35 research outputs found

    The Influence of Parental Attributions and Parenting Behaviors on the Attributions Utilized by Children With and Without Attention-Deficit/Hyperactivity Disorder

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    Research suggests that the causal attributions utilized by children with attentiondeficit/ hyperactivity disorder (ADHD) differ from those of nonclinical children. Additionally, research indicates differences among the mothers of children with and without ADHD regarding parenting behaviors and attributions for child behavior. In this study, children\u27 s attributions , maternal attributions , and maternal discipline styles were examined in ADHD and non-ADHD populations Participants included 26 children diagnosed with ADHD and their mothers as well as a nonclinical sample of 24 children who had never been diagnosed with ADHD and their mothers. The results support the hypotheses that child and maternal attributions would differ between these two groups. The hypothesis that discipline styles would differ between the two groups was not supported Results suggest that while maternal discipline styles are correlated with children\u27s attributions, the nature of this association differs within AD.HD versus nonADHD populations

    Addressing Disruptive Behaviors in the Preschool Classroom: An Adaptation of Parent-Child Interaction Therapy (PCIT) for Head Start Teachers

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    Several researchers have begun to investigate early intervention and prevention programs, seeking to alter the trajectory of early-onset behavior problems. While it appears that multi-modal programs are the most promising approach, researchers have only recently begun to evaluate programs that use a similar treatment approach across settings and there is currently little information about classroom-based treatments for disruptive behaviors among preschoolers. The purpose of this study was to develop a classroom-based intervention based on the Parent-Child Interaction Therapy (PCIT) model developed by Eyberg. In addition, this study provides an initial investigation of the efficacy of this program with an emphasis on evaluating changes in teacher behavior and treatment acceptability. The intervention was provided to a group of 26 teachers from 13 Head Start classrooms. Results indicated minimal changes in observed teaching behavior and no significant changes in teachers\u27 self-efficacy. Although the intervention was rated as being acceptable by teachers overall, ratings were somewhat lower for sessions dealing with child-directed activities; teacher comments indicated that this component was difficult to implement in the classroom. Observations of child behavior indicated reductions in both prosocial and disruptive behaviors. Teacher-completed rating scales indicated statistically significant reductions in disruptive child behaviors and child behavior problems, although the magnitude of these changes was generally small. The implications of these findings will be discussed and modifications will be proposed for increasing the effectiveness and acceptability of this intervention

    Cognitive outcomes of children with sagittal craniosynostosis treated with either endoscopic or open calvarial vault surgery

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    IMPORTANCE: Several studies have reported a higher incidence of neurodevelopmental delays and cognitive deficits in patients with single-suture craniosynostosis; however, there are few studies examining the associations of repair type with cognitive outcomes. OBJECTIVE: To measure differences in neuropsychological outcomes between school-age children who were treated for sagittal craniosynostosis and unaffected controls and explore differences in cognitive function among children with sagittal craniosynostosis who were previously treated with either endoscopic strip craniectomy or open calvarial vault surgery. DESIGN, SETTING, AND PARTICIPANTS: This cohort study was performed between 2018 and 2022. Eligible participants included patients aged 5 to 17 years who had previously been seen as infants or toddlers (\u3c3 years) at 1 of 3 surgical centers for craniosynostosis repair with either endoscopic surgery or open calvarial vault surgery. A separate cohort of unaffected controls were included for comparison. Data analysis was conducted from November 2023 to February 2024. EXPOSURES: Open calvarial vault surgery or endoscopic repair for single-suture craniosynostosis. MAIN OUTCOMES AND MEASURES: The primary outcome was the Differential Ability Scales-II (DAS-II) General Conceptual Ability (GCA) score, an index for overall intellectual ability. Secondary outcomes included DAS-II subscale scores (Verbal Ability, Nonverbal Reasoning, Spatial Ability, Working Memory, and Processing Speed), and Patient-Reported Outcomes Measurement Information System (PROMIS) cognitive function scores. RESULTS: A total of 81 patients with sagittal craniosynostosis (59 male [73%]; 22 female [27%]) and 141 controls (81 male [57%]; 60 female [43%]) were included. Of the 81 participants with sagittal craniosynostosis, 46 underwent endoscopic repair and 35 underwent open repair. Median (range) age at time of follow-up assessment was 7.7 (5.0-14.8) years for children with sagittal craniosynostosis and median age at assessment was 8.5 (7.7-10.5) years for controls. After controlling for age at assessment, sex, and socioeconomic status, there was no statistically significant or clinically meaningful difference in GCA scores between children who underwent endoscopic repair (adjusted mean score, 100; 95% CI, 96-104) and open repair (adjusted mean score, 103; 95% CI, 98-108) (P \u3e .99). We found no significant difference in PROMIS scores between repair types (median [range] for endoscopic repair 54 [31-68] vs median [range] for open repair 50 [32-63]; P = .14). When comparing the treatment groups with the unaffected controls, differences in subscale scores for GCA and working memory were observed but were within normal range. CONCLUSIONS AND RELEVANCE: In this cohort study, there were no statistically or clinically significant differences in cognitive outcomes among school-age children by and type of surgical procedure used to repair nonsyndromic sagittal craniosynostosis. These findings suggest primary care clinicians should be educated about different options for craniosynostosis surgery to ensure early referral of these patients so that all treatment options remain viable

    Development in Toddlers With and Without Deformational Plagiocephaly

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    Collaborative Home/School Interventions: Evidence-Based Solutions for Emotional, Behavioral, and Academic Problems

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    Parents can be invaluable partners in identifying students’ behavioral and learning needs and developing effective solutions. This book provides practical tools for collaborating with families to achieve the best outcomes for K–12 students. In a large-size format with lay-flat binding for easy reference and photocopying, the book includes more than 40 ready-to-use reproducibles. The volume is useful for school-based mental health professionals, who will learn how to build positive home/school relationships, actively involve parents in assessment and intervention, and overcome barriers to collaboration. This is the latest research on what works in treating internalizing, externalizing, and academic difficulties is translated into clear-cut recommendations for practice.https://digitalcommons.usu.edu/usufaculty_monographs/1005/thumbnail.jp

    Validation of ADHD rating scales: Dr. Collett et al. reply

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    Assessment of Disruptive Behaviors in Preschoolers: Psychometric Properties of the Disruptive Behavior Disorders Rating Scale and School Situations Questionnaire

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    Disruptive behavior disorders (e.g., attention-deficit/hyperactivity disorder and oppositional defiant disorder) are increasingly being diagnosed in preschool children. However, the assessment and differential diagnosis of these disorders presents several challenges to clinicians. For example, most rating scales used to help diagnose such problems were developed using school age children. Thus, the psychometric properties of many commonly used assessment tools have yet to be investigated with a preschool population. The purpose of this study is to investigate the psychometric properties of the Disruptive Behavior Disorders Rating Scale (DBDRS) and the School Situations Questionnaire (SSQ) when used with a community sample of at-risk pre school children. Results indicate that both measures have adequate psychometric properties for use with preschoolers. Additionally, as with school-age populations, a three-factor solution, with factors reflecting inattentive, hyperactive-impulsive, and oppositional defiant behaviors, was the best fit for the DBDRS data. Implications for clinicians are discussed, as are limitations and suggestions for future research

    Factor Structure of DSM-IV Attention Deficit-Hyperactivity Symptoms: A Confirmatory Factor Analysis of the ADHD-SRS

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    Since the inception of DSM-IV considerable research has focused on the conceptualization of attention deficit-hyperactivity disorder (ADHD) as a multidimensional construct. This study utilized confirmatory factor analysis (CFA) to examine the adequacy of fit for the two-factor model (hyperactivity/impulsivity and inattention) previously specified for the ADHD Symptoms Rating Scale (ADHD-SRS), Parent Version. The invariance of this model across gender was then examined using a second, independent sample of children. The results indicate that a two-factor model provides the best fit for the data using the ADHD-SRS. Additionally, findings suggested that this model is invariant across gender. These results provide support both for the psychometric properties of the ADHD-SRS and the subtypes of ADHD specified in the DSM-IV

    Initial geophysical and geological assessment of an industry 3D seismic survey covering the JAPEX/JNOC/GSC Mallik 5L-38 gas hydrate research well

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    Industry 3D seismic covers the JAPEX/JNOC/GSC et al. Mallik 5L-38 gas hydrate well. Interpretation supported by biostratigraphy indicates a normally-faulted anticline with 5L-38 occupying the northern downthrown crest. This EW-striking fault, near 5L-38, has 800 m throw interpreted 700 m below gas hydrate levels. Fault offset at 5L-38 gas hydrate levels is probably several hundred metres less, because syn-depositional fault movement during or after Late Eocene time is suggested. Down hole velocity surveys at Imperial Mallik wells, P-59, J-37 and A-06, infer 105, 225, and 135 m gas hydrate, respectively, compared to 116 m known at 5L-38. Gas hydrate seismic characterization includes: multiple, generally weak, near-horizontal events; amplitude features on geologic reflectors; amplitude “blanking” and; chaotic vertical reflective zones surrounding faults. Recognized data contamination include amplitude-frequency degradation beneath lakes and reverberated energy. Noted are spatial correspondence of some subsurface faults with position/orientation of surface lakes, suggesting a possible genetic link
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