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PubMed1985

Family life events, maternal depression, and maternal and teacher descriptions of child behavior.

The relationship between family life events, maternal depression, and teacher and maternal ratings of child behavior was studied in a birth cohort of New Zealand children. Analysis of variance and multiple regression analysis showed that for maternal ratings of child behavior, both maternal depression and family life events made significant independent contributions. For teacher ratings of child behavior, the only significant predictor was family life events. These results persisted when appropriate controls for family social, economic, and demographic characteristics were taken into account. The theoretical implications of these findings are discussed.

Child↗

PubMed1980

Acceptability of alternative treatments for deviant child behavior.

The acceptability of alternative treatments for deviant child behavior was evaluated in two experiments. In each experiment, clinical cases were described to undergraduate students along with four different treatments in a Replicated Latin Square Design. The treatments included reinforcement of incomparible behavior, time out from reinforcement, drug therapy, and electric shock and the treatments were described as they were appliedto children with problem behaviors. Experiment 1 developed an assessment device to evaluate treatment acceptability and examined whether treatments were rated as differentially acceptable. Experiment 2 replicated the first experiment and examined whether the severity of the presenting clinical problem influenced ratings of acceptability. The results indicated that treatments were sharply distinguished in overall acceptability. Reinforcement of incompatible behavior was more acceptable than other treatments which followed, in order, time out from reinforcement, drug therapy, and electric shock. Case severity influenced acceptability of alternative treatments with all treatments being rated as more acceptable with more severe cases. However, the strength of case severity was relatively small in relation to the different treatment conditions themselves which accounted for large portions of variance.

Behavior Therapy↗

PubMedDate not supplied

Contribution of maternal smoking during pregnancy and lead exposure to early child behavior problems.

Maternal smoking during pregnancy elevates risk for later child behavior problems. Because prior studies considered only Western settings, where smoking co-occurs with social disadvantage, we examined this association in Yugoslavia, a different cultural setting. Mothers enrolled in pregnancy as the low-exposure group in a prospective study of lead exposure were interviewed about health, including smoking history. A total of 199 children were assessed on the Child Behavior Checklist (CBCL) at ages 4, 4 1/2, and 5 years. Average cumulative blood lead (BPb) was determined from serial samples taken biannually since delivery. Longitudinal analyses were derived from 191 children with available data on behavior and covariates. Smoking was unrelated to social adversity. Controlling for age, gender, birthweight, ethnicity, maternal education, and Home Observation for Measurement of the Environment (HOME) Acceptance, smoking was associated with worse scores on almost all subscales; BPb concentration was related to small increases in the Delinquency subscale. Daughters of smokers received significantly higher scores on Somatic Complaints compared to daughters of nonsmokers, consistent with other work relating biological factors and internalizing problems in young girls. Because the present smoking/child behavior associations persist after control for individual and social factors also related to behavior problems, possible biological mediators are considered.

Adult↗

PubMedDate not supplied

Maternal perceptions of child behavior: handicapped versus nonhandicapped.

This study compares the ratings of child behavior in short stories by mothers of children with handicapping conditions versus those whose children had no handicapping conditions. Each of the mothers rated 12 short stories or vignettes and indicated their self-perceived level of stress. The results showed that the mothers of children with handicapping conditions expressed significantly greater stress levels and rated inappropriate child behavior in a more tolerant fashion than the mothers of children without handicapping conditions. This information may be of value to the dentist who treats patients with handicapping conditions, and it provides a greater understanding of the mothers' concerns and daily life stresses.

Adult↗

PubMed1989

Child behavior ratings: the influence of maternal characteristics and child temperament.

This study investigated the extent to which maternal characteristics, such as psychological health problems, marital adjustment and confidence in mother/wife roles, influenced how mothers rated the behavior of their first-born children (n = 100) on the Pre-school Behavior Questionnaire. Results showed that these characteristics were powerful predictors of behavior ratings. In contrast, the independent contribution of child temperament ratings was relatively small. It was concluded that child behavior problem and temperament measures may be confounded. Maternal ratings constitute a valuable source of information concerning parent-child interaction which deserve further investigation, especially of their influence on generally accepted measures of child behavioral adjustment.

Adaptation, Psychological↗

PubMed1986

Differences in abusive, at-risk for abuse, and control mothers' descriptions of normal child behavior.

Differences in the descriptions of normal child behavior were assessed for mothers at-risk for abuse (N = 18) and control (N = 20) mothers, and compared to a criterion group of currently abusive mothers (N = 5). Three segments of each of nine videotaped scenes were rated by the mothers. At-risk mothers rated more segments as negative (M = 11.1) than did control mothers (M = 7.0), and were more like the abusive mothers who were the most negative of all (M = 16.4). When type of scene (e.g., noncompliant, mildly aversive, daily activities, child unattended) was analyzed, the at-risk mothers rated more of the mildly aversive (p less than .05) and child unattended (p less than .05) scenes as negative than did the controls. Abusing mothers rated significantly more segments as negative (p less than .05) than the other groups on all but noncompliant scenes. When specific risk factors were examined, insularity and directly observed negative interactions between mothers and their own child were significantly related to total segments rated as negative (p less than .02; p less than .05, respectively). The study was conceptualized and results discussed in terms of faulty stimulus discrimination; specifically, overgeneralizing from negative stimuli on the part of troubled mothers.

Adult↗

PubMed1997

Impact of family type and family quality on child behavior problems: a longitudinal study.

OBJECTIVE: In the context of substantial changes in family types and even family quality in recent times, this study is concerned with the extent to which family type and quality impacts on child behavior problems. METHOD: A sample of 8,556 pregnant women were enrolled in a prospective, longitudinal study. Details of changes in family type and family quality (assessed using Spanier Dyadic Adjustment Scale) were used to predict three second-order syndromes developed from the Child Behavior Checklist and administered to the mothers when the child was 5 years of age. RESULTS: Mothers who experienced no partner changes (married and single) reported the lowest rates of child behavior problems for the three syndromes used in this study. In addition, mothers who more often described their relationship with their partner as poor also reported the highest rate of child behavior problems across all three syndromes. Adjustment for possible confounders did not alter these findings. CONCLUSION: Both changes of partner and dyadic conflict appear to lead to child behavior problems, with the latter factor appearing to have a greater impact than the former. Mothers who experienced no partner changes and no conflict appeared to have children with the fewest behavior problems.

Child Behavior Disorders↗

PubMed2005

Bipolar diagnoses in community mental health: Achenbach Child Behavior Checklist profiles and patterns of comorbidity.

BACKGROUND: There are converging findings about pediatric bipolar disorder (PBD) in terms of associated comorbidity and behavior problem profiles on the Achenbach Child Behavior Checklist (CBCL). However, no study has examined clinical or demographic characteristics of youths clinically diagnosed with bipolar disorder in a low-income, diverse community clinical sample. METHODS: Archival data (N = 3086 cases) from six urban community mental health centers (CMHC) were reviewed to determine the base rate of bipolar disorder and the demographic and clinical characteristics (comorbidity and CBCL profiles) associated with the diagnosis. RESULTS: Roughly 6% of the sample received clinical diagnoses of PBD. Patterns of comorbidity and CBCL profiles were highly similar to published samples. However, elevated CBCL scores were not specific to bipolar disorder, since they were also frequently high for nonbipolar cases. CONCLUSIONS: There appears to be substantial convergence between the demographic and clinical characteristics of cases clinically diagnosed with PBD versus those diagnosed with semistructured research interviews, strengthening the validity of both sets of diagnoses. At the same time, the CBCL appears to do poorly discriminating clinical diagnoses of PBD, due to the pervasive externalizing behavior problems in CMHC samples and the variable presentation of PBD cases.

Bipolar Disorder↗

PubMed1986

Child behavior, maternal depression, and social coercion as factors in the quality of child care.

Observational and self-report data were obtained in the homes of 33 mother-child dyads. These volunteer, normal subjects were monitored with respect to their affectionate and aversive interactions, and the mothers were asked to provide three categories of self-report data. Mothers made observational judgements of their children, their own feelings of depression, and the valences of their interactions with adults. Multiple regression analyses were then employed to predict the mothers' child care behaviors, which were composed of observed mother responses and mother observational judgements. In addition, conditional probability analyses were conducted to examine the directionality of correlations between observed mother-child interchanges. Results showed child behavior to be the best single predictor of how the mothers responded to their children, followed by maternal depression and mother coercive interactions with adults. Child behavior was shown to be a significant antecedent "cue" for the maternal responses. However, the findings also showed that mother observational judgements about their children had little to do with how the children behaved. Rather, the maternal judgements were best predicted by mother depression, mother coercive interchanges with adults, and the mothers' observed aversive responses to their children. Results were interpreted within a systems framework in which maternal care is viewed as a response that is "triangulated" by adult- and child-produced stimuli.

Child Behavior↗

PubMed2000

Parent reports of child behavior problems in young Sami children: a cross-cultural comparison.

In a general population study of 4-year-olds, using the Child Behavior Checklist (CBCL), parent reports of child behavior problems were compared in samples of 67 monoethnic Sami, 52 multiethnic Sami/Norwegian, and 63 monoethnic Norwegian children from the Sami core area in northern Norway. Mean CBCL total problem scores were low for all three groups [Sami: 21.1 (SD 15.5), Sami/Norwegian: 19.4 (SD 12.2) and Norwegian: 18.8 (SD 13.6)]. No significant differences across ethnic groups were found for the Total Problems scale and the Internalizing and Externalizing scales, nor for the syndrome scales, except for the Withdrawn scale, the Sami/Norwegian sample showing the highest scores. However, significant ethnicity x gender interactions emerged, indicating that the effect of ethnicity was different for boys versus girls. Sami mothers reported the highest and the Norwegian mothers the lowest scores for girls, whereas the opposite pattern was found for boys. Correlations between mothers' and fathers' reports were generally low. Differences in mean scale scores between pairs of parents (n = 122) were found for boys but not for girls, mothers scoring higher than fathers. The authors underline the importance of taking gender differences, age and ethnic context into account when assessing problem behavior in minority children. Methodological problems in cross-cultural assessments, including the influence of cultural norms of child behavior on parents' problem ratings, are discussed.

Child Behavior Disorders↗

PubMed2001

Analogue assessment of child behavior problems.

The psychometric properties of analogue assessment measures of child behavior problems are reviewed. Analogue assessment refers to an observational measure of targeted behaviors that are elicited by simulated experimental conditions, which, in turn, are devised to approximate natural circumstances. For the most part, this assessment approach has been used sporadically in the clinical setting with children who are behaviorally disturbed. Lack of standardization of measures and inconsistent findings of ecological validity are among several concerns noted. The paucity of available data limits conclusions that can be drawn at this time about the role of analogue assessment in the evaluation and treatment of child behavior problems.

Child↗

PubMed2001

Maternal ratings of child behavior improve with treatment of maternal depression.

BACKGROUND AND OBJECTIVES: Maternal reports of child behavior are often the sole criterion by which childhood psychiatric disorders are diagnosed and treated, even though maternal distress or psychopathology may influence the accuracy of these reports. This study examines the effect of maternal depression and the impact of its treatment on reported behavior in the depressed women's children. METHODS: A total of 24 women with newly diagnosed major depressive disorder completed a self-rated Beck Depression Inventory (BDI) and a Conners' Parent Rating Scale (CPRS) of child behavior prior to and after 1-2 months of antidepressant treatment. RESULTS: During antidepressant treatment, mean maternal BDI declined by 53%, while mean CPRS score decreased by 20%; these improvements were significantly correlated. Changes in the conduct, learning problem, and impulsive-hyperactive CPRS-subscale scores accounted for 89% of the rated behavioral change. CONCLUSIONS: Reported behavior problems in the children of depressed mothers improved with treatment of the maternal depression, and the degree of reported behavioral improvement was highly correlated with the degree of improvement in depressive symptoms. Maternal depression must therefore be considered in the differential diagnosis of any child being evaluated for behavior or emotional problems.

Antidepressive Agents↗

PubMed2002

Parenting styles and child behavior in African American families of preschool children.

Examined the relations between parenting styles and child behavior problems in African American preschool children. Participants were 108 African American female caregivers of 3- to 6-year-old children. Correlational analysis showed that parent-reported child behavior problems were associated with maternal education, family income, and parents' endorsement of authoritative parenting, authoritarian parenting, and permissive parenting. Hierarchical regression analysis showed that the authoritative parenting style was most predictive of fewer child behavior problems. These results are consistent with previous findings with European American families and provide strong support for the cross-cultural validity of the authoritative parenting style.

Black or African American↗

PubMed2003

A preliminary meta-analysis of the child behavior checklist in pediatric bipolar disorder.

BACKGROUND: A possible explanation for the ongoing controversy surrounding pediatric bipolar disorder is that differences in assessment methodologies lead to conflicting results. One way to address methodological differences in assessment across studies is to use a single standardized assessment of psychopathology to calibrate the findings reported in different studies. To this end, we conducted a meta-analysis of several studies that have employed the Child Behavior Checklist in the assessment of children with a diagnosis of bipolar disorder. METHODS: MEDLINE was searched for all publications that utilized the Child Behavior Checklist in addition to structured diagnostic interviews to assess pediatric bipolar disorder. Random effects models were used to calculate combined estimates of Child Behavior Checklist clinical subscales. RESULTS: Children with bipolar disorder had scaled scores of >70 in the Aggression, Attention Problems, and Anxious/Depressed subscales of the Child Behavior Checklist. The Child Behavior Checklist was useful in distinguishing bipolar from attention-deficit/hyperactivity disorder subjects. CONCLUSIONS: While there was a significant heterogeneity in estimates between studies, a consistent pattern of elevations in inattention/hyperactivity, depression/anxiety, and aggression was identified.

Adolescent↗

PubMed2005

Prevention of child behavior problems through universal implementation of a group behavioral family intervention.

The aim of this mental health promotion initiative was to evaluate the effectiveness of a universally delivered group behavioral family intervention (BFI) in preventing behavior problems in children. This study investigates the transferability of an efficacious clinical program to a universal prevention intervention delivered through child and community health services targeting parents of preschoolers within a metropolitan health region. A quasi-experimental two-group (BFI, n = 804 vs. Comparison group, n = 806) longitudinal design followed preschool aged children and their parents over a 2-year period. BFI was associated with significant reductions in parent- reported levels of dysfunctional parenting and parent-reported levels of child behavior problems. Effect sizes on child behavior problems ranged from large (.83) to moderate (.47). Positive and significant effects were also observed in parent mental health, marital adjustment, and levels of child rearing conflict. Findings are discussed with respect to their implication for significant population reductions in child behavior problems as well as the pragmatic challenges for prevention science in encouraging both the evaluation and uptake of preventive initiatives in real world settings.

Australia↗

PubMed2003

Three informants' reports of child behavior: parents, teachers, and foster parents.

OBJECTIVE: To evaluate whether disagreements in reporting child behavior problems between biological parents and foster parents and teachers are related to depressive symptoms in the biological parent. METHOD: Child Behavior Checklists and Teacher's Report Forms were completed by parents, foster parents, and teachers on 95 foster children between ages 5 and 16 during 1990-1991. Depressive symptoms in biological parents were assessed using the Center for Epidemiologic Studies Depression Scale. Structural equation modeling was used to estimate the relation between parental depressive symptoms and the discrepancies between their reports and those of two other informants. RESULTS: In both the internalizing and externalizing behavior models, a significant relation was found between parents' depressive symptoms and their discrepancies in reporting, but not with child behavior. This relation was stronger for internalizing than externalizing models. CONCLUSIONS: Using foster parents (and teachers) as informants offered a unique opportunity to view the reports of biological parents in comparison to two independent reports. Foster parents have a similar observational situation as biological parents but bring a less emotionally invested perspective to behavior observation, even when they are relatives. It is likely that depressive symptoms in parents distort their reports of their children's behavior. Clinicians would be wise to supplement parental with other informant reports.

Adolescent↗

PubMed1997

Attributions for child behavior in parents of children without behavior disorders and children with attention deficit-hyperactivity disorder.

Attributions for and reactions to inattentive-overactive, oppositional-defiant, and prosocial child behaviors were compared in 52 parents of children with attention deficit-hyperactivity disorder (ADHD) and 42 parents of children without behavior disorders. Parent attributions and reactions elicited using written descriptions of child behavior, behaviors the parent recalled his or her own child displaying, and videotaped clips of the parent's own child's behavior all revealed a similar pattern. Compared with parents of children without behavior disorders, parents of children with ADHD saw inattentive-overactive and oppositional defiant behaviors as more internally caused, less controllable by the child, and more stable; and they had more negative reactions to such behaviors. For prosocial child behaviors, parents of children with ADHD rated the causes as less internal and less stable than control parents did.

Analysis of Variance↗

PubMed2005

Structural relationship of child behavior and its evaluation during dental treatment.

The present study uses structural equation modeling to explore the structural relationship of child behavior type and its evaluation during dental treatment. The study population consisted of 33 children at their first visit to a pediatric dentist at the Dental Hospital of Tsurumi University. Child behavior was evaluated by the Frankl Behavior Rating Scale and the behavior evaluation scale developed by Kurosu. Factor analysis extracted 3 behavior types: escape, self-defense, and facial expression. The path diagram of structural relationships between child behavior and the Frankl Behavior Rating Scale indicated that facial expression had the strongest correlation to the Frankl Behavior Rating Scale.

Child↗