Children's Behavior Questionnaire Research Articles

The Effect of the 'Touch Screen-Based Cognitive Training' for Children with Severe Cognitive Impairment in Special Education.

Traditional education in special schools have some limitations. We aimed to investigate if the ‘touch screen-based cognitive training’ is feasible and effective for children with severe cognitive impairment (developmental age 18–36 months) in special education. In this case, 29 children were randomly allocated to intervention (n = 17, ‘touch screen-based cognitive training’, 30 min/session, 3 times/week, 12 weeks) and control (n = 12, traditional education) groups. Psychoeducational Profile-Revised (PEP-R), Early Childhood Behavior Questionnaire (ECBQ), Sequenced Language Scale for Infants (SELSI), Pediatric Evaluation of Disability Inventory (PEDI), and Goal Attainment Scale (GAS) were measured before and after 12 weeks of education. The ‘touch screen-based cognitive training’ was applicable in special education. When repeated measures analysis of variance (ANOVA) was used, significant groupⅹtime effect was found for GAS, and significant group effect was found for ECBQ (attentional shifting) and GAS. When adjusting for pre-education measurements, the intervention had a significant effect on the post-education measurements of ECBQ (attentional shifting) and GAS (p < 0.05). No relationship existed between the degree of improvements and the severeness of developmental delay in the measurements. ‘Touch screen-based cognitive training’ in special school was feasible and it improved cognition in children with severe cognitive impairment (developmental age 18–36 months), irrespective of the severeness of the developmental delay.

The feeding to Manage Child Behavior Questionnaire: Development of a tool to measure’ non-nutritive feeding practices in low income families with preschool-aged children

The parent feeding literature has largely focused on the use of controlling, intrusive practices to manage children's food intake (e.g., restriction, pressure). Less research has been conducted on parents' use of food as a contingency to direct or motivate child behavior. The aim of this study was to develop and validate the Feeding to Manage Child Behavior Questionnaire (FMCBQ). A mixed-methods approach was used to develop the 10-item questionnaire. Cognitive interviews informed the modification, deletion and/or replacement of items. The survey was distributed to mothers of children aged 2–5 years participating in the Women, Infants, and Children program or Head Start (n = 334). Factor analysis was conducted to test our theoretical model and construct validity was assessed. Caregivers also completed the Structure and Control in Parenting Feeding (SCPF) questionnaire and Child Behavior Questionnaire (CBQ). Exploratory factor analysis revealed a 2-factor model; 5-item Food to Soothe (FTS) and 4-item Food as Reward (FAR) subscale. Internal consistencies were good (0.84, 0.70 respectively). Both subscales were weakly and negatively associated with maternal self-reported BMI. As predicted, both subscales were positively correlated with child negative affect and other control-based feeding practices, whereas only FTS was negatively associated with structure-based feeding. The FMCBQ provides a short, reliable, and valid tool to assess use of FAR and FTS in response to a variety of contexts to better understand how mothers feed their children.

Cross-Cultural Differences in Temperament Between the United States and the People’s Republic of China: A Longitudinal Comparison

Aims: The present study assessed cross-cultural differences in temperament and temperament stability between children from the United States (US) and the People’s Republic of China (PRC). Goals of the study include examining differences in three temperament factors (surgency, negative affectivity, and regulation/effortful control), conducting comparisons on fine-grained dimensions of factors demonstrating significant cross-cultural differences, and comparing temperament stability from infancy to toddlerhood.&#x0D; Methodology: The US sample (N = 147) and PRC sample (N = 128) consisted of children whose temperament was longitudinally assessed in infancy and toddlerhood using the Infant Behavior Questionnaire-Revised Short Form (IBQ-R SF) and the Early Childhood Behavior Questionnaire Short Form (ECBQ SF). Primary analyses involved evaluating mean differences in the three temperament factors: surgency, negative affectivity, and regulation/effortful control, with additional statistical tests conducted to investigate fine-grained distinctions.&#x0D; Results: Findings revealed main effects of culture for each factor with culture x time interactions indicating negative affectivity significantly differed in toddlerhood, t(273) = -8.27, P &lt; .001, d = 1.00, 98.75% CI [-0.70, -0.37], and regulation in infancy, t(273) = -5.17, P &lt; .001, d = 0.62, 98.75% CI [-0.62, -0.22]. Specifically, the US sample exhibited higher surgency at both time points, lower negative affectivity in toddlerhood, and lower regulation in infancy. In addition, little difference was noted in temperament stability between the US and Chinese samples.&#x0D; Conclusion: Our findings support previous reports identifying cultural differences in temperament and highlight that differences are not constant across early childhood, but rather that as development unfolds, their nature is subject to change.

The effect of progressive exercise therapy and combination self-modeling on behavioral disorders in children with intellectual disability

Introduction: In addition to physical exercises, cognitive interventions such as imagery and modeling facilitate the learning of skills. Aim: The present study was conducted with the aim of determining the effect of progressive exercise therapy and combination self-modeling on behavioral disorders in children with intellectual disability. Method: This study was a semi-experimental study with experimental group and control group. Among the exceptional children in Najafabad in 2019, 30 educable children with intellectual disabilities aged 8-12 years were selected based on inclusion criteria. Experimental groups underwent training intervention training for 4 weeks and four sessions per week. The tool used was Rutter children behavioral questionnaire. The data were analyzed with repeated measures analysis of variance trough SPSS20 software. Results: The results showed that there was a significant difference between the means of self modeling behavioral disorders and progressive exercise therapy in the post-test phase with their averages in the pre-test phase (P&lt;0.05). Examination of the means showed the combined selfmodeling group had a better behavioral disorders score in the post-test phase than the other groups. Also, in the post-test phase, the mean of behavioral disorders in the progressive exercise therapy group was better than the control group. Conclusion: The findings of the present study showed the progressive Exercise therapy and combination self-modeling in educating and assisting the behavior of children with intellectual disability are effective. They could learn from the way in terms of time for educators, teachers and parents are beneficial.

Comparison of two measures of behavior change in children after day surgery.

A contemporary, well-validated instrument for the measurement of behavior change in children after general anesthesia is lacking. The Post Hospitalization Behavior Questionnaire for Ambulatory Surgery (PHBQ-AS) has been developed as an updated version of the original Post Hospitalization Behavior Questionnaire (PHBQ) to better reflect the current patient population and modern anesthetic practices. To assess the reliability of the PHBQ-AS and determine concurrent validity with another measure of child behavior, the Strength and Difficulties Questionnaire (SDQ). We compared the PHBQ-AS with the SDQ in 248 children presenting for day-case surgery. A baseline SDQ measurement was taken prior to surgery, and then, both scales were administered on days 3, 14, and 28 postsurgery. The PHBQ-AS demonstrated good reliability in terms of internal consistency with a Cronbach's alpha of 0.79 and split-half correlation with Spearman Brown adjustment of 0.85. There was weak correlation with the SDQ on day 3 postoperatively (Pearson's r=0.201), moderate correlation on day 14 (Pearson's r=0.421), and weak-to-moderate correlation on day 28 (Pearson's r=0.340). A cut-off score of 3.2 on the PHBQ-AS for the diagnosis of negative behavior demonstrated equivalence with the SDQ results; however, the SDQ results remained relatively constant throughout the study period and reflected the expected rate of increased risk of problem behavior in children. The PHBQ-AS showed good reliability but only had weak-to-moderate correlation with another measure of child behavior, the SDQ. Further validation is required before the PHBQ-AS is used for the routine measurement of behavior change in children after anesthesia, or alternatively, a new instrument needs to be developed in order for research to advance in this area.

Daily television exposure, parent conversation during shared television viewing and socioeconomic status: Associations with curiosity at kindergarten.

ObjectiveTo examine the main and interactive effects of the amount of daily television exposure and frequency of parent conversation during shared television viewing on parent ratings of curiosity at kindergarten, and to test for moderation by socioeconomic status (SES).Study designSample included 5100 children from the Early Childhood Longitudinal Study, Birth Cohort. Hours of daily television exposure and frequency of parent screen-time conversation were assessed from a parent interview at preschool, and the outcome of early childhood curiosity was derived from a child behavior questionnaire at kindergarten. Multivariate linear regression examined the main and interactive effects of television exposure and parent screen-time conversation on kindergarten curiosity and tested for moderation by SES.ResultsIn adjusted models, greater number of hours of daily television viewing at preschool was associated with lower curiosity at kindergarten (B = -0.14, p = .008). More frequent parent conversation during shared screen-time was associated with higher parent-reported curiosity at kindergarten with evidence of moderation by SES. The magnitude of association between frequency of parent conversation during television viewing and curiosity was greater for children from low SES environments, compared to children from high SES environments: (SES ≤ median): B = 0.29, p < .001; (SES > median): B = 0.11, p < .001.ConclusionsHigher curiosity at kindergarten was associated with greater frequency of parent conversation during shared television viewing, with a greater magnitude of association in low-SES families. While the study could not include measures of television program content, digital media use and non-screen time conversation, our results suggest the importance of parent conversation to promote early childhood curiosity, especially for children with socioeconomic disadvantage.

Temperament and sleep behaviors in infants and toddlers living in low-income homes

Temperament is a dynamic trait that can be shaped by maturity and environmental experiences. In this study, we sought to determine whether and the extent to which temperament was predicted by sleeping behaviors in an understudied sample of primarily Black and White infants and toddlers living in low-income homes (N = 150). Sleeping behaviors were assessed at 15–19 months of age with caregiver report of the Tayside Children’s Sleep Questionnaire. Temperament was examined as effortful control, negativity, and surgency with the Infant Behavior Questionnaire Very Short Form at 9–12 months of age and with the Early Childhood Behavior Questionnaire Short Form at 20–24 months of age. Covariates were maternal education, household income, and child sex and race. Continuous variables were standardized, then missing data from independent variables were multiply imputed in 20 datasets. Regression analyses showed that about 1 SD improvement in toddler sleep behaviors significantly predicted about 1/5 SD better toddler effortful control. However, sleep behaviors did not significantly predict toddler surgency or negative affect. This study shows that for a sample of infants and toddlers in low-income homes, how a child learns to regulate sleeping behaviors may influence the development of overall effortful control about six months later.

Associations between Turkish incarcerated mothers’ sensitivity and their co-residing children’s attachment: The moderating role of children’s temperament

ABSTRACT This study investigated the associations between incarcerated mothers’ sensitivity and their co-residing children’s attachment security. Furthermore, the moderating role of children’s temperament on the associations between maternal sensitivity and children’s attachment security was examined. The study sample consisted of 84 incarcerated mothers (Mage = 29.9, SD = 5.6) and their 12- to 43-month-old (M = 25.3, SD = 8.3) children who co-resided with them in prison facilities. Maternal sensitivity and child’s attachment were assessed by observation of mother-child interaction using the Maternal Sensitivity Scale and the Turkish Toddler Attachment Sort-60, respectively. Mothers reported their children’s temperamental features (i.e. negative emotionality and effortful control) using the Early Childhood Behavior Questionnaire. Results showed that maternal sensitivity was related positively to children’s secure attachment and negatively to children’s disorganized attachment. Furthermore, children’s negative emotionality and effortful control moderated the associations between maternal sensitivity and children’s attachment. Specifically, maternal sensitivity negatively predicted children’s avoidant attachment only for children with low negative emotionality and with high effortful control. Additionally, maternal sensitivity negatively predicted children’s anxious attachment only for children with low effortful control. Results are discussed in terms of sample-specific experiences, contextual factors, and the differential susceptibility hypothesis.

Effect of Anodal Transcranial Direct Current Stimulation Combined With Cognitive Training for Improving Cognition and Language Among Children With Cerebral Palsy With Cognitive Impairment: A Pilot, Randomized, Controlled, Double-Blind, and Clinical Trial.

About 30–45% of cerebral palsy (CP) patients have cognitive impairment. Previous studies showed the evidence that transcranial direct current stimulation (tDCS) may have some benefits in attention-deficit/hyperactivity disorder, autism spectrum disorder, and motor development in CP. The aim of this study is to evaluate the effect of tDCS on cognition, language, and activities of daily living (ADL) among children with CP with cognitive impairment. It was a pilot, randomized, controlled, double-blind, clinical trial in a tertiary pediatric hospital, and 13 children with CP and a cognitive age under 42 months were enrolled. tDCS group (n = 8) had active tDCS and cognitive training (20 min/session, total 20 sessions, for 12 weeks) and sham group (n = 5) had sham tDCS and cognitive training. Primary outcome was the Bayley Scales of Infant Development II (BSID II). Secondary outcomes were the Pediatric Evaluation of Disability Inventory (PEDI), the Laboratory Temperament Assessment Battery (Lab-TAB), the Early Childhood Behavior Questionnaire (ECBQ), the Korean version of MacArthur–Bates Communicative Development Inventories (M-B CDI-K), the Sequenced Language Scale for Infants (SELSI) and the Preschool Receptive-Expressive Language Scale (PRES). After intervention, the tDCS group showed significant improvements in all measurements (p < 0.05) except the M-B CDI-K (grammar), whereas the sham group only showed significant improvements in the Lab-TAB (manipulation domain), the ECBQ (attentional shifting), and the M-B CDI-K (comprehension). The between-group differences in the degree of post-intervention improvement were not statistically significant. The degree of improvement was associated with better baseline cognitive function and younger age (p < 0.05). There were no major adverse events after tDCS. The combined application of tDCS and cognitive training was feasible and associated with improvements in cognitive function, ADL, and language among children with CP with cognitive impairment. However, considering that it is a pilot study, further larger-scale systematic investigation is needed.Clinical Trial Registration: The trial was registered in the Clinical Research Information Service database, identifier: KCT0003023.

Associations Between Meeting Global 24-hour Movement Guidelines And Temperament And Vocabulary Development In Preschoolers

PURPOSE: Global 24-hour movement guidelines for physical activity (PA), sedentary time (ST), and sleep were recently published by the World Health Organization for early childhood. Although compliance with similar guidelines has been associated with fewer behavioral and emotional problems and better cognitive development in young children, additional evidence is warranted for other behavioral and developmental measures. METHODS: Cross-sectional analyses were conducted in a sample of 218 preschoolers (50.8 ± 9.5 months). PA and sleep were measured with wrist-based accelerometry for up to 16 days. ST was collected via parent report. Participants were categorized as meeting the full guidelines or not, as well as meeting different combinations of recommendations within the guidelines for weekdays and weekends. Vocabulary knowledge was assessed with the Peabody Picture Vocabulary Test. Temperament indicators included surgency extroversion, negative affectivity, and effortful control from the parent-reported Child Behavior Questionnaire Very Short Form. Linear regression models adjusted for age, BMI percentile, and sex were analyzed for vocabulary development and temperament measures with meeting guidelines and combinations of meeting recommendations as predictor variables. RESULTS: Meeting the full guidelines was not significantly associated with any of the outcomes. On weekdays, meeting the ST (β = 6.69, p = 0.030), PA + ST (β = 7.37, p = 0.017), and ST + sleep (β = 6.52, p = 0.036) recommendations was associated with higher vocabulary scores. Weekend PA compliance was associated with lower surgency extroversion scores (β = -0.47, p = 0.036). Meeting PA recommendations on both weekdays (β = -0.65, p = 0.014) and weekends (β = -0.28, p = 0.045), sleep recommendations on weekdays (β = -0.32, p = 0.038), and PA + sleep on weekdays (β = -0.39, p = 0.007) was associated with higher scores for effortful control. CONCLUSION: Although achieving recommendations in some behaviors was associated with vocabulary knowledge and temperament, there was not overall evidence supporting a positive relation between guideline compliance and these developmental measures. Additional research may be warranted to examine what movement behavior compositions are most beneficial for these outcomes. Supported by: NIH R01 HL111695

Maternal caregiving ameliorates the consequences of prenatal maternal psychological distress on child development.

Children exposed to prenatal maternal psychological distress are at elevated risk for a range of adverse outcomes; however, it remains poorly understood whether postnatal influences can ameliorate impairments related to prenatal distress. The current study evaluated if sensitivematernal care during the first postnatal year could mitigate child cognitive and emotional impairments associated with prenatal psychological distress. Prenatal maternal psychological distress was assessed via self-reports of anxiety, depression, and perceived stress for 136 mothers at five prenatal and four postpartum time points. Quality of maternal care (sensitivity to nondistress, positive regard, and intrusiveness reverse-scored) were assessed during a mother-child play interaction at 6 and 12 months. Child cognitive function and negative emotionality were assessed at 2 years, using The Bayley Scales and the Early Childhood Behavior Questionnaire. Elevated prenatal distress was associated with poorer child cognitive function and elevated negative emotionality. Children exposed to elevated prenatal maternal distress did not, however, display these outcomes if they received high-quality caregiving. Specifically, maternal care moderated the relation between prenatal psychological distress and child cognitive function and negative emotionality. This association remained after consideration of postnatal maternal psychological distress and relevant covariates. Sensitive maternal care was associated with altered offspring developmental trajectories, supporting child resilience following prenatal distress exposure.

Effortful control assessed by parental report and laboratory observation and adjustment in early childhood

Effortful control is a key aspect of children’s self-regulation showing a remarkable progress in early childhood. This study explored the relationship between effortful control, externalizing and internalizing problems and prosocial behaviour in young children. The sample was composed by 31 Portuguese children, aged between 3 and 6-years-old, and their parents. Effortful control was assessed by behavioural tasks (Tower of Patience, Bead Sorting) and the very short form of the Child Behavior Questionnaire administered to the parents. Internalizing and externalizing problems, as well as prosocial behaviour, were measured through the Strengths and Difficulties Questionnaire, answered by the parents. The results show that higher levels of effortful control are related to less externalizing problems and higher levels of prosocial behaviour. No significant associations were found between effortful control and internalizing problems. The mechanisms that may explain the different patterns of associations between effortful control and internalizing and externalizing problems in early childhood are discussed.

Psychometric analysis of the Children’s Behavior Questionnaire (CBQ) in Chile

Measuring temperament is an important, yet challenging matter. The Children Behavior Questionnaire (CBQ) is a widely used measure, yet its psychometric properties have not been established in Latin America, and few studies have analyzed its structure at the item level. We analyzed the factor structure and reliability of the CBQ-short form in 998 Chilean children (Mage = 5.95 years) in central Chile. Confirmatory factor analysis revealed that the 15 factors proposed by the theory unsatisfactorily fit the data (CFI = .58, TLI = .56, RMSEA = .046, SRMR = .080), and reliability was lacking (range of α = .30–.74). We extracted the 36 items of the CBQ-vsf and it performed better (CFI = .82, TLI = .80, RMSEA = .078, SRMR = .074). Exploratory analyses suggested that the surgency factor was composed of two latent variables, and separating them generated a model with better validity and reliability (CFI = .77, TLI = .75, RMSEA = .076, SRMR = .077, range of α = .68–.77). We suggest the CBQ-vsf provides more validity, reliability and parsimony than the CBQ-sf. Finally, we discuss the functioning of the CBQ in Chilean culture and child-rearing patterns, and issues with the wording of questions in the Spanish translation.

Behavioural Measures of Infant Activity but Not Attention Associate with Later Preschool ADHD Traits.

Mapping infant neurocognitive differences that precede later ADHD-related behaviours is critical for designing early interventions. In this study, we investigated (1) group differences in a battery of measures assessing aspects of attention and activity level in infants with and without a family history of ADHD or related conditions (ASD), and (2) longitudinal associations between the infant measures and preschool ADHD traits at 3 years. Participants (N = 151) were infants with or without an elevated likelihood for ADHD (due to a family history of ADHD and/or ASD). A multi-method assessment protocol was used to assess infant attention and activity level at 10 months of age that included behavioural, cognitive, physiological and neural measures. Preschool ADHD traits were measured at 3 years of age using the Child Behaviour Checklist (CBCL) and the Child Behaviour Questionnaire (CBQ). Across a broad range of measures, we found no significant group differences in attention or activity level at 10 months between infants with and without a family history of ADHD or ASD. However, parent and observer ratings of infant activity level at 10 months were positively associated with later preschool ADHD traits at 3 years. Observable behavioural differences in activity level (but not attention) may be apparent from infancy in children who later develop elevated preschool ADHD traits.

Evaluating the Involving Relationships between Temperament and Motor Coordination in Early Childhood: A Prognostic Measurement

The main aim of the present study was the evaluation of dynamic relationships between dimensions of temperament and motor coordination in 3–7-year-old children in Greece. More specifically, the main objectives of the current study were the test outcomes regarding the psychometric properties (structural validity and internal consistency) of the Greek versions of (a) the Child Behavior Questionnaire—very short format (CBQ—VSF), and (b) the Developmental Coordination Disorder Questionnaire (DCDQ). For the purposes of the present study, 231 parents (202 women and 29 men), aged 23–53 years (mean (M) = 36.7 and standard deviation (SD) = 5.4) completed the aforementioned questionnaires. The sample consisted of 231 children (110 girls and 121 boys) aged 3–7 years (M = 4.75 years and SD = 1.30). For the DCDQ, the confirmatory factor analysis revealed three factors consistent with the factors that emerged from the constructs, with strong internal consistency reliability. Furthermore, regarding the CBQ—VSF, which measures the dimensions of temperament, the implementation of the confirmatory factor analysis indicated three factors and satisfactory internal consistency reliability, as well. Finally, path analysis revealed that temperamental effortful control, which mirrors both inhibitory and self-regulatory capacity, has a positive effect on motor coordination.

Impact of maternal age on infants' emotional regulation and psychomotor development.

Maternal age has progressively increased in industrialized countries. Most studies focus on the consequences of delayed motherhood for women's physical and mental health, but little is known about potential effects on infants' neurodevelopment. This prospective study examines the association between maternal age and offspring neurodevelopment in terms of both psychomotor development (Ages & Stages Questionnaires-3) and emotional competences (Early Childhood Behavior Questionnaire). We evaluated a cohort of healthy pregnant women aged 20-41 years and their offspring, assessed at 38 weeks gestation (n = 131) and 24 months after birth (n = 101). Potential age-related variables were considered (paternal age, education level, parity, social support, maternal cortisol levels, and maternal anxiety and depressive symptoms). Bayesian ordinal regression models were performed for each neurodevelopmental outcome. Maternal age was negatively associated with poor child development in terms of personal-social skills [odds ratio (OR) -0.13, 95% confidence interval (CI) 0.77-0.99] and with difficult temperament in terms of worse emotional regulation (OR -0.13, 95% CI 0.78-0.96) and lower positive affect (OR 0.16, 95% CI 0.75-0.95). As for age-related variables, whereas maternal anxiety symptoms and cortisol levels were also correlated with poor child development and difficult temperament, maternal social support and parental educational level were associated with better psychomotor and emotional competences. Increasing maternal age may be associated with child temperament difficulties and psychomotor delay in terms of social interaction skills. Early detection of neurodevelopment difficulties in these babies would allow preventive psychosocial interventions to avoid future neuropsychiatric disorders.

Impact of pedagogical intervention on early childhood professionals’ emotional availability to children with different temperament characteristics

ABSTRACT The purpose of this study was to evaluate the impact of pedagogical intervention on early childhood education professionals’ emotional availability to children with different temperament characteristics. Participants were 136 children (intervention group = 87; control group = 49) aged 1–6 years from 16 early childhood and care centres in Finland. The PedaSens intervention was a 9-month programme that included theory and video-based training for the professionals. Adult–child interaction was assessed with the Emotional Availability Scales before and after the intervention, and children’s temperament was assessed with the Early Childhood Behavior Questionnaire. According to results, early childhood professionals’ emotional availability increased in the intervention group, especially to children with high levels of activity and pleasure seeking and with low levels of attentional focusing. We argue that the quality of interaction in early childhood education and care can be increased by targeting professional trainings to support children with different temperament characteristics.

Cognitive Flexibility and Effortful Control in School-Age Children With and Without Stuttering Disorders.

Purpose This study compared attention control and flexibility in school-age children who stutter (CWS) and children who do not stutter (CWNS) based on their performance on a behavioral task and parent report. We used a classic attention-shifting paradigm that included manipulations of task goals and timing to test effects of varying demands for flexibility on switching accuracy and speed. We also examined associations between task performance, group, and relevant aspects of temperament. Method Participants included 33 children (15 CWS, 18 CWNS) between 8 and 11 years of age. Children sorted stimuli that differed on two dimensions (color and shape) based on sorting rules that varied from block to block or trial to trial. Timing manipulations included intervals of 200-, 600-, or 1,200-ms durations for critical trial components. Temperament data were obtained via the Children's Behavior Questionnaire. Results All children showed expected performance costs in response to block and trial manipulations; however, CWS were more affected by task conditions that increased demands for cognitive flexibility. Effects of interval durations also differed by group. Factor scores on the Children's Behavior Questionnaire indicated differences in effortful control between groups; however, this aspect of temperament did not mediate between-groups differences in switching performance. Conclusions Findings suggest that stuttering continues to be associated with differences in attention control and flexibility beyond the preschool years. Further research is needed to clarify how these cognitive processes shape the development of stuttering throughout childhood.

Negative affectivity moderated by preterm birth predicted toddlers’ behavior problems

ObjectiveThe present study aimed to examine the predictive effect of temperament moderated by preterm childbirth on behavioral problems in toddlerhood. MethodThe sample comprised 100 toddlers of 18–36 months of chronological age and their mothers. They were divided into two groups: 50 toddlers born preterm and admitted to the Neonatal Intensive Care Unit (PT group), and 50 toddlers born full-term (FT group) and recruited from day-care centers. Mothers completed questionnaires about toddlers’ temperament and behavior. The Early Childhood Behavior Questionnaire was used to assess temperament, and the Child Behavior Checklist (CBCL 1¹/²–5) to evaluate the total, internalizing, and externalizing behavior problems. Multiple regression analysis was performed to examine the moderation effects of preterm childbirth and temperament factors after controlling for toddlers’ age and socioeconomic level. ResultsThere was a moderation effect between preterm childbirth and temperament. Temperament with more Negative Affectivity, moderated by preterm birth, and less Effortful Control explained the total, internalizing, and externalizing behavior problems. ConclusionThe findings contribute to a better understanding of the impact of preterm childbirth and the dispositional traits of temperament on behavioral problems of toddlers born preterm.

Validity of the Adult Eating Behavior Questionnaire for adolescents treated in a weight management clinic.

The Child and Adult Eating Behavior Questionnaires (CEBQ, AEBQ) are established measures of eating behaviors. However, no similar measure is available for adolescents. Prior research has validated the AEBQ in adult samples, and one study has explored using the measure with adolescents. However, no studies to date have examined the validity of the AEBQ in adolescent clinical populations. Furthermore, no studies have examined associations between the AEBQ and indicators of health status in adolescents. A total of 280 adolescents (12-17 years old, 60% female) seen in a pediatric weight management clinic completed the AEBQ at intake. Confirmatory factor analysis (CFA) was conducted with AEBQ items to evaluate the model fit of one-, two-, seven-, and eight-factor structures. Intercorrelations between scale scores from AEBQ Food Approach and Food Avoidance domains were calculated. Associations of AEBQ scales with body mass index (BMI) and binge-eating behaviors were examined using Spearman Rho correlations and independent t-tests. CFAs revealed that the best fitting model was a seven-factor structure excluding the Hunger scale, although overall model fit was only marginally acceptable (X2 = 980.94, CFI = 0.925, TLI = 0.915, RMSEA = 0.074). Intercorrelation analyses indicated that all Food Approach scales were significantly associated with one another (r = 0.243-0.654); Food Avoidance scales were inconsistently correlated (r = 0.034-0.439). No AEBQ scales were correlated with BMI (r = -0.101-0.082). Stronger links were found with binge eating; higher frequency binge-related behaviors were associated with higher Food Approach scores. The seven-factor structure of AEBQ demonstrates a marginally acceptable fit for treatment-seeking adolescents with obesity. The Food Approach scales demonstrated more convergent validity than the Food Avoidance scales. The Food Approach scales also exhibited some clinical utility for identifying patients with increased risk for binge eating, which is a common target for behavioral intervention. Implications for maximizing the AEBQ's potential for assessing eating behaviors in adolescents with obesity are discussed.