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Correspondence between parents' reports on the Behavior Problem Checklist.

Interparent agreement on the Behavior Problem Checklist (BPC) was assessed in relation to several potentially influential variables. Major findings indicated parent agreement to be of a moderate level, generally higher in nondistressed than distressed samples, lower on Personality Problem items than Conduct Problem items, very low regarding presence of specific behaviors, and importantly related to type of reliability index employed. Issues deserving additional research effort are discussed.

Adolescent

Effects of sex, race and year in college on self-reported drinking-related problem behaviors.

This research was conducted to study the effects of sex, race, and year in college on self-reported drinking-related problem behaviors. It was hypothesized that men would report more problem behaviors than women, white students would report more than Hispanic or black students, and an interaction of sex and race would be observed. The study was conducted at a middle-sized eastern college, where 181 students anonymously filled out a 17-item questionnaire. The design was a 3 (race) x 2 (sex) x 2 (year in college) factorial. The hypotheses for sex and race were confirmed. Investigation of whether these self-reported drinking-related problem behaviors are congruent with actual behaviors requires study.

Adult

The Behavior Problem Inventory: a further replication of its factor structure.

The Behavior Problem Inventory was administered to a random sample of people living in a state school. The scores from all items and from self-injury items only were factor analysed. The three scales of the Behavior Problem Inventory were highly internally consistent. Factor analysis of all the items showed some similarities to previous studies, and factor analysis of the self-injury items showed a very close correspondence to two previous studies. The results are discussed in terms of the design of this instrument, the possible multi-factorial nature of self-injury and future research on the design of measures of assessments of maladaptive behaviours in people with developmental disabilities.

Adolescent

Behavioral problems in nursing home residents. Safe ways to manage dementia.

Behavioral problems in nursing home residents are already common and are likely to increase in number with the "graying" of the population. Effective treatment is available, and a structured and logical approach to management is needed. Patients should be assessed to differentiate delirium from dementia, and possible precipitants of disturbed behavior should be investigated. The best treatment of dementia-related behavioral problems includes nonpharmacologic measures (eg, environmental changes) and appropriate choice, dosing, and monitoring of pharmacologic agents. Long-term success with demented patients may depend on realistic expectations.

Aged

Utility of the Behavior Problem Checklist with preschool children.

Determined the utility of the Behavior Problem Checklist with preschool children, a sample of 101 male and 103 female children initially rated on this scale. Ss ranged in age from 42 to 72 months and currently were enrolled in Maine Headstart programs. Sixty-six of these children also were assessed on a preschool rating system developed to assess hyperactivity and withdrawal. Results revealed that the conduct disorder and socialized delinquency dimensions correlated most highly with the hyperactivity scales, while the personality disorder and immaturity dimensions correlated most highly with the withdrawal dimensions. The BPC was found to be sensitive in differentiating clinical from nonclinical groups. These findings suggest that the Behavior Problem Checklist, although not specifically designed to assess preschool age children, may be effective with this population.

Child

Dental problem behaviors in children of parents with severe dental fear.

Dental problem behaviors and dental health were investigated retrospectively in 99 children, whose parents had been treated at the Dental Fear Clinic in Gothenburg, Sweden, due to severe dental fear and avoidance of dental treatment. A high frequency of missed or cancelled appointments and high DMFT and defs scores were found. Problem behaviors occurred in 45% of the children and a relationship between dental fear in parents and children was revealed.

Adolescent

The role of parents in the detection of developmental and behavioral problems.

OBJECTIVE: The success of early identification of children with developmental and behavioral problems is influenced by the manner in which pediatricians elicit, recognize, and select clinical information and derive appropriate impressions. Parents are ready sources of clinical information, and they can be asked to provide two broad types of data: appraisals, including concerns, estimations, and predictions; and descriptions, including recall and report. The purpose of this article is to help pediatricians make optimal use of clinical information from parents to increase the accuracy of clinical judgment in detecting children with developmental and behavioral problems. DESIGN: Review of 78 research articles and tests relying on parent information from pediatric, psychological, and education literature. RESULTS AND CONCLUSION: There are several formats for eliciting parental information that are superior in terms of accuracy and ease of evocation. Specifically, parents' concerns and good-quality standardized parent report measures such as the Child Development Inventories capitalize best on parents' observations and insights into their children. In combination, these two types of parental information offer an effective method for the early detection of behavioral and developmental problems in primary-care settings.

Child

Behavioral problems and social competence in children with epilepsy.

The purpose of this investigation was to evaluate relationships between seizure type in general, degree of interictal limbic system dysfunction in particular, and social competence and behavioral pathology in children with temporal lobe (n=21), primary generalized (n=21), and focal nontemporal epilepsies (n=14). The three groups were closely matched on several variables and compared on the mean Aggression, Total Social Competence, and Total Behavior Problems scale scores derived from a standardized behavioral rating instrument (The Child Behavior Profile). On the Aggression scale , the focal nontemporal group scored significantly lower than the temporal lobe group but did not differ significantly from patients with primary generalized epilepsy. On the Total Behavior Problems and Total Social Competence scales, the three seizure groups did not differ significantly from one another. The results are discussed in terms of the psychologic risk for specific behavioral problems associated with epilepsies varying in their probability of interictal disruption of limbic system functioning.

Achievement

The Houston Parent--Child Development Center and the primary prevention of behavior problems in young children.

This study reports the effectiveness of the Houston Parent--Child Development Center (PCDC) program for preventing behavior problems in young children. The PCDC is a 2-year, intensive parent-child education program for children 1-3 and their parents. Low-income Mexican American families were randomly assigned to program or control groups. A follow-up of the program 1-4 years later, when children averaged 5 1/2 years of age, was carried out with 128 mothers who were interviewed about behavior problems of their children. A MANCOVA showed main effects for group and sex as well as a group by sex interaction. The principle result was that control boys were more destructive, overactive, negative attention-seeking, and less emotionally sensitive than program boys and girls and control girls. The program is seen as an effective primary prevention approach to behavior problems. Prior evaluations have shown that it also enhances children's cognitive skills. Other parent--child education programs should be examined as approaches to primary prevention.

Child

Family characteristics of adolescents who display overt and covert behavior problems.

The purpose of the present study was to examine and compare the families of young adolescents who demonstrated overt behavior problems, overt and covert behavior problems (i.e. versatile adolescents), and neither type of problem. From 176 nonclinic adolescents, a sample of 23 was selected based upon a teacher-completed measure. Interparental conflict, parental marital status, and mother-adolescent conflict were examined. The results indicated that families with a versatile adolescent were characterized by divorce as well as more interparental and mother-adolescent conflict than the other two groups. Assessment of and intervention for school-identified adolescents may need to include a focus on interparental conflict and parent-adolescent conflict.

Adolescent

The use of selegiline in Alzheimer's patients with behavior problems.

BACKGROUND: Currently there is no regimen for managing the inappropriate behavior seen in Alzheimer's disease that does not cause significant patient sedation. Preliminary evidence suggests selegiline may be effective in behavioral modification without the adverse effects observed with other regimens. The purpose of this study was to document the efficacy of selegiline in Alzheimer's patients with behavior problems. METHOD: Eight Alzheimer's patients (6 women and 2 men) ranging in age from 50 to 82 years (mean +/- SD = 74.0 +/- 10.5) were enrolled in this single-blind study. Patients received selegiline 10 mg each day for 8 weeks. Prior to drug administration and at the end of Weeks 1, 2, 4, 6, and 8, patients were evaluated for behavior (BEHAVEAD), cognitive function (Mini-Mental State Examination), and caregiver stress (Caregiver Burden Scale). RESULTS: Of eight enrolled patients, five were available for analysis. No statistically significant differences were found between mean baseline and mean 8-week scores for any of the three tests. However, clinical significance was noted by improvement in cognition (orientation and recall), caregiver stress, and behavior. Behavior was noted to improve in the areas of paranoid and delusional ideation, hallucinations, activity disturbances, anxiety, and phobias. CONCLUSION: These data suggest that some Alzheimer's patients with behavior problems may benefit from selegiline therapy.

Aged

[Family life events and behavior problems in children].

In this paper, Family Life Event Questionnaire and Children Behavior Questionnaire were applied to measure the 402 subjects between 3-15 years old from 301 rural and urban families. The results showed that family life events were accompanied with behavior problems in children. Six events, which can be concluded into the inappropriate management for parents to control the children, the harmful family atmosphere and the parents' inferior role, related with the behavior problems closer than the other events.

Child

Correlates of internalizing and externalizing behavior problems: perceived competence, causal attributions, and parental symptoms.

Young adolescents in the clinical range on internalizing, externalizing, and both internalizing and externalizing behavior problems, as well as youth in the normal range on both types of problems, were identified separately using adolescents' self-reports and mothers' reports of behavior problems. In comparisons of groups identified on the basis of either type of informant, differences among the four groups were found in adolescents' self-perceptions of competence and in their fathers' psychological symptoms. Specifically, normals reported a more positive sense of their social acceptance and their behavioral conduct than all clinical groups, and fathers of adolescents in the clinical range on both internalizing and externalizing problems tended to report more psychological symptoms than the fathers of the normal group. Differences were found in mothers' psychological symptoms only when mothers' reports of adolescents' behavior problems were used to identify the groups. No consistent differences among the groups were found on adolescents' causal attributions for success and failure.

Adolescent

In search of effective programs to address students' emotional distress and behavioral problems. Part I: Defining the problem.

This article discusses the prevalence and seriousness of emotional difficulties and behavioral problems in students, with a special focus on high school students and the obstacles they encounter when addressing these problems. The educational, psychological, and medical literature which addressed the problem over the past five years was evaluated, and 22 references were selected. It was determined that the lack of consensus on the terms used to describe the problem prevented accurate assessment of its prevalence. However, one fifth to one third of the students were found to be affected, leading to serious educational, psychosocial, and economic difficulties--and more are likely to be affected in the 1990s. Since the school and mental health systems have not been entirely successful in addressing the problem, adolescents' patterns of seeking help indicate that peer support groups can be part of the solution. It was concluded that the enormity of the problem requires a low-cost gate-keeping mechanism to facilitate early identification and intervention. Thus, school peer-support programs, if proven effective, may complement traditional mental health services in addressing adolescents' emotional distress and behavioral problems.

Adolescent

Social competence and problem behavior of adolescent girls with learning disabilities.

Estimates of social competence and problem behavior were obtained using the Child Behavior Checklist (Achenbach & Edelbrock, 1983) for a sample of 51 adolescent girls with learning disabilities. Results identified poor social competence and elevated problem behaviors, in comparison to a normative group of nonhandicapped adolescents. Implications for both diagnosis and research are addressed.

Adolescent

Transient versus stable behavior problems in a normative sample: infancy to school age.

Identified 3 subgroups of children from a prospective longitudinal study of temperament and development: (a) those with stable, (b) transient, or (c) no-behavior problems, as rated by mothers across the toddler, preschool, and preparatory school grade periods. Children with stable behavior problems were particularly characterized by more difficult temperament, mothers' overall perception of the child as difficult, and aggressive behavior in the 2- to 4-year age period. Group differences were linear rather than categorical with transient behavior problem children showing a lesser degree of difficulty. In a second study where more comprehensive child and family measures were available, temperament was again an important discriminator, with Vineland Adaptive Behavior Composite Score, mothers' overall perception of the child's temperament, and maternal psychological health and stress factors also more adverse for the stable group. However, correct classification of the members of these groups using a combination of the above variables was not impressive.

Child

Marital adjustment, parental disagreements about child rearing, and behavior problems in boys: increasing the specificity of the marital assessment.

2 studies were conducted to illustrate how measuring a specific aspect of marriage, namely, child-rearing disagreements, provides a better understanding of the link between marriage and boys' behavior. In Study 1, 200 mothers of 3-year-old boys completed unstandardized measures of marital functioning and child behavior. An index of child-rearing disagreements: (1) correlated with a greater variety of behavior problems than nonchild disagreements, and (2) improved upon the prediction of behavior problems after accounting for nonchild disagreements as well as after accounting for boys' exposure to marital conflict. In Study 2, 87 mothers with 4-6-year-old sons completed the index of child-rearing disagreements used in Study 1 as well as standard measures of marital functioning and child behavior. Child-rearing disagreements: (1) predicted a greater variety of behavior problems than global marital adjustment, and (2) improved upon the prediction of internalizing problems after controlling for global marital adjustment as well as after controlling for boys' exposure to marital conflict.

Adaptation, Psychological

Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses.

The relations between scores on statistically derived behavior problem syndromes and DSM-III diagnoses were examined for 270 clinically referred children aged 6 through 16. Each child's parent completed the Child Behavior Checklist (CBCL) and was administered the NIMH Diagnostic Interview Schedule for Children (DISC)--a structured interview covering DSM-III diagnostic criteria. Numerous behavior problems scales scored from the CBCL were significantly related to one or more diagnoses. The strongest relations were between scores on the Hyperactive, Delinquent, and Depressed scales and diagnoses of Attention Deficit Disorder, Conduct Disorder, and Depression/Dysthymia, respectively. This convergence supports the validity of some syndromal constructs common to both assessment paradigms.

Adolescent