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PubMed1994

The effects of military-induced separation on family factors and child behavior.

Data from 61 mothers of school-age children were examined before, during, and after military deployment of their husbands. Separations resulted in temporary disruptions in families' reported ability to maintain supportive relationships. Wives of servicemen sent to the Persian Gulf War reported less nurturance and family cohesiveness, and more internalizing and externalizing in children than did those whose husbands' deployment was routine.

Adaptation, Psychological↗
PubMed1999

Patient race and ethnicity in primary care management of child behavior problems: a report from PROS and ASPN. Pediatric Research in Office Settings. Ambulatory Sentinel Practice Network.

BACKGROUND: Minority persons have less access to many specialty treatments and services, possibly because of clinician biases. It is not clear whether any such biases exist in primary care settings, especially for children with psychosocial problems. OBJECTIVES: The objective was to compare primary care recognition and treatment of pediatric psychosocial problems among African American, Hispanic American and European American patients. DESIGN: A survey was made of parents and respective clinicians in primary care offices in two large practice-based research networks (PROS and ASPN) from 44 states, Canada, and Puerto Rico. Mixed regression analyses were employed to control for patient, clinician, and practice effects. SUBJECTS: The subjects were 14,910 children aged 4 to 15 years seen consecutively for non-emergent care by 286 primary care clinicians in office-based practice. MEASURES: Measures were parents' report for sociodemographics and behavioral symptoms using the Pediatric Symptom Checklist, and clinicians' report of psychosocial problems, type, management, and severity. RESULTS: Of the sample, 8.0% were African American youth, 9.5% were Hispanic American youth, and 82.5% were European American youth. After controlling for other factors, race and ethnicity were not associated with any differences in psychotropic drug prescribing, counseling, referral, or recognition of psychosocial problems. Clinicians reported spending slightly more time with minority patients. CONCLUSION: Race and ethnic status were not related to receipt of mental health services for children in primary care offices, suggesting that clinician biases may not be the primary cause of the racial differences in services noted earlier research. Improving services for minority youth may require increasing access to office-based primary care.

Adolescent↗
PubMed1982

The stability of child behavior disorders: a one year test-retest study of Adelaide versions of the Conners Teacher and Parent Rating Scales.

The stability of children's disorders was studied, using Adelaide versions of the Conners teachers and parent rating scales, with 5- to 12-year-olds. Of the 20 scales, 14 had high or moderate test-retest stability over the 1-year interval. Most scales also showed discriminant validity over this time. All but 2 of the 14 stable scales gave moderate stability coefficients at each of three age levels. Three teacher scales (Conduct Problem, Socially Rejected, and Antisocial) gave very low stability for the youngest group. Stability was not generally affected by teacher "practice." Little effect of subject selection or repeated-rating bias on scale means was evident. There was a general reduction of some scale means on the second assessment, and the contributions of practice, age, and study-entry effects were examined.

Attention Deficit Disorder with Hyperactivity↗
PubMedDate not supplied

Parenting and child behavioral adjustment in early childhood: a quantitative genetic approach to studying family processes.

The aim of this study was to examine environmental and gene-environment processes linking parenting (i.e., affect, control, responsiveness) and preschool children's behavioral adjustment difficulties (e.g., noncompliance, conduct problems) by using bivariate genetic analyses of parents' and observers' ratings. The sample included 120 identical and same-sex fraternal twin pairs (M age = 43 months). Data sources included in-home observations, interviews, and parents' reports. Observers' ratings of children's difficult behaviors included shared and nonshared environmental variance. In contrast, parents' ratings of children's conduct problems showed genetic and nonshared environmental variance. Observer-rated maternal behavior included shared and nonshared environmental variance, although maternal responsiveness also included child genetic variance. Parent self-reported negative and positive affect included shared and nonshared environment as well as child genetic variance. There was no evidence for gene-environment interaction or dominance. Higher levels of difficult behavior and conduct problems covaried with higher levels of maternal negative affect and control and lower levels of maternal positive affect and control. Shared environmental mediation of these correlations was found for observations, whereas genetic and nonshared environmental mediation was found for parents' ratings. In general, estimates of shared environmental variance and mediation were greatest for observational data, and estimates of child genetic variance and mediation were greatest for parent-rated data. The implications of this pattern of findings for genetic research on family processes are discussed.

Adaptation, Psychological↗
PubMedDate not supplied

Turning primary care providers' attention to child behavior: a review of the literature.

Twenty-five years ago, writers first drew the nation's attention to the "new morbidities"--problems that were biosocial or developmental in nature and were induced or complicated by social or environmental factors. The American Academy of Pediatrics responded by urging primary care providers to spend more time counseling parents on behavioral issues. Recent violent episodes in schools have renewed concern and prompted child health advocates to ask how well primary care providers are doing in attending to problematic childhood behavior. A review of the literature was conducted to examine the role the primary care provider plays in attending to childhood behavior.

Adolescent↗
PubMed1990

Therapeutic techniques vs therapeutic relationships in child behavior therapy.

The parents of 56 children who had received behavior therapy rated a number of variables, including the degree to which they viewed the therapeutic relationship versus the specific techniques used in treatment as important, the extent to which the child improved in therapy, and the child's present functioning. Therapists also provided ratings of clinical improvement. Even though parents gave the highest ratings for the importance of the relationship in therapy, the correlation between technique and clinical outcome was statistically significant while the correlations between the relationship and outcome was not. These statistical associations also held when therapists rated improvement. Also, therapists saw greater improvement in children than did the parents. Over-all, the results support the view that the relationship and techniques are interwoven and are both perceived as important factors in treatment.

Adolescent↗
PubMed1994

Chronic family adversity and early child behavior problems: a longitudinal study of low income families.

A beginning step in the prevention of child psychopathology is the identification of conditions associated with a disproportionately high incidence of behavior problems. Rutter and colleagues (British Journal of Psychiatry, 1975, 126, 493-509) have reported a dramatic increase in the probability of child adjustment difficulties as a function of multiple family stressors. However, few investigators have tested this association beginning in infancy. The present investigation examines this relationship at the ages of 1 and 2 with behavioral adjustment at age 3 among 100 low-income families. Broad support was found for the family adversity hypothesis, though sex differences were evident regarding individual correlates of problem behavior.

Adaptation, Psychological↗
PubMed1989

Self-statement modification in the treatment of child behavior disorders: a meta-analysis.

Reviews 48 outcome studies that applied self-statement modification (SSM) to childhood behavior disorders. Selection criteria restricted the review to controlled experimental studies and to children with disorders of clinically relevant severity. Meta-analysis was used to provide summary information about the observed effects of SSM. Collectively, SSM outcomes surpassed no treatment and placebo treatment by roughly a half of a standard deviation, on the average. Efficacy varied considerably with length of follow-up, experience level of therapists, age of children, outcome content area, and a number of other clinical and methodological differences among the studies. These qualifiers of observed efficacy are summarized and discussed in terms of implications for further research and application of SSM in child psychotherapy.

Adolescent↗