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Parenting stress and its relationship to the behavior of children with Joubert syndrome.

This study describes the relationship between parenting stress and behavior in children with Joubert syndrome, a rare genetic neurodevelopmental disorder. Parents (N = 43) reported severely impaired child adaptive behaviors. Most children did not show maladaptive behaviors, but a subset of approximately 20% displayed significant problems in areas such as inattention, overactivity, social withdrawal, and atypical behaviors. Mothers (59%) and fathers (40%) reported elevated levels of parenting stress. A hierarchical regression, including demographics, adaptive behavior, and maladaptive behavior, predicted 67% of the variance in mothers' stress and 40% of the variance in fathers' stress. Maladaptive behaviors uniquely contributed to maternal and paternal stress. The child's adaptive behavior level contributed significantly to parenting stress for mothers but not for fathers. Findings provide a better understanding of the impact of child behavior on parents caring for a child with Joubert syndrome.

Activities of Daily Living↗

[Can anabolic steroids cause personality changes?].

Anabolic and androgen steroids such as testosterone have receptors in the brain and may have manifest effects on behaviour. The sequela most consistently cited is aggressiveness, but acute affective and paranoid psychoses have also been reported, though in a strictly scientific sense causality has not been established. However, as the abuse of steroids spreads among the young, other risk factors such as abuse of alcohol and other drugs as well as psychological susceptibility may contribute to the risk of personality changes or of violent behaviour as a result of anabolic steroid abuse.

Adolescent↗

Offenders with intellectual disability: the size of the problem and therapeutic outcomes.

BACKGROUND: People with intellectual disability (ID) who offend may be subject to a variety of dispositions within the criminal justice system, or via diversion to health and social services in inpatient units or in community ID teams. Offenders with ID are a group with complex needs who may pose a recurrent risk to the public. Despite the significant number of offenders with ID, there is limited evidence on treatment effectiveness and outcomes. METHODS: A literature search of all electronic databases was undertaken, and journals were hand-searched for clinical trials or case studies of interventions for offenders with ID. The main outcome was recidivism rates. RESULTS: There were no published clinical trials of offenders with ID. A series of small-scale group cognitive-behavioural treatments for sex offenders offers the most persuasive evidence of success in reducing recidivism. CONCLUSION: Offenders with ID often receive inadequate services as a result of poor identification through the criminal justice system and research into effective treatments is rudimentary. Further studies are necessary in order to improve treatment efficacy and service provision for a complex group of individuals.

Behavior Therapy↗

The stability of antisocial and delinquent child behavior: a review.

Studies on the stability of antisocial and delinquent behavior are reviewed, showing that children who initially display high rates of antisocial behavior are more likely to persist in this behavior than children who initially show lower rates of antisocial behavior. Evidence is presented that chronic delinquents, compared with nonchronic or nondelinquent individuals, tend to have been children who were antisocial in more than 1 setting, who displayed a higher variety of antisocial behaviors, and who showed an early onset of such behaviors. Once high levels of antisocial behavior have been established, youths tend to maintain such levels rather than to revert to lower levels of antisocial behavior. Studies suggest that more children drift into higher levels of antisocial behavior than revert to a lower level. Patterns of antisocial behavior tend to change during preadolescence and adolescence: the number of youths who engage in overt antisocial acts (fighting, disobedience, etc.) declines between ages 6 and 16, whereas in that period the number of youths who engage in covert antisocial acts (theft, alcohol and drug use, etc.) increases. Implications are discussed for the early identification of chronic offenders.

Adolescent↗

Callous/unemotional traits and social-cognitive processes in adjudicated youths.

OBJECTIVE: There seem to be two dimensions associated with psychopathic traits in youths: a callous/unemotional factor (C/U) and an impulsivity/conduct problems factor (I/CP). This study sought to clarify the nature of these two factors and examine their relation with social-cognitive problems in incarcerated adolescents. METHOD: One hundred sixty-nine male and female adjudicated youths were recruited for participation. Self-report measures and archival data were used to assess psychopathic traits, emotional distress, behavioral dysregulation, social-cognitive processes, and delinquency severity. RESULTS: Analyses demonstrated that the I/CP factor is associated with increased levels of dysregulated behavior, while the C/U dimension is related to deficits in empathy. The two factors exhibited differential relations with measures of emotional distress and fearfulness. C/U traits were associated with an increased focus on the positive aspects of aggression and a decreased focus on the negative aspects of hostile acts. Findings remained after controlling for demographic characteristics, abuse history, intellectual abilities, and delinquency severity. CONCLUSIONS: Results provide support for the two-dimensional nature of psychopathy in youths and suggest that C/U traits are associated with lower emotional distress and a specific social information-processing pattern. The potential implications for working with adjudicated youths exhibiting C/U traits are noted.

Adolescent↗

Linkages between child abuse and attention-deficit/hyperactivity disorder in girls: behavioral and social correlates.

OBJECTIVE: The objectives of this study were to examine whether girls with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of having histories of abuse and to assess whether the presence of an abuse history may constitute a distinct subgroup of youth with ADHD. METHOD: We examined rates and correlates of child abuse in an ethnically and socioeconomically diverse sample of girls with attention-deficit/hyperactivity disorder (ADHD; n=140) and a matched comparison sample of girls without ADHD (n=88), all aged 6-12 years. A thorough chart review reliably established documented rates of physical and sexual abuse in both samples. RESULTS: There were significantly higher rates of abuse for girls with ADHD (14.3%) than for the comparison sample (4.5%), with most of the abuse found in girls with the Combined as opposed to the Inattentive type. Higher rates of externalizing behaviors (including objective observations in a research summer camp) and peer rejection (indexed through peer sociometric nominations) characterized the subgroup of girls with ADHD with abuse histories compared to the subgroup without such histories, with moderate to large effect sizes. Subgroup differences regarding internalizing problems and cognitive deficits did not emerge. Findings regarding peer rejection were explained, in part, by higher rates of observed aggressive behavior in the abused subgroup. CONCLUSIONS: The findings raise important questions about the possible etiologic and/or exacerbating role of abusive trauma in a subgroup of children with ADHD.

Attention Deficit Disorder with Hyperactivity↗

Use of the Child Behavior Checklist and DSM-III-R diagnosis in predicting outcome of children's social skills training.

A standardized 12-week cognitive-behavioral social skills package in which parents assisted children with socialization homework assignments, was presented to 52 nonpsychotic outpatient boys, many of whom were diagnosed with DSM-III-R Attention Deficit-Hyperactivity Disorder and Oppositional Defiant Disorder. Results demonstrated that the Thought Problems factor of the mother-completed Child Behavior Checklist aided in predicting changes in teacher-rated aggression. DSM-III-R diagnosis of Oppositional Defiant Disorder predicted changes in teacher-rated withdrawal subsequent to treatment. The need for research to determine which children benefit from which treatment was discussed.

Aggression↗