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Journal of Child and Family Studies

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22-05-2019 | Original Paper

Family Stress Moderates Emotional and Behavioral Symptoms in a Child Partial Hospital Setting

Auteurs: Mona Yaptangco, Teresa M. Preddy, Katharine E. Musella, Stephanie H. Parade, Stephanie Umaschi, Anne Walters

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 10/2019

Abstract

Objective

Partial hospitalization programs are an increasingly utilized, multidisciplinary treatment for children with social, emotional, and behavioral needs. Although previous work suggests these programs improve children’s mental health functioning, outcomes research has been limited. This study examines moderators of emotional and behavioral outcomes in children with serious mental illness, with particular focus on demographic (age, race, insurance type, and gender) and family (stressors and supports) factors.

Method

The study includes 287 children ages 7–13. Children completed standardized questionnaires at admission and discharge including the Behavior Assessment System for Children-2 the Child Depression Inventory 2, and the Screen for Child Anxiety Related Disorders while caregivers completed the Strengths and Difficulties Questionnaire.

Results

Results indicate improvements in children’s anxiety, depressive symptoms, psychological adjustment, and emotional symptoms. Furthermore, children with private insurance reported significant decreases in depressive (p < 0.001) and emotional symptoms (p< 0.001) compared to children with state funded insurance. Females reported sharper decreases in depressive symptoms (p< 0.001) compared to males (p= 0.019). Finally, children in families with no stressors in the past month demonstrated sharper declines in depressive symptoms (p< 0.001) compared to children in families with one or more stressors in the past month (p= 0.001). Family support did not moderate these outcomes.

Conclusions

This study suggests partial hospitalization programs may be effective in improving emotional and behavioral problems. This study suggests family stressors are important to consider and emphasize in treatment.

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Bennett, D. S., Macri, M. T., Creed, T. A., Isom, J. A. (2001). Predictors of treatment response in a child day treatment program. Residential Treatment for Children & Youth, 19, 59–72.

Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1230–1236.CrossRefPubMed

Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 545–553. https://doi.org/10.1097/00004583-199704000-00018.CrossRef

Boekamp, J. R., Liu, R. T., Martin, S. E., Mernick, L. R., DeMarco, M., & Spirito, A. (2018). Predictors of partial hospital readmission for young children with oppositional defiant disorder. Child Psychiatry and Human Development, 49, 505–511. https://doi.org/10.1007/s10578-017-0770-8.CrossRefPubMed

Canals, J., Hernandez-Martinez, C., Cosi, S., & Domenech, E. (2012). Examination of a cutoff score of the Screen for Child Anxiety Related Emotional Disorders (SCARED) in a non-clinical Spanish population. Journal of Anxiety Disorders, 26, 785–791. https://doi.org/10.1016/j.janxdis.2012.07.008.CrossRefPubMed

Casey, J. A., Pollak, J., Glymour, M. M., Mayeda, E. R., Hirsch, A. G., & Schwartz, B. S. (2018). Measures of SES for electronic health record-based research. American Journal of Preventive Medicine, 54, 430–439. https://doi.org/10.1016/j.amepre.2017.10.004.CrossRefPubMed

Dishion, T. J., Brennan, L. M., Shaw, D. S., McEachern, A. D., Wilson, M. N., & Jo, B. (2014). Prevention of problem behavior through annual Family Check-Ups in early childhood: Intervention effects from home to early elementary school. Journal of Abnormal Child Psychology, 42, 343–354. https://doi.org/10.1007/s10802-013-9768-2.

Dishion, T. J., & Stormshak, E. A. (2007). Intervening in children’s lives: An ecological, family-centered approach to mental health care. Washington, DC: American Psychological Association. https://doi.org/10.1037/11485-000.

Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A Research Note. Journal of Child Psychology and Psychiatry, 38, 581–586.CrossRefPubMed

Goodman, R. (2001). Psychometric properties of the Strengths and Difficulties Questionnaire. Journal of the American Academy of Child and Adolescent Psychiatry, 40(11), 1337–1345.CrossRef

Goodman, R., Ford, T., Simmons, H., Gatward, R., & Meltzer, H. (2000). Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. The British Journal of Psychiatry, 177, 534–539.CrossRefPubMed

Granello, D. H., Granello, P. F., & Lee, F. (2000). Measuring treatment outcome in a child and adolescent partial hospitalization program. Administration and Policy in Mental Health, 27, 409–422.CrossRefPubMed

Grizenko, N. (1997). Outcome of multimodal day treatment for children with severe behavior problems: A five-year follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 989–996.CrossRefPubMed

Grizenko, N., Papineau, D., & Sayegh, L. (1993). A comparison of day treatment and outpatient treatment for children with disruptive behavior problems. Canadian Journal of Psychiatry, 38, 432–435.CrossRefPubMed

Grizenko, N., & Sayegh, L. (1990). Evaluation of the effectiveness of a psychodynamically oriented day treatment program for children with behaviour problems: A pilot study. Canadian Journal of Psychiatry, 35, 519–525.CrossRefPubMed

Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap) – A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381.CrossRef

Kazdin, A. E., & Whitley, M. K. (2003). Treatment of parental stress to enhance therapeutic change among children referred for aggressive and antisocial behavior. Journal of Consulting and Clinical Psychology, 71, 504–515.CrossRefPubMed

Kovacs, M. (1985). The Children’s Depression Inventory (CDI). Psychopharmacology Bulletin, 21, 995–998.PubMed

Lenz, A. S., & Del Conte, G. (2018). Efficacy of Dialectical Behavior Therapy for adolescents in a partial hospitalization program. Journal of Counseling and Development, 96, 15–26. https://doi.org/10.1002/jcad.12174.CrossRef

Mansur, R. B., Cunha, G. R., Asevedo, E., Zugman, A., Zeni-Graiff, M., Rios, A. C., & Brietzke, E. (2016). Socioeconomic disadvantage moderates the association between peripheral biomarkers and childhood psychopathology. PLoS ONE, 11, 1–14. https://doi.org/10.1371/journal.pone.0160455.CrossRef

Marcin, J. P., Schembri, M. S., He, J., & Romano, P. S. (2003). A population-based analysis of socioeconomic status and insurance status and their relationship with pediatric trauma hospitalization and mortality rates. American Journal of Public Health, 9, 461–466.CrossRef

Martin, S. E., McConville, D. W., Williamson, L. R., Feldman, G., & Boekamp, J. R. (2013). Partial hospitalization treatment for preschoolers with severe behavior problems: Child age and maternal functioning as predictors of outcome. Child and Adolescent Mental Health, 18, 24–32.CrossRef

Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., & Swendsen, J. (2010). Lifetime Prevalence of Mental Disorders in US Adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989.CrossRefPubMedPubMedCentral

Milin, R., Coupland, K., Walker, S., & Fisher-Bloom, E. (2000). Outcome and follow-up study of an adolescent psychiatric day treatment school program. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 320–328. https://doi.org/10.1097/00004583-2000030000-00014.CrossRefPubMed

Muller, J. M., Averbeck-Holocher, M., Romer, G., Furniss, T., Archtergarde, S., & Postert, C. (2015). Psychiatric treatment outcomes of preschool children in a family day hospital. Child Psychiatry and Human Development, 46, 257–269. https://doi.org/10.1007/s10578-014-0465-3.CrossRefPubMed

National Alliance on Mental Illness. Mental Health Facts Children and Teens. Retrieved from http://www.nami.org/NAMI/media/NAMI-Media/Infographics/Children-MH-Facts-NAMI.pdf.

Nilsen, T. S., Eisemann, M., & Kvernmo, S. (2013). Predictors and moderators of outcome in child and adolescent anxiety and depression: a systematic review of psychological treatment studies. European Child & Adolescent Psychiatry, 22, 69–87. https://doi.org/10.1007/s00787-012-0316-3.CrossRef

O’Neal, C. W., Richardson, E. W., Mancini, J. A., & Grimsley, R. N. (2016). Parents’ early life stressful experiences, their present well-being, and that of their children. American Journal of Orthopsychiatry, 86, 425–435.CrossRefPubMed

Patel, V., Fisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: A global public-health challenge. Lancet, 369, 1302–1313.CrossRefPubMed

Perou, R., Bitsko, R. H., Blumberg, S. J., Pastor, P., Ghandour, R. M., Gfroerer, J. C., & Huang, L. N. (2013). Mental health surveillance among children: United States, 2005-2011. Morbidity and Mortality Weekly Report, 62, 1–35 http://www.cdc.gov/mmwr/preview/mmwrhtml/su6202a1.htm Retrieved from.

Reynolds, C. R., & Kamphaus, R. W. (2004). BASC-2: Behavior assessment system for children, second edition manual. Circle Pines, MN: American Guidance Service.

Reynolds, C. R., & Kamphaus, R. W. (2010). BASC-2: Behavior Assessment System for Children Second Edition: Manual Supplement for the Clinical Report. Bloomington, MN: NCS Pearson, Inc.

Smucker, M. R., Craighead, W. E., Craighead, L. W., & Green, B. J. (1986). Normative and reliability data for the Children’s Depression Inventory. Journal of Abnormal Child Psychology, 14, 25–39.CrossRefPubMed

Steele, H., Bate, J., Steele, M., Dube, S. R., Danskin, K., Knafo, H., Nikitiades, A., Bonuck, K., Meissner, P., & Murphy, A. (2016). Adverse childhood experiences, poverty, and parenting stress. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 48, 32.CrossRef

Webster-Stratton, C. (2005). The incredible years: A trouble-shooting guide for parents of children 2–8 years (2^nd ed.). Seattle, WA: Incredible Years.

Webster-Stratton, C., & Reid, M. J. (2010). The Incredible Years parents, teachers and children training series: A multifaceted treatment approach for young children with conduct problems. In J. Weisz & A. Kazdin (Eds), Evidence-based psychotherapies for children and adolescents (194-210). New York: Guilford Publications.

Webster-Stratton, C., Rinaldi, J., & Jamila, M. R. (2011). Long-term outcomes of Incredible Years Parenting Program: Predictors of Adolescent Adjustment. Child and Adolescent Mental Health, 16, 38–46.CrossRefPubMedPubMedCentral

Whitson, M. L., & Kaufman, J. S. (2016). Parenting stress as a mediator of trauma exposure and mental health outcomes in young children. American Journal of Orthopsychiatry, 87, 531–539.CrossRef

Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: Gender and psychopathology. Annual Review of Clinical Psychology, 4, 275–303. https://doi.org/10.1146/annurev.clinpsy.3.022806.091358.CrossRefPubMed

Titel: Family Stress Moderates Emotional and Behavioral Symptoms in a Child Partial Hospital Setting
Auteurs: Mona Yaptangco
Teresa M. Preddy
Katharine E. Musella
Stephanie H. Parade
Stephanie Umaschi
Anne Walters
Publicatiedatum: 22-05-2019
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 10/2019
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-019-01456-y

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Abstract

Objective

Method

Results

Conclusions

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