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Showing 8 results for Behavioral Problems

Nasrin Jalili, Nazila Akbar Fahimi, Seyyed Ali Hosseini, Marjan Farzi, Razieh Falsafian,
Volume 12, Issue 0 (1-2012)
Abstract

Objective: Behavioral problems constitute a wide range of childhood problems. Acquiring information regarding the behavioral problems in children with cerebral palsy is essential to identify and manage such problems and to promote psychological and mental health services for children with cerebral palsy. The purpose of this study was to describe behavioral problems in children with cerebral palsy.

Materials & Methods: In a cross-sectional study, 90 children with cerebral palsy, aged 4 to 12 years, referred to rehabilitation centers in Tehran in 2011, were selected by convenient sampling method. Children were assessed using parent version of Strengths and Difficulties Questionnaire. Descriptive statistics, chi-square and logistic regression tests were used for analyzing the data.

Results: The findings showed that the prevalence of behavioral problems in children with cerebral palsy was about 43.3 percent. According to sub-groups of diagnostic class of Strengths and Difficulties Questionnaire, the highest prevalence belonged to peer problems (82.2%) and the lowest prevalence was related to hyper activity problems (4.4%). There was a significant difference between IQ level, GMFCS level and Total Difficulties Scores (P<0.05).

Conclusion: As significant proportion of children with cerebral palsy suffers behavioral problems, specific educational and therapeutic programs are recommended.


Maryam Mamaghanieh, Hamid Reza Pour-Etemad, Fatemeh Ahmadi , Katayoun Khoushabi ,
Volume 12, Issue 1 (4-2011)
Abstract

Objective: Autism is one the most disturbing neurodevelopmental disorders associated with variety behavioral problems including communication deficits. The present study is aimed to examine the effectiveness of the Picture Exchange Communication System (PECS) on behavioral problems of autistic children.

Materials & Methods: This study follows a quasi- experimental single subject A-B design. Four boys with autism (aged between 3-7 years) were selected from the Center for the Treatment of Autistic Disorders, Tehran. They were received PECS training for duration of four months (42 session), three sessions per week. Direct observation assessment and Autism Treatment Evaluation Checklist were applied 6 times during the course of the study.

Results: Separate set of analysis of the data reveled a positive effects of PECS on reduction of behavioral problems in three children, although, some differences were identified between them.

Conclusion: Enhanced ability to communicate by PECS, would effectively reduce behavioral problems of children with Autism


Behnaz Rajabi-Shamami, Ma'soumeh Pourmohammadreza-Tajrishi, Hojatollah Haghgou, Atabak Vosouqi, Akbar Biglarian,
Volume 14, Issue 6 (3-2014)
Abstract

Objective: This study was aimed to determine the effectiveness of pivotal response training (PRT) on behavioral problems of 4-6 years old children with autism.

Materials & Methods: the present study was a quasi-experimental study with time-series design with two groups. Twelve individuals with autism (3 girls and 9 boys) who were attending in Beautiful Mind Clinic at Tehran in 2012 were selected in convenience and divided equally into experimental and control groups. Experimental group participated in 15 sessions (three times in week) and received pivotal response training, but control group received mainstream programs (consists of applied behavioral analysis,and speech therapy) of the clinic. All children were evaluated by Giliam Autism Rating Scale (GARS) 3 times before and after intervention sessions. Data were analyzed by analysis of covariance.

Results: The results of analysis of covariance analyse showed that stereotyped behaviors and communication skills were reduced in experimental group, but there were no significant difference between experimental and control groups.(P=0.45). Also, findings showed that social interaction of experimental group improved, compared to that of control group (P<0.001).

Conclusion: We can conclude that pivotal response training program has a positive effect on social interaction of children with autism, but there was no significant effect in terms of stereotype behaviours and communication skills.


Abbas Nesayan, Roghaie Asadi Gandomani,
Volume 17, Issue 2 (7-2016)
Abstract

Objective children and adolescents are faced with wide range of social challengeable situations every day. Intellectual Disability is a condition that determined by significant limitations both in intellectual functioning and in adaptive behavior. This condition occurs before the age of 18 years. The prevalence of intellectual disability is estimated to be at 1-3% of the total population. 
Children and adolescents with intellectual disabilities have deficits in social skills and hence, require social skills training.  It is important for students with intellectual disability to make and maintain positive social relationships with family, peers, teachers and other community members.
Social skill training will have the most positive effects on the behavior of students with intellectual disability during the adolescence period. The present study was designed to investigate the effect of social
skills on behavioral problems in adolescents with intellectual disability.
Materials & Methods This was a quasi-experimental research with pretest and posttest and a control group. The study population included 28 adolescents aged 14-16 years with mild intellectual disability in Tehran who were selected using the convenience sampling method.  The subjects were randomly assigned into control and experimental groups. The experimental group participated in a training program for 10 sessions. In these sessions, social skills were taught individually. The control group did not receive any social skills training. After this stage, problem behaviors questionnaires were completed by all subjects (control and experimental group). The data obtained was analyzed using descriptive statistics (such as mean, standard deviation and Kolmogorov-Smirnov test for normality of the data) and inferential statistics (such as analysis of covariance).
Results It was found that despite the difference in pre-posttest mean between both the groups, social skills training did not have any significant effect on the behavioral problems of students with intellectual disability (P>0.05).
Conclusion This research showed that social skills training were not significantly effective on behavioral problems in adolescents with intellectual disability. Although our results were not effective, research evidence shows that people with cognitive delays (such as intellectual disability) require social skill training programs that include all of their academic, career, daily life, and social skills. As social skills learning plays a role in personal and social adjustment, it is necessary to pay more attention to these skills.


Mahsa Sattari, Seyed Ali Hosseini, Mehdi Rassafiani, Mohammad Javad Mahmoudi Gharaei, Akbar Biglarian, Najmeh Tarkesh Esfahani,
Volume 18, Issue 1 (6-2017)
Abstract

Objective Attention Deficit Hyperactivity Disorder (ADHD) is the most common psychiatric disorders among children referred to treatment centers that caused problems in their personal and social lives. Thus, this study aimed to investigate the prevalence of behavioral problems in children with ADHD.
Methods & Materials This descriptive-analytical study included 278 children (aged 7-11 years) with ADHD who were referred to the Children's Medical Center and Clinic of Psychiatry, Atiyeh during 30-03-2012 to 20-04-2012. The behavioral problems of children who were diagnosed with ADHD by psychiatrists were assessed using Child Symptom Inventory (CSI-4). SPSS19 was used to describe and analyze data.
Results Based on the results, most visitors were boys, and AD in the girls and combined ADHD in the boys had the highest frequency. No significant relationship was found between gender and type of disorder. Most of the children reported only one behavioral disorder such as confrontational behavior, specific phobia, generalized anxiety disorder, separation anxiety and dysthymia.
Conclusion The prevalence of inventory disorders in the three types of ADHD varied according to age and sex. Statistically significant differences were observed between the three types of ADHD, confrontational disorder (4000.0), and anxiety (0.02).


Rahman Gowdini, Masoume Pourmohamdreza-Tajrishi, Siyamak Tahmasebi, Akbar Biglarian,
Volume 18, Issue 1 (6-2017)
Abstract

Objective The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V), has defined behavioral disorders (i.e. oppositional defiant disorder, conduct disorder, and disruptive behavior disorder) as conditions involving problems in the self-control of emotions and behaviors. The underlying causes of behavioral disorders can vary greatly across disorders and among individuals within a given diagnostic category. The behavioral disorders vary from aggression or sudden arousal to depressive actions. It contains various extreme, chronic, and deviant behaviors. Such disorders lead to individual or social problems and require educational and therapeutic intervention. Such problems in children can increase their vulnerability to psycho-social confusions in adolescence and adulthood. The present study was aimed to determine the effects of emotion management training to mothers on the behavioral problems of their boy offspring. It also measured the efficacy of the program from the parents’ perspectives.
Methods & Materials The present study was semi-experimental, having a pretest and a posttest design with a control group. An elementary masculine school was selected in convenience from the statistical population in Kermanshah City. All of the students (96 individuals) who studied at the elementary school were evaluated by the Rutter (1967) Children’s Behavior Questionnaire for parents. Thirty students who acquired high score (13 points and higher) in the questionnaire were diagnosed as having behavioral problems. An explanatory session regarding the purpose of the study was held for their mothers. The mothers were randomly assigned to an experimental and a control group in equal numbers (each group=15 individuals). The experimental group attended 9 training sessions for two months (once a week; per session lasts for 60 minutes (and received emotions management program, but the control group did not attend any such session. Again, all the students were evaluated through the Rutter Children’s Behavior Questionnaire for parents after the 9th session. Data were collected through the questionnaire before and after the training sessions. Multivariate analysis of covariance was used by SPSS (version 20) for analyzing the data.
Results The findings showed that there was a significant reduction in the scores of components of behavioral problems as follows: aggression and hyperactivity (P<0.01), anxiety and depression (P<0.002), social maladjustment (P<0.05), and antisocial behaviors (P<0.001). There was also a significant reduction in the total score of behavioral problems (P<0.001) of the offspring after mothers’ participation in emotion management training sessions. But, the score of attention shortage increased after the training sessions in the experimental group although this variation was not significant (P<0.01). It can be stated that according to Eta square, 66% of the variation in the total score of behavioral problems in offspring was due to mothers’ participation in the emotion management training program. We also found that 24%, 33%, 15%, 38%, and 11% of variations in components such as aggression and hyperactivity, anxiety and depression, social maladjustment, and antisocial behaviors, respectively, can be explained by the mothers’ participation in training sessions.
Conclusion We conclude that the training intervention (especially, emotion management training) for mothers who have male offspring with behavioral problems is beneficial not only for strengthening the parents to manage their emotions effectively but also for reducing behavioral problems in their offspring.


Mohammad Ashori, Fatemeh Dallalzadeh Bidgoli,
Volume 19, Issue 2 (7-2018)
Abstract

Objective Attention Deficit Hyperactivity Disorder (ADHD) is widely recognized as one of the most common neurodevelopmental disorders affecting children due to which they are frequently referred to clinics for their behavioral problems. Adding to their behavioral problems, many children with ADHD also have socialization with their parents, siblings and teachers. The long-lasting nature of ADHD easily results in social isolation. Thus, many children and adults with ADHD make few friends, even though they may desperately want to be liked. This can establish a vicious cycle in which they attempt to make new friends by latching onto people, with the least chance for interaction with others. It seems that play therapy could reduce behavioral problems and improve social skills of children with ADHD. The purpose of the present study was to investigate the efficacy of play therapy, based on the cognitive-behavioral model, on the behavioral problems and social skills of pre-school children with attention deficit hyperactivity disorder.
Materials & Methods A semi-experimental study with pre-test and post-test design was conducted with 30 male participants, aged 5–6 years. These participants with ADHD were selected using an available method from the pre-school centers of Aran and Bidgol cities. The participants were divided into experimental and control groups, each group consisting of 15 children. The experimental group received 12 sessions of play therapy based on the cognitive-behavioral model while the control group did not have any sessions. The experiments were conducted using the Rutter child behavior questionnaire for parents (1975) and social skills rating scale of Gresham and Elliott (1990). Problem behavior questionnaires were completed by parents, and social skills rating scale was completed by teachers for all subjects during pre-test and post-test. Data collected before and after the training sessions were analyzed by multivariate analysis of covariance (MANCOVA) using the SPSS software V. 23.
Results Normality of variables and contingency of variance and covariance assumptions were tested. The Kolmogorov-Smirnov test showed that all variables were normal (P>0.05). The Box test confirmed the contingency of variance-covariance assumption. The results of MANCOVA showed that play therapy based on the cognitive-behavioral model had a significant effect on the behavioral problems and social skills of children with attention deficit hyperactivity disorder (P<0.0001). It also had a significant effect on all the subscales of behavioral problems (aggression and hyperactivity, anxiety and depression, social maladjustment, antisocial behaviors, and attention shortage) and social skills (cooperation, self-assertiveness, and self-control) (P<0.0001) in these children. It can be stated that according to Eta square, 70%, 51%, 62%, 66%, 68%, and 67% of variations in components such as aggression and hyperactivity, anxiety and depression, social maladjustment, antisocial behaviors, antisocial behaviors, attention shortage, and behavioral problems, respectively, can be explained by the subjects’ participation in the play therapy program. Also, according to Eta square, 69%, 58%, 52%, and 61% of variations in components such as cooperation, self-assertiveness, self-control, and social skills respectively, can be explained by the subjects’ participation in the play therapy.
Conclusion Play therapy based on the cognitive-behavioral model can reduce behavioral problems and improve the social skills of children with attention deficit hyperactivity disorder. It is recommended that serious attention be paid while planning play therapy for children.

Leila Akrami, Malekpur Mokhtar, Salar Faramarzi, Ahmad Abedi,
Volume 20, Issue 4 (12-2019)
Abstract

Objective: The puberty and adolescence period is very important for adolescents with High-Functioning Autism (HFA). They require more education than their peers to understand the puberty period and the its associated changes. Parents’ lack of knowledge of how to deal with adolescents correctly, lack of social skills and failure to provide adequate information to them  can create a variety of problems such as behavioral problems. The purpose of this study was to investigate the effect of a behavioral management and social skills training program on behavioral and adaptive problems  of male adolescent with HFA.
Materials & Methods: The present study is a single-case study with ABA design. The statistical population consisted of male school students with HFA in Yazd, Iran. Of these, 3 were selected using purposive sampling method. By reviewing various papers related to behavioral problems, cognitive-behavioral approaches, Intervention Guide for Behavioral and Emotional Issues (IGBEI) and Intervention Guide of Social Skills Improvement System (IGSSIS), a program was developed for adolescents and their mothers. To evaluate the content validity of the program and to measure its reliability, Lawshe’s method and Kappa coefficient were used, respectively. The program was presented in 37 sessions to the subjects and mothers. To collect data, the Behavior Assessment System for Children (BASC-3, parent and teacher rating scales) questionnaires was used and completed before and after the intervention. The collected data were analyzed using visual analysis indices and descriptive statistics. 
Results: Raw data were first obtained for each participant in three phases of baseline, intervention, and follow-up and presented in the form of charts. Then, the stability and trend were plotted for all three participants at the baseline and intervention phases. Finally, using intra-situ and inter-situ analyses, the effectiveness of the educational program was evaluated. The results showed that the educational program was effective in reducing behavioral problems with Percent Non-Overlapping Data (PND) of 62.5% for the first and third subjects and 75% for the second subject, and increasing adaptive skills with a PND of 75% for the first and third subjects, and 87% for the second subject.
Conclusion: Maternal and adolescent education based on an organized program can play an important role in reducing behavioral problems and enhancing adaptive skills during adolescence. Adolescents with HFA need more education to provide appropriate behavior due to the limitations; therefore, it is necessary to develop educational programs for this groups. One of the limitations of this study was the small size of samples; hence, generalization of results should be done with caution. Although many studies have been conducted in relation to children with HFA, further studies are recommended on these adolescents (male and female) in relation to their problems.


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