Child Problem Behavior Research Articles

Hair Cortisol in Young Children with Autism and Their Parents: Associations with Child Mental Health, Eating Behavior and Weight Status.

Children with autism and their parents face daily challenges that may be stressful for both. However, little is known about biological stress (hair cortisol concentrations [HCC]) in these families and its connection to children's health outcomes. This study investigates biological stress in children with autism and their parents and its associations with child mental health, eating behavior and BMI. Stress was measured in 102 young children with autism and their parents (101 mothers, 86 fathers) using HCC and self-reported parenting stress (OBVL). Child mental health was measured through autism symptoms (ADOS-2, SRS-2) and problem behavior (CBCL). Child eating behavior (CEBQ) and BMIz were also measured. Children with autism had higher HCC than their peers. Child HCC was not linked to mental health, eating behavior, or BMIz. Maternal stress (self-reported and HCC) was associated with child problem behavior. In fathers, self-reported parenting stress correlated with child autism symptoms (SRS-2) and behavior problems. Both parents' self-reported stress was associated with child eating behavior, specifically emotional undereating and overeating. In conclusion, higher HCC levels in children with autism in comparison to children from the general population, suggest differences in stress-regulation in children with autism. Given these findings, monitoring HCC in research and clinical practice could improve our understanding of stress-regulation in children with autism. The association between parental stress and children's mental health and eating behaviors, underscores the importance of considering family dynamics in clinical (preventive) interventions and in further research that addresses the mental and physical health of children with autism.

Chinese parents' education anxiety, parenting, and problem behaviors in preschool children: Child competence as moderator

Chinese parents' education anxiety, parenting, and problem behaviors in preschool children: Child competence as moderator

The Effect of Childcare Teacher’s Perception of the Causes of Child Problem Behavior and Resilience on Problem Behavior Guidance Strategies

The Effect of Childcare Teacher’s Perception of the Causes of Child Problem Behavior and Resilience on Problem Behavior Guidance Strategies

Enhancing social-emotional skills in early childhood: intervention study on the effectiveness of social and emotional learning

BackgroundSocial and emotional learning (SEL) is crucial for developing skills such as emotional regulation, cooperation, and goal achievement. Deficits in these skills are linked to later academic and behavioral problems. While SEL interventions have been widely implemented internationally, few have been tested in early childhood settings in Japan, and their effectiveness remains unclear. In 2022, the Fun FRIENDS social and emotional learning program was introduced in class units for 4–5-year-olds attending kindergartens and children’s schools in Wakayama Prefecture, Japan. Thus, this study examined the effectiveness of the Fun FRIENDS program in children aged 4–5 years in Japan.MethodsFun FRIENDS is based on a cognitive-behavioral approach designed to teach participants how to cope with anxiety and stress, and to develop resilience and confidence. The program consists of 10 weekly sessions of approximately 1 h each. The intervention group comprised 115 children from two facilities, while the control group comprised 93 children from three facilities. Intervention effectiveness was evaluated through changes in externalizing (e.g., aggression, oppositional behavior) and internalizing behaviors (e.g., anxiety, depression), measured using the Strengths and Difficulties Questionnaire. Finally, data from 94 participants in the intervention group and 66 participants in the control group were analyzed.ResultsIn the intervention group, externalizing behaviors showed a significant reduction both before and after the intervention and internalizing behaviors also decreased significantly. Conversely, the control group did not exhibit any significant changes in either externalizing or internalizing behaviors before or after the intervention. The effect size for externalizing behaviors in the target group was 0.744, while the effect size for internalizing behaviors was 0.653.ConclusionsSocial and emotional learning programs in classrooms may effectively control problem behaviors in early childhood and prevent school maladjustment. A whole-class approach can reach more children, maximizing the preventive effects. The program can improve academic performance and social adaptation, contributing to the long-term development of psychological health and social skills. Nevertheless, further longitudinal research is required to assess the program’s long-term effects. In summary, strengthening the focus on social-emotional learning in early childhood education policy is key to realizing long-term benefits for child development.

Variables Influencing Physical Activity for Children With Developmental Disabilities Who Exhibit Problem Behavior

ABSTRACTPhysical activity is associated with several health and non‐health‐related benefits for children with and without disabilities. Most children do not meet the Centers for Disease Control and Prevention's recommendation of at least 60 min of moderate‐to‐vigorous physical activity daily. Children with intellectual and developmental disabilities (IDD) are even less likely to meet these standards than their neurotypical peers. Thus, there is a need to identify ways to combat physical inactivity by identifying variables influencing physical activity in this population. The present study assessed the effects of activity contexts (Experiment 1) and social and nonsocial consequences (Experiment 2) on physical activity and problem behavior for children diagnosed with autism spectrum disorder (ASD) who exhibited problem behavior. In both experiments, we identified one or more conditions that effectively increased physical activity relative to a control. Additionally, little to no problem behavior was observed.

Validity Study of the Maladaptive Behavior Assessment Checklist for Children with Developmental Disabilities (MABAC-CDD)

The MABAC-CDD was developed to address a requirement of an updated, standardized, comprehensive assessment tool in the area of maladaptive behaviors or problem behaviors for use with the Indian population. This study aimed to assess the validity of the MABAC-CDD checklist in order to standardize the tool, which is a 107-item frequency-based checklist with 14 areas or sub-domains that assess maladaptive behavior or problem behaviors for children with developmental disabilities below the age of 18 years. The study found the MABAC-CDD tool to have statistically significant criterion validity established through Pearson coefficient correlation at r=0.43 (p=<.001). The results of the validity of the 14 areas or sub-domains of MABAC-CDD are also discussed. This study helps in standardizing the tool and in establishing the validity of the MABAC-CDD for assessment of maladaptive behaviors among children with developmental disabilities in India.

Innovations in Practice: Brief behavioral parent training for children with impairing ADHD characteristics - a pilot study.

Behavioral parent training (BPT) is a well-established intervention for children with attention-deficit/hyperactivity disorder (ADHD), but most programs are long, which may limit their accessibility. This could be improved by making programs shorter. Here, we studied (1) the feasibility of a new brief BPT program and its procedures, and (2) pre-post changes in daily rated problem behaviors (primary outcome), children's disruptive behaviors, ADHD/ODD characteristics, impairment, and parents' sense of parenting competence (secondary outcomes). We conducted a nonrandomized pilot study including parents of 28 children (4-12 years) with impaired ADHD characteristics. We examined treatment dropout, parent and therapist satisfaction, recruitment rates, study drop-out, measurement response and completion rates, acceptability of measurements according to parents, and treatment fidelity. Pre-post changes in the treatment group were compared to those in a historical control group using mixed model analysis, except for those outcomes that were not assessed in the control group. Within-group differences were analyzed for all outcomes. Feasibility of the program and study procedures were good. Treatment dropout was 14.2%, parents and therapists were satisfied with the new program. We recruited 1.5 participants per month, study dropout was 10.7%, response/completion rates ranged from 82% to 100%, measurements were acceptable for parents, and treatment fidelity was 96%. We found substantial within-group changes (d's = .68-.77) and medium-sized between-group changes (d's = .46-.48) on daily rated problem behaviors. We observed no changes on most of the secondary outcomes, except for disruptive behaviors and impairment. Our newly developed brief BPT program was feasible and we observed improvements in children's daily-rated problem behaviors. These results suggest that brief BPT might be beneficial for clinical practice if the findings are confirmed in large-scale randomized controlled trials.

Paternal incarceration, child care instability, and children's wellbeing

AbstractObjectiveThis study examines the relationship between paternal incarceration, child care instability, and children's well‐being.BackgroundDespite the established repercussions of paternal incarceration for children and families, little is known about how paternal incarceration is associated with child care arrangements and how unstable child care arrangements moderate the deleterious consequences of paternal incarceration for children's well‐being.MethodsWe use data from the Future of Families and Child Wellbeing Study, a cohort of urban children born around the turn of the 21st century, to examine the relationship between recent first‐time paternal incarceration and child care instability (measured by long‐term instability, multiplicity, and back‐up care arrangements). We also examine how child care instability moderates the relationship between recent first‐time paternal incarceration and children's problem behaviors.ResultsAnalyses suggest three main findings. First, paternal incarceration is positively associated with long‐term child care instability, net of prior instability and factors associated with selection into paternal incarceration. Paternal incarceration is not associated with multiplicity or back‐up care. Second, the relationship between paternal incarceration and children's problem behaviors is larger among children with unstable care arrangements than among those with stable care arrangements. Third, children living with their father prior to his incarceration, compared to children not living with their father prior to his incarceration, experience larger consequences of paternal incarceration.ConclusionWe document the relationship between paternal incarceration and child care instability and how this instability moderates the association between paternal incarceration and children's problem behaviors.

The Impact of Maternal Childhood Trauma on Children's Problem Behaviors: The Mediating Role of Maternal Depression and the Moderating Role of Mindful Parenting.

This study investigates the impact of maternal childhood trauma on children's problem behaviors, focusing on the mediating role of maternal depression and the moderating role of mindful parenting. The study used a convenience sampling method to survey 385 mother-child pairs from kindergartens in Jinan, China. Data were collected in two waves, and various validated questionnaires were used to assess maternal childhood trauma, depression, mindful parenting, and children's problem behaviors. Maternal childhood trauma positively predicted children's problem behaviors. Maternal depression was found to mediate this relationship. Mindful parenting moderated the effects of maternal childhood trauma and depression on children's problem behaviors, with high levels of mindful parenting mitigating these adverse effects. Maternal childhood trauma impacts children's problem behaviors both directly and indirectly through maternal depression. Mindful parenting serves as a protective factor, reducing the negative impact of maternal childhood trauma and depression on children's problem behaviors. These findings highlight the importance of interventions aimed at enhancing mindful parenting practices to improve child outcomes.

Mobile App-Assisted Parent Training Intervention for Behavioral Problems in Children With Autism Spectrum Disorder: Pilot Randomized Controlled Trial.

In children with autism spectrum disorder (ASD), problem behaviors play a dysfunctional role, causing as much difficulty with daily living and adjustment as the core symptoms. If such behaviors are not effectively addressed, they can result in physical, economic, and psychological issues not only for the individual but also for family members. We aimed to develop and evaluate the feasibility of a mobile app-assisted parent training program for reducing problem behaviors in children with ASD. This open-label, single-center, randomized controlled trial was conducted among parents of children with ASD aged 36-84 months. Participants were recruited from the Department of Psychiatry at Seoul National University Hospital. Participants were randomly assigned (1:1) by a blinded researcher. Randomization was performed using a stratified block randomization (with a block size of 4). Parents in the intervention group completed the mobile app-assisted parent training program at home over a 12-week period. They continued to receive their usual nondrug treatment in addition to the mobile app-assisted parent training program. The control group continued to receive their usual nonpharmaceutical treatment for 12 weeks without receiving the parent training program intervention. The primary outcome measure was the median change in the Korean Child Behavior Checklist (K-CBCL) scores from before to after the intervention. Lower scores on the K-CBCL indicated a decrease in overall problem behavior. Between November 9, 2022, and December 8, 2022, 64 participants were enrolled. Overall, 42 children (intervention group median age: 49, IQR 41-52.5 months; control group median age: 49, IQR 42-58 months) of the participants joined the program. The intervention group included 20 (48%) participants and the control group included 22 (52%) participants. In the intervention group, the K-CBCL total scores showed a decrease after the intervention, with a median difference of -0.5 (95% CI -4.5 to 3). Pervasive developmental disorder scores also showed a decrease, with a median difference of -2.1 (95% CI -8.5 to 2.5). However, there was no significant difference in Clinical Global Impression-Severity of Illness scores after the intervention for both the control and intervention groups. Scores on the Korean version of the Social Communication Questionnaire showed a further decrease after the intervention in the intervention group (median difference -2, 95% CI -4 to 1). Caregivers' stress evaluated using the Korean Parenting Stress Index Fourth Edition-Short Form did not show any significant differences between the control and intervention groups. There were no adverse events related to study participation. The findings demonstrated the feasibility of using mobile devices for evidence-based parent training to reduce problem behaviors in children with ASD. Mobile devices' accessibility and flexibility may provide a viable alternative for offering early intervention for problem behaviors in children with ASD. CRIS KCT0007841; https://cris.nih.go.kr/cris/search/detailSearch.do?&seq=23112.

Relationships across the elementary years: Association with children's social-behavioral skills

Students' social-behavioral competencies are foundational to development. This longitudinal study identified associations between parent-teacher and student-teacher relationships, and children's social skills and problem behaviors at a single timepoint and over time. It involved 316 students and their parents and teachers across Grades 1 through 4. Several significant associations were uncovered, generally consistent with hypotheses. Parents' and teachers' reports of the parent-teacher relationship at one point in time were associated with their own ratings of students' social-behavioral outcomes. Across grades, parents' reports of the parent-teacher relationship were associated with their own ratings of students' outcomes. Teachers' reports of parent-teacher relationships were associated with children's overall social-behavioral outcomes as reported by parents and teachers. Teacher-rated student-teacher relationships at one timepoint were associated with their own ratings but not parents' ratings of student behaviors. Teacher-reported student-teacher relationships over time were associated with students' outcomes as rated by parents and teachers. Implications are discussed.

Parents' perception of children's behaviors, self-compassion, and parenting stress: Actor-partner interdependence model.

This study explores how self-compassion mediates the relations between parents' perceptions of children's behaviors and parenting stress, as well as interactions between parents. We conducted a longitudinal actor-partner interdependence mediation model and assessed parents' perceptions of children's behaviors, self-compassion, and parenting stress. A total of 656 pairs of parents (fathers' Mage = 34.96 years, SDage = 5.62; mothers' Mage = 33.13 years, SDage = 5.77) participated in the study. Results revealed that parents' perceptions of children's problem behavior affected their own parenting stress through their self-compassion. Additionally, parents' perceptions of children's prosocial behavior directly influenced their own parenting stress and also affected it through self-compassion in both parents. Parents' perceptions of children's problem behavior directly influenced their partner's parenting stress and also indirectly through their own self-compassion. Similarly, parents' perceptions of children's prosocial behavior affected their partner's parenting stress via self-compassion in both parents. The findings highlighted the importance of parents recognizing and valuing their children's positive behaviors, thereby fostering a constructive "child effect" that improved the dynamics of the parental subsystem. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Paternal Incarceration and Adolescent Delinquency: Role of Father Engagement and Early Child Behavior Problems.

Paternal incarceration is an important predictor of teen delinquency, but the factors that may explain this relationship-such as early child problem behaviors and level of father engagement-have not been adequately explored. The current longitudinal study examined paternal history of incarceration as a predictor of teen self-reported delinquency over a 15-year gap, considering early child problem behaviors and father engagement as mediators. Sex differences in these relationships were also evaluated. This four-wave longitudinal study included an analytic sample of 4897 teens who participated in the birth-cohort Future of Families and Child Well-Being Study. Mothers and fathers were interviewed shortly after the focal child's birth and were then reassessed in follow-up interviews at child ages 1, 3, 5, 9, and 15. The focal children were interviewed at ages 9 and 15. Results showed that paternal prior incarceration at year 1 was associated with greater child behavior problems and father engagement at year 5; however, those relationships disappeared by age 9. Paternal history of incarceration was not related to teen delinquency, but child behavior problems at age 9 were directly related to subsequent engagement in delinquent behaviors. Paternal current incarceration was related to subsequent father engagement but was not associated with later child behaviors. No significant indirect pathways emerged, indicating a lack of support for mediation. No sex differences in these relationships were observed. Overall, the findings underscore the complexity of the relationships between paternal incarceration, child behavior, and father engagement in the emergence of delinquent behaviors.

The Efficacy of Technology-Enhanced Behavioral Parent Training for Families With Low Income: Do Parent-Centered Profiles Moderate Treatment Outcomes?

Behavior disorders (BDs) in children are common and have long-term impacts. Financially disadvantaged families are at a greater risk of having a child with an early-onset BD but have more difficulty engaging in and therefore benefiting from behavior parent training (BPT). Building upon the potential of technology-enhanced (TE) treatment approaches in addressing barriers to treatment engagement and effectiveness, TE to one BPT program, Helping the Noncompliant Child (HNC), were tested in a randomized controlled trial (RCT) with 101 families with low income. The current study aimed to examine for whom TE-HNC versus standard HNC is optimal at posttreatment by exploring how pretreatment, parent-centered profiles may moderate parenting and child outcomes at posttreatment. Latent profile analyses yielded four distinct parent-centered profiles. The profile membership differentially predicted treatment outcomes by group for positive and negative parenting, as well as child behavior intensity, but not child problem behavior. The heterogeneity of responses to standard relative to TE treatment models among underserved families may provide clues regarding the future personalization of BPT toward improved treatment efficacy.

Co-parenting, parental competence and problem behaviours in children: examining differential parental roles

In recent years, the increase in child problem behaviours has become a significant public health concern. It is crucial to understand the complex dynamics between parental co-parenting, parenting competence, and child problem behaviours to develop effective interventions. This study explored the intricate relationship between parental co-parenting, parenting sense of competence, and child problem behaviours in a sample of 407 parent-child pairs from Shanghai, China. Findings indicated that neither maternal nor paternal perceived co-parenting significantly predicts child problem behaviours directly. However, maternal parenting sense of competence emerges as a significant mediator between maternal perceived co-parenting (both supportive and non-supportive) and child problem behaviours. This highlights the pivotal role of mothers as primary caregivers in shaping parenting dynamics and child outcomes. Conversely, paternal parenting sense of competence does not mediate the relationship between paternal perceived co-parenting and child behaviours, suggesting a nuanced dynamic within paternal care-giving roles. The study underscores theoretical contributions, validating the theory of inconsistent compensation effect and emphasizing the primary caregiver effect within the Chinese family context.

The Impact of Regular Physical Activity Participation on Physical Fitness and Problem Behaviors in Children with Autism Spectrum Disorder.

The Article Abstract is not available.

The Effect of Children’s Sleep Problems on Problem Behaviors: The Serial Mediating Effect of Executive Function and Emotion Regulation

Objectives: This study explains the process by which sleep problems affect problem behaviors in early elementary school children and explores the roles of executive function and emotion regulation, which are concepts related to cognitive or emotional regulation.Methods: This study’s participants consisted of 283 children in first to third grades of elementary school. Questionnaires asked mothers about their children’s sleep problems, executive function, emotion regulation, and problem behaviors. Model 6 of PROCESS macro version 3.4 was used to analyze the collected data.Results: First, children’s sleep problems had a directly positive effect on problem behaviors. Second, children’s sleep problems had a negative effect on executive function, and executive function had a negative effect on problem behaviors. Third, children’s sleep problems had a negative effect on emotion regulation, and emotion regulation had a negative effect on problem behaviors. Finally, children’s sleep problems had a negative effect on executive function; executive function had a positive effect on emotion regulation; and emotion regulation had a negative effect on problem behaviors. Bootstrapping tests revealed that the mediating effect of executive function, the mediating effect of emotion regulation, and the serial mediating effect of executive function and emotion regulation were all significant in the relationship between children’s sleep problems and problem behaviors.Conclusion: This study expands on studies that revealed the mediating effect of executive function or emotion regulation in the relationship between sleep problems and problem behaviors. In other words, by confirming the serial mediating effect of executive function and emotion regulation, this study expands our understanding of the mechanisms by which children’s sleep problems affect problem behaviors.

A Systematic Review of Parental Self-Efficacy in Parents of Autistic Children.

Parental self-efficacy (PSE) assesses a parent's expectations and beliefs about their ability to effectively parent their child. PSE has implications for a parent's well-being, parenting practices, mental health, the parent-child relationship, and child adjustment. While PSE has been extensively examined within the broader parenting literature, the examination of PSE specifically for parents of autistic children has gained increasing attention in recent years. The following systematic review aimed to investigate the role of PSE for parents of autistic children by examining variables that predict PSE or are predicted by PSE in relation to how they align with the broader parenting literature and are unique to autism. Utilizing PRISMA guidelines, peer-reviewed articles were included if (a) participants included caregivers of autistic children, (b) at least one quantitative outcome measure of PSE was utilized, and (c) the role of PSE was examined as an outcome, predictor, or variable in an explanatory model. A total of 53 studies were included in the review and the role of PSE was examined regarding family (e.g., parental characteristics, parent stress, well-being, and support) and child factors (e.g., autism symptomology, problem behaviors, interventions). Several themes emerged including a positive relationship between PSE and support, and a negative relationship between PSE and parenting stress, parent mental health outcomes (e.g., anxiety, depression), and autism symptomology. Findings were compared to the broader parenting and PSE literature to examine how increased considerations and challenges (e.g., child problem behaviors, social impairment, and caregiver strain) associated with raising an autistic child might impact PSE.

The relationship between preschool children’s electronic product use and problem behaviours: a moderated mediation model

ABSTRACT Electronic product use among preschool children is gradually widespread. To explore whether and how electronic product use causes problem behaviours in preschool children, this study analyses the relationships between the degree of electronic product use, problem behaviours, and the roles of parenting styles and parent-child relationships in between using questionnaires to survey 582 parents of children aged 3-6-year-olds. Results (1) There are significant correlations between the four; (2) the Parent-child relationship mediated the relationship between electronic product use and problem behaviours; (3) Parenting style moderated both the relationship between electronic use and problem behaviours as well as parent-child relationship and problem behaviours. Conclusion: Excessive electronic product use can lead to parent-child conflicts and problem behaviours, while highly positive parenting styles can buffer these influences. This study provides further insights into the negative effects of excessive electronic product use and the protective role of parental guidance.

Psychometric Properties of the Child Behavior Checklist (CBCL) for Ages 6-18 to Identify Autism Spectrum Disorders (ASD) in a Turkish Parent Sample.

The Child Behavior Checklist for ages 6-18 (CBCL/6-18) is broadly used for psycho-educational assessment in identifying children's behavior problems in special education and psychology. However, the usefulness of the CBCL/6-18 in a Turkish sample still needs to be investigated. The current study aimed to investigate the psychometric properties of the measures of the CBCL/6-18 within a sample of Turkish parents. The psychometric evaluation includes item calibration using the Partial Credit Model (PCM). We analyzed data from 548 parents who have children with autism spectrum disorder. According to the PCM calibration, the results suggested that the Internalizing, Externalizing, and Total Problem subscales were unidimensional and showed local independence successfully. All subscales demonstrated adequate reliability, indicating that the scale distinguishes between children with different behavior problems. The subscales had varying item step ordering, meaning that transitions from one category to second by parent ratings are relatively straightforward. Some items with easy-to-define behavior problems, for example, Item 42 (constipated), were more likely to be endorsed by parents. Consequently, the CBCL/6-18 has adequate psychometric properties for accurately assessing problem behaviors in children based on parent ratings.