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Reliability of the behavior problem checklist with institutionalized male delinquents.

Interrater and 2-week test-retest reliability coefficients were determined for subscales of the Behavior Problem Checklist on 50 males incarcerated in a state receiving facility for delinquent adolescents. Raters were 22 dormitory counselors, 2 of whom rated each child after 1 week and again after 3 weeks of observing the boys. Interrater reliability ranged from .06 to .68 on the various BPC subscales and was .50 overall, reflecting wide variation in the agreement of raters in rating boys on different dimensions. Test-retest reliability coefficients for the same rater at 2-week intervals were higher (.71 overall) and also varied among subscales. Raters were able to agree best on aggressive, acting-out behaviors. Other personality dimensions tapped by the BPC were rated with less reliability in this particular setting.

Adolescent↗

A survey of behavior problems in children with epilepsy.

Over a period of 3 consecutive months, a cross-sectional, descriptive survey was made of the frequency of behavior problems and needs, as reported by their caregivers, of 6- to 18-year-old epileptic children attending two neurology clinics, using the Child Behavior Checklist. Caregivers of 175 children were approached to take part in the study; 158 (90%) completed the Child Behavior Checklist. The mean age of the children was 11.3 (range, 6-18). t scores >70 were obtained for 15.9% of the group for total behavior, 12.7% of the group for internalized behavior and 11.4% of the group for externalized behavior. Compared with those with normal scores, children with elevated t scores were more likely to have learning difficulties and to require the use of more community services.

Adolescent↗

An examination of the underlying influence of temperament and problem behaviors on drinking behaviors in a sample of adult offspring of alcoholics.

The present study investigated the potential mediating influence of childhood and early adolescent temperament and problem behaviors on the relation between parental alcoholism and adult drinking behaviors in a sample of 153 offspring of alcoholics and their controls. The influence of the alcoholic parent's and the offspring's gender on this relation was also assessed. Both gender of the parent and gender of the offspring were found to have important differential effects. More specifically, individuals with an alcoholic father consumed more alcohol, were more concerned about their drinking, and were more concerned about the possibility of developing a drinking problem than those without an alcoholic father. In contrast, no significant relations emerged between maternal alcoholism and drinking behaviors. Gender differences among the offspring were also observed, with males drinking more frequently to "get high" and scoring higher on the MAST than females. Finally, gregariousness was found to significantly mediate the relation between paternal alcoholism and frequency of drinking to "get high" and frequency of drinking to "get drunk" for males. Possible explanations regarding the differential results pertaining to gender and the lack of significant findings concerning mediation are discussed.

Adolescent↗

Outcome of multimodal day treatment for children with severe behavior problems: a five-year follow-up.

OBJECTIVE: To evaluate the long-term outcome of a multimodal day treatment program for children with severe behavior problems and to identify factors that may predict a positive outcome. METHOD: Thirty-three children who completed a day treatment program were assessed using a prospective, single-cohort design tested at intake, discharge, and 5-year follow-up. The child's functioning was assessed using the Revised Child Behavior Profile (RCBP), Hare Self-Esteem Scale, Depression Self-Rating Scale, Hopelessness Scale for Children, Index of Peer Relations, and a 5-point ordinal scale for scholastic reintegration. RESULTS: Repeated-measures analyses of variance showed that improvement was maintained on all measures between intake and 5-year follow-up. A stepwise multiple regression showed that 92% of the adjusted variance in the behavioral functioning of the children at 5-year follow-up, as assessed by the RCBP, was explained by parental cooperation, initial RCBP total and externalizing scores, and history of problem pregnancy. CONCLUSIONS: Children who were admitted to a day treatment setting appear to function well globally, even 5 years after discharge. Parental cooperation was the most important variable in predicting positive outcome.

Adolescent↗

Behavior problems of elementary-school children.

Normative or baseline data are presented on a modified (shortened) form of the Peterson-Quay Behavior Problem Checklist. Scores on the two primary factors, Conduct and Personality, were obtained on an entire public elementary-school population (approximately 25,000 children) in a medium-sized midwestern city (Des Moines, Iowa). The data presented are categorized by sex, grade level, and intellectual level. Percentages of children checked on each checklist item and on given numbers of items are also presented.

Attention↗

Problem behavior theory and consumption and consequences of alcohol use.

Self-report measures of heavy consumption and adverse consequences of alcohol use have been used as interchangeable or equivalent indicators of problem drinking although the literature shows them to be relatively independent, with generally about 15% variance in common. The purposes of the present study are to provide further evidence of the independence of self-reported consumption and problems, and to explore nonalcohol-related correlates. Data from 370 employed adults showed modest intercorrelations and a factor structure representing alcohol consumption levels (quantity-frequency, frequency of intoxication) and alcohol-related problems (self-other definition as a problem drinker, adverse consequences). Partial correlational analyses showed that, when controlling for the effects of consumption, alcohol-related problems were related to the use of other psychoactive drugs and to a set of attributes of the person and the social environment as distinct dimensions. Modification of Jessor's problem behavior theory is proposed to generate psychosocial explanation for the differential vulnerability to alcohol-related problems.

Alcohol Drinking↗

Relationships of children's grade in school, sex, and social class to teachers' ratings on the behavior problem checklist.

The present study investigated the relationships of children's grade in school, sex, and social class to teachers' ratings on the Behavior Problem Checklist (BPCL). The sample consisted of 1,999 white children from kindergarten through fifth grade who were in regular classes. Three conclusions may be drawn from the study. The first is that grade and the interactions of grade with sex and social class are determinants of scores on the BPCL, but that no particular trends are characteristic of the relationships between these and the dependent variables. The second is that sex and social class are also determinants of scores on the BPCL, with boys and children from the lower social classes having more problems and girls and children from the higher social classes having fewer problems. The third is that the differences between schools and between teachers are responsible for more of the variance on the BPCL than grade, sex, and social class.

Age Factors↗

Early childhood heart rate does not predict externalizing behavior problems at age 7 years.

OBJECTIVE: In previous research, low resting heart rate in childhood and adolescence has been shown to predict aggressive and/or delinquent behavior at subsequent ages. It has been found that heart rate recorded as early as age 3 years could predict externalizing behavior at age 11 years. This study explored the possibility of a similar relationship between heart rate and externalizing behavior problems. METHOD: Heart rate recorded at ages 14, 20, 24, 36 months and 7 years was used to predict combined parental ratings on the Aggressive and Delinquent Behavior scales of the Child Behavior Checklist (CBCL/4-18) as well as the Externalizing composite scale measured at age 7 years. Subjects consisted of same-sex twin pairs, treated as singletons in the present study, participating in the MacArthur Longitudinal Twin Study. Subjects were grouped into high and low heart rate groups and also into high CBCL/4-18 scoring and low CBCL/4-18 scoring groups. RESULTS: Heart rate was not significantly related to scores on either of the 2 subscales or the Externalizing composite scale at any age. Heart rate group membership did not predict CBCL/4-18 scores. Conversely, CBCL/4-18 group membership did not predict heart rate at any age. CONCLUSION: In this sample, heart rate does not predict externalizing behavior at age 7.

Arousal↗

Individual differences in emotion regulation and behavior problems in preschool children.

Emotion regulation (ER) was assessed during a negative mood induction in 79 preschoolers who varied in degree of behavior problems. Facial expressivity during the induction was used to identify 3 ER groups: inexpressive, modulated expressive, and highly expressive. Group differences in ER were significantly related to heart rate and skin conductance. Inexpressive preschoolers had the highest heart rate, lowest vagal tone, and smallest autonomic nervous system (ANS) change during the induction. Highly expressive preschoolers had the slowest heart rate, highest vagal tone, and largest ANS change. The inexpressive and highly expressive groups had more externalizing symptoms than the modulated group at preschool age and at follow-up at the end of 1st grade. Inexpressive preschoolers appeared to have more depressed and anxious symptoms at follow-up.

Adaptation, Psychological↗

The impact of classroom aggression on the development of aggressive behavior problems in children.

Prior research suggests that exposure to elementary classrooms characterized by high levels of student aggression may contribute to the development of child aggressive behavior problems. To explore this process in more detail, this study followed a longitudinal sample of 4,907 children and examined demographic factors associated with exposure to high-aggression classrooms, including school context factors (school size, student poverty levels, and rural vs. urban location) and child ethnicity (African American, European American). The developmental impact of different temporal patterns of exposure (e.g., primacy, recency, chronicity) to high-aggression classrooms was evaluated on child aggression. Analyses revealed that African American children attending large, urban schools that served socioeconomically disadvantaged students were more likely than other students to be exposed to high-aggressive classroom contexts. Hierarchical regressions demonstrated cumulative effects for temporal exposure, whereby children with multiple years of exposure showed higher levels of aggressive behavior after 3 years than children with primacy, less recent, and less chronic exposure, controlling for initial levels of aggression. Implications are discussed for developmental research and preventive interventions.

Aggression↗

The association of weapon carrying and fighting on school property and other health risk and problem behaviors among high school students.

OBJECTIVE: To examine the association between weapon carrying on school property and engaging in health risk and problem behaviors such as fighting and substance use on school property, fear of attending school, and victimization at school. DESIGN: A complex 2-stage probability survey (Massachusetts Youth Risk Behavior Survey). SETTING: High schools in Massachusetts. PARTICIPANTS: Three thousand fifty-four high school students. MAIN OUTCOME MEASURE: Number of days a weapon was carried on school property during the 30 days prior to the survey. RESULTS: The prevalence of self-reported weapon carrying on school property was 15% among male students and 5% among female students (P < .001). Weapon carrying on school property was significantly (P < .001) associated with frequency of physical fights on school property (r = 0.26), being a victim of threat or injury with a weapon on school property (r = 0.27), being a victim of stolen or damaged goods on school property (r = 0.14), not attending school owing to fear (r = 0.15), and substance use while at school, including smoking cigarettes (r = 0.20), using chewing tobacco (r = 0.18), smoking marijuana (r = 0.24), and using alcohol (r = 0.29). The association between weapon carrying and alcohol use in school was higher among students who were afraid to come to school (r = 0.49) than among students who were not afraid (r = 0.28). Students who had engaged in same-sex sexual activity (P < .001) or had been offered, given, or sold illicit drugs at school (P < .001) were more likely to carry a weapon at school. Multiple regression analysis showed that male sex and the frequencies of physical fighting, being a victim of a threat or injury, drinking alcohol, smoking cigarettes, and being offered or sold an illicit drug while on school property accounted for 21% of the variance in weapon carrying in school. When weapon carrying was dichotomized and analyzed with logistic regression, a model containing age, male sex, lower academic achievement, days not attending school owing to fear, times threatened or injured with a weapon at school, frequency of fighting at school, cigarette smoking, alcohol use, and being offered or sold illicit drugs on school property correctly classified 91.83% of the students who did or did not carry weapons. CONCLUSIONS: Weapon carrying at school was more strongly associated more with use of violence and the use of substances at school than with previous victimization and fear of attending school. However, there is a subgroup of students that seems to have been victimized at school, is afraid to come to school, is using alcohol at school, and is carrying weapons at school.

Adolescent↗

Situational variation in problem behavior at home and school in attention deficit disorder with hyperactivity: a factor analytic study.

The present investigation assesses situational variation in problem behaviors of children with Attention Deficit Disorder with Hyperactivity. Principal-component factors (VARIMAX rotation) were computed for the Home/School Situations Questionnaires (HSQ/SSQ). For the HSQ, four factors emerged, accounting for 61% of variance. For the SSQ, three factors emerged, accounting for 68% of variance. Factors were similar to those previously derived with non-referred children. To assess discriminative power, factors were compared (t-tests) to previous data. All factors significantly discriminated ADD/H from non-referred children. These data suggest the factors add to the utility of the HSQ/SSQ in assessing ADD/H.

Attention Deficit Disorder with Hyperactivity↗

Discriminators of clinically defined emotional maladjustment. Predictive validity of the Behavior Problem Checklist and Devereux scales.

From a population of 130 boys between 7 and 14 years of age who had been clinically diagnosed as aggressive, hyperactive, or withdrawn, 32, 31, and 32 Ss, respectively, were randomly selected. All Ss were rated on the Behavior Problem Checklist (BPC) and the Devereux Elementary School Behavior rating scales (DESB) during the 1971-72 academic year. A descriptive intercorrelation matrix was generated for the 4 BPC scales and the 14 DESB scales. Three stepwise discriminant analyses were run: (a) BPC scales only, (b) DESB scales only, and (c) BPC and DESB scales combined. In terms of statistical and practical considerations, the four BPC subscales by themselves attained the optimal predictive accuracy (65%, or 62 of 95 children correctly identified).

Adolescent↗

Relationship of binge drinking to alcohol dependence, other psychiatric disorders, and behavioral problems in an American Indian tribe.

The hypothesis that binge drinking is a benign behavior not associated with alcohol dependence, other psychiatric disorders, or problem areas, in American Indians, was tested in a sample of 582 adult Southwestern American Indian males and females in large multigenerational pedigrees. All information was obtained from semistructured psychiatric interviews that were independently blind-rated for DSM-III-R diagnoses. Three main outcome measures were used: the relationship between binge drinking and (1) alcohol dependence and other psychiatric disorders, (2) substance abuse treatment, and (3) four behavioral problem categories-violence/lawlessness, physical, social, and work. Binge drinking and alcohol dependence were strongly associated. Most binge drinkers were diagnosed as alcohol dependent. However, when controlling for alcohol dependence and other covariates, binge drinking was independently associated with an increase in odds for positive diagnoses for multiple psychiatric disorders, and for social, work, physical, and violence/lawlessness behavioral problems. In sum, binge drinking was found to be a common and severe problem with deleterious consequences in multiple domains of functioning. Assessment instruments should be designed to elicit information on binge patterns of drinking and strategies devised to provide appropriate treatment.

Adult↗

Mutual influence of marital conflict and children's behavior problems: shared and nonshared family risks.

This within-family, longitudinal study including biological and stepfamilies investigated mutual influences between marital conflict and children's behavior problems. Children (4 to 17 years; N=296) residing in 127 families drawn from a general population study were investigated at Time 1 and again 2 years later. These nested data were analyzed using multilevel modeling, controlling for previous child behavior or marital conflict. Marital conflict about children predicted change in children's behavior. Children's behavior also predicted an increase in marital conflict, particularly in stepfamilies. Differences between siblings in exposure to conflict and the extent to which siblings were a source of argument increased more in stepfamilies than in biological families. Boys were exposed to more conflict over time than were girls.

Adolescent↗

Human-companion animal relationships and animal behavior problems.

The compatibility of the social systems of humans and companion animals has facilitated the formation of a unique interspecific relationship. Some of the most common behavior problems that people have with their pets are a result of the type of relationship that has formed between them. In most cases, neither pet nor owner is exhibiting abnormal behavior; rather, they are demonstrating normal species-typical behaviors that are unacceptable to the other species.

Aggression↗

Physically abused adolescents: behavior problems, functional impairment, and comparison of informants' reports.

OBJECTIVE: This study, like earlier studies that focused on younger abused children, ascertained whether physically abused adolescents exhibited increased internalizing and externalizing behaviors. Relevance to pediatric practice is discussed. DESIGN: A cross-sectional design was used to compare the behavior of physically abused adolescents and comparison adolescents using self-reports, parent reports, and teacher reports. The level of agreement among raters was also examined. PARTICIPANTS: The subjects were 99 physically abused adolescents between the ages of 12 and 18 years, who were recruited from Child Protective Services. Comparison subjects were 99 community-recruited nonabused adolescents who were matched for age, gender, and income with the abused adolescents. MEASURES: The behavior of the adolescents was assessed using the Child Behavior Checklist, and the comparable Youth Self-Report and Teacher Report Form, which are widely used measures of behavioral and emotional problems. The Child Global Assessment Scale was also used as a measure of functional impairment and of the need for mental health services. RESULTS: Parents and teachers rated the problems of abused adolescents as significantly greater than the problems of nonabused adolescents on all checklist subscales. Abused adolescents reported significantly greater problems only on externalizing behavior subscales. In addition, based on interviewer ratings, physically abused adolescents exhibited significantly greater functional impairment. CONCLUSIONS: Similar to previous research on abused children, physically abused adolescents exhibit externalizing and internalizing behavior problems and experience greater functional impairment. Parent, teacher, and adolescent reports of externalizing behaviors were similar, but physically abused adolescents reported fewer internalizing behaviors than did the other informants.

Acting Out↗