scholarly journals Persistence of behavioral abnormalities following corticosteroid therapy in children with initial episode of idiopathic nephrotic syndrome: a prospective longitudinal observation

Author(s):  
Parichay Singh ◽  
Om P. Mishra ◽  
Shashi K. Upadhyay ◽  
Rajniti Prasad ◽  
Ankur Singh ◽  
...  

Abstract Introduction: Treatment of nephrotic syndrome with corticosteroid can cause several side- effects including behavioral abnormalities. The objectives of the study were to observe the proportion of non-relapsers having persistence of behavioral abnormalities after completion of treatment of initial episode and compare the abnormalities with relapsers, and to determine risk factors for persistence. Methods: Seventy-five children with a first episode of idiopathic nephrotic syndrome and 60 normal children were rated by parents for behavioral problems using the Child Behavior Checklist. The Parenting Stress Index was also evaluated. The children were rated before treatment and 12 and 36 weeks after. Results: Both relapsers and non-relapsers showed abnormalities in internalizing and externalizing domains at 12 weeks of steroid therapy. Non-relapsers had abnormal scores in the internalizing domain in 63.5 % and externalizing domain in 48.1% of cases at 36 weeks. Relapsers had abnormal scores in all the three behavior domains, but a significantly higher proportion of relapsers had abnormal scores regarding total behavior (65.2% vs 28.8%, p<0.01) and child domains (100% vs 57.7%, p<0.001) of Parenting Stress Index in comparison to non-relapsers at 36 weeks. Occurrence of relapse increased the risk (odds ratio 5.76, 95% CI 1.35-10.76, p< 0.001) for persistence of abnormal total behavior at 36 weeks follow-up. Conclusion: Persistence of abnormalities was observed not only in relapsers but also in non-relapsers. Relapse was found to be a significant risk factor for persistence of abnormal behaviors in these patients.

2018 ◽  
Vol 46 (5) ◽  
pp. 554-569 ◽  
Author(s):  
Megan Lilly ◽  
Thompson E. Davis ◽  
Peter J. Castagna ◽  
Arwen Marker ◽  
Allison B. Davis

Background: Self-report instruments are commonly used to assess for childhood depressive symptoms. Historically, clinicians have relied heavily on parent-reports due to concerns about childrens’ cognitive abilities to understand diagnostic questions. However, parents may also be unreliable reporters due to a lack of understanding of their child's symptomatology, overshadowing by their own problems, and tendencies to promote themselves more favourably in order to achieve desired assessment goals. One such variable that can lead to unreliable reporting is impression management, which is a goal-directed response in which an individual (e.g. mother or father) attempts to represent themselves, or their child, in a socially desirable way to the observer. Aims: This study examined the relationship between mothers who engage in impression management, as measured by the Parenting Stress Index-Short Form defensive responding subscale, and parent-/child-self-reports of depressive symptomatology in 106 mother–child dyads. Methods: 106 clinic-referred children (mean child age = 10.06 years, range 7–16 years) were administered the Child Depression Inventory, and mothers (mean mother age = 40.80 years, range 27–57 years) were administered the Child-Behavior Checklist, Parenting Stress Index-Short Form, and Symptom Checklist-90-Revised. Results: As predicted, mothers who engaged in impression management under-reported their child's symptomatology on the anxious/depressed and withdrawn subscales of the Child Behavior Checklist. Moreover, the relationship between maternal-reported child depressive symptoms and child-reported depressive symptoms was moderated by impression management. Conclusions: These results suggest that children may be more reliable reporters of their own depressive symptomatology when mothers are highly defensive or stressed.


Assessment ◽  
2019 ◽  
pp. 107319111984775 ◽  
Author(s):  
Jie Luo ◽  
Meng-Cheng Wang ◽  
Yu Gao ◽  
Hong Zeng ◽  
Wendeng Yang ◽  
...  

2008 ◽  
Vol 17 (2) ◽  
pp. 183-203 ◽  
Author(s):  
Carl Lacharité ◽  
Louise Éthier ◽  
Christiane Piché

RÉSUMÉ Les qualités métrologiques d'une version française du Parenting Stress Index (Abidin, 1983 ; Loyd et Abidin, 1985) sont examinées à partir d'un échantillon de 122 mères québécoises ayant un enfant d'âge préscolaire. Les résultats indiquent que l'inventaire de stress parental possède des indices de consistance interne équivalant à ceux obtenus avec l'échantillon américain. Cependant, les échantillons québécois et américain diffèrent pour 7 sous-échelles sur 13 ainsi qu'au niveau du score du domaine de l'enfant et du score de stress total. Les mères québécoises rapportent des scores plus élevés. L'analyse factorielle des sous-échelles supporte la présence d'une structure hiérarchique constituée d'un facteur général de stress parental et de deux facteurs spécifiques : le domaine de l'enfant et le domaine du parent. Le score du domaine du parent varie selon le niveau socio-économique et le statut conjugal de la mère. L'âge de la mère est négativement corrélé au score du domaine de l'enfant. Le niveau d'agressivité/hyperactivité de l'enfant, tel que perçu par l'éducatrice en classe, est positivement corrélé au score de la sous-échelle Difficulté à accepter les caractéristiques de l'enfant et de la sous-échelle Distraction et hyperactivité de l'enfant. Des normes sont présentées afin de tenir compte des différences observées entre l'échantillon québécois et l'échantillon américain.


2021 ◽  
Vol 12 ◽  
Author(s):  
Xiaozi Gao ◽  
Kerry Lee

With increasing attention on the role of parenting stress on family functioning and children’s development, one area that has been neglected is how such relations differ across cultures. Although sometimes viewed as homogeneous, Asian countries often have markedly different belief systems. Cross-cultural studies require instruments that have been validated in different socio-cultural contexts. The widely used parenting stress index-short form (PSI-SF) has been used in several locations. However, results regarding its factorial structure have been mixed. Furthermore, there are only a few cross-cultural comparison studies. This study examined the factorial structure of an abridged version of the PSI-SF with data from Hong Kong (N = 258) and Thailand (N = 190). The results from confirmatory factor analyses indicated that, in both cultures, a three-factorial structure provides the best model fit. Furthermore, we found evidence for partial metric invariance, suggesting that the test scores can be compared directly. Tests for convergent and discriminant validity revealed that the three factors were correlated with parent general distress, authoritative, authoritarian, and permissive parenting behaviors, in both cultures. These findings suggest that the abridged PSI-SF can provide a meaningful comparison of parenting stress between Hong Kong and Thailand.


1989 ◽  
Vol 4 (4) ◽  
pp. 307-312 ◽  
Author(s):  
Elizabeth J. Doll

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