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

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.

2019 ◽  
Vol 50 (15) ◽  
pp. 2566-2574
Author(s):  
Dylan Johnson ◽  
John D. McLennan ◽  
Jon Heron ◽  
Ian Colman

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.


Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Emily C Maxwell ◽  
Tonia Ballantyne ◽  
Kathleen E Carlson ◽  
Amanda L Hollatz ◽  
KC Clevenger ◽  
...  

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.


Author(s):  
Andrea B. Temkin ◽  
Mina Yadegar ◽  
Christine Cho ◽  
Brian C. Chu

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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