Developmental and mental health characteristics of children exposed to psychosocial adversity and stressors at the age of 18-months: Findings from a population-based cohort study

BackgroundPrior research on adverse experiences in early childhood has mainly focused on at-risk populations while studies of unselected populations are scarce. This topic therefore remains to be elucidated in broader child populations. Accordingly, the aim of this study was to examine if and to what extent children from a general population sample are exposed to psychosocial adversity and stressors in early childhood and whether the development and mental health of children with and without such exposure differ at the age of 18-months.MethodsA random sample of the Copenhagen Child Cohort (CCC2000) comprising 210 children and their parents participated in the study when the children were approximately 18-months. Information on exposures was obtained from a semi-structured interview including the Mannheim Parent Interview (MPI) and classified in agreement with the Multiaxial Classification of Child and Adolescent Psychiatric Disorders (ICD-10), and the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC: 0-3). Child development was assessed with the Bayley Scales of Infant and Toddler Development – Second Edition (BSID-II), while mental health was measured using the Child Behavior Check List (CBCL 1½-5).ResultsAmong the 210 children, 91 (43%) had been exposed to psychosocial adversity and persistent stressors. The exposed children differed from the non-exposed children by poorer cognitive development and behavioral regulation, as well as more attention problems and anxious/depressed symptoms. The children exposed to adverse caregiving environments were specifically more likely to have delayed cognitive development than the rest of the sample.ConclusionsIn a general population sample of children aged 18-months, exposure to psychosocial adversity and stressors was associated with poorer development and mental health in cognitive and affective domains. These findings highlight an avenue for further research with potential implications for early preventative practices.     

Effects of television exposure on developmental skills among young children

BackgroundLiterature addressing the effects of television exposure on developmental skills of young children less than 36 months of age is scarce. This study explored how much time young children spend viewing television and investigated its effects on cognitive, language, and motor developmental skills.MethodsData were collected from the Pediatric Clinics at University Medical Center in Southern Taiwan. The participants comprised 75 children who were frequently exposed to television and 75 children who were not or infrequently exposed to television between 15 and 35 months old. The age and sex were matched in the two groups. The Bayley Scales of Infant Development-second edition and Peabody Developmental Motor Scales-second edition were used to identify developmental skills. Independent t-tests, χ² tests, and logistic regression models were conducted.ResultsAmong 75 children who were frequently exposed to television, young children watched a daily average of 67.4 min of television before age 2, which was excessive according to the American Academy of Pediatrics. Viewing television increased the risk of delayed cognitive, language, and motor development in children who were frequently exposed to television. Cognitive, language, and motor delays in young children were significantly associated with how much time they spent viewing television. The type of care providers was critical in determining the television-viewing time of children.ConclusionWe recommend that pediatric practitioners explain the impacts of television exposure to parents and caregivers to ensure cognitive, language, and motor development in young children. Advocacy efforts must address the fact that allowing young children to spend excessive time viewing television can be developmentally detrimental.     

Maternal Treatment Acceptability and Preference of Room Time-Out and Deferred Time-Out Escape Contingencies

ABSTRACT

Maternal preference and acceptability were examined for two methods of addressing time-out escape behavior: room time-out (RTO) and deferred time-out (DTO). With respect to preference, mothers were split about evenly. Spanking frequency and previous effectiveness using privilege removal were associated with preference for DTO while previous effectiveness using RTO was associated with preference for RTO. Child age was negatively associated with acceptability for either treatment and lax parenting style was negatively associated with acceptability for DTO. Results suggest that DTO could provide an alternative escape contingency for mothers who spank their children or who have been unsuccessful using RTO.     

The COSD Center Model

SUMMARY

This article describes the Children of Separation and Divorce Center, Inc: and how it empowers children and their families to cope with a major family transition. The rationale for creating the private, non-profit center is discussed and examples of the components of the center are illustrated to explain how children are empowered. Clinical and educational programs are client-need driven. The peer counselor program describes the participation of children and adults who are trained by COSD staff to be helpful to others. How COSD staff advocate for children and families of divorce is detailed with examples of judicial training, participation on advocacy boards and working with courts.     

Fathers as Intervention Agents for Their Children with Developmental Disabilities

ABSTRACT

Parent training aimed at aiding children to overcome social and behavioral problems is an area that has continued to gain attention and support. Very little of the current research has been with developmentally disabled children, the focus of this study. Additionally, for most parent training programs, “parents” actually refers to mothers. In this study three fathers and their developmentally disabled children, who ranged in age from 2 years 10 months to 4 years 5 months, were studied. A multiple baseline across fathers' behaviors was utilized for participants to evaluate effects of parent training on fathers' target behaviors. Child compliance and inappropriate behaviors were also addressed. Parent training resulted in desirable changes on a range of target behaviors. The implications of these findings are discussed.     

Acceptability of aversive procedures and medication as treatment alternatives for deviant child behavior

The present investigation evaluated the acceptability of alternative treatments for deviant child behavior. Clinical cases of children who displayed severe behavioral problems at home and at school were described along with three different treatments. The treatments, time-out from reinforcement, locked seclusion, and medication, were rated by psychiatric inpatient children and parents in a 3 × 3 replicated Latin-square design. The investigation also evaluated whether acceptability ratings were influenced by the clinical effectiveness of treatment in altering behavior. Although children and parents did not differ overall in acceptability ratings, they differed in their ranking of different treatments. Children viewed medication as the most acceptable treatment, whereas parents viewed time out as the most acceptable treatment. For both children and parents, treatments described as producing marked effects were rated as more acceptable than treatments producing weaker effects. The results indicated that disturbed children and their parents can readily distinguish the acceptability of alternative treatments. The implications of treatment acceptability for clinical applications of treatment are discussed.Completion of this investigation was facilitated by a Research Scientist Development Award (MH00353) and a grant (MH35408) from the National Institute of Mental Health. The author is grateful for the assistance of the clinical research team of the Child Psychiatric Treatment Service, especially that of Irene Heidish, M.A., who assisted with the data analyses.     

Interventions for children and adolescents who stutter: A systematic review,meta-analysis,and evidence map

PurposeThis systematic review critically appraises and maps the evidence for stuttering interventions in childhood and adolescence. We examine the effectiveness of speech-focused treatments, the efficacy of alternative treatment delivery methods and identify gaps in the research evidence.MethodsNine electronic databases and three clinical trial registries were searched for systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with children (2–18 years) who stutter. Pharmacological interventions were excluded. Primary outcomes were a measure of stuttering severity and quality assessments were conducted on all included studies.ResultsEight RCTs met inclusion criteria and were analysed. Intervention approaches included direct (i.e. Lidcombe Program; LP) and indirect treatments (e.g. Demands and Capacities Model; DCM). All studies had moderate risk of bias. Treatment delivery methods included individual face-to-face, telehealth and group-based therapy. Both LP and DCM approaches were effective in reducing stuttering in preschool aged children. LP had the highest level of evidence (pooled effect size=-3.8, CI -7.3 to -0.3 for LP). There was no high-level evidence for interventions with school-aged children or adolescents. Alternative methods of delivery were as effective as individual face-to-face intervention.ConclusionThe findings of this systematic review and evidence mapping are useful for clinicians, researchers and service providers seeking to understand the existing research to support the advancement of interventions for children and adolescence who stutter. Findings could be used to inform further research and support clinical decision-making.     

From enjoyment to physical activity or from physical activity to enjoyment? Longitudinal associations in parent–child dyads

Abstract

Background: This longitudinal dyadic study used cross-lagged analyses to examine reciprocal patterns of associations between physical activity (PA) enjoyment and moderate-to-vigorous PA (MVPA) among children and their parents.

Methods: At Time 1 (T1) 879 parent–child dyads provided their data. The follow-up (Time 2, T2) took place 7–8-months later. MVPA and PA enjoyment scales were filled out separately by parents and children at T1 and T2.

Findings: Child PA enjoyment (T1) predicted a higher level of child MVPA (T2), parental PA enjoyment (T1) explained a higher level of parental MVPA (T2), and parental MVPA (T1) predicted a higher level of parental PA enjoyment (T2). Furthermore, child PA enjoyment (T1) predicted a higher level of parental PA enjoyment (T2).

Conclusions: Child PA enjoyment was the key variable predicting child and parental outcomes. In particular, it explained child MVPA, but also PA enjoyment among parents.     

Comparing stuttering attitudes of preschool through 5th grade children and their parents in a predominately rural Appalachian sample

BackgroundTheories relating to young children’s social cognitive maturity and their prevailing social groups play important roles in the acquisition of attitudes. Previous research has shown that preschool and kindergarten children’s stuttering attitudes are characterized by stronger negative beliefs and self reactions than those of parents. By contrast, 12 year-old children’s stuttering attitudes have been shown to be similar to their parents’ attitudes. Other research indicates that parental stuttering attitudes are no different from attitudes of adults who are not parents.PurposeThe purpose of this study was to explore children’s stuttering attitudes of preschool through 5th grade children and to compare them to their parents’ attitudes.MethodChildren and parents from a rural Appalachian elementary school and child/parent pairs from other areas in the region responded to child and adult versions of the Public Opinion Survey of Human Attributes–Stuttering (POSHA–S/Child and POSHA–S). Seven grade levels were included: preschool, kindergarten, 1^st grade, 2^nd grade, 3^rd grade, 4^th grade, and 5^th grade.ResultsConfirming earlier research, younger children’s attitudes toward stuttering were considerably less positive than those of their parents. As children matured up to the fifth grade, however, their stuttering attitudes progressively were more positive. Parents’ stuttering attitudes were quite consistent across all seven grade levels.ConclusionsConsistent with theories of attitudinal development, between the ages of 4 and 11 years, children’s measured attitudes toward stuttering improved and gradually approximated the attitudes of their parents and the general public.     

The relevance of current clinical practice in child psychotherapy to child psychiatry

SUMMARY

The role of child psychiatrists is evolving. Economic and psychosocial factors such as marital breakdown, inner city decline, unemployment, plus increased awareness of conditions such as Substance Abuse and all forms of Child Abuse have led to stress for children and their caretakers. There is also increasing recognition that with help many troubled children and their families can emerge better able to function. Child psychiatrists occupy a pivotal position in the child mental health team and need to be familiar with all the treatment options available to ensure their effective use. This paper presents examples of current work being undertaken by child psychotherapists and discusses the implications of this for the training of child psychiatrists as well as for clinical work.     

Child abuse and neglect: Effects on Bayley Scale Scores

Compared to controls, children who were diagnosed as victims of Nonaccidental Trauma or Failure to Thrive had depressed Bayley Scale Mental Index scores, p < .002and p < .0001, respecitvely. Failure-to-Thrive children also had depressed Bayley Scale Motor Index scores, p < .0001. Nonaccidental-Trauma children had Mental and Motor Scale range scores, as determined by differences between basal and ceiling items on the Mental and Motor scales, that were a function of measured Mental and Motor Index Scores. Specifically, Nonaccidental-Trauma children with lower Mental Index scores had higher Mental Scale range scores than Nonaccidental-Trauma children with higher Mental Index scores, p < .003. Control children had Mental Scale range scores that did not differ between the high-low Mental Index score conditions. On the Motor Scale, range scores of Nonaccidental-Trauma children in the highlow Motor Index score conditions did not differ. However, children with higher Motor Index scores had higher Motor Scale range scores than control children with lower Motor Index scores, p < .02. In addition, the Infant Behavior Record of the Bayley Scales revealed behavior ratings of Nonaccidental-Trauma and Failure-to-Thrive children that differed from Mental and Motor Scale scores on several dimensions. These differences may reflect differential effects of the Nonaccidental-Trauma and Failureto-Thrive conditions.This study was supported in part by Department of Health, Education and Welfare, Office of Child Development Grant OCD-CB-371. We wish to acknowledge the advice and encouragement of Roger V. Cadol, director, Developmental Evaluation Center of Denver General Hospital, and Michael J. Fitch, director, Child Study Project. A portion of this article was read at the American Association on Mental Deficiency Region IV Conference, Albuquerque, New Mexico, October 2, 1975.     

The Child Food Rejection Scale: Development and validation of a new scale to assess food neophobia and pickiness among 2- to 7-year-old French children

IntroductionThe two strongest obstacles to extend children's consumption of fruit and vegetables are food neophobia and pickiness, assumed to be the main kinds of food rejection in children. Accordingly, psychometric tools that provide a clear assessment of these kinds of food rejections are greatly needed.ObjectiveTo design and validate a new scale for the assessment of food neophobia and pickiness, thus filling a major gap in the psychometric assessment of food rejection by French children.MethodWe concentrated on French children aged 2–7 years, as no such scale exists for this young population, and on the two known dimensions of food rejection, namely food neophobia and pickiness, as the nature of the relationship between them is still unclear. The scale was tested on two samples (N₁ = 168; N₂ = 256) of caregivers who responded for their children. Additionally, a food choice task was administered to 17 children to check the scale's predictive validity.ResultsThe resulting scale, called the Child Food Rejection Scale (CFRS), included six items relating to food neophobia and five items relating to pickiness. A factor analysis confirmed the two-dimensional structure of the scale. Internal consistency, test–retest reliability, and convergent and discriminant validity were all satisfactory. Moreover, results from the food choice task showed that scores on the CFRS accurately predicted children's attitudes toward new and familiar foods.ConclusionTaken together, these findings suggest that the CFRS, a short and easy-to-administer scale, represents a valuable tool for studying food rejection tendencies in French children.     

The influence of social instructions on the effectiveness of a cognitive interview used with very young child witnesses

IntroductionThe modified cognitive interview (MCI) is an investigative interview method used to help child eyewitnesses to enhance the quality of their testimonies (Memon et al., 2010). Composed of cognitive (mnemonics) and social instructions, it indeed supports young witnesses to retrieve and to accurately report all their memories. If the benefits of the mnemonics on the MCI efficiency have been now established (e.g., Holliday & Albon, 2004; Verkampt & Ginet, 2010), the contribution of its social components has however not been deeply explored to date. This is notably the case of two main social instructions presented at the right beginning of an interview: the “Child can say ‘I don’t know”’ and the “Interviewer knows nothing about the facts” instructions.ObjectiveThis study aimed at evaluating the influence of these two social instructions on the effectiveness of MCI mnemonics, designed to be used by police officers to gather very young children's testimonies.MethodTo this end, 59 children aged 4 to 5.9 participated in a painting session and were interviewed two days later with a full modified cognitive interview (MCI), a MCI minus the “Child can say I don’t know” instruction, a MCI minus the “Interviewer knows nothing about the event” instruction, or a structured (control) interview that was solely composed of social instructions.ResultsThe results indicated an increase of 42% more correct information recollected with a full MCI relative to a structured interview during the free recall phase. However, the withdrawal of the “Interviewer knows nothing about the event” instruction from the MCI led the children to report 21% less information. This drop reached 3% with the MCI minus the “Child can say I don’t know” instruction.ConclusionChildren testimonies are therefore more informative when the mnemonics of the MCI are presented to the children along with social instructions.     

A Response-cost procedure for reduction of impulsive behavior of academically handicapped children

To test the hypothesis that impulsive problem-solving behavior may be due to a child's low concern about response accuracy on the Matching Familiar Figures Test, a procedure was devised which involved punishment of incorrect responses by withdrawal of tokens given before each trial. This Response-cost procedure and the Standard procedure were given in counterbalanced sequence to two groups of 15 children with a mean chronological age of 13.9 and a mean IQ of 71 who were attending special classes because of academic difficulty. Subjects showed significantly longer latency to first response under the Response-cost procedure and also made significantly fewer errors under this procedure when it was the second one administered. When the Response-cost procedure was given first, the subjects tended to carry over their relatively low error rates to the subsequent trials under the standard procedure.Appreciation is expressed to Dorothy Arnold, Frank Scott, and the participating pupils from Mary Potter School in Oxford, North Carolina. Funds for computer processing were provided by the Center for Research on Exceptional Children, School of Education, University of North Carolina at Chapel Hill. The project was supported in part by U.S. Public Health Service, Maternal and Child Health Service Project No. 916 and by Grant HD-03110 from the National Institute of Child Health and Human Development.     

The prediction of adjustment at age 7 from activity level at age 5

One-hundred and ninety-two children (equally split between boys and girls) were studied when they were 5 years old in two settings, school and home. The children were observed in playgroups and at home, and were rated on activity level by their parents on the Rothbart Child Behavior Questionnaire. At age 7, the children were tested in our laboratory on the Harter Test of Perceived Competence and on an achievement task, and parents filled out the Child Behavior Checklist, the Child Behavior Questionnaire, and the Conners Parent Rating Scale. Home observations of activity level were significantly related to parent ratings of activity level, but not to school observations. Activity level at age 5 was related to parents' ratings of aggression and hyperactivity and to girls' learning problems at age 7. Activity level was not related to the children's self-perceived competence, but mothers' rating of high activity level at age 5 was related to low reading comprehension at age 7.Preparation of this paper was supported in part by the Center for Research for Mothers and Children, NICHD, U.S. PHS grant HD 19739 to Beverly I. Fagot.     

The relationship between home environment and early childhood development of left-behind children under 3 years in rural China

BackgroundHome environment provides stimulation and learning opportunities required for children’s early development. However, few studies have focused on the effects of home environment on left-behind children’s development in rural China. The study aimed to investigate the relationship between home environment and early childhood development of left-behind children under 3 years old in rural China.MethodsInformation about sociodemographic characteristics, caregivers’ mental health, home environment and children’s development was collected. Infant/Toddler Home Observation for Measurement of the Environment Inventory (IT-HOME) was used to assess home environment. Child’s development was evaluated with the Chinese version of the Ages & Stages Questionnaire - third edition.ResultsElevated caregivers’ depressive symptoms were associated with a higher risk of total suspected development delay. An increase of one score in the IT-HOME resulted in a 7% decrease in total suspected development delay. Higher scores in the dimensions of involvement and variety were associated with a lower risk of suspected development delay adjusting for covariates.ConclusionsOur results have implications for home-based intervention aiming at promoting nurturing care as well as caregivers’ mental health, which is required for early development of young left-behind children in rural areas of China.     

Effects of modeling and expectancy of reward on cheating behavior

The present experiment compared the effects of modeling honest and dishonest responses with the effects of expectancy of reward. Sixty preschool children viewed one of three modeling films prior to their playing a pegboard game: (a) dishonest model receiving positive reinforcement, (b) dishonest model receiving no reinforcement, and (c) honest model receiving positive reinforcement.Ss were also told that a reward was dependent on a high level of performance or that a reward was noncontingent on performance with a bonus reward contingent on performance. An overwhelming majority of children in all groups imitated the model they observed with no significant effect due to expectancy of reward.Grateful appreciation is expressed to Dr. Kennedy T. Hill for his helpful comments as a second reader. The authors would also like to thank those who served as observers, models, or experimenters; they included Ellen Cosgrove, Lee June, Judy Kramer, Paul Meranto. Robert McGrath, Loren Rappaport, and William Smith. Finally the children, parents, and staff of the Children's Research Center Preschool, University of Illinois, are to be thanked for their cooperation. The preschool is supported by a training grant in child psychology. HD 00244, from the National Institute of Child Health and Human Development.     

Reprint of “Co-occurring motor,language and emotional–behavioral problems in children 3–6 years of age”

PurposeDevelopmental Coordination Disorder (DCD) has been shown to co-occur with behavioral and language problems in school-aged children, but little is known as to when these problems begin to emerge, or if they are inherent in children with DCD. The purpose of this study was to determine if deficits in language and emotional–behavioral problems are apparent in preschool-aged children with movement difficulties.MethodTwo hundred and fourteen children (mean age 4 years 11 months, SD 9.8 months, 103 male) performed the Movement Assessment Battery for Children 2nd Edition (MABC-2). Children falling at or below the 16th percentile were classified as being at risk for movement difficulties (MD risk). Auditory comprehension and expressive communication were examined using the Preschool Language Scales 4th Edition (PLS-4). Parent-reported emotional and behavioral problems were assessed using the Child Behavior Checklist (CBCL).ResultsPreschool children with diminished motor coordination (n = 37) were found to have lower language scores, higher externalizing behaviors in the form of increased aggression, as well as increased withdrawn and other behavior symptoms compared with their typically developing peers.ConclusionsMotor coordination, language and emotional–behavioral difficulties tend to co-occur in young children aged 3–6 years. These results highlight the need for early intervention.