-risk children. Such insights could enable caregivers and educators to provide targeted support, potentially mitigating the development of more serious mental health issues later in life.
Implications for Policy and Practice

This study is one of the first to explore the link between early emotional regulation patterns and school-age mental health outcomes. Researchers suggest that enhanced preventative care and tailored interventions during the critical early years could significantly support children at risk.
The research underscores the value of understanding and nurturing emotional skills in early childhood as part of a comprehensive approach to mental health and neurodevelopmental care.
Reference: Aja Louise Murray, Amanda Russell, Francisco Antonio Calderón Alfaro. Early emotion regulation developmental trajectories and ADHD, internalizing, and conduct problems symptoms in childhood. Development and Psychopathology, 2024.
