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1

NOLAN, TM, L. BOND, R. ADLER, L. LITTLEFIELD, P. BIRLESON, K. MARRIAGE, A. MAWDSLEY, R. SALO, and BJ TONGE. "Child Behaviour Checklist classification of behaviour disorder." Journal of Paediatrics and Child Health 32, no. 5 (October 1996): 405–11. http://dx.doi.org/10.1111/j.1440-1754.1996.tb00939.x.

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Brunshaw, Jacqueline M., and Peter Szatmari. "The Agreement between Behaviour Checklists and Structured Psychiatric Interviews for Children." Canadian Journal of Psychiatry 33, no. 6 (August 1988): 474–81. http://dx.doi.org/10.1177/070674378803300608.

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There are few reports in the literature on the agreement between structured interviews and behaviour checklists in terms of specific diagnostic categories. The objective of this paper is to see how this agreement varies by source of information and diagnosis. One hundred children and their parents referred to a mental health clinic were given the Diagnostic Interview for Children and Adolescents (DICA). Parents and teachers also completed a checklist, the Survey Diagnostic Instrument, a modification of the Child Behaviour Checklist. Using likelihood ratios, the parent checklist agreed best with the parent interview, regardless of diagnosis. Among DSM-III diagnoses, the combined disorder anxiety-depression obtained the highest agreement with the DICA, attention deficit disorder with hyperactivity the next, and conduct disorder the lowest. For screening purposes, combining the parent and teacher checklists appears best, while, for diagnostic purposes, using the parent checklist alone may suffice. Nevertheless, positive predictive values remain low and may remain an inherent limitation of any checklist.
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Kelly, Thomas P., and Paul McArdle. "Using the Achenbach Child Behaviour Checklist in the differential diagnosis of disruptive behaviour disorders." Irish Journal of Psychological Medicine 14, no. 4 (December 1997): 136–38. http://dx.doi.org/10.1017/s0790966700003359.

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AbstractObjective: The report considers the utility of the Achenbach Child Behaviour Checklist in the differential diagnosis of the disruptive behaviour disorders.Method: Subscale scores on the parent completed Achenbach Child Behaviour Checklist were compared for three of 15 boys, the first diagnosed with attention deficit hyperactivity disorder, the second diagnosed with oppositional defiant disorder and a third non-clinical control.Result: The attention subscale of the Achenbach Child Behaviour Checklist was found to have a high level of sensitivity to children diagnosed with attention deficit hyperactivity disorder, but relatively poor specificity. The delinquent subscale was found to have limited sensitivity for oppositional defiant/conduct disorder group, but high levels of specificity. The aggressive subscale were found to have relatively high sensitivity for the oppositional defiant/conduct disorder group and relatively high specificity.Conclusion: The Achenbach Child Behaviour Checklist is useful in distinguishing between children with disruptive behaviour disorders and a non-clinical sample. The aggressive subscale appears to have potential clinical utility in the differential diagnosis of the disruptive behaviour disorders.
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Rey, Joseph M., Elzbieta Schrader, and Allen Morris-Yates. "Parent-child agreement on children's behaviours reported by the child behaviour checklist (CBCL)." Journal of Adolescence 15, no. 3 (September 1992): 219–30. http://dx.doi.org/10.1016/0140-1971(92)90026-2.

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Senaratna, BCV, H. Perera, and P. Fonseka. "Sinhala translation of child behaviour checklist: validity and reliability." Ceylon Medical Journal 53, no. 2 (December 12, 2008): 40. http://dx.doi.org/10.4038/cmj.v53i2.230.

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Hensley, V. Rae. "Australian normative study of the achenbach child behaviour checklist." Australian Psychologist 23, no. 3 (November 1988): 371–82. http://dx.doi.org/10.1080/00050068808255619.

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Bond, Lyndal, Terry Nolan, Robert Adler, and Colin Robertson. "The Child Behaviour Checklist in a Melbourne Urban Sample." Australian Psychologist 29, no. 2 (July 1994): 103–9. http://dx.doi.org/10.1080/00050069408257332.

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Harris, John, Colin Tyre, and Cynthia Wilkinson. "Using the Child Behaviour Checklist in ordinary primary schools." British Journal of Educational Psychology 63, no. 2 (June 1993): 245–60. http://dx.doi.org/10.1111/j.2044-8279.1993.tb01055.x.

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9

Mitchell, A. E., A. Morawska, J. A. Fraser, and K. Sillar. "Child behaviour problems and childhood illness: development of the Eczema Behaviour Checklist." Child: Care, Health and Development 43, no. 1 (October 2, 2016): 67–74. http://dx.doi.org/10.1111/cch.12412.

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10

Karling, M., and B. Hägglöf. "Child behaviour after anaesthesia: association of socioeconomic factors and child behaviour checklist to the post-hospital behaviour questionnaire." Acta Paediatrica 96, no. 3 (March 2007): 418–23. http://dx.doi.org/10.1111/j.1651-2227.2007.00108.x.

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11

Hanisch, Charlotte, Inez Freund-Braier, Christopher Hautmann, Nicola Jänen, Julia Plück, Gabriele Brix, Ilka Eichelberger, and Manfred Döpfner. "Detecting Effects of the Indicated Prevention Programme for Externalizing Problem Behaviour (PEP) on Child Symptoms, Parenting, and Parental Quality of Life in a Randomized Controlled Trial." Behavioural and Cognitive Psychotherapy 38, no. 1 (December 8, 2009): 95–112. http://dx.doi.org/10.1017/s1352465809990440.

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Background: Behavioural parent training is effective in improving child disruptive behavioural problems in preschool children by increasing parenting competence. The indicated Prevention Programme for Externalizing Problem behaviour (PEP) is a group training programme for parents and kindergarten teachers of children aged 3–6 years with externalizing behavioural problems. Aims: To evaluate the effects of PEP on child problem behaviour, parenting practices, parent-child interactions, and parental quality of life. Method: Parents and kindergarten teachers of 155 children were randomly assigned to an intervention group (n = 91) and a nontreated control group (n = 64). They rated children's problem behaviour before and after PEP training; parents also reported on their parenting practices and quality of life. Standardized play situations were video-taped and rated for parent-child interactions, e.g. parental warmth. Results: In the intention to treat analysis, mothers of the intervention group described less disruptive child behaviour and better parenting strategies, and showed more parental warmth during a standardized parent-child interaction. Dosage analyses confirmed these results for parents who attended at least five training sessions. Children were also rated to show less behaviour problems by their kindergarten teachers. Conclusions: Training effects were especially positive for parents who attended at least half of the training sessions. Abbreviations: CBCL: Child Behaviour Checklist; CII: Coder Impressions Inventory; DASS: Depression anxiety Stress Scale; HSQ: Home-situation Questionnaire; LSS: Life Satisfaction Scale; OBDT: observed behaviour during the test; PCL: Problem Checklist; PEP: prevention programme for externalizing problem behaviour; PPC: Parent Problem Checklist; PPS: Parent Practices Scale; PS: Parenting Scale; PSBC: Problem Setting and Behaviour checklist; QJPS: Questionnaire on Judging Parental Strains; SEFS: Self-Efficacy Scale; SSC: Social Support Scale; TRF: Caregiver-Teacher Report Form
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12

Nowicka, P., A. Ek, K. Sorjonen, and C. Marcus. "Child behaviours and childhood obesity. Confirmatory factor analysis of the Lifestyle Behaviour Checklist." Appetite 89 (June 2015): 307. http://dx.doi.org/10.1016/j.appet.2014.12.024.

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13

Mossin, Mats H., Jens B. Aaby, Christine Dalgård, Sine Lykkedegn, Henrik T. Christesen, and Niels Bilenberg. "Inverse associations between cord vitamin D and attention deficit hyperactivity disorder symptoms: A child cohort study." Australian & New Zealand Journal of Psychiatry 51, no. 7 (September 30, 2016): 703–10. http://dx.doi.org/10.1177/0004867416670013.

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Objective: To examine the association between cord 25-hydroxyvitamin D2+3 (25(OH)D) and attention deficit hyperactivity disorder symptoms in toddlers, using Child Behaviour Checklist for ages 1.5–5. Method: In a population-based birth cohort, a Child Behaviour Checklist for ages 1.5–5 questionnaire was returned from parents of 1233 infants with mean age 2.7 (standard deviation 0.6) years. Adjusted associations between cord 25(OH)D and Child Behaviour Checklist–based attention deficit hyperactivity disorder problems were analysed by multiple regression. Results The median cord 25(OH)D was 44.1 (range: 1.5–127.1) nmol/L. Mean attention deficit hyperactivity disorder problem score was 2.7 (standard deviation 2.1). In adjusted analyses, cord 25(OH)D levels >25 nmol/L and >30 nmol/L were associated with lower attention deficit hyperactivity disorder scores compared to levels ⩽25 nmol/L ( p = 0.035) and ⩽30 nmol/L ( p = 0.043), respectively. The adjusted odds of scoring above the 90th percentile on the Child Behaviour Checklist–based attention deficit hyperactivity disorder problem scale decreased by 11% per 10 nmol/L increase in cord 25(OH)D. Conclusion: An inverse association between cord 25(OH)D and attention deficit hyperactivity disorder symptoms in toddlers was found, suggesting a protective effect of prenatal vitamin D.
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Nøvik, T. S. "Validity of the Child Behaviour Checklist in a Norwegian sample." European Child & Adolescent Psychiatry 8, no. 4 (December 17, 1999): 247–54. http://dx.doi.org/10.1007/s007870050098.

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15

Towers, Hilary, Erica Spotts, Jenae M. Neiderhiser, Robert Plomin, E. Mavis Hetherington, and David Reiss. "Genetic and environmental influences on teacher ratings of the Child Behavior Checklist." International Journal of Behavioral Development 24, no. 3 (September 2000): 373–81. http://dx.doi.org/10.1080/01650250050118367.

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The knowledge we have of childhood and adolescent behaviour is, to some extent, a function of the unique perspective of the rater. Although many behavioural genetics studies have used parent and child self-reports in their assessments of child and adolescent adjustment, few have included teacher ratings of behaviour. It is possible that genetic and environmental contributions to teacher reports are different from those using parent and self-reports. The present study examined genetic and environmental influences on six subscales of the Child Behavior Checklist Teacher Report Form (CBC-TRF) using a normative sample of adolescents. The sample consisted of 373 same-sex twin and sibling pairs of varying degrees of genetic relatedness participating in the Nonshared Environment in Adolescent project (NEAD). For all of the CBC subscales, except attention problems and social problems, nonshared environmental influence was the most important source of variance. Additive genetic factors were of moderate importance for externalising behaviours, whereas nonadditive genetic factors contributed to the anxious/depressed, attention problems, withdrawn, and social problems subscales. For none of the constructs was shared environment a significant influence. Three alternative models testing for contrast effects, differences in twin and nontwin siblings, and differences in nondivorced and stepfamilies were examined. In most cases, the best-fitting model was a model that did not include any of these effects, suggesting that these factors do not critically affect the basic model. However, some of the patterns of correlations and parameter estimates were unusual and may warrant future investigation.
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Martin, Andrew J., Ken W. Linfoot, and Jennifer Stephenson. "Problem Behaviour and Associated Risk Factors in Young Children." Australian Journal of Guidance and Counselling 15, no. 1 (July 1, 2005): 1–16. http://dx.doi.org/10.1375/ajgc.15.1.1.

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AbstractThere is increasing concern about the number of preschool children displaying problem behaviour. This study examines the relative contribution of potential risk factors, particularly those related to families, to problem behaviour in the lives of a sample of western Sydney three- to five-year-old children. Problem behaviour was assessed using the Child Behavior Checklist (Achenbach & Edelbrock, 1991), encompassing measures of anxious, depressed, uncommunicative, obsessive, somatic complaint, social withdrawal, hyperactive, aggressive, and delinquent behaviours. Particularly salient risk factors associated with problem behaviour were found to be children's behaviour when very young (an indicant of temperament), personal stress in parents associated with concerns about the family and economic worries, and parenting characterised by guilt and anxiety.
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Fombonne, Eric. "The Child Behaviour Checklist and the Rutter Parental Questionnaire: a comparison between two screening instruments." Psychological Medicine 19, no. 3 (August 1989): 777–85. http://dx.doi.org/10.1017/s0033291700024387.

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SynopsisIn order to carry out an epidemiological survey of child psychiatric disorders in a community sample, the Child Behaviour Checklist was chosen as a parental questionnaire for screening in the first stage of the study. A French version of this instrument was developed and a pilot study of the scale was completed on a clinical sample (N = 127). As a criterion to gauge its validity, the Rutter scale was used as a concurrent measure. The correlation coefficient between the total scores of the two scales is 0·79, and ranges between 0·22 and 0·96 for individual items. A linear regression analysis, using the total score of the Rutter scale as an independent variable, predicts a value of 41 as the optimal cut-off to be used for the Child Behaviour Checklist. Comparative properties (reliability and time of completion) of the two scales are presented and discussed.
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18

Zelkowitz, P., KJ Looper, SS Mustafa, M. Purden, and M. Baron. "Parenting disability, parenting stress and child behaviour in early inflammatory arthritis." Chronic Diseases and Injuries in Canada 33, no. 2 (March 2013): 81–87. http://dx.doi.org/10.24095/hpcdp.33.2.04.

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Introduction Our study examines the association between the disease characteristics of inflammatory arthritis and patients' self-perception of mental health, parenting disability, parenting stress and child behaviour in early inflammatory arthritis (EIA). Methods Patients in the early phase (more than 6 weeks, less than 18 months) of inflammatory arthritis were recruited from a larger EIA registry that recorded sociodemographic data and measures of pain, physical functioning and disease activity. Patient-perceived parenting disability, parenting stress, depression and children's behaviour problems were assessed using the Parenting Disability Index, Parenting Stress Index, Center for Epidemiologic Studies - Depression Mood Scale and Child Behavior Checklist, respectively. Results Pain, physical dysfunction, number of tender joints and physician global assessment of disease activity were associated with parenting disability. Self-report measures of parenting disability were associated with those of depression and parenting stress. Parenting stress was associated with children internalizing and externalizing behaviour problems while parenting disability was associated with children externalizing behaviour problems. Conclusion This study suggests a possible reciprocal relationship among physical aspects of disease activity, parenting disability and parent and child distress in EIA.
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Caprara, Gian Vittorio, and Concetta Pastorelli. "Early emotional instability, prosocial behaviour, and aggression: some methodological aspects." European Journal of Personality 7, no. 1 (March 1993): 19–36. http://dx.doi.org/10.1002/per.2410070103.

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The internal consistency of Emotional Instability, Prosocial Behaviour, and Aggression scales was examined in elementary school children aged between 7 and 10 years. Multiple informants (self‐report, teacher rating, mother rating, and peer nomination) were obtained on the above three dimensions. Relationships between the scales were first examined within the single informant frame of reference and then between informants. The concurrent validity was assessed using sociometric measures (popularity, rejection, social impact, and social preference) and the Achenbach and Edelbrock Child Behavior Checklist (teacher and parent form). The results confirm the internal validity of the three scales measuring emotional instability, prosocial behaviour, and aggression in child self‐report, teacher rating, and mother rating. The use of self‐report measures seems promising within the multiple informant strategy of research on child behaviour. Correlational results show satisfactory concurrent validity for the three scales, especially for teacher rating and peer nomination. The strict relation between emotional instability and aggression poses problems of discriminant validity which need to be further investi gated.
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Schmeck, K., F. Poustka, M. Döpfner, J. Plück, W. Berner, G. Lehmkuhl, J. M. Fegert, K. Lenz, M. Huss, and U. Lehmkuhl. "Discriminant validity of the Child Behaviour Checklist CBCL-4/18 in German samples." European Child & Adolescent Psychiatry 10, no. 4 (December 1, 2001): 240–47. http://dx.doi.org/10.1007/s007870170013.

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21

Masi, Gabriele, Pietro Muratori, Azzurra Manfredi, Simone Pisano, and Annarita Milone. "Child behaviour checklist emotional dysregulation profiles in youth with disruptive behaviour disorders: Clinical correlates and treatment implications." Psychiatry Research 225, no. 1-2 (January 2015): 191–96. http://dx.doi.org/10.1016/j.psychres.2014.11.019.

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Bellani, M., G. A. L. Negri, and P. Brambilla. "The dysregulation profile in children and adolescents: a potential index for major psychopathology?" Epidemiology and Psychiatric Sciences 21, no. 2 (January 19, 2012): 155–59. http://dx.doi.org/10.1017/s2045796011000849.

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We here review the literature on Child Behaviour Checklist-Dysregulation Profile (CBCL-DP) index, which potentially represents a developmental profile of major psychopathology in early adulthood. The understanding of the neural underpinnings of children and adolescents with altered regulation of affect and behaviour may ultimately help in planning strategies to prevent psychiatric syndromes during development.
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Bor, William, Jake M. Najman, Margaret J. Andersen, Michael O'callaghan, Gail M. Williams, and Brett C. Behrens. "The Relationship between Low Family Income and Psychological Disturbance in Young Children: An Australian Longitudinal Study." Australian & New Zealand Journal of Psychiatry 31, no. 5 (October 1997): 664–75. http://dx.doi.org/10.3109/00048679709062679.

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Objective: This study examines the relationship between low family income (LFI) experienced at different points in time, chronic low income status and its impact on child behaviour measured at 5 years of age. Method: Longitudinal data from the Mater University Study of Pregnancy were used to measure LFI in families at three points in time (the antenatal period, 6 months post birth and at 5 years cf age). Outcome variables were three independent groups of behaviour problems labelled as externalising, social, attentional and thought (SAT) problems, and internalising problems. These groups were developed from the Child Behaviour Checklist. An analysis based on logistic regression modelling was carried out examining the relationship between LFI and a range of intermediate variables known to be associated with child behaviour problems. Results: The more often families experienced low income, the higher the rate of child behaviour problems at age 5. Low family income was still independently associated with SAT behaviour problems after controlling for smoking in the first trimester, parenting styles, maternal depression and marital dysharmony at age 5. The association between LFI and internalising and externalising behaviour problems was largely mediated by maternal depression. Conclusion: Low family income is a significant factor in the aetiology of a variety of child behaviour problems. The mechanisms involved in the link between LFI and hildhood internalising and externalising behaviours involve the exposure of the children to maternal depression. However, the relationship between LFI and SAT behaviour problems remains to be elucidated.
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Goldney, Robert D., Maxine Donald, Michael G. Sawyer, Robert J. Kosky, and Susan Priest. "Emotional Health of Indonesian Adoptees Living in Australian Families." Australian & New Zealand Journal of Psychiatry 30, no. 4 (August 1996): 534–39. http://dx.doi.org/10.3109/00048679609065029.

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Objective: To compare the prevalence of emotional and behavioural problems in adolescent adoptees from Indonesia living in South Australian families with that of adolescents living in the community and those referred to mental health clinics in South Australia. Method: Thirty-four Indonesian adoptees completed the Youth Self-Report and their adoptive mothers completed the Child Behaviour Checklist. The results on these instruments were compared with the scores of a community sample and a mental health clinic population. Results: There was a striking similarity between scores on the Youth Self-Report and the Child Behaviour Checklist instruments for the adoption and community groups. Both these groups had significantly fewer problems than adolescents referred to mental health clinics. Conclusions: These results indicate that the outcome in terms of emotional and behavioural health for intercountry adoptions between Indonesia and Australia is favourable.
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Cents, R. A. M., S. Diamantopoulou, J. J. Hudziak, V. W. V. Jaddoe, A. Hofman, F. C. Verhulst, M. P. Lambregtse-van den Berg, and H. Tiemeier. "Trajectories of maternal depressive symptoms predict child problem behaviour: The Generation R Study." Psychological Medicine 43, no. 1 (April 11, 2012): 13–25. http://dx.doi.org/10.1017/s0033291712000657.

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BackgroundIt is unclear how the course of maternal depressive symptoms affects child development. We modelled trajectories of maternal depressive symptoms from mid-pregnancy to 3 years after childbirth to better determine their associations with child problem behaviour.MethodMother–child dyads (n = 4167) participated in a population-based prospective cohort in The Netherlands. Depressive symptoms were assessed with the Brief Symptom Inventory during pregnancy and at 2, 6 and 36 months postnatally. When children were 3 years old, problem behaviour was assessed with the Child Behaviour Checklist completed by each parent. A group-based modelling technique was used to model trajectories of maternal depressive symptoms and to examine their association with child problem behaviour. The added value of trajectory modelling was determined with successive linear regressions.ResultsWe identified four trajectories of maternal depressive symptoms; ‘no’ (34%), ‘low’ (54%), ‘moderate’ (11%) and ‘high’ (1.5%). Child problem behaviour varied as a function of maternal trajectory membership. Whether rated by mother or father, children of mothers assigned to higher trajectories had significantly more problem behaviours than children of mothers assigned to lower trajectories. The model including trajectories had additive predictive value over a model relying only on a summed repeated measure of severity and a predefined chronicity variable.ConclusionsDepending on their course, maternal depressive symptoms have different effects on child problem behaviour. More information is gained by studying trajectories of symptoms, than only predefined measures of severity and chronicity. Moreover, trajectories can help identifying clinically depressed mothers who are possible candidates for early interventions.
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Garton, Alison F., Stephen R. Zubrick, and Sven R. Silburn. "The Western Australian Child Health Survey: A review of what was found and what was learned." Australian Educational and Developmental Psychologist 15, no. 1 (May 1998): 34–44. http://dx.doi.org/10.1017/s0816512200027838.

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AbstractThe Western Australian Child Health Survey (WACHS) surveyed 4- to 16-year-olds and their families. In a pilot study of 189 households, one in five children reported mental health prob1ems.A clinical calibration trial confirmed a link between morbidity on the Child Behaviour Checklist and DSM-III-R diagnosis in clinical interview. In the main study of 1462 households, one in six young people showed at least one mental health problem. Adolescent risk behaviours were associated with developmental coping issues and some behavioural problems. Poor parental health and mental health and some school environments were factors related to adverse health outcomes for young people.
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Pisaric, Maja, and Sanja Nisevic. "Anxiety sensitivity in adolescents with somatoform autonomic dysfunction and adolescents with insulin dependent diabetes mellitus." Medical review 64, no. 7-8 (2011): 373–76. http://dx.doi.org/10.2298/mpns1108373p.

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Anxiety sensitivity is defined as a belief that anxiety or fear may cause illness, embarrassment, or additional anxiety. The main purpose of this study was to find out if there were differences among adolescents with insulin dependent diabetes mellitus, adolescents with somatoform autonomic dysfunction and their healthy peers in different aspects of psychological functioning and anxiety sensitivity. The sample consisted of 93 subjects, aged 12 to 16. Hamburg Neuroticism and Extraversion Scale, Child Behaviour Checklist and Childhood Anxiety Sensitivity Index were administrated. The adolescents with somatoform autonomic dysfunction had significantly higher scores on neuroticism scale, different Child Behaviour Checklist subscales, and on anxiety sensitivity. Both groups with diagnosed illness had lower scores on extraversion scale compared to healthy peers. This study has shown that the adolescents with somatoform autonomic dysfunction are more prone to fears regarding bodily functioning, and that they are at a higher risk of developing an anxiety disorder.
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Hjerkinn, Bjørg, Morten Lindbaek, and Elin Olaug Rosvold. "Behaviour among children of substance-abusing women attending a Special Child Welfare Clinic in Norway, as assessed by Child Behavior Checklist (CBCL)." Scandinavian Journal of Caring Sciences 27, no. 2 (July 3, 2012): 285–94. http://dx.doi.org/10.1111/j.1471-6712.2012.01030.x.

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Žukauskienė, Rita, and Kristina Ignatavičienė. "KAI KURIE LIETUVIŠKOS CBCL 4/18 VERSIJOS PSICHOMETRINIAI RODIKLIAI." Psichologija 24 (January 1, 2001): 38–47. http://dx.doi.org/10.15388/psichol.2001..4412.

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Informacijai apie vaikams būdingas elgesio ir emocines problemas rinkti dažnai naudojamas T. M. Achenbacho (1991) sukurtas vaikų elgesio klausimynas (CBCL 4/18, Child Behavior Checklist). Naudojant duomenis, surinktus 1996-2001 m. (n = 2036), siekiama nustatyti lietuviškos CBCL 4/18 versijos skalių vidinį suderinamumą ir vertinimų stabilumą laike bei palyginti berniukų ir mergaičių problemų įverčių vidurkius. Statistinės duomenų analizės rezultatai rodo, kad daugumos skalių vidinis suderinamumas pakankamai geras, testavimo rezultatų stabilumas laike taip pat pakankamai stiprus, išskyrus mąstymo problemų skalę. Lyginant berniukus ir mergaites pagal dėmesio problemų, somatinių nusiskundimų, delinkvencijos, agresijos skales, rasta statistiškai reikšmingų skirtumų (p < 0,001), tačiau tokių skirtumų nerasta pagal nerimo / depresijos, mąstymo, socialinių problemų ir nusišalinimo skales. Nustatyta, kad 7-13 metų amžiaus grupėje pastebima eksternalių ir kitų problemų mažėjimo tendencija, tačiau internalių problemų išreikštumo lygis sulaukus 13 metų pakyla. LITHUANIAN VERSION OF CHILD BEHAVIOR CHECKLIST (CBCL 4/18): SOME PSYCHOMETRIC PROPERTIES Rita Žukauskienė, Kristina Ignatavičienė Summary Achenbach's Child Behavior Checklist (CBCL 4/18) is accepted worldwide for assessment of children competencies and behaviour problems. As with any similar instrument, it is liable to cultural influences, hence requires reliability verification and standardisation of the instrument in particular culture where the instrument is used. This study reports on internal consistency and test-re-test reliability of the CBCL 4/18 in Lithuania, in a school-based sample (n = 2036). The analysis showed that internal consistency of anxiety/depression, withdrawal aggression, delinquency, attention, social and somatic problems scales is sufficient; however, the reliability of thought problems scale is insufficient. Limitations of current study and further steps in standardisation are discussed.
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Songu, M., and A. Kutlu. "Long-term psychosocial impact of otoplasty performed on children with prominent ears." Journal of Laryngology & Otology 128, no. 9 (August 13, 2014): 768–71. http://dx.doi.org/10.1017/s0022215114001662.

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AbstractObjectives:To investigate the psychosocial impact of prominent ears on children, and evaluate the outcomes of otoplasty two years after surgery, using the Child Behavior Checklist to comparatively evaluate patients' psychosocial profiles.Method and results:A total of 198 otoplasty procedures were performed in 107 patients (85 per cent bilateral procedures). Otoplasty was performed solely in 86 patients and concurrently with other procedures in 21 patients. All children who underwent surgery obtained good post-operative results, with satisfactory correction of the deformity reported by the patients and their parents or guardians. There were statistically significant decreases in Child Behavior Checklist scores in the domains of: anxiety and depression (p = 0.028), social problems (p = 0.018), difficulties in thinking (p = 0.012), total behavioural problems (p = 0.012), internalising problems (p = 0.020) and externalising problems (p = 0.044), and near-significant decreases in scores for attention problems (p = 0.055) and aggressive behaviour (p = 0.078). There was a statistically significant increase in the score for total social competence (p = 0.031).Conclusion:Psychological problems associated with anatomical deformities such as prominent ears can be reduced by means of appropriate corrective surgery. Psychological support is necessary for the patient.
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Schmitz, Stephanie, David W. Fulker, Robert Plomin, Carolyn Zahn-Waxler, Robert N. Emde, and John C. DeFries. "Temperament and Problem Behaviour during Early Childhood." International Journal of Behavioral Development 23, no. 2 (June 1999): 333–55. http://dx.doi.org/10.1080/016502599383856.

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Some evidence exists for the phenotypic association of problem behaviour in early childhood with temperament in infancy, but little is known about the genetic and environmental mechanisms mediating this association. At the ages of 14, 20, 24, and 36 months, mothers of twins completed the Colorado Childhood Temperament Inventory (CCTI; Buss & Plomin, 1984; Rowe & Plomin, 1977). At age 4, problem behaviour was assessed using maternal reports on the Child Behavior Checklist (CBCL/4-18; Achenbach, 1991). The temperamental trait of Emotionality at all four prior age points correlated significantly with the CBCL Total Problem Score at 4 years as well as with the broad-band groupings of Internalising the Externalising. In addition, Shyness at all four ages correlated significantly with the broad-band grouping of Internalising. Longitudinal behavioural genetic analyses indicated that these phenotypic predictions from early temperament to later behaviour problems are largely due to genetic factors.
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West, F., A. Morawska, and K. Joughin. "The Lifestyle Behaviour Checklist: evaluation of the factor structure." Child: Care, Health and Development 36, no. 4 (March 9, 2010): 508–15. http://dx.doi.org/10.1111/j.1365-2214.2010.01074.x.

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Muppidathi, Subbiah, Jenitha Boj, and Muthukumar Kunjithapatham. "Use of the pediatric symptom checklist to screen for behaviour problems in children." International Journal of Contemporary Pediatrics 4, no. 3 (April 25, 2017): 886. http://dx.doi.org/10.18203/2349-3291.ijcp20171692.

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Background: Behavioral and emotional problems comprising internalizing, externalizing and mixed disorders consist of psychiatric disorders in childhood and adolescents. This study aimed to measure the prevalence of emotional and behavioral disorders and to evaluate the usefulness of the pediatric symptom checklist (PSC) in identifying behavioral problems in children between ages of 4 and 12 attending OPD.Methods: Parents of 450 children between the ages of 4 and 12 attending pediatric OPD were randomly selected for the study after their valid informed consent, regarding awareness of psychosocial problems in their child with the help of 17-item pediatric symptom checklist (PSC)Results: Overall, 81(18%) children had at least 1 positive PSC-17 subscale or a positive PSC-17 total score. 27 (6%) children scored positive on the internalizing subscale, 36 (8%) scored positive on the externalizing subscale, and 36 (8%) scored positive on the attention subscale. Boys had higher PSC scores than girls for both school-aged (21% vs 16%) and preschool-aged children (15%vs 9%). Children from low socio economic status (20%), living with single parent (53%), nuclear family (21%), alcoholic father (28%) and single child (33%) are the risk factors associated with increased behavioral problems. Internalizing problems were seen more commonly in older children (10 - 12years), whereas attention and externalizing problems were more commonly seen in younger children (4 - 8 years).Conclusions: This study showed the extent of childhood emotional and behavioral problems. Use of the PSC offers an approach to the recognition of psychosocial dysfunction that is sufficiently consistent across groups and locales to become part of comprehensive pediatric care in virtually all out-patient settings. Further research is needed to identify effective strategies for using primary care for recognizing, diagnosing, and treating mental health disorders in children and adolescents.
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Thompson, Margaret J. J., Jim Stevenson, Edmund Sonuga-Barke, Peter Nott, Zam Bhatti, Andy Price, and Matthew Hudswell. "Mental Health of Preschool Children and their Mothers in a Mixed Urban/Rural Population." British Journal of Psychiatry 168, no. 1 (January 1996): 16–20. http://dx.doi.org/10.1192/bjp.168.1.16.

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BackgroundThe prevalence rate of behaviour problems and maternal mental disturbance was estimated using a sample of 1047 families with a 3-year-old child from a mixed urban/rural area.MethodParents completed the Child Behaviour Checklist, EAS Temperament Questionnaire, Weiss–Werry–Peters Activity Scale and the GHQ–30.ResultsThe rate of behaviour problems (13.2%) was similar to that obtained in studies of urban children. The rate of maternal disturbance (27.6%) was lower than in other population samples. Few differences were found in the prevalence rates in the urban and rural areas.ConclusionsPreschool children and their parents living in non-urban areas had the same rates of problems as those in conurbations. The service needs of such families are similar regardless of locality.
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35

Muller, Juanita. "The prevalence and nature of behaviour problems in primary school children in the South Coast Region of Queensland." Queensland Journal of Guidance and Counselling 4 (November 1990): 55–67. http://dx.doi.org/10.1017/s1030316200000273.

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A survey to determine the prevalence and nature of behaviour problems (adjustment difficulties) in State primary school children in the South Coast Region of Queensland, was conducted using a personally abbreviated form of the Achenbach and Edelbrock (1986) Child Behaviour Checklist - Teacher Report Form (CBCL-TRF). The subjects of this study were 494 children (407 boys and 87 girls) aged between 6 and 13 years, who were nominated by teachers from a random selection of 30 schools in the Region. Teachers were asked to complete the checklists on children whose behaviour had caused them concern within the last two months. Results indicated that 3% (494) of the children in these schools were reported to have a behaviour problem as perceived by teachers, and 23% (370) were determined to have a behaviour problem in the clinical range of functioning, according to the CBCL-TRF. Specific types of problems were identified in each of the age and gender groups, but aggression was perceived to be the most frequent problem across age and gender. Behaviour problems were also shown to be associated with poor academic performance. Overall this study provides useful information, in the form of general prevalence estimates, on which to base a regional adjustment policy.
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Oliveira, Paula Salgado, R. M. Pasco Fearon, Jay Belsky, Inês Fachada, and Isabel Soares. "Quality of institutional care and early childhood development." International Journal of Behavioral Development 39, no. 2 (October 2, 2014): 161–70. http://dx.doi.org/10.1177/0165025414552302.

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Institutional rearing adversely affects children’s development, but the extent to which specific characteristics of the institutional context and the quality of care provided contribute to problematic development remains unclear. In this study, 72 preschoolers institutionalised for at least 6 months were evaluated by their caregiver using the Child Behavior Checklist and the Disturbances of Attachment Interview. Distal and proximate indices of institutional caregiving quality were assessed using both staff reports and direct observation. Results revealed that greater caregiver sensitivity predicted reduced indiscriminate behaviour and secure-base distortions. A closer relationship with the caregiver predicted reduced inhibited attachment behaviour. Emotional and behavioural problems proved unrelated to caregiving quality. Results are discussed in terms of (non)-shared caregiving factors that influence institutionalised children’s development.
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Antoniou, Evangelia E., Tom Fowler, Keith Reed, Taunton R. Southwood, Joseph P. McCleery, and Maurice P. Zeegers. "Maternal pre-pregnancy weight and externalising behaviour problems in preschool children: a UK-based twin study." BMJ Open 4, no. 10 (October 2014): e005974. http://dx.doi.org/10.1136/bmjopen-2014-005974.

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ObjectiveTo estimate the heritability of child behaviour problems and investigate the association between maternal pre-pregnancy overweight and child behaviour problems in a genetically sensitive design.DesignObservational cross-sectional study.SettingThe Twins and Multiple Births Association Heritability Study (TAMBAHS) is an online UK-wide volunteer-based study investigating the development of twins from birth until 5 years of age.ParticipantsA total of 443 (16% of the initial registered members) mothers answered questions on pre-pregnancy weight and their twins’ internalising and externalising problems using the Child Behavior Checklist and correcting for important covariates including gestational age, twins’ birth weight, age and sex, mother's educational level and smoking (before, during and after pregnancy).Primary outcomesThe heritability of behaviour problems and their association with maternal pre-pregnancy weight.ResultsThe genetic analysis suggested that genetic and common environmental factors account for most of the variation in externalising disorders (an ACE model was the most parsimonious with genetic factors (A) explaining 46% (95% CI 33% to 60%) of the variance, common environment (C) explaining 42% (95% CI 27% to 54%) and non-shared environmental factors (E) explaining 13% (95% CI 10% to 16%) of the variance. For internalising problems, a CE model was the most parsimonious model with the common environment explaining 51% (95% CI 44% to 58%) of the variance and non-shared environment explaining 49% (95% CI 42% to 56%) of the variance. Moreover, the regression analysis results suggested that children of overweight mothers showed a trend (OR=1.10, 95% CI 0.58% to 2.06) towards being more aggressive and exhibit externalising behaviours compared to children of normal weight mothers.ConclusionsMaternal pre-pregnancy weight may play a role in children's aggressive behaviour.
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MILLER, P. M., M. BYRNE, A. HODGES, S. M. LAWRIE, and E. C. JOHNSTONE. "Childhood behaviour, psychotic symptoms and psychosis onset in young people at high risk of schizophrenia: early findings from the Edinburgh High Risk Study." Psychological Medicine 32, no. 1 (January 2002): 173–79. http://dx.doi.org/10.1017/s0033291701004779.

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Background. Several studies suggest that many patients with schizophrenia have pre-morbid neurodevelopmental abnormalities. This study examines how behavioural abnormalities are associated with mild psychotic symptoms and later schizophrenic illness.Methods. Maternal ratings on the Child Behavior Checklist (CBCL) of the early behaviour of 155 subjects were obtained at entry to the Edinburgh study of people at high risk of schizophrenia. These maternal ratings were compared in those with and without psychotic symptoms and used to predict the later onset of psychosis.Results. The CBCL syndrome scores for the children prior to age 13 did not distinguish any of the study groups at entry to the study. In the ratings made for the subjects when aged from 13 to 16, delinquent behaviour and ‘other problems’ were weakly associated with these symptoms. However, with the exception of somatic symptoms and thought problems, the age 13–16 scales were significant predictors of later schizophrenic illness. This was true also for some of the ratings prior to age 13.Conclusions. Various behaviours, in particular, withdrawn and delinquent–aggressive behaviour in adolescents at risk of schizophrenia may predict later onset of the illness. These behaviours, however, are far less predictive of isolated psychotic symptoms prior to psychosis onset.
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West, Felicity, and Matthew R. Sanders. "The Lifestyle Behaviour Checklist: A measure of weight-related problem behaviour in obese children." International Journal of Pediatric Obesity 4, no. 4 (January 2009): 266–73. http://dx.doi.org/10.3109/17477160902811199.

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40

Day, Crispin, Jackie Briskman, Mike J. Crawford, Lisa Foote, Lucy Harris, Janet Boadu, Paul McCrone, et al. "Randomised feasibility trial of the helping families programme-modified: an intensive parenting intervention for parents affected by severe personality difficulties." BMJ Open 10, no. 2 (February 2020): e033637. http://dx.doi.org/10.1136/bmjopen-2019-033637.

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BackgroundSpecialist parenting intervention could improve coexistent parenting and child mental health difficulties of parents affected by severe personality difficulties.ObjectiveConduct a feasibility trial of Helping Families Programme-Modified (HFP-M), a specialist parenting intervention.DesignPragmatic, mixed-methods trial, 1:1 random allocation, assessing feasibility, intervention acceptability and outcome estimates.SettingsTwo National Health Service health trusts and local authority children’s social care.ParticipantsParents: (i) primary caregiver, (ii) 18 to 65 years, (iii) severe personality difficulties, (iv) proficient English and (v) capacity for consent. Child: (i) 3 to 11 years, (ii) living with index parent and (iii) significant emotional/behavioural difficulties.InterventionHFP-M: 16-session home-based intervention using parenting and therapeutic engagement strategies. Usual care: standard care augmented by single psychoeducational parenting session.OutcomesPrimary feasibility outcome: participant retention rate. Secondary outcomes: (i) rates of recruitment, eligibility and data completion, and (ii) rates of intervention acceptance, completion and alliance (Working Alliance Inventory-Short Revised). Primary clinical outcome: child behaviour (Eyberg Child Behaviour Inventory). Secondary outcomes: child mental health (Concerns About My Child, Child Behaviour Checklist-Internalising Scale), parenting (Arnold-O’Leary Parenting Scale, Kansas Parental Satisfaction Scale) and parent mental health (Symptom-Checklist-27). Quantitative data were collected blind to allocation.ResultsFindings broadly supported non-diagnostic selection criterion. Of 48 participants recruited, 32 completed post-intervention measures at mean 42 weeks later. Participant retention exceeded a priori rate (HFP-M=18; Usual care=14; 66.7%, 95% CI 51.6% to 79.6%). HFP-M was acceptable, with delivery longer than planned. Usual care had lower alliance rating. Child and parenting outcome effects detected across trial arms with potential HFP-M advantage (effect size range: 0.0 to 1.3).ConclusionHFP-M is an acceptable and potentially effective specialist parenting intervention. A definitive trial is feasible, subject to consideration of recruitment and retention methods, intervention efficiency and comparator condition. Caution is required in interpretation of results due to reduced sample size. No serious adverse events reported.Trial registration numberISRCTN14573230
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41

Xin, Ren'e, Shou Kang Chen, Hui Qin Tang, Xia Feng Lin, and B. J. Mcconville. "Behavioural Problems among Preschool Age Children in Shanghai: Analysis of 3,000 Cases." Canadian Journal of Psychiatry 37, no. 4 (May 1992): 250–58. http://dx.doi.org/10.1177/070674379203700408.

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This paper reports the preliminary findings of an epidemiological study of 3,000 children ages four and five in the Shanghai area. Associations were investigated between problems in the narrow band syndromes of the Achenbach Child Behavior Checklist and certain sociodemographic variables (a one-child family, other social circumstances related to the family). No strong evidence emerged of a distinct psychopathology associated with children from single-child families, although there was a significant correlation between being an only child and having social withdrawal problems. Delinquent behaviour and hyper activity were more frequent among boys, while somatic complaints, schizoid or anxious, and depression were more frequent among girls. A four year follow-up study of 433 children from the original group who continued to have problems showed a marked increase in hyperactive syndrome problems; this suggests the existence of a clinically identifiable group of behaviourally disturbed children. Early identification allows for early treatment and comparison of the relative efficacy of early and late treatment approaches.
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42

Reichenberg, K. "The Child Behaviour Checklist in the study of emotional and behavioural problems in children with asthma." Allergy 60, no. 5 (May 2005): 707–8. http://dx.doi.org/10.1111/j.1398-9995.2005.00758.x.

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43

Berg, I., E. Fombonne, R. McGuire, and F. Verhulst. "A cross cultural comparison of French and Dutch disturbed children using the Child Behaviour Checklist (CBCL)." European Child & Adolescent Psychiatry 6, no. 1 (March 1997): 7–11. http://dx.doi.org/10.1007/bf00573634.

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McGuire, Jacqueline, and Naomi Richman. "SCREENING FOR BEHAVIOUR PROBLEMS IN NURSERIES: THE RELIABILITY AND VALIDITY OF THE PRESCHOOL BEHAVIOUR CHECKLIST." Journal of Child Psychology and Psychiatry 27, no. 1 (January 1986): 7–32. http://dx.doi.org/10.1111/j.1469-7610.1986.tb00618.x.

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45

Skinner, S. Rachel, Jennifer Marino, Susan L. Rosenthal, Jeffrey Cannon, Dorota A. Doherty, and Martha Hickey. "Prospective cohort study of childhood behaviour problems and adolescent sexual risk-taking: gender matters." Sexual Health 14, no. 6 (2017): 492. http://dx.doi.org/10.1071/sh16240.

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Background Externalising (delinquent, aggressive) and internalising (anxious/depressed, withdrawn) behaviour problems are prevalent in childhood. Few studies have prospectively measured relationships between childhood behaviour problems and adolescent health risk behaviour, a major predictor of morbidity and mortality. This study sought to determine relationships, by gender, between childhood behaviour problems and adolescent risky sexual behaviours and substance use. Methods: In a population-based birth cohort [The Western Australian Pregnancy Cohort (Raine) Study], total, externalising and internalising behaviour problems (domain-specific T ≥ 60) were calculated from parent-reported Child Behavior Checklist at ages 2, 5, 8, 10 and 14 years. At age 17 years, 1200 (49% male) participants reported sexual and substance use activity Results: For both genders, those with earlier externalising behaviour problems were more likely to be sexually active (oral sex or sexual intercourse) by age 17 years. Males with childhood externalising behaviour problems were more likely to have multiple sexual partners by age 17 years than those without such problems [adjusted odds ratio (aOR) 2.96, 95% confidence interval (CI) 1.49–5.86]. Females with childhood externalising behaviour problems were more likely to have had unwanted sex (aOR 1.91, 95% CI 1.04–3.53). Externalising behaviour problems were associated with substance use for both genders. No association was found between internalising behaviour problems and risky behaviour. Conclusions: Externalising behaviour problems from as early as 5 years old in boys and 8 years old in girls predict a range of risky sexual behaviour in adolescence, which has important implications for targeting interventions in adolescence.
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Chan, Brittany, and Peter Baker. "An evaluation of the social validity of the Aberrant Behavior Checklist - Community." Tizard Learning Disability Review 25, no. 2 (May 1, 2020): 53–61. http://dx.doi.org/10.1108/tldr-12-2019-0038.

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Purpose This paper aims to evaluate the social validity of the Aberrant Behavior Checklist - Communit y (ABC-C). Design/methodology/approach Thirty-six participants completed a questionnaire in which they identified and commented on items of the ABC-C they saw as problematic. Thematic analysis was conducted on the comments made. Findings All participants identified at least one item of the ABC-C as problematic with six items being so identified by over half the participants. A number of themes were identified in participant comments including ambiguity, judgemental language, child-focussed language, lack of attention to behavioural function and repetition. Research limitations/implications More research is required using empirically based methodologies on measures used to assess people with learning disabilities. This should involve ascertaining the social validity of such measures by soliciting the views of both those being assessed and those assessing. Originality/value This study is the first of its kind to evaluate the social validity of one of the most widely used measures of challenging behaviour for people with learning disabilities.
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Taylor, Rachael M., Michelle L. Blumfield, Lee M. Ashton, Alexis J. Hure, Roger Smith, Nick Buckley, Karen Drysdale, and Clare E. Collins. "Macronutrient Intake in Pregnancy and Child Cognitive and Behavioural Outcomes." Children 8, no. 5 (May 20, 2021): 425. http://dx.doi.org/10.3390/children8050425.

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Prenatal nutrient exposures can impact on brain development and disease susceptibility across the lifespan. It is well established that maternal macronutrient intake during pregnancy influences foetal and infant development. Therefore, we hypothesise that macronutrient intakes during pregnancy are correlated with cognitive development during early childhood. The current study aimed to investigate the relationship between maternal macronutrient intake during pregnancy and child cognitive and behavioural outcomes at age 4 years. We analysed prospective data from a cohort of 64 Australian mother–child dyads. Maternal macronutrient intake was assessed using a validated 74-item food frequency questionnaire at 2 timepoints during pregnancy. Child cognition and behaviour were measured at age 4 years using the validated Wechsler Preschool and Primary Scale of Intelligence, 3rd version (WPPSI-III) and the Child Behaviour Checklist (CBC). Linear regression models were used to quantify statistical relationships and were adjusted for maternal age, education, pre-pregnancy BMI, breastfeeding duration and birthweight. Child Performance IQ was inversely associated with maternal starch intake (b = −11.02, p = 0.03). However, no other associations were found. Further research is needed to explore the association between different types of starch consumed during pregnancy and child cognitive development.
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Visser, Jeroen Heijmens, Jan Van Der Ende, Hans M. Koot, and Frank C. Verhulst. "Predictors of psychopathology in young adults referred to mental health services in childhood or adolescence." British Journal of Psychiatry 177, no. 1 (July 2000): 59–65. http://dx.doi.org/10.1192/bjp.177.1.59.

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BackgroundFor children referred to mental health services future functioning may be hampered.AimsTo examine stability and prediction of behavioural and emotional problems from childhood into adulthood.MethodA referred sample (n=789) aged 4–18 years was followed up after a mean of 10.5 years. Scores derived from the Child Behavior Checklist, Youth Self-Report and Teacher Report Form were related to equivalent scores for young adults from the Young Adult Self-Report and Young Adult Behavior Checklist.ResultsCorrelations between first contact (T1) and follow-up (T2) scores were 0.12–0.53. Young adult psychopathology was predicted by corresponding TI problem scores. Social problems and anxious/depressed scores were predictors of general problem behaviour.ConclusionsProblem behaviour of children and adolescents referred to outpatient mental health services is highly predictive of similar problem behaviour at young adulthood. Stability is higher for externalising than for internalising behaviour and for intra-informant than for inter-informant information. Stabilities are similar across gender. To obtain a comprehensive picture of the young adult's functioning, information from related adults may prove valuable.
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Galli, F., G. D'Antuono, S. Tarantino, F. Viviano, O. Borrelli, A. Chirumbolo, S. Cucchiara, and V. Guidetti. "Headache and Recurrent Abdominal Pain: A Controlled Study by the Means Of The Child Behaviour Checklist (CBCL)." Cephalalgia 27, no. 3 (March 2007): 211–19. http://dx.doi.org/10.1111/j.1468-2982.2006.01271.x.

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Headache and recurrent abdominal pain (RAP) are common disorders in children and adolescents, frequently referred to paediatricians. Both disorders show similarities in trigger and comorbid factors, their burden on family and individual life, and a paroxysmal trend with risks of chronicization over time. However, very few studies have compared directly headache and RAP. The main aim of this study was to compare the psychological profile of headache and RAP patients vs. healthy controls. A total of 210 children and adolescents [99 boys, 111 girls; age range 4-18 years; mean age (m.a.) = 11.04, SD 4.05] were assessed: 70 headache patients (m.a. 12.4 years; SD 2.9; F = 35, M = 35), 70 RAP patients (m.a. 9 years; SD 3.6; F = 30, M = 40) and 70 controls (m.a. 11.7 years; SD 4.6; F = 46, M = 24). The diagnoses had been made according to international systems of classification both for headache (ICHD-II criteria) and RAP (Rome II criteria). The psychological profile had been made according to the Child Behaviour Checklist 4-18 (CBCL). ANOVA one-way analysis was used to compare CBCL scales and subscales between groups. Headache and RAP showed a very similar trend vs. control for the main scales of the CBCL, with a statistically significant tendency to show problems in the Internalizing scale (anxiety, mood and somatic complaints) and no problems in the Externalizing (behavioural) scale. Only for the Attention Problems subscale migraineurs showed a significant difference compared with RAP. In conclusion, headache and RAP show a very similar psychological profile that should be considered not only for diagnostic and therapeutic purposes, but also from the aetiological aspect.
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Tore, Elena C., Evangelia E. Antoniou, Renate H. M. de Groot, Marij Gielen, Roger W. L. Godschalk, Theano Roumeliotaki, Luc Smits, et al. "Gestational Weight Gain by Maternal Pre-pregnancy BMI and Childhood Problem Behaviours in School-Age Years: A Pooled Analysis of Two European Birth Cohorts." Maternal and Child Health Journal 24, no. 10 (June 17, 2020): 1288–98. http://dx.doi.org/10.1007/s10995-020-02962-y.

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Abstract Objectives Maternal pre-pregnancy weight is known to affect foetal development. However, it has not yet been clarified if gestational weight gain is associated with childhood behavioural development. Methods We performed a pooled analysis of two prospective birth cohorts to investigate the association between gestational weight gain and childhood problem behaviours, and the effect modification of maternal pre-pregnancy BMI. In total, 378 mother–child pairs from the Maastricht Essential Fatty Acids Birth cohort (MEFAB) and 414 pairs from the Rhea Mother–Child cohort were followed up from early pregnancy to 6–7 years post-partum. At follow up, parents assessed their children’s behaviour, measured as total problems, internalizing and externalizing behaviours, with the Child Behaviour Checklist. We computed cohort- and subject-specific gestational weight gain trajectories using mixed-effect linear regression models. Fractional polynomial regressions, stratified by maternal pre-pregnancy BMI status, were then used to examine the association between gestational weight gain and childhood problem behaviours. Results In the pre-pregnancy overweight/obese group, greater gestational weight gain was associated with higher problem behaviours. On average, children of women with overweight/obesity who gained 0.5 kg/week scored 25 points higher (on a 0–100 scale) in total problems and internalizing behaviours, and about 18 points higher in externalizing behaviours than children whose mothers gained 0.2 kg/week. Inconsistent results were found in the pre-pregnancy normal weight group. Conclusions for Practice Excessive gestational weight gain in women with pre-pregnancy overweight/obesity might increase problem behaviours in school-age children. Particular attention should be granted to avoid excessive weight gain in women with a pre-pregnancy overweight or obesity.
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