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1.
Infant Ment Health J ; 37(4): 335-55, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27351372

RESUMO

The study examined whether the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Revised Edition (DC: 0-3R; ZERO TO THREE, 2005) Parent-Infant Relationship Global Assessment Scale (PIR-GAS) is applicable to six European countries and contributes to the identification of caregiver-infant/toddler dyads with abusive relationship patterns. The sample consisted of 115 dyads with children's ages ranging from 1 to 47 months. Sixty-four dyads were recruited from community settings without known violence problems, and 51 dyads were recruited from clinical settings and already had been identified with violence problems or as being at risk for violence problems. To classify the dyads on the PIR-GAS categories, caregiver-child interactions were video-recorded and coded with observational scales appropriate for child age. To test whether the PIR-GAS allows for reliable identification of dyads with abusive relationship patterns, PIR-GAS ratings were compared with scores on the the International Society for the Prevention of Child Abuse and Neglect's (ISPCAN) Child Abuse Screening Tool-Parental Version (ICAST-P; D.K. Runyan et al., ), a questionnaire measuring abusive parental disciplinary practices. It was found that PIR-GAS ratings differentiated between the general and the clinical sample, and the dyads with abusive patterns of relationship were identified by both the PIR-GAS and the ICAST-P. Interrater reliability for the PIR-GAS ranged from moderate to excellent. The value of a broader use of tools such as the DC: 0-3R to promote early identification of families at risk for infant and toddler abuse and neglect is discussed.


Assuntos
Cuidadores , Maus-Tratos Infantis/diagnóstico , Relações Pais-Filho , Adolescente , Adulto , Maus-Tratos Infantis/classificação , Pré-Escolar , Europa (Continente) , Feminino , Humanos , Renda , Lactente , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
2.
J Abnorm Child Psychol ; 46(2): 291-303, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28144810

RESUMO

This study investigated whether a school-based pilot prevention program is effective in reducing Conduct Disorder (CD) symptoms and callous unemotional (CU) traits (i.e., lack of empathy and guilt) in a community sample of children. A total of 304 children from three schools in Cyprus were randomly assigned at school level to either a prevention group that received a skill building training program (N = 94; M age  = 7.91, SD = .74; 52.1% female) or a control group that received no training (N = 210; M age  = 7.82, SD = .81; 50.5% female). To evaluate the effectiveness of the program, CD symptoms and CU traits were assessed before the implementation of the training program and at 3 and 9 months after training. Additionally, the child's impulsivity, parental involvement and friend support were assessed pre- and post-prevention. Significant post-training reductions in CU traits were identified for the prevention, but not the control, group at both 3-month and 9-month follow-ups and in CD symptoms at the 9 month follow-up. Furthermore, children in the prevention group scored lower on impulsivity and higher on paternal involvement and friend support compared to the control group after participating in the training program. This study provides preliminary evidence that child focused training delivered in the school setting can provide lasting benefits by preventing the development of CU traits, impulsivity, and CD. The program was also successful in improving the child's social relationships with peers and parents. These findings emphasize the importance of school based prevention efforts.


Assuntos
Transtorno da Conduta/prevenção & controle , Comportamento Impulsivo , Relações Interpessoais , Pais , Grupo Associado , Psicoterapia/métodos , Instituições Acadêmicas , Apoio Social , Criança , Chipre , Feminino , Seguimentos , Humanos , Masculino , Projetos Piloto , Resultado do Tratamento
3.
Child Abuse Negl ; 66: 41-52, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28238355

RESUMO

It is well documented that child sexual abuse (CSA) may be one of the major public health problems in the world, especially due to the co-occurrence with other types of abuse and negative developmental outcomes. The aim of the current study was the comprehensive examination of CSA with respect to its prevalence, its contexts of occurrence and its correlates. The sample included 1852 adolescents and young adults (15-25 years old; 441 males), recruited through schools, universities and other youth organizations across Cyprus. Participants were administered an online questionnaire assessing multiple forms of abuse, with a focus on sexual abuse, solicitation, and trafficking, as well as personality traits. The study's results supported previous findings in Europe that 1 in 5 children may experience sexual abuse or solicitation, with females being more likely than males to be the victim of CSA. Findings also indicated that the different types of sexual abuse were more likely to occur during adolescence than other developmental stages. In addition, perpetrators were more often identified to be adolescent or adult males who were strangers or friends/acquaintances with the victims. Moreover, findings suggested that experiences of sexual abuse and solicitation co-occur with neglect, physical, and psychological abuse. Regarding personality traits, sexual abuse was found to be specifically related to grandiosity, whereas sexual solicitation was related to both impulsivity and grandiosity. The current study has practical and policy implications for intervening with sexually maltreated individuals.


Assuntos
Abuso Sexual na Infância/estatística & dados numéricos , Adolescente , Adulto , Criança , Abuso Sexual na Infância/psicologia , Chipre , Feminino , Humanos , Masculino , Prevalência , Distribuição por Sexo , Inquéritos e Questionários , Adulto Jovem
4.
J Abnorm Child Psychol ; 44(4): 625-38, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26344015

RESUMO

Callous-unemotional (CU) traits designate an important subgroup of antisocial individuals at risk for early-starting, severe, and persistent conduct problems, but this construct has received limited attention among young children. The current study evaluated the factor structure, psychometric properties, and validity of scores on a comprehensive measure of CU traits, the Inventory of Callous-Unemotional Traits (ICU), in relation to measures of antisocial/prosocial behavior and emotional processing, administered to preschool children. The sample included 214 boys (52 %) and girls (48 %, M age = 4.7, SD = 0.69) recruited from mainstream and high-risk preschools. Confirmatory factor analyses supported a two-factor structure including callous and uncaring dimensions from 12 of the 24 original ICU items. Scores on the parent- and teacher-reported ICU were internally consistent and combined CU scores showed expected associations with an alternate measure of CU traits and measures of empathy, prosocial behavior, conduct problems, and aggression. Preschool children high on CU traits were less accurate, relative to children scoring low, in recognizing facial expressions. They were also less attentionally engaged by images of others in distress when co-occurring conduct problems presented. Findings extend the literature by supporting the psychometric properties of the ICU among young children, and open several avenues for studying early precursors to this severe personality disturbance.


Assuntos
Agressão/fisiologia , Transtorno da Personalidade Antissocial/diagnóstico , Comportamento Infantil/fisiologia , Empatia/fisiologia , Inventário de Personalidade/normas , Comportamento Problema/psicologia , Transtorno da Personalidade Antissocial/fisiopatologia , Pré-Escolar , Feminino , Humanos , Masculino , Escalas de Graduação Psiquiátrica/normas , Psicometria/instrumentação , Reprodutibilidade dos Testes
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