Behavioral and Emotional Problems Among Preschool Children in Pediatric Primary Care: Prevalence and Pediatricians' Recognition

PEDIATRICS ◽  
1993 ◽  
Vol 91 (3) ◽  
pp. 649-655 ◽  
Author(s):  
John V. Lavigne ◽  
Helen J. Binns ◽  
Katherine Kaufer Christoffel ◽  
Diane Rosenbaum ◽  
Richard Arend ◽  
...  
Keyword(s):  
Primary Care ◽  
Preschool Children ◽  
Behavioral Problems ◽  
Child Behavior Checklist ◽  
Behavioral Problem ◽  
Behavioral Disorder ◽  
Prevalence Rates ◽  
Emotional Behavioral Disorder ◽  
Child Psychologists ◽  
Second Stage

This study examined how well private-practice pediatricians can identify emotional/behavioral problems among preschool children. Children aged 2 through 5 (N = 3876) were screened during a visit to 1 of 68 pediatricians who rendered an opinion about the presence of emotional/behavioral problems. Subsequently, children who scored above the 90th percentile for behavioral problems on the Child Behavior Checklist, along with children matched on age, sex, and race who had screened low, were invited for an intensive second-stage evaluation. There were 495 mothers and children who participated in that evaluation, which included a behavioral questionnaire, maternal interview, play observation, and developmental testing. Two PhD-level clinical child psychologists rendered independent opinions about the presence of an emotional/behavioral disorder. The psychologists identified significantly higher rates of problems overall—13.0% when the criterion was independent agreement that the child had an emotional/behavioral problem and a regular psychiatric diagnosis was assigned, vs 8.7% based on pediatricians' ratings. Prevalence rates based on psychologists' independent ratings were significantly higher than pediatricians' for both sexes, 4- through 5-year-olds, and whites, but not for 2- through 3-year-olds, African-Americans, and all minorities. Prevalence rates based on psychologists' ratings were significantly higher than the pediatricians' for all subgroups when V-code diagnoses were included in the psychologists' ratings. Overall, pediatricians' sensitivity was 20.5%, and specificity was 92.7%. At least 51.7% of the children who had an emotional/behavioral problem based on the psychologist's independent agreement had not received counseling, medication, or a mental health referral from the pediatrician. It is concluded that a substantial number of preschool children with behavior problems in primary care are not being identified or treated.

The emotional and behavioral problems of children exposed to poverty and/or collective violence in communities at the Mexico-United States border: A comparative study

Salud Mental ◽  
2015 ◽  
Vol 38 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Marie Leiner ◽  
◽  
◽  
María Theresa Villanos ◽  
Héctor Puertas ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Risks ◽  
Organized Crime ◽  
Behavioral Problems ◽  
Child Behavior Checklist ◽  
Mental Health Problems ◽  
Behavioral Problem ◽  
Emotional And Behavioral Problems ◽  
Collective Violence

Abstract Background. Collective violence attributed to organized crime has shown to be responsible for a considerable burden of physical and mental health morbidity among youth. Objective. To compare the emotional and behavioral problems of children exposed to early childhood poverty and/or collective violence in communities at the Mexico-United States border to children exposed to other social and health risks. Method. A cross-sectional study was carried out with individuals living in poverty at two sites at the Mexico-United States border. Individuals who responded once to the Pictorial Child Behavior Checklist (P+CBCL) in Spanish were selected randomly from clinics in a metropolitan area of El Paso, Texas, United States (poverty alone group), and Ciudad Juarez, Chihuahua, Mexico (poverty plus collective violence group). In addition, emotional and behavioral problems present in these groups were compared with available published emotional and behavioral CBCL scales of children exposed to other social and health risks. Results. Children exposed to both poverty and collective violence had higher emotional and behavioral problem scores as measured by the P+CBCL than those exposed to poverty alone. In addition, compared with children who were brain-injured, hearing impaired, or whose parents were exposed to drugs or alcohol, the poverty and collective violence group had higher levels of emotional and behavioral problems. Discussion and Conclusion. Systematic detection and treatment of children as young as 18 months exposed to trauma are necessary to diminish the mental health problems caused by the collective violence attributed to organized crime.

scholarly journals Effects of Sleep Disturbances on Behavioral Problems in Preschool Children With Autism Spectrum Disorder

2021 ◽  
Vol 11 ◽  
Author(s):  
Ying Wang ◽  
Jingjing Lin ◽  
Ying Zeng ◽  
Yanan Liu ◽  
Yamin Li ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Preschool Children ◽  
Behavioral Problems ◽  
Sleep Disturbances ◽  
Child Behavior Checklist ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Sleep Habits ◽  
Children With Asd

Study Objectives: This study aims to identify the characteristic sleep disturbances that affect behavioral problems in children with autism spectrum disorder (ASD), providing a potential direction for sleep and behavioral intervention in ASD.Methods: The data of 513 children with ASD and 246 typically developing (TD) children aged between 2 and 5 years old were collected. The behavior performance of preschool children was assessed using the Child Behavior Checklist for 1.5–5.0 years old. The Children's Sleep Habits Questionnaire (CSHQ) was used to measure the sleep status of the children, and the Social Responsiveness Scale was used to measure the severity of disorder. Linear regression analysis was performed to examine the effects of sleep disturbances on behavioral problems, and independent-sample t-test was performed to compare the mean of the samples.Results: Compared to TD children, children with ASD had longer sleep onset delay and more night awakenings. The parasomnias score (a subscale of the CSHQ) was significantly associated with the internalizing (β = 0.113, P = 0.010), externalizing (β = 0.128, P = 0.006), and total problems (β = 0.143, P = 0.001) of children with ASD, while this association was not significant in TD children. “Bed wetting” and “restless and moves a lot” (two items in the CSHQ under parasomnia) significantly only affected the overall behavioral score in children with ASD (P < 0.05).Conclusion: Parasomnias, especially bed wetting and restlessness, are specifically associated with the behavioral problems of children with ASD rather than TD children.

scholarly journals Comparing the Self-Control and Behavioral Problems of Girls in Employed and Unemployed Mothers

2015 ◽  
Vol 58 ◽  
pp. 68-74
Author(s):  
Fahimeh Babanezhad
Keyword(s):  
Behavioral Problems ◽  
High Reliability ◽  
Behavioral Problem ◽  
Comparison Method ◽  
Self Control ◽  
Behavioral Disorder ◽  
Parental Form ◽  
Significant Difference ◽  
Employed Mothers ◽  
Employment Of Women

This research aims to compare styles of self-control and behavioral problems of girls in employed and unemployed mothers. In this research that was done using casual-comparison method (after events) 100 employed mothers and 100 unemployed ones of girls of elementary schools in district 4 of Tehran were selected as the sample based on cluster-random method. Self-control questionnaire (Allahverdipour et al., 2005) and children’s behavioral problem questionnaire (parental form, 1994) were used for information collection that was previously normalized in studies conducted in Iran and its validity has been confirmed. In this research, reliability of the questionnaire was assessed through Cronbach alpha and was confirmed with a high reliability of 0.80. The t-test was used to test the hypotheses. The results showed that the average of self-control in employed mothers is significantly more than that in unemployed mothers. Also, the results showed that there is a statistically significant difference between girls of employed and unemployed women in hyperactivity and aggression, anxiety and depression, disorder, and lack of attention. This research confirms that employment of women results in enhancement of behavioral disorder among children. It is suggested that policy makers and planners in the country must pay attention to this point.

A Comparison of Cross-Informant Behavior Ratings in School-Based Diagnosis

1994 ◽  
Vol 19 (2) ◽  
pp. 87-97 ◽  
Author(s):  
Steven W. Lee ◽  
Jacquelyn Elliott ◽  
J. Daniel Barbour
Keyword(s):  
Behavioral Problems ◽  
Child Behavior Checklist ◽  
Rating Scales ◽  
Behavioral Disorder ◽  
Behavior Rating ◽  
Behavior Rating Scales ◽  
Behavior Ratings ◽  
School Based ◽  
Self Reports ◽  
Low Levels

Low levels of agreement between adolescents and their parents or teachers on various cross-informant behavior rating scales have been reported in the literature. It is unclear whether one source of this inconsistency is adolescents’ tendency to underreport or overreport their behavioral problems relative to adult informants. The Child Behavior Checklist and its related forms were completed for a group of boys referred for school-based assessments due to academic and/or behavioral problems. Comparisons between the ratings of adolescents and their parents and teachers revealed little correspondence among informants, especially between adolescents and either their parents or teachers. Adolescents consistently under-reported behavioral problems relative to parents and teachers regardless of sub-sequent diagnosis (i.e., behavioral disorder, learning disability, or not diagnosed). Implications of this lack of agreement between adolescents’ self-reports and adult ratings in the school-based diagnosis of behavioral disorders are discussed.

scholarly journals Behavior Problems in Four-Year-Old Children from a Brazilian Birth Cohort

2021 ◽  
Vol 37 ◽  
Author(s):  
Suélen Henriques Cruz ◽  
Cesar Augusto Piccinini ◽  
Alicia Matijasevich ◽  
Iná Silva Santos
Keyword(s):  
Child Health ◽  
Behavior Problems ◽  
Birth Cohort ◽  
Child Behavior ◽  
Behavioral Problems ◽  
Internalizing Problems ◽  
Externalizing Problems ◽  
Child Behavior Checklist ◽  
Prevalence Rates ◽  
Health And Development

Abstract This study aimed to investigate the occurrence of behavior problems in 3750 four years old children from a birth cohort. Children were followed from birth to four years old through home visits, and questionnaires on child health and development and the Child Behavior Checklist 4-18/CBCL were applied. Prevalence rates were high (total problems 35.6%), particularly externalizing problems, which occurred in 44.4 % of children (48.3% girls; 40.6% boys; p < 0.001). Internalizing problems were less prevalent, occurring in 15.5 % of children (19.1% boys; 11.6% girls; p < 0.001). Regardless of sex, there was a higher prevalence of behavioral problems in children with younger siblings, whose mothers had less education and had no partner.

The Role of Dimensional Distinctiveness in Children's and Adults' Artifact Categorization

2005 ◽  
Vol 16 (2) ◽  
pp. 137-144 ◽  
Author(s):  
Rubi Hammer ◽  
Gil Diesendruck
Keyword(s):  
Preschool Children ◽  
Contextual Factors ◽  
A Priori ◽  
Functional Similarity ◽  
Second Stage ◽  
Functional Dimension

There are conflicting results as to whether preschool children categorize artifacts on the basis of physical or functional similarity. The present study investigated the effect of the relative distinctiveness of these dimensions in children's categorization. In a physical-distinctive condition, preschool children and adults were initially asked to categorize computer-animated artifacts whose physical appearances were more distinctive than their functions. In a function-distinctive condition, the functional dimension of objects was more distinctive than their physical appearances. Both conditions included a second stage of categorization in which both dimensions were equally distinctive. Participants in a control condition performed only this stage of categorization. Adults in all conditions and stages consistently categorized by functional similarity. In contrast, children's categorization was affected by the relative distinctiveness of the dimensions. Children may not have a priori specific beliefs about how to categorize novel artifacts, and thus may be more susceptible to contextual factors.

scholarly journals Perpetration of and Victimization in Cyberbullying and Traditional Bullying in Adolescents with Attention-Deficit/Hyperactivity Disorder: Roles of Impulsivity, Frustration Intolerance, and Hostility

2021 ◽  
Vol 18 (13) ◽  
pp. 6872
Author(s):  
Tai-Ling Liu ◽  
Ray C. Hsiao ◽  
Wen-Jiun Chou ◽  
Cheng-Fang Yen
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Behavioral Problems ◽  
Attention Deficit ◽  
Child Behavior Checklist ◽  
Demographic Characteristics ◽  
Intervention Programs ◽  
Traditional Bullying ◽  
Frustration Intolerance ◽  
Hyperactivity Disorder ◽  
Oppositional Defiance

Victimization and perpetration of cyberbullying and traditional bullying are prevalent among adolescents with attention-deficit/hyperactivity disorder (ADHD). This study examined the associations of impulsivity, frustration discomfort, and hostility with victimization and with the perpetration of cyberbullying and traditional bullying in adolescents with ADHD. Self-reported involvement in cyberbullying and traditional bullying was assessed in 195 adolescents with a clinical diagnosis of ADHD. Adolescents also completed questionnaires for impulsivity, frustration discomfort, and hostility. Caregivers completed the Child Behavior Checklist for adolescents’ ADHD, internalization, oppositional defiance, and problems with conduct. The associations of impulsivity, frustration discomfort, and hostility with victimization and perpetration of cyberbullying and traditional bullying were examined using logistic regression analysis. The results demonstrated that after the effects of demographic characteristics and behavioral problems were controlled for, frustration intolerance increased the risks of being cyberbullying victims and perpetrators whereas hostility increased the risks of being the victims and perpetrators of traditional bullying. Impulsivity was not significantly associated with any type of bullying involvement. Prevention and intervention programs should alleviate frustration intolerance and hostility among adolescents with ADHD.

Identification and Management of Psychosocial and Developmental Problems in Community-Based, Primary Care Pediatric Practices

PEDIATRICS ◽  
1992 ◽  
Vol 89 (3) ◽  
pp. 480-485 ◽  
Author(s):  
Sarah McCue Horwitz ◽  
Philip J. Leaf ◽  
John M. Leventhal ◽  
Brian Forsyth ◽  
Kathy Nixon Speechley
Keyword(s):  
Primary Care ◽  
Child Behavior Checklist ◽  
Social Issues ◽  
Young Patients ◽  
Well Being ◽  
World Health ◽  
Developmental Problems ◽  
Active Intervention ◽  
Health Organization ◽  
New Morbidity

The importance of psychological and social issues for children's well-being has long been recognized and their importance in the practice of pediatrics is well documented. However, many of the studies looking at this issue have emphasized psychiatric problems rather than issues commonly referred to as the new morbidity. The goal of this research was to refocus interest on the problems of the new morbidity. This study examined the rates and predictors of psychological problems in 19 of 23 randomly chosen pediatric practices in the greater New Haven area. Families of all 4- to 8-year-old children were invited to participate and to complete the Child Behavior Checklist prior to seeing a clinician. Clinicians completed a 13-category checklist of psychosocial and developmental problems based on a World Health Organization-sponsored primary care, child-oriented classification system. Of the 2006 eligible families, 1886 (94%) participated. Clinicians identified at least one psychosocial or developmental problem in 515 children (27.3%). Thirty-one percent of the children with problems received no active intervention, 40% received intervention by the clinician, and 16% were referred to specialty services. Not surprisingly, children whose problems were rated as moderate or severe were twice as likely to be referred compared with children with mild problems. Recognition of a problem was related to four characteristics: if the visit was for well child rather than acute care; if the clinician felt he or she knew a child well; if the child was male; and if the child had unmarried parents (all P ≤ .05). The data suggest that, when asked to use a taxonomy appropriate for primary care, clinicians recognize problems in many 4- to 8-year-old children (515/1886; 27.3%). This rate is considerably higher than the rates previously reported. Further, many children with identified problems (56%) were reported by their clinicians to receive some form of active intervention. Characteristics of the visit (type of visit, clinician's knowledge of a child) that influence the recognition of problems were also identified. These results suggest that investigators must define what types of problems they are interested in and under what circumstances to determine accurately what pediatric practitioners know about psychosocial and developmental problems in their young patients and families.

AAP Developmental and Behavioral Pediatrics

2010 ◽  
Author(s):  
Keyword(s):  
Primary Care ◽  
Behavioral Problems ◽  
Behavioral Interventions ◽  
Autism Spectrum ◽  
Social And Emotional Development ◽  
Social And Emotional ◽  
Medical Evaluation ◽  
Behavioral Pediatrics ◽  
Spectrum Disorders ◽  
Speech And Language Development

Developed by leading experts in developmental and behavioral pediatrics, the all-new AAP Developmental and Behavioral Pediatrics gives one place to turn for expert recommendations to deliver, coordinate, and/or monitor quality developmental/behavioral care within the medical home. The one resource with all the essentials for pediatric primary care providers. Evaluation and care initiation: Interviewing and counseling, Surveillance and screening, Psychoeducational testing, Neurodevelopmental assessment and medical evaluation. Development and disorders: Motor and cognitive development, Speech and language development and disorders, Social and emotional development, Autism spectrum disorders, Learning disabilities. Management solutions: Psychological interventions, Behavioral interventions, Psychopharmacologic management, Complementary and alternative medicine approaches. Contents: Introduction - Child Development: The Basic Science of Pediatrics, Nature, Nurture and Their Interactions in Child Development and Behavior, Interviewing and Counseling Children and Families, Basics of Child Behavior and Primary Care Management of Common Behavioral Problems, Early Intervention, Developmental and Behavioral Surveillance and Screening Within the Medical Home, Neurodevelopmental Assessment and Medical Evaluation, Developmental and Behavioral Diagnoses: The Spectrum and Continuum of Developmental Disabilities and Behavioral Disorders, Motor Development, Cognitive Development, Speech and Language Development and Disorders, Social and Emotional Development, Autism Spectrum Disorders, Psychoeducational Testing, Learning Disabilities, Attention-Deficit/Hyperactivity Disorder, Disruptive Behavior Disorders, Anxiety and Mood Disorders, Evidence-based Psychological and Behavioral Interventions, Principles of Psychopharmacologic Management, Complementary and Alternative Medicine in Developmental and Behavioral Pediatrics, Sensory Impairments: Hearing and Vision, Social and Community Services, Transition to Adult Medical Care, Billing and Coding for Developmental and Behavioral Problems in Outpatient Primary Care.

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