Impact of child teacher relationship training on teachers’ and aides’ use of relationship-building skills and the effects on student classroom behavior.

[Correction Notice: An erratum for this article was reported in Vol 18(4) of International Journal of Play Therapy (see record 2009-18366-003). There was an error in the abstract. In the current abstract the fourth sentence reads: Using a repeated measures design, results revealed that children in the experimental group (n 19) demonstrated a significant decrease (p .04) in Externalizing Problems between measurements 1 and 3 compared to children in the active control group (n 13). However, the fourth sentence should have read “Results of ANCOVA revealed a statistically significant difference (p .04) with a large effect size in externalizing scores between the experimental (n 19) and active control groups (n 13) at the end of treatment but no difference at the 10-week non-intervention follow-up.”] This study examined the impact of Child Teacher Relationship Training on educators’ use of relationship-building skills in the classroom and the effect on student behavior. Preschool-age children (3–4 years old) who scored in the Borderline/Clinical range on at least one scale of the Child Behavior Checklist-Caregiver/Teacher Report Form (C-TRF) qualified for the study (N = 32). In this quasi-experimental design, 12 teacher aide dyads (N = 24) were assigned to the experimental (n = 12) or active control groups (n = 12). Using a repeated measures design, results revealed that children in the experimental group (n = 19) demonstrated a significant decrease (p = .04) in Externalizing Problems between measurements 1 and 3 compared with children in the active control group (n = 13). A statistically significant relationship was found between educators’ higher use of relationship-building skills and students’ decrease in externalizing behaviors (p     

Correction to McCartney et al. (2010).

Reports an error in "Testing a series of causal propositions relating time in child care to children’s externalizing behavior" by Kathleen McCartney, Margaret Burchinal, Aliso Clarke-Stewart, Kristen L. Bub, Margaret T. Owen and Jay Belsky (Developmental Psychology, 2010[Jan], Vol 46[1], 1-17). On the first page of the article “Testing a Series of Causal Propositions Relating Time in Child Care to Children’s Externalizing Behavior,” by Kathleen McCartney, Margaret Burchinal, Alison Clarke- Stewart, Kristen L. Bub, Margaret T. Owen, Jay Belsky, and the NICHD Early Child Care Research Network (Developmental Psychology, 2010, Vol. 46, No. 1, pp. 1–17), author Alison Clarke- Stewart’s name was misspelled as Aliso Clarke-Stewart. In addition, the e-mail address listed for the corresponding author Kathleen McCartney is incorrect. The correct e-mail address is: kathleen_mccartney@gse.harvard.edu. The online versions of this article have been corrected. (The following abstract of the original article appeared in record 2009-24671-001.) Prior research has documented associations between hours in child care and children’s externalizing behavior. A series of longitudinal analyses were conducted to address 5 propositions, each testing the hypothesis that child care hours causes externalizing behavior. Data from the National Institute of Child Health and Human Development Early Child Care Research Network (NICHD) Study of Early Child Care and Youth Development were used in this investigation because they include repeated measures of child care experiences, externalizing behavior, and family characteristics. There were 3 main findings. First, the evidence linking child care hours with externalizing behavior was equivocal in that results varied across model specifications. Second, the association between child care hours and externalizing behavior was not due to a child effect. Third, child care quality and proportion of time spent with a large group of peers moderated the effects of child care hours on externalizing behavior. The number of hours spent in child care was more strongly related to externalizing behavior when children were in low-quality child care and when children spent a greater proportion of time with a large group of peers. The magnitude of associations between child care hours and externalizing behavior was modest. Implications are that parents and policymakers must take into account that externalizing behavior is predicted from a constellation of variables in multiple contexts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of child teacher relationship training on the children of focus: A pilot study.

Head Start teachers (n = 24) were assigned to either the experimental group or the active control group in this pilot study to determine the effects of child–teacher relationship training (CTRT) on 22 disadvantaged preschool children identified with behavioral problems. CTRT is based on the principles and procedures of child–parent relationship therapy (CPRT; Landreth & Bratton, 2006), a structured, time-limited approach that trains young children's caregivers to be active participants in an early mental health delivery system. Results indicate that children whose teachers participated in CTRT made statistically significant improvements in both externalizing behavior problems and total problems when compared with the active control group. Children in the CTRT group demonstrated a large treatment effect on their internalizing behavior problems compared with those in the active control group. The statistical, practical, and clinically significant results of this pilot study indicate that CTRT is a promising option for preschool children with clinically significant behavior problems. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The prevention of depressive symptoms in rural school children: A randomized controlled trial.

A controlled trial was conducted to evaluate a prevention program aimed at reducing depressive and anxious symptoms in rural school children. Seventh-grade children with elevated depression were selected. Nine primary schools (n=90) were randomly assigned to receive the program, and 9 control schools (n=99) received their usual health education classes. Children completed questionnaires on depression, anxiety, explanatory style, and social skills. Parents completed the Child Behavior Checklist (T. M. Achenbach, 1991). No intervention effects were found for depression. Intervention group children reported less anxiety than the control group after the program and at 6-month follow-up and more optimistic explanations at postintervention. Intervention group parents reported fewer child internalizing and externalizing symptoms at postintervention only. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Testing a series of causal propositions relating time in child care to children’s externalizing behavior.

[Correction Notice: An erratum for this article was reported in Vol 46(2) of Developmental Psychology (see record 2010-03975-013). On the first page of the article “Testing a Series of Causal Propositions Relating Time in Child Care to Children’s Externalizing Behavior,” by Kathleen McCartney, Margaret Burchinal, Alison Clarke- Stewart, Kristen L. Bub, Margaret T. Owen, Jay Belsky, and the NICHD Early Child Care Research Network (Developmental Psychology, 2010, Vol. 46, No. 1, pp. 1–17), author Alison Clarke- Stewart’s name was misspelled as Aliso Clarke-Stewart. In addition, the e-mail address listed for the corresponding author Kathleen McCartney is incorrect. The correct e-mail address is: kathleen_mccartney@gse.harvard.edu. The online versions of this article have been corrected.] Prior research has documented associations between hours in child care and children’s externalizing behavior. A series of longitudinal analyses were conducted to address 5 propositions, each testing the hypothesis that child care hours causes externalizing behavior. Data from the National Institute of Child Health and Human Development Early Child Care Research Network (NICHD) Study of Early Child Care and Youth Development were used in this investigation because they include repeated measures of child care experiences, externalizing behavior, and family characteristics. There were 3 main findings. First, the evidence linking child care hours with externalizing behavior was equivocal in that results varied across model specifications. Second, the association between child care hours and externalizing behavior was not due to a child effect. Third, child care quality and proportion of time spent with a large group of peers moderated the effects of child care hours on externalizing behavior. The number of hours spent in child care was more strongly related to externalizing behavior when children were in low-quality child care and when children spent a greater proportion of time with a large group of peers. The magnitude of associations between child care hours and externalizing behavior was modest. Implications are that parents and policymakers must take into account that externalizing behavior is predicted from a constellation of variables in multiple contexts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Play therapy outcome prediction: An exploratory study at a university-based clinic.

In this study we investigated the prediction of child centered play therapy (CCPT)/nondirective play therapy on emotional and behavioral problems using archival data from 82 child clients at a university-based counseling clinic. Statistically significant predictions were found on the Internalizing and Externalizing Problems scales on the Child Behavior Checklist. Termination and family relationship concerns variables were found to be strong contributors to predicting greater improvement. Results are discussed concerning implications for clinical practice and further research. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Testing links between childhood positive peer relations and externalizing outcomes through a randomized controlled intervention study.

In this study, the authors used a randomized controlled trial to explore the link between having positive peer relations and externalizing outcomes in 758 children followed from kindergarten to the end of 2nd grade. Children were randomly assigned to the Good Behavior Game (GBG), a universal classroom-based preventive intervention, or a control condition. Children’s acceptance by peers, their number of mutual friends, and their proximity to others were assessed annually through peer ratings. Externalizing behavior was annually rated by teachers. Reductions in children’s externalizing behavior and improvements in positive peer relations were found among GBG children, as compared with control-group children. Reductions in externalizing behavior appeared to be partly mediated by the improvements in peer acceptance. This mediating role of peer acceptance was found for boys only. The results suggest that positive peer relations are not just markers, but they are environmental mediators of boys’ externalizing behavior development. Implications for research and prevention are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pretrauma problems, prior stressor exposure, and gender as predictors of change in posttraumatic stress symptoms among physically injured children and adolescents.

Objective: This study addressed predictors of change in posttraumatic stress symptoms (PTSS) among youths who had experienced physical injuries. The influences of pretrauma internalizing and externalizing problems, prior stressor exposure, and gender were investigated. Additionally, gender was examined as a moderator of the associations between internalizing problems and PTSS, externalizing problems and PTSS, and prior stressor exposure and PTSS. Method: Participants were 157 children and adolescents (75% male; age M = 13.30 years, SD = 3.60; 44% Caucasian, 39% African American, 13% Hispanic, and 4% other) admitted to 2 hospitals for physical injuries. Youths and their parents completed measures of PTSS (Child Posttraumatic Stress Reaction Index), internalizing and externalizing problems (Child Behavior Checklist), and prior stressor exposure (Coddington Life Events Scale, Child) during the hospital stay; youths completed up to 3 additional PTSS assessments targeted at 3, 6, and 12 months postinjury. Results: Multilevel regression analyses revealed a significant average decline in PTSS over time (p p p     

Factor structure of the Child Behavior Checklist/6-18 in a sample of girls adopted from China.

Confirmatory factor analysis with robust weighted least squares estimation of the 103 dichotomously scored items of the Child Behavior Checklist/6-18 (T. M. Achenbach & L. A. Rescorla, 2001) in a sample of 516 girls adopted from China (ages 6.0-15.7 years; M = 8.2, SD = 1.9) indicated that the fit of the 8-factor model was good (root-mean-square error of approximation = .047) and was slightly better than what T. M. Achenbach and L. A. Rescorla (2001) reported for the same model (.06). Support for the 2nd-order factor structure of Internalizing and Externalizing Problems also was provided. Comparisons of the mean scores for the syndromes and Internalizing, Externalizing, and Total Problems revealed mostly small differences between the sample of adopted Chinese girls and T. M. Achenbach and L. A. Rescorla's normative samples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parenting practices and problem behavior across three generations: Monitoring, harsh discipline, and drug use in the intergenerational transmission of externalizing behavior.

Using data from grandparents (G1), parents (G2), and children (G3), this study examined continuity in parental monitoring, harsh discipline, and child externalizing behavior across generations, and the contribution of parenting practices and parental drug use to intergenerational continuity in child externalizing behavior. Structural equation and path modeling of prospective, longitudinal data from 808 G2 participants, their G1 parents, and their school-age G3 children (n = 136) showed that parental monitoring and harsh discipline demonstrated continuity from G1 to G2. Externalizing behavior demonstrated continuity from G2 to G3. Continuity in parenting practices did not explain the intergenerational continuity in externalizing behavior. Rather, G2 adolescent externalizing behavior predicted their adult substance use, which was associated with G3 externalizing behavior. A small indirect effect of G1 harsh parenting on G3 was observed. Interparental abuse and socidemographic risk were included as controls but did not explain the intergenerational transmission of externalizing behavior. Results highlight the need for preventive interventions aimed at breaking intergenerational cycles in poor parenting practices. More research is required to identify parental mechanisms influencing the continuity of externalizing behavior across generations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of child psychological changes during family-based treatment for obesity

OBJECTIVE: To explore the influence of 1-year changes in child obesity and maternal psychopathology on changes in child psychological problems. DESIGN: Hierarchical regression models were used to predict child psychological change, with demographic variables, maternal psychological change, and child percentage overweight change as predictors. SETTING: Pediatric obesity research clinic. PARTICIPANTS: Clinic sample of 116 obese 8- to 12-year-old children and their mothers. INTERVENTIONS: Family-based behavioral weight-control program. MAIN OUTCOME MEASURES: Child psychopathology was assessed via mother-reported Child Behavior Checklists and maternal psychopathology was determined by standardizing scores on the Cornell Medical Index and the Symptoms Checklist-90-Revised. RESULTS: Significant improvements were observed in child percentage overweight (-20.1% overweight), and child and maternal psychopathology. Improved maternal psychopathology accounted for a significant amount of variance in improvements in the Child Behavior Checklist total Problems Scale and internalizing and externalizing problems subscales. Decreased obesity accounted for a significant amount of variance in improvements in the Total Competence scale and, somatic complaints, social problems and social competence subscales of the Child Behavior Checklist. Significant interactions of child obesity change by sex were found for Total Problems and externalizing scores. The interactions were due to girls with greater obesity reduction showing greater improvement in Total Problems, whereas boys with greater obesity reduction showed less improvement in externalizing problems. CONCLUSIONS: These results highlight the multidimensional nature of psychosocial functioning in obese children and call attention to multiple avenues for intervention to improve their psychosocial functioning.     

Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM).

This article presents 4 studies (N = 1,413) describing the development and validation of the Child and Adolescent Mindfulness Measure (CAMM). In Study 1 (n = 428), the authors determined procedures for item development and examined comprehensibility of the initial 25 items. In Study 2 (n = 334), they reduced the initial item pool from 25 to 10 items through exploratory factor analysis. Study 3 (n = 332) evaluated the final 10-item measure in a cross-validation sample, and Study 4 (n = 319) determined validity coefficients for the CAMM using bivariate and partial correlations with relevant variables. Results suggest that the CAMM is a developmentally appropriate measure with adequate internal consistency. As expected, CAMM scores were positively correlated with quality of life, academic competence, and social skills and negatively correlated with somatic complaints, internalizing symptoms, and externalizing behavior problems. Correlations were reduced but generally still significant after controlling for the effects of 2 overlapping processes (thought suppression and psychological inflexibility). Overall, results suggest that the CAMM may be a useful measure of mindfulness skills for school-aged children and adolescents. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Behavioral profiles of anxious solitary children and heterogeneity in peer relations.

Consistent with a holistic perspective emphasizing the integration of multiple individual characteristics within child systems, it was hypothesized that subgroups of anxious solitary (AS) children characterized by agreeableness, behavioral normality, attention-seeking-immaturity, and externalizing behaviors would demonstrate heterogeneity in peer relations and dyadic friendships. Sociometrics were collected for 688 3rd-grade children (mean age = 8.66 years, 51.5% female), and recess observations were obtained for a subset of 163 children. Results revealed that agreeable AS children demonstrated significantly superior relational adaptation relative to other AS children, whereas normative, attention-seeking-immature, and externalizing AS children demonstrated increasing relational adversity. Attention-seeking-immature AS children engaged in particularly high rates of directed solitary behavior and were most ignored by peers. Externalizing AS children were most often victimized by peers. Subgroup differences in sociometric peer adversity were qualified by sex. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parent Functioning in Families of Preadolescents With Spina Bifida: Longitudinal Implications for Child Adjustment.

The purpose of this study was to test a strength-of-association model regarding possible longitudinal and bidirectional associations between parent functioning and child adjustment in families of children with spina bifida (n = 68) and families of able-bodied children (n = 68). Parent functioning was assessed across 3 domains: parenting stress, individual psychosocial adjustment, and marital satisfaction. Child adjustment was indexed by teacher-reported internalizing and externalizing symptoms, self-reported depressive symptoms, and observed adaptive behavior. Findings revealed that all 3 parent functioning variables predicted child adjustment outcomes, and that such results were particularly strong for externalizing symptoms. Associations between parent functioning and child adjustment tended to be in the direction of parent to child and were similar across both groups. These findings have implications for potential interventions targeted at helping families manage the transition into early adolescence in families of children with spina bifida as well as families of healthy children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neurological correlates of reward responding in adolescents with and without externalizing behavior disorders.

Opposing theories of striatal hyper- and hypodopaminergic functioning have been suggested in the pathophysiology of externalizing behavior disorders. To test these competing theories, the authors used functional MRI to evaluate neural activity during a simple reward task in 12- to 16-year-old boys with attention-deficit/hyperactivity disorder and/or conduct disorder (n = 19) and in controls with no psychiatric condition (n = 11). The task proceeded in blocks during which participants received either (a) monetary incentives for correct responses or (b) no rewards for correct responses. Controls exhibited striatal activation only during reward, shifting to anterior cingulate activation during nonreward. In contrast, externalizing adolescents exhibited striatal activation during both reward and nonreward. Externalizing psychopathology appears to be characterized by deficits in processing the omission of predicted reward, which may render behaviors that are acquired through environmental contingencies difficult to extinguish when those contingencies change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal relations of children’s effortful control, impulsivity, and negative emotionality to their externalizing, internalizing, and co-occurring behavior problems.

The purpose of the study was to examine the relations of effortful control (EC), impulsivity, and negative emotionality to at least borderline clinical levels of symptoms and change in maladjustment over four years. Children’s (N = 214; 77% European American; M age = 73 months) externalizing and internalizing symptoms were rated by parents and teachers at 3 times, 2 years apart (T1, T2, and T3) and were related to children’s adult-rated EC, impulsivity, and emotion. In addition, the authors found patterns of change in maladjustment were related to these variables at T3 while controlling for the T1 predictor. Externalizing problems (pure or co-occurring with internalizing problems) were associated with low EC, high impulsivity, and negative emotionality, especially anger, and patterns of change also related to these variables. Internalizing problems were associated with low impulsivity and sadness and somewhat with high anger. Low attentional EC was related to internalizing problems only in regard to change in maladjustment. Change in impulsivity was associated with change in internalizing primarily when controlling for change in externalizing problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Epidemiological comparisons of problems and positive qualities reported by adolescents in 24 countries.

In this study, the authors compared ratings of behavioral and emotional problems and positive qualities on the Youth Self-Report (T. M. Achenbach & L. A. Rescorla, 2001) by adolescents in general population samples from 24 countries (N = 27,206). For problem scales, country effect sizes (ESs) ranged from 3% to 9%, whereas those for gender and age ranged from less than 1% to 2%. Scores were significantly higher for girls than for boys on Internalizing Problems and significantly higher for boys than for girls on Externalizing Problems. Bicountry correlations for mean problem item scores averaged .69. For Total Problems, 17 of 24 countries scored within one standard deviation of the overall mean of 35.3. In the 19 countries for which parent ratings were also available, the mean of 20.5 for parent ratings was far lower than the self-report mean of 34.0 in the same 19 countries (d = 2.5). Results indicate considerable consistency across 24 countries in adolescents' self-reported problems but less consistency for positive qualities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intensive group play therapy with child witnesses of domestic violence.

Describes the effectiveness of intensive sibling group play therapy with child witnesses of domestic violence in improving self-concept, reducing internalizing and externalizing behavior problems, and reducing overall behavior problems. A second objective of this study was to compare the effectiveness of intensive sibling group play therapy and intensive individual play therapy on the dimensions identified above. 10 children (aged 4–9 yrs) participated in the experimental group and 11 children (aged 4–10 yrs) served as controls. An analysis of covariance revealed children in the experimental group exhibited a significant reduction in total behavior problems, externalizing and internalizing behavior problems, aggression, anxiety, and depression, and a significant improvement in self- esteem. Intensive sibling group play therapy was found equally effective as intensive individual play therapy with child witnesses of domestic violence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor analysis of the Children's Depression Inventory in a community sample.

The factor structure of the Children's Depression Inventory (CDI; M. Kovacs, 1992) was evaluated in a large community sample of 1,777 children and 924 adolescents. There were 5 first-order factors (Externalizing, Dysphoria, Self-Deprecation, School Problems, and Social Problems) for the child group; the adolescent group yielded the same 5 factors plus a 6th factor (Biological Dysregulation). Confirmatory factor analyses supported the stability and replicability of the obtained factor structures. Both samples yielded 2 higher order factors—Internalizing and Externalizing. The factors were compared with previous CDI factors identified for clinical (B. Weiss et al., 1991) and community (M. Kovacs, 1992) samples. Other notable findings included more boys reporting high scores (17 and above) on the CDI among the child sample, whereas, among adolescents more girls reported high scores (17 and above) on the total CDI as well as higher scores on the biological dysregulation factor. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Linking marital conflict and children’s adjustment: The role of young children’s perceptions.

Young children’s (n = 96) perceptions and appraisals of their parents’ marital conflict were evaluated at age 5 and again at age 6. Concurrent reports of marital conflict by each parent and teachers’ reports of children’s classroom adjustment served as criteria against which to evaluate the validity of young children’s perceptions. Children’s perceptions of their parents’ marital relationship were significantly correlated with spouses’ reports at ages 5 and 6, as well as correlated with teacher reports of internalizing and externalizing problems. Consistent with the cognitive–contextual theory, children’s tendency to blame themselves for their parents’ conflict partially mediated the link between marital conflict and children’s internalizing symptoms. In contrast, children’s reports that they become involved in their parents’ conflict partially mediated the effect of marital conflict on externalizing problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)