The Reliability and Criterion Validity of the Diagnostic Infant and Preschool Assessment: A New Diagnostic Instrument for Young Children

Scheeringa, Michael S.; Haslett, Nancy

doi:10.1007/s10578-009-0169-2

Cited by 177 publications

(127 citation statements)

References 25 publications

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“…Preschool behavior and emotional problems of this magnitude were once dismissed as trivial, but are now recognized as significant sources of functional impairment at the population level. [38][39][40][41][42][43] In older children, SDB is most closely linked to their ability to regulate attention, emotions, and behaviors, and less strongly linked to cognitive/ intellectual development. 2 Our findings suggest that this also may be true for 2-to 3-year-olds.…”

Section: Discussion Persistent Snoring and Daytime Behavioral And Cogmentioning

confidence: 99%

Persistent Snoring in Preschool Children: Predictors and Behavioral and Developmental Correlates

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Loud snoring, which spikes at ∼2 to 3 years of age, has been associated with behavior problems in school-aged children in cross-sectional studies, but no longitudinal studies have quantified predictors and the behavioral impact of persistent snoring in preschool-aged children.WHAT THIS STUDY ADDS: Persistent loud snoring, which occurs in 9% of children 2 to 3 years of age, is linked with behavior problems. Higher socioeconomic status and a history of breastfeeding were associated with lower rates of transient and persistent snoring in young children. abstract OBJECTIVE: To clarify whether persistent snoring in 2-to 3-year-olds is associated with behavioral and cognitive development, and to identify predictors of transient and persistent snoring. METHODS:Two hundred forty-nine mother/child pairs participated in a prospective birth cohort study. Based upon parental report of loud snoring $2 times weekly at 2 and 3 years of age, children were designated as nonsnorers, transient snorers (snored at 2 or 3 years of age, but not both), or persistent snorers (snored at both ages). We compared groups by using validated measures of behavioral and cognitive functioning. Potential predictors of snoring included child race and gender, socioeconomic status (parent education and income), birth weight, prenatal tobacco exposure (maternal serum cotinine), childhood tobacco exposure (serum cotinine), history and duration of breast milk feeding, and body mass relative to norms. RESULTS:In multivariable analyses, persistent snorers had significantly higher reported overall behavior problems, particularly hyperactivity, depression, and inattention. Nonsnorers had significantly stronger cognitive development than transient and persistent snorers in unadjusted analyses, but not after demographic adjustment. The strongest predictors of the presence and persistence of snoring were lower socioeconomic status and the absence or shorter duration of breast milk feeding. Secondary analyses suggested that race may modify the association of childhood tobacco smoke exposure and snoring.CONCLUSIONS: Persistent, loud snoring was associated with higher rates of problem behaviors. These results support routine screening and tracking of snoring, especially in children from low socioeconomic backgrounds; referral for follow-up care of persistent snoring in young children; and encouragement and facilitation of infant breastfeeding. This manuscript has not been published elsewhere, and all authors approve of its submission for review. Each author made a substantive intellectual contribution to the study. Dr Beebe participated in early conceptualization and design of sleep measurement methodology, conducted preliminary analyses, and collaborated with coauthors on final analyses and data interpretation; he took the lead role with drafting and revising the manuscript. Dr Rausch provided critical contributions to formulating the data analytic plan, conducted final data analyses, assisted with data interpretation, and reviewed ...

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Section: Discussion Persistent Snoring and Daytime Behavioral And Cogmentioning

confidence: 99%

Persistent Snoring in Preschool Children: Predictors and Behavioral and Developmental Correlates

et al. 2012

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“… Diagnostic Infant and Preschool Assessment (DIPA) (Scheeringa & Haslett, 2010). For children up to the age of 7 years, the DIPA assessed major depressive disorder (MDD), attention-deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), separation anxiety disorder (SAD), specific phobia, social phobia, generalized anxiety disorder (GAD), trauma history, PTSD, and subthreshold PTSD, according to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) (American Psychiatric Association, 1994).…”

Section: Methodsmentioning

confidence: 99%

Sexual abuse in very young children: a psychological assessment in the Amsterdam Sexual Abuse Case study

Duin

Verlinden

Vrolijk-Bosschaart

et al. 2018

European Journal of Psychotraumatology

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Background: Child sexual abuse (CSA) is a worldwide problem affecting children of all ages and socioeconomic backgrounds. A knowledge gap exists regarding the psychological outcomes for children, boys in particular, who are abused during their early lives.Objective: To provide a descriptive psychological profile of children who experienced sexual abuse as infants or toddlers from a male daycare worker and babysitter, and to assess the psychopathological impact on their parents.Method: Parents of children involved in the Amsterdam Sexual Abuse Case (41 parents; 44 children, age range 3–11 years, 30 boys, 14 girls) completed measures on post-traumatic stress disorder (PTSD), dissociation, sexual and non-sexual behaviour problems, and attachment insecurity in their children, as well as on parental psychological well-being, 3 years after disclosure. Sexual abuse characteristics were obtained from police records.Results: We found that 3% of confirmed child victims had PTSD, 30% sexual behaviour problems, 24% internalizing problems, 27% attachment insecurity, and 18% any psychiatric disorder (including PTSD); 39% were asymptomatic. In parents, we found feelings of guilt, shame, and anger about the abuse of their child; 19% showed PTSD symptoms and 3% showed avoidant and 8% anxious attachment problems in their intimate relationship. Parental symptomatology was related to child symptomatology, except for child sexual behaviour problems. One-quarter of confirmed child victims and 45% of parents had received psychological treatment.Conclusions: Three years after disclosure, extrafamilial CSA in very young children was associated with sexual and non-sexual behaviour problems and attachment insecurity, but rarely with PTSD or dissociation. For parents it was associated with PTSD symptoms and emotional reactions. Assessments and interventions should focus on the wide spectrum of problems that follow CSA, as well as on parental psychopathology and the parent–child relationship. Future follow-up assessments in our longitudinal study should provide insights into longer-term outcomes.

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“…These were all assessed using the Diagnostic Infant and Preschool Assessment (DIPA; Scheeringa & Haslett, 2010). There had been a long‐standing concern over ADHD from before the event, with information being exchanged between the school and Dylan's father, and Dylan had subsequently been referred for assessment in CAMHS specifically for this.…”

Section: Case Illustrationmentioning

confidence: 99%

Translating the Cognitive Model of PTSD to the Treatment of Very Young Children: A Single Case Study of an 8‐Year‐Old Motor Vehicle Accident Survivor

Goodall

Chadwick

McKinnon³

et al. 2017

J Clin Psychol

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Posttraumatic stress disorder (PTSD) is a clinical condition that occurs after a discrete traumatic event, such as an accident or assault. Research into PTSD has primarily been adult‐focused; however, there is a growing body of evidence evaluating the theory and treatment of PTSD in young children. Consequently, cognitive behavior therapy (CBT) interventions for PTSD in youth have been developed that focus on 3 core components of the cognitive model–a disorganized memory of the trauma, maladaptive appraisals of the trauma and its effects (meanings), and dysfunctional coping mechanisms (management). Here, we describe the extension of this treatment approach (termed CBT‐3M) to very young children (3–8 years) through the case of Dylan, an 8‐year‐old motor vehicle accident survivor. This serves as an illustration of the underlying theory and its successful application. Further work is intended to provide evidence of the efficacy of this treatment via an ongoing treatment trial.

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The Reliability and Criterion Validity of the Diagnostic Infant and Preschool Assessment: A New Diagnostic Instrument for Young Children

Cited by 177 publications

References 25 publications

Persistent Snoring in Preschool Children: Predictors and Behavioral and Developmental Correlates

Persistent Snoring in Preschool Children: Predictors and Behavioral and Developmental Correlates

Sexual abuse in very young children: a psychological assessment in the Amsterdam Sexual Abuse Case study

Translating the Cognitive Model of PTSD to the Treatment of Very Young Children: A Single Case Study of an 8‐Year‐Old Motor Vehicle Accident Survivor

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