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At least 451 records · Page 25Linked to original sources

Cardiovascular fitness in children with asthma correlates with psychologic functioning of the child.

Abnormalities in fitness in asthmatic children are assumed to derive from illness severity. We studied 90 children with moderately severe to severe but stable asthma for (1) fitness levels using bicycle ergometry, (2) measures of asthma severity, (3) clinician's impression of child (Child Global Assessment Scale), and (4) mother's rating of child's behavior (Child Behavior Checklist). Fitness values ranged from 15% to 120% of normal values for age, sex, and body surface area: 48% were abnormal (less than 2 SD below mean) and 5% were borderline (1 to 2 SD below mean). Associations between levels of fitness and medical and psychologic criteria were tested using regression analyses. Of the 11 medical variables used to define the severity of asthma, recent exacerbation of disease, forced expiratory volume in 1 second, and specific airway conductance together accounted for 8.1% of the variability in the workload ratios (ie, R2 = 0.081). The importance of the psychologic factors in determining the variability in the workload ratios was tested after the importance of the medical variables had been considered: Child Global Assessment Scale accounted for a significant amount of variability, improving the R2 to 0.180 (an increase to 0.100, P = .003). These data suggest that, within the spectrum of disease presented by the patients in this study, adjustment to the disease is at least as important as severity of disease in determining fitness.

Adolescent↗

Discipline behaviors of Chinese American and European American mothers.

In any society, parenting beliefs are a reflection of that society's cultural values and traditions (J. U. Ogbu, 1981). Verbosity, a parenting behavior considered dysfunctional in European American culture, may not be problematic in Chinese culture. The authors recruited 31 Chinese American and 30 European American mothers and used questionnaires to measure parenting behaviors and child behavior problems. The Chinese American mothers also completed a questionnaire assessing their acculturation level. The Chinese American mothers had higher levels of verbosity than did the European American mothers; however, there were no differences between the groups in child behavior problems. The results also revealed higher levels of laxness in the Chinese American mothers compared to the European American mothers. Acculturation level did not predict verbosity or laxness levels. Results suggest that the effectiveness of a parenting style should be defined relative to cultural context.

Asian↗

Parent-child interactions and child outcomes as related to gender of alcoholic parent.

Parents and children from alcoholic and non-alcoholic families (N = 137) were compared in regard to quality of interactions (using the Marital Interaction Coding System), child outcomes (using the Child Behavior Checklist), and the possible moderating effects of parenting behavior on child outcomes. Alcoholic families were subdivided by gender (father-alcoholic, mother-alcoholic, both parents alcoholic) to assess for the effect that gender of alcoholic parent has on parent-child interactions and child outcomes. Results indicated that dual and mother-only alcoholic families exhibited the most impaired interactions, although child problem behavior was not significantly different across the three groups containing one or two alcoholic parents. Furthermore, father's behavior (both alcoholic fathers and those married to an alcoholic), as compared to mother's behavior, most clearly moderated child outcomes. The possible protective effect of having a non-alcoholic mother was also indicated. Results are discussed in regard to the negative and positive effects that parents from alcoholic households can have on children.

Adolescent↗

Behavior problems of clinic children: relation to parental marital status, age and sex of child.

Behavior problems of 703 children seen in a clinical setting were examined for interactions between and effects of family type (i.e., parental marital status) and age and sex of child. Significant differences were found based on family type, with children of separated, divorced, and remarried parents having more problems. Expected interactions between marital status and age and sex of child were not obtained, although results support prior research with regard to the effects of age and sex.

Adaptation, Psychological↗

Maternal working models of attachment, marital adjustment, and the parent-child relationship.

This study examined the connection between maternal working models, marital adjustment, and the parent-child relationship. Subjects were 45 mothers who were observed in problem-solving interactions with their 16-62-month-old children (M = 33 months). Mothers also completed the Attachment Q-set, the Adult Attachment Interview, and a marital adjustment scale. As predicted, maternal working models were related to the quality of mother-child interactions and child security, and there was a significant relation between marital adjustment and child security. Maternal working models and marital adjustment were also associated interactively with child behavior and child security. Among children of insecure mothers, child security scores were higher when mothers reported high (vs. low) marital adjustment. No relation between child security scores and mothers' marital adjustment was found among children of secure mothers. These results suggest that maternal working models influence parenting and child adjustment well beyond infancy, to which period the few existing studies of adult attachment have been restricted. The results also suggest that interactions between maternal working models and the marital adjustment on child behavior and attachment security need to be more closely examined.

Adult↗

Psychological factors associated with medication nonadherence in asthmatic children.

Adherence with inhaled beta-agonists and corticosteroids in 24 asthmatic children was tracked over 3 months utilizing the metered-dose inhaler chronolog (MDIC). Patients seldom took all of their medications as prescribed, and failed to take any inhaled corticosteroid doses on a median of 41.8% of days or inhaled beta-agonists on 28.1% of days despite prescribed daily use. Medication nonadherence was correlated with lower levels of asthma knowledge (Asthma Knowledge Questionnaire) and family dysfunction (Family Assessment Device), but not child behavior disorder (Child Behavior Checklist). Patients tended to dramatically over-report medication use. Improved identification of the markers of nonadherence can directly facilitate more efficient targeting of behavioral interventions, resulting in improved adherence, better illness control, and less requirement of urgent medication intervention.

Anti-Asthmatic Agents↗

Marital behavior, parenting behavior, and multiple reports of preschoolers' behavior problems: mediation or moderation?

Associations among positive and conflictual marital behavior and multiple reports of child behavior problems were examined in a community sample of 78 families with 3-year-old children. Maternal and paternal parenting behaviors were tested as potential mediators and moderators. Parents reported on child behavior problems and were observed during parent-child interaction and couple discussion in the presence of the child. Observers and preschool teachers also reported on child behavior problems. Less positive marital engagement and greater conflict were associated with observers' reports, but not with parents' or teachers' reports, of more behavior problems. Associations between marital behavior and child behavior problems were not explained by maternal or paternal behavior; stronger support was found for moderating effects of parenting. Also, positive marital engagement was a slightly better predictor of child behavior problems than was marital conflict.

Adult↗

Relations among maternal, child, and demographic factors and the persistence of preschool language impairment.

This research used the National Institute of Child Health and Human Development Study of Early Child Care database of 1,364 children to identify children at 3 years of age who could generally be characterized as exhibiting specific language impairment. Seventy-three identified children were classified into 2 groups on the basis of standardized assessment of language skills at 4.5 years: children whose language impairment had resolved (n = 33) versus those whose language impairment persisted (n = 40). A logistic regression model using measures of maternal sensitivity, maternal depression, child externalizing behaviors, child health history, family income-to-needs ratio, and quality of home environment was used to predict group membership. Maternal sensitivity and maternal depression contributed significantly to the prediction model for group membership. Results are discussed in terms of theoretical and clinical implications.

Adult↗

Predictors of unintentional injuries to school-age children seen in pediatric primary care.

OBJECTIVE: To identify predictors of unintentional injury to school-age children seen in pediatric primary care. METHODS: Members of a managed health care system (295 children ages 5-11 years and their mothers) participated. We used Time 1 measures of child, maternal, and family functioning and health care utilization to predict rates of unintentional child injury for the following year. Multiple regression analyses were performed to identify variables contributing to prospective injury rates. RESULTS: The final regression model included eight Time 1 variables and accounted for 21% of the variance in Time 2 injury rates. Significant predictors of increased injury liability were younger child age, more children at home, child behavior problems, child social competence, three indices of reduced child health, and maternal anxiety. CONCLUSIONS: We discuss the utility of these predictors for pediatric psychologists in targeting primary care preventive interventions to families at risk for unintentional child injury.

Child↗

Psychosocial adjustment in children with hemifacial microsomia and other craniofacial deformities.

Psychosocial adjustment was evaluated in different groups of children with craniofacial deformities in order to examine the relationships between symmetry, functional impairments, and social adaptation. Thirty patients, ages 6 through 16 years, were assessed using a battery of standard psychologic measures including Human Figure Drawing, Tasks of Emotional Adjustment, and Children's Depression Inventory. Parents and teachers also provided ratings of the children's functioning using the Child Behavior Checklist (parent and teacher forms). Scores on the outcome measures were summarized with descriptive statistics and then multivariate analyses of variance were conducted to determine the differences in psychosocial development between children with symmetric versus asymmetric craniofacial deformities and between the presence or absence of a functional impairment in children with craniofacial deformities. The results indicate that children with symmetric craniofacial deformities score poorer on measures of psychosocial adjustment than children with asymmetric deformities (F = 3.20, p less than 0.015); however, differences among the groups with or without functional impairments were not significant.

Adolescent↗