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PubMed1995

A twin study of competence and problem behavior in childhood and early adolescence.

The Child Behavior Checklist (CBCL) was completed by parents of 181 pairs of same-sex twins ages 7-15 (mean age = 11.0 years). Correlations between scores on the CBCL scales for 99 pairs of monozygotic twins and 82 pairs of dizygotic twins indicated significant genetic influences that varied according to the specific area of competence and problem behavior. Model-fitting estimates derived from multiple regression analyses indicated significant genetic influence on competence in school and on all areas of problem behavior. In addition, significant shared environmental influence was detected for amount and quality of participation in activities, quality of social relationships, performance in school, anxiety/depression, and delinquent behaviour. Implications for future work on the mechanisms underlying these effects are discussed.

Adolescent↗
PubMed1989

Intelligence and behavior problems in 5-year-olds in relation to representational abilities in the second year of life.

Assessments of sensorimotor skill, play, language, and developmental level were administered to 20 preterm and 20 full-term infants during sessions at 13 1/2 and 22 months of age. At 5-year follow-up, children were tested with the Wechsler Preschool and Primary Scale of Intelligence (WIPPSI) and the Developmental Test of Visual-Motor Integration (VMI). Behavior problems were also assessed. At 5 years, the preterm sample showed slight delays in cognitive functioning. Measures of development and language at 13 1/2 and 22 months and relational play at 22 months were most predictive of cognitive outcome. Children with behavior problems at 5 years differed from those without problems in terms of their play and language skills. These data suggest that measures of development, particularly language development, and of play are predictive of later cognitive and behavioral functioning.

Child Behavior Disorders↗
PubMed2001

Association of a polymorphism of the dopamine transporter gene with externalizing behavior problems and associated temperament traits: a longitudinal study from infancy to the mid-teens.

There have been reports that a variable number of tandem repeats (VNTR) polymorphism situated in the 3' untranslated region of the dopamine transporter gene is associated with attention-deficit hyperactivity disorder. On the basis of these findings, we predicted an association of this polymorphism with hyperactivity, other externalizing behavior problems, and related temperament traits in a general population sample. The association was investigated using children participating in a longitudinal study of childhood temperament and development. DNA was taken from 660 children who had been assessed for temperament from 4-8 months to 15-16 years, and for behavior problems from 3-4 to 15-16 years. No significant associations were found at any age. There are a number of methodological differences from earlier studies that might explain the lack of associations with hyperactivity. It is also possible that the earlier findings are not replicable.

Adolescent↗
PubMed1991

Managing the behavioral problems of dementia in the home.

The majority of persons with dementia are cared for in the home by family and friends. The goals of treatment in this setting are to maximize the quality of life of the demented person and minimize burdens on the caregiver. Behavioral problems are common with dementia and can lead to significant caregiver burden. Behaviors that are most common or most serious to caregivers include behaviors related to memory disturbances, restlessness and agitation, catastrophic reactions, day/night disturbances, delusions, wandering, and physical violence. A general method for clinicians to manage these problems involves the identification of the behavior and its antecedent and consequent events. Stressors that may cause behavioral problems include fatigue, a change of routine, excessive demands, overwhelming stimuli, and acute illness or pain. Caregivers can be taught to identify these stressors in order to prevent or alleviate troublesome behaviors. When behavioral techniques are not successful and the behaviors are particularly dangerous or burdensome, therapy with low doses of high-potency neuroleptics has been suggested. Measures such as these to help caregivers in the management of dementia at home can be instrumental in improving the quality of life for the person with dementia.

Aged↗
PubMedDate not supplied

Adolescents' emotion regulation in daily life: links to depressive symptoms and problem behavior.

This study examined links between emotion regulation and adjustment in a sample of 152 adolescents in Grades 7 (M age = 12) and 10 (M age = 15). Emotion regulation was assessed using the experience sampling method, in which adolescents provided multiple reports about the intensity, lability, and strategies used to regulate negative emotions across 1 week. Adolescents also completed self-report measures of adjustment. Adolescents who reported more intense and labile emotions and less effective regulation of these emotions also reported more depressive symptoms and problem behavior. Responding to negative emotions with disengagement (e.g., denial) or involuntary engagement (e.g., rumination) was less effective in regulating negative affect, and greater use of these strategies was related to higher levels of depressive symptoms and problem behavior.

Adaptation, Psychological↗
PubMedDate not supplied

Family-strengthening approaches for the prevention of youth problem behaviors.

Effective parenting is the most powerful way to reduce adolescent problem behaviors. Dissemination of research-based family interventions has been slow, with most practitioners still implementing ineffective programs. This article reviews 2 federal studies that involved national searches for effective family interventions targeting pre-birth to adolescence: Preventing Substance Abuse Among Children and Adolescents: Family-Centered Approaches (Center for Substance Abuse Prevention, 1998) and Strengthening America's Families (R. Alvarado, K. L. Kumpfer, K. Kendall, S. Beesley, & C. Lee-Cavaness, 2000). Results identified 3 effective prevention approaches, 13 principles of effectiveness, and 35 programs. Recommendations include increased dissemination research on training and technical assistance systems, adoption with fidelity and quality, and gender-, age-, and culturally sensitive adaptations.

Adolescent↗
PubMed2004

Use of and need for professional help for emotional and behavioral problems among preadolescents: a prospective cohort study of 3- to 12-year-old children.

OBJECTIVE: To determine the effect of child-, parent- and family-related factors on the use of and need for mental health services by 12 years of age. METHOD: A prospective population-based questionnaire study of 1,287 first-born children was launched in Finland in 1985. The Child Behavior Checklist (CBCL) was completed by 1,086 parents when the children were aged 3 years. At the age of 12, the CBCL, the Youth Self-Report, and other potential determinants of service need and use were obtained from 908 parents and 900 children (80% response rate). RESULTS: Of the total sample, 7.2% had used professional services, and 3.3% had needed services without obtaining them. Elevated scores on the age 3 CBCL Total Problems and Externalizing scale predicted independently later service use but not perceived need of services. In cross-sectional data at age 12, parental ratings of the child's problem behavior were associated with both the need for and use of services. Poor social competence and parental distress were independently associated with use of services. CONCLUSIONS: Recognizing behavior problems in early childhood and evaluating family stress factors are important in social and health care systems designed for children.

Affective Symptoms↗
PubMed2004

[Dementia disorders, behavior problems and the care of clients in geriatric day-care compared to residents in homes for the elderly: a cross-sectional study in eight communities in Baden].

AIM: The study aims to compare clients using institutions of geriatric day-care to residents in homes for the elderly with regard to functional impairment, dementia disorders, behavior problems and the care situation. METHODS: A cross-sectional study of 17 geriatric day-care facilities in eight towns and cities in Baden examined the data for all 257 clients who received care on a given reference date. These clients were compared to a reference population drawn from all residents (N = 1,387) of 15 randomly selected residential and nursing homes in the city of Mannheim, whereby identical assessment procedures were used by qualified nursing staff. RESULTS: The average age of subjects in both groups was around 80 years, over three-fourths of whom were women. Home residents were more limited than the clients of geriatric day-care facilities with regard to their activities of daily living, above all with regard to their mobility. The percentage of moderate to severe dementia disorders at 58.6 % was equally high in both groups. In addition, symptoms of depression and behavior problems were observed among a substantial number of the day-care clients. While the inpatient sector places greater emphasis on basic care and treatment, day-care institutions focus primarily on measures of social therapy. CONCLUSIONS: The high percentage of demented yet still mobile clients in day-care facilities indicates the particular importance of this target group when it comes to providing at least partial stress relief for family care-givers.

Activities of Daily Living↗
PubMed2006

Prader-Willi-like phenotype: investigation of 1p36 deletion in 41 patients with delayed psychomotor development, hypotonia, obesity and/or hyperphagia, learning disabilities and behavioral problems.

Monosomy 1p36 is one of the most commonly observed mental retardation (MR) syndromes that results in a clinically recognizable phenotype including delayed psychomotor development and/or MR, hypotonia, epilepsy, hearing loss, growth delay, microcephaly, deep-set eyes, flat nasal bridge and pointed chin. Besides, a Prader-Willi syndrome (PWS)-like phenotype has been described in patients with 1p36 monosomy. Forty-one patients presenting hypotonia, developmental delay, obesity and/or hyperphagia and behavioral problems who tested negative for PWS were investigated by FISH and/or microsatellite markers. Twenty-six were analyzed with a 1p-specific subtelomeric probe, and one terminal deletion was identified. Thirty patients (15 of which also studied by FISH) were investigated by microsatellite markers, and no interstitial 1p36 deletion was found. Our patient presenting the 1p36 deletion did not have the striking features of this monosomy, but her clinical and behavioral features were quite similar to those observed in patients with PWS, except for the presence of normal sucking at birth. The extent of the deletion could be limited to the most terminal 2.5 Mb of 1p36, within the chromosomal region 1p36.33-1p36.32, that is smaller than usually seen in monosomy 1p36 patients. Therefore, chromosome 1p36.33 deletion should be investigated in patients with hypotonia, developmental delay, obesity and/or hyperphagia and behavioral problems who test negative for PWS.

Adolescent↗
PubMed1990

Problem behavior in international adoptees: I. An epidemiological study.

Behavioral/emotional problems and competencies in 2,148 international adoptees aged 10 to 15 years were compared with those in a same-aged sample of 933 children from the general population using the Achenbach Child Behavior Checklist. Parents reported more externalizing problem behavior for adopted than nonadopted children. More than twice as many 12- to 15-year-old adopted boys were scored above the cutoff criterion for problem behavior than nonadopted boys of the same age. For adopted boys in this age range especially high scores were obtained on the Delinquent and Hyperactive syndromes. Adopted children were scored less competent than nonadopted children in their social and academic functioning, whereas adopted children were found to be more active in nonsports activities and to function somewhat better than nonadopted children in sports and nonsports activities. In contrast to the effect of parental occupational level on competent scores for normative American and Dutch samples, adopted children from lower SES showed better academic performance, were less often referred to special classes, and had less other school problems than adopted children from higher SES.

Adolescent↗
PubMed2004

Relative contribution of attention-deficit hyperactivity disorder, obsessive-compulsive disorder, and tic severity to social and behavioral problems in tic disorders.

The aim of this study was to investigate social and behavioral problems related to attention-deficit hyperactivity disorder (ADHD), obsessions and compulsions, and tic severity in children with a tic disorder. Parents of 58 children with a tic disorder with and without different forms of ADHD completed the Child Behavior Checklist (CBCL) and the Children's Social Behavior Questionnaire. Patients with a tic disorder with primarily hyperactive-impulsive ADHD had the highest questionnaire scores, patients with primarily inattentive ADHD had medium scores, and patients without ADHD had the lowest scores. On most subscales, significant part correlations with ADHD severity, but not tic severity, were obtained. Severity of obsessions and compulsions was independently correlated with the CBCL Thought Problems subscale but not with most other subscales. There was no significant correlation between tic severity and ADHD severity. Thus, in patients with a tic disorder, the presence and severity of ADHD are the main predictors of associated behavioral and social problems.

Adolescent↗
PubMed2006

Predictors of parent training efficacy for child externalizing behavior problems--a meta-analytic review.

BACKGROUND: The differential effectiveness of parent training has led researchers to examine a variety of child, parent, and familial variables that may predict treatment response. Studies have identified a diverse set of child, parent psychological/behavioral and demographic variables that are associated with treatment outcome and dropout. METHOD: The parent training literature was examined to isolate child, parent, and family variables that predict response to parent training for child externalizing behavior problems. A literature review was conducted spanning articles published from 1980 to 2004 of indicated prevention (children with symptoms) and treatment (children with diagnosis) studies. Meta-analyses were conducted to determine standardized effect sizes associated with the identified predictors. RESULTS: Many of the predictors of treatment response examined in this meta-analysis resulted in moderate standardized effect sizes when study results were subjected to meta-analytic procedures (i.e., low education/occupation, more severe child behavior problems pretreatment, maternal psychopathology). Only low family income resulted in a large standardized effect size. Predictors of drop-out resulted in standardized effect sizes in the small or insubstantial range. CONCLUSIONS: Response to parent training is often influenced by variables not directly involving the child, with socioeconomic status and maternal mental health being particularly salient factors.

Adult↗
PubMed1981

Factor structure of classroom behavior problems for mainstreamed and regular students.

The purpose of this study was twofold: (1) to examine the factor structure of behavior exhibited in the regular classroom in order to provide a conceptual framework for classifying problem behavior relevant to the classroom setting, and (2) to determine the extent to which the factors generated from ratings of regular classroom children are similar to those generated from ratings of mainstreamed special education children. Thirty-five elementary-school teachers completed behavior ratings for all of their 876 students utilizing a group-administered adapted version of the Devereux Elementary School Behavior Rating Scale. The factor analysis yielded five factors defined as Conduct Problem, Personality Problem, Adaptive Classroom Behavior, Inadequacy-Immaturity, and Achievement Anxiety. Coefficients of factorial congruence confirmed the similarity between the pattern generated from ratings of regular students and that of mainstreamed students.

Adaptation, Psychological↗
PubMed2005

Relationship of age of first drink to child behavioral problems and family psychopathology.

BACKGROUND: Studies have implicated a wide variety of variables as being associated with an early age of first drink (AFD). AFD in turn has been associated with a variety of negative outcomes in adolescence and early adulthood. This study is designed to quantify the contributions of these antecedent variables to prediction of AFD; in particular it will carefully examine the involvement of variables in four areas (child characteristics, family demographics, family psychopathology, and child behavior problems). METHODS: Using data from a multicenter study on alcoholism, we first investigated the differences between two groups of children (ages 7 to 17 years), one from families heavily loaded for alcohol dependence and the other from population controls. Second, a multidomain, multistep regression model using child characteristics, family demographics, family psychopathology, and child behavior problems was performed to determine significant contributors to predicted AFD. RESULTS: Five variables initially contributed to the prediction of AFD. These included gender, age at interview, the number of adult sibs with alcohol dependence, being held back a year in school, and conduct scale score. However, the number of conduct symptoms appeared to contain the contributions of gender and being held back a grade in school, and these two variables were subsequent removed from the model. The remaining three variables explained 45% of the model variance; age at interview accounted for 38.3%, conduct scale score accounted for 6.2%, and the number of alcohol-dependent adult sibs accounted for 0.5%. No family history measures of alcohol dependence or antisocial personality disorder were contributory to the prediction model for AFD. CONCLUSIONS: Both the "number of conduct symptoms" and the "number of adult sibs with alcohol dependence" are inversely associated with predicted AFD. The latter variable appears marginally predictive of AFD and suggests a condition in which the child's household, regardless of strength of family history of AD (or antisocial personality disorder), appears conducive to early drinking. Thus, child and environmental factors are stronger predictors of age of first drink than family history.

Adolescent↗
PubMed2006

Identifying high school students "at risk" for substance use and other behavioral problems: implications for prevention.

Attendance and grade point average (GPA) data are universally maintained in school records and can potentially aid in identifying students with concealed behavioral problems, such as substance use. Researchers evaluated attendance (truancy) and GPA as a means to identify high school students at risk for substance use, suicide behaviors, and delinquency in 10 high schools in San Antonio, Texas, and San Francisco, California, during the spring and fall of 2002. A screening protocol identified students as "high risk" if (1) in the top quartile for absences and below the median GPA or (2) teacher referred. Survey responses of 930 high-risk students were compared with those from a random sample of 393 "typical" students not meeting the protocol. Bivariate and multivariate analyses assessed associations between the screening protocol variables and demographics, risk and protective factors, and problem outcomes. The individual contribution of each of the variables was also assessed. Students identified as high risk were significantly more likely than typical students to use cigarettes, alcohol, and marijuana, evidence suicide risk factors, and engage in delinquent behavior. Norms varied between the two districts; nevertheless, high-risk students showed consistent differences in risk and protective factors, as well as problem behaviors, compared with typical students. Because of site differences in data collection and teacher participation, the comprehensive protocol is recommended, rather than individual indicators alone (e.g., truancy). Strengths of the screening protocol are the ready availability of school record data, the ease of use of the adapted protocol, and the option of including teacher referral. More research is recommended to test the generalizability of the protocol and to ensure that there are no unintended negative effects associated with identification of students as high risk.

Adolescent↗
PubMed1994

Programmatic prevention of adolescent problem behaviors: the role of autonomy, relatedness, and volunteer service in the Teen Outreach Program.

Explored the mechanisms by which a well-validated intervention to prevent school failure, suspension, and teenage pregnancy produces its effects, using site-level data from 66 sites involving over 1,000 students participating in national replication of the Teen Outreach Program. Multiple informants provided data on operating characteristics of each site. These were then used to explain differences across sites in levels of success in reducing youth problem behaviors using a pre-post design and a well-matched comparison group. In accord with predictions from developmental theory, middle school sites that promoted student autonomy and relatedness with peers and with site facilitators achieved significantly greater levels of success in reducing problem behaviors. Offering volunteer experiences perceived as teaching middle school students new skills and leaving them real choices about the type of work they did was also linked to program success. Although the program was equally successful with students from a wide range of sociodemographic backgrounds, links of program factors to site-level outcomes were found only for middle school but not high school sites. Implications of these findings for the development of programmatic interventions targeted at adolescents are discussed.

Adolescent↗
PubMed2006

Reproductive and sexual behavioral problems in dogs.

This paper reviews the influence of genetics on canine sexual behavior, the causes of common sexual and reproductive behavioral problems in dogs as well as treatment approaches, including environmental management, behavior modification, and pharmacological intervention.

Aggression↗