Patterns of language impairment and behaviour in boys excluded from school

Background. High levels of behaviour problems are found in children with language impairments, but less is known about the level and nature of language impairment in children with severe behavioural problems. In particular, previous data suggest that at primary age, receptive impairments are more closely related to behaviour problems, whereas expressive language has a closer link at a later age. Aims. The study assessed expressive and receptive language problems in boys excluded from primary and secondary schools, to investigate the extent of impairment, the pattern of relations between age, receptive and expressive language, and relations with different aspects of behaviour. Sample. Nineteen boys (8–16 years of age) who had been excluded from school and 19 non‐excluded controls matched for age and school participated. Method. The sample was given assessments of: receptive language from the British Picture Vocabulary Scale (BPVS), and Wechsler Objective Language Dimensions (WOLD); expressive‐language evaluations from the Wechsler Intelligence Scale for Children (WISC); auditory working memory evaluations from the Clinical Evaluation of Language Fundamentals (CELF); verbal reasoning (from the WISC); and non‐verbal IQ assessments Raven's matrices. Teachers completed behaviour ratings using the Strengths and Difficulties Questionnaire (SDQ). Results. Excluded boys were significantly poorer than controls on expressive measures but similar on receptive language and non‐verbal IQ. Boys excluded from primary school were poorer than controls on auditory working memory. Expressive problems were linked with high levels of emotional symptoms. Conclusion. Many of the excluded boys had previously unidentified language problems, supporting the need for early recognition and assessment of language in boys with behaviour problems. Expressive problems in particular may be a risk factor.     

Strengthening socio‐emotional competencies in a school setting: Data from the Pyramid project

Background. Development of socio‐emotional competencies is key to children's successful social interaction at home and at school. Aims. This study examines the efficacy of a UK primary school‐based intervention, the Pyramid project, in strengthening children's socio‐emotional competencies. Sample. Participants were 385 children from seven schools in two UK cities. All children were aged 7–8 years and in school Year 3. Children were screened for socio‐emotional difficulties through the Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997 ) and a multi‐agency meeting of relevant professionals before being allocated to attend a Pyramid Club intervention (n= 103) or a comparison group (n= 282). Method. A 2 × 2 mixed‐model design was used: group (intervention group vs. comparison group) × 2 time points (pre‐ vs. 12 weeks post‐intervention) with repeated measures on the time factor to investigate the impact of the Pyramid Year 3 intervention. Teachers completed the SDQ‐T4‐16 for all children pre‐ and post‐intervention to measure participants’ socio‐emotional health status. Results. As measured by the two SDQ difficulty sub‐scales of Emotional and Peer problems and the SDQ strength sub‐scale of Prosocial behaviour, post‐intervention improvements in the Pyramid attendee group were of greater magnitude than those of the comparison group. Conclusions. The Pyramid project intervention improves the socio‐emotional health of vulnerable children through promoting positive outcomes as well as reducing socio‐emotional deficits. These findings further support the inclusion of a salutogenic approach in promoting children's socio‐emotional well‐being.     

Intellectual function in children with teacher reported language problems

We predicted that teacher reported language problems are associated with low IQ, even when gender and behavior-emotional disorders are controlled for. All subjects were participants in a population based study. In stage 1, teachers completed a questionnaire containing four items pertaining to language function. A case-control sample (n= 294) was assessed using WISC-III and Kiddie-SADS-PL. A child was defined with "language problems" (LP) if s/he obtained a score indicating severe problems on at least one item. Teacher reported LP was found in 9.9% of the population sample and 20.7% of the case-control sample, with a three-fold higher risk for boys than girls. The LP group obtained significantly lower scores on all WISC-III factors compared with the non-LP group. The differences were not accounted for by the presence of behavioral-emotional disorders. When primary school teachers report LP, further assessment of the child's cognitive function is warranted.     

Emotional difficulties in seventh grade children in Denmark

The present study investigates the prevalence of emotional difficulties and quality of life in a sample of 834 children from 56 seventh grade (aged 12-14 years) classes. Data was derived from a study of mental well-being developed by the National Council for Children, Denmark. The sample selection ensured that the children were nationally representative. Data was collected using the Strength and Difficulties Questionnaire (SDQ) and the Health Behaviour in School-aged Children (HBSC). Results indicated that 10.8% of children had concerns regarding emotional difficulties (6.6% definite concern; 4.2% some concern), and that significantly more girls than boys (44 girls and 10 boys) reported this concern. A novel finding was that emotional difficulties were related to children's perception of having low quality of life. Findings furthermore suggested that children's perception of a low home economy, less time spent on leisure activities, and female gender were all associated with emotional difficulties.     

A Confirmatory Approach to Examining the Factor Structure of the Strengths and Difficulties Questionnaire (SDQ): A Large Scale Cohort Study

The aim of this study was to examine the factor structure of the Strengths and Difficulties Questionnaire (SDQ) using a Structural Confirmatory Factor Analytic approach. The Danish translation of the SDQ was distributed to 71,840 parents and teachers of 5–7 and 10–12-year-old boys and girls from four large scale cohorts. Three theoretical models were examined: 1. a model with five first order factors (i.e., hyperactivity/inattention, conduct, emotional, peer problems and prosocial), 2. a model adding two internalising and externalising second order factors to model 1, and 3. a model adding a total difficulties second order factor to model 1. Model fits were evaluated, multi-group analyses were carried out and average variance extracted (AVE) and composite reliability (CR) estimates were examined. In this general population sample, low risk sample models 1 and 2 showed similar good overall fits. Best model fits were found when two positively worded items were allowed to cross load with the prosocial scale, and cross loadings were allowed for among three sets of indicators. The analyses also revealed that model fits were slightly better for teachers than for parents and better for older children than for younger children. No convincing differences were found between boys and girls. Factor loadings were acceptable for all groups, especially for older children rated by teachers. Some emotional, peer, conduct and prosocial subscale problems were revealed for younger children rated by parents. The analyses revealed more internal consistency for older children rated by teachers than for younger children rated by parents. It is recommended that model 1 comprising five first order factors, or alternatively model 2 with additionally two internalising/externalising second order factors, should be used when employing the SDQ in low risk epidemiological samples.     

Gender and Age Differences in Social Skills Among Children with ADHD: Peer Problems and Prosocial Behavior

Abstract

Gender differences in peer problems and prosocial behavior among children with attention-deficit hyperactivity disorder (ADHD) were examined. Parents and teachers rated social functioning on the Strengths and Difficulties Questionnaire (SDQ) among 592 children (age 5–10?years) with ADHD and among 215 children (age 6–10?years) in a community sample. Results in the clinical group revealed significant interaction effects where older boys showed fewer peer problems than younger boys, but older girls had similar peer problems as younger girls. Teachers reported less prosocial behavior among younger girls than older girls. No gender differences in social problems emerged for the nonclinical comparison group.     

Child's behaviour in mother–child interaction predicts later emotional and behavioural problems

The aims were to examine the association of maternal or child interactive behaviour with emotional and behavioural problems of the child simultaneously and 3 years later, and to assess whether there is continuity in children's emotional and behavioural symptoms from 2 to 5 years. Sixty‐five 2‐year‐old children with their mothers were videotaped during a feeding situation. Their mothers completed the CBCL at 2 years and when the children were 5. Simultaneously, there were no strong correlations between child's emotional and behavioural problems and maternal or child interactive behaviour. Subsequently, mothers' higher sensitivity and more optimal structuring, as well as child's higher involvement of the mother, were associated with lower levels of child externalizing and total problem scores. Also, less responsive children showed more externalizing symptoms 3 years later. There was continuity of emotional and behavioural problems from 2 to 5 years. Problems in mother–child interaction may predict behavioural problems in the child subsequently. Besides maternal behaviour, it is important to consider the interactive behaviour of the child. Children who are less responsive and who show less involvement of the mother are more likely to subsequently present more externalizing symptoms, and these children should be recognized and treated early. Copyright © 2009 John Wiley & Sons, Ltd.     

Swedish norms for the Strengths and Difficulties Questionnaire for children 3–5 years rated by parents and preschool teachers

The Strengths and Difficulties Questionnaire (SDQ) is a widespread tool for assessing behavior problems in children and adolescents. Despite being investigated thoroughly concerning both validity and reliability, peer reviewed studies that provide norms, especially for preschool children, are lacking. This paper provides Swedish norms using data from a large community sample of children aged 3–5, based on mothers’, fathers’, and preschool teacher’s ratings. Preschool teachers’ ratings were generally lower than parents’ ratings, which contradicts some previous studies. Differences between girls and boys were found, suggesting that boys display higher levels of behavior problems. Lower parental education and country of origin outside of Sweden were also associated with more difficulties. Cut-offs are presented for each age group, gender and rater category. Population-specific norms and percentile cut-offs provided in this study facilitate identifying children in need of interventions in paediatric care and enable cross-country comparisons of children’s mental health problems.     

Gender gaps in cognitive and social‐emotional skills in early primary grades: Evidence from rural Indonesia

This paper examines the magnitude and source of gender gaps in cognitive and social‐emotional skills in early primary grades in rural Indonesia. Relative to boys, girls score more than 0.17 SD higher in tests of language and mathematics (cognitive skills) and between 0.18 and 0.27 SD higher in measures of social competence and emotional maturity (social‐emotional skills). We use Oaxaca–Blinder decomposition to investigate the extent to which gender differences in early schooling and parenting practices explain these gender gaps in skills. For cognitive skills, differences in early schooling between boys and girls explain between 9% and 11% of the gender gap whereas differences in parenting practices explain merely 3%–5% of the gender gap. This decomposition result is driven largely by children living in villages with high‐quality preschools. In contrast, for social‐emotional skills, differences in parenting styles toward boys and girls explain between 13% and 17% of the gender gap, while differences in early schooling explain only 0%–6% of the gender gap.     

Self-reported competences and problems in Spanish adolescents: a normative study of the YSR

The aim of the study was to provide a standardization of self-reported competences and emotional/behavioural problems in Spanish adolescents, using the Achenbach's Youth Self-Report (YSR), and to compare our results to those from other countries. The YSR was completed by 2822 adolescents aged 11-18 years, recruited from secondary schools in two regions of Spain. There were significant differences in Total behaviour problems and in most problem scales in boys and girls, scoring boys higher on externalizing syndromes, whereas girls score higher on internalizing syndromes . Males' mean scores were higher than females' scores for social competence. Age effects also showed significant differences with respect to internalizing problems, thought problems, social problems and depression. Cut-off points based on the 90th and 98th percentile developed from this sample are presented for the competences and the problem scales. To test the overall range of variations across cultures, comparisons were made between broad band and narrow band measures of the YSR in Spanish adolescents and those from other countries. Gender differences in the YSR were similar to those found across different cultures; there is a consistent trend to increase behavioural problems with age; and social competence seem to be a relevant protective factor against behavioural problems.     

Profiles of non‐victims,escaped victims,continuing victims and new victims of school bullying

Background: Victims of school bullying are known to be at risk in peer relationships and to sometimes use ineffective coping strategies, but little previous research has examined differences among escaped victims, continuing victims and new victims. Aim: A follow‐up design compared friendships, behavioural characteristics, victimisation experiences and coping strategies of pupils who had 2 years previously answered a questionnaire identifying themselves as victims (V) or non‐victims (NV) of school bullying and whose current victim status could be identified. Sample: 406 pupils aged 13–16 years (190 boys, 216 girls): 175 non‐victims (NV‐NV), 146 escaped victims (V‐NV), 27 new victims (NV‐V) and 58 continuing victims (V‐V). Method: Structured interviews were given to pupils, together with the SDQ. Teachers also filled in the SDQ. School records of attendance were obtained. Results: Escaped victims did not differ greatly from non‐victims, but had some self‐perception of continuing peer relationship difficulties. Continuing victims, irrespective of gender, liked other pupils and breaktime less (but did not dislike other aspects of school), had fewer friends in school (but not outside school), more often missed school (sometimes because of bullying), scored high on problem scales of the SDQ, and were more likely to be involved in bullying others as well as being bullied. New victims tended to resemble continuing victims. Continuing victims did not differ from escaped victims on type of bullying, but new and continuing victims less often reported talking to someone about a specific incident of bullying. Most victims gave mainly victim‐related reasons for the bullying having taken place. Conclusion: The results are discussed in relation to why some pupils become or continue to be victims in secondary school, and recommendations for anti‐bullying procedures in schools designed to help such victims.     

Inattentive behaviour is associated with poor working memory and slow processing speed in very pre‐term children in middle childhood

Background. Problem behaviour is common following pre‐term birth, but the underlying nature of these difficulties is not well known. Aims. We sought to establish the mechanisms underpinning behavioural difficulties in very pre‐term (VPT) children in middle childhood by comparing their performance to that of term born peers on tasks of working memory, inhibition, and processing speed, and relating these to parent and teacher assessments of their behaviour. Particular focus was given to inattention and overactive/impulsive behaviour, as these behaviours have been associated with different neuropsychological problems in term children. Samples. A group of VPT children (gestational age < 31 weeks, N= 56) aged 9–10 years and term controls (N= 22) participated in the study. Method. Children were assessed with measures of working memory, inhibition, and processing speed. Parents and teachers reported behavioural problems using the Strengths and Difficulties Questionnaire and two additional scales measuring overactive/impulsive behaviour and inattention. Results. Results revealed increased rates of problem behaviour in VPT compared to term children for parent‐rated total difficulties, hyperactivity, emotional problems, peer problems, prosocial behaviour, overactive/impulsive behaviour, and parent‐ and teacher‐rated inattention. Processing speed and working memory, but not inhibition, were significantly related to inattentive and overactive/impulsive behaviour. Conclusions. The increased rates of inattention and overactive/impulsive behaviour in VPT children may be explained by impairment in processing speed and working memory. Expected links between overactive/impulsive behaviour and inhibitory control were not identified, suggesting the nature of such difficulties may be different in VPT compared to term children.     

School competence and emotional/behavioral problems among Norwegian school children as rated by teachers on the Teacher Report Form

Of 1,409 eligible children aged 6-13 years in grades 1 to 7 who were randomly selected from a national sample of Norwegian schools, 858 participated in the present study (60.9%). The sample was stratified by school centrality, region and size of grade cohort. The teachers assessed their children's academic performance, adaptive school functioning, and levels of emotional/behavioral problems using the 2001 version of the Teacher Report Form (TRF). Only one child was randomly selected from each grade cohort. Girls had significantly higher scores than boys in the Working Hard, Appropriate Behavior, Learning, and Total Adaptive Functioning domains. For girls, only the Working Hard domain was of medium effect size. While boys had significantly higher scores than girls on Attention, Thought Problems, Rule-Breaking, Aggression, Externalizing Problems and Total problems, only Attention Problems showed a medium effect size. Significant sex by age interaction effects were also found for Rule-Breaking, Externalizing, Internalizing, Anxious-Depressed and Total Problems. In all these comparisons, 10-13-year-old boys had significantly higher scores than 6-9-year olds, while girls had similar problem levels across age groups. Our mean Total Problems score (17.2) was lower than the grand mean (21.6) reported in a multi-country comparison but higher than in another Norwegian large-scale survey. Overall, our findings indicate that teachers in Scandinavia report, just as do parents, relatively low levels of emotional/behavioral problems among school-aged children.     

Emotional and behavioral problems in children of depressed mothers: a school-based study in Southern Brazil

The present study aimed to verify the association between maternal depression and emotional and behavioral problems in school children in Pelotas, Southern Brazil, considering that maternal depression increases children’s vulnerability for developing psychiatric disorders. This is a cross-sectional study with a school-based sample conducted between August 2015 and November 2016 and it is part of a major project entitled ‘Healthy Childhood in Context: A Multidisciplinary Investigation’. Schoolchildren aged between 7 and 8 years and one of their respective parents or a primary caregiver were included in the study. Maternal depression was assessed using the Mini International Neuropsychiatric Interview (MINI). The presence of emotional and behavioral problems in children was verified by the Strengths and Difficulties Questionnaire (SDQ) – parents version. Children of depressed mothers exhibited higher mean scores in all SDQ domains and in the total score when compared to children of non-depressed mothers. Lower socio-economic status was also associated with higher SDQ scores. Our results showed the effects of both maternal depression and poverty on children emotional and behavioral problems, which evidence the need for child mental health preventive care, and free quality assistance for both mothers and their children.     

Emotional and behavioural features of preschool children born by Caesarean deliveries at maternal request

Background: Caesarean deliveries at maternal request (CDMRs) are becoming increasingly common. There is still lack of evidence on potential postponed effect(s) of CDMRs on children's emotional and behavioural features, although such a possibility has been repeatedly postulated. This study aimed at evaluation of the emotional and behavioural characteristics in preschool children born from CDMRs. Methods: The study involved apparently healthy 5-year-old children from the community setting (40 born from CDMRs and 40 age and sex matched vaginally born controls). Inclusion criteria were: first-born singletons, delivery at term, the only children in families, married parents, and appropriate household conditions, absence of any inborn abnormalities, disabilities, chronic and progressive diseases. Children attended preschool day-care centres at the time of the study. The mothers were also presented with the Child Behaviour Checklist for Ages 1.5–5 years (CBCL1.5/5) aimed at assessing children's emotional and behavioural characteristics. Results: Children born from CDMRs presented with significantly higher values (more problems) on the following empirically based scales: anxiety/depression, withdrawal and sleep problems. They had statistically significantly higher values on so-called internalizing problems, both in girls and in boys. Associations remained significant after adjustment for major potential confounders. Conclusion: Children born from CDMRs may face more emotional disturbances and sleep problems at preschool age.     

Presence and quality of kindergarten children's friendships: concurrent and longitudinal associations with child adjustment in the early school years

The presence and quality of friendships are posited to have developmental significance, yet little is known about the extent to which children without friends versus low‐quality friendships compare on socioemotional adjustment. The current study utilized data from a subsample of 567 children (289 boys) participating in the NICHD Study of Early Child Care and Youth Development. Based on maternal reports at kindergarten, four friendship groups were formed: no friends, low quality, average quality, and high quality, and these groups were used to predict teacher‐reported behaviour problems and social skills concurrently (in kindergarten) and longitudinally (in first and third grade). Concurrently, low‐quality friendships were associated with greater externalizing behaviour, whereas high‐quality friendships were associated with greater social skills. Longitudinally, having no friends in kindergarten was associated with higher levels of externalizing behaviour for boys, but lower levels for girls. Children without friends also showed more internalizing problems at first grade. Lastly, having a high‐quality friendship in kindergarten was associated with greater social skills in first and third grades, but only for boys. Results underscore high‐quality friendship as a context for the development of social skills and indicate different trajectories of problem behaviour for kindergarten children with no friends versus low‐quality friendships. Copyright © 2010 John Wiley & Sons, Ltd.     

The impact of parenting styles on children developmental outcome: The role of academic self‐concept as a mediator

Although the importance of parenting styles directly influencing child development is well established, fewer studied have examined whether parenting styles also affect children's behavioural problems indirectly, mediated through children's academic self‐concept (ASC). We examined direct and shared effects of parenting styles on behavioural problems of 199 Kurdish primary school children with a mean age of 11 years 7 months (range 11 years 5 months to 12 years 3 months). Questionnaires measured parenting styles (child version of Alabama Parenting Questionnaire), assessed children's ASC (Myself‐As‐Learner Scale) and identified children's behavioural problems with the Strengths and Difficulties Questionnaire (SDQ). PROCESS analysis was used to perform the mediation analysis. The results revealed that positive and negative parenting composites are indirectly related to children's internalising behaviour problems. In addition, ASC partially mediated the relationship between the negative parenting composite and prosocial behaviour. However, the mediation analysis did not show the expected indirect effect of parenting styles on externalising problems as being mediated via ASC. Hence, we argue that the ASC serves as a significant mediator in the relationship between parenting styles with prosocial behaviour and internalising problems.     

Psychological problems and associated factors at 6 years of age: differences between sexes

In a non-clinical group of 130 children (65 boys and 65 girls), we evaluated the relationships between psychological problems using the Child Behavior Checklist (CBCL) reported by parents, the Inattention Overactivity With Aggression (IOWA) scale reported by teachers, individual factors (Intellectual quotient [IQ], temperament and heart rate) and environmental factors (stress events, mother's profession and being or not being an only child). We found no differences between the sexes in the prevalence of total psychological problems in the clinical range, but girls had significantly more borderline total problems than boys. Girls tended to have more externalizing problems than boys. In boys, there were more links between individual and environmental factors and psychological problems, especially externalizing problems. A high score in psychological problems assessed by the CBCL affected the school performance of boys and the social performance of girls. For boys, IQ was significantly lower when the score for total behavioral problems was higher, and for girls IQ was significantly lower when the score for externalizing problems was higher. Understanding the different levels of vulnerability of the sexes at different periods of development may help to improve the treatment children in this age group receive.     

Language Difficulty at School Entry and the Trajectories of Hyperactivity-Inattention Problems from Ages 4 to 11: Evidence from a Population-Representative Cohort Study

Latent growth curve modelling was used to contrast the developmental trajectories of hyperactivity-inattention (H-I) problems across childhood for children with a language difficulty at the start of school and those with typical language and to examine if the presence of a language difficulty moderates the associations of child, parent and peer predictors with these trajectories. Unconditional and language-status conditional latent growth curves of H-I problems were estimated for a large nationally representative cohort of children, comprising 1627 boys (280 - language difficulty) and 1609 girls (159 - language difficulty) measured at age 4 to 5, 6 to 7, 8 to 9 and 10 to 11. Multiple regression tested interaction between language status and predictors of the level and slope of the trajectory of H-I problems. On average, boy’s H-I behaviours showed temporal stability while for girls H-I decreased over time with a slower rate of decrease with age. For both boys and girls, the levels of H-I problems were persistently elevated for those with a language difficulty compared to their peers. Neither the shape nor rate of change of H-I problems were associated with language status. Child sociability predicted the rate of growth in H-I for boys with a language difficulty but not for other boys. Child prosocial behaviours and parental psychological distress predicted the rate of growth in H-I for girls with a language difficulty but not for other girls. Parental hostility was associated with the rate of growth only for boys with typical language. The findings indicate that having a language difficulty at school entry is associated with persistently higher levels of H-I problems across childhood and moderates the rate of their growth in some circumstances.