An observational study of emotionally disturbed and learning-disabled children in school settings

It has been alleged that populations of learning-disabled (LD) and emotionally disturbed (ED) children are essentially indistinguishable on important intervention-related symptoms. To examine this claim, a direct observation study of social interactions during class, lunch, and recess settings in two public schools was conducted. Teacher ratings of school behavior were also collected. The results indicated that the ED boys exhibited significantly more nonphysical aggression and noncompliance than the LD boys across settings, and that the LD boys had significantly higher rates of physical and non-physical aggression and immature behavior than the LD girls. The correlations between the observations and teachers' ratings were modest but consistent with previous studies. The results are discussed with regard to their assessment and treatment implications.This study was supported, in part, by a grant from the National Institute of Mental Health (MH30058). The authors wish to acknowledge the assistance of the following individuals: Patricia Grayson, James Fogarty, Merrill Zusmer, James Burke, Elizabeth Mulvihill, and the teachers from the Sayville and Premm Learning Centers (L. Fass, J. Gould, K. Jones, C. Lacey, B. Licking, S. Ott, S. Palmer, J. Thorpe, C. Wangenstein, D. Wayne, and L. Wetter). We also wish to thank Michael H. Epstein and Jan Loney for their helpful comments on an earlier draft of this paper.     

Psychotropic drug treatment among learning-disabled,educable mentally retarded,and seriously emotionally disturbed students

Psychotropic drug treatment in learning-disabled (LD), educable mentally retarded (EMR), and seriously emotionally disturbed (ED) children and adolescents receiving public school special education services was examined. The findings indicated that while treatment prevalence rates for EMR and ED groups were comparable, the rate for LD students was much lower. In the LD sample, pharmacotherapy was associated with higher ratings of behavioral deviance, longer placement in special education, less social integration, and greater peer rejection, which suggests that symptom severity is an important determiner of pharmacotherapy in this population.     

Reflection-impulsivity and information seeking in emotionally disturbed children

Forty-four emotionally disturbed children were administered the Matching Familiar Figures Test by one examiner after which the 13 most impulsive and 13 most reflective were chosen. A second examiner administered the Fixed Alternatives Question-Asking Game in whichSs sought information by asking questions that could be answered either yes or no. These questions were classified on a developmental basis; reflective children were found to employ more mature questions than did impulsive ones. Indirect comparisons between the present results and those obtained with normalSs were made.     

Reflection-impulsivity and academic attainment in emotionally disturbed children

Sixty-five emotionally disturbed children were administered the Matching Familiar Figures Test (MFF) and standard achievement tests. Significant correlations were obtained between MFF errors and achievement and Mental Age (MA) but not between MFF latencies and achievement and MA. Fifteen impulsive and fifteen reflective children, matched on MA and not differing on Chronological Age (CA), did not differ on their levels of academic achievement. However, the reflective group was found to be two grades above the impulsive group in actual grade placement. Results are discussed in terms of possible behavioral differences and their consequences for the individual.     

Quantitative difference in the experience of state-trait anxiety in emotionally disturbed and normal children

In order to investigate the state-trait anxiety distinction in emotionally disturbed and normal children, the responses of 120 emotionally disturbed children and 126 normal children to the State-Trait Anxiety Inventory for Children (Spielberger, 1973) were factor analyzed separately. For the emotionally disturbed group two A-State and two A-Trait factors were found with the A-State factors accounting for significantly more of the variance than did A-Trait factors. For the normal group four A-State and two A-Trait factors were found, but there was not a significant difference between the amount of variance accounted for by A-State and A-Trait factors. Results were discussed as supporting the state-trait distinction and as having several implications for future research on anxiety.     

Factor specific differences in locus of control for emotionally disturbed and normal children.

The Nowicki-Strickland Locus of Control Scale for Children was given to 20 normal and 20 emotionally disturbed children to investigate the differences between the two groups on self-reported locus of control. The locus of control score and scores for each separate factor were calculated. Separate analyses of variance indicated that emotionally disturbed children did not differ from normals on overall locus of control nor on four of the five factors. However, one factor, Helplessness, differentiated the two groups with emotionally disturbed children endorsing more Helplessness items. The results are discussed in terms of factor specific methodology and in regards to the clinical relevance of Helplessness as a key factor.     

The effects of stress on state and trait anxiety in emotionally disturbed,normal, and delinquent children

The effects of stress on trait and state anxiety of emotionally disturbed, normal, and delinquent children were assessed using the State-Trait Anxiety Inventory for Children (STAIC). This scale measures both transitory feelings of apprehension and tension that vary over time as a function of situational stress (A-State) and individual differences in the disposition to experience such anxiety states (A-Trait). Results indicated that A-State increased as a function of stress, whereas A-Trait was relatively stable and impervious to the temporary effects of stress. Use of the STAIC with normal and deviant populations was supported.     

Anxiety and locus of conflict in emotionally disturbed children

The State Trait Anxiety Inventory for Children (STAIC) and the Children's Manifest Anxiety Scale (CMAS) were administered to 50 emotionally disturbed children (40 males and 10 females). In addition, ratings on a Locus of Conflict Rating Scale were obtained from their special education teachers. Significant correlations were obtained between all anxiety measures. However, anxiety, as measured by the CMAS, A State and A Trait, was not significantly correlated with the ratings of internalization, externalization, or the total maladjustment index. Girls reported greater anxiety than boys on the CMAS and the STAIC A Trait scale, while boys were rated as significantly higher on the internalization and externalization scales, and in total maladjustment.     

WISC short forms with emotionally disturbed children

The complete WISC protocols of 100 emotionally disturbed children were rescored according to 30 selected-subtest and 1 selected-item methodologies and then compared for their correspondence to the standard form. High correlations between all of the short forms and the standard WISC were obtained. However, 16 of the selected-subtest short forms and the selected-item short form resulted in a significantly different mean than the standard. In addition, all short forms resulted in a high percentage of individuals changing IQ classification. Results are interpreted as indicating the inappropriateness of short forms with emotionally disturbed children when individual scores are of prime interest.     

Adaptive behavior in young children of emotionally disturbed women

Children of mentally-ill parents are population at increased risk for psychiatric disorder, and recent research has focused on the psychological development of these individuals. The Rochester Adaptive Behavior Inventory (RABI) was developed to measure the adaptive behavior of such high-risk children based upon a parental interview. Scales defining specific behavior spheres were reproduced in four samples of 30- and 48-month-olds. These scales differentiated high-risk children along dimensions of maternal psychopathology and social status. Global measures of maternal illness, such as severity of symptoms, proved to be more powerful than specific diagnosis. Race and socio-economic status also had a major impact on adaptive behavior. Implications of the data for high-risk theories of schizophrenia are discussed.     

Social perspective-taking skills in maltreated children and adolescents

The primary goal of this study was to assess the ability of maltreated school-age children and adolescents to understand the thoughts, feelings, and points of view of others. Level of egocentrism and social perspective-taking coordination were assessed in a group of 49 maltreated and 49 demographically matched nonmaltreated children. Twenty-six elementary and 23 high school students in each group were individually interviewed and their responses to hypothetical interpersonal situations coded for egocentricity and level of perspective-taking ability. The findings revealed that maltreated children and adolescents were more egocentric and delayed in their social perspective-taking development than their nonmaltreated peers and that they reported lower levels of global self-worth. However, differences within the group of maltreated children and adolescents emerged with regard to negotiating novel relationships, as those with fewer internalizing or externalizing symptoms exhibited better skills in this area than their peers who displayed more symptoms.