Screening for developmental and behavioral problems.

Frances Page Glascoe

doi:10.1002/mrdd.20068

Home/Archive/PubMed

PubMed · 16161092

Screening for developmental and behavioral problems.

Frances Page Glascoe

View original source ↗Export metadata ↓

Abstract

Early detection of developmental and behavioral/mental health problems is greatly facilitated when quality instruments are deployed. This article describes how to identify accurate measures and presents standards for screening tests. Included is a table delineating accurate tools for primary care: typically those relying on information from parents (e.g., PEDS, ASQ, PSC, etc.) as well as measures useful in settings where providers have more time and skill at eliciting behaviors from children (e.g., Brigance screens). Screening measures should be used in the context of developmental surveillance; the longitudinal process of incorporating professional observations into decision-making about children's developmental needs.

Explore related subjects

Child Behavior Disorders Child, Preschool Developmental Disabilities Humans Infant Mass Screening Parents Population Surveillance Practice Guidelines as Topic Predictive Value of Tests Primary Health Care United States Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

Frances Page Glascoe. 2005. Screening for developmental and behavioral problems.. https://doi.org/10.1002/mrdd.20068

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2006

Early childhood externalising behaviour problems: child, parenting, and family-related predictors over time.

This study examined the dynamic relationships between child, parenting, and family-related predictor variables and early childhood externalising behaviour problems. A community sample of 395 Australian children was followed longitudinally, and assessed at 4 and 6 years with the Child Behavior Checklist, Teacher Report Form, and standard measures of parenting, temperament, and familial adversity. Variables based on the average scores across the two assessments and the change in scores between assessments were utilised as predictors of parent-reported and teacher-reported externalising behaviour problems at age 6. It was hypothesised that both higher average scores and more detrimental changes in scores, would independently predict externalising problems at age 6. Multivariable analyses found that the presence of parent-reported child externalising problems in six-year-olds were predicted by: (i) the presence of parent-reported child externalising problems at age 4, (ii) higher average "teacher-reported child externalising behaviour," "inflexible temperament," "non-persistent temperament," and "over-reactive parenting," and (iii) an increased "inflexible temperament" score between age 4 and age 6. The presence of teacher-reported child externalising problems at age 6 was predicted by higher average "parent-reported child externalising behaviour," and "over-reactive parenting." The results provide further evidence of the adverse impact of continuing high levels of temperament difficulties and over-reactive parenting on externalising behaviour in early childhood. However, contrary to expectations, the contribution of including the dynamic change scores was limited.

Child Behavior Disorders↗

PubMed2006

Cardiac vagal regulation differentiates among children at risk for behavior problems.

A sample of 335 five-year-old children participating in an ongoing longitudinal study was the focus of a study on the effects of emotional and behavioral challenge on cardiac activity in children with different patterns of early childhood behavior problems. The children were placed in one of three behavior problem groups (low behavior problems, risk for externalizing problems, risk for mixed externalizing/internalizing problems) based on their scores on the Child Behavior Checklist for 4-18-year-olds [Achenbach, T.M., 1991. Integrative guide for the 1991 CBCL/4-18, YSR & TRF profiles. University of Vermont Department of Psychiatry, Burlington, VT], completed by their mothers. To assess cardiac vagal regulation, resting measures of respiratory sinus arrhythmia (RSA) and RSA change (vagal withdrawal) to five emotionally and behaviorally challenging tasks were derived. In addition, heart period (HP) and heart period change (HR acceleration) was examined. Results indicated that the behavior problem groups did not differ in terms of resting measures of either RSA or HP. Analyses of the challenge tasks indicated that the children at risk for mixed problems displayed greater cardiac vagal withdrawal across the five tasks than did the other two groups of children. There was a trend for the children at risk for externalizing problems to display less vagal withdrawal than the control group. In addition, the children at risk for mixed problems displayed greater heart rate acceleration to the tasks than did the other two groups of children. Follow-up analyses indicated that the greater cardiac acceleration observed in the mixed group was largely a function of greater vagal withdrawal. These findings are discussed in terms of the emotion regulatory function of cardiac vagal regulation, and its implications for patterns of risk for behavior problems in young children.

Child Behavior Disorders↗

PubMed2006

Theoretical, developmental & cultural orientations of school-based prevention programs for preschoolers.

Schools are the primary environment in which to conduct prevention programs for school-age children. Educators, policy makers, and psychologist argue that prevention efforts should begin as early as possible to maximize their effectiveness. Surprisingly, there are relatively few school-based prevention programs targeted for preschoolers. Given the evidence supporting earlier rather than later prevention efforts and the fact that many children in the United States attend preschool programs, more research on the feasibility and effectiveness of prevention programs administered in preschool environments is warranted. In this article, we review the existing literature on school-based prevention programs targeted for preschool children. We examine whether school-based prevention programs are theory driven, developmentally appropriate, culturally sensitive, and aimed specifically at symptom reduction or behavior promotion. Based on the findings of this review, our aim is to identify gaps in the prevention research literature regarding programs for preschoolers and propose research to address such gaps to create more effective school-based prevention programs for young children.

Child Behavior Disorders↗