Abstract
Maternal reports on the health, behavioral, and educational characteristics of Hispanic low-income preschoolers were gathered from a pediatric clinic to conduct appropriate consultation and teaching of behavioral issues to pediatric residents. Fifty-two Hispanic mothers attending an urban hospital clinic were given a questionnaire. Interviews provided data on family demographics, children's health status, behavior problems (65 items adapted from Achenbach's 1981 and 1987 Child Behavior Checklists [CBCL]), maternal depression, family life stressful events, and discipline methods. Thirteen externalizing and five internalizing high frequency behaviors were identified. Behavior problem scores were significantly related to the use of yelling and hitting/spanking as methods of discipline. Precarious health status and low enrollment in preschool programs also were reported. A broader preventive role for pediatricians in that pediatric setting was recommended and pursued. Results suggest a broad preventive role for pediatricians and pediatric clinics servicing low-income preschoolers.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Achenbach T. M., Edelbrock C., Howell C. T. Empirically based assessment of the behavioral/emotional problems of 2- and 3- year-old children. J Abnorm Child Psychol. 1987 Dec;15(4):629–650. doi: 10.1007/BF00917246. [DOI] [PubMed] [Google Scholar]
- Bird H. R., Canino G., Gould M. S., Ribera J., Rubio-Stipec M., Woodbury M., Huertas-Goldman S., Sesman M. Use of the Child Behavior Checklist as a screening instrument for epidemiological research in child psychiatry: results of a pilot study. J Am Acad Child Adolesc Psychiatry. 1987 Mar;26(2):207–213. doi: 10.1097/00004583-198703000-00015. [DOI] [PubMed] [Google Scholar]
- Costello E. J. Primary care pediatrics and child psychopathology: a review of diagnostic, treatment, and referral practices. Pediatrics. 1986 Dec;78(6):1044–1051. [PubMed] [Google Scholar]
- Davis J. K., Wasserman E. Behavioral aspects of asthma in children. Clin Pediatr (Phila) 1992 Nov;31(11):678–681. doi: 10.1177/000992289203101107. [DOI] [PubMed] [Google Scholar]
- Fergusson D. M., Horwood L. J., Shannon F. T. Relationship of family life events, maternal depression, and child-rearing problems. Pediatrics. 1984 Jun;73(6):773–776. [PubMed] [Google Scholar]
- Holmes T. H., Rahe R. H. The Social Readjustment Rating Scale. J Psychosom Res. 1967 Aug;11(2):213–218. doi: 10.1016/0022-3999(67)90010-4. [DOI] [PubMed] [Google Scholar]
- Jessop D. J., Riessman C. K., Stein R. E. Chronic childhood illness and maternal mental health. J Dev Behav Pediatr. 1988 Jun;9(3):147–156. [PubMed] [Google Scholar]
- Lequerica M. Stress in immigrant families with handicapped children: a child advocacy approach. Am J Orthopsychiatry. 1993 Oct;63(4):545–552. doi: 10.1037/h0079472. [DOI] [PubMed] [Google Scholar]
- Perrin E. C., Stein R. E., Drotar D. Cautions in using the Child Behavior Checklist: observations based on research about children with a chronic illness. J Pediatr Psychol. 1991 Aug;16(4):411–421. doi: 10.1093/jpepsy/16.4.411. [DOI] [PubMed] [Google Scholar]
- Ramsey B. W., Marcuse E. K., Foy H. M., Cooney M. K., Allan I., Brewer D., Smith A. L. Use of bacterial antigen detection in the diagnosis of pediatric lower respiratory tract infections. Pediatrics. 1986 Jul;78(1):1–9. [PubMed] [Google Scholar]