Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) associated to hereditary neuropathy with liability to pressure palsies (HNPP) and revealed after influenza AH1N1 vaccination

Neurological complications of AH1N1 vaccination such as Guillain-Barré syndrome were described in the previous years. Several reports suggest that hereditary neuropathies may be a predisposing factor for immune-mediated neuropathies. We report the case of a 54-year-old female who developed chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) 5 weeks after AH1N1 vaccination. She had no previous neurological history, but neurophysiological features led us to suspect an underlying hereditary neuropathy. PMP22 gene analysis showed a typical deletion, confirming the diagnosis of hereditary neuropathy with liability to pressure palsies (HNPP). We observed a significant clinical and neurophysiological improvement of the neuropathy after intravenous immunoglobulin treatment. This is, to our knowledge, the first reported case of CIDP potentially triggered by AH1N1 vaccination. This and previous observations suggest that genetic-determined neuropathies could predispose to the occurrence of immune-mediated neuropathies. One must recall the possibility of a superimposed hereditary neuropathy like HNPP in patients with a clinical presentation of CIDP, especially when positive family history or unexpected neurophysiological features are present.Journal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Do mothers and fathers moderate the influence of each other's self-efficacy beliefs and parenting behaviors on children's externalizing behavior?

The aim of the current study was to test first the validity of the social learning model, in which children’s externalizing behavior (EB) is considered to be related to problematic parenting, and second, whether and to what extent mothers and fathers moderate the influence of each other’s parenting on children’s EB. Two models were tested with a set of longitudinal prospective data collected from 419 mothers and 419 fathers. The first model tested the relations between parental self-efficacy beliefs at 4 years of age, parenting behaviors at age 5 and child’s EB at age 6. The second model tested the moderating effect of parenting behavior displayed by one parent on the way in which the other parent’s concurrent beliefs and subsequent behaviors impact on their child’s EB. The results mainly supported the first model, in particular the bidirectional relations between parents’ controlling behavior and children’s EB. The second model did not fit the data well. The existence of a moderating role of the other parent’s behavior was only demonstrated for the relation between mothers’ or fathers’ controlling behaviors and children’s EB. Very similar results were found for mothers and fathers. The results are discussed for their research and clinical implications

Child-Oriented or Parent-Oriented Focused Intervention: Which is the Better Way to Decrease Children’s Externalizing Behaviors?

Research has tried to identify risk factors that increase the likelihood of difficulties with externalizing behavior. The relations between individual or environmental factors and externalizing behavior have been especially documented. Child-oriented and parent-oriented interventions have been designed in order to decrease externalizing behavior in preschoolers. To date, however, research has largely been compartmentalized. It is therefore not known whether child-oriented or parent-oriented intervention is more effective in reducing externalizing behavior. The aim of the current study was to answer this question by comparing two 8-week child with two 8-week parent-oriented group programs sharing a common experimental design. This was done in a pseudo-randomized trial conducted with 73 3–6-year-old children displaying clinically relevant levels of externalizing behavior who were assigned to one of the four interventions and 20 control participants who were allocated to a waiting list. The results indicate that the four programs focusing on a specific target variable, i.e. social cognition, inhibition, parental self-efficacy beliefs, or parental verbal responsiveness, are all effective in reducing externalizing behavior among preschoolers. Their effectiveness was moderated neither by their orientation toward the child or the parent nor by their content, suggesting that several effective solutions exist to improve behavioral adaptation in preschoolers. A second important highlight of this study is that, thanks to comparable effect sizes, brief focused programs appear to be a reasonable alternative to long multimodal programs, and may be more cost-effective for children and their families.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Self-efficacy beliefs amongst parents of young children : validation of a self-report measure

The self-efficacy belief (SEB) concept is discussed in the context of parenting. A questionnaire, the Echelle Globale du Sentiment de Competence Parentale (EGSCP), assessing several domain-specific SEBs and three related cognitive constructs, was developed with 705 French-speaking parents of 3- to 7-year-old children. The EGSCP displayed good psychometric properties. Age-related differences and differences between mothers and fathers illustrated the questionnaire's discriminative properties. Relations were also found between EGSCP and several criterion variables: support, satisfaction, self-esteem and stress, childrearing behavior, and children's social competence and behavior. The refinement of the SEB concept in the parenting context provides a more comprehensive view of both mothers' and fathers' cognition. The empirical and clinical implications of this are discussed