Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
|
What are externalising problems in preschool-aged children? |
-can't stand waiting -screams a lot -uncooperative -destroys others things -stubborn -gets in many fights -angry mood -demands must be met -lacks guilt -selfish -disobediant -easily frustrated -hits others -defiant |
|
|
Which of the following pairs are externalising disorders in 1) children and 2) adolescents? a) 1)behavioural management disorder, 2)ADHD b) 1)Conduct Disorder, 2)Oppositional Defiant Disorder c) 1)Oppositional Defiant Disorder, 2)Conduct Disorder |
c) Oppositional Defiant Disorder: often loses temper, argues with adults, refuses to comply with rules, angry and irritable (childhood disorder). Conduct Disorder: serious violation of rules, defiance of authority, aggressive, destructive, deceitful, cruel (adolescent disorder) |
|
|
How common are child externalising problems in Australia? a) 13% (one in every seven children) b) 3% c) 25% |
a) 13% (one in every seven children) Sawyer et al., (2001) -Child externalising problems typically persist into adolescence. -CEP are the single strongest predictor of adolescent delinquency. -Long-term outcomes include: peer relationship problems, school dropout, drug/alcohol abuse, depression & crime. |
|
|
What are the three strongest predictors for childhood externalising problems? a) male gender, low SES, co-morbid behavioural/learning disorder b) power assertive/punitive parenting style, maternal stress, family life stress c) neglectful parenting style, paternal anger disorder, low SES |
b) power assertive/punitive parenting style, maternal stress, family life stress -Toddlers without tears (Bayer, Hiscock et al, 2008) -Longitudinal Study of Australian Children (Bayer, Ukuommune, et al., 2011) |
|
|
What is pre-post research design? a) measuring stump post heights before and after installation in farm fields. b) randomly assigning groups to treatment or control: comparing groups post intervention. c) measure a single case before and after intervention: compare scores. |
c) measure a single case before and after intervention: compare scores. -benefit: can track progress over time -drawback: improvement may not be due to intervention |
|
|
What is randomised control trial? (RCT) a) randomly assigning groups to treatment or control: comparing groups post intervention. b) measuring stump post heights before and after installation in farm fields. c) randomly controlling levels of an intervention on a single case, over time. |
a) randomly assigning groups to treatment or control: comparing groups post intervention. -benefit: equalises potential other factors in each group -drawback: may be bias if allocation occurs before recruitment (only those who wish to participate will do signup) |
|
|
How can we compare results across pre-post and RCT study designs? a) equalise sample sizes: if study one has double the amount of participants, halve the relevant findings. b) look at significance (p levels) c) meta-analysis, compare effect sizes of groups |
c) meta-analysis, compare effect sizes of groups |
|
|
Behavioural Parent Intervention for Treatment of Oppositional Defiant Disorder: Which form of intervention is most effective for marital discord cases? a) Group Behavioural Parent Training b) Child-focused problem-solving + BPT c) BPT + Social Support component |
c) BPT + Social Support component Although group and individual delivered BPT are equally effective (average cases fared better than 84% of controls), BPT + Social Support is most helpful for cases of marital discord. Overall, Child-focused problem-solving + BPT is the most efficacious treatment for ODD (average treated case fared better than 92% of controls). Video modelling + BPT = average treated case fared better than 76-82% of controls. |
|
|
Preventative Interventions for Externalising Problems (Bayer, Hiscock, et al., 2009) |
For infancy: Nurse Home Visit Program (USA) For preschool: Family Check-Up (USA) For preschool: Incredible Years (UK, USA) For school age: Good Behaviour Game (USA, Netherlands) |
|
|
Families in Mind: Victorian Early Prevention Trial Describe the three armed approach |
Arm 1: Toddler's without Tears + Family Check-up Program Arm 2: Family Check-up Program Arm 3: Usual Primary Care |
|
|
Family Check-up program |
At GP checkup: -assess child for ODD and parent distress -at-risk families are invited -motivational interview of family: parent goals/readiness to change -Home visits: work on parenting skills, parent mental health, financial stress, etc. |
|
|
Efficacy of Family Check-up program |
(Shaw, Gardner, et al., 2006; 2007) RCT1 (USA) n=120 Target prevention group had: -more maternal involvement (ES=0.3-0.5), -less child disruptive behaviour (ES=0.5-0.6) at 3-4 year, as compared with controls. RCT2 (USA) n=731 -Similar improvements found in larger trial (ES=0.3-0.4) |
