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2.
Pediatr Clin North Am ; 67(3): 499-511, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443989

RESUMO

This article summarizes the literature on prevalence and establishment of severe problem behavior in individuals with intellectual and developmental disabilities, empirical support for applied behavior analysis, and evidence-based behavioral assessment and treatment procedures. Early intervention and prevention approaches and the role of the pediatrician with regard to surveillance, early intervention, and coordination of care are discussed.


Assuntos
Terapia Comportamental/métodos , Deficiências do Desenvolvimento/terapia , Deficiência Intelectual/terapia , Comportamento Problema/psicologia , Criança , Deficiências do Desenvolvimento/psicologia , Humanos , Deficiência Intelectual/psicologia , Fatores de Risco
3.
Pediatr Clin North Am ; 67(3): 525-535, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443991

RESUMO

Autism spectrum disorder (ASD) is characterized by deficits in social communication and interaction and the presence of restricted and repetitive patterns of behavior and interests. Currently, ASD affects 1 in 59 individuals and can be a costly disorder across one's lifetime. Because of the prevalence, costs, and range of behavioral needs, early intervention is vital to teach skills across a variety of domains and prevent the development or exacerbation of behavioral deficits and excesses. Interventions based on applied behavior analysis have the most empirical support; several strategies to teach social skills, communication, and adaptive skills are discussed.


Assuntos
Transtorno do Espectro Autista/complicações , Transtorno do Espectro Autista/terapia , Terapia Comportamental/métodos , Comportamento Problema , Criança , Pré-Escolar , Intervenção Educacional Precoce , Humanos
4.
Prax Kinderpsychol Kinderpsychiatr ; 69(3): 218-235, 2020 May.
Artigo em Alemão | MEDLINE | ID: mdl-32394820

RESUMO

Do Children and Adolescents with Different Reasons for Admission Equally Benefit from Institutional Care? Currently, almost 150.000 children and adolescents are placed in institutional care in Germany with the aim to improve their living conditions. Various studies showed positive effects concerning the development of those institutionalized children and adolescents. Within the present study, 500 children and adolescents in institutional care were examined regarding the improvement of quality of life and social competencies during their care placement depending on the respective reason for admission (group A: admission due to mental health and behavior problems; group S: problems in the context of the school; group O: no mental health problems, but other reasons). Furthermore, differences in the development of children and adolescents who initiated the placement by themselves and those who did not were examined. Results show that over a period of 18-24 months, all three groups developed effectively equally. Group A had a lower initial level regarding quality of life and social competencies compared to group S and group O and therefore reached lower outcomes within the investigation period. Development was irrespective of whether or not children and adolescents initiated the institutional placement by themselves. The results demonstrate that all three groups were able to benefit from institutional care, although children and adolescents with mental health problems had a notable potential for further development.


Assuntos
Criança Institucionalizada/psicologia , Transtornos Mentais/psicologia , Transtornos Mentais/reabilitação , Comportamento Problema/psicologia , Qualidade de Vida , Habilidades Sociais , Adolescente , Criança , Alemanha , Humanos , Saúde Mental
5.
Prax Kinderpsychol Kinderpsychiatr ; 69(3): 203-217, 2020 May.
Artigo em Alemão | MEDLINE | ID: mdl-32394821

RESUMO

Evaluation of a Manualized Group Program for Siblings of Children with Diseases or Disabilities This study evaluates a manualized group program for siblings of children with life-threatening/life-limiting diseases or disabilities. The program aims to activate resources and to reduce emotional and behavioral problems, using cognitive-behavioral methods and experience-based interventions. In this multi-center study, 13 GeschwisterTREFFs were conducted by 11 study sites in Germany. Prior to and after the intervention 97 siblings aged 7 to 14 years and their parents were examined with standardized questionnaires. At baseline, the siblings of children with diseases or disabilities showed significant more emotional and behavioral problems compared to the respective norm samples. After the intervention, the siblings reported declined problem behavior scores that were mostly in the range of the particular norm values. Furthermore, the children indicated a significant improvement of self-esteem, self-efficacy, school competences and relations to their siblings. However, parents reported more problem behavior and less health-related quality of life of their children at both assessments. The present multi-center study showed the interventions' feasibility in different settings and confirmed expected improvements of target variables during the intervention period. Randomized-controlled trails are warranted to verify our results.


Assuntos
Terapia Cognitivo-Comportamental , Pessoas com Deficiência , Comportamento Problema/psicologia , Psicoterapia de Grupo , Irmãos/psicologia , Sucesso Acadêmico , Adolescente , Criança , Estudos de Viabilidade , Alemanha , Humanos , Pais/psicologia , Qualidade de Vida , Autoimagem , Autoeficácia , Inquéritos e Questionários
6.
Z Kinder Jugendpsychiatr Psychother ; 48(4): 277-288, 2020 Jul.
Artigo em Alemão | MEDLINE | ID: mdl-32301650

RESUMO

The impact of adolecent motherhood on child development in preschool children- identification of maternal risk factors Abstract. Objective: This longitudinal study aims to identify relevant risk factors in adolescent mothers which might impact their child's cognitive and speech development as well as behavior problems at preschool age. Based on earlier findings, maternal sensitivity (EA), socioeconomic status (SES) and psychological stress were identified as potentially influencing factors. Method: N = 31 adolescent and N = 47 adult mothers with their children aged 3;0 to 5;9 (M = 3;55) participated in this study. Child variables included cognitive development (WPPSI-III), language development (SSV), and behavioral problems (SDQ). Maternal factors were EA, SES, and mental health problems (BSI-18). Results: Children of adolescent mothers performed worse on cognitive and speech development and are described by their mothers as exhibiting more behavioral problems compared to children of adult mothers. Mediation analyses revealed that the effect of maternal age on children's cognitive development is occurs through reduced maternal sensitivity of adolescent mothers. Further, higher psychological stress of adolescent mothers mediated the effect of maternal age on children's behavior problems. Conclusion: Preschool children of adolescent mothers showed poorer developmental outcomes compared to children of adult mothers. This is partly explained by lower maternal sensitivity and higher rates of psychological stress among adolescent mothers.


Assuntos
Desenvolvimento Infantil , Mães/psicologia , Mães/estatística & dados numéricos , Gravidez na Adolescência , Adolescente , Adulto , Pré-Escolar , Feminino , Humanos , Estudos Longitudinais , Gravidez , Comportamento Problema/psicologia , Fatores de Risco , Estresse Psicológico
8.
J Am Dent Assoc ; 151(5): 327-333, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32223910

RESUMO

BACKGROUND: A number of theories associate emotional factors with the triggering of sleep bruxism (SB). Few studies have used validated instruments to assess psychological characteristics and SB in children. In this study, the authors aimed to assess the prevalence of parent-reported SB in children and its association with social, emotional, and behavioral problems. METHODS: The authors conducted a cross-sectional study with a school-based sample at 20 public schools in Brazil. Parents or caregivers provided information related to tooth-grinding sounds during sleep and about children's social, emotional, and behavioral problems by using the Strength and Difficulties Questionnaire. Analyses were carried out considering each subscale of the Strength and Difficulties Questionnaire and the total score. The authors estimated prevalence ratios by using a Poisson regression model. Statistical inferences were based on 95% confidence intervals. RESULTS: A total of 556 children aged 8 years were included. Prevalence of SB was 30.83%. Results of an adjusted analysis showed a significant association of SB with higher scores on total difficulties (overall score) (P < .001) and emotional symptoms (P < .001) and peer relationship problems (P = .010) subscales. CONCLUSIONS: Parental reports of emotional and behavioral problems were associated with a higher prevalence of SB in schoolchildren. PRACTICAL IMPLICATIONS: This study's results contribute to those of previous investigations about the association between psychological characteristics and SB. Interdisciplinary research involving dentistry and psychology may improve the understanding of bruxism.


Assuntos
Comportamento Problema , Bruxismo do Sono , Brasil , Criança , Estudos Transversais , Humanos , Pais , Inquéritos e Questionários
9.
PLoS One ; 15(3): e0230626, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32203544

RESUMO

Internalizing and externalizing behavior problems are established risk factors for many unpleasant outcomes and psychopathology in adulthood, and understanding the interplay between genes and environment is important for deducing implications for therapeutic interventions. Among genetic studies on internalizing and externalizing problem behavior, the heritability estimates differ widely. Most research only uses twin data and other-reports, and therefore certain limitations are inevitable. Our study is the first to investigate genetic and environmental influences on problem behavior using a Nuclear Twin Family Design and self-reports, in order to address these limitations. Internalizing and externalizing problem behavior of 3,087 twin pairs (age 11-23), a sibling, and their parents were analyzed with structural equation modeling to estimate heritability separately for each of three twin birth cohorts. Genetic influences account for about one-third of the variance for both internalizing and externalizing. Shared environmental influences were only found for internalizing, and through the advantages of considering data from the whole twin family, firstly could be identified as solely twin-specific. Our findings could contribute to a better understanding of the gap between heritability based on twin studies and DNA-based heritability ('missing heritability problem'): Results indicate that heritability estimates gained via classic twin design and other-reports are slightly overestimated and therefore environmental influences, in general, are more important than previous research suggests. Simultaneously, we showed that family-specific environment either contributes to behavior problems only on an individual level, or that it has a lesser influence than originally thought.


Assuntos
Comportamento Problema/psicologia , Gêmeos/psicologia , Adolescente , Criança , Feminino , Humanos , Masculino , Adulto Jovem
10.
Zhonghua Yu Fang Yi Xue Za Zhi ; 54(3): 283-288, 2020 Mar 06.
Artigo em Chinês | MEDLINE | ID: mdl-32187933

RESUMO

Objective: To explore the effect of parental rearing patterns and their consistency on the emotional and behavioral problems of preschool children. Methods: From October to November 2017, 27 987 children aged 3 to 6 years old from 109 kindergartens in 11 cities of Hubei, Anhui and Jiangsu Provinces were selected by using the cluster sampling method. A total of 27 200 valid questionnaires which were completed by subjects' parents were collected. The emotional and behavioral problems of preschool children were collected by "strengths and difficulties questionnaire" and the parental rearing patterns were evaluated by the "Parental Behavior Scale". The differences in emotional and behavioral abnormality rates of preschool children with different characteristics were analyzed; with emotional and behavioral problems as dependent variables and parental support/participation and compulsion/hostility as independent variables, the multivariate logistic regression model was used to analyze the effect of parental rearing patterns and their consistency on the emotional and behavioral problems of preschool children. Results: The age of children was (4.35±0.96) years old, and 51.4% of children were 13 975 males. There were 24 634 (90.6%) urban children and 17 916 (65.9%) only children. Both parents with strong support/participation accounted for 14.9%, and those with poor support/participation accounted for 11.9%; both parents with strong compulsion/hostility accounted for 15.2%, and those with low compulsion/hostility accounted for 11.3%. The rates of emotional symptoms, conduct behavior, hyperactive behavior, peer interaction, total difficulty score, and abnormal prosocial behavior of preschool children were 9.5%, 9.5%, 18.2%, 24.5%, 11.2%, and 10.2%, respectively. The multivariate logistic regression model analysis showed that after adjusting for gender, only child, living area, family economic status, mother's age and education level, father's education level, and other factors, compared with fathers/mothers with strong support/participation and low compulsion/hostility and parents with strong support/participation and low compulsion/hostility, preschool children who had fathers/mothers with poor support/participation and strong compulsion/hostility or parents with poor support/participation and strong compulsion/hostility were more likely to have emotional symptoms, conduct behavior, hyperactive behavior, peer interaction, total difficulty score, and abnormal prosocial behavior (P<0.05). Conclusions: Parental rearing patterns and their consistency are related to the emotional and behavioral problems of preschool children.


Assuntos
Sintomas Afetivos , Comportamento Infantil/psicologia , Saúde Mental/estatística & dados numéricos , Relações Pais-Filho , Poder Familiar , Pais/psicologia , Comportamento Problema , Criança , Pré-Escolar , Feminino , Humanos , Modelos Logísticos , Masculino , Fatores Socioeconômicos , Inquéritos e Questionários
11.
Artigo em Inglês | MEDLINE | ID: mdl-32208045

RESUMO

Background: This study examined change in individually defined problem behaviors during a telephone-assisted self-help (TASH) intervention for parents of children with attention-deficit/hyperactivity disorder (ADHD). Method: Parents of children with ADHD and functional impairment despite methylphenidate treatment participated in a 12-month TASH intervention (8 self-help booklets plus up to 14 counseling telephone calls). The severity of three individually defined target problems, of ADHD symptoms, and oppositional symptoms were rated at baseline and after 6 and 12 months; parental satisfaction with the intervention was assessed after 12 months. The problems were categorized according to the type of behavior and the disorder to which they were related (ADHD vs. oppositional symptoms). Results: Repeated measures analyses of variance revealed a significant decrease in problem severity during the intervention. The change in problem severity was greater than the change in ADHD and oppositional symptoms. Correlations between problem severity and symptom severity were low to moderate. Correlations between the change in problem severity and parental satisfaction were moderate. Discussion: The decrease in the individual problem severity during TASH is stronger than the decrease in ADHD and oppositional symptoms. Individually defined problems should be attended to in psychotherapy research to avoid underestimating the benefit of interventions by solely considering standardized measures.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Aconselhamento/métodos , Pais , Comportamento Problema/psicologia , Telefone , Criança , Humanos , Metilfenidato/uso terapêutico , Autocuidado
12.
PLoS One ; 15(2): e0229706, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32108179

RESUMO

Providing direct health and social care services for people who exhibit behaviours that challenge can be a highly stressful occupation. Existing literature has suggested that there is a need to develop further theoretical understanding of how work related stress can be reduced in professions that consist of providing care for people who exhibit behaviours that challenge. The aim for this study was to use a Classic Grounded Theory approach to develop a theoretical framework to illustrate a common issue that could influence work related stress levels experienced when managing behaviours that challenge in health and social care settings. A series of focus groups and 1:1 semi-structured interviews were conducted to explore the articulated experiences of 47 health/social care professionals who provide care for people who exhibit behaviours that challenge. This led to the development of Therapeutic Engagement Stress Theory (TEST), which illustrates that the perceived capacity to therapeutically engage with people who exhibit behaviours that challenge is an issue that can influence the levels of stress experienced by health/social care professionals. TEST provides a framework that could be applied to identify specific factors that inhibit staff to successfully deliver caring interventions for people who exhibit behaviours that challenge, and also inform bespoke support mechanisms to reduce stress in health/social care professionals.


Assuntos
Teoria Fundamentada , Pessoal de Saúde/psicologia , Estresse Ocupacional/etiologia , Comportamento Problema/psicologia , Serviço Social , Adulto , Feminino , Grupos Focais , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Saúde do Trabalhador , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/psicologia , Relações Profissional-Paciente , Reino Unido , Engajamento no Trabalho , Adulto Jovem
13.
Nervenarzt ; 91(3): 271-281, 2020 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-32103297

RESUMO

People with intellectual disability (ID) have a high vulnerability to develop mental health problems. The prevalence of mental disorders is higher than in the general population and, in addition, adults with ID often show behavioral problems that imply a need for psychiatric psychotherapeutic care. In view of the impairments of intellectual functioning, impaired adaptive behavioral skills and physical illnesses, the needs of this target group are usually complex and require particular expertise. A number of specific assessment instruments are available for target group-specific diagnostics to collate the cognitive performance and emotional development as well as for psychopathological symptoms and behavioral disorders. To improve the accuracy of diagnosis in the ID population, existing alternatives to DSM or ICD should be applied especially to adults with moderate or severe ID. Guidelines for psychopharmacotherapy and adapted user guides for psychotherapeutic treatment provide support in the context of target group-specific treatment.


Assuntos
Deficiência Intelectual , Transtornos Mentais , Adulto , Humanos , Deficiência Intelectual/complicações , Transtornos Mentais/complicações , Transtornos Mentais/diagnóstico , Transtornos Mentais/terapia , Saúde Mental/estatística & dados numéricos , Prevalência , Comportamento Problema/psicologia , Psicotrópicos
14.
PLoS One ; 15(2): e0228432, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32027682

RESUMO

Sexual debut, or first intercourse, predicts problem behaviors such as substance use. This association could reflect a direct effect of debut itself, general developmental trends, or the fact that some youth are more predisposed to a wide array of problem behaviors (e.g., risky sex, substance use). Understanding the association between sexual debut and substance use thus requires methods that can distinguish between these various accounts. In this study the association between sexual debut and substance use was investigated in a longitudinal sample of Mexican-origin youth (N = 674) assessed annually from 5th (Mage = 10.86 years, SD = 0.51) through 12th grade (Mage = 17.69 years, SD = 0.48). The longitudinal aspect of the data allowed the direct effect of sexual debut on substance use to be tested while accounting for long-term trends in substance use, and stable individual differences in those trends based on early risk and debut timing. Substance use increased over time, and early risk and debut were consistently associated with more substance use. Sexual debut also modestly predicted an increase in substance use after accounting for these effects, however. Taken together, results provide some evidence consistent with each of the potential explanations for the association between sexual debut and substance use across adolescence.


Assuntos
Comportamento do Adolescente , Coito , Comportamento Problema , Assunção de Riscos , Comportamento Sexual/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adolescente , Comportamento do Adolescente/etnologia , Fatores Etários , California/epidemiologia , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Americanos Mexicanos/estatística & dados numéricos , Comportamento Problema/psicologia , Comportamento Sexual/etnologia , Transtornos Relacionados ao Uso de Substâncias/etnologia
15.
PLoS One ; 15(1): e0227627, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31923273

RESUMO

Attachment theories postulate that during adolescence, peer relationships become more important as a predictor of positive social, emotional and behavioral outcomes. Adolescents develop the ability to empathize with others, which is related to healthy functioning and positive peer relationships. Empathy has been studied as a potential mechanism that may help to explain how strong and healthy emotional bonds are associated with less emotional disorders and conduct problems in youth. The main purpose of this study was to examine the relationship between peer attachment and strengths and difficulties during adolescence, considering empathy as a potential mediator of this association. A total of 800 Spanish adolescents (56.65% girls), aged between 12 and 15 years (M = 14.02, SD = 1.21), completed measures of peer attachment, empathy, conduct problems, emotional difficulties and prosocial behavior. Structural equation models indicated that peer attachment was negatively associated with conduct problems and emotional difficulties but positively related to prosocial behavior. In general, empathy mediated the link between peer attachment and both emotional and behavioral outcomes, without significant group differences between boys and girls. The discussion focuses on the importance of healthy peer relationships as a powerful predictor of emotional well-being and psychological problems in adolescence.


Assuntos
Emoções/fisiologia , Empatia/ética , Grupo Associado , Adolescente , Criança , Transtorno da Conduta/psicologia , Empatia/fisiologia , Feminino , Humanos , Relações Interpessoais , Masculino , Apego ao Objeto , Comportamento Problema/psicologia , Comportamento Social , Espanha
16.
PLoS One ; 15(1): e0226677, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31896133

RESUMO

Overqualification has both positive and negative outcomes; however, extant literature exhibits a tilt in favor of its negative aspect against its positive side. This tilted approach results in derision of a condition which could produce positive results. We argue, through empirical evidence, that there might be some circumstances/conditions, like the intentions of employees about their current job, that may play an important role in enabling organizations to be benefitted from the surplus KSAs of the overqualified employees and overqualification can be used as a tool to mitigate the effects of its negative consequences. To empirically test this condition, a sample of 193 teachers and 193 students have been selected through cluster sampling technique. The results exhibited that if overqualified employees perceive their current job as a career job then there is a more likelihood that they will be involved in some innovative and creative behaviors instead of deviating negatively from the organization norms. The results provide some new research insights that could be used to better understand the phenomenon of overqualification. The results of the study have practical implications for HR managers.


Assuntos
Mobilidade Ocupacional , Escolaridade , Ocupações/normas , Poder Psicológico , Comportamento Problema/psicologia , Má Conduta Profissional/psicologia , Desempenho Profissional/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
17.
Pediatrics ; 145(2)2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31964759

RESUMO

This set of recommendations is designed to assist the pediatrician in caring for children with Williams syndrome (WS) who were diagnosed by using clinical features and with chromosome 7 microdeletion confirmed by fluorescence in situ hybridization, chromosome microarray, or multiplex ligation-dependent probe amplification. The recommendations in this report reflect review of the current literature, including previously peer-reviewed and published management suggestions for WS, as well as the consensus of physicians and psychologists with expertise in the care of individuals with WS. These general recommendations for the syndrome do not replace individualized medical assessment and treatment.


Assuntos
Síndrome de Williams/complicações , Adolescente , Adulto , Fatores Etários , Anormalidades Cardiovasculares/etiologia , Anormalidades Cardiovasculares/terapia , Criança , Pré-Escolar , Constipação Intestinal/etiologia , Constipação Intestinal/terapia , Assistência Odontológica para Crianças/métodos , Facies , Feminino , Transtornos da Audição/etiologia , Humanos , Hipercalcemia/complicações , Hipercalcemia/diagnóstico , Hipercalcemia/terapia , Hipotireoidismo/etiologia , Lactente , Masculino , Doenças do Sistema Nervoso/diagnóstico , Doenças do Sistema Nervoso/etiologia , Doenças do Sistema Nervoso/terapia , Fotografação , Exame Físico , Comportamento Problema/psicologia , Transição para Assistência do Adulto , Sistema Urinário/anormalidades , Síndrome de Williams/genética , Síndrome de Williams/terapia , Adulto Jovem
18.
J Lesbian Stud ; 24(1): 41-55, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31218934

RESUMO

Until 2004, Dutch women seeking donor insemination through medical facilities could opt for open-identity or anonymous donors. Since then, Dutch law only permits open-identity donation. The present study compared the well-being of adolescents conceived before 2004 through known, open-identity, and anonymous donors, and born into planned lesbian parent families (i.e., the mothers identified as lesbian before the children were conceived). The sixty-seven participating adolescents (Mage = 16.04 years) completed the Rosenberg Self-Esteem Scale and the Youth Self-Report, and answered questions about their donor. Thirty-three were conceived through known, twenty-two through open-identity, and twelve through anonymous donors. No significant associations were found between donor type and self-esteem or problem behavior. Likewise, no significant differences were found on these two variables for adolescents with known donors who did or did not play important roles in their lives. For adolescents conceived with sperm from as-yet unknown donors (open-identity or anonymous), feeling uncomfortable about not knowing the donor was associated with lower self-esteem and more externalizing problem behavior. That donor type was found to have no bearing on adolescent self-esteem or problem behavior may be useful to prospective lesbian parents.


Assuntos
Comportamento do Adolescente/fisiologia , Pais , Comportamento Problema/psicologia , Psicologia do Adolescente , Autoimagem , Minorias Sexuais e de Gênero , Doadores de Tecidos , Adolescente , Bem-Estar da Criança , Serviços de Planejamento Familiar , Feminino , Homossexualidade Feminina , Humanos , Masculino , Mães , Países Baixos , Revelação da Verdade
19.
J Craniofac Surg ; 31(1): 147-149, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31725503

RESUMO

Craniosynostosis is the premature closure of one or more cranial sutures that results in an abnormal skull shape. This condition has been associated with cognitive problems of different levels of severity in all developmental stages in a substantial percentage of children. However, the study of behavioral problems related to this condition has been scarce. The objective of this study was to determine if a sample of Mexican preschoolers with non-syndromic craniosynostosis had more clinical and adaptive behavioral problems than those of their peers. We assessed the behavior of 24 participants between 3 and 5 years of age with non-syndromic craniosynostosis as well as those of 27 healthy children. We used the Behavioral Assessment System for Children (BASC) parent's questionnaire. There were no significant differences between groups for any of the BASC scales, although a small proportion of children from both groups had high, clinically significant, scores on some of the Clinical, Adaptive and Global scales. While the relationship between craniosynostosis and behavioral problems is not clear, it is important to continue to assess conduct at several ages to detect possible problems that could be overlooked by the developmental characteristics during the preschool stage.


Assuntos
Craniossinostoses , Comportamento Problema , Pré-Escolar , Humanos , Inquéritos e Questionários
20.
J Autism Dev Disord ; 50(3): 960-975, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31853756

RESUMO

Employing a cohort sequential design and multilevel modeling, the direct and indirect effects (via depressed mood, emotional wellbeing, and perceived support) of received network support on marital quality were assessed over a 7-year period (child age 7-14) on 96 married or cohabiting mothers of children with ASD. Findings indicated several significant direct and indirect effects affecting change within mothers over time, with effects varying by whether the support source was a spouse or partner, family members, or friends. In addition, one moderated mediation effect was noted, with the indirect effect of received spousal support on marital quality via perceived spousal support retaining significance only at low and moderate levels of child problem behavior severity. Study strengths, limitations, and clinical implications are discussed.


Assuntos
Transtorno do Espectro Autista/psicologia , Depressão/epidemiologia , Estado Civil , Mães/psicologia , Apoio Social , Adulto , Transtorno do Espectro Autista/epidemiologia , Criança , Depressão/psicologia , Feminino , Humanos , Masculino , Saúde Mental , Comportamento Problema
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