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Results for “Behavioral problems”

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PubMed2004

Visiting less than every day: a marker for later behavioral problems in Finnish preterm infants.

OBJECTIVE: To investigate the effect of parental visits during neonatal intensive care on the behavioral and emotional development of the child at school age. DESIGN: All premature infants born in Tampere University Hospital in Tampere, Finland, in 1989 who were admitted to the neonatal intensive care unit and who lived in the Tampere region (N = 67; 31 boys and 36 girls) formed the study group. Data on parental visits were collected from the hospital records. Child behavior was evaluated according to the Achenbach Child Behavior Checklist at the age of 7 to 8 years. A total of 48 (72%) of the mothers returned the questionnaires. RESULTS: The median number of visiting days per week was 6.2 for the mothers and 4.7 for the fathers. The children whose mothers visited daily had fewer behavioral and emotional problems at school age than those who had had fewer visits from their mothers (P = .04). The visiting frequency of the fathers was not significantly associated with later behavioral and emotional problems of the child. In this study, infrequent visits by the mother were a stronger risk factor for later psychological development than the medical risks of the preterm infant. CONCLUSIONS: Infrequent visits by mothers to the neonatal intensive care unit seem to be a marker for their children's later behavioral and emotional problems. This emphasizes the significance of early parent-infant contact and the vulnerability in early interaction. Less frequent visits may also indicate factors influencing the parent-child relationship in a way that leads to subsequent behavioral problems.

Adult↗

PubMed1997

The relation of family functioning to adolescent psychological well-being, school adjustment, and problem behavior.

The association between family functioning and adolescent adjustment was examined in 429 Chinese adolescents via children's and parents' reports. The ratings obtained from the different sources indicated that family functioning was significantly related to measures of (a) adolescent psychological well-being (general psychiatric morbidity, life satisfaction, purpose in life, hopelessness, and self-esteem), (b) school adjustment (perceived academic performance and school conduct), and (c) problem behavior (smoking and abusing psychotropic drugs). The findings suggest that there is an intimate link between family functioning and the psychosocial adjustment, particularly the positive mental health, of Chinese adolescents.

Achievement↗

PubMed1992

The effects of psychotherapy on behavior problems of sexually abused deaf children.

This study assessed the effectiveness of a broad based psychotherapeutic intervention with a sample of 72 children sexually abused at a residential school for the deaf. An untreated comparison group emerged when about half of their parents refused the offer for psychotherapy provided by the school. Treated and untreated children were randomly assigned to two assessment groups: those who participated in a pretreatment assessment and those who did not. Houseparents at the residential school used the Child Behavior Checklist (CBC) to rate the pretreatment assessment children before treatment and all 72 children one year after the implementation of psychotherapy. Children receiving therapy had significantly fewer behavior problems than children not receiving therapy. There was a differential response to therapy on the basis of sex. Boys receiving therapy had significantly lower scores on the following CBC scales than the no treatment group: Total, Internal, External, Somatic, Uncommunicative, Immature, Hostile, Delinquent, Aggressive, and Hyperactive. There were no differences on the Schizoid and Obsessive scales. Girls receiving therapy had significantly lower scores than the no treatment group on the following CBC scales: Total, External, Depressed, Aggressive, and Cruel. There were no differences on the Internal, Anxious, Schizoid, Immature, Somatic, and Delinquent scales.

Adolescent↗

PubMed2002

Family functioning and psychological well-being, school adjustment, and problem behavior in chinese adolescents with and without economic disadvantage.

Using an indigenously developed measure of family functioning, the author examined the association between family functioning and adolescent adjustment in 1,519 Chinese adolescents. Results showed that family functioning was significantly related to measures of adolescent psychological well-being (existential well-being, life satisfaction, self-esteem, sense of mastery, general psychiatric morbidity), school adjustment (perceived academic performance, satisfaction with academic performance, and school conduct), and problem behavior (delinquent and substance abuse behavior). Family functioning was generally more strongly related to measures of adolescent adjustment for adolescents with economic disadvantage than for adolescents without economic disadvantage.

Achievement↗

PubMed1982

Reflection-impulsivity and WISC-R performance in behavior-problem children.

Forty-three emotionally disturbed children, ranging in age from 8 years, 3 months, to 15 years, 6 months, were divided into two groups, impulsive and reflective, on the basis of their cognitive style as measured by the Matching Familiar Figures Test and administered the Wechsler Intellectual Scale for Children-Revised. Reflective children scored significantly higher than the impulsive children on Verbal IQ, Performance IQ, Full Scale IQ, and Kaufman's Perceptual Organization factor. The two groups did not differ significantly on the Freedom from Distractibility or Verbal Comprehension factors. Results were discussed in terms of their relationship to previous findings, with particular attention to factor analytic research with behavior problem children that did not find a Freedom from Distractibility factor and could account for the present findings.

Adolescent↗

PubMed1990

Specific strategies: interventions for identified problem behaviors.

Negativism, complaining, underachievement, game playing, passive-aggressive behavior, and workaholism constitute a repertoire of problem employee behaviors that impact on the productivity and morale of the work environment. Responding appropriately to the employee who presents with any of these behaviors is a formidable challenge to the nurse manager. Understanding the etiology of unmet needs, psychosocial dynamics (as discussed in Chapter 1) and variety of interventions can empower the nurse manager to achieve success in these difficult interactions.

Attitude of Health Personnel↗

PubMed1998

Teacher, parent, and youth report of problem behaviors among rural American Indian and Caucasian adolescents.

Previous research on the mental health status of American Indian youth has documented rates of pathology that are higher than the rates for Caucasian youth. However, much of this previous research has compared rural American Indians to urban Caucasians. The present study is a comparison of American Indian and Caucasian youth living on or near a rural reservation. Results suggest that although American Indian youth have higher levels than Caucasian youth of certain problem behaviors, group differences are much less general and pronounced than previous research has documented. Analyses also revealed teachers' perceptions of youth were in some cases quite different than parents' perceptions of youth and youth's perceptions of themselves.

Adolescent↗

PubMed2003

Caretaker perception of child vulnerability predicts behavior problems in NICU graduates.

This study explores parental perception of child vulnerability (PPCV) and parent overprotection (POP) and their relationship to neonatal medical problems, child development and behavior. Participants included 90 lower income parents of NICU graduates ages 22-81 months consecutively enrolled at a high-risk neonatal developmental follow-up clinic. Parents completed the Child Vulnerability Scale (CVS), the Parent Protection Scale (PPS) and the Child Behavior Checklist (CBCL) regarding their children. Step-wise regression analysis revealed the CVS as the sole predictor of child behavior, accounting for 13% of the variance in the CBCL Total T-score (R(2) =.13, $be =.86, p <.006). Neonatal medical problems, Child DQ, and most parental demographic variables did not correlate with CVS or PPS scores. A significant correlation between CVS and the separation subscale of the PPS was noted (r =.31, p <.01). We conclude that NICU graduates perceived vulnerable by their caretakers have significant behavioral difficulties compared to those perceived as not vulnerable. Future research should address early parental antecedents of PPCV, the persistence of PPCV, and its effects on behavioral outcomes.

Caregivers↗

PubMed2002

Delay of gratification: impulsive choices and problem behaviors in early and late adolescence.

High school students were offered a monetary incentive for participating in research. They were given a choice between a smaller fee immediately or a larger fee one week later. Compared to students who delayed gratification, those who chose the immediate fee showed more self-regulatory deficits. They showed greater involvement with cigarettes, alcohol, and marijuana, had a poorer self-concept and underperformed academically. A replication study with middle-school students and different reward parameters yielded equivalent results. Younger adolescents who chose the immediate monetary incentive showed a similar pattern of problem behaviors as the high school students. The findings indicate that this simple choice-delay procedure yields an unobtrusive behavioral measure of self-regulation and offers a developmentally appropriate extension of the delay-of-gratification paradigm for use with older children and adolescents.

Adolescent↗

PubMed2002

Family functioning and peer affiliation in children of fathers with antisocial personality disorder and substance dependence: associations with problem behaviors.

OBJECTIVE: Family functioning and peer influences are theoretically linked to child psychopathology. This study quantified the functional status of families with fathers with substance dependence with or without comorbid antisocial personality disorder and evaluated the peer environments of preadolescent offspring. The authors examined associations between the child's psychopathology, paternal substance dependence/antisocial personality disorder status, and measures of family and peer environments. METHOD: Families with the presence or absence of paternal substance dependence were subdivided into those with and without paternal antisocial personality disorder. Grouped families were contrasted on measures of family functioning, the child's peer affiliation, and the child's problem behaviors. Regression analysis determined the influence of these factors on the child's psychopathology. RESULTS: Families with paternal substance dependence functioned worse than normal comparison families. However, families with paternal substance dependence and antisocial personality disorder (N=34) did not differ markedly from those with substance dependence without antisocial personality disorder (N=84). The children of fathers with both substance dependence and antisocial personality disorder had greater affiliation with deviant peers than those with substance dependence without antisocial personality disorder and comparison families (N=104). CONCLUSIONS: Children of fathers with substance dependence and antisocial personality disorder demonstrated higher externalizing and internalizing psychopathology than those with substance dependence but not antisocial personality disorder and those without either condition. Paternal substance dependence/antisocial personality disorder status and the child's affiliation with deviant peers were most robustly associated with the child's psychopathology. Research is needed to develop interventions that effectively address parental risk and healthy peer relations.

Antisocial Personality Disorder↗

PubMed1996

Treatment of multiply controlled problem behavior.

The aggressive behavior of a young boy with developmental delays occurred most frequently following a request to pick up his toys. The request ended a period of play and social interaction. This suggested the presence of multiple establishing operations. The initial treatment consisted of praise, a break, and access to the toys contingent on compliance. Results showed that aggression decreased only when we added social interaction to the break. Findings are discussed regarding treating multiply controlled problem behavior without extinction.

Aggression↗

PubMed2004

Genetic and environmental mechanisms underlying stability and change in problem behaviors at ages 3, 7, 10, and 12.

Maternal ratings on internalizing (INT) and externalizing (EXT) behaviors were collected in a large, population-based longitudinal sample. The numbers of participating twin pairs at ages 3, 7, 10, and 12 were 5,602, 5,115, 2,956, and 1,481, respectively. Stability in both behaviors was accounted for by genetic and shared environmental influences. The genetic contribution to stability (INT: 43%; EXT: 60%) resulted from the fact that a subset of genes expressed at an earlier age was still active at the next time point. A common set of shared environmental factors operated at all ages (INT: 47%; EXT: 34%). The modest contribution of nonshared environmental factors (INT: 10%; EXT: 6%) could not be captured by a simple model. Significant age-specific influences were found for all components, indicating that genetic and environmental factors also contributed to changes in problem behavior.

Adolescent↗

PubMed2000

Structure of the Weinberger Adjustment Inventory Self-Restraint scale and its relation to problem behaviors in adolescence.

The authors examined the structure of the Weinberger Adjustment Inventory (WAI) Self-Restraint scale in derivation (n = 1,286) and cross-validation (n = 1,154) samples of mostly African American 6th graders in 3 urban schools. Four models were compared: (a) a 1-factor model; (b) a hierarchical model in which factors representing Impulse Control, Suppression of Aggression, Responsibility, and Consideration of Others were subsumed by a higher order factor; (c) a model that represented these 4 factors as correlated but distinct constructs; and (d) a model that excluded Consideration of Others from the higher order factor. Consistent support was found for the last model based on confirmatory factor analyses and latent-variable analyses examining the relations among self-restraint scales, drug use, delinquency, and aggression. These findings have implications for using the WAI, particularly in studies of adolescent problem behaviors.

Adolescent↗

PubMed1997

Vulnerability to victimization, concurrent problem behaviors, and peer influence as predictors of in-school weapon carrying among high school students.

Previous research has indicated the potential relevance of three constructs in the prediction of adolescent weapon carrying, (a) general delinquency, (b) self-protection, and (c) social influence. The current study tests the independent associations between in-school weapon carrying and these three constructs. The sample consisted of 504 students from seven southern California high schools. Overall, 25% of the sample carried a weapon to school in the last year. Self-defense was the most commonly reported reason for in-school weapon carrying. The results from a simultaneous logistic regression analysis indicated increased risk of in-school weapon carrying among students who are male, who are affiliated with gangs or tagging crews, who are exposed to peers who carry weapons to school, and who feel vulnerable to being victimized. Prevention programs targeted at reducing in-school weapon carrying may benefit from a comprehensive focus that includes efforts to reduce involvement in other problem behaviors, influence norms regarding weapon carrying, and reduce actual and perceived vulnerability to victimization.

Adolescent↗

PubMed1999

Response covariation. The relationship between correct academic responding and problem behavior.

This article examined the relationship between the accuracy of academic responding and aggression for two boys with mild mental retardation. Their teacher reported low rates of correct responding and high rates of aggressive behavior during spelling instruction. A functional analysis showed that aggression was escape maintained. Following the functional analysis, participants were tested on relations between printed, photographic, and dictated stimuli corresponding to their spelling words. On pretests, they were unable to match printed words to their photographs or to their dictated names; they could neither name the printed words nor spell the photographs or dictated words. High rates of aggression were observed during the pretests. The participants then were taught the letter-by-letter construction of the appropriate words when shown photographs. On posttests, the participants correctly matched printed words to their photographs and dictated names. In addition, they correctly named printed words and spelled dictated words orally. Data showed that rates of problem behavior negatively covaried with improvements in the participants' academic responding.

Achievement↗

PubMed2006

Adolescent inhalant use among male patients in treatment for substance and behavior problems: two-year outcome.

UNLABELLED: Adolescent inhalant users are significantly more likely than other patients to have conduct disorder, to report abuse and neglect, and to have previously attempted suicide. Yet little has been published regarding treatment outcome for inhalant users. METHODS: Eighty male adolescents admitted to a residential treatment program underwent baseline assessment during treatment, and follow-up assessment at two-years post admission. Subjects reporting any lifetime inhalant use at baseline (n = 34) were compared to the other patients (n = 46) on 4 outcome variables. RESULTS: Adolescents reporting any lifetime inhalant use at baseline assessment reported twice as many past-year conduct disorder symptoms at two-year follow up (p = 0.03). The relationship between inhalant use and conduct disorder symptoms remained significant (p = 0.03) in analyses that controlled for age, time in jail or restricted environments in the 6-months preceding follow-up, as well as baseline-reported lifetime number of conduct disorder symptoms. Inhalant users were not significantly worse on these other outcome measures: crime in the last month (p = 0.60), days of nontobacco substance use in the last 6 months (p = 0.65), or, commission of selected crimes in the last 6 months (p = 0.06). CONCLUSIONS: Inhalant use among adolescent males in treatment for substance and behavior problems may predict more severe conduct disorder symptoms after treatment.

Administration, Inhalation↗

PubMed1993

Pathways of problem behaviors from childhood to adolescence.

OBJECTIVE: the purpose of this study was to determine the 6-year longitudinal course of psychiatric disorders in children from the general population commencing at age 4 to 11 years. METHOD: three groups of children were selected on the basis of Child Behavior Checklist ratings obtained at 2-year intervals: "persisters," "decreasers," and "increasers." Selected subjects and their parents were clinically interviewed, and DSM-III-R diagnoses were derived. RESULTS: the majority of children whose overall level of psychopathology persisted over time obtained lifetime DSM-III-R diagnoses classified as externalizing: attention-deficit hyperactivity disorder, oppositional disorder, or conduct disorder. The majority of children whose overall level of psychopathology decreased obtained lifetime DSM-III-R diagnoses classified as internalizing: anxiety disorders, major depression, or dysthymic disorder. Children with initial Child Behavior Checklist scores in the normal range whose problem scores increased received lifetime diagnoses that were neither predominantly externalizing or internalizing. CONCLUSIONS: this study showed that the majority of initially disordered children with the poorest outcome showed aggressive or antisocial behaviors, whereas disordered children whose functioning improved had problems reflecting fearful, inhibited, or depressive behavior. The findings also showed that retrospective information on the course of children's problem behaviors should be regarded with caution.

Adolescent↗

PubMed1982

Person-environment congruence as a predictor of adolescent health and behavioral problems.

Most research on health and behavioral outcomes of stressors has focused on adults. One stressor identified in this literature is lack of "fit," or congruence, between individual needs and environmental opportunities. This study examines relations between person-environment congruence in three settings (home, school, and peer group) and several indices of health and behavioral disorder among adolescents. We also examine whether person-environment congruence contributes to the prediction of health and behavioral disorder once the effects of stressful life events have been taken into account. Using self-report data from 531 high school students, we find (a) person-environment congruence has relatively little impact on youngsters' health and well-being; and (b) although the contribution of congruence is small it is independent of the contribution of life events. Problems in the measurement of congruence are noted.

Adolescent↗