Meta-analysis shows that internalizing and externalizing symptoms in children and adolescents with chronic illness cannot be ignored

2012 ◽  
Author(s):  
M. Pinquart ◽  
Y. Shen
2015 ◽  
Vol Ano 5 ◽  
pp. 24-32
Author(s):  
Maísa Novaes Portella Checchia ◽  
Renata Michel ◽  
César de Moraes

Objetivo: Estudar sintomas emocionais (internalização e externalização) em 12 crianças e adolescentes com deficiência visual. Método: Foram pesquisados 12 sujeitos com idade entre 6 e 18 anos, de ambos os sexos, diagnosticados com cegueira total ou visão subnormal (grupo de pesquisa), de acordo com dados fornecidos pela instituição em que as crianças eram assistidas e os relatos dos pais ou responsáveis. Também foram pesquisadas 10 crianças com visão normal (grupo controle), com a mesma faixa etária e também de ambos os sexos. Para as avaliações, foram usados o Critério de Classificação Econômica Brasil, o Child Behavior Checklist (CBCL) e a entrevista introdutória do instrumento Kiddie-Sads-Present and Lifetime Version 1, preenchidos com base nos relatos fornecidos. As análises estatísticas foram feitas através do teste do qui-quadrado, teste de Mann- Whitney e índice de correlação de Pearson. O nível de significância foi estabelecido em 5%. Resultados: Foi encontrada maior incidência de sintomas internalizantes no grupo de pesquisa. Com relação ao grupo controle, foram verificados problemas com regras, ou seja, esse grupo apresentava o padrão clínico dos sintomas de externalização no quesito quebra de regras. Conclusão: Sintomas de internalização foram mais frequentes no grupo de crianças com deficiência visual.


2021 ◽  
Author(s):  
Or Dagan ◽  
Carlo Schuengel ◽  
Marije Verhage ◽  
Marinus H. van IJzendoorn ◽  
Abraham Sagi-Schwartz ◽  
...  

An unsettled question in attachment theory and research is the extent to which children’s attachment patterns with mothers and fathers jointly predict developmental outcomes. In this study, we used individual participant data meta-analysis to assess whether early attachment networks with mothers and fathers are associated with children’s internalizing and externalizing symptoms. Following a pre-registered protocol, data from 9 studies and 1,097 children (mean age: 28.67 months) with attachment classifications to both mothers and fathers were included in analyses. We used a linear mixed effects analysis to assess differences in children’s internalizing and externalizing symptoms as assessed via the average of both maternal and paternal reports based on whether children had two, one, or no insecure (or disorganized) attachments. Results indicated that children with an insecure attachment relationship with one or both parents were at higher risk for elevated internalizing symptomatology compared with children who were securely attached to both parents. Children whose attachment relationships with both parents were classified as disorganized had more externalizing symptoms compared to children with either one or no disorganized attachment relationship with their parents. Across attachment classification networks and symptoms, findings suggest (a) a multiplicative effect when children have insecure or disorganized attachment to both parents, and (b) that mother-child and father-child attachment relationships may not differ in the roles they play in children’s development of internalizing and externalizing symptoms.


Author(s):  
Martin Pinquart

AbstractThe goal of the present meta-analysis was to compare associations of harsh parenting with internalizing and externalizing symptoms across regions of the globe and ethnic groups, and to search for moderator effects of indicators of cultural normativeness of harsh parenting. The systematic search in electronic databases and cross-referencing identified 971 studies. Random-effects meta-analyses were computed on bivariate and cross-lagged associations. Harsh parenting was associated with more internalizing and externalizing symptoms in all assessed regions of the globe and in all compared ethnic groups within western countries. Cross-lagged statistical effects of harsh parenting on change in child symptoms were found in North America, Western Europe, Latin America, East Asia, South-East Asia, and North Africa/the Arabian Peninsula, while there were no data from Eastern Europe. In line with the cultural normativeness hypothesis, a few moderating effects of the legal ban of physical punishment of children, acceptance and prevalence of physical punishment, and individualism-collectivism were identified. Externalizing symptoms predicted a stronger increase in harsh parenting if physical punishment was more accepted in the individual country. However, national levels of acceptance of physical punishment did not affect associations of harsh parenting with change in child outcomes. Although most associations of harsh parenting with child symptoms were statistically small (bivariate associations) or very small (cross-lagged associations), it is concluded that parents across the globe should be recommended to avoid harsh parenting. More longitudinal studies are needed for analyzing regional differences in parent and child effects.


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