Classroom behavior and children with mental retardation: Comparison of children with and without ADHD

Thirty-four children (ages 6–12 years) with moderate to borderline mental retardation were studied in a laboratory classroom setting to determine whether children identified as having attention deficit hyperactivity disorder on the basis of Conners Questionnaires differed in classroom behavior. Half of the children scored 15 or greater on both the Parent and Teacher Conners; the remaining children scored 11 or less. All were participants in a Saturday Education Program serving children with mental retardation. Direct observation of the laboratory classroom documented significant differences between groups on measures of on-task behavior and fidgetiness, especially during situations where little direct teacher feedback or supervision was available. Saturday Education Program staff, while blind as to group designation, rated the two groups as differing significantly on all scales of two standardized behavior problem checklists. Checklists by parents and teachers appear to be valid measures of classroom behavior of children with moderate to borderline mental retardation.This research was supported by a grant to the first author from the National Institutes of Child Health and Human Development, U.S. Department of Health and Human Services, grant No. 1R29HD26186-01A1. The authors gratefully acknowledge the assistance of the staff of Children's Hospital of Pittsburgh's Saturday Education Program: Nancy Hall, Aimee Hart, Phyllis Loeffler, Robin Nelson, Christina Poljak, Kelley Sacco, Sarah Stewart, and Mary Zuberbuehler.     

Generating inferences from written and spoken language: A comparison of children with visual impairment and children with sight

The two experiments reported here investigated the ability of sighted children and children with visual impairment to comprehend text and, in particular, to draw inferences both while reading and while listening. Children were assigned into ‘comprehension skill’ groups, depending on the degree to which their reading comprehension skill was in line with that predicted by their decoding skill. They then read (either print or Braille) and listened to a series of novel short stories. These were followed by a series of questions, which required either the generation of inferences, or an answer that could be taken literally from the text. The results suggest that children with and without sight are comparable in their ability to draw inferences, and that children with visual impairment show an advantage for literal questions under auditory presentation.     

Attentional bias toward fear-related stimuli: an investigation with nonselected children and adults and children with anxiety disorders

Research investigating anxiety-related attentional bias for emotional information in anxious and nonanxious children has been equivocal with regard to whether a bias for fear-related stimuli is unique to anxious children or is common to children in general. Moreover, recent cognitive theories have proposed that an attentional bias for objectively threatening stimuli may be common to all individuals, with this effect enhanced in anxious individuals. The current study investigated whether an attentional bias toward fear-related pictures could be found in nonselected children (n=105) and adults (n=47) and whether a sample of clinically anxious children (n=23) displayed an attentional bias for fear-related pictures over and above that expected for nonselected children. Participants completed a dot-probe task that employed fear-related, neutral, and pleasant pictures. As expected, both adults and children showed a stronger attentional bias toward fear-related pictures than toward pleasant pictures. Consistent with some findings in the childhood domain, the extent of the attentional bias toward fear-related pictures did not differ significantly between anxious children and nonselected children. However, compared with nonselected children, anxious children showed a stronger attentional bias overall toward affective picture stimuli.     

Seismic preparedness of families with children: Measures and dynamics

Earthquakes are unpredictable events, thus seismic preparedness of households should be fostered, considering the specific needs of each family. Children, for example, are particularly vulnerable to disasters and to the effects of their consequences, but can also act as promoters of preparedness within families. Being part of a wider research, this qualitative study intends to better understand seismic preparedness within families with children in S. Miguel, the largest and most populated island of the volcanic archipelago of the Azores. Two semi-structured interviews were conducted. The first interview was conducted with 125 family representatives, addressing their current preparedness measures. From these representatives, 105 families that had non-existent or insufficient preparedness were selected for a second interview. In the time between the two interviews, the families were instructed to develop seismic preparedness measures. The process of development of these measures was also assessed. Data were analysed using content analysis and frequency analysis. Results point to low levels of preparedness, both at the time of the initial interview and developed subsequently, and families adopted few preparedness measures specifically targeting their children's needs. The results highlight, therefore, that household seismic preparedness should be promoted, with clear indications regarding preparedness specifically for families with children.     

Families and children with hearing loss: grief and coping

Parental coping with the diagnosis of their child's hearing impairment has not received a great deal of research attention, despite the evident importance of it. Parental coping has been changing with the inception of newborn screening as we move from a parent-initiated model of diagnosis to an institution-initiated model. Coping now begins without any preparation, and without any time for parents to "enjoy" their child as "normal." The grief models, based on the death experience, usually employed to describe parental reactions to the diagnosis may also be inappropriate. Death grief is terminable whereas parental grief is chronic. There is not sufficient research on the long-term effects of chronic grief and how that impacts on parent-child bonding. There is evidence that our screening endeavors have far outstripped our habilitation efforts, leaving parents with a diagnosis but without support. This gap must be closed.     

Threat interpretation in anxious children and their mothers: comparison with nonclinical children and the effects of treatment

Interpretation biases towards threat play a prominent role in cognitive theories of anxiety, and have been identified amongst highly anxious adults and children. Little is known, however, about the development of these cognitive biases although family processes have been implicated. The current study investigated the nature of threat interpretation of anxious children and their mothers through (i) comparison of a clinic and non-clinic population, (ii) analysis of individual differences; and (iii) pre- and post-treatment comparisons. Participants were 27 children with a primary anxiety disorder and 33 children from a non-clinic population and their mothers. Children and mothers completed self-report measures of anxiety and indicated their most likely interpretation of ambiguous scenarios. Clinic and non-clinical groups differed significantly on measures of threat interpretation. Furthermore, mothers' and children's threat interpretation correlated significantly. Following treatment for child anxiety, both children and their mothers reported a reduction in threat interpretation.     

Cognitive-behavior therapy with children: Developmental reconsiderations

The present paper reconsiders the role of developmental theory in the use of cognitive-behavior therapy (CBT) with children. The implication of Piaget's theory of cognitive development and Selman's social perspectivetaking theory are reviewed briefly in regard to CBT. It is argued that the assessment of both logical/analytical thought structures and social perspective-taking abilities may be useful in planning a course of CBT with children.Andrew Kinney, Ph.D., is an Associate Fellow at the Institute for Rational-Emotive Therapy, New York City. He is an Assistant Professor of Psychology at Mohawk Valley Community College, Utica, NY, and an Adjunct Lecturer of psychology at the State University of New York Institute of Technology at Utica/Rome, NY.     

Case study: Research with brain-dead children

The esophageal obturator airway (EOA) is a device used throughout the United States to facilitate artificial respiration of critically ill patients who are not hospitalized. Its use is restricted to persons who are over 15 years old because obturators for children are not available. A protocol submitted to an institutional review board (IRB) intended to develop EOAs suitable for use in children. The investigators proposed to perform preliminary testing of these devices on children who had sustained irreversible loss of brain function (“brain death”). In its review of this protocol, the IRB had to confront several vexing questions.     

Evaluation of psychoanalytic psychotherapy with children: Therapists' assessments and predictions

Meaningful and clinically relevant evaluation of psychoanalytical psychotherapy requires new models for research. Such evaluation needs to take account of the complexities of personality and innerworld change as well as the more simply assessed changes in external behaviour.

A pilot study to develop a suitable methodology is described. These preliminary results are on a consecutive series of twenty in care and adopted children entering psychotherapy at the Tavistock Clinic. The project evolved from a previous study of psychotherapy with severely deprived children (Boston & Szur 1983), but the method could be used with any group of children in psychoanalytic psychotherapy, and possibly also, in an adapted form, with adults.

Therapists' initial aims and predictions are compared with later assessments of both external, and a wide range of internal, changes. Methods of validation are discussed and case-illustrations given.     

Preschool children with externalizing behaviors: Experience of fathers and mothers

Childhood behavior disorders are related to family stress and maladjustment. Little is known, however, about the adjustment of families with preschool-aged children at risk for subsequent behavior disorders. Moreover, fathers' perceptions of child problem behavior and their reactions to it generally have been neglected. Subjects were mothers and fathers of 52 preschool-aged children assigned to one of three groups: control, moderate externalizing, and high externalizing. Higher child externalizing behavior was associated with greater negative family impact, lowered parenting sense of efficacy, and child-rearing practices that were more authoritarian and less authoritative. Mothers and fathers did not differ in actual perceived level of child behavior problems, although both believed that mothers saw more problems. Child Group × Parent interactions indicated that mothers experienced increased stress and a need for help with moderate as well as high child externalizing behaviors, whereas fathers were not elevated on these measures unless the child's externalizing behaviors were high. Implications of these findings for early family intervention are considered.This study is part of the Preschool Project, conducted at UCLA's Fernald Child Study Center, Co-PIs Bruce L. Baker and Barbara Henker. We appreciate the involvement of Barbara Henker, Erin Gallagher, Laurel Smith, and Terry Webster. We also appreciate the very helpful anonymous feedback from the two journal reviewers.     

Siblings of children with mental retardation: Family characteristics and adjustment

Siblings of children with mental retardation may be at greater risk for adjustment problems because of family stress related to the needs of the child with mental retardation. Family dimensions were investigated to determine their relationship to sibling adjustment. Adjustment of 12 siblings of children with mental retardation was examined in relationship to family dimensions. These relationships were compared to those for children from families without a disabled child. For both groups, self concept was positively associated with family cohesion, and social competence was positively associated with family promotion of independence. For only the siblings of the mentally retarded children, family conflict was inversely related to social competence, and family organization was positively related to sibling self concept. Our results suggest that family conflict and disorganization appear to have a more negative effect in families with a child with mental retardation.     

Cross-cultural comparison of personality: Hungarian children and english children

1150 Hungarian boys and 1035 girls were given the Junior Eysenck Personality Questionnaire translated into Hungarian. Product-moment correlations were factored by principal components methods, rotated by Varimax and then obliquely by Promax. Thirteen extra items, added for substitution if necessary, were included in this analysis. Very close agreement between the responses of British and Hungarian children were found for the Lie or Social Desirability scale, good agreement for Extraversion but less satisfactory agreement for Neuroticism and Psychoticism items. It is argued that the strength of the Lie score could well have interfered with the true responses for the other dimensions. Means and standard deviations for British and Hungarian children are given on scales comprised of items both groups have in common on their respective scoring keys, this being the only way the means can be compared.     

Receptive vocabulary and semantic knowledge in children with SLI and children with Down syndrome

Receptive vocabulary and associated semantic knowledge were compared within and between groups of children with specific language impairment (SLI), children with Down syndrome (DS), and typically developing children. To overcome the potential confounding effects of speech or language difficulties on verbal tests of semantic knowledge, a novel task was devised based on picture-based semantic association tests used to assess adult patients with semantic dementia. Receptive vocabulary, measured by word-picture matching, of children with SLI was weak relative to chronological age and to nonverbal mental age but their semantic knowledge, probed across the same lexical items, did not differ significantly from that of vocabulary-matched typically developing children. By contrast, although receptive vocabulary of children with DS was a relative strength compared to nonverbal cognitive abilities (p < .0001), DS was associated with a significant deficit in semantic knowledge (p < .0001) indicative of dissociation between word-picture matching vocabulary and depth of semantic knowledge. Overall, these data challenge the integrity of semantic-conceptual development in DS and imply that contemporary theories of semantic cognition should also seek to incorporate evidence from atypical conceptual development.     

Differences between children with attention deficit disorder,children with specific learning disabilities,and normal children

The study investigated the power of five measures to differentiate between children with Attention Deficit Disorder (ADD), children with Specific Learning Disabilities (SLD), and normal children. The measures employed were the Conners Parent Questionnaire (CPQ), the Conners Teacher Questionnaire (CTQ), the Matching Familiar Figures Test (MFFT), the Porteus Mazes Test (PMT), and the Jumbled Numbers Game (JNG). The results indicated that the Conners Parent Questionnaire, Conners Teacher Questionnaire, Matching Familiar Figures Test, and the Porteus Mazes Test significantly discriminated between groups. The Conners Questionnaires were able to discriminate between all three groups and the MFFT and PMT were able to discriminate between ADD and normal children. A discriminant analysis indicated that the CPQ was the best predictor of group membership, followed in order by the CTQ PMT, and MFFT.