Predictors of Behavior Problems in Preschool Children of Inner-City Afro-American and Puerto Rican Adolescent Mothers

Maternal reports on the Child Behavior Checklist/2-3 (CBCL/2-3) were used to evaluate child, maternal, and environmental predictors of behavior problems in 83 preschool children of disadvantaged adolescent mothers. CBCL/2-3 scores correlated modestly with independent ratings of child difficult behaviors observed in videotaped mother-child play interactions. 13% of children had scores in the clinical range. Significant correlations were consistently found between CBCL/2-3 ratings and maternal depressive symptoms, social supports, and life stress—assessed 3 times during the first year postpartum. In hierarchical regression analyses, maternal depressive symptoms, residence with the adolescent's mother, and perceived emotional support from friends contributed most to the explained variance. A significant ethnicity and child gender interaction term also suggested that African American mothers of male children reported more behavioral problems. Findings evidence the heterogeneity of outcomes for children of disadvantaged adolescent mothers but also demonstrate how correlates of poverty negatively affect their socioemotional development.     

A comparison of Hispanic and African-American sexually abused girls and their families.

OBJECTIVE: To study the differential effects of sexual abuse on Hispanic (HN) and African-American (AA) girls. METHOD: Sexually abused girls and their caretakers (N = 159), of which 52% (n = 82) were AA (mean age 9.8 years, SD = 3.4, R = 6-17) and 48% (n = 77) were HN (mean age 10.1 years, SD = 3.8, R = 6-18), were included in the study. The mother/caretaker was administered a demographic form, the Achenbach's Child Behavior Checklist (CBCL), and the Family Assessment Measure (FAM-P). The child completed the FAM-C and the Trauma Symptom Checklist for Children (TSCC). The clinician completed the Parental Reaction to Incest Disclosure Scale (PRIDS). RESULTS: HN girls were found to have a greater number of sexually abusive episodes and waited longer to disclose their abuse while AA girls were more likely to have experienced vaginal penetration. The perpetrators of HN girls were older and more likely to be fathers or stepfathers. The mothers/ caretakers of HN girls perceived their children as having significantly more aggressive behavior, anxiety/depression, somatic complaints, internalizing and externalizing behaviors, and had a higher total score on the CBCL than did AA girls. The HN girls were more likely to see their family as dysfunctional with confusion regarding family values and rules. HN mothers/caretakers perceived their families as more conflicted regarding adaptability and family controls. CONCLUSIONS: HN girls experienced more emotional and behavioral problems, and both HN girls and their mothers/caretakers perceived their families as more disturbed and dysfunctional.     

The Prevalence of Behavior Problems Among Toddlers in Child Care

A random sample of 94 toddlers in child care were rated by parents on the Child Behavior Checklist/2-3 (CBCL/2-3). Toddlers received nonparental care an average of 33 hours per week, and the majority began child care by six months of age. Although no comparison group was used, scores on the CBCL/2-3 for the present sample were compared with scores for the CBCL/2-3 normative sample and to prevalence data in the literature for children in child care. Fewer children with behavior problems were found in the present sample than in the normative group. The present sample consisted of middle-class toddlers in medium sized cities in Connecticut. Child care providers were relatives or nonrelatives in the home, in licensed and unlicensed family day care homes, and in day care centers. The findings point to the importance of considering contextual factors of family, child care, and social support before suggesting deleterious effects from early nonparental care.     

Same constructs,different results: Examining the consistency of two behavior‐rating scales with referred preschoolers

Broad‐band or multidimensional behavior‐rating scales are common tools for evaluating children. Two popular behavior‐rating scales, the Behavior Assessment System for Children, Second Edition (BASC‐2; Reynolds & Kamphaus, 2004) and the Child Behavior Checklist (CBCL; Achenbach & Rescorla, 2000), have undergone downward extensions so that the preschool versions are available for children as young as 18 months. Limited research, however, has been conducted on the preschool versions of the BASC‐2 and CBCL. This study examined the consistency of results from the two preschool versions when completed by parents of clinically referred preschoolers. Comparisons of similarly named scales found significant correlations. Mean scores for several of the constructs were significantly different, however, and often resulted in inconsistent classification decisions. © 2010 Wiley Periodicals, Inc.     

Family stress, parenting styles, and behavioral adjustment in preschool-age adopted Chinese girls

This study seeks to extend previous research on family stress, parenting, and child adjustment to families with adopted Chinese children. In doing so, we also seek to strengthen inferences regarding the experiential underpinnings of previously obtained relationships among these variables by determining if they also occur in families where parents and children are not biologically related. Participants were families of 133 preschool-age adopted Chinese girls (M_age = 5.2 years, SD = 0.7; M_{age at adoption} = 12.8 months, SD = 4.1). Data on family stress, parenting styles, and children's behavioral adjustment were collected from the adoptive mothers with the Social Problem Questionnaire (SPQ), Parenting Styles and Dimensions Questionnaire (PSDQ), and Child Behavior Checklist (CBCL) respectively. Results showed that adoptive mothers reported relatively mild family stress, frequent authoritative parenting, and few behavior problems in their children. Nonetheless, family stress, authoritarian and permissive parenting styles positively correlated with children's behavioral problems. Finally, authoritarian parenting mediated the effect of non-child-related family stress (NCR-stress) on the adopted Chinese girls’ CBCL internalizing and overall problems, even after controlling for corresponding CBCL scores from 2 years earlier. Our results showed that the overall pattern of relationships found in non-adoptive families is also seen in families with adopted Chinese children.     

学习困难儿童智力与行为的相关性研究

目的：探讨研究学习困难儿童智力和行为的关系。方法：观察组208例（选IQ〉70以上）,平均成绩连续2年在班级第10百分位以下的儿童,对照组200例,与观察组同年龄段,平均成绩中上水平的正常儿童。两组儿童均给予Achenback儿童行为量表、儿童韦克斯勒智力测试和自编调查表进行问卷评定。结果：208例总智商、言语智商、操作智商与对照组比较差异有统计学意义（P〈0.001）,在各项分测验中积木（P〈0.002）、填图（P〈0.005）测验差异也有统计学意义,其它分测验差异均有统计学意义（P〈0.001）。结论：学习困难儿童存在智力结构发育不平衡,多伴有心理行为问题。社会、教师和父母应从心理上接纳他们,给予更多关怀和理解,让他（她）们健康成长。     

Behavioral problems among children whose mothers are abused by an intimate partner

OBJECTIVES: To determine the association between children's exposure to maternal intimate partner violence (IPV) and behavior problems as measured by the parent report version of the Child Behavior Checklist (CBCL). METHODS: The study population was comprised of 167 2- to 17-year-old children of Seattle women with police-reported or court-reported intimate partner abuse. The CBCL normative population served as the comparison group. Risk of behavior problems was calculated among the exposed children, in the presence and absence of a history of reported child maltreatment, relative to the normative population. Multiple logistic regression served as the primary method of analysis. RESULTS: Children exposed to maternal IPV were more likely to have borderline to clinical level scores on externalizing (i.e., aggressive, delinquent) behavior (RR=1.6, 95% CI: 1.2, 2.1) and total behavioral problems (RR=1.4, 95% CI: 1.1, 1.9) compared to the CBCL normative sample after adjusting for age and sex. Children who were exposed to maternal IPV and were victims of child maltreatment were more likely to receive borderline to clinical level scores on internalizing (i.e., anxious, depressed) behaviors (RR=2.6, 95% CI: 1.5, 3.6), externalizing (i.e., aggressive, delinquent) behaviors (RR=3.0, 95% CI: 1.9, 4.0) and total behavioral problems (RR=2.1, 95% CI: 1.2, 3.2) compared to the CBCL normative sample after adjusting for age and sex. CONCLUSIONS: Exposure to maternal IPV is significantly associated with child behavioral problems both in the presence and absence of co-occurring child maltreatment. Appropriate attention to the mental health of children living in households with IPV is needed.     

Outpatient mental health services for children in foster care: a national perspective

OBJECTIVE: To determine factors influencing the use of outpatient mental health services provided by mental health professionals (OMHS) for children in foster care using a national probability sample in the United States. METHOD: As part of the National Survey of Child and Adolescent Well-being, detailed survey data were collected on 462 children, ages 2-15, who had been in out-of-home care for approximately 12 months at the time of sampling. A multivariate logistic regression model was used to determine how clinical need, as measured by a Total Problem, Externalizing, or Internalizing Scale T-score of 64 or greater on the Achenbach Child Behavior Checklist (CBCL), and non-clinical factors affected OSMHS use. RESULTS: Over half of the children in the sample received at least one OMHS. Need, older age, and history of sexual abuse history all positively predicted OMHS. A history of physical neglect negatively predicted OSMHS. African-Americans used fewer services than children of Caucasian ancestry at all values on the CBCL. This finding was particularly salient at lower levels of CBCL scores; at higher levels, the discrepancy in the use of services diminished but the proportion of children receiving services remained lower for African-American children. CONCLUSIONS: This national study confirms previous findings regarding the use of mental health services based on regional data. Limitations in the use of services imposed by non-clinical factors, specifically, age, race/ethnicity and type of abuse, need to be examined in order to address implicit and explicit policies and practices that may result in inequitable distribution of services.     

Behavior ratings of emotionally disturbed children by teachers,parents, and school psychologists

Emotional disturbance was rated by teachers, parents, and the school psychologist for a group of 104 children diagnosed as severely emotionally disturbed. Teachers were found significantly more severe in their judgments than the school psychologist on the Behavior and Socialization scales of the Referral Checklist, but not on Communication. The teacher rating profile was also found to deviate from parallelness from the other raters with increased severity in the Behavior scale. None of the nine correlations between judges on the same scales was significant. Interpretations and possible implications are offered.     

Teachers in regular classrooms: An applied setting for successful behavior programming

An operant-based program was established to study the effectiveness of regular classroom teachers as mediators for behavior change in regular classroom settings. Fifty-nine first and second graders were matched on several measures and randomly assigned to an experimental condition or a control condition. Experimental children were addressed through teacher-generatedlconsultant-supported behavior intervention strategies. Changes in behavior were examined by assessing differences from initial baseline and from first to second administration of the Child Behavior Checklist. In- class behavior change was significantly greater for the experimental condition than for the control condition, although behavior change from first to second administration of the Child Behavior Checklist was significant for all groups. A moderate to high rate of compliance to the intervention program was maintained by teachers, and moderate to high ratings of satisfaction were obtained for the program from all participants. The effectiveness, feasibility, and applicability of the program are discussed.     

Behavior Problems of African American Boys and Girls Attending Head Start Programs in Violent Neighborhoods

This article examined behavior problems exhibited by African American children attending Head Start centers in violent neighborhoods. Children's scores on the Child Behavior Checklist (CBCL)/parent form were compared to the mean scores for the CBCL's non-clinical standardization sample on the internalizing, externalizing, and total problem scales. The Head Start children's scores were not significantly different from the standardization sample on the internalizing scale, but both boys and girls in the study sample had significantly higher scores on the externalizing and total problem scales than their respective gender group in the standardization sample. There were no significant differences in the T scores of boys and girls in this study on any of the three behavior problem scales. The study also examined percentages of boys and girls with behavior problems in the more severe ranges. Higher percentages of boys than girls had severe internalizing problems, while higher percentages of girls than boys had severe externalizing problems. Analyses of total behavior problem scores revealed no significant differences between boys and girls in the severe ranges. Implications of findings for research, practice, and policy are discussed within the sociocultural contexts of the families and communities in the study.     

Psychological adjustment and family functioning of boys with learning disabilities

This study examined parent reports of behavioral and family functioning for 59 boys with learning disabilities (LD) and 65 nondisabled boys (NLD) of ages 6 to 12 years. Parents completed the Child Behavior Checklist (CBCL) and the Family Adaptability and Cohesion Evaluation Scale (FACES III). Boys with LD were reported as having significantly more behavior problems of both the Internalizing and Externalizing types than NLD boys. Individual scales yielded group differences indicating higher scores (more problems) for the group with LD on the Hyperactive, Schizoid or Anxious, Depressed, and Obsessive Compulsive scales, but no differences on the Aggressive or Social Withdrawal scales. Furthermore, families of boys with LD tended to score more frequently in the extreme (disturbed) range of family functioning. However, boys of families in the extreme range did not have more behavior problems than the boys of other families. The findings suggest that a greater than average proportion of boys with LD are at risk for developing psychological adjustment problems.     

Checklist agreement among observers of children

This study compared parents,' teachers,' and counselors' Behavior Problem Checklist ratings of 57 elementary and middle school children in counseling. Although a larger sample might have produced more significant results, analysis of variance revealed only one difference among the raters. School counselors perceived more personality problems in the children than the teachers did. Otherwise, parents, teachers, and counselors did not differ in their perceptions. Correlations were low to moderate, with mother-father agreements being higher than those of parent-teacher, and teacher-counselor observations.     

Rates of meaningful change in the mental health of children in long-term out-of-home care: A seven- to nine-year prospective study

Children residing in long-term out-of-home care have high rates of clinical-level mental health difficulties. However, the stability of these children’s difficulties throughout their time in care is uncertain. This paper reports estimates of the seven- to nine-year stability of carer-reported scores on the Child Behavior Checklist (CBCL) and Assessment Checklists for Children (ACC) and Adolescents (ACA) for 85 children in long-term foster or kinship care. Prospective score changes on the CBCL total problems and ACC-ACA shared-item scales were assigned to one of four change groups: ‘sustained mental health’; ‘meaningful improvement’; ‘no meaningful change’; and ‘meaningful deterioration’. On each of the two measures, more than 60% of children manifested either sustained mental health or meaningful improvement in their mental health, while less than a quarter showed meaningful deterioration. Mean mental health scores for the aggregate sample did not change over the 7–9 year period. Findings discount the presence of a uniform, population-wide effect—suggesting instead, that children’s mental health follows several distinct trajectories. Rather than asking whether long-term care is generally therapeutic or harmful for the development of previously maltreated children, future investigations should focus on the questions “…what are the systemic and interpersonal characteristics of care that promote and sustain children’s psychological development throughout childhood, and what characteristics are developmentally harmful?” and “…for which children is care therapeutic, and for which children is it not?”     

The diagnostic utility of sexual behavior problems in diagnosing sexual abuse in a forensic child abuse evaluation clinic

OBJECTIVE: This study examined the utility of sexual behavior problems as a diagnostic indicator of sexual abuse. The hypothesis was that sexual behavior problems are multiply determined and consequently are variably related to sexual abuse in a clinical sample. METHOD: A sample of 247 children evaluated for sexual abuse at a multidisciplinary forensic child abuse evaluation clinic were included. Results from the Child Behavior Checklist (CBCL) and the Child Sexual Behavior Inventory (CSBI) were analyzed and compared to the results of a structured abuse assessment performed independent of these scores. RESULTS: The forensic team assessment found evidence of sexual abuse in 25% of cases, and no evidence in 61%. Children in this sample exhibited an elevated level of both sexual and nonsexual behavior problems. However, considerable variability was noted in sexual behavior problem scores. Thus, in this study a high score or a low score had no relationship to the diagnosis of sexual abuse. Indeed, nonsexually abused children were just as likely to have high CSBI scores as sexually abused children. CONCLUSIONS: This study found no significant relationship between a diagnosis of sexual abuse and the presence or absence of sexual behavior problems in a sample of children referred for sexual abuse evaluation. The finding suggests that community professionals should use caution in relying on sexual behavior problems as a diagnostic indicator of abuse.     

Comparing Results from the Clinical Assessment of Behavior and Child Behavior Checklist with Referred Preschoolers

Behavior rating scales are popular assessment tools but more research is needed on the preschool versions of the instruments, particularly with referred samples of preschoolers. This study examined the comparability of results from parent ratings on the preschool versions of the Child Behavior Checklist (CBCL/1.5‐5, Achenbach & Rescorla, 2000) and the Clinical Assessment of Behavior‐Parent form (CAB‐P, Bracken & Keith, 2004) with 74 clinically referred preschoolers. While pairs of similarly named scales from the two instruments received significant correlations, mean scores from the CBCL/1.5‐5 were significantly higher than those from the CAB‐P. Classification consistency was a concern as well. School psychologists are urged to be cautious in their interpretation of results from preschool behavior rating scales.     

Behavior problems of peer-neglected and peer-rejected elementary-age children: parent and teacher perspectives

Rejected, neglected, popular, and average-status children were selected on the basis of positive and negative sociometric measures from a total sample of 870 8- and 11-year-old children. Teachers completed the School Behavior Checklist and parents completed the Child Behavior Checklist for selected children. No age or sex differences were found. On both scales, rejected children were found to exhibit more behavior problems than neglected, popular, or average children. Neglected children did not exhibit more behavior problems than children of average status.     

Theory of mind,attention, and executive function in kindergarten boys

The present study explored the relationship between theory of mind (ToM), attention, and executive function in 66 kindergarten boys drawn from four rural school districts. Three stories designed to test understanding of first and second order mental states were administered. Executive function and attention were assessed, respectively, by scores on the Behavior Rating Inventory of Executive Function (BRIEF) and the Behavior Assessment Scales for Children, Second Edition (BASC‐2). Analyses indicated that children identified by teachers as evidencing attention difficulties scored lower on false belief measures and were more likely to be identified as exhibiting behavioral difficulties associated with executive dysfunction than children identified as evidencing fewer attention difficulties. Attention and executive function were predictive of total ToM scores.     

Effects of early and later family violence on children's behavior problems and depression: a longitudinal, multi-informant perspective

OBJECTIVES: To examine the effects of different forms of family violence at two developmental stages by assessing a sample of 110 Israeli children, drawn from the case files of Israeli family service agencies, studied longitudinally in both middle childhood and adolescence. METHODS: Information about the children's adjustment was obtained from parents, teachers, and the children themselves when the children averaged 10.6 and 15.9 years of age using the Child Behavior Checklist (CBCL), Teacher Report Form (TRF), Youth Self-Report (YSR), and Children's Depression Inventory (CDI). Information about the history of family violence was obtained from the mothers, fathers, children, and social workers. RESULTS: The results paint a mixed picture of the effects of family violence on children and adolescents. The relationship between concurrent behavior problems and abuse group varied by informant and study phase, although they were strongest when children were the informants. Predictions regarding the relationship between early abuse and later adjustment were only partially confirmed. Different informants did not agree about which groups of children were most adversely affected, there was little stability over time in the pattern of reported effects, and children were more likely than other informants to report levels of maladjustment that varied depending on recent or concurrent exposure to family violence. Many families changed their abuse status over time, and children who were new victims at follow-up had the most internalizing problems. Girls were found to be at more risk for internalizing and externalizing behavior problems than boys. CONCLUSIONS: Multiple informants are necessary to evaluate and assess the effects of family violence on children's behavior. Younger children may be more susceptible to the effects of family violence than older children, but problems manifest by some children may not carry over to adolescence. Changes in family and parenting practices, as well as in children's capacity to appraise and cope with family violence may help mitigate the adverse effects of family violence.