Maternal drug use and infant temperament.
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Biomedical subjects
Publications and source records attributed to S C McDevitt.
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Studies of the perplexing problem of childhood obesity have considered etiological factors in the child and environment, but have largely ignored the child's temperament or style of interaction with the environment. In this report, a significant relationship is demonstrated between temperament and both rapid weight gain and actual obesity in middle childhood. In a longitudinal study of 138 children, weight-for-height percentile gains between 4 to 5 years and 8 to 9 years were significantly correlated with eight of nine difficult temperament characteristics and with a cumulative "index of difficulty." A separate cross-sectional study of 21 obese (greater than or equal to the 95th percentile weight for height) 6- to 12-year-old children found them to be significantly less rhythmical/predictable and lower in persistence/attention span than matched controls. These normal behavioral style characteristics, interacting with metabolic, dietary, and environmental factors, may predispose some children to inappropriate eating habits or make it harder to maintain a dietary plan to remedy the problem.
After referral to a pediatric neurologist for problems in behavior and learning, 61 children aged from three to seven years were assigned to one of four diagnostic groups: (1) minimal brain dysfunction (MBD); (2) hyperactivity; (3) learning disability; and (4) other criteria. Their temperament profiles were determined by the Behavioral Style Questionnaire. The disproportionately large number of children with more difficult temperament diagnoses in the referred population indicates that teachers and physicians may have mininterpreted a less adaptive behavioral style as evidence of neurological dysfunction. Those diagnosed clinically as having MBD were less adaptable, less persistent, more active and more negative than the control population. This suggests that MBD overlaps with difficult temperament. Children in the other three groups were temperamentally similar to the MBD group, which raises doubt about the advisability of diagnosing MBD on the basis of behavior alone. A comprehensive neurobehavioral profile is necessary to separate clearly the various factors contributing to problems in school performance.
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The Infant Temperament Questionnaire, originally published in 1970, has been revised to improve its psychometric characteristics. The number of items was increased from 70 to 95, rating options were increased from three to six, more items have high-low reversals, and they are randomized as to content area. The new form was standardized on 203 4- to 8-month-old infants. Good test-retest reliability was maintained and internal consistency of the nine categories was raised to a higher level, thereby assuring a greater reliability of the instrument. These improvements should enhance the questionnaire's use in clinical and research applications.
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Infant temperament profiles of "difficult," "intermediate," and "easy" in a randomly selected group of 51 children were shown to correlate with impulsivity and school adjustment at ages 5 1/2 to 7 years. However, the nonlinear relationship makes this a finding of uncertain significance. On the other hand, contemporaneous temperament determinations using the Behavioral Style Questionnaire completed by the children's mothers showed a significant correlation between the adaptability subscale and teacher judgments of school adjustment. This latter finding adds support to the view that temperament is a significant factor in school adjustment and that it can be measured by a clinical instrument appropriate for pediatric use.
Problems were discussed in interpretation of Part II of the Adaptive Behavior Scale based on skewness of distribution and the grouping of items used in the scoring procedure. Suggestions were made for possible future revisions of Part II of the scale.