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Results for “Child Behavior Disorders”

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At least 757 records · Page 42Linked to original sources

Preserving family bonds: examining parent perspectives in the light of practice standards for out-of-home treatment.

Family participation is a core system of care value that is supported by previous research in medical, child welfare, and mental health settings. However, many parents with children receiving out-of-home mental health treatment experience restrictions on contact. This cross-sectional study examines the experiences of families (N = 102) regarding parent-child contact in relation to examples of national accreditation standards. Results of the national survey found that most respondents (79.4%) reported restrictions on contact, including limits based on behavioral contingencies (65.7%) and point and level systems (52.5%).

Accreditation↗

Use of risperidone in a paediatric population: an observational study.

OBJECTIVE: To evaluate the impact of risperidone on functional impairment in a paediatric sample and to document the range of adverse drug reactions. METHODS: Risperidone treatment in children and adolescents (n = 51) with severe behavioural disturbances was assessed retrospectively to determine clinical response and adverse events. The change in patient functional performance during treatment was assessed using the Royal Alexandra Hospital for Children Measure of Function (MOF) score. Changes in target behaviours (such as severe aggression) were also assessed. RESULTS: The average duration of follow up was 9 months. Clinical improvement was demonstrated in 76% of the sample. There was a statistically significant improvement in the mean MOF with risperidone therapy (10.61 with 99% confidence interval 6.6-14.6). Risperidone appeared to be particularly useful in patients with autistic spectrum disorders. Twenty-five of the 51 patients (49%) experienced side-effects including sedation (27%), weight gain (20%), anticholinergic (10%) and extrapyramidal (8%) side-effects. CONCLUSIONS: This study suggests that risperidone is an effective agent in severely behaviourally disturbed paediatric patients. However, risperidone use is limited by the high frequency of side-effects. Randomized controlled trial data are required to determine the safety and efficacy of risperidone.

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↗

Review of stress inoculation training with children and adolescents. Issues and recommendations.

Stress inoculation training (SIT) is a cognitive-behavioral intervention that has been applied to a wide array of problems and populations. Although it has received considerable attention in the adult treatment literature, less research has been conducted with child and adolescent populations. Its most appealing qualities include its applicability to a wide variety of populations, settings, and problems, the structured training format it offers practitioners in which to match intervention strategies to identified individual-specific deficits, and format for programming generalization. In this article, the authors provide an overview of SIT, including a description of phase components and issues related to child and adolescent problems, and they review the treatment studies with these populations. Of the eight studies reviewed, none reported an attempt to identify the nature of trainees' performance problems, differentially employing intervention strategies to individual-specific deficits, nor programming for generalization. Implications for SIT with children and adolescents are offered.

Adaptation, Psychological↗

Sleep management. Evaluating advice booklets for parents.

Health professionals are increasingly using information booklets to disseminate important health messages to a wider population. However, such booklets are rarely evaluated from the consumer's point of view. Robert Deller and Jo Walker describe an evaluation by parents of a series of booklets giving parents advice about dealing with sleep problems in young children.

Child Behavior Disorders↗

Case study: fluoxetine in the multimodal treatment of a preschool child with selective mutism.

Selective mutism is a rare disorder with poor treatment outcome. The current study describes the successful treatment of selective mutism in a preschool-age girl, using a comprehensive multifaceted therapeutic approach. The components of this intervention reflect a conceptualization of selective mutism that emphasizes anxiety as a core feature but also focuses on associated factors such as oppositional behaviors.

Anxiety Disorders↗

Hypothalamic-pituitary-adrenocortical (HPA) activity in kindergarten children: importance of gender and associations with behavioral/emotional difficulties.

The current cross-sectional study investigated basal and stress-challenged hypothalamic-pituitary-adrenocortical (HPA) system function in 102 five-year old kindergarten children (59 boys, 43 girls) who had been assessed by a comprehensive psychological and behavioral test battery. Baseline HPA system activity was significantly increased in girls when compared to boys (p<0.001). Furthermore, basal HPA system activity predicted a high hormonal release during stress with--again--girls showing higher hormonal responses than boys (p<0.01). Importantly, increased HPA system activity (baseline and stress-challenged) was significantly associated with hyperactivity/impulsivity and emotional problems in boys and with positive emotions in girls (p<0.05). These results suggest an occurrence of neurobiological alterations early in development. The observed neurobiological changes are gender specific already at the age of 5 years. Prospective long-term follow up of the identified subjects with HPA axis alterations will clarify if these markers are predictive for the onset of psychiatric disorders.

Affective Symptoms↗

The hyperactive child syndrome.

The behavioral characteristics of the hyperactive child are described at different stages of development. Recent and sometimes controversial research findings are discussed with respect to prevalence, etiology, treatment, and outcome. It is concluded that this syndrome can best be understood in terms of interactions between social, psychological, and biological variables.

Age Factors↗