The Effectiveness of Parent Management Training — Oregon Model in
Clinically Referred Children with Externalizing Behavior Problems in The Netherlands.
Dadds et al. [94] pointed out that ERT could be added to usual intervention for
clinically referred children with high CU traits.
In the current study, temperament traits and psychopathology were assessed in 216 young
clinically referred children.
These last two theoretical models imply that associations between temperament traits and psychopathology could be different in
clinically referred children with emotional and behavioral problems compared to non-referred children in the general population.
Multiple regression analysis of fine - grained traits predicting internalizing problem behavior, corrected for externalizing problems, in
clinically referred children (N = 216)
Clinically referred children already display problematic behavior which could, directly or indirectly, influence their temperament traits as perceived by their parents.
Furthermore, on the same measures, a subset of 115
clinically referred children was compared to 115 age and gender matched children from the general population.
Verhulst et al. (1996) translated the CBCL into Dutch and collected norm data on 1,422
clinically referred children.
Studies on links between temperament traits and internalizing and externalizing problem behavior in young
clinically referred children are scarce, however.
Results also showed that temperamental impulsivity within surgency was more strongly related to externalizing problems in
clinically referred children compared to children from the general population, suggesting a vulnerability or a scar effect.
It is scored on social competence and behaviour problem scales.14 The scales were originally constructed from analyses of parent ratings of 2300
clinically referred children and normed on 1300 non-referred children.
Lastly, logistic regression analysis was used to determine associations between fine - grained temperament traits and (sub) clinical levels of comorbid internalizing and externalizing problem behavior (with T - scores > 61) in
the clinically referred children.
Little is known about which traits are associated with internalizing and externalizing problems in young
clinically referred children.
Therefore, this study investigated temperament traits and their associations with internalizing and externalizing problem behavior in young
clinically referred children and compared the strenghts of these associations to an age and gender matched general population sample.
After correction for internalizing behavior, more frustration, more impulsivity, more activity, less soothability and less inhibitory control were significantly associated with more externalizing problem behavior in the total group of
clinically referred children (Table 4).
This study aimed to examine broad and fine - grained temperament traits and their relation to psychopathology in young
clinically referred children, compared to general population children.
Possible differences in associations between
clinically referred children and general population children were determined.
However, in contrast to studies in general population children, there are few studies on the relation between temperament traits and internalizing and externalizing problem behavior in young
clinically referred children.
Caregivers of
the clinically referred children signed informed consent for using data for scientific research and knew that participation in the study would not influence treatment.
A questionnaire for screening a broad range of DSM - defined anxiety disorder symptoms in
clinically referred children and adolescents.
Furthermore, we examined which fine - grained temperament traits were associated with internalizing problems and with externalizing problems in
clinically referred children and whether these associations differed from those in general population children.
We propose that assessment of temperament in
clinically referred children may be of help when customizing diagnostic procedures and tailoring treatment interventions in early childhood.
Anxiety levels in
clinically referred children and their parents: Examining the unique influence of self - reported attachment styles and interview - based reflective functioning in mothers and fathers.
Temperament traits and psychopathology in young
clinically referred children compared to a general population sample.
The suggestion that hyperactive - impulsive traits may be linked with RRBs is an intriguing one and requires replication and further study, both in
clinically referred children and in the general population.
It is not known whether results would have been different with a sample of only
clinically referred children.
Not exact matches
In repeated RCTs with samples ranging from
clinically referred middle - class preschoolers to low - income Head Start preschoolers at risk for psychosocial adjustment, significant improvements have repeatedly been found one to two years following the intervention in promoting
children's prosocial adjustment and reducing
children's problem behaviours.
Parents of
clinically referred adolescents (n = 14, aged 11 — 18 years) who suffered from externalizing disorders (ADHD, oppositional - defiant or conduct disorder, and / or autism - spectrum disorder) followed an 8 - week, one - group session a week of 1.5 - h mindful parenting course, while their
children followed a parallel mindfulness course for themselves (in a separate group also eight sessions of 1.5 h).
Clinically, I can't think of a better way to intervene when
children are
referred for therapy.
In a large sample of
clinically -
referred children in practice settings who had depression, anxiety or conduct disorders, a modular approach that allowed clinicians to apply treatment procedures flexibly and in different sequences — including individual CBT for depression or anxiety or parent training for conduct disorders — was associated with steeper trajectories of symptom improvement than standardised CBT or usual care.10 In the case of bipolar disorder, implementing individual, family or multifamily treatment protocols flexibly may lead to greater engagement of parents and
children and lower treatment costs.
In repeated RCTs with samples ranging from
clinically referred middle - class preschoolers to low - income Head Start preschoolers at risk for psychosocial adjustment, significant improvements have repeatedly been found one to two years following the intervention in promoting
children's prosocial adjustment and reducing
children's problem behaviours.
Second, relations between the broad temperament dimensions (negative affectivity, surgency, and effortful control) and externalizing and internalizing problem behaviors were examined and compared between
clinically referred and general population
children by using multigroup path analyses in M - plus 6.11 [34].
The
clinically referred sample consisted of 216
children, age 3.00 — 7.33 (M 4.35, SD 0.89), 81 % boys.
In a small
clinically referred sample of preschool
children, high levels of negative affectivity were found to be associated with symptoms of anxiety, reflecting internalizing problems [29], but no comparison was made with general population
children.
This finding indicates that the association between surgency and externalizing problem behavior differs between
clinically referred and general population
children.
Temperament traits and comparison of
clinically referred (N = 115) and general population
children (N = 115)
In the
clinically referred group there were significant more
children with non-western ethnicity than in the non-
referred general population group, although birth countries were missing especially in the population sample [24 (21 %) missings compared to 2 (2 %) in the
referred sample].
Seventy - six parents completed the Credibility / Expectancies Questionnaire — Parent Version (CEQ - P), and subsequently participated in treatment for their
child's
clinically referred conduct problems.
Psychiatric comorbidity and functioning in
clinically referred preschool
children and school - age youths with ADHD
Internalizing symptoms and affective reactivity in relation to the severity of aggression in
clinically referred, behaviour - disordered
children