Assessing severity in behavior disorders: Empirically based criteria

School psychologists are routinely required to make judgments about the severity of behavior disorders in children. While federal law demands that a child exhibit an emotional problem “to a marked degree,” school psychologists are given few clearcut guidelines for making judgments about the severity of students' adjustment problems. The purpose of this paper is to present a list of empirically based criteria for assessing the severity of behavior disorders in children. To this end, research on major behavior disorders in children of interest to school psychologists is reviewed.     

A survey of school psychologists' perspectives and practices with childhood depression

Despite some controversy, there is an emerging body of knowledge regarding the nature, prevalence, assessment, and treatment of childhood depression. The following study was undertaken to determine how this knowledge compares with the perceptions and practices of school psychologists in two north central states. A need for school psychologists to define the concept of childhood depression is identified. Use of DSM III-R for the diagnosis of childhood depression in the schools and the inclusion of standardized measurement techniques in the assessment process are advocated. Involvement of school psychologists in the treatment process, either directly or indirectly, is also recommended.     

Assessing the severity of behavior disorders: Rankings based on clinical and empirical criteria

School psychologists need to assess the severity of behavior disorders accurately to facilitate comprehensive diagnosis, to provide appropriate intervention, to enlighten research efforts, and to be in compliance with state and federal guidelines. Although clinicians in fields such as mental retardation categorize severity of behavior to make diagnostic and general treatment decisions, school psychologists rarely attempt to assess severity in any systematic or comprehensive way. The primary purpose of this study is to see how 92 practicing school psychologists rank 11 variables in their assessments of SED in school-age children. A secondary purpose is to examine the extent of school psychologists' reliance upon clinical and empirical criteria in assessing the severity of SED. It is concluded that school psychologists agree in their rankings of variables from most to least important and that they do not consider empirical criteria more important than clinically based criteria when assessing SED. Implications for practice are presented.     

Can sit-to-stand muscle power explain the ability to perform functional tasks in adults with severe obesity?

This study examined the relationship between sit-to-stand (STS) power and physical function in adults with severe obesity. Thirty-eight adults (age: 44 ± 12 years; body mass index [BMI]: 45.2 ± 7.8 kg/m²) completed evaluations of STS power, strength and functional performance. STS power was measured with a wearable inertial sensor, strength was assessed with the isometric mid-thigh pull, and function was measured with the timed up-and-go (TUG), six-minute walk test (6MWT) and 30-s chair STS. Power and strength (normalised to body mass) entered regression models in addition to age, gender, BMI and physical activity (daily step count). Power displayed large univariate associations with TUG (r = 0.50) and 30-s chair STS (r = 0.67), and a moderate association with 6MWT (r = 0.49). Forward stepwise regression revealed that power independently contributed to TUG (β = ?0.40, p = 0.010), 30-s chair STS (β = 0.67, p < 0.001) and 6MWT performance (β = 0.27, p = 0.007). Power also appeared to be a superior determinant of function compared with strength. Power generated via the STS transfer largely underpins the ability to perform functional tasks in adults with severe obesity, although intervention studies are required to investigate a potentially causal relationship.     

Exposing athletes to playing form activity: outcomes of a randomised control trial among community netball teams using a game-centred approach

This study evaluated whether exposing junior netball players to greater amounts of competition relevant activity (playing form activity) had an effect on game play outcomes and session involvement. A group-randomised controlled trial in one junior netball club in the Hunter Region, NSW, Australia. Ninety female athletes (mean age = 9.04 years, SD 1.53) were randomised by team (n = 11) into the intervention (n = 41) or 9-week wait-list control (n = 49) condition. The Professional Learning for Understanding Games Education into Sport (PLUNGE into Sport) programme was undertaken in the first half of nine training sessions (9 × 30 min). The intervention exposed athletes to playing form activity through a coach development programme within training sessions. Athletes’ decision-making, support and skill outcomes during a small-sided invasion game, and session involvement (pedometer step/min), were measured at baseline and 9-week follow-up. Linear mixed models revealed significant group-by-time intervention effects (P < 0.05) for decision-making (d = 0.4) and support (d = 0.5) during game play, and in-session activity (d = 1.2). An intervention exposing athletes to greater levels of playing form activity, delivered via a coach education programme, was efficacious in improving athlete decision-making and support skills in game play and increasing athlete involvement during sessions.