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1.
Behav Res Methods ; 56(7): 6498-6519, 2024 10.
Artigo em Inglês | MEDLINE | ID: mdl-38418689

RESUMO

Multi-informant studies are popular in social and behavioral science. However, their data analyses are challenging because data from different informants carry both shared and unique information and are often incomplete. Using Monte Carlo Simulation, the current study compares three approaches that can be used to analyze incomplete multi-informant data when there is a distinction between reference and nonreference informants. These approaches include a two-method measurement model for planned missing data (2MM-PMD), treating nonreference informants' reports as auxiliary variables with the full-information maximum likelihood method or multiple imputation, and listwise deletion. The result suggests that 2MM-PMD, when correctly specified and data are missing at random, has the best overall performance among the examined approaches regarding point estimates, type I error rates, and statistical power. In addition, it is also more robust to data that are not missing at random.


Assuntos
Modelos Estatísticos , Método de Monte Carlo , Humanos , Interpretação Estatística de Dados , Funções Verossimilhança , Simulação por Computador , Projetos de Pesquisa
2.
Artigo em Inglês | MEDLINE | ID: mdl-38662178

RESUMO

Measurement-based care (MBC) research and practice, including clinical workflows and systems to support MBC, are grounded in adult-serving mental health systems. MBC research evidence is building in child and adolescent services, but MBC practice is inherently more complex due to identified client age, the family system and the need to involve multiple reporters. This paper seeks to address a gap in the literature by providing practical guidance for youth-serving clinicians implementing MBC with children and their families. We focus on MBC as a data-informed, client-centered communication process, and present three key strategies to enhance usual care child and adolescent psychotherapy via developmentally-appropriate MBC. These strategies include (1) go beyond standardized measures; (2) lean into discrepancies; and (3) get curious together. Case-based examples drawn from various child-serving settings illustrate these key strategies of MBC in child psychotherapy.

3.
J Child Psychol Psychiatry ; 64(3): 397-407, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36151972

RESUMO

BACKGROUND: Adolescent mental health problems have lasting impacts on health and social functioning later in life. Evidence to date mostly comes from studies of specific diagnostic categories/dimensions, but hierarchical models can elucidate associations with general as well as specific dimensions of psychopathology. We provide evidence on long-term outcomes of general and specific dimensions of adolescent psychopathology using both parent and teacher reports. METHODS: Parents and teachers from the Isle of Wight study completed Rutter behaviour scales when participants were 14-15 years old (n = 2,275), assessing conduct, emotional and hyperactivity problems. Metric-invariant bifactor models for parents and teachers were used to test domain-specific and domain-general associations with 26 self-reported psychosocial outcomes at mid-life (age 44-45 years, n = 1,423). Analyses examined the individual and joint contributions of parent and teacher reports of adolescent psychopathology. All analyses were adjusted for covariates (gender, IQ and family social class) and weighted to adjust for the probability of nonresponse. RESULTS: Parent- and teacher-reported general factors of psychopathology (GFP) were associated with 15 and 12 outcomes, respectively, across the socioeconomic, relationship, health and personality domains, along with an index of social exclusion. Nine outcomes were associated with both parent- and teacher-reported GFP, with no differences in the strength of the associations across reporters. Teacher-reported specific factors (conduct, emotional and hyperactivity) were associated with 21 outcomes, and parent-reported specific factors were associated with seven. Five outcomes were associated with the same specific factors from both reporters; only one showed reporter differences in the strength of the associations. CONCLUSIONS: These findings confirm the relevance of the GFP and the utility of teacher as well as parent reports of adolescent mental health in predicting psychosocial outcomes later in the life course.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Pessoal de Educação , Humanos , Adolescente , Adulto , Pessoa de Meia-Idade , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Psicopatologia , Saúde Mental
4.
J Pers ; 91(2): 441-463, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-35686939

RESUMO

Research in personality trait change has largely relied on mean-level and rank-order change across the lifespan. The current research expanded the literature in several ways: analyzing four types of change and correlated change patterns, obtaining multi-informant reports, including lower-order personality traits, and collecting multiple assessments during a short yet important time for college-attending emerging adults (baseline N = 259, Mage  = 18.79). There was little evidence for mean-level change, yet participants showed significant individual differences such that rank-ordering and ipsative profiles were much more dynamic than mean score patterns. Informant-reports from close others demonstrated largely similar patterns: little to no mean-level change, significant increase in rank-ordering, and about half of participants reporting configural change mostly in elevation and scatter rather than in profile shapes. Interestingly, there was no correlated change between self and other-reports. This indicated that close others do not share individuals' perception of their own personality trait change, at least not in the demographic group studied. By examining individual-level, sample-level, and multi-informant perspectives, our thorough investigation provided useful benchmarks for future research to examine the source of variability in change trajectories.


Assuntos
Transtornos da Personalidade , Personalidade , Adulto , Humanos , Adolescente , Estudos Longitudinais , Individualidade , Universidades
5.
Eur Child Adolesc Psychiatry ; 32(10): 1821-1839, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34853909

RESUMO

Selective mutism (SM) is an anxiety disorder (prevalence 1-2%), characterized by the consistent absence of speaking in specific situations (e.g., in school), while adequately speaking in other situations (e.g., at home). SM can have a debilitating impact on the psychosocial and academic functioning in childhood. The use of psychometrically sound and cross-culturally valid instruments is urgently needed.The aim of this paper is to identify and review the available assessment instruments for screening or diagnosing the core SM symptomatology. We conducted a systematic search in 6 databases. We identified 1469 studies from the last decade and investigated the measures having been used in a diagnostic assessment of SM. Studies were included if original data on the assessment or treatment of SM were reported. It was found that 38% of published studies on SM reporting original data did not report the use of any standardized or objective measure to investigate the core symptomatology. The results showed that many different questionnaires, interviews and observational instruments were used, many of these only once. The Selective Mutism Questionnaire (SMQ), Anxiety Disorders Interview Schedule (ADIS) and School Speech Questionnaire (SSQ) were used most often. Psychometric data on these instruments are emerging. Beyond these commonly used instruments, more recent developed instruments, such as the Frankfurt Scale of SM (FSSM) and the Teacher Telephone Interview for SM (TTI-SM), are described, as well as several interesting observational measures. The strengths and weaknesses of the instruments are discussed and recommendations are made for their use in clinical practice and research.


Assuntos
Transtornos do Comportamento Infantil , Mutismo , Criança , Humanos , Mutismo/diagnóstico , Mutismo/terapia , Mutismo/psicologia , Transtornos de Ansiedade/diagnóstico , Inquéritos e Questionários , Instituições Acadêmicas
6.
Crime Delinq ; 69(4): 727-755, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36960348

RESUMO

In this paper we examined the impact of the quality of teacher-student relationships at age 10 on young people's delinquency at ages 13, 15, and 17 utilizing propensity-score matching. The young people were matched based on 105 characteristics, measured at ages 7 to 10. The sample comprised 1483 (49.4% female) adolescents representing around 80 different countries of origin, residing in Zurich, Switzerland. We found that young people who reported a better relationship with their teacher at age 10, engaged in fewer delinquent acts at ages 13, 15, and 17. These findings suggest that when young people perceive a better relationship with their teachers this serves as a protective factor against their engagement in delinquency up to 7 years later.

7.
Dev Psychopathol ; 34(3): 889-900, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-33478619

RESUMO

Researchers face an important challenge when assessing peer victimization in children, since self-reports are often discrepant with parent-reports. A latent class analysis identified patterns of response to items assessing peer victimization, which were either divergent or convergent between the parent and the child. Classes were then compared on the child sexual abuse status and on various behavioral and social outcomes. Participants were 720 school-aged child victims of sexual abuse and a comparison group of 173 nonvictims and their caregivers. We identified two discordant subgroups (self-identified and parent-identified) and two concordant groups (nonvictims and concordant victims of peer victimization). Compared to children of the comparison group, sexually abused children were five times more likely to be identified as targets of peer victimization solely by their parent than the contrary. Sexually abused children with concordant reports of peer victimization showed the poorest adjustment on all studied outcomes assessed 6 months later. Children who discounted experiencing peer victimization while their parent reported it were also at risk of maladjustment. Results underscore the importance of supplementing self-reports with other available sources of information, especially in young and vulnerable populations who may be inclined to discount their victimization experiences.


Assuntos
Bullying , Abuso Sexual na Infância , Vítimas de Crime , Bullying/psicologia , Criança , Abuso Sexual na Infância/psicologia , Vítimas de Crime/psicologia , Ajustamento Emocional , Humanos , Análise de Classes Latentes , Relações Pais-Filho , Grupo Associado
8.
Can J Psychiatry ; 67(7): 565-574, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35083921

RESUMO

BACKGROUND: Despite increased exposure to social adversity, immigrant youth have fewer externalizing problems compared to non-immigrants. Explanations for this apparent advantage remain unclear. This study examined the extent to which socio-economic characteristics and family processes account for group differences in externalizing problems between immigrant and non-immigrant youth. METHODS: Data come from a population-based cross-sectional study of 1,449 youth and their primary caregiver in Hamilton, Ontario. Computer-assisted structured interviews were administered separately to primary caregivers and youth, which included assessments of externalizing problems and measures of family obligation, parental monitoring, value of education and socio-economic characteristics. RESULTS: First- and second-generation immigrant youth had lower levels of externalizing problems compared to non-immigrants. The magnitude of group differences was larger for parent (d = 0.37-0.55) versus youth reports of externalizing behaviours (d = 0.15-0.29). Family socio-economic and process characteristics partially accounted for group differences, which remained significant in the parent-reported model but rendered non-significant in the youth-reported model. CONCLUSION: Results suggesting the potential protective effects of positive family processes for immigrant youth could be extended to non-immigrant youth to inform the development of parenting and family skills interventions. Promoting familial sources of resilience is a potential avenue for reversing downward trends in mental health seen across successive generations of immigrant youth, while also reducing risk of behavioural difficulties among non-immigrant youth.


Assuntos
Emigrantes e Imigrantes , Adolescente , Estudos Transversais , Humanos , Saúde Mental , Poder Familiar/psicologia , Pais
9.
J Pers ; 90(5): 781-798, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-34923632

RESUMO

OBJECTIVE: Effortful control (EC) has been conceptualized as a higher-order construct defined by a class of self-regulatory mechanisms. However, the developmental higher-order structure of EC has seldom been investigated with a thorough psychometric analysis. To begin to fill this gap in the literature, data were obtained from parents and teachers of 185 children (age at T1: M = 9.43 y/o, SD = 1.17) every 2 years for 8 years. METHOD: We used a structural equation modeling approach for assessing if EC develops as a higher-order factor superordinate to three commonly studied self-regulatory mechanisms, namely inhibitory control (IC), attention focusing (AF), and attention shifting (AS). RESULTS: Results showed that (a) IC, AF, and AS followed a similar pattern of growth, (b) EC displayed an acceptable degree of scalar longitudinal invariance when operationalized as a latent variable indicated by IC, AF, and AS, (c) a higher-order structure explained the co-development of IC, AF, and AS, and (d) stability and change in EC negatively predicted externalizing symptoms, much better than the stability and change of IC, AF, and AS, but only for parents' reports. CONCLUSION: Overall, the higher-order structure of EC was supported, but our results also indicated that there is a certain degree of uniqueness in its facets.


Assuntos
Atenção , Pais , Criança , Humanos , Lactente , Estudos Longitudinais
10.
Eur Child Adolesc Psychiatry ; 31(5): 819-828, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-33492481

RESUMO

This longitudinal study aims to define the developmental trajectories of social cognition (SC) in a community sample (N = 378) assessed from preschool (3 years old) to preadolescence (12 years old). Parents and teachers reported on a SC measure at ages 5, 10, and 12. We tested the existence of different trajectories and whether they discriminated outcomes in early adolescence. The data were collected from different sources, the children, the parents, and teachers, by means of different methods. Using Growth Mixture Modeling (GMM), we identified three distinct social cognition trajectories: persistently mild difficulties reported by parents and teachers (7.9% of the children), stable low problems reported by parents and increased difficulties reported by teachers (10.5% of the sample), and stable low problems reported by both informants for most of the participants (81.5%). Comparison of the psychological outcomes between classes using regression models showed that the two trajectories including children with any level of problems differ from the normative one as regards their association with psychological problems, daily functioning, and variables, such as aggressive behavior and callousness. The two non-normative trajectories also differ from each other in terms of the personal characteristics of the adolescents included in them. Adolescents in the increasing problematic class in the school have a tougher and more problematic style of social relating, while children with persistent and non-context-dependent difficulties are more anxious. These results might help to better detect and design specific interventions for children with deficits in SC that might respond to different personal characteristics leading to different outcomes.


Assuntos
Pais , Cognição Social , Adolescente , Ansiedade , Criança , Pré-Escolar , Humanos , Estudos Longitudinais , Pais/psicologia , Instituições Acadêmicas
11.
Eur Child Adolesc Psychiatry ; 30(12): 1983-1994, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33125550

RESUMO

The Strengths and Difficulties Questionnaire (SDQ) is widely used, based on evidence of its value for screening. This evidence primarily regards the single informant total difficulties scale and separate difficulties subscales. We assessed to what degree adolescents' SDQ profiles that combined all self- and parent-rated subscales were associated with use of care and psychiatric diagnoses, and examined the added value thereof over using only a single informant and the total scale. Cluster analysis was used to identify common SDQ profiles based on self- and parent-reports among adolescents aged 12-17 in mental healthcare (n = 4282), social care (n = 124), and the general population (n = 1293). We investigated associations of the profiles with 'care use' and 'DSM-IV diagnoses', depending on gender. We identified six common SDQ profiles: five profiles with varying types and severities of reported difficulties, pertaining to 95% of adolescents in care, and one without difficulties, pertaining to 55% of adolescents not in care. The types of reported difficulties in the profiles matched DSM-IV diagnoses for 88% of the diagnosed adolescents. The SDQ profiles were found to be more useful for predicting care use and diagnoses than SDQ scores reported by the adolescent as single informant and the total difficulties scale. The latter indicated the presence of problems among 42-63% of the adolescents in care, missing a substantial number of adolescents with reported emotional difficulties and borderline problem severity. These findings advocate the use of combined self- and parent-rated SDQ score profiles for screening.


Assuntos
Transtornos Mentais , Adolescente , Manual Diagnóstico e Estatístico de Transtornos Mentais , Emoções , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/terapia , Pais , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
12.
Eur Child Adolesc Psychiatry ; 30(9): 1413-1426, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32870384

RESUMO

Maternal psychosocial stress may impact child neurodevelopment, but little is known regarding psychosocial job strain. We hypothesized high psychosocial job strain during pregnancy was associated with behavioural problems in the 11-year-old children. Mothers in the Danish National Birth Cohort (1996-2002) were included if they worked, provided information on job strain [Karasek's model: high job strain (often job demand/seldom job control) and passive (seldom or sometimes job demands/seldom job control)] during early pregnancy. At the 11-year follow-up, children (N = 30,592), mothers (N = 30,993), and teachers (N = 12,810) responded to the Strength and Difficulties Questionnaire (SDQ), a screening tool for child behaviour. Scores for hyperactivity, conduct, emotional and peer problems were dichotomised [80% (no) vs. 20% (yes)] according to Danish norms (yes/no). Maternal job strain was not associated with behavioural problems with teachers as informants. When assessed by child or mother, high maternal job strain increased risk of child behavioural problems, but risks were more pronounced for mothers in passive jobs [maternal assessment of total difficulties/odds ratio (95% confidence interval): high strain-girls: 1.16 (0.97-1.40); boys: 1.24 (1.02-1.50). Passive girls: 1.43 (1.21-1.68); boys: 1.25 (1.05-1.49)]. This is one of the first studies on this topic. The different types of maternal job strain were partly associated with child behavioural problems at 11 years; more so if mothers worked in passive rather than the hypothesized high strain jobs. Findings showing dependency on informant could not only indicate unmeasured confounding or rater's bias, but also selection in the smaller numbers of teacher informants or different environments of interaction with the children.


Assuntos
Efeitos Tardios da Exposição Pré-Natal , Comportamento Problema , Criança , Estudos de Coortes , Dinamarca/epidemiologia , Feminino , Humanos , Masculino , Exposição Materna , Mães , Gravidez , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Inquéritos e Questionários
13.
Prev Sci ; 22(4): 419-431, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33108582

RESUMO

Conduct problems can develop into behavior disorders and put children at risk for other mental health problems. Parenting interventions have been shown to successfully reduce conduct problems and are often expected to prevent the development of broader mental health problems. Few studies have evaluated the longer-term and broader effects of these interventions. To what extent are parenting intervention effects sustained in the years after the intervention? And do effects pertain to conduct problems specifically, or do they also affect broader aspects of children's mental health? We used a randomized controlled trial to assess the longer-term (2.5 years) effects of the Incredible Years parenting intervention on children's conduct problems in an indicated prevention setting (N = 387; 79% retention rate). Using a multi-method (survey and computerized tasks) and multi-informant (parents, teachers, and children) approach, we tested whether initial effects on conduct problems were sustained, and whether Incredible Years had broader effects on children's peer problems, emotional problems, attention-deficit/hyperactivity disorder (ADHD) symptoms, attention and inhibition deficits, and service use. Incredible Years, relative to control (no intervention), led to sustained reductions in parent-reported conduct problems (Cohen's d = 0.31), but not teacher- and child-reported conduct problems. There were no broader benefits: Incredible Years did not reduce children's peer problems, emotional problems, ADHD-symptoms, attention and inhibition deficits, or their service use. Improvements in parents' perceptions of child conduct problems sustained until 2.5 years later. Our findings do not show benefits of Incredible Years as a preventive intervention for children's broader mental health.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Transtorno da Conduta , Poder Familiar , Comportamento Problema , Transtorno do Deficit de Atenção com Hiperatividade/prevenção & controle , Transtorno da Conduta/prevenção & controle , Humanos , Pais
14.
Child Psychiatry Hum Dev ; 52(1): 49-62, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32279125

RESUMO

Researchers often question the validity of multi-informant assessments among adolescents with child welfare involvement. Yet, within other clinical populations, prior research finds that multi-informant reports have a discernable structure characterized by discrete patterns of agreement and disagreement. This structure "tracks" contextual displays of behavior and clinical severity. We examined the structure of multi-informant reports (i.e., adolescent, caregiver, teacher) of adolescent externalizing and internalizing problems in a sample of adolescents with a history of child welfare involvement. Across problem domains and informants, reporting patterns mirrored those observed in other clinical populations, and displayed characteristics robustly present in meta-analytic work on cross-informant correspondence. Specifically, informants agreed more on reports of externalizing problems than internalizing problems and caregiver-teacher dyads agreed more than adolescent-caregiver dyads. Overall, we found robust, replicable patterns of multi-informant reports among child welfare involved adolescents. These reporting patterns may facilitate use and interpretation of multi-informant evidence-based assessments among this population.


Assuntos
Maus-Tratos Infantis/psicologia , Proteção da Criança , Saúde Mental , Adolescente , Cuidadores , Criança , Mecanismos de Defesa , Feminino , Cuidados no Lar de Adoção , Humanos , Masculino , Professores Escolares
15.
Fam Process ; 60(3): 935-949, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33064306

RESUMO

Despite the importance of emotional closeness (EC) in families, few researchers have accurately measured the construct in a systemic way. Additionally, existing measures rely on ratings from one informant, typically the mother, to provide information on closeness within the entire family system. We examined EC in 140 individuals (37 families) using the Emotional Tone Index for Families (ETIF), a novel, multi-informant measure that obtains bidirectional information about EC within every family relationship. The parent identified as most familiar with the family also completed two widely used single-informant measures: The McMaster Family Assessment Device and the Family Adaptability and Cohesion Evaluation Scales, version IV. The ETIF exhibited good test-retest reliability, high internal consistency, and concurrent validity with the single-informant measures. Though the primary respondent scores correlated highly with overall family closeness, results revealed only a modest association between closeness ratings within each dyad and parents rated higher levels of closeness toward their children than children rated closeness toward parents. These findings suggest that ratings from multiple informants provide valuable information about discrepancies in perceived closeness between family members and other complex family dynamics that cannot be captured by single-informant measures. Limitations, future directions, and implications for practice are discussed.


A pesar de la importancia de la cercanía emocional en las familias, pocos investigadores han medido con precisión el constructo de una manera sistémica. Además, las herramientas de medición existentes dependen de las valoraciones de un informante, normalmente la madre, para proporcionar información sobre la cercanía dentro de todo el sistema familiar. Analizamos la cercanía emocional en 140 personas (37 familias) usando el Índice de Tono Emocional para las Familias (ITEF), una herramienta de medición novedosa que obtiene información bidireccional sobre la cercanía emocional dentro de cada relación familiar por parte de varios informantes. El progenitor identificado como el más familiarizado con la familia también completó dos evaluaciones de un solo informante ampliamente utilizadas: el Dispositivo de McMaster de Evaluación Familiar (McMaster Family Assessment Device) y las Escalas de Evaluación de la Cohesión y la Adaptabilidad Familiar (Family Adapatability and Cohesion Evaluation Scales), versión IV. El ITEF demostró buena fiabilidad de prueba-reprueba, una alta coherencia interna y validez simultánea con las evaluaciones de un solo informante. Aunque los puntajes del encuestado principal se correlacionaron en gran medida con la cercanía familiar general, los resultados revelaron solo una asociación modesta entre las valoraciones de cercanía dentro de cada díada, y los padres indicaron niveles más altos de cercanía hacia sus hijos de lo que los hijos lo hicieron hacia sus padres. Estos resultados sugieren que las valoraciones de varios informantes proporcionan información valiosa acerca de las discrepancias en la cercanía percibida entre los miembros de la familia y otra dinámica familiar compleja que no puede captarse mediante las mediciones de un solo informante. Se explican las limitaciones, las futuras direcciones y las implicancias para la práctica.


Assuntos
Emoções , Pais , Criança , Relações Familiares , Feminino , Humanos , Mães , Reprodutibilidade dos Testes
16.
J Youth Adolesc ; 50(12): 2444-2455, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34585323

RESUMO

Previous studies have called attention to the fact that popular youth are not immune to peer victimization, suggesting there is heterogeneity in the popularity of victims. Yet, no study to date has determined whether victims with different levels of popularity status can be identified using person-oriented analysis. Such analysis is critically needed to confirm the existence of popular victims. Further, there remains a paucity of research on internalizing indices of such popular victims, especially compared to other victim and non-victim groups. To address this gap in the research literature, the current study used latent profile analysis to identify subgroups of victims based on victimization (self- and peer-report) and popularity (peer-report). This study sought to verify the existence of popular victims and to compare victim subgroups on loneliness and self-esteem. Participants were 804 Dutch adolescents (50.2% boys, Mage = 13.65 years, ranging from 11.29 to 16.75 years). The results revealed six subgroups, including a group of popular self-identified victims. Popular self-identified victims were generally less lonely than other victims, but had higher loneliness and lower self-esteem than non-victims. Implications are discussed for understanding the victimization experiences of high-status youth.


Assuntos
Bullying , Vítimas de Crime , Adolescente , Feminino , Humanos , Masculino , Grupo Associado , Autoimagem
17.
Int Rev Psychiatry ; 32(3): 212-220, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31880487

RESUMO

Trauma exposure is highly prevalent among children globally, and is associated with elevated rates of PTSD. The goal of this study was to systematically evaluate the effects of multiple informants and multiple screening measures on the identification of specific PTSD symptoms and rates of PTSD diagnoses. Participants in this study included 350 maltreated children from two cohorts, one recruited from Connecticut (n = 130), and the other from Vermont (n = 220). Both cohorts completed the Screen for Child Anxiety-Related Emotional Disorders (SCARED) before a PTSD self-report measure. The KSADS psychiatric interview was also completed with the Connecticut cohort, with best-estimate ratings generated using parent and child interview, child self-report, and teacher questionnaire data. In addition to the SCARED and PTSD self-report scale, parents of the Vermont cohort completed the Child Behavioural Checklist. Significant differences emerged between parent and child report of sleep, nightmares, concentration, and irritability problems, suggesting the need for multiple informants in PTSD screening. Children also under-reported nightmares when asked in the context of a trauma-specific screening tool. As child trauma is associated with a broad range of psychiatric sequelae, comprehensive assessment using both general symptomatology and trauma-specific measures is recommended, since children often shut down when completing trauma measures.


Assuntos
Escala de Avaliação Comportamental , Maus-Tratos Infantis , Entrevista Psicológica , Autorrelato , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Criança , Estudos de Coortes , Connecticut , Feminino , Humanos , Masculino , Pais , Professores Escolares , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Vermont
18.
Fam Process ; 59(3): 1175-1190, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-31506945

RESUMO

Multi-informant assessment of family functioning is considered best practice in research and clinical settings. However, in the area of teen dating violence, multi-informant assessment of family functioning has received limited attention. The current study investigated whether and to what extent caregiver and adolescent perceptions of family functioning interact in their influence on adolescent dating violence. Participants were 493 adolescents and their primary caregivers from a rural southeastern community in the United States. As hypothesized, a paired-samples t test showed that adolescents' scores on the family functioning measure were significantly lower than their caregivers' scores. Logistic regressions revealed that adolescents' positive views of family functioning were significantly associated with a lower likelihood of dating violence victimization but not perpetration and that caregivers' views on family functioning moderated the impact of adolescent-reported family functioning on both dating violence outcomes. Post hoc analyses showed that adolescents with negative perceptions of family environment were most likely to be victims and perpetrators of dating violence when their parents also reported more negative views of family environment. The article concludes with a discussion of how these findings can: (a) advance our understanding of the impact of family functioning on teen dating relationships and (b) inform practical efforts aimed at preventing dating aggression among teens.


La evaluación multiinformante del funcionamiento familiar se considera una práctica adecuada en la investigación y en los entornos clínicos. Sin embargo, en el área de la violencia de parejas adolescentes, la evaluación multiinformante del funcionamiento familiar ha recibido escasa atención. En el presente estudio se investigó si y hasta qué punto las percepciones que tienen los cuidadores y los adolescentes del funcionamiento familiar interactúan en su influencia en la violencia de parejas adolescentes. Los participantes fueron 493 adolescentes y sus principales cuidadores de una comunidad rural del sureste de los Estados Unidos. Como se hipotetizó, una prueba de T para muestras apareadas demostró que los puntajes de los adolescentes en la medida del funcionamiento familiar fueron considerablemente más bajos que los puntajes de sus cuidadores. Las regresiones logísticas revelaron que las perspectivas positivas de los adolescentes con respecto al funcionamiento familiar estuvieron asociadas considerablemente con una menor probabilidad de victimización por violencia en la pareja pero no de perpetración, y que las perspectivas de los cuidadores con respecto al funcionamiento familiar moderaron el efecto del funcionamiento familiar informado por los adolescentes en ambos resultados de la violencia de pareja. Los análisis retrospectivos demostraron que los adolescentes con percepciones negativas del entorno familiar fueron más propensos a ser víctimas y perpetradores de violencia en la pareja cuando sus padres también informaron perspectivas más negativas del entorno familiar. El artículo finaliza con un debate de cómo estos hallazgos pueden: (a) promover nuestra comprensión del efecto del funcionamiento familiar en las relaciones de parejas adolescentes y (b) respaldar efectos prácticos orientados a prevenir la agresión en las parejas de adolescentes.


Assuntos
Comportamento do Adolescente/psicologia , Cuidadores/psicologia , Vítimas de Crime/psicologia , Relações Familiares/psicologia , Violência por Parceiro Íntimo/psicologia , Adolescente , Agressão/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , População Rural , Sudeste dos Estados Unidos
19.
J Youth Adolesc ; 49(10): 1987-2002, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32100247

RESUMO

Mathematics learning, engagement, and performance are facilitated by quality interactions within the classroom environment. Researchers studying high-quality interactions in mathematics classrooms must consider adopting multiple methods of data collection so as to capture classroom quality from all perspectives. As such, this longitudinal study examined student, teacher, and observer perspectives of interaction quality in mathematics classrooms and their predictive associations with mathematics outcomes. Data were collected during the fall and spring semesters of the 2015-2016 school year from 1501 students in 150 mathematics classes (n = 499 fifth graders, 523 seventh graders, 479 ninth graders; 51% female; 51% European American, 30% African American, and 19% other ethnic background; 52% qualifying for free/reduced price lunch). Observer and aggregated student reports of interaction quality at the classroom level were moderately correlated with one another, and these reports predicted student mathematics engagement and performance. Individual student reports of interaction quality also predicted math engagement and performance; yet, teacher reports of interaction quality did not align with student or observer perspectives. Furthermore, teacher reports did not predict student mathematics outcomes. Implications for research, practice, and policy are discussed.


Assuntos
Relações Interpessoais , Estudantes , Adolescente , Feminino , Humanos , Estudos Longitudinais , Masculino , Matemática , Instituições Acadêmicas
20.
Child Psychiatry Hum Dev ; 50(4): 647-660, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30737605

RESUMO

Few studies have examined the incremental validity of multi-informant depression screening approaches. In response, we examined how recommendations for using a multi-informant approach may vary for identifying concurrent or prospective depressive episodes. Participants included 663 youth (AgeM = 11.83; AgeSD = 2.40) and their caregiver who independently completed youth depression questionnaires, and clinical diagnostic interviews, every 6 months for 3 years. Receiver operating characteristic (ROC) analyses showed that youth-report best predicted concurrent episodes, and that both youth and parent-report were necessary to adequately forecast prospective episodes. More specifically, youth-reported negative mood symptoms and parent-reported anhedonic symptoms incrementally predicted future depressive episodes. Findings were invariant to youth's sex and age, and results from person and variable-centered analyses suggested that discrepancies between informants were not clinically meaningful. Implications for future research and evidence-based decision making for depression screening initiatives are discussed.


Assuntos
Depressão/diagnóstico , Transtorno Depressivo/diagnóstico , Entrevista Psicológica/métodos , Pais/psicologia , Testes Psicológicos , Autorrelato/normas , Adolescente , Criança , Depressão/psicologia , Feminino , Humanos , Masculino , Programas de Rastreamento/métodos , Programas de Rastreamento/normas , Valor Preditivo dos Testes , Estudos Prospectivos
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