Development of a structured psychiatric Interview for children: Agreement on diagnosis comparing child and parent interviews

Similar structured diagnostic interviews about the child were given by different interviewers to a cohort of 307 mother-child pairs. A diagnosis was made by computer on each interview, using specified criteria. Diagnoses on mother-child interviews were compared using the kappa statistic. Kappas of .30 or higher were found for the diagnosis of antisocial personality, conduct disorder, enuresis, mixed behavior-neurotic disorder, and possible depression. Comparisons were made for sex and age. Possible depression and enuresis were diagnosed reliably at all age levels and for both sexes. The limitations of the interview and diagnostic system used are discussed. The findings support the need for further efforts to develop diagnostic research interviews for use with children and adolescents.     

Overt and fantasized aggression toward parents by enuretic and nonenuretic children

This study compared the amount and direction of overt and fantasized aggression of enuretic and nonenuretic children. Following the dynamic approach, it was hypothesized that enuretic children would differ from nonenuretics in having more difficulty in expressing overt aggression toward their mothers than toward a neutral figure. In fantasy, enuretic children were expected to express more aggression feelings toward their parents than control subjects. Twenty-eight enuretic subjects and a matched group of control subjects were induced to aggress toward their mothers and toward a neutral figure. The experimental situation was a variation of the Buss (1961) technique for eliciting and measuring aggression. Aggressive fantasies were assessed, using Bene and Anthony's Family Relation Test (1957). A significant interaction was obtained between enuresis/nonenuresis and target figures. Enuretic subjects expressed more aggression toward a neutral figure than toward the mother (p=.05) and differed from the control group in expressing less aggression toward the mother (p=.10). On the fantasy level, a significantly opposite trend to the predicted one emerged: Enuretic subjects showed less aggression toward both parents. The results were discussed with respect to the dynamic and the behavioristic approach to enuresis, and further research directions were suggested.This study is based in part on an M.A. thesis submitted by the second author to the Department of Psychology, Tel-Aviv University,     

The effect of parent-administered dry-bed training on nocturnal enuresis in children

In this study, two substantial modifications were made to the Dry-Bed training procedure described by Azrin, Sneed and Foxx (Behav. Res. and Therapy, 12, 147–156 (1974). The first modification was to have parents administer the intensive all-night training programme rather than an outside trainer. With fourteen children treated in this manner, nocturnal enuresis was eliminated in all cases. The median time taken to the last night of wetting was only 12 days. There were two relapses in a 6-month follow-up. The second modification involved administering the Dry-Bed procedure without the adjunct of an enuresis machine. This resulted in significantly reduced frequency of bedwetting, although nocturnal enuresis was not completely arrested in any of the ten children treated. The implications of these findings are discussed.     

Executive functioning deficits in preschool children with Fetal Alcohol Spectrum Disorders

Executive function (EF) deficit is a hallmark of Fetal Alcohol Spectrum Disorders (FASD), but the vast majority of available evidence comes from school-age children and adolescents. Very little is known about EF during the critical developmental period prior to 6 years of age in FASD. We evaluated EF in 39 children with FASD (3.0–5.5 years) and a comparison group of 50 age-matched, nonexposed controls. Measures included the EF Scale for Early Childhood and a Delay of Gratification task. Compared to age-matched controls, preschool children with FASD had impairments on the EF Scale and showed more impulsivity on the Delay of Gratification task. To confirm the EF Scale finding, FASD group performance was compared to a separate normative dataset (N = 1,400). Those with FASD performed below normal (M = –0.57, SD = 0.92). Within the FASD group, IQ was correlated with the EF Scale (partial r = .60, p = .001) and Delay of Gratification (partial r = .58, p = .005). EF Scale performance did not differ significantly across levels of FASD severity (fetal alcohol syndrome [FAS], partial FAS, or alcohol-related neurobehavioral disorder [ARND]). However, compared to normative data, those with FAS had the largest deficits (M = –0.91 SD from the mean, SE = 0.23), followed by partial FAS (M = –0.66 SD from the mean, SE = 0.26), then ARND (M = –0.36 SD from the mean, SE = 0.20). These novel data show that EF deficits manifest well before the age of 6 years in children with FASD, that they occur across the spectrum, and that EF may be most impaired in children with more severe forms of FASD and/or lower IQs.     

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.     

An interview with a child to assess psychiatric disturbance: A note on its reliability and validity

Forty-six children with enuresis were given a psychiatric interview. The two writers made independent ratings of 10 behavioral variables. Seven of these showed satisfactory interrater reliability. No relationship was established between child psychiatric disturbance assessed in this way and estimates of disorder obtained from information given by mothers and teachers.Professor Max Hamilton, Department of Psychiatry, University of Leeds, kindly provided computing facilities. The work was supported by a grant from the Yorkshire Regional Health Authority.     

Scale of reading fluency in Spanish: measuring the components of fluency / Escala de fluidez lectora en español: midiendo los componentes de la fluidez

Abstract

The main purpose of this study was to design and validate a rating scale to measure reading fluency. As well as speed and accuracy, different dimensions of prosody were taken into account (volume, intonation, pauses and phrasing), aspects hardly considered in reading assessment. In addition, a measure of reading quality was included. 122 Spanish primary-school children (74 in Year 2 and 48 in Year 4) read aloud a narrative text. Using inter-rater criteria, children’s reading was assessed with this new rating scale (Scale of Reading Fluency in Spanish, SRFS) (Escala de Fluidez Lectora en Español, EFLE) and with the Multidimensional Fluency Scale (Rasinski, 2004). Standardized reading comprehension and prosodic reading tests were used as criterion measures. Results show acceptable reliability and validity coefficients. We conclude that SRFS appears to be a useful instrument for using in education and research contexts.     

DEVELOPMENT OF THE PARENT‐CHILD PLAY SCALE FOR USE IN CHILDREN WITH FEEDING DISORDERS

The Parent‐Child Play Scale was developed as a scale that complements the Parent‐Child Feeding Scale, created by I. Chatoor et al. (1997), to evaluate mother–infant/toddler interactions in two different caregiving contexts of a young child's everyday life, specifically play and feeding. This Play Scale can be used with infants and toddlers ranging in age from 1 month to 3 years and provides reliable global ratings of mother–child interactions during 10 min of videotaped free‐play in a laboratory setting. The scale consists of 32 mother and infant/toddler interactive behaviors which are rated by trained observers from videotaped observations. Four subscales are derived: Dyadic Reciprocity, Maternal Unresponsiveness to Infant's/Toddler's Cues, Dyadic Conflict, and Maternal Intrusiveness. Construct validity and interrater and test‐retest reliability of the Play Scale have been demonstrated. This Play Scale discriminates between children with and without feeding disorders as well as between children with different subtypes of feeding disorders as defined by the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Revised (DC:0–3R) (Feeding Disorder of State Regulation, Feeding Disorder of Caregiver‐Infant Reciprocity, and Infantile Anorexia). It can be used for research or clinical practice in the diagnosis and treatment of early feeding problems, to assess the pervasiveness of mother–infant/toddler difficulties and to monitor changes following therapy.     

Locus of control and persistence in structured and unstructured preschool classrooms

The effect of locus of control and classroom structure on persistence and attention in preschool children was examined. Teachers' ratings of persistence were obtained for 16 children from a relatively structured classroom and for 18 children from a relatively unstructured classroom. Locus of control was measured by administering the Preschool and Primary Nowicki-Strickland Internal-External Scale (Nowicki & Duke, 1974). As predicted, teachers from the structured classrooms rated externally controlled children as more persistent (r=.55, p<.05), while teachers from the unstructured classroom rated internally controlled children as more persistent (r= -.35, p<.10). Practical implications of this line of research for making classroom placement decisions are discussed.     

Coaching preferences of adolescent youths and their parents

Abstract

This study compared preferred coaching styles of children and their parents using the Leadership Scale for Sport (LSS; Chelladurai & Saleh, 1980). The LSS preferred form was revised and then administered to children ranging from 10 to 18 years of age who competed in summer youth sport leagues and to one parent within each family unit (n = 239). A doubly multivariate repeated measure MANOVA revealed a significant multivariate difference for adolescent athletes and their parents on the five subscales of the LSS. Discriminant function and univariate analyses indicated that male and female children and their parents differed on autocratic and democratic behavior and children had a significantly higher score on democratic behavior and social support than did their parents. Parents, coaches, and researchers in youth sports could use the revised LSS to determine children-athletes’ preferences for coaching styles and for developing more effective programs.     

Auditory intensity as a variable in the conditioning treatment of enuresis nocturna

Auditory intensity in the conditioning treatment of enuresis nocturna was examined in a study by Young and Morgan (1973a). In their study of three alarm intensities, no significant differences either in terms of treatment efficacy or of subsequent relapse were found. For both theoretical and practical reasons, the finding of no differences in treatment parameters as a function of varying alarm intensities is puzzling. In learning theory terms, a very intense UCS (bell or buzzer) would be expected to lead to more rapid acquisition of dryness (conditioned response) than a less intense UCS. Learning theory notwithstanding, the depth of somnolence of the enuretic child is legend. Not only are testimonials from parents regarding difficulty in arousal of their bedwetting child commonly elicited, but the literature on causes and treatment of bedwetting is replete with evidence of a deep-sleep enuresis syndrome (Bostock, 1962). It has been demonstrated by Finley (1971) and Di Perri and Meduri (1972) that the arousal threshold of enuretic children is abnormally high compared to nonenuretic children. The failure of the enuretic to awaken to the presentation of a bell (UCS) is frequently cited as responsible for unsuccessful bell-and-pad conditioning (Browning, 1967). Young and Morgan (1973b) in their study on rapidity of response to the conditioning treatment for enuresis found that one treatment problem most significantly related to slow responders was failure of the alarm stimulus to awaken the child. For those unfamiliar with the literature, the Young and Morgan (1973b) finding appears particularly surprising when one considers that they employed as their alarm UCS “...a powerful auditory stimulus...” (p. 490).Because of these important theoretical as well as practical concerns, an attempt was made to examine the effect of two auditory intensities on treatment and relapse parameters in the conditioning of enuresis nocturna.     

Confirmatory Factor Analysis of Arnold et al.’s Parenting Scale Across Race, Age, and Sex

We used confirmatory factor analysis (CFA) to investigate the factor structure of several models of Arnold et al.’s Parenting Scale [Arnold et al. (1993). Psychological Assessment, 5, 137–144] across children from various age groups and races. Participants were parents of children (ages 2–16 years) presenting to four community-based pediatric practices for routine care. Parents completed questionnaires pertaining to various aspects of parenting and child behavior problems. Results indicated that a two-factor revision proposed by Reitman et al. [(2001). Journal of Clinical Child Psychology, 30, 514–524] represented the data well and better than the original three-factor structure and other two-factor models. Results from multigroup CFA analyses indicated that this factor structure did not vary across child sex, child age, and parental race. Results of validity analyses indicated that scores on both factors were related to reports of children’s behavior and parental affect and cognitions. This study was the first to use multigroup CFA procedures to demonstrate that relationships between individual items and factors of the Parenting Scale are similar for parents of children across various age groups.     

Neurocognitive functioning of preschool children with uncomplicated epilepsy

Only few studies are available on the cognitive functioning of preschool children with uncomplicated epilepsy. The aim of this study was to describe the neurocognitive functioning of 3–6-year-old children with uncomplicated epilepsy. A subgroup of children with uncomplicated epilepsy from a population based cohort of preschool children with active epilepsy (N = 64) participated in the study. The neurocognitive functioning of these children (N = 13) was compared to that of matched healthy controls (N = 13). The Wechsler's Primary and Preschool Scale of Intelligence - Revised and the Developmental Neuropsychological Assessment were administered. The intellectual functioning of the children with uncomplicated epilepsy was within normal range, but differed significantly from that of healthy controls, which was contrary to expectations. Statistically significant differences emerged between the study and the control group in Verbal IQ and Full Scale IQ, but no differences were found in Performance IQ. The children with uncomplicated epilepsy also had minor neurocognitive difficulties in verbal short-term memory (p <.01) compared to healthy children. The result suggests that uncomplicated epilepsy in preschool children may interfere with language and verbal short-term memory functions. Further studies with detailed neuropsychological assessments and follow-up time are needed to gain more insight into the developmental course of children with uncomplicated epilepsy. Also, because of the developmental risks reported in this study, psychological screening and detailed neuropsychological assessment are recommended in clinical practice.     

Do diagnostic patterns exist in the sleep behaviors of normal children?

We investigated the factor structure of the Children's Sleep Behavior Scale in an unselected sample of children (N=838), ages 6 to 12.5 years, drawn from an elementary school population. Although no factor emerged that corresponded exactly to the parasomnias, as described by the Association of Sleep Disorders Centers (1979), all of the variables that loaded on Factor 1 were behaviors characteristic of the parasomnias, with the exception of recalled nightmares. Variables that were expected to load on this factor, but did not, were sleeptalking, teeth grinding, and enuresis. Enuresis was not related to any of the sleep behaviors assessed, and teeth grinding shared less than 9% of the variance with any of the other variables. Many of the variables loaded on more than one factor. The second factor, which was labeled bedtime resistance, was the only clearly unambiguous factor. Of the five factors that emerged, the third reflected positive affect, the fourth was a motor factor, and the fifth was an anxiety factor. Nightmares loaded on the anxiety factor as well as the first factor. The results of the study offered no support for the category of Disorders of Initiating and Maintaining sleep (DIMS), which has a childhood onset.This research was supported by a grant from the University of New Brunswick Research Fund.     

An Assessment of the Psychometric Properties of the Brief Sensation Seeking Scale for Children

Sensation seeking is a trait that predicts a wide range of real-life risk behavior, such as substance abuse and gambling problems. Sensation seeking is often assessed with the Sensation Seeking Scale. Several adaptations of this questionnaire have been made, for example, to abbreviate it and to make it suitable for children. However, studies on sensation seeking in children are scarce. The aim of this study was to investigate sensation seeking in children (N = 158, M age = 11.4 years). The Brief Sensation Seeking Scale for Children (BSSS–C) was translated into Dutch and psychometric properties were examined. Internal consistency was high, and the factor structure showed close resemblance with previous research. Test–retest and split-half reliabilities were acceptable, as was convergent validity with self-reported symptoms of psychopathology (attention problems and aggressive behavior). Construct validity was adequate, with more sensation seeking in boys than in girls. No effects of age were found. To sum up, sensation seeking can be measured in children in a valid and reliable way. The correlation of sensation seeking with high-risk behaviors emphasizes the importance of assessment early in development.     

What I Think and Feel: A Revised Measure of Children's Manifest Anxiety

The 1956 adaptation for children of Taylor's Manifest Anxiety Scale, the Children's Manifest Anxiety Scale, was revised to meet current psychometric standards. A 73-item revision draft was administered to 329 school children from grades 1 to 12. Based on item-analysis criteria for r _bis .4 and .30 p .70, 28 anxiety items were retained along with 9 of the original 11 Lie scale items. A cross-validation sample of 167 children from grades 2, 5, 9, 10, and 11 produced a KR₂₀ reliability estimate of .85. Anxiety scores did not differ across grade or race. Females scored significantly higher than males. For the Lie scale, significant differences appeared by grade and race. No sex differences were obtained on the Lie scale. The resulting scale appears useful for children in grades 1 to 12 and may aid in future studies of anxiety as well as assisting the clinician in the understanding of individual children.     

Death Anxiety Among University Students in Northern Ireland and Canada

Male and female university students in Northern Ireland (n = 315) and Canada (n = 255) completed Templer's Death Anxiety Scale (DAS) and the Taylor Manifest Anxiety Scale (MAS). Results of a discriminant function analysis indicated that Canadian students showed more concern about being afraid to die and thoughts of death, while students from the North of Ireland were more concerned about getting cancer, the shortness of life, and the viewing of a corpse. However, total DAS scores failed to show significance between group differences (p >.10). Correlations between DAS and MAS total scores were r =.34 for Northern Ireland and r =.31 for Canadian students.     

The Attention and Executive Function Rating Inventory (ATTEX): Psychometric properties and clinical utility in diagnosing ADHD subtypes

Klenberg, L., Jämsä, S., Häyrinen, T., Lahti‐Nuuttila, P. & Korkman, M. (2010). The Attention and Executive Function Rating Inventory (ATTEX): Psychometric properties and clinical utility in diagnosing ADHD subtypes. Scandinavian Journal of Psychology, 51, 439–448. This study presents a new inventory, the Attention and Executive Function Rating Inventory (ATTEX), and examines the psychometric properties and the clinical utility of ATTEX in indentifying the attention deficit hyperactivity disorder combined type (ADHD‐C) and the ADHD predominantly inattentive type (ADHD‐I) in school environments. A normative sample of Finnish 7‐ to 15‐year‐old children and adolescents (N = 701) and a clinical sample consisting of children with ADHD‐C (N = 190) and ADHD‐I (N = 25) were examined with the ATTEX and the ADHD Rating Scale‐IV. The ATTEX and its scales had good internal consistency reliability (0.67–0.98) and criterion validity (0.68–0.95). Normative data was provided for the total normative sample and for boys and girls separately. Gender differences were noted in the ATTEX scores, boys having consistently higher scores on all ATTEX scales. The effect of age was significant only for one of the ten scales, the Motor hyperactivity scale, 7‐year‐olds having more problems of hyperactivity than 14‐year‐olds. Lower parent education level and the child’s learning difficulties were related to higher ratings of EF problems in ATTEX. When different cutoff scores for boys and girls were applied, ATTEX was sensitive in identifying children with attention deficit disorders. In addition, ATTEX was accurate in differentiating children with ADHD‐I from children with ADHD‐C. In this Finnish sample, ATTEX showed solid psychometric properties and could be used as a reliable tool in the diagnostic evaluation of ADHD‐C and ADHD‐I.     

A delivery system for the treatment of primary enuresis

To illustrate how to deliver underutilized psychological treatments, a comprehensive, low-cost treatment for primary enuresis was developed consisting of bell-and-pad training, cleanliness training, retention control, and overlearning. Sixty primary enuretic children and their parents attended 1-hour group training sessions and implemented treatment in the home. Each case required 15 minutes of professional time, and net cost to each family was $50. Forty-eight (81%) achieved initial arrest of bedwetting and only 11 (24%) relapsed at 1-year follow-up. Significant association between relapse and prior treatment failure with imipramine was noted. The outcome was found to compare favorably with previous treatments that required more professional time.     

Findings on the relationship between Internet addiction and psychological symptoms in Brazilian adults

This study evaluated the prevalence of Internet addiction (IA) and its association with negative psychological symptoms in Brazilian adults. A network analysis was conducted to estimate specific variables and their expected influence on IA. In this cross-sectional study, 15,476 adults (M_age = 37.5, SD = 9.59) completed an open web-based survey. Three questionnaires were used: the Internet Addiction Test (IAT), Depression Anxiety and Stress Scale (DASS-21) and Satisfaction With Life Scale (SWLS). Based on IAT scores, participants were classified as No-Risk user (NRU), Low-Risk user (LRU) or High-Risk user (HRU). We observed that 4.8% of the participants were classified in the HRU group. In addition, their risk for severe symptoms of depression was 10 times higher and, for anxiety, seven times higher than that in the NRU group (p < .001). Time spent using smartphones was also significantly higher in the HRU group (M_hours = 5.1, p < .001). The main factors associated with IA were depression, gender and anxiety, but the variable “having children” was the most influential in the IA network. These findings suggest that psychiatric symptoms are the main factors associated with IA among the adult population.