Parental perceptions of children who were hospitalized in neonatal intensive care units

This study addresses two questions: (1) Do parents whose children were hospitalized in neonatal intensive care have different perceptions of their children than parents of children in the general population? and (2) How do parents of such children compare their children's health, cognitive, and emotional development to other children of the same age? Thirty-seven mothers and 26 fathers whose children were hospitalized in an intensive care nursery in a major university hospital participated in this study. Parents filled out a Child Behavior Checklist. A subsample of 24 parents was selected for clinical interviews. The findings indicate that parents in the study sample have similar perceptions of their children as parents of children in the general population. Further, parents gave favorable evaluations of their children's health, cognitive and emotional development.     

Development of the parent response to child illness (PRCI) scale

The aims of this study were to develop an instrument to measure parents’ responses and perceptions related to the onset of either seizures or asthma in a child (aged 4–14) and to assess the initial reliability and validity of the instrument. The 35-item scale developed comprised five subscales: Child Support, Family Life/Leisure, Condition Management, Child Autonomy, and Child Discipline. Subjects were parents of 224 children with new-onset seizures and 104 parents of children with new-onset asthma. Internal consistency reliabilities were stronger for Child Support, Family Life/Leisure, and Condition Management than for Child Autonomy and Child Discipline for both samples. Test–retest reliability ranged from good to fair for both samples. The associations between parent positive mood and all of the subscales for both samples in the predicted directions provided key empirical support for validity. The scale has potential for use in research and in the clinical setting. In addition, the scale has potential to be used with other conditions.     

The role of recollected anxiety in parental adaptation to low birthweight infants

This article examines whether mothers' and fathers' recollections of anxiety surrounding the hospitalization and illness of their preterm/low birthweight infant affect their perceptions of their children several years after discharge. The sample consisted of 37 mothers and 26 fathers whose children were hospitalized in an intensive care nursery in a major university hospital. Parents completed a Nursery Follow-up Questionnaire and a Child Behavior Checklist. The findings indicate that parents' recollections of anxiety during their children's hospitalization have no bearing on their current perceptions of their children. Although mothers recalled having experienced more anxiety than fathers, mothers'. and fathers' perceptions of their children were not significatly different.     

Improving the Mental Health of Children in Child Welfare Through the Implementation of Evidence-Based Parenting Interventions

Any comprehensive approach to children’s mental health should consider services systems such as Child Welfare that provide services to children with high rates of emotional and behavioral disorders. This paper will review what is known about efficacious parent-focused interventions that can improve the lives of children in Child Welfare and explore possible reasons why such interventions are rarely used by Child Welfare agencies. Data from a pilot study suggest key features for increasing the implementation of efficacious practices to improve children’s mental health.     

The importance of parental knowledge in the association between ADHD symptomatology and related domains of impairment

European Child & Adolescent Psychiatry - Parents of children with ADHD experience several difficulties while raising their children and report lower levels of knowledge about their...     

Child Mental Health is Everybody's Business: The Prevalence of Contact with Public Sector Services by Type of Disorder Among British School Children in a Three-Year Period

Method:  A third of the children from the 1999 British Child and Adolescent Mental Health Survey were followed-up over 3 years. Parents provided summary information on service contacts in relation to mental health; selected subgroups provided more detailed information by telephone interview.
Results:  Common overlaps in service use were between health services, between teachers and educational specialists, and between the latter and CAMHS or social services. Services other than primary health care saw more children with externalising disorders, while children with anxiety disorders were less likely than children with other psychiatric disorders to be in contact with any service.
Conclusions:  Child mental health is everybody's business, and professionals need to be alert(ed) to the types of disorders that children using their service may have.     

The Reliability and Validity of the Korean Version of the Child Sexual Behavior Inventory

Objective

This study examined the reliability and validity of the Korean version of the Child Sexual Behavior Inventory (CSBI) in Korean children aged from 6 to 12 years old and the suitability of and potential for clinical application of the CSBI in Korean population.

Methods

The participants consisted of 158 typically growing children and 122 sexually abused children. The subjects were evaluated using the Korean version of the Child Sexual Behavior Inventory (CSBI), the Child Behavior Checklist (CBCL), and the Trauma Symptom Checklist for Young Children (TSCYC). Internal consistency was examined as a measure of reliability. To investigate the concurrent validity, Pearson''s correlations were calculated. One-way ANCOVA was used to demonstrate discriminant validity.

Results

The Cronbach''s α value was 0.84. The CSBI total score was moderately correlated with the CBCL subscales and mildly correlated with the sexual concern subscale of the TSCYC. The total score of the CSBI for the sexually abused children group was significantly higher than that of typically growing children group.

Conclusion

This study demonstrated that the Korean version of the Child Sexual Abuse Inventory (CSBI) is a reliable and valid tool. It can be applied in the clinical field for assessing the sexual behavior of Korean children aged from 6 to 12 who are suspected to have been sexually abused.     

The role of environmental sensitivity in the development of rumination and depressive symptoms in childhood: a longitudinal study

European Child & Adolescent Psychiatry - Some children are more affected than others by their upbringing due to their increased sensitivity to the environment. More sensitive children are at...     

Characteristics of children with cerebral palsy in the ORACLE children study

Aims We have identified an excess of children with cerebral palsy (CP) born to women who received antibiotic treatment for spontaneous preterm labour (SPL). This nested study investigated the profile of impairment among children with CP in the ORACLE Children Study (OCS), and contrasted outcomes with those in 4Child, a population CP registry. Method The study group comprised 167 children aged from 7 to 10 years (100 males, 67 females) with CP from the OCS, who were subdivided into a preterm rupture of membranes (PROM) group (87 children) and an SPL group (80 children). The OCS sought follow‐up information regarding the health and behaviour of surviving children at 7 years of age in the UK using a parent‐report postal questionnaire. Families provided further information to define wider aspects of function and were offered a physiotherapy assessment. Results The prevalence of CP was higher among children in the OCS than among those in 4Child (standardized morbidity ratios: SPL group, 3.12 [95% confidence interval CI 2.47–3.87); PROM group: 1.56 (CI 1.24–1.92)]. The proportion of children with CP born after 32 weeks of gestation was higher in in the SPL group (73%) than in the PROM group (30%); the prevalence of CP was higher in the SPL group than in the PROM group or 4Child. Children with CP in the OCS tended to have similar distributions of neuroimpairment as children in 4Child, but motor impairment and associated vision and hearing problems were found to be less severe. Interpretation The pattern of CP in both the PROM and the SPL groups was similar, but functional outcomes were milder, compared with children with CP in the general population. However, in these groups the risk of CP was increased independently of gestational age. This is consistent with findings that ongoing inflammatory damage can cause CP.     

Measuring the quality of life of children with cerebral palsy: comparing the conceptual differences and psychometric properties of three instruments

Aim To compare the conceptual differences, internal consistency, and validity of the Cerebral Palsy Quality of Life Questionnaire for Children (CP QOL‐Child), the Child Health Questionnaire (CHQ), and a European generic health‐related quality of life (HRQOL) questionnaire (10‐domain version; KIDSCREEN‐10) for children with cerebral palsy (CP). Method Two hundred and four primary caregivers (185 females [91%], 19 males [9%]) of children with CP aged 4 to 12 years (mean 8y 4mo [SD 2.51]; 112 males [55%], 92 females [46%], Gross Motor Function Classification System level I=18%, II=28%, III=14%, IV=11%, V=28%) provided demographic data and completed the CP QOL‐Child, CHQ, and KIDSCREEN‐10. Fifty‐four children with CP aged 9 to 12 years completed the CP QOL‐Child and KIDSCREEN‐10. Results The KIDSCREEN‐10 and CP QOL‐Child were developed to measure general HRQOL and CP‐specific QOL respectively, whereas the CHQ was developed to measure functional health and well‐being. In terms of internal consistency, KIDSCREEN‐10 (Cronbach’s α=0.86) and CP QOL‐Child (0.74–0.91) outperformed the CHQ (0.18–0.96). In terms of validity, all instruments were moderately correlated. Floor and ceiling effects, although minimal or not evident for KIDSCREEN‐10 and CP QOL‐Child (1–4.9%), were apparent for CHQ (0.5–62.9%). Interpretation Conceptually and psychometrically, KIDSCREEN‐10 and CP QOL‐Child performed more strongly than the CHQ, for children with CP. The choice between these two instruments will depend on the questions posed and outcomes sought by the researcher or clinician.     

Effects of COVID-19 Outbreak on Children’s Mental Health: A Comparative Study with Children Diagnosed and Isolated from Their Parents

Objective The COVID-19 outbreak has negatively affected children in many ways. This study aimed to compare the psychological responses of children exposed to different levels of stress during the COVID-19 outbreak. Methods The anxiety levels, negative thoughts, and quality of life of COVID-19-positive children with COVID-19-positive parents (Child+ group, n=17), COVID-19-negative children who are separated from COVID-19-positive parents (Parent+ group, n=59), and a control group (n=64) were compared. The participants completed the Screen for Child Anxiety and Related Disorders (SCARED), Children’s Negative Cognitive Errors Questionnaire (CNCEQ), and Pediatric Quality of Life Inventory (PedsQL). Results The statistical analysis revealed that the Parent+ group recorded higher SCARED and CNCEQ scores and lower PedsQL scores in comparison with the control group. No statistically significant difference was found between the scores of the Child+ and control groups. Furthermore, high CNCEQ scores and low PedsQL scores in the Parent+ group predicted an increase in their SCARED scores. Conclusion Our study indicates that separating children from their parents during the COVID-19 outbreak negatively influences their mental health and increases their anxiety levels.     

Book Reviews

Book reviewed in this article: Some Mothers I Know —living with handicapped children. Tom Wakefield. Teaching the Handicapped Child . Jeffree, D., McConkey, R., Hewson S. The Speical Child . Kenneth Day. Listen — Let's Make Music , Hunt, A.     

Using music in mental handicap

The work of the occupational therapists and the music therapist at the Child Development Centre, Addenbrookes' Hospital, Cambridge, is briefly described, as well as the Child Development Centre itself. A music group for parents and their young children, run jointly by the music therapist and one of the occupational therapists, is looked at in detail. The structure of the group and the various ways in which the children and the parents are helped through the music are explained.     

Evidence from auditory nerve and brainstem evoked responses for an organic brain lesion in children with autistic traits

In an attempt to resolve the question as to whether children with autistic traits have an organic nervous system lesion, auditory nerve and brainstem evoked responses were recorded in a group of 15 children with autistic traits. The most obvious results included a longer response latency of the auditory nerve and a longer brainstem transmission time, compared to normal children. Five of the autistic children were found to be profoundly deaf. These results strengthen the theory that an organic lesion of the nervous system can give rise to autistic traits.We wish to acknowledge the cooperation of the following institutions and individuals: Professors Russel and Szabo, Department of Pediatrics, Hadassah University Hospital, Jerusalem; Dr. Perlmutter, Child Mental Health Center, Jerusalem; Dr. Shereshevsky, Child Development Center, Beit Abrahams, Tel Aviv.     

Child health and parental stress in school-age children with a preschool diagnosis of developmental delay

Chronic disorders are known to have a wide-ranging impact on overall health and family dynamics. The objective of this study was to assess child health and well-being and parental stress in a cohort of school-age children diagnosed before school entry with either global developmental delay or developmental language impairment. In total, 65 children with preschool developmental delay were assessed at school age (mean +/- SD age: 7.3 +/- 0.7 years) with the Child Health Questionnaire and Parenting Stress Index, with a mean interval between assessment of 3.9 years. Almost all children who completed testing (60/62) continued to show developmental impairments across domains. On the Child Health Questionnaire, children showed the greatest impairment on the mental health scale (median z score: -0.9). The median Child Health Questionnaire psychosocial health score (40.7) was almost 1 SD below established normative values ( P < .001). More than 40% of parents had a Parenting Stress Index above the 85th percentile (clinically significant parenting stress). Using multiple linear regression analysis, high levels of parenting stress were best predicted by a child's Child Health Questionnaire psychosocial health score (r2 = 0.49, P < .001). Thus, 4 years after a preschool-age diagnosis of developmental delay, poor psychosocial health was a common comorbidity. Almost half the parents showed clinically significant levels of parenting stress. There is a need to both recognize and provide ongoing social and emotional support for young children diagnosed with developmental disability and their families.     

A cohort study of behavioral problems and intelligence in children with high prenatal polychlorinated biphenyl exposure

BACKGROUND: In 1978, about 2000 persons in Taiwan were poisoned when their cooking oil was contaminated during manufacture with heat-degraded polychlorinated biphenyls, which are toxic, very widespread pollutant chemicals. The chemicals cannot be metabolized or excreted, and 8 of the first 39 children born to affected women died. When examined in 1985, 117 surviving children were found to have ectodermal defects, developmental delay, and disordered behavior. We have continued to observe the children. METHODS: From 1992 through 1995, 118 children born between 1978 and 1985 (during or after their mothers' exposure) and 118 matched neighborhood control children had cognitive function measured yearly with the Wechsler Intelligence Scale for Children-Revised and behavioral problems measured with the Achenbach Child Behavior Checklist and the Rutter Child Behavior Scale A. RESULTS: The exposed children scored 3 points (P =.05) lower than control children for IQ; 3 points (P =.002) higher on the Child Behavior Checklist (an effect size similar to the sex difference); and 6 points (P<.001) higher on the Rutter scale (3 times the sex difference). Birth year x exposure interactions, testing whether children born long after the exposure were as affected as those born soon after, were small and not significant. Age x exposure interactions, testing whether the children improved relative to control children as they got older, were significant only for the Rutter scale. CONCLUSIONS: Prenatal exposure to these compounds produces long-lasting cognitive and behavioral damage, but there is some evidence of recovery.     

Characteristics of Norwegian children suffering from ADHD symptoms: ADHD and primary health care

This study describes the characteristics of children suffering from attention deficit/hyperactivity disorder (ADHD) symptoms and evaluates the ability of primary health care to assess ADHD. A population of 494 children was referred during one year to the outpatient clinic Child and Adolescent Mental Health in Norway. Forty percent of those referred had ADHD symptoms. A clinical assessment regarding ADHD as well as general health was employed and socio-economic status was recorded. Half of the ADHD-referred children met criteria for ADHD, and among the non-ADHD children one fifth did not receive any diagnosis. Mean referral age was 10.5 years; 82% were boys. The ADHD families were less educated and in more need of support from Child Welfare (CW) in the referral period (OR: 3.9; 95% CI 0.1 to 5.1). More ADHD children were not living with their families compared to the non-ADHD children. The sensitivity was 51% (96/187) regarding primary health care`s ability to recognize ADHD. Further screening programs for evaluation of ADHD are needed.     

Clinician compliance to recommendations regarding the risk of suicidality with selective serotonin reuptake inhibitors in the treatment of children and adolescents

European Child & Adolescent Psychiatry - Meta-analyses of randomized-controlled trials have established a heightened risk of suicidality for children and adolescents treated with selective...     

Callous-Unemotional Features are Associated with Emotion Recognition Impairments in Young ODD Children with Low but not High Affective Arousal

Child Psychiatry & Human Development - Despite increasing support for the distinction between primary and secondary variants of callous-unemotional features in children with disruptive...