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1.
Dev Psychol ; 57(8): 1242-1253, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34591568

RESUMO

Intrusive parenting has been traditionally considered a negative parenting style and includes actions that are overly directive and controlling of children's behavior. However, current research aims to contextualize this parenting behavior. This study examined the relation between intrusive parenting and early childhood behavior problems or emotion regulation, as well as the moderating role of race/ethnicity and developmental delay. Participants (n = 511; 47.4% male) were part of a larger, longitudinal Early Head Start study, entitled Baby FACES, with a racially and ethnically diverse sample (40.1% White, 18.7% Black, and 41.2% Hispanic). Behavior problems and developmental delay were assessed via parent report, while parent intrusiveness and emotion regulation were rated by observers. More use of intrusive parenting at age 2 was associated with greater behavior problems and less emotion regulation at age 3. However, this relation was moderated by race/ethnicity and developmental level. Greater intrusiveness was related to increased behavior problems and poorer emotion regulation for White and Hispanic/Latino families; they were unrelated in Black families. Similarly, although intrusive parenting and behavior problems were positively associated at all developmental levels, the relation was strongest for children with typical development. Further, fewer maternal risk factors, being female, and being Hispanic/Latino were associated with higher emotion regulation, and more risk factors were associated with more behavior problems. These findings highlight the importance of considering how a child's context and development interact with parenting style. Children may benefit from clinical assessment and intervention that considers this intersectionality. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Regulação Emocional , Comportamento Problema , Pré-Escolar , Feminino , Hispano-Americanos , Humanos , Lactente , Estudos Longitudinais , Masculino , Poder Familiar
2.
J Consult Clin Psychol ; 89(8): 668-681, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34472894

RESUMO

Objective: Two key treatment effect modifiers-implementation variability and participant cumulative risk status-are examined as predictors of disruptive behavior outcomes in the context of a large cluster randomized controlled trial of a universal, school-based behavior management intervention. The core components of the Good Behavior Game (GBG) are classroom rules, team membership, monitoring behavior, and positive reinforcement. Children work in teams to win the game, which is played alongside a normal classroom activity, during which their teacher monitors infractions to classroom rules. Teams with four or fewer infractions at the end of the game win and are rewarded. Method: Seventy-seven English primary schools (N = 3,084 children, aged 6-7) were randomly assigned to deliver the GBG or continue their usual practice over 2 years. Results: Intent-to-treat analysis found no discernible impact of the intervention on children's disruptive behavior. Additionally, subgroup analyses revealed no differential gains among children at low, moderate or high levels of cumulative risk exposure (CRE). However, complier average causal effect estimation (CACE) using dosage as a compliance marker identified a large, statistically significant intervention effect (d = -1.35) among compliers (>1,030 min of cumulative intervention exposure). Furthermore, this compliance effect varied by participant CRE, such that children at high and low levels of exposure experienced significantly greater and lesser reductions in disruptive behavior, respectively. Conclusions: These findings highlight the importance of optimizing implementation and demonstrate the utility of CRE as a theoretically informed approach to subgroup moderator analysis. Implications are discussed and study strengths and limitations are noted. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Terapia Comportamental/métodos , Comportamento Infantil , Jogos Experimentais , Comportamento Problema , Criança , Feminino , Humanos , Masculino , Instituições Acadêmicas
3.
Behav Ther ; 52(5): 1237-1250, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34452676

RESUMO

Limited prosocial emotions (LPE) are characterized by a lack of remorse or guilt, callousness/lack of empathy, being unconcerned about performance, and shallow/deficient affect. While previous research has largely focused on the presence or absence of LPE in youth, there is considerable evidence that symptom presence/absence and symptom impairment are separable dimensions, where impairment often is found to play a significant, unique role in assessing child psychopathology. The current study utilized a newly developed questionnaire with the purpose of exploring its psychometric properties and better understand the dual and potentially differential role LPE symptom presence and LPE-related impairment have in youth. Mothers (n = 265) of children (Mage = 8.04, SD = 2.07) completed questionnaires assessing LPE impairment, LPE symptoms, externalizing disorder symptoms, and functional impairment. Results demonstrated strong support for the psychometric properties of the newly developed measure of LPE impairment. Importantly, LPE-related impairment uniquely predicted all impairment domains above-and-beyond the effects of LPE symptoms, oppositional defiant disorder, and CD symptoms (as well as child age and sex covariates). Moreover, youth in the top 25th percentile on both LPE symptoms and LPE-related impairment (compared to youth only in the top 25th percentile in LPE symptoms) had greater mean externalizing symptoms and functional impairment. The preliminary evidence provided suggests researchers and clinicians may benefit from assessing both LPE symptoms and LPE-related impairment when attempting to identify youth with high levels of conduct problem symptoms and/or psychosocial impairment. Future research should aim to replicate and expand our findings to other clinical populations.


Assuntos
Transtorno da Conduta , Comportamento Problema , Adolescente , Transtornos de Deficit da Atenção e do Comportamento Disruptivo , Criança , Emoções , Empatia , Feminino , Humanos
4.
J Neurodev Disord ; 13(1): 29, 2021 08 19.
Artigo em Inglês | MEDLINE | ID: mdl-34412591

RESUMO

OBJECTIVE: Children in Flint, Michigan, have experienced myriad sociodemographic adversities exacerbated by the Flint water crisis. To help inform child-focused prevention and intervention efforts, we aimed to describe patterns of neurodevelopmental outcomes among preschoolers who experienced the Flint water crisis before age 2 years. METHOD: Participants were 170 preschoolers who completed a comprehensive neurodevelopmental assessment battery, including directly administered measures of cognitive and executive functioning and maternal-report of adaptive skills and behavioral problems. We used latent profile analysis to derive subgroups. Multivariate multinomial logistic regression was conducted to examine the predictors of profile memberships, including child sex and maternal/family-level factors selected from an array of measured exposures using least absolute shrinkage and selection operator regression. RESULTS: Three latent profiles were identified: Profile 1-relative weakness in all domains (50%); Profile 2-normative functioning in all domains (34.1%); and Profile 3-relative strengths in executive function and behavior (15.9%). Profile 1 showed lower scores across cognitive and behavioral domains. Profile 2 demonstrated abilities within the normal range across domains. Profile 3 showed relative strength in executive functioning with few behavior problems, despite lower cognitive performance. Children across all profiles showed adaptive behavior in the adequate range. Child sex and maternal IQ were significant predictors of profile membership. CONCLUSIONS: Children in Flint demonstrated diverse patterns of development in the face of sociodemographic and environmental adversities. Comprehensive screening and neurodevelopmental profiling of children in this at-risk population are needed to identify areas of needs and inform appropriate service delivery.


Assuntos
Função Executiva , Comportamento Problema , Adaptação Psicológica , Pré-Escolar , Humanos , Michigan/epidemiologia , Fatores de Risco
6.
Artigo em Inglês | MEDLINE | ID: mdl-34444196

RESUMO

Behavioral problems are early indicators of antisocial behavior and should be targeted from a preventive perspective from early childhood. The purpose of the study was to analyze the effectiveness of the AC1 preschool program that develops social-emotional skills that facilitate the adjustment and regulation of the person. A total of 102 children aged 3-4 years old participated in the research, 52 belonging to the experimental group and 49 to the control group. Program-trained skills (ROAC-3), social skills (PKBS-2), and externalizing problems (CBCL C-TRF) were assessed in the pre- and post-intervention phase. Data analysis was carried out using a generalized linear mixed model analysis (GLMM). The results show that the children in the experimental group scored higher on the variables trained by the program and on social skills than those in the control group. They also obtained lower scores in the observed externalizing problems. The effect of the program was high in the emotion identification and expression, communication skills, prosocial behaviors (sharing and helping), problem-solving, and social interaction. Social-emotional learning in early childhood is essential for the prevention of behavioral problems to facilitate the development of adjusted and regulated behavior. Thus, preschool programs could play a key role.


Assuntos
Comportamento Problema , Criança , Pré-Escolar , Emoções , Humanos , Estudos Longitudinais , Instituições Acadêmicas , Comportamento Social
7.
Artigo em Inglês | MEDLINE | ID: mdl-34444004

RESUMO

High treatment attrition and limited reach of mental health services for at-risk families remains an important problem in order to effectively address the global concern of child maltreatment and child disruptive behavior problems. This study evaluated the effectiveness of a home-based and time-limited adaptation of Parent-Child Interaction Therapy (PCIT). Twenty families with children (70% boys) aged between three and seven years were randomly assigned to an immediate treatment group (IT, n = 10) or a waitlist control group (WL, n = 10). After receiving treatment and compared to mothers in the WL group, mothers in the IT group reported fewer child behavior problems and more improved parenting skills. Although initial analyses revealed no significant differences, additional analyses showed a significant decrease in the primary outcome of the study, namely child abuse potential, between the baseline and follow-up assessment for the total treated sample. A low treatment attrition rate (15%) was found, indicating higher accessibility of treatment for families. Findings suggest that the brief home-based PCIT is a potentially effective intervention to prevent child maltreatment and disruptive behavior problems in at-risk families. Results also reinforce the importance of addressing the specific needs of these families to increase treatment effectiveness.


Assuntos
Maus-Tratos Infantis , Comportamento Problema , Criança , Maus-Tratos Infantis/prevenção & controle , Educação Infantil , Pré-Escolar , Feminino , Humanos , Masculino , Mães , Relações Pais-Filho , Poder Familiar
8.
Soins Gerontol ; 26(151): 39-44, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34462111

RESUMO

Non-medicinal interventions (NMI) are recommended as a first-line treatment in gerontology in response to a behavioural disorder. The Théra Berce pilot study at the Nice University Hospital aims to determine whether the NMI corresponding to rocking in a comfort chair allows a reduction in disruptive behavioural disorders in people with neurocognitive disorders. Benefits and limitations.


Assuntos
Demência , Comportamento Problema , Humanos , Transtornos Neurocognitivos , Projetos Piloto
9.
Ned Tijdschr Geneeskd ; 1652021 04 29.
Artigo em Holandês | MEDLINE | ID: mdl-34346596

RESUMO

Due to the persistence and complexity of problem behaviour in patients with dementia, doctors often prescribe psychotropic drugs for long periods of time. The need for psychosocial interventions in patients with dementia and psychological or psychiatric problems remains high and, according to the existing guidelines on problem behavior, they are the treatment of first choice. 5 years ago we described that the canopy-enclosed bed seemed to be able to meet this need. We observed that within a few weeks of patients getting a canopy-enclosed bed, psychotropic drugs could be reduced or even stopped. In this article, we would like to argue once again for more research into psychosocial interventions for problem behaviour.


Assuntos
Demência , Comportamento Problema , Demência/tratamento farmacológico , Humanos , Psicotrópicos/uso terapêutico
10.
Dev Psychol ; 57(7): 1124-1135, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34435827

RESUMO

Maternal anxiety and depression symptomatology are risk factors for the development of children's internalizing and externalizing behavior problems. However, it is still unclear whether chronic and transient symptoms relate differently to child behavior. The aim of this prospective longitudinal study (N = 193) was to investigate the associations between anxiety and depression symptomatology in a community sample across the first 12.5 years of parenthood, and children's internalizing and externalizing problems. Maternal anxiety and depression were measured at the child's age of 3, 6, and 12 months, and 2.5, 4, 6, 8, 10 and 12.5 years. At 12.5 years of age, both mothers and children reported on children's internalizing and externalizing problems. Trait-state occasion modeling was used to disentangle the chronic (trait) part of maternal symptomatology from the transient (occasion-specific) part. On average, 66.6% of the variance in maternal anxiety and depression symptomatology could be explained by the chronic trait factor. For both anxiety and depression, the chronic variance in maternal symptomatology was related to mother-reported internalizing, but not externalizing, problems of the child. Also, for child-reported internalizing problems, a significant association with maternal anxiety and depression symptomatology emerged. Only the occasion-specific part of maternal depression symptomatology at the child's age of 12.5 years was marginally related to mother-reported internalizing problems. Given that chronic subclinical symptomatology seems to be associated with child internalizing problems, prevention and treatment of maternal anxiety and depression symptomatology might be worthwhile regardless of the degree of severity. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Transtornos do Comportamento Infantil , Comportamento Problema , Transtornos de Ansiedade , Criança , Comportamento Infantil , Depressão , Feminino , Humanos , Estudos Longitudinais , Mães , Estudos Prospectivos
11.
Trials ; 22(1): 468, 2021 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-34284804

RESUMO

BACKGROUND: Early interventions benefit the mental health, academic performance and productivity of children and adolescents throughout their life. The present study protocol will evaluate the effectiveness of the Elos 2.0 Programme, which is a version adapted for Brazil by the Ministry of Health, in reducing problem behaviours (e.g., disruptiveness, aggressivity and shyness) and promoting social skills in the school context in children 6 to 10 years of age. The Elos Programme is based on the Good Behaviour Game, which is widely used and prevents and/or reduces students' disruptive behaviours by establishing cooperation contingencies. METHOD: A cluster-randomized controlled trial will be performed in 30 schools in three cities (15 controls and 15 in the experimental group), with a total of 3800 children participating in the test (1900 in the control group and 1900 in the intervention group). Data will be collected by having teachers in the control and experimental classes complete the Teacher Observation of Classroom Adaptation (TOCA) questionnaire, which is an instrument used to observe children's behaviour in the classroom. We will collect data before and after the intervention period in the same year. Due to the hierarchical structure of the data, multilevel analysis will be performed to detect simultaneous differences in prevalence over time and across groups to control for sociodemographic variables. DISCUSSION: The current study will examine the effectiveness of the Elos 2.0 Programme in reducing problem behaviours (e.g., disruptiveness, aggressivity and shyness) and promoting social skills in the school context. The findings of this school-based prevention programme for children will influence the development and implementation of similar programmes for schools and educational policymakers by identifying mechanisms that are central to achieving positive outcomes for participants. TRIAL REGISTRATION: Registry of Clinical Trials of the Ministry of Health RBR-86c6jp . Registered February 2, 2019.


Assuntos
Comportamento Problema , Adolescente , Brasil , Criança , Promoção da Saúde , Humanos , Avaliação de Programas e Projetos de Saúde , Ensaios Clínicos Controlados Aleatórios como Assunto , Serviços de Saúde Escolar , Instituições Acadêmicas , Habilidades Sociais
12.
Muscle Nerve ; 64(4): 504-508, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34322897

RESUMO

INTRODUCTION/AIMS: Perampanel, a selective noncompetitive α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) antagonist, is capable of slowing the progression of the amyotrophic lateral sclerosis (ALS) phenotype and increasing the number of anterior horn cells in transgenic mice. Trials of perampanel in epilepsy showed a favorable tolerability profile. In this study we aimed to determine the tolerability and safety of perampanel in patients with ALS. METHODS: Enrolled subjects were started on 2 mg/day of perampanel and the dose was increased by 2 mg/day every week to a maximum dose of 8 mg/day. Our primary outcome measure was tolerability, which was evaluated by monitoring adverse events. The secondary outcome measure was clinical progression, assessed using the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) and spirometry. RESULTS: Six participants were enrolled. All had adverse events, mostly behavioral. Two completed the trial and the other four withdrew due to adverse events. All participants reported resolution of these events after discontinuation of the drug. The trial was halted due to the large number of adverse events. DISCUSSION: The use of perampanel in this study of ALS was limited by its poor tolerability.


Assuntos
Agressão/efeitos dos fármacos , Agressão/psicologia , Esclerose Amiotrófica Lateral/tratamento farmacológico , Esclerose Amiotrófica Lateral/psicologia , Nitrilas/efeitos adversos , Piridonas/efeitos adversos , Sonolência , Adulto , Idoso , Esclerose Amiotrófica Lateral/diagnóstico , Anticonvulsivantes/efeitos adversos , Anticonvulsivantes/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Nitrilas/uso terapêutico , Projetos Piloto , Comportamento Problema/psicologia , Piridonas/uso terapêutico
13.
Artigo em Inglês | MEDLINE | ID: mdl-34299983

RESUMO

The aim of this follow-up study was to examine the predictive values of caregivers' affiliate stigma at baseline for depression in caregivers and internalizing and externalizing symptoms in children with attention-deficit/hyperactivity disorder (ADHD) 1 year later. The Study on Affiliate Stigma in Caregivers of Children with ADHD surveyed the levels of affiliate stigma and depression in 400 caregivers and the behavioral problems of their children with ADHD. The levels of the caregivers' depression and children's behavioral problems were assessed 1 year later. The associations of caregivers' affiliate stigma at baseline with depression in caregivers and internalizing and externalizing symptoms in children with ADHD at follow-up were examined using stepwise multiple regression. The results indicated that before caregivers' depression and children's behavioral problems at baseline were controlled, caregivers' affiliate stigma at baseline positively predicted caregivers' depression and all children's behavioral problems. After caregivers' depression and children's behavioral problems at baseline were controlled, caregivers' affiliate stigma at baseline still positively predicted children's affective and somatic problems. Parenting training and cognitive behavioral therapy should be provided to caregivers with intense affiliate stigma to prevent emotional problems and difficulties in managing their children's behavioral problems.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Comportamento Problema , Cuidadores , Criança , Seguimentos , Humanos , Estigma Social
14.
J Affect Disord ; 294: 128-136, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34284318

RESUMO

BACKGROUND: We aimed to explore the risk profiles attributable to psychosocial and behavioural problems during the coronavirus disease 2019 pandemic. To this end, we created a risk-prediction nomogram model. METHODS: A national multicentre study was conducted through an online questionnaire involving 12,186 children (6-11 years old) and adolescents (12-16 years old). Respondents' psychosocial and behavioural functioning were assessed using the Achenbach Child Behaviour Checklist (CBCL). Data were analysed using STATA software and R-language. RESULTS: The positive detection rate of psychological problems within Wuhan was greater than that outside Wuhan for schizoid (P = 0.005), and depression (P = 0.030) in children, and for somatic complaints (P = 0.048), immaturity (P = 0.023), and delinquent behaviour (P = 0.046) in adolescents. After graded multivariable adjustment, seven factors associated with psychological problems in children and adolescents outside Wuhan were parent-child conflict (odds ratio (OR): 4.94, 95% confidence interval (95% CI): 4.27-5.72), sleep problems (OR: 4.05, 95% CI: 3.77-4.36), online study time (OR: 0.41, 95% CI: 0.37-0.47), physical activity time (OR: 0.510, 95% CI: 0.44-0.59), number of close friends (OR: 0.51, 95% CI: 0.44-0.6), time spent playing videogames (OR: 2.26, 95% CI: 1.90-2.69) and eating disorders (OR: 2.71, 95% CI: 2.35-3.11) (all P < 0.001). Contrastingly, within Wuhan, only the first four factors, namely, parent-child conflict (5.95, 2.82-12.57), sleep problems (4.47, 3.06-6.54), online study time (0.37, 0.22-0.64), and physical activity time (0.42, 0.22-0.80) were identified (all P < 0.01). Accordingly, nomogram models were created with significant attributes and had decent prediction performance with C-indexes over 80%. LIMITATION: A cross-sectional study and self-reported measures. CONCLUSIONS: Besides the four significant risk factors within and outside Wuhan, the three additional factors outside Wuhan deserve special attention. The prediction nomogram models constructed in this study have important clinical and public health implications for psychosocial and behavioural assessment.


Assuntos
COVID-19 , Comportamento Problema , Adolescente , Criança , Estudos Transversais , Humanos , Nomogramas , Pandemias , Fatores de Risco , SARS-CoV-2
15.
Asian J Psychiatr ; 64: 102762, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34301518

RESUMO

OBJECTIVE: Parent skills training interventions (PSTIs) are considered first-line treatment for ADHD. We describe development and effectiveness of a culturally-contextualised PSTI for Indian families. METHOD: Forty-one families divided into 5 groups, each group with 6-10 families received group PSTI comprising of 10 weekly sessions using multi-point videoconferencing as an adjunct to routine care in the non-randomized pre-post intervention study. RESULTS: Thirty-six families attended more than 3 sessions. RM ANOVA revealed significant improvements in parent-rated measures of inattention (p < 0.001), hyperactivity/ impulsivity (p = 0.007), conduct problems (p = 0.002), academic performance (p = 0.001) and classroom behavior (p = 0.001). Mixed ANOVA analysis did not reveal significant differences between those who received PSTI with medication and those who received PSTI on any VADPRS domains except depression/ anxiety scores, wherein former group performed better (p = 0.008). More than 60 % parents perceived that PSTI was helpful in increasing awareness, reducing guilt/ blame, improving parent-child relation and decreasing stress. Difficulty in sustaining with the strategies was reported by 50 % of parents. CONCLUSION: Findings suggest that PSTI is effective and helpful for Indian families dealing with ADHD.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Comportamento Problema , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Cognição , Humanos , Pais , Comunicação por Videoconferência
16.
Artigo em Inglês | MEDLINE | ID: mdl-34198645

RESUMO

This study aimed to compare the prevalence rate of atypical sensory processing in late preterm (LP) and term children at two years of age and to further investigate the co-occurrence of atypical sensory processing and behavioral problems (internalizing/externalizing) in both groups of children. A total of 104 children (52 LP and 52 sex- and birth order-matched term children) were included. The primary caregivers were asked to complete the Infant/Toddler Sensory Profile-Chinese version and the Child Behavior Checklist 1.5-5Y-Chinese version (CBCL-C/1.5-5). We found that the LP group had a similar prevalence rate of atypical sensory processing to the term group. However, neonatal intensive care unit experience (r = -0.356, p = 0.013, with visual processing) and days of ventilation and supplementary oxygen (r = -0.392, p = 0.004, with low registration) after birth were significantly correlated with the atypical sensory processing of LP children. Both LP and term children with behavioral problems seemed to have a higher prevalence rate of atypical sensory processing than their peers without behavioral problems. However, when Bonferroni correction was used to control for the statistical errors of multiple comparisons, only in the LP group did the co-occurrence of atypical sensory processing (auditory and oral sensory processing and sensation avoiding) and behavioral problems reach significance. In conclusion, the influence of late preterm birth on sensory processing may become subtle at age two, with the exception of those LP children experiencing complicated medical management after birth. A high level of co-occurrence of atypical sensory processing and behavioral problems suggests that the administration of a sensory processing assessment may be helpful to clarify the cause of problematic behavior and to recommend an appropriate intervention for LP children with behavioral problems.


Assuntos
Nascimento Prematuro , Comportamento Problema , Cognição , Feminino , Humanos , Lactente , Recém-Nascido , Gravidez , Sensação , Percepção Visual
17.
Artigo em Inglês | MEDLINE | ID: mdl-34199877

RESUMO

The aim of our study was to explore whether energy drink consumption is associated with both emotional and behavioural problems and whether this association might be mediated by amount of sleep and breakfast consumption among adolescents. The nationally representative Health Behaviour in School-aged Children (HBSC) study, realised in 2018 in Slovakia in schools, was used to acquire needed data, with the research sample of 8405 adolescents from 11 to 15 years old (mean age = 13.43; 50.9% boys) who completed the questionnaires on their own in a presence of researchers and research assistants. Emotional and behavioural problems were assessed by a Strengths and Difficulties Questionnaire, while energy drinks consumption, breakfast consumption and sleep duration was assessed by questions in line with the HBSC study protocol. Linear regression models assessed the associations between energy drinks consumption and emotional and behavioural problems. Mediation by sleep duration and breakfast consumption was assessed with parallel mediation models. Energy drink consumption was significantly associated with emotional (p < 0.001) and behavioural problems (p < 0.001), with higher consumption of energy drinks leading to more emotional and behavioural problems. Results from a parallel mediation analysis indicated that energy drink consumption is indirectly related to both emotional and behavioural problems through its relationship with the amount of sleep and breakfast consumption. Parents and professionals working with adolescents should be aware that unhealthy dietary habits and lack of sleep might be related to emotional and behavioural problems.


Assuntos
Bebidas Energéticas , Comportamento Problema , Adolescente , Desjejum , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Sono , Eslováquia , Inquéritos e Questionários
18.
Environ Health ; 20(1): 78, 2021 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-34225757

RESUMO

BACKGROUND: Developmental exposure to particulate matter (PM) air pollution may impair children's behaviors. Our objectives were to quantify the impact of reducing indoor PM using portable HEPA filter air cleaners during pregnancy on behavioral problems in children and to assess associations between indoor fine PM (PM2.5) concentrations during pregnancy and children's behavior. METHODS: This is a secondary analysis of a single-blind parallel-group randomized controlled trial in which we randomly assigned 540 non-smoking pregnant women to receive 1 or 2 HEPA filter air cleaners or no air cleaners. We administered the Behavior Assessment System for Children (BASC-3) to caregivers when children were a mean age of 23 months, and again at a mean age of 48 months. Primary outcomes were the four BASC-3 composite scales: externalizing problems, internalizing problems, adaptive skills, and the behavioral symptoms index. We imputed missing data using multiple imputation with chained equations. The primary analysis was by intention-to-treat. In a secondary analysis, we evaluated associations between BASC-3 composite indices and modeled trimester-specific PM2.5 concentrations inside residences. RESULTS: We enrolled participants at a median of 11 weeks gestation. After excluding miscarriages, still births and neonatal deaths, our analysis included 478 children (233 control and 245 intervention). We observed no differences in the mean BASC-3 scores between treatment groups. An interquartile increase (20.1 µg/m3) in first trimester PM2.5 concentration was associated with higher externalizing problem scores (2.4 units, 95% CI: 0.7, 4.1), higher internalizing problem scores (2.4 units, 95% CI: 0.7, 4.0), lower adaptive skills scores (-1.5 units, 95% CI: -3.0, 0.0), and higher behavior symptoms index scores (2.3 units, 95% CI: 0.7, 3.9). Third trimester PM2.5 concentrations were also associated with some behavioral indices at age 4, but effect estimates were smaller. No significant associations were observed with PM2.5 concentrations during the second trimester or for any of the BASC indices when children were 2 years old. CONCLUSION: We found no benefit of reducing indoor particulate air pollution during pregnancy on parent-reported behaviors in children. Associations between indoor PM2.5 concentrations in the first trimester and behavioral scores among 4-year old children suggest that it may be necessary to intervene early in pregnancy to protect children, but these exploratory findings should be interpreted cautiously. TRIAL REGISTRATION: ClinicalTrials.gov: NCT01741051.


Assuntos
Poluição do Ar em Ambientes Fechados/prevenção & controle , Comportamento Infantil , Exposição Materna/prevenção & controle , Efeitos Tardios da Exposição Pré-Natal/prevenção & controle , Comportamento Problema , Filtros de Ar , Poluentes Atmosféricos/análise , Pré-Escolar , Feminino , Humanos , Masculino , Material Particulado/análise , Gravidez , Ultrafiltração
19.
Autism Res ; 14(9): 1996-2001, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34076345

RESUMO

Behavioral problems directly affect the quality of life of caregivers and children with autism spectrum disorder (ASD) and/or attention-deficit/hyperactivity disorder (ADHD), and is known to be associated with clinical factors such as gastrointestinal (GI) symptoms, sensory abnormalities, intellectual abilities, and use of medication. However, previous studies have not considered these relationships comprehensively. We conducted a cross-sectional study of 6-12-year-old children with diagnoses of ASD and/or ADHD at two hospitals in Japan. Scores for the aberrant behavior checklist (ABC), autism-spectrum quotient (AQ), and Conners 3, as well as information on daily sleep and exercise, GI symptoms, and Short Sensory Profile, were collected. Each factor was subjected to a correlation analysis to investigate its effect on ABC scores. A stepwise multiple linear regression analysis for the factors with p < 0.05 was performed. Data were obtained from 60 patients with a mean age of 8.3 years; 21 had ASD alone, 18 had ADHD alone, and 21 had ASD + ADHD. The correlation analyses identified six factors associated with ABC severity: (a) methylphenidate use, (b) Conners hyperactivity score, (c) Conners inattention score, (d) AQ score, (e) SSP score, and (f) GI symptom score. The multiple regression showed that "GI symptoms" and "sensory abnormalities" were independently associated with ABC severity. Although further studies are needed to show a causal relationship, appropriate assessment of GI symptoms and sensory abnormalities may help alleviate some problematic behaviors and improve the quality of life of children with neurodevelopmental disorders and their families. LAY SUMMARY: Behavioral problems in children with neurodevelopmental disorders are known to be associated with many factors. This study aimed to comprehensively investigate the known factors. We have discovered that "gastrointestinal symptoms" and "sensory abnormalities" were independently associated with Behavioral problems. Our results suggest that it is important for clinicians and caregivers to pay more attention to children's GI symptoms and sensory abnormalities that may not present as obvious symptoms or complaints.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Transtorno do Espectro Autista , Comportamento Problema , Transtorno do Deficit de Atenção com Hiperatividade/complicações , Transtorno do Espectro Autista/complicações , Criança , Estudos Transversais , Humanos , Qualidade de Vida
20.
J Fam Psychol ; 35(7): 939-949, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34110845

RESUMO

Youth who struggle to maintain positive peer relationships are more likely to display emotional and behavioral problems, particularly during adolescence. Alternative avenues of social support may buffer against these maladaptive outcomes, particularly sibling relations, as they oftentimes predict adolescent outcomes above and beyond that of parents and peers. The present study examined the role of objective sibling warmth on the longitudinal association between social problems and maladjustment in a sample of 45 adolescent sibling dyads, further testing how effects varied between younger (Mage = 12.1; 24 females) and older (Mage = 14.5; 21 females) siblings. Sibling interactions were observed during cooperative and stressful problem-solving tasks, and later coded for expressions of warmth directed from one sibling to the other. Adolescent social problems and internalizing and externalizing behaviors were collected by multi-informant report and at a 1-year follow-up. Multilevel analyses indicated that adolescents with older siblings who exhibited more warmth were buffered against the effect of social problems on externalizing behaviors, with marginal effects for internalizing symptoms. Younger sibling warmth did not serve as a buffer for older sibling maladjustment. These findings emphasize the importance of considering how multiple dimensions of social support operate to influence functioning, particularly early in adolescence. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Comportamento do Adolescente , Comportamento Problema/psicologia , Relações entre Irmãos , Irmãos/psicologia , Habilidades Sociais , Apoio Social , Adolescente , Fatores Etários , Criança , Feminino , Humanos , Masculino , Pais/psicologia , Grupo Associado
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