Abstract TP405: Psychological Outcomes After Childhood Arterial Ischemic Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Emily C Maxwell ◽  
Tonia Ballantyne ◽  
Kathleen E Carlson ◽  
Amanda L Hollatz ◽  
KC Clevenger ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Child Behavior Checklist ◽  
Psychological Symptoms ◽  
Externalizing Symptoms ◽  
Neurological Injury ◽  
Normative Sample ◽  
Arterial Ischemic Stroke ◽  
Oppositional Defiant ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

Introduction: Previous research has broadly documented that emotional and behavioral difficulties are seen after pediatric stroke; however, global ratings are generally reported without comparison to age-based norms. Additionally, little is known about the discrete symptomatology exhibited by these children. Thus, the goal of the present study was to evaluate specific psychological symptoms following childhood arterial ischemic stroke (AIS). Hypothesis: Children with AIS were predicted to have increased difficulties in both internalizing and externalizing symptoms compared to the normative sample. Age at AIS was anticipated to influence the presence of psychological symptoms, with internalizing symptoms occurring at higher levels when the AIS occurred at a later age. Methods: Participants were children ( n = 50, mean age = 12.1 years) who suffered an AIS during childhood (range = 1 month to 17.1 years). Parents completed the Child Behavior Checklist at least 10 months post-AIS (mean = 4.1 years). Children were divided into groups by age at AIS: early (<6 years), middle (6-10 years), or late (>10 years) childhood. Data were analyzed using one-sample t -tests and ANOVA. Results: Children with AIS had significantly greater problems on the following DSM-oriented scales compared to the normative sample (all p -values < 0.01): Affective Problems, Anxiety Problems, Somatic Problems, Oppositional Defiant Problems, and Conduct Problems. There was a significant age-at-AIS effect on the Anxiety Problems subscale, F (2, 49) = 3.31, p = 0.05, such that the early childhood group had significantly higher levels of anxiety compared to the late childhood group. Conclusions: Increased internalizing and externalizing symptoms were seen in children with AIS compared to the normative sample, and a higher percentage of children with AIS exceeded a clinically significant threshold in each domain. Contrary to expectations, children who had AIS at an earlier age showed greater number of anxiety symptoms relative to same-age peers. Possible mechanisms for the latter may include changes in family dynamics when young children suffer a neurological injury. These results support the need for careful psychological follow-up in this vulnerable population.

Internalizing and externalizing symptoms in children and adolescents with visual impairment

2015 ◽  
Vol Ano 5 ◽  
pp. 24-32
Author(s):  
Maísa Novaes Portella Checchia ◽  
Renata Michel ◽  
César de Moraes
Keyword(s):  
Visual Impairment ◽  
Children And Adolescents ◽  
Child Behavior ◽  
Child Behavior Checklist ◽  
Externalizing Symptoms ◽  
Em 12 ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

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.

scholarly journals The relationship between profiles and transitions of internalizing and externalizing symptoms in children and suicidal thoughts in early adolescence

2019 ◽  
Vol 50 (15) ◽  
pp. 2566-2574
Author(s):  
Dylan Johnson ◽  
John D. McLennan ◽  
Jon Heron ◽  
Ian Colman
Keyword(s):  
Child Behavior Checklist ◽  
Adolescent Suicide ◽  
Externalizing Symptoms ◽  
Population Based ◽  
Suicidal Thought ◽  
Suicidal Thoughts ◽  
Increased Risk ◽  
Suicidal Thoughts And Behaviors ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

AbstractBackgroundAdolescence is a high-risk period for the onset of suicidal thoughts and behaviors. Identification of preceding patterns of internalizing and externalizing symptoms that are associated with subsequent suicidal thoughts may offer a better understanding of how to prevent adolescent suicide.MethodsData from the National Longitudinal Survey of Children and Youth, a prospective population-based Canadian cohort, contained Child Behavior Checklist items which were used to examine profiles and transitions of internalizing and externalizing symptoms in children, aged 6–11 years (n = 8266). The association between these profiles/transitions and suicidal thoughts in adolescents was examined using multivariate logistic regression modeling.ResultsLatent profile analyses identified four measurement invariant profiles of internalizing and externalizing symptoms at ages 6/7 and 10/11: (1) low on all symptoms, (2) moderate on all symptoms, (3) high on all symptoms, and (4) high on hyperactivity/inattention and internalizing. Recurrent (homotypic or heterotypic) and increasing symptoms from 6/7 to 10/11 were associated with suicidal thoughts in adolescence, compared to those with stable low symptoms. Those with decreasing symptoms from 6/7 to 10/11 were not at increased risk of suicidal thought in adolescence.ConclusionsWhile patterns of recurrent symptoms were associated with suicidal thoughts, a similar association was observed between profiles at age 10/11 years and suicidal thoughts. This suggests that the recent assessments of mental health symptoms in children may be as sufficient a predictor of adolescent suicidal thought as transition profiles.

Low self-worth and anger as components of the depressive experience in young adolescents

1990 ◽  
Vol 2 (3) ◽  
pp. 293-310 ◽  
Author(s):  
Andrew G. Renouf ◽  
Susan Harter
Keyword(s):  
Middle School ◽  
Strong Correlation ◽  
Externalizing Symptoms ◽  
The Self ◽  
Normative Sample ◽  
Phenomenological Experience ◽  
Self Worth ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

AbstractThe present study sought to examine two issues related to the phenomenological experience of depression in a normative sample of young, middle-school adolescents. The first hypothesis was that self-reported depressed affect would be highly related to low global self-worth. The second hypothesis was that depression is experienced as a blend of sadness and anger, where anger can be directed toward either the self or others. The findings revealed a strong correlation (r = .81) between global self-worth and affect (along a continuum of cheerful to depressed). With regard to the second issue, depression is clearly experienced by adolescents as a blend of affects. Eighty percent reported that depression represents a mix of sadness and anger. In addition, the vast majority reported that the anger is directed toward others, either as the only target or in conjunction with anger toward the self. Findings also revealed that the primary causes of depression involve actions of others against the self, thereby making the anger component realistic. Discussion focused on the role of self-deprecatory ideation in depression and on the issue of the comorbidity of internalizing and externalizing symptoms manifest in depression.

scholarly journals Stressful Life Circumstances, Resources for Support, and African American Children’s Psychological Symptoms

2016 ◽  
Vol 43 (4) ◽  
pp. 327-344 ◽  
Author(s):  
Allison J. Woerpel ◽  
Willie Winston ◽  
Sonya S. Brady
Keyword(s):  
African American ◽  
Low Income ◽  
Child Support ◽  
Stressful Life Events ◽  
Psychological Symptoms ◽  
Externalizing Symptoms ◽  
Stressful Life ◽  
Adhd Symptoms ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

This brief report examines African American children’s and caregivers’ exposure to stressors and perceived support in relation to children’s internalizing and externalizing symptoms. Forty-six children aged 8 to 12 years and their primary caregivers were recruited from an urban school in the Midwestern United States and interviewed separately. Adjusting for child’s age and gender, caregiver’s gender, and number of caregivers in the family, child-reported stressful life events were associated with child-reported internalizing and externalizing symptoms. When children reported greater support from caregivers, children reported fewer externalizing symptoms and caregivers reported fewer oppositional behaviors and ADHD symptoms on the part of their child. Caregivers’ health- and relationship-related stressors were associated with child-reported externalizing symptoms, as well as caregiver-reported ADHD symptoms. Family-based mental health services within schools and communities may improve caregiver and child support systems, reduce caregiver-child conflict, and promote resilience to stress among urban, low-income African American families.

scholarly journals Prenatal maternal stress, child internalizing and externalizing symptoms, and the moderating role of parenting: findings from the Norwegian mother, father, and child cohort study

2021 ◽  
pp. 1-11
Author(s):  
Zahra M. Clayborne ◽  
Wendy Nilsen ◽  
Fartein Ask Torvik ◽  
Kristin Gustavson ◽  
Mona Bekkhus ◽  
...  
Keyword(s):  
Mental Health ◽  
Maternal Stress ◽  
Parenting Behaviors ◽  
Externalizing Symptoms ◽  
Prenatal Maternal Stress ◽  
Maternal Report ◽  
Hyperactivity Disorder ◽  
Oppositional Defiant ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

Abstract Background Few studies have examined how parenting influences the associations between prenatal maternal stress and children's mental health. The objectives of this study were to examine the sex-specific associations between prenatal maternal stress and child internalizing and externalizing symptoms, and to assess the moderating effects of parenting behaviors on these associations. Methods This study is based on 15 963 mother–child dyads from the Norwegian Mother, Father, and Child Cohort Study (MoBa). A broad measure of prenatal maternal stress was constructed using 41 self-reported items measured during pregnancy. Three parenting behaviors (positive parenting, inconsistent discipline, and positive involvement) were assessed by maternal report at child age 5 years. Child symptoms of internalizing and externalizing disorders (depression, anxiety, attention-deficit hyperactivity disorder, conduct disorder, and oppositional-defiant disorder) were assessed by maternal report at age 8. Analyses were conducted using structural equation modeling techniques. Results Prenatal maternal stress was associated with child internalizing and externalizing symptoms at age 8; associations with externalizing symptoms differed by sex. Associations between prenatal maternal stress and child depression, and conduct disorder and oppositional-defiant disorder in males, became stronger as levels of inconsistent discipline increased. Associations between prenatal maternal stress and symptoms of attention-deficit hyperactivity disorder in females were attenuated as levels of parental involvement increased. Conclusions This study confirms associations between prenatal maternal stress and children's mental health outcomes, and demonstrates that these associations may be modified by parenting behaviors. Parenting may represent an important intervention target for improving mental health outcomes in children exposed to prenatal stress.

Transdiagnostic Approaches With Children

2018 ◽  
Author(s):  
Andrea B. Temkin ◽  
Mina Yadegar ◽  
Christine Cho ◽  
Brian C. Chu
Keyword(s):  
Mental Disorders ◽  
Externalizing Symptoms ◽  
Case Conceptualization ◽  
Common Elements ◽  
Transdiagnostic Treatment ◽  
Treatment Models ◽  
Different Types ◽  
Internalizing And Externalizing ◽  
Internalizing And Externalizing Symptoms

In recent years, the field of clinical psychology has seen a growing movement toward the research and development of transdiagnostic treatments. Transdiagnostic approaches have the potential to address numerous issues related to the development and treatment of mental disorders. Among these are the high rates of comorbidity across disorders, the increasing need for efficient protocols, and the call for treatments that can be more easily disseminated. This chapter provides a review of the current transdiagnostic treatment approaches for the treatment of youth mental disorders. Three different types of transdiagnostic protocols are examined: mechanism-based protocols, common elements treatments, and general treatment models that originated from single-disorder approaches to have broader reach. A case study illuminates how a mechanism-based approach would inform case conceptualization for a client presenting with internalizing and externalizing symptoms and how a transdiagnostic framework translates into practice.

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