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Pyramidal training for families of children with problem behavior.

The pyramidal training model was extended to multiple family members of children with behavior disorders. Three primary caregivers were taught to implement individualized treatments for problem behavior. They were then taught how to use various instructional strategies (e.g., prompting, feedback) to teach 2 other family members to implement the treatment. Results showed that pyramidal training was effective in increasing caregiver implementation of treatments across three families.

Behavior Therapy↗

Management of behavioral problems in elderly patients with dementia.

A major challenge confronting healthcare providers in geriatrics involves the treatment of behavior problems in the elderly patient with dementia. The agitation affects the patient and the caregiver and their quality of life. A definitive diagnosis is difficult, and treatment often involves the injudicious use of medications. The purpose of this article is to identify the disorders involved, the assessment strategies, and pharmacologic and nonpharmacologic modes of therapy.

Aged↗

Association between nystagmus hyporesponsivity and behavioral problems in learning-disabled children.

This study explored the hypothesis that an association exists between postrotary nystagmus hyporesponsivity and behavioral problems in learning-disabled children. Supporting this conclusion was the finding that the learning-disabled boys rated by teachers as displaying the most socially inappropriate behaviors had significantly lower postrotary nystagmus durations than other learning-disabled boys. In addition, near significant associations were obtained between subnormal nystagmus functioning and socially inappropriate responding for boys and girls combined. Learning-disabled girls were evaluated as responding significantly more appropriately than learning-disabled boys, while having significantly shorter postrotary nystagmus durations; thus, sex of a child may be an important variable in determining relationships between psychological characteristics and hyporesponsive nystagmus. Additional research is needed in this area because of a number of limitations to this study; however, these results present further suggestive evidence that learning-disabled children can be categorized according to characteristics of their postrotary nystagmus.

Child↗

Family instability and the problem behaviors of children from economically disadvantaged families.

This longitudinal study examined the relation between family instability and the problem behaviors of children from economically disadvantaged families. Family instability was assessed when the children were ages 5 and 7 and included number of residence changes, changes of intimate caregiver relationships, and recent negative life events. The results showed direct concurrent relations between family instability and preschool children's externalizing behavior in the context of other family process variables, relations between subsequent family instability and 1st-grade children's internalizing behavior (i.e., with preschool behavior ratings controlled), and an effect for persistent instability across grade. Moderator effects were also found for child variables, including gender, temperamental adaptability, and prior externalizing scores.

Adaptation, Psychological↗

Parent-child development center follow-up project: child behavior problem results.

The long-term effectiveness of the Parent-Child Development Centers (PCDCs) as programs to prevent behavior problems in children was examined with follow-up data collected 6-13 years after program completion. Data were collected for 581 children who had been in the programs with their mothers (Ns: Birmingham, 151; New Orleans, 186; Houston, 244). Mothers and teachers were interviewed. There were few significant differences between program and control groups. Only the early cohorts of the Houston program showed significant differences between groups on the Child Behavior Checklist (CBCL). EDITORS' STRATEGIC IMPLICATIONS: This is a rare example of long-term longitudinal evaluation of a cross-site prevention program with a large sample size. Practitioners and program designers will be interested in the author's descriptions of cohort and site implementation differences. The absence of major effects at follow-up (despite significant short-term effects) in this well-designed study must caution us against thinking of early prevention programs as inoculations.

Adolescent↗

Multi-informant assessment of temperament in children with externalizing behavior problems.

We examined the criterion validity of parent and self-report versions of the Junior Temperament and Character Inventory (JTCI) in children with high levels of externalizing problems. The sample included 412 children (206 participants and 206 siblings) participating in a family study of attention and aggressive behavior problems. Criterion validity analyses included (a) correlations between temperament scales and emotional and behavioral scales and (b) correlations between temperament and intelligence and achievement scales. Temperament scales displayed strong convergent and discriminant validity. Across informants and samples, JTCI scales assessing novelty seeking and harm avoidance discriminated between internalizing and externalizing problems. Reward dependence, persistence, cooperativeness, and self-directedness displayed similar patterns of negative relations to emotional and behavioral scales and positive relations to intelligence, achievement, and competence.

Adolescent↗

Cultural and national differences in the epidemiology of behavior problems of preschool children.

Results from two epidemiological surveys, one British and the other American, examining the prevalence of behavior problems in preschool children are compared. Using the same interview technique, prevalence rates were found to be similar despite national, cultural and demographic differences. These surveys constitute the first stage in projects to examine the causes and persistence of childhood psychiatric disorder arising during the preschool years. The relevance of this work to anthropology is discussed.

Child Behavior Disorders↗

Ethnic identity as a predictor of problem behaviors among Korean American adolescents.

This study examined three dimensions of ethnic identity (level of ethnic identity, attitudes toward other groups, and perceived discrimination) as predictors of adolescent problem behaviors among Korean American adolescents. Multiple regression analyses were carried out, and the results indicated that level of ethnic identity, perceived discrimination, and academic performance were significant predictors of both internalizing and externalizing problems. Implications for the provision of mental health services and strengthening multicultural education are discussed.

Adolescent↗

A study of HMO physicians' receptivity to special programs for sociomedical and behavioral problems.

The purpose of this study was to determine HMO physicians' receptivity to special organized programs dealing with sociomedical and behavioral problems. The study population consisted of full-time physicians in a large prepaid group practice HMO, and the data were obtained in 1977 by means of a self-administered structured questionnaire. Most physicians favored special organized services for alcoholism, drug abuse, obesity, disturbances in sexual relations, and the like. Except for alcohol and drug abuse, favoring organized services for one problem did not correlate highly across problem areas. Specialty, AMA membership, and political orientation were the main characteristics that differentiated physicians on their receptivity to organized programs for sociomedical problems. Social background and professional training and experience may be more important than the practice setting in influencing physicians' receptivity to these types of services.

Attitude of Health Personnel↗

A diagnostic classification of problem behavior in dogs and cats.

Veterinary clinical ethology is a relatively new field in veterinary practice; with the development of a new discipline, problems often arise regarding diagnosis and the use of terminology. This article proposes a diagnostic system that can be applied by practitioners and researchers. The classification is divided into six main etiologic categories of behavior problems: (1) problems of a genetic origin, (2) problems caused during the animal's developmental stages, (3) ethogram deviations, (4) disturbed social interaction, (5) disease-related behavior, and (6) adaptation inabilities. Conditions may overlap, and all categories involved in a diagnosis should be mentioned for the sake of clarity and completeness.

Animals↗

Treatment of behavioral problems with pindolol.

A study was conducted on a group of chronically hospitalized, brain-damaged male patients to assess the effectiveness of treatment with pindolol on behavioral problems. The study was conducted in two parts. The first was a double-blind, placebo-controlled analysis of the effect of pindolol on assaultive behavior, both verbal and physical. The second part was open and sought to determine whether pindolol would diminish such behaviors as resistance to care, sexual preoccupation, or provocation of others, which were sufficient to preclude placement at a lower level of care. These target behaviors and nursing interventions were monitored and clinical global assessments of improvement in behavior and of suitability for lower levels of care were developed. Eight of 13 patients were considered improved. Those with significant premorbid personality disorders showed little benefit. Pindolol appears to ameliorate some management problems and, by inference, improve the quality of life in many patients with behavioral pathology due to organic brain disease.

Aged↗

Better understanding your patient from a psychological perspective: early identification of problem behaviors affecting the dental office.

Early assessment of problem patient behaviors can be a complex and time-consuming task. These negative behaviors can frequently interrupt and misdirect treatment goals. Most dentists, due to private practice demands, do not have the time and training to assess these behaviors. The emotional stability of each patient is taken for granted. Subtle negative behavioral clues can be detected during medical history taking and the initial patient interview. Current prescription medications can also provide clues concerning past or current treatment for depression, anxiety, psychiatric problems, or substance abuse. The burden of properly assessing behaviors and their impact on dental treatment rests on the dentist's acumen in history taking. All practices have some difficult patients. It is important that dentists recognize patients who have special needs such as those with high anxiety, dependency, depression, obsessional somatic focus, or prior negative dental experiences.

Behavior Control↗

Maternal factors related to parenting practices, developmental expectations, and perceptions of child behavior problems.

Parenting practices of a representative sample of 1,056 urban mothers with very young children were studied via the Parent Behavior Checklist (Fox, 1994) and the Behavior Screening Questionnaire (Richman & Graham, 1971). Potential determinants of parenting practices were also addressed, including maternal age, marital status, education level, number of children living at home, and family socioeconomic status. Less positive parenting practices concerning nuturing and discipline were found among mothers who were younger, had more than one child living at home, were single, had a lower income level, and had lower educational attainment. These mothers also tended to perceive their children as demonstrating more difficult behavior problems. However, the negative influence of some determinants of parenting practices, such as low income, was found to be moderated by the presence of other determinants, such as more education. The present results provide evidence that multiple determinants influence parenting practices among parents of young children.

Attitude↗

Construct validation of children's behavior problem dimensions: relationship to activity level, impulsivity, and soft neurological signs.

A construct validation study of dimensions of children's behavior problems was carried out with use of multiple linear regression. The Ss were 76 latency-aged boys in residential treatment. The dimensions involved were Conduct Disorder and Inadequacy-Immaturity. The predictor variables were activity level, impulsivity, and soft signs of neurological damage. Results indicated that Conduct Disorder was significantly predicted by activity level, in combination with impulsivity. Inadequacy-Immaturity was significantly predicted by activity level and soft signs. A third dimension, Personality Disorder, was found to be uncorrelated with the three predictor variables.

Child↗

Comments on functional analysis procedures for school-based behavior problems.

Functional analysis procedures were developed in the 1980s in an effort to determine whether clinicians could identify the function of behavior problems like self-injury and aggression. More recently, several groups of researchers have been attempting to extend that procedure to classroom environments. The following commentary reflects my viewpoint of this transition.

Aggression↗

Parental discipline and externalizing behavior problems in early childhood: the roles of moral regulation and child gender.

We tested whether individual differences in a component of early conscience mediated relations between parental discipline and externalizing behavior problems in 238 3.5-year-olds. Parents contributed assessments of discipline practices and child moral regulation. Observations of children's behavioral restraint supplemented parental reports. Parents and teachers reported on child externalizing symptoms. Parental induction, warm responsiveness, and less frequent use of physical punishment generally were associated with higher levels of moral regulation and fewer externalizing problems. Moreover, moral regulation partially mediated relationships between discipline and externalizing symptoms, with the clearest case of mediation involving induction. However, relationships were found for boys only. Results support a mediation model wherein inductive and physical discipline may influence the expression of boys' externalizing behavior through effects on conscience. Finally, results suggest that different developmental processes may be associated with early externalizing problems in boys and girls, and confirm that fathers' reports contribute to our understanding of the origins of child externalizing problems.

Child↗

Kindergarten predictors of boys' stable behavior problems at the end of elementary school.

This study predicted stable social maladjustments of ages 10, 11, and 12 from teacher behavioral ratings in kindergarten and a measure of family demographics. Kindergarten teachers rated 1,034 boys on hyperactivity, aggression, inattention, anxiety-withdrawal, and prosocial behavior. Sociodemographic information was collected from the parents. At ages 10, 11, and 12, teacher, parent, peer, and self-report behavior ratings were collected on 743 boys. School achievement was documented from school records. Boys whose average scores on each of the five behavioral ratings across ages 10, 11, and 12 were above the 90th percentile according to at least two informants were defined as having stable behavioral problems. From teacher ratings collected in kindergarten and family demographics, logistic regression analyses predicted stable social maladjustment. For each negative outcome there was a unique set of predictors. The results are discussed with reference to the early identification of children who are at risk.

Achievement↗