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PubMed1995

Mother-child interaction quality as a partial mediator of the roles of maternal depressive symptomatology and socioeconomic status in the development of child behavior problems. Conduct Problems Prevention Research Group.

This investigation examined the relation between maternal depressive symptomatology and the development of externalizing behavior problems in children by incorporating mother-child interaction quality into a series of models. A representative sample of 376 first-grade boys and girls (mean age = 6.52) from diverse backgrounds (234 from the lowest 2 socioeconomic classes) and their mothers completed an interaction task designed to measure the quality of mother-child interaction. Latent variable structural equations analyses revealed that mother-child interaction quality partially mediated the relation between maternal depressive symptomatology and child behavior problems even when the effects of socioeconomic status on both variables were taken into account. Although this model held for boys, girls, and Caucasians, the relation between maternal depression and interaction quality was not significant for African-Americans. Further investigation is required to understand the lack of generalizability of the model to African-American mother-child dyads.

Child↗
PubMed2006

Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities.

This study evaluated two variants of a behavioral parent training program known as Stepping Stones Triple P (SSTP) using 74 preschool-aged children with developmental disabilities. Families were randomly allocated to an enhanced parent training intervention that combined parenting skills and care-giving coping skills (SSTP-E), standard parent training intervention alone (SSTP-S) or waitlist control (WL) condition. At post-intervention, both programs were associated with lower levels of observed negative child behavior, reductions in the number of care-giving settings where children displayed problem behavior, and improved parental competence and satisfaction in the parenting role as compared with the waitlist condition. Gains attained at post-intervention were maintained at 1-year follow-up. Both interventions produced significant reductions in child problem behavior, with 67% of children in the SSTP-E and 77% of children in the SSTP-S showing clinically reliable change from pre-intervention to follow-up. Parents reported a high level of satisfaction with both interventions.

Adaptation, Psychological↗
PubMed1994

Predictors of behavior problems in preschool children of inner-city Afro-American and Puerto Rican adolescent mothers.

Maternal reports on the Child Behavior Checklist/2-3 (CBCL/2-3) were used to evaluate child, maternal, and environmental predictors of behavior problems in 83 preschool children of disadvantaged adolescent mothers. CBCL/2-3 scores correlated modestly with independent ratings of child difficult behaviors observed in videotaped mother-child play interactions. 13% of children had scores in the clinical range. Significant correlations were consistently found between CBCL/2-3 ratings and maternal depressive symptoms, social supports, and life stress--assessed 3 times during the first year postpartum. In hierarchical regression analyses, maternal depressive symptoms, residence with the adolescent's mother, and perceived emotional support from friends contributed most to the explained variance. A significant ethnicity x child gender interaction term also suggested that African American mothers of male children reported more behavioral problems. Findings evidence the heterogeneity of outcomes for children of disadvantaged adolescent mothers but also demonstrate how correlates of poverty negatively affect their socioemotional development.

Adolescent↗
PubMed1992

Parent-teacher agreement on kindergarteners' behavior problems: a research note.

The present study investigated parameters of agreement as well of disagreement among mothers' and teachers' ratings of the behavior of kindergarten boys and girls. Findings indicated a generally low to moderate level of agreement between these two types of informants. They also suggested that demographic and background characteristics can effect size and direction of level of agreement. Although proportions of children rated as having the listed behavior problems varied in magnitude according to mothers and teachers, the rank order of the proportion of children with those behavior problems was rather similar for both informants. Such similar rankings of prevalence rates may reflect parents' and teachers' agreement on the consistency of children's behavior across the home and school settings.

Anxiety↗
PubMed2000

A study of genetic and environmental effects on the co-occurrence of problem behaviors in three-year-old twins.

The authors examined the genetic and environmental causes of the co-occurrence of problem behaviors in children. The analyses involved mother and father ratings of Oppositional, Withdrawn/Depressed, Aggressive, Anxious, Overactive, and Sleep Problems in 446 monozygotic and 912 dizygotic pairs of 3-year-old twins. Genetic factors contributed on average .150 (37.3%), shared environment .206 (51.2%), and nonshared environment .046 (11.4%) to the phenotypic correlations between the syndromes. Genetic and environmental factors caused different groupings. Internalizing and Externalizing groupings were indicative of nonshared environmental factors; clusters of problem behaviors with either the Aggressive or Anxious symptoms were most suggestive of genetic factors, and high scores on all syndromes indicated shared environmental influences.

Child Behavior Disorders↗
PubMedDate not supplied

Child maltreatment, stressful life events, and behavior problems in school-aged children in residential treatment.

This study examined the prevalence of child maltreatment, stressful life events, and behavior problems in school-aged children in residential treatment. The sample included 44 children, ages 5-13 years; 61% were male and 39% female. Results indicated that the entire sample had experienced one or more types of maltreatment, with physical abuse being more prevalent. Seventy-four percent of subjects scored in the clinical range on the Child Behavior Checklist (Achenbach & Edelbrock, 1983). Proportionally more physically abused children scored in the clinical range when compared to nonphysically abused children. The number of stressful life events experienced after admission to the treatment facility was found to be related to increased behavior problems.

Child↗
PubMed1977

Counseling parents of children with behavior problems: the use of extinction and time-out techniques.

The pediatrician is the professonal most frequently sought out for advice concerning disciplinary problems with children in the home. Behavioral psychologists have advocated the use of contingent ignoring and time-out procedures to help reduce problem behaviors; however, practicing pediatricians have found that these two procedures are often not successful. In fact, sometimes the two procedures seem to exacerbate inappropriate behavior. This paper documents the difficulties found in using the ignoring and/or time-out procedures in the home setting. Ptential pitfalls in the use of ignoring, including not specifying the target behavior, not taking a baseline, inadvertently, intermittently reinforcing the inappropriate behavior, response bursts, spontaneous recovery, and not reinforcing an appropriate alternative behavior, are described. In addition, several pitfalls in the use of the time-out procedure, including selection of isolation area, inappropriate selection of time intervals, interference from others in the family, and escape attempts on the part of the child are discussed. For each potential problem a remedy is suggested.

Behavior Therapy↗
PubMed1996

Culture and problem behaviors among inner-city African-American youth: further explorations

The present study examined connections between culture and problem behaviors among 119 inner-city African-American fifth and sixth graders. The relevant orientations of the Afrocultural, Anglocultural and marginalized minority realms of the African-American experience were considered in terms of mean endorsement, interrelationships, and relationships with aggressive and delinquent behaviors. Results indicated that youth endorsed the Afrocultural orientation of spirituality and the Anglocultural orientation of effort optimism most highly. Afrocultural orientations were positively associated with effort optimism, while the other Anglocultural orientations correlated positively with marginalized minority orientations. The Anglocultural orientation of person/object relations and the marginalized orientations of school rejection, and gang-related activity predicted problem behaviors. The Afrocultural orientations did not emerge as significant negative predictors of such behaviors. Findings are discussed primarily in terms of directions for future research.

Journal Article↗
PubMed2001

Prevalence of social-emotional and behavioral problems in a community sample of 1- and 2-year-old children.

OBJECTIVE: To examine the prevalence of infant-toddler social-emotional and behavioral problems and associations with social-emotional competence, interference in family life, and parental worry. METHOD: The sample consisted of 1- and 2-year-old children (mean [MN] age = 24.8 months) from the baseline survey of a representative sample of healthy births (N= 1,280). Parent questionnaires included the Child Behavior Checklist (CBCL/2-3), Parenting Stress Index Short Form (PSI/SF), and Infant-Toddler Social and Emotional Assessment social-emotional competence scales, as well as questions about parental worry and family activities. RESULTS: Approximately 80% of eligible subjects participated. The weighted prevalence of parent-reported subclinical/clinical CBCL/2-3 scores was 11.8% for 2-year-olds. Approximately 6% of parents of 1- and 2-year-olds reported clinical-level scores on the PSI Difficult Child (PSI/DC) scale, which was included as a proxy for behavior problems among 1-year-olds, for whom measures were limited. Sex differences were not observed. CBCL/2-3 and PSI/DC scores were uniquely associated with economic disadvantage (relative risk = 1.89 and 2.24, respectively). Approximately 32% of 2-year-olds with subclinical/clinical CBCL2-3 scores had delayed social-emotional competence. Problems were also associated with parental worry about child behavior and interference in family activities. CONCLUSIONS: A significant need for early identification of emotional/behavioral problems in very young children is highlighted by associations with delayed competence and disruptions in family life that may further contribute to risk for persistent problems.

Affective Symptoms↗
PubMed1998

Problem behaviors and personality of children and adolescents with Prader-Willi syndrome.

OBJECTIVE: Compare behavioral and emotional problems of children and adolescents with Prader-Willi Syndrome (PWS) and clients consulting mental health centers (MHC) and related behavioral and emotional problems to the children's personality in the PWS group. METHODS: Participants were 39 children with PWS and 585 matched MHC clients. Child Behavior Checklist (CBCL) syndromes were related to the Big-Five personality factors measured with the California Child Q-sort (CCQ). RESULTS: Mean CBCL Total Problems scores were not different for the PWS and MHC groups, but differences were found for several of the CBCL subscales. Patterns of correlations among CBCL scales were similar in both groups, although coefficients were generally higher in the PWS group, indicating higher comorbidity or co-absence of CBCL syndromes in children and adolescents with PWS. Personality profiles were specific for internalizing and Externalizing problems of children and adolescents with PWS.

Adolescent↗
PubMed1993

Factors associated with social and behavioral problems among children recently diagnosed with brain tumor.

Compared the psychological adjustment of 81 children with brain tumors to that of 31 control children with various malignancies not involving the central nervous system. Both groups exhibited significantly increased frequencies of elevations on one or more age- and gender-corrected Social Competence and Behavior Problems scales of the Child Behavior Checklist (CBCL) relative to normative expectations. Comparison of the Brain Tumor and Cancer Control groups revealed no significant differences on any CBCL scale. Among children diagnosed with brain tumors, stepwise multiple regression analyses revealed that low child IQ, residence in a single-parent family, moderate to severe disfigurement, low SES, tumor location, and severe functional impairment were associated with decreased Social Competence scores. Elevated Behavior Problems scores were associated with younger maternal age at the child's birth, tumor location, and residence in a single-parent family. Results reinforce the need to consider complex relationships between demographic characteristics of the child's family, type of brain damage, and the cosmetic and functional status of the child in determining acute psychological adjustment of brain-damaged children.

Adaptation, Psychological↗
PubMed2005

The relations of problem behavior status to children's negative emotionality, effortful control, and impulsivity: concurrent relations and prediction of change.

The relations of children's internalizing and externalizing problem behaviors to their concurrent regulation, impulsivity (reactive undercontrol), anger, sadness, and fearfulness and these aspects of functioning 2 years prior were examined. Parents and teachers completed measures of children's (N = 185; ages 6 through 9 years) adjustment, negative emotionality, regulation, and behavior control; behavioral measures of regulation also were obtained. In general, both internalizing and externalizing problems were associated with negative emotionality. Externalizers were low in effortful regulation and high in impulsivity, whereas internalizers, compared with nondisordered children, were low in impulsivity but not effortful control. Moreover, indices of negative emotionality, regulation, and impulsivity with the level of the same variables 2 years before controlled predicted stability versus change in problem behavior status.

Adaptation, Psychological↗
PubMed2000

Attaining nocturnal urinary control, nocturnal enuresis, and behavioral problems in Chinese children aged 6 through 16 years.

OBJECTIVE: To estimate the prevalence of nocturnal enuresis and to examine associations between nocturnal urinary control or enuresis and behavioral problems in Chinese children. METHOD: A community sample of 3,600 children aged 6 through 16 years was drawn from Shandong Province of China in 1997; 3,344 (93%) returned completed questionnaires. The Child Behavior Checklist and Teacher's Report Form were used to measure children's behavioral problems. RESULTS: The proportion of children attaining nocturnal urinary control before age 2 was 7.7%; by age 3, this had increased to 53.1%, and by age 5 to 93%. The overall prevalence of nocturnal enuresis was 4.3%, with a significantly higher prevalence in boys than girls. There was no significant decrease in the prevalence of enuresis between 6 and 16 years of age. Multiple logistic regression analyses showed that attaining nocturnal urinary control after age 4 and current enuresis were significantly associated with an increased risk of behavioral, emotional, and academic problems. CONCLUSIONS: Chinese children attain nocturnal urinary control earlier than Western children. The prevalence of nocturnal enuresis is low but fairly stable in children between 6 and 16 years. The findings support the link between nocturnal enuresis and psychopathology in children and adolescents.

Adolescent↗
PubMed1999

Association of prenatal maternal or postnatal child environmental tobacco smoke exposure and neurodevelopmental and behavioral problems in children.

We review the potential neurodevelopmental and behavioral effects of children's prenatal and/or postnatal exposure to environmental tobacco smoke (ETS). Children's exposure to ETS has been assessed in epidemiologic studies as a risk factor for a variety of behavioral and neurodevelopmental problems including reduced general intellectual ability, skills in language and auditory tasks, and academic achievement, and behavioral problems such as hyperactivity and decreased attention spans. We review 17 epidemiologic studies that have attempted to separate the effects of maternal active smoking during pregnancy from passive ETS smoke exposure by the pregnant mother or the child. Based on the available data, we found that ETS exposure could cause subtle changes in children's neurodevelopment and behavior. However, studies to date are difficult to interpret because of the unknown influence of uncontrolled confounding factors, imprecision in measurements of smoking exposure, and collinearity of pre- and postnatal maternal smoking. Although some evidence suggests that maternal smoking during pregnancy may be associated with deficits in intellectual ability and behavioral problems in children, the impact of prenatal or postnatal ETS exposure remains less clear.

Child Behavior Disorders↗
PubMed2000

More than the terrible twos: the nature and severity of behavior problems in clinic-referred preschool children.

The primary goals of this study are to describe the nature and severity of disruptive behavior problems in clinic-referred preschoolers from low-income environments and to explore the validity of DSM-IV disruptive disorders for young children. We examine the relation between DSM-IV symptoms, standardized behavior checklists, and observational ratings as a means of exploring measurement validity in this age group. Seventy-nine clinic-referred preschoolers (ages 2 through 5 years) from low-income environments were assessed. To examine whether clinic-referred preschool children have symptoms that are consistent with DSM-IV disruptive behavior disorders, parents were administered a semistructured diagnostic interview, modified for developmentally appropriate usage. In addition, parents completed the Child Behavior Checklist (CBCL) and children's behavior problems were assessed with observational ratings during parent-child interaction. Nearly half of the sample met criteria for conduct disorder, and three quarters met criteria for oppositional defiant disorder. Preliminary evidence for the validity of DSM-IV disruptive disorders in preschool children was demonstrated through association with CBCL scores, behavior ratings, and significant levels of impairment. Future efforts aimed at validating these diagnoses in preschoolers and implications for prevention are discussed.

Age Factors↗
PubMed2000

Problem behavior: the double symptom of adolescence.

In this article we address several issues regarding problem or antisocial behavior in adolescents. First, we discuss conceptualizations of adolescent problem behavior to answer the question 'What do we think we know so far?" Then, we briefly characterize current interventions designed to reduce these behaviors, and their relative success in doing so. Next, we examine earlier attempts to prevent and ameliorate problem behavior (including juvenile delinquency), situating them in the historical context of America from the turn of the century to World War II. Here, we attempt to answer the questions "How did we get to where we are?" and "How can we learn from the past?" Following this, we try to answer the question "Where do we go from here?" and articulate some research and policy implications relevant to developmental psychopathology that arise from these considerations. We argue that problem behavior is viewed most productively in its double aspect, which John Hughlings Jackson called a "double symptom," with the positive aspect of the symptom reflecting adolescents' attempts to satisfy their developmental needs.

Adolescent↗
PubMedDate not supplied

Asthma and internalizing behavior problems in adolescence: a longitudinal study.

OBJECTIVE: Clinical studies of asthmatic children have found an association between lung disease and internalizing behavior problems. The causal direction of this association is, however, unclear. This article examines the nature of the relationship between behavior and asthma problems in childhood and adolescence. METHODS: Data were analyzed on 5135 children from the Mater University Study of Pregnancy and its outcomes (MUSP), a large birth cohort of mothers and children started in Brisbane, Australia, in 1981. Lung disease was measured from maternal reports of asthma/bronchitis when the children were aged 5 and maternal reports of asthma symptoms when the children were aged 14. Symptoms of internalizing behaviors were obtained by maternal reports (Child Behavior Checklist) at 5 years and by maternal and children's reports at 14 years (Child Behavior Checklist and Youth Self Report). RESULTS: Although there was no association between prevalence of asthma and externalizing symptoms, asthma and internalizing symptoms were significantly associated in cross-sectional analyses at 5 and 14 years. In prospective analyses, after excluding children with asthma at 5 years, internalizing symptoms at age 5 were not associated with the development of asthma symptoms at age 14. After excluding children with internalizing symptoms at 5 years, those who had asthma at 5 years had greater odds of developing internalizing symptoms at age 14. CONCLUSION: Children who have asthma/bronchitis by the age of 5 are at greater risk of having internalizing behavior problems in adolescence.

Adolescent↗