Not exact matches
In support of this model, multiple studies have shown the association between infant negative reactivity and later
psychosocial outcomes
such as
problem behaviour and self - regulation to be moderated by parental behaviour, so that highly reactive children fare better than others when they experience optimal parenting but worse than others when they experience negative parenting.41 - 46 Further support is found in studies indicating that interventions targeting parental attitudes and / or behaviours are particularly effective for children with a history of negative reactive temperament.47, 49
The
psychosocial outcome receiving the most attention from researchers is
problem behaviour, with most studies finding perceived negative reactivity in infancy to predict
problem behaviour in childhood33, 34 and adolescent.35 Specifically, infants prone to high levels of fear, frustration, and sadness, as well as difficulty recovering from
such distress, were found to be at increased risk for internalizing and externalizing
problem behaviours according to parental and / or teacher report.
Other potential contributing factors may include cognitive changes,
such as a lessened ability to discern a person's trustworthiness, and
psychosocial problems, including loneliness or depression.
Previous research has linked
psychosocial risk factors like stress, anger, and hostility to increased risk of health
problems such as heart attacks, stroke, and high blood pressure.
Current ADHD clinical practice guidelines recommend evaluating for other conditions that have similar symptoms to ADHD,
such as disruptive behaviors, impulsivity, and issues with memory, organization and
problem - solving, but few pediatricians routinely ask about
psychosocial factors that could be effecting a child's health during ADHD assessment.
Consistent with studies on the
psychosocial adjustment of children with other chronic diseases (Lavigne & Faier - Routman, 1992), children with PRDs are at an increased risk for adjustment
problems, particularly internalizing
problems such as anxiety and depression, compared to healthy or normative controls (Billings, Moos, Miller, & Gottlieb, 1987; Daltroy et al., 1992; Daniels, Moos, Billings, & Miller, 1987; McAnarney, Pless, Satterwhite, & Friedman, 1974; Wallander, Varni, Babani, Banis, & Wilcox, 1989).
In relapse prevention pharmacotherapies for the treatment of addiction
problems, the effects on outcome are modest compared with other influences (
such as patient characteristics, active follow - up and social stability) 1 and complicated by the effects of
psychosocial interventions that are always recommended alongside any prescribing.2
Again,
such needs would include consistent, responsible parenting and increased external controls for children and young people who were presenting with
problem - solving, anger control and a range of other learning,
psychosocial and behavioural
problems.
A method to improve the primary care pediatrician's ability to recognize and appropriately refer children with behavioral or
psychosocial problems is to systematically screen all children with a standardized instrument designed for this purpose.16, 21 One
such screening tool, developed by Jellinek and Murphy, 22 is the 35 - item Pediatric Symptom Checklist (PSC), designed specifically for use by the pediatrician to screen for mental health
problems in children ages 4 to 16 years in the primary care setting.
Only a limited number of well - validated screens suitable for use in primary care for broad screening of family
psychosocial risk and family support and functioning are available, although a few show promise.54 — 56 There are screening measures for specific
psychosocial stressors,
such as maternal depression, and these have been shown to be feasible in pediatric settings.57, 58 Family screening for
psychosocial risk within pediatric settings, however, raises a number of dilemmas, including concerns about liability and payment and who is responsible for an adult's well - being after a
problem is detected.59
Depression and attachment insecurity of the primary caregiver and more distal family adversity factors (
such as incomplete schooling or vocational training of parents, high person - to - room ratio, early parenthood, and broken - home history of parents) were found to best predict inadequate parenting13, 14 and precede the development of a child's low compliance with parents, low effortful control, and behavior
problems.13, 15, — , 17 These
psychosocial familial characteristics might also constrain the transfer of program contents into everyday family life and the maintenance of modified behaviors after the conclusion of the programs.
Depression in young people is a
problem with
such pervasive features that one can find abnormalities in almost any domain (eg, cognitive, family) to justify any treatment.1 A great variety of
psychosocial interventions have therefore been used with depressed children, including CBT, psychotherapy, and family therapy.
The five clusters could be meaningfully distinguished on a number of variables,
such as personality features,
psychosocial problems, and parental relationships.
This well validated semistructured interview uses investigator based criteria to assess the frequency and severity of antisocial behaviours
such as fighting, destruction, and disobedience; scores are strongly predictive of later
psychosocial outcome.16 The κ inter-rater reliability statistic on 20 randomly selected interviews was 0.84 for the conduct
problems scale, 0.81 for the hyperactivity scale, and 0.76 for the emotional
problems scale.
Furthermore, externalizing
problems are associated with many poor outcomes later in life,
such as impairments in academic and
psychosocial functioning, delinquency and substance abuse [3]--[7].
Evaluation of programs should include program effects not only on bullying but also on
psychosocial outcomes
such as emotional adjustment, peer relationships, school adjustment, and occurrence of other
problem behaviors.