“…Symptoms and diagnoses of anxiety and depression have been identified across numerous community samples of preschool-aged (3- to 5-year-old) children (Bufferd et al, 2011; Dougherty, Leppert, et al, 2015; Franz et al, 2013; Lavigne et al, 2009; Wichstrom et al, 2012). These forms of internalizing psychopathology are associated with impairment for youth and their families (Barrios et al, 2019; Bufferd et al, 2011; Luby, Belden, et al, 2009; Towe-Goodman et al, 2014) and, for some children, persist over time and/or contribute to other disorders and difficulties (Bufferd et al, 2012; Dougherty et al, 2013; Dougherty, Smith, et al, 2015; Ezpeleta et al, 2020; Finsaas et al, 2018; Luby et al, 2014). Overall, internalizing symptoms and disorders contribute to suffering for children and families, and the continuity and escalation of these difficulties come with high personal and societal costs (Baxter et al, 2014; Greenberg et al, 2015).…”