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Behavior problems and traumatic events of unaccompanied refugee minors.

OBJECTIVE: The present study examined the traumatic events and behavior symptoms of 46 unaccompanied refugee minors waiting for placement in an asylum center in Finland. METHOD: Using all the clinical information available information about the refugee children's experiences before and during their flight and after their arrival in Finland was gathered. Children were evaluated with the Child Behavior Checklist (CBCL). RESULTS: The refugee children had experienced a number of losses, separations, persecution, and threats. About half of the minors were functioning within clinical or borderline range when evaluated with the CBCL. Young age (< 15 years) was associated with more severe psychiatric problems. There was a lack of rehabilitative services, the staff ratio was very low and the time spent in the asylum center waiting for the placement decision was relatively long for these minors. CONCLUSIONS: Unaccompanied refugee minors are in a highly vulnerable situation. Younger refugee children are more vulnerable to emotional distress than older children. Current procedures for dealing with asylum-seekers may contribute to high level of stress and emotional symptoms in previously traumatized refugee children. A high level of social security and mental health care does not guarantee an appropriate level of care for unaccompanied refugee children.

Adolescent↗

A study of parent ratings of internalizing and externalizing problem behavior in 12-year-old twins.

OBJECTIVE: Studies on 3-, 7-, and 10-year-old twins' internalizing and externalizing problems have emphasized the importance of understanding sources of agreement and disagreement between maternal and paternal ratings. A psychometric model that assumes that each parent assesses rater-specific aspects of the child's behavior provided the best explanation for parental disagreement. This study investigates two models that have been used to explain the agreement and disagreement between mothers and fathers in the ratings of their children. METHOD: Child Behavior Checklists filled in by mothers and fathers were collected for a sample of 1,481 twelve-year-old twin pairs. Genetic and environmental influences on internalizing and externalizing problems were estimated using models that corrected for rater bias, rater-specific effects, and unreliability. RESULTS: The psychometric model fitted the data significantly better than a rater bias model. Significant influences of genetic, shared, and nonshared environmental factors were found for internalizing and externalizing behavior. Parent-specific views, rater bias, and unreliability were significant. CONCLUSIONS: The best-fitting model implies that disagreement between parents is due to the fact that mothers and fathers provide information from their own perspective. This information should be seen as important and adding to the diagnostic formulation rather than as a point of disagreement. The finding that internalizing and externalizing problems are influenced by genetic and environmental factors fosters the understanding that it is the interaction of nature and nurture that puts children at risk for common behavioral disorders.

Adolescent↗

Profiles of externalizing behavior problems for boys and girls across preschool: the roles of emotion regulation and inattention.

Although externalizing behavior typically peaks in toddlerhood and decreases by school entry, some children do not show this normative decline. A sample of 383 boys and girls was assessed at ages 2, 4, and 5 for externalizing behavior and at age 2 on measures of emotion regulation and inattention. A longitudinal latent profile analysis was performed and resulted in 4 longitudinal profiles of externalizing behavior for each gender. Poor emotion regulation and inattention were important predictors of membership in the chronic-clinical profile for girls, whereas socioeconomic status and inattention were important predictors of membership in the chronic-clinical profile for boys. Results are discussed with respect to the development of adaptive skills that lead to normative declines in externalizing behavior across childhood.

Acting Out↗

Early therapeutic alliance and treatment outcome in individual and family therapy for adolescent behavior problems.

The impact of early therapeutic alliance was examined in 100 clients receiving either individual cognitive- behavioral therapy (CBT) or family therapy for adolescent substance abuse. Observational ratings of adolescent alliance in CBT and adolescent and parent alliance in family therapy were used to predict treatment retention (in CBT only) and outcome (drug use, externalizing, and internalizing symptoms in both conditions) at post and 6-month follow-up. There were no alliance effects in CBT. In family therapy, stronger parent alliance predicted declines in drug use and externalizing. Adolescents with weak early alliances that subsequently improved by midtreatment showed significantly greater reductions in externalizing than adolescents whose alliances declined. Results underscore the need for ongoing developmental calibration of intervention theory and practice for adolescent clinical populations.

Adolescent↗

The attention deficit disorder. A learning and behavioral problem in children.

A large number of children exhibit characteristic abnormalities of attention, coordination, learning, and behavior, which together compose the attention deficit disorder. These abnormalities frequently lead to school failure and social maladjustment. A variety of therapies diminish the symptoms of this disorder, offering hope for improved prognosis. Management depends upon early identification, thorough evaluation, and appropriate intervention.

Attention Deficit Disorder with Hyperactivity↗

Body-focused repetitive behavior problems. Prevalence in a nonreferred population and differences in perceived somatic activity.

Body-focused repetitive behaviors (BFRBs) such as skin picking or scratching and nail biting can be physically and socially detrimental. Given the potential consequences associated with these behaviors, it is unfortunate this area has received relatively limited attention. The two purposes of the current study were (a) to determine the prevalence of BFRBs among typically developing persons and (b) to examine the contribution of reported somatic activity to the occurrence of BFRBs. Results indicated that 13.7% of the sample met criteria for at least one BFRB, of which the most common topography was nail biting. Persons with a BFRB reported significantly more somatic activity than persons without a BFRB. Further analyses revealed consistent findings across three separate topographies in which persons with a BFRB for nail biting, mouth chewing, and/or skin picking reported significantly more somatic activity than did persons without a BFRB. Clinical implications and diagnostic considerations are discussed.

Adolescent↗

Behavior problems in sons and daughters of substance abusing parents.

Information to address the question of whether sex specific features exist in behavioral characteristics of children of substance abusing parents was gathered from the records of a large number of hospital treated youth. There was a trend for sons of substance abusing parents to have more conduct disorder diagnoses in association with severe aggressive/destructive behavior than sons of non substance abusing parents. Girls of substance abusing parents generally were more likely to have attention deficit/hyperactive, aggressive and conduct disorder problems than girls of non substance abusing parents.

Adolescent↗

Neighborhood disadvantage, parent-child conflict, neighborhood peer relationships, and early antisocial behavior problem trajectories.

This study examined relations among neighborhood disadvantage, parent-child conflict, deviant peer involvement in the neighborhood, and early-starting antisocial trajectories. Antisocial group patterns were identified in 218 low-income boys followed from ages 5 to 11, and neighborhood and family variables were evaluated as predictors in early and middle childhood. Four trajectory groups emerged: one increasing pattern that corresponded with developmental theories of early-starting antisocial behavior; one with initially high and decreasing problems over time; and two low antisocial groups. Parent-child conflict and neighborhood disadvantage were significantly associated with trajectory patterns, with youth in the 2 higher antisocial behavior groups characterized by more neighborhood problems and parent-child conflict than other groups. The results suggest that in early childhood, neighborhood disadvantage and family conflict place children at risk for early-starting trajectories, and that involvement with deviant peers in the neighborhood takes on an increasingly important role in patterns of antisocial behavior over middle childhood.

Adolescent↗

Translational science in action: hostile attributional style and the development of aggressive behavior problems.

A model of the development of hostile attributional style and its role in children's aggressive behavior is proposed, based on the translation of basic science in ethology, neuroscience, social psychology, personality psychology, and developmental psychology. Theory and findings from these domains are reviewed and synthesized in the proposed model, which posits that (a) aggressive behavior and hostile attributions are universal human characteristics, (b) socialization leads to the development of benign attributions, (c) individual differences in attributional style account for differences in aggressive behavior, and (d) interventions to change attributions have the potential to alter antisocial development. Challenges for future research are described.

Aggression↗