Search results for ‘Subject term:"conduct disorders"’ Sort:
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Surplus suffering: the search for help when a child has mental-health issues
- Author:
- CLARKE Juanne N.
- Journal article citation:
- Child and Family Social Work, 18(2), 2013, pp.217-225.
- Publisher:
- Wiley
Social theorists have demonstrated the growth in dominance of two central discourses for understanding the ways that children's mental-health issues are understood today –medicalisation and intensive mothering. In this context, this paper reports on a qualitative interview-based study of 16 mothers whose children had received a diagnosis with one or more mental-health or developmental issues such as Tourette's, bipolar, anxiety, depression, autism or attention deficit hyperactivity disorder. It is based on the retrospective accounts of mothers given during interviews, from the time when they noticed what they thought to be unusual behaviours and decided to try to normalise and accommodate to their children's behaviours and then to the various steps they took to seek help. The paper begins with a description of the sorts of problems that mothers noticed. It then moves to the strategies mothers then took to cope, manage and socialise their children. When these failed, mothers sought professional assistance with understanding, remediation and/or a diagnosis for the child(ren). Mothers described uncertainty, confusion and contradictions as they unremittingly sought help. This process may be called surplus suffering. The relevance of the theoretical issues is then reconsidered along with the substantive and practical consequences of the findings. (Publisher abstract)
Contextual risk, maternal parenting and adolescent externalizing behaviour problems: the role of emotion regulation
- Authors:
- WALTON A.;, FLOURI E.
- Journal article citation:
- Child: Care, Health and Development, 36(2), March 2010, pp.275-284.
- Publisher:
- Wiley
Research has shown that parenting has an effect on children’s hyperactivity and conduct problems, but no studies have yet tested whether emotion regulation mediates this effect. The aim of this study was to test if mothers’ parenting (warmth, behavioural control and psychological control) predict adolescent’s externalising problems via their impact on emotion regulation. Data was collected from 203 adolescents aged 11–18 from a comprehensive school in a disadvantaged area using a multi-instrument questionnaire. The results demonstrated that at the multivariate level none of the parenting variables predicted hyperactivity, which was associated only with difficulties in emotion regulation, contextual risk (measured using the number of proximal adverse life events experienced) and English as a first language. The parenting variables predicting conduct problems were warmth and knowledge. Knowledge did not predict emotion regulation. However, warmth predicted emotion regulation, which was negatively associated with conduct problems. Contextual risk was a significant predictor of both difficulties in emotion regulation and externalising behaviour problems. Its effect on conduct problems was independent of parenting and was not via its association with difficulties in emotion regulation. The findings add to the evidence for the importance of maternal warmth and contextual risk for both regulated emotion and regulated behaviour.
Mothers of children with externalizing behavior problems: cognitive risk factors for abuse potential and discipline style and practices
- Authors:
- MCELROY Erika M., RODRIGUEZ Christina M.
- Journal article citation:
- Child Abuse and Neglect, 32(6), August 2008, pp.774-784.
- Publisher:
- Elsevier
Utilizing the conceptual framework of the Social Information Processing (SIP) model, associations between cognitive risk factors and child physical abuse risk and maladaptive discipline style and practices were examined in an at-risk population. Seventy-three mothers of 5–12-year-old children in the USA, who were identified by their therapist as having an externalizing behaviour problem, responded to self-report measures pertaining to cognitive risk factors (empathic perspective taking, frustration tolerance, developmental expectations, parenting locus of control), abuse risk, and discipline style and practices. The Child Behavior Checklist (CBCL) provided a confirmation of the child's externalizing behaviours independent of the therapist's assessment. The results of this study suggest several cognitive risk factors significantly predict risk of parental aggression toward children. A parent's ability to empathize and take the perspective of their child, parental locus of control, and parental level of frustration tolerance were significant predictors of abuse potential (accounting for 63% of the variance) and inappropriate discipline practices (accounting for 55% of the variance).
Assessment issues in working with mothers who induce illness in their children
- Author:
- PRECEY Gretchen
- Journal article citation:
- Child and Family Social Work, 3(4), November 1998, pp.227-237.
- Publisher:
- Wiley
The author, a Senior Practitioner, in a child protection unit, draws on her experience of working with mothers where there has been concern about induced illness. Highlights the importance of a good assessment about the child's safety; the use of genograms; and the effects this work has on individual workers and within the assessment team.
Childbearing adolescents and problem behaviour therapy
- Authors:
- ROGERS GILLMORE Mary, et al
- Journal article citation:
- Journal of Social Service Research, 24(1/2), 1998, pp.85-109.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Using confirmatory factor analysis with an ethnically diverse sample of pregnant adolescents in the USA, the authors test a hypotheses derived from problem behaviour theory that diverse problem behaviours are manifestations of a single underlying construct. Three measurement models of problem behaviours are compared: a single factor model, a four factor model, and a second order factor model in which a single higher order factor is posited to account for the covariation among the four factors. The results show support for the higher order factor model, suggesting a constellation of related problem behaviours in this population.
Maternal experiences of childhood abuse and intimate partner violence: psychopathology and functional impairment in clinical children and adolescents
- Authors:
- MIRANDA Jenniffer K., et al
- Journal article citation:
- Child Abuse and Neglect, 35(9), September 2011, pp.700-711.
- Publisher:
- Elsevier
Childhood abuse (CA) experienced by mothers and intimate partner violence (IPV) has been significantly linked to poorer outcomes in children. The aim of this study was to examine, in a large sample of Spanish outpatient children and adolescents, the independent effects of mothers’ CA and IPV on psychopathology and functional impairment, and the potential moderating and mediating role of individual and family factors in these relationships. Additionally, this study explored the potential cumulative effects of both maternal CA and IPV on children's outcomes. The participants were 547 Spanish children and adolescents aged between 8 and 17 years recruited from psychiatric outpatient settings. The assessment was based on structured interviews with the children and their parents. Analysis of the findings revealed that children whose mothers experienced CA showed increased disruptive disorders and those whose mothers suffered physical IPV showed increased externalising behaviour problems. Children who directly observed physical IPV and also suffered physical punishment by parents showed increased internalising problems. IPV also had effects, either directly or indirectly by physical punishment, on children's externalising problems. Cumulative effect analyses indicated that the prevalence of disruptive disorders was highest in children whose mothers had suffered both CA and IPV.
Adolescent clinical outcomes for young people with attention-deficit hyperactivity disorder
- Authors:
- LANGLEY Kate, et al
- Journal article citation:
- British Journal of Psychiatry, 196(3), March 2010, pp.235-240.
- Publisher:
- Cambridge University Press
Little information is available regarding the long-term outcomes for individuals with attention-deficit hyperactivity disorder (ADHD) in the UK. This study examined the 5-year outcome for a cohort of children from three areas of the UK with diagnosed, treated ADHD in order to identify whether maternal and social factors predict key outcomes. One hundred and twenty-six school-aged children (mean age 9.4 years) with a diagnosis of ADHD were reassessed 5 years later (T2, mean age 14.5 years) for ADHD, conduct disorder and other antisocial behaviours. The mean ADHD symptom change score was 2.91 indicating symptom reduction over time, however at T2 most adolescents (69.8%) continued to meet full criteria for ADHD, were known to specialist services and exhibited high levels of antisocial behaviour, criminal activity and substance use problems. At T2 63% of the sample reported being currently prescribed stimulant medication. Maternal childhood conduct disorder predicted offspring ADHD continuity; maternal childhood conduct disorder, lower child IQ and social class predicted offspring conduct disorder symptoms. The authors conclude that despite clinical recognition, confirmation of diagnosis and freely available treatment these adolescents with ADHD continued to experience ongoing difficulties. They suggest treatment and monitoring of ADHD needs to be intensified especially in offspring of mothers with childhood conduct disorder symptoms.
Is it all bad? Rewards and challenges of mothering children with hidden disabilities
- Author:
- HOME Alice
- Journal article citation:
- Social Work and Social Sciences Review, 13(3), 2008, pp.7-24.
- Publisher:
- Whiting and Birch
This article considers the experiences of mothers of children with disabilities affecting behaviour. Because these disabilities are invisible, social workers can often underestimate their impact. The study investigated mothering rewards and challenges, together with the influence of caring, family, work, demographic factors, perceived demands and supports. Participants were 197 employed mothers of children with ADHD and related disabilities. Rewards resulted from children's special qualities, progress despite disability and mothers' personal development. Half the challenges resulted from children's behaviour, the rest from school, organisational and family conflicts. Social workers can highlight rewards, acknowledge difficulties, reframe perceived demands and advocate for increased formal support and acceptance.
The relationship between behaviours exhibited by children with autism and maternal stress
- Authors:
- TOMANIK Stacey, HARRIS Gerald E., HAWKINS Jacqueline
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 29(1), March 2004, pp.16-26.
- Publisher:
- Taylor and Francis
The present study investigated the relationship between behaviours exhibited by children with pervasive developmental disorders, particularly autism, and maternal stress levels. Participants consisted of 60 mothers who had a child diagnosed with a pervasive developmental disorder by an independent practitioner using DSM-IV criteria. Children were between 2 and 7 years of age. Mothers completed the following self-report measures: the Parenting Stress Index (short-form), the Aberrant Behavior Checklist, AAMR Adaptive Behavior Scales and a demographic questionnaire. Two-thirds of the participants in the sample evidenced stress scores that were significantly elevated. Regression analyses revealed that child maladaptive behaviour and child adaptive behaviour accounted for a significant proportion of the variance in maternal stress. Methodological issues and considerations for future research are discussed.
Anorexia and bulimia in the family: one parent's practical guide to recovery
- Author:
- SMITH Grainne
- Publisher:
- John Wiley and Sons
- Publication year:
- 2004
- Pagination:
- 218p.
- Place of publication:
- Chichester
This is the book the author searched for without success, as she battled against the wall of rejection and denial her daughter’s illness built around her, determined not to allow her to be one of the 20 per cent who die. It is also a practical guide with many tips and suggestions, including how to deal with eating, kitchen and bathroom issues, how to manage dramatic changes in mood behaviour and personality, how to get the best from professional help, and how to survive as a family.