Eyberg Child Behavior Inventory (ECBI): Normative data,psychometric properties,and associations with socioeconomic status in Finnish children

Assessment of behavioral disorders is one of the most commonly encountered tasks in child psychiatry. The Eyberg Child Behavior Inventory (ECBI) is a widespread measurement tool used for assessing conduct problems, though the psychometric properties of the tool have varied in different samples. In this study, the ECBI was evaluated in a Finnish population based sample of children aged 4 to 12 years (n = 1,715). Factor structure and internal consistency of the ECBI and associates of behavioral problems in Finnish children were evaluated. The results showed that a unidimensional one‐factor solution for the ECBI intensity scale was the best fit for the data. The ECBI mean scores were considerably higher in our sample compared to other Nordic countries. Boys scored higher than girls on both ECBI scales, and the mean scores decreased with child's age. Socioeconomic status (SES) was weakly connected to the ECBI scores. Our results highlight the need for country specific reference norms in order to improve the clinical utility of evidence‐based measures for assessing conduct problems.     

Mothers' and fathers' negative responsibility attributions and perceptions of children's problem behavior

Parents' negative responsibility attributions about their child's misbehavior are related to a perception that the child has more behavior problems. This study used a dyadic framework to explore how mothers' and fathers' attributions relate to their own perceptions and to their partner's perceptions of the child's externalizing problems. Participants included 102 couples interviewed when children were 7 years old. Results confirmed that mothers reported more externalizing behavior problems in their children than did fathers, and fathers of boys reported more child behavior problems than fathers of girls. Dyadic analyses suggested that parents' negative responsibility attributions of the child's behavior were associated with greater perceptions of child externalizing problems on behalf of parents and their partners.     

Further Analysis of the Discriminate Validity of the Parenting Scale

The psychometric properties of the Parenting Scale (PS), a measure employed to identify use of dysfunctional strategies for managing child misbehavior, were examined. Parents of 75 children ages 2 to 12 (45 in the clinic-referred and 30 in the community sample group) completed the PS and a measure of child misbehavior. Mean scores were significantly higher for parents in the clinic-referred group on the PS Total, Laxness, and Overreactivity scales. However, there were no between-group differences in the number of parents who scored at or above a cutoff score designed to identify “clinical significance” on any PS scale. Reported parenting strategies were associated with reported child misbehavior regardless of group status; associations were not stronger depending on referral status. Results support the ability of the PS to discriminate between referred and community sample families. However, the PS scales were not precise in identifying clinically significant variations in parenting practices. Portions of this work were presented at the 2004 convention for the Association for the Advancement of Behavior Therapy, New Orleans, LA.     

Parent–child interaction therapy (PCIT) in young children with autism spectrum disorder

Abstract

Parent–child interaction therapy (PCIT) is an evidence-based treatment for typically developing children with disruptive behavior. We conducted a randomized-controlled trial of PCIT versus wait-list control (WLC) with 23 children with ASD (3–7?years) and disruptive behavior. Over 16 treatment sessions, PCIT significantly predicted reductions in disruptive behavior over WLC and explained a significant variation in scores on the ECBI Intensity subscale. Additionally, parent skills improved significantly compared to WLC. However, no statistically significant group differences were found on child compliance rates, autism severity, or parental stress. Results support PCIT as an evidence-based treatment for disruptive behavior in ASD.

• Highlights

• Parent skills were significantly improved for those receiving PCIT

• Intensity of disruptive behaviors decreased significantly for those receiving PCIT

• Parental stress and autism severity did not significantly decrease with PCIT

     

Dutch Norms for the Eyberg Child Behavior Inventory: Comparisons with other Western Countries

The Eyberg Child Behavior Inventory (ECBI) is one of the most widely used and well-validated parent rating scales for children’s disruptive behavior. This screening instrument is a short, targetted and easy to implement inventory with good psychometric properties and is normed for different countries, among which the United States, Spain, Sweden and Norway. The ECBI has been successfully used for research and clinical purposes, in several countries including The Netherlands. To date, Dutch studies have relied on Scandinavian or US norm scores. However, this may be problematic because of cross-cultural differences in the degree to which certain behaviors are seen as problematic by parents. The main goal of this paper therefore was to obtain norm scores for The Netherlands among 6462 Dutch children aged 4 to 8 years (M _age?=?6.37 years; SD?=?1.32; 50.6% boys). In line with previous research, we found small differences on the mean sum scores across children of different ages (intensity scale) and gender (intensity and problem scale). Therefore, Dutch norm scores were provided age- and gender specific. Our results showed that disruptive behavior of children in the most rural areas was reported as occurring less frequently and was seen as less problematic by parents compared to the disruptive behavior of children in less rural areas. Finally, we found that Dutch norm scores on the ECBI were significantly lower than US norm scores, and significantly higher on the intensity scale (but not the problem scale) than Norwegian and Swedish norm scores.     

Psychoeducational Psychotherapy and Omega-3 Supplementation Improve Co-Occurring Behavioral Problems in Youth with Depression: Results from a Pilot RCT

This pilot randomized controlled trial (RCT) investigated benefits of omega-3 fatty acid supplementation and Individual-Family Psychoeducational Psychotherapy (PEP; a family-focused, cognitive-behavioral therapy) for behavior problems among youth with depression. Participants aged 7–14 with DSM-IV-TR depressive disorders (N = 72; 56.9 % male) were randomized to 1 of 4 treatment conditions: PEP + omega-3, PEP monotherapy (with pill placebo), omega-3 monotherapy, or placebo (without active intervention). At screen, baseline, and 2, 4, 6, 9, and 12 weeks post-baseline, parents completed the SNAP-IV, which assesses attention-deficit/hyperactivity disorder symptoms, oppositional defiant disorder symptoms, and overall behavior problems. At screen, baseline (randomization), 6 and 12 weeks, parents completed the Eyberg Child Behavior Inventory (ECBI), which includes Intensity and Problem scales for child behavior problems. Youth who had a completed SNAP-IV or ECBI for at least two assessments during treatment (n = 48 and 38, respectively) were included in analyses of the respective outcome. ClinicalTrials.gov.:NCT01341925. Linear mixed effects models indicated a significant effect of combined PEP + omega-3 on SNAP-IV Total (p = 0.022, d = 0.80) and Hyperactivity/Impulsivity trajectories (p = 0.008, d = 0.80), such that youth in the combined group saw greater behavioral improvement than those receiving only placebo. Similarly, youth in combined treatment had more favorable ECBI Intensity trajectories than youth who received no active treatment (p = 0.012, d = 1.07). Results from this pilot RCT suggest that combined PEP + omega-3 is a promising treatment for co-occurring behavior symptoms in youth with depression.     

Establishing Norms on the Eyberg Child Behavior Inventory to Identify Disruptive Behaviors in Taiwanese Children

Abstract

Like other cultures, measures to accurately and sensitively assess and treat disruptive behaviors in Taiwanese children are necessary. This research provides normative and psychometric data (i.e., item-total correlations, split-half coefficients, internal consistency, and internal validity) on the Eyberg Child Behavior Inventory (ECBI), including clinical cut-off scores, with a Taiwanese community sample. The results suggest that the ECBI may be helpful in screening for disruptive behaviors in Taiwanese children, which may allow for appropriate prevention and intervention efforts. Although results are comparable to other research, cultural differences do exist, thereby highlighting the importance of cultural considerations in assessing child behavior, irrespective of country of treatment.     

Preliminary Validity of the Eyberg Child Behavior Inventory with Taiwanese Clinic-Referred Children

The Eyberg Child Behavior Inventory (ECBI) has previously been shown to be a psychometrically sound instrument used to assess disruptive behaviors in children in the United States and in other cultures/countries but not in Taiwan. The purpose of this study was to examine the factor structure and to establish the discriminative validity of the ECBI with two groups of Taiwanese children: 70 clinic-referred children with clinically elevated externalizing behavior problems and 70 community-based matched comparison children. Exploratory factor analyses resulted in a six-factor model for the clinic-referred sample and a five-factStrengths and Difficultieor model for the matched comparison sample, indicating that the ECBI is not unidimensional. Adequate convergent and divergent validity also were established between the ECBI Intensity and Problem Scales and another measure of child externalizing (for assessing convergent validity) and internalizing (for determining divergent validity) behavior. The results of the present study suggest that the ECBI is a valid measure of assessing externalizing behavior problems in Taiwanese children. Future research may seek to refine the factor structure of the ECBI in a Taiwanese sample. Future studies are also needed to examine other psychometrics of the ECBI, replicate this study with a larger sample, and establish its normative data in Taiwan.     

In the Eye of the Beholder? Parent-Observer Discrepancies in Parenting and Child Disruptive Behavior Assessments

This study examined parent-observer discrepancies in assessments of negative child behavior and negative parenting behavior to shed more light on correlates with these discrepancies. Specifically, we hypothesized that informant discrepancy between observers and parents on child behavior would be larger when parents reported high levels of negative parenting (and vice versa) because high levels of these behaviors might be indicators of negative perceiver bias or patterns of family dysfunctioning. Using restricted correlated trait–models, we analyzed cross-sectional observation (coded with the Dyadic Parent-Child Interaction Coding System) and survey data (Eyberg Child Behavior Inventory and Parenting Practices Interview) of 386 Dutch parent-child dyads with children aged 4–8 years (M_age = 6.21, SD?=?1.33; 55.30% boys). Small associations between parent-reported and observed child and parenting behavior were found, indicating high discrepancy. In line with our hypothesis, this discrepancy was higher when parents self-reported more negative parenting or more negative child behavior. Parent-observer discrepancy on negative child behavior was also predicted by child gender. For boys parents reported higher levels of negative child behavior than were observed, but for girls parents reported lower levels of negative child behavior than were observed. These findings suggest that informant discrepancies between observers and parents might provide important information on underlying, problematic family functioning and may help to identify those families most in need of help.     

The (Neglected) role of the father in Children's mental health

BackgroundAlthough the bulk of the literature on child development, historically, has focused on the significant role of the mother, less attention has been given to that of the father. Therefore, more attention has been given to fathers’ roles in the last 20–30 years.AimThe aim of the current review was to explore the role of the father on a child's development.MethodsAn extensive literature search using 'Psycharticles', ‘PsychInfo’, and ‘Google Scholar’ databases using terms like 'father's role', 'child/children's', 'child development', and 'mental health' was conducted to achieve the objective of the study.ResultsFathers were found to play a significant role in nurturing their children. Fathers are considered to be important for the development of the child's autonomy, the shaping of gender identity, and the development of the moral system of the child. Usually, he is the one who establishes the feeling of security in the child's mind. He is considered to be the protector and defender of the family Freud's position is that the father is the symbol of security, power, and authority for the child.ConclusionAlthough the original aim of the research was to draw a line between parents' roles in the family and shed light on the father's role, the findings suggest that the fundamental concept in nurturing children depends on the complementary roles of parents as children need their parents equally.     

The role of a parent's illness in the emotional experience of a child evidence from Klein's Narrative of a child analysis

Abstract

The analysis of Richard, described by Melanie Klein in Narrative of a Child Analysis, gives us some insight into the effect on a child of threats to the health of his parents. His mother was involved in a road accident when Richard was 2; his father collapsed during the time of the analysis when he was 10. This paper links these events with disturbances in Richard's relation to his father and to his mother, as well as with threats to his own integrity, as demonstrated in the analysis. Richard's reversal of roles with his father and mother is discussed, as are Klein's reaction to Richard's report of finding his father ‘ill and nearly fainting’ and Richard's response to her behaviour. The paper draws attention to the way in which a child's reaction to the ill health of one parent can affect relations with both parents, as well as disturbing his sense of himself.     

Pathological nurturance: The root of marital discord

Abstract

During the process of Adlerian Family Education, a great deal of attention is given to understanding the dynamics of the family constellation, especially sibling ordinal position and family atmosphere. The first step in interviewing a “teaching-demonstration” family is to diagram the family constellation and make some tentative guesses regarding how the children in the family have “found their place,” gained a sense of belonging, and exhibited possible adjustment problems or misbehavior. Audience participants are encouraged to share in this stochastic process based upon knowledge gained in observing previous family education sessions. Then the parents being interviewed either confirm or revise the guesses presented. At this point the parents generally specify their primary concerns, which typically involve the “misbehavior” of their “problem child.” In helping parents understand children and their misbehavior, the family educators quickly point out that it is necessary for them to understand the whole context of the family and that the Family Education Center program is designed to improve not only the “identified problem” child but the relationships between all members of the family (Dreikurs, et al., 1959, p. 23).     

TEACHING CHILD-CARE SKILLS TO MOTHERS WITH DEVELOPMENTAL DISABILITIES

The present study identified and remediated child-care skill deficits in parents with developmental disabilities to reduce their risk of child neglect. Eleven mothers with developmental disabilities who were considered by social service and child welfare agencies to be providing neglectful child care were found in baseline to have several important child-care skill deficits (e.g., bathing, diaper rash treatment, cleaning baby bottles) compared to nonhandicapped mothers. Parent training (consisting of verbal instructions, pictorial manuals, modeling, feedback, and reinforcement) resulted in rapid acquisition and maintenance of child-care skills in all mothers. Mean percentage correct scores increased from 58% in baseline to 90% in training and 91% in follow-up (M = 31 weeks). The latter two scores compare favorably to the mean score (87%) of 20 nonhandicapped mothers on the same skills. Where observable, parent training was associated with corresponding benefits to the children (e.g., elimination of diaper rash and cradle cap, increased weight gain, successful toilet training). These results indicate that parent training may be a viable option to the removal of the child from the home when parenting skill deficits place the child's well-being in jeopardy.     

Youth sport participation and parental mental health

ObjectivesThe purpose of this exploratory study was to investigate the relations of having a child involved in youth sport and primary (i.e., parent that knows the child best) and secondary parents' mental health.DesignParents from Wave 7 of the Longitudinal Study of Australian Children reported their child's involvement in organised youth sport and self-reported measures of mental health. A total of 3192 primary (M = 43.04 years, SD = 8.75), and 2794 secondary (M = 46.13 years, SD = 6.16) parents of adolescent children were enrolled in the study. To investigate differences by type of sport participation, sport participation was grouped into one of four categories: non-participation; individual sport only; team sport only; both team and individual sport. Measures of days per week and hours per day of participation were also used to examine the relationship between sport participation and parental mental health.ResultsParents with adolescents involved in organised sport reported more life stress, more time pressure, and less psychological distress than parents of non-athletes. Stronger effects appeared in primary parents in comparison to secondary parents.ConclusionThe findings suggest an important relationship with respect to having a child involved in organised sport and parents' mental health. We encourage future scholars to explore potential protective mechanisms' (e.g., opportunities to socialise) of having a child in youth sport for the benefit of parents' mental health.     

Sensory curation: theorizing media use for sensory regulation and implications for family media conflict

ABSTRACT

Media sensory curation theory, introduced here, complements theories of informational, emotional, and relational media gratifications. Sensory curation theory conceptualizes media devices as tools people use to help maintain sensory regulation by simultaneously capturing and curbing sensory input within built and natural environments. This article explicates the theory and introduces the Child and Adult Media Sensory Curation Inventories (MediaSCIs), separate measures of child and adult media sensory behaviors and preferences. A survey of 789 parents and adult caregivers of children ages 3 to 14 revealed moderate to strong correlations between general sensory processing and media sensory curation, validating the MediaSCIs. Controlling usage time, child media sensory curation strongly predicted problematic child media use and moderately predicted adult–child media conflict, which was four times as frequent among adult–child pairs with high MediaSCI scores than with low MediaSCI scores.     

Child's Physical Activity Lapses: Parents' Intended Use of Social Control1

This study explored parents' intention to use social control following a hypothetical lapse in their child's activity. Also examined was the role of parent and child activity as predictors of parental social control use. Parents (N = 140) were presented with 2 activity lapse vignettes (health consequences and no health consequences) and reported their intention to use social control after reading each. Results revealed greater parental intention to use social control following the health‐consequences lapse. Active parents reported greater intentions of using positive and collaborative social control tactics. Findings provide preliminary evidence that parents, especially those who are active, may attempt to regulate their child's activity following a failure to engage in a health‐enhancing behavior (i.e., lapse in physical activity).     

The Relationship Between Leadership Behaviors and Group Cohesion in Team Sports

The relationship between leadership behaviors and team cohesion among baseball and softball players at two school levels was analyzed in relation to predictions based on Chelladurai and Carron's (1978) Multidimensional Model of Leadership (MML). Athletes (n = 307) completed the perceived and preferred versions of the Leadership Scale for Sports (LSS) and the Group Environment Questionnaire (GEQ). Athletes' coaches (n = 23) completed the self-perceived version of the LSS. Task and social cohesion were assessed in relation to the scales of the three individual versions of the LSS and in relation to two types of discrepancy scores: value and perceptual. Although the concept of discrepancy is prominent in MML theory, the perceptual discrepancy score represents an innovation. Results indicated that, in general, team cohesion was most strongly related to the perceived LSS version and the perceptual discrepancy scores.     

Factors associated with parent labeling of children referred for conduct problems

Clinicians have suggested that in some cases normal children have been inappropriately labeled as deviant by their parents and taken to psychological clinics for treatment. Reasons given for such inappropriate labeling have included factors such as the parents' marital distress and intolerance of normal child behavior. This study provided an empirical examination of the appropriateness or inappropriateness of parent labeling of 5–12-year-old children referred by their parents for treatment of conduct problems. The definition of inappropriate labeling derived by the present investigators required that the relationship between the child's actual behavior and the parent's negative label be so imperfect as to raise questions about the justification for the label, and that some identifiable factors other than the child's behavior account for the negative label. Three parent factors evaluated for their contribution to the parent negative label were marital distress, parent negative behavior toward the child, and parent distress about child deviant behavior. The statistical model of hierarchical multiple regression permitted analysis of this definition. The association found between observed child deviant behavior and the parent negative label suggested that parents of this sample perceived their children reasonably accurately. The three parent factors were found to be negligibly related to the parent label. Therefore, the conditions for inappropriate labeling of the children by the parents of this sample were not met.     

Childhood nocturnal enuresis: The prediction of premature withdrawal from behavioral conditioning

Predictors of premature withdrawal from a 12-week program of behavioral conditioning for childhood nocturnal enuresis were examined for 47 children treated at a university outpatient clinic. All children were administered the Piers-Harris Children's Self-Concept Scale; parents completed the 55-item Behavior Problem Checklist and the Tolerance Scale for Enuresis. Parents also reported the methods (i.e., random awakening, restriction of fluids, rewards,punishment, medication, other) previously used to control their child's wetting. A stepwise discriminant function analysis revealed that the function containing number of previous techniques used, presence of child behavior problems, and parent tolerance of enuresis was a significant predictor of early termination of treatment.     

Protective Parenting After the Death of a Child

Abstract

Parents in 18 of 21 couples who parented other children following a child's death said that they became more protective parents after the death. In intensive interview, the parents said that the greater protectiveness was rooted in a greater awareness of child vulnerability and of their own vulnerability to child loss. The protection took many forms, including greater vigilance, more rapid response to any sign of trouble, concealing parent grief, and subordinating personal needs in order to benefit the child. Protection or overprotection seemed typically to occur in a system in which children collaborated in their own overprotection and parents were more child focused and less spouse focused