Parent and teacher reports of problem behaviors in child psychiatric inpatients: Cross-informant correlations on admission and at 5-month follow-up

This follow-up study to determine the effectiveness of a child psychiatric unit found evidence to support a program emphasizing a predetermined period of hospitalization. Most measures of family satisfaction, behaviour and social function improved significantly. The unit appears to treat older children as well as those less than 9, children from fighting families as well as those with less fighting, and sexually abused children as well as physically abused children. The program includes: 2 weeks of preadmission evaluations, 5 weeks hospitalization and 5 weeks of follow-up, placement decisions made before admission, primary responsibility for front line staff and treatment programs composed of various combinations of techniques from a list of 65 possible techniques.

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A Comparison of Psychopathology in Child Psychiatric Inpatients, Outpatients, and Nonpatients

The Journal of Nervous and Mental Disease ◽

10.1097/00005053-198609000-00004 ◽

1986 ◽

Vol 174 (9) ◽

pp. 529-535 ◽

Cited By ~ 14

Author(s):

CYNTHIA R. PFEFFER ◽

ROBERT PLUTCHIK ◽

MARK S. MIZRUCHI

Keyword(s):

Psychiatric Inpatients ◽

Child Psychiatric

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Breastfeeding, Cognitive and Noncognitive Development in Early Childhood: A Population Study

10.1542/9781610022873-breastfeeding_cognitive ◽

2018 ◽

pp. 111-125

Author(s):

Lisa-Christine Girard ◽

Orla Doyle ◽

Richard E. Tremblay

Keyword(s):

Propensity Score ◽

Propensity Score Matching ◽

Problem Behaviors ◽

Cognitive Abilities ◽

Multiple Testing ◽

Standardized Assessments ◽

Growing Up ◽

Expressive Vocabulary ◽

Maternal Report ◽

Teacher Reports

BACKGROUND AND OBJECTIVES There is mixed evidence from correlational studies that breastfeeding impacts children’s development. Propensity score matching with large samples can be an effective tool to remove potential bias from observed confounders in correlational studies. The aim of this study was to investigate the impact of breastfeeding on children’s cognitive and noncognitive development at 3 and 5 years of age. METHODS Participants included ∼8000 families from the Growing Up in Ireland longitudinal infant cohort, who were identified from the Child Benefit Register and randomly selected to participate. Parent and teacher reports and standardized assessments were used to collect information on children’s problem behaviors, expressive vocabulary, and cognitive abilities at age 3 and 5 years. Breastfeeding information was collected via maternal report. Propensity score matching was used to compare the average treatment effects on those who were breastfed. RESULTS Before matching, breastfeeding was associated with better development on almost every outcome. After matching and adjustment for multiple testing, only 1 of the 13 outcomes remained statistically significant: children’s hyperactivity (difference score, –0.84; 95% confidence interval, –1.33 to –0.35) at age 3 years for children who were breastfed for at least 6 months. No statistically significant differences were observed postmatching on any outcome at age 5 years. CONCLUSIONS Although 1 positive benefit of breastfeeding was found by using propensity score matching, the effect size was modest in practical terms. No support was found for statistically significant gains at age 5 years, suggesting that the earlier observed benefit from breastfeeding may not be maintained once children enter school.

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Exposure, Relaxation, and Rescripting Therapy for Trauma-Related Nightmares With Psychiatric Inpatients: A Case Series

Clinical Case Studies ◽

10.1177/1534650120953614 ◽

2020 ◽

Vol 20 (1) ◽

pp. 3-21

Author(s):

Helen Reiter ◽

Leanne Humphreys

Keyword(s):

Acute Care ◽

Psychiatric Hospital ◽

Psychological Symptoms ◽

Psychiatric Patients ◽

Hospital Setting ◽

Case Series ◽

Psychiatric Inpatients ◽

Empirically Supported ◽

Individualized Care

Research has shown that posttraumatic stress disorder (PTSD) is a highly prevalent diagnosis for psychiatric patients, yet individualized care and treatment is limited in the inpatient acute care sector. Two case studies are presented which examine the use of Exposure, Relaxation, and Rescripting Therapy (ERRT) for chronic trauma-related nightmares, within a private acute care inpatient psychiatric hospital setting. ERRT is empirically supported with efficacy for veteran and civilian populations, however no research to date has been conducted with psychiatric inpatients. Two participants diagnosed with PTSD, suffering distressing trauma-related nightmares, completed ERRT over three sessions during their psychiatric hospital admission, with the aim of reducing the frequency and severity of nightmares and related psychological symptoms. PTSD, depression, sleep quality and quantity, and nightmare frequency and related distress, were measured pre-treatment, during treatment, and follow-up at one, 3 and 6 months. Only one participant reported ongoing nightmares by the third week of the intervention, with both participants reporting an absence of nightmares at the one and 3-month follow-ups, but mixed results by the 6-month follow-up. One participant also reported a reduction in PTSD symptoms and a mild improvement in depression. The results offer some preliminary support for the provision of ERRT for the treatment of trauma-related nightmares for psychiatric inpatients.

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