Browsing by Subject "Child Behavior"

Now showing 1 - 4 of 4
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    Child behavior and the dental experience
    (1959) Croxton, William L. (William Lee), 1923-
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    Clinical features of young children referred for impairing temper outbursts
    (Mary Ann Liebert, 2013-11) Roy, Amy K.; Klein, Rachel G.; Angelosante, Aleta; Bar-Haim, Yair; Leibenluft, Ellen; Hulvershorn, Leslie; Dixon, Erica; Dodds, Alice; Spindel, Carrie; Psychiatry, School of Medicine
    OBJECTIVE: In light of the current controversy about whether severe temper outbursts are diagnostic of mania in young children, we conducted a study to characterize such children, focusing on mania and other mood disorders, emotion regulation, and parental psychiatric history. METHODS: Study participants included 51 5-9-year-old children with frequent, impairing outbursts (probands) and 24 non-referred controls without outbursts. Parents completed a lifetime clinical interview about their child, and rated their child's current mood and behavior. Teachers completed a behavior rating scale. To assess emotion regulation, children were administered the Balloons Game, which assesses emotion expressivity in response to frustration, under demands of high and low regulation. Parental lifetime diagnoses were ascertained in blind clinical interviews. RESULTS: No child had bipolar disorder, bipolar disorder not otherwise specified (NOS), or major depression (MDD). The most prevalent disorder was oppositional defiant disorder (88.2%), followed by attention-deficit/hyperactivity disorder (74.5%), anxiety disorders (49.0%), and non-MDD depressive disorders (33.3%). Eleven probands (21.6%) met criteria for severe mood dysregulation. During the Balloons Game, when there were no demands for self-regulation, children with severe outbursts showed reduced positive expressivity, and also showed significant deficits in controlling negative facial expressions when asked to do so. Anxiety disorders were the only diagnoses significantly elevated in probands' mothers. CONCLUSIONS: Overall, young children with severe temper outbursts do not present with bipolar disorder. Rather, disruptive behavior disorders with anxiety and depressive mood are common. In children with severe outbursts, deficits in regulating emotional facial expressions may reflect deficits controlling negative affect. This work represents a first step towards elucidating mechanisms underlying severe outbursts in young children.
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    Problem-solving Intervention for Caregivers of Children with Mental Health Problems
    (Midwest Nursing Research Society 37th Annual Research Conference, 2013-03-08) Oruche, Ukamaka M.
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    Problems and Goals Identified by Primary Caregivers of Children with Mental Health Problems During a Problem-solving Intervention
    (The 26th Annual Children's Mental Health Research & Policy Conference, 2013-03-03) Gerkensmeyer, Janis E.; Oruche, Ukamaka M.
    Building Our Solutions and Connections intervention focused on enhancing problem-solving skills of 44 primary caregivers of children with mental health problems. Problems and goals were identified by individual caregivers during a nine week problem-solving intervention that included a face-to-face one-hour intervention followed by eight half-hour telephone interventions. The problem identified most often was child behavior (43 times). A summary of the problems and goals selected by these primary caregivers has been described.