Behavioral Health Screening: Validation of a Strength-Based Approach.
Identifieur interne : 000004 ( Main/Exploration ); précédent : 000003; suivant : 000005Behavioral Health Screening: Validation of a Strength-Based Approach.
Auteurs : Jennifer A. Mautone [États-Unis] ; Laura L. Pendergast [États-Unis] ; Michael Cassano [États-Unis] ; Nathan J. Blum [États-Unis] ; Thomas J. Power [États-Unis]Source :
- Journal of developmental and behavioral pediatrics : JDBP [ 1536-7312 ]
Abstract
OBJECTIVE
To evaluate the validity of the Behavioral Health Checklist (BHCL) strength-based factor scores and the extent to which this factor has a buffering effect on the relationship between behavioral health symptom severity and children's social problems.
METHOD
The parents of 1,392 children aged 4 to 12 completed the BHCL and Child Behavior Checklist (CBCL) during sick and well-child visits to urban and suburban primary care practices affiliated with a large children's hospital.
RESULTS
Findings support a single, strength-based factor on the BHCL, and the structure was largely invariant across race, sex, and socioeconomic status. Increased psychopathology symptoms (internalizing, externalizing, and attention-deficit hyperactivity disorder) and lower levels of strengths predicted increased social problems (p < 0.001). Moreover, the interaction terms were statistically significant in all analyses, suggesting that higher levels of strengths may buffer the deleterious impact of psychopathology symptoms on social problems. Post hoc analyses indicated that the buffering influence of strengths on the relationship between psychopathology symptoms and social problems was clinically meaningful except in the older sample for the relationship between externalizing and social problems.
CONCLUSION
The findings support the validity of a strength-based factor of the BHCL and indicate that this factor has a buffering effect on the association between the degree of child mental health symptoms and level of social impairment. This factor, in combination with the problem-focused factors of the BHCL, provides a balanced approach to screening children's mental health functioning.
DOI: 10.1097/DBP.0000000000000832
PubMed: 32576785
Affiliations:
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Mautone</name><affiliation wicri:level="2"><nlm:affiliation>Department of Child & Adolescent Psychiatry & Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Child & Adolescent Psychiatry & Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Pendergast, Laura L" sort="Pendergast, Laura L" uniqKey="Pendergast L" first="Laura L" last="Pendergast">Laura L. 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Mautone</name><affiliation wicri:level="2"><nlm:affiliation>Department of Child & Adolescent Psychiatry & Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Child & Adolescent Psychiatry & Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Pendergast, Laura L" sort="Pendergast, Laura L" uniqKey="Pendergast L" first="Laura L" last="Pendergast">Laura L. Pendergast</name><affiliation wicri:level="2"><nlm:affiliation>Psychological Studies in Education, Temple University, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Psychological Studies in Education, Temple University, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Cassano, Michael" sort="Cassano, Michael" uniqKey="Cassano M" first="Michael" last="Cassano">Michael Cassano</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Graduate Clinical Psychology, Widener University, Chester, PA. Dr. Cassano is now with Dragonfly Psychological Associates, PC, Willow Grove, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Institute for Graduate Clinical Psychology, Widener University, Chester, PA. Dr. Cassano is now with Dragonfly Psychological Associates, PC, Willow Grove</wicri:cityArea></affiliation></author><author><name sortKey="Blum, Nathan J" sort="Blum, Nathan J" uniqKey="Blum N" first="Nathan J" last="Blum">Nathan J. Blum</name><affiliation wicri:level="2"><nlm:affiliation>Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Power, Thomas J" sort="Power, Thomas J" uniqKey="Power T" first="Thomas J" last="Power">Thomas J. Power</name><affiliation wicri:level="2"><nlm:affiliation>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of developmental and behavioral pediatrics : JDBP</title><idno type="eISSN">1536-7312</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate the validity of the Behavioral Health Checklist (BHCL) strength-based factor scores and the extent to which this factor has a buffering effect on the relationship between behavioral health symptom severity and children's social problems.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>The parents of 1,392 children aged 4 to 12 completed the BHCL and Child Behavior Checklist (CBCL) during sick and well-child visits to urban and suburban primary care practices affiliated with a large children's hospital.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Findings support a single, strength-based factor on the BHCL, and the structure was largely invariant across race, sex, and socioeconomic status. Increased psychopathology symptoms (internalizing, externalizing, and attention-deficit hyperactivity disorder) and lower levels of strengths predicted increased social problems (p < 0.001). Moreover, the interaction terms were statistically significant in all analyses, suggesting that higher levels of strengths may buffer the deleterious impact of psychopathology symptoms on social problems. Post hoc analyses indicated that the buffering influence of strengths on the relationship between psychopathology symptoms and social problems was clinically meaningful except in the older sample for the relationship between externalizing and social problems.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The findings support the validity of a strength-based factor of the BHCL and indicate that this factor has a buffering effect on the association between the degree of child mental health symptoms and level of social impairment. This factor, in combination with the problem-focused factors of the BHCL, provides a balanced approach to screening children's mental health functioning.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">32576785</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-7312</ISSN><JournalIssue CitedMedium="Internet"><Volume>41</Volume><Issue>8</Issue><PubDate><MedlineDate>2020 Oct-Nov</MedlineDate></PubDate></JournalIssue><Title>Journal of developmental and behavioral pediatrics : JDBP</Title><ISOAbbreviation>J Dev Behav Pediatr</ISOAbbreviation></Journal><ArticleTitle>Behavioral Health Screening: Validation of a Strength-Based Approach.</ArticleTitle><Pagination><MedlinePgn>587-595</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/DBP.0000000000000832</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the validity of the Behavioral Health Checklist (BHCL) strength-based factor scores and the extent to which this factor has a buffering effect on the relationship between behavioral health symptom severity and children's social problems.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">The parents of 1,392 children aged 4 to 12 completed the BHCL and Child Behavior Checklist (CBCL) during sick and well-child visits to urban and suburban primary care practices affiliated with a large children's hospital.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Findings support a single, strength-based factor on the BHCL, and the structure was largely invariant across race, sex, and socioeconomic status. Increased psychopathology symptoms (internalizing, externalizing, and attention-deficit hyperactivity disorder) and lower levels of strengths predicted increased social problems (p < 0.001). Moreover, the interaction terms were statistically significant in all analyses, suggesting that higher levels of strengths may buffer the deleterious impact of psychopathology symptoms on social problems. Post hoc analyses indicated that the buffering influence of strengths on the relationship between psychopathology symptoms and social problems was clinically meaningful except in the older sample for the relationship between externalizing and social problems.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The findings support the validity of a strength-based factor of the BHCL and indicate that this factor has a buffering effect on the association between the degree of child mental health symptoms and level of social impairment. This factor, in combination with the problem-focused factors of the BHCL, provides a balanced approach to screening children's mental health functioning.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mautone</LastName><ForeName>Jennifer A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Department of Child & Adolescent Psychiatry & Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pendergast</LastName><ForeName>Laura L</ForeName><Initials>LL</Initials><AffiliationInfo><Affiliation>Psychological Studies in Education, Temple University, Philadelphia, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cassano</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Institute for Graduate Clinical Psychology, Widener University, Chester, PA. Dr. Cassano is now with Dragonfly Psychological Associates, PC, Willow Grove, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blum</LastName><ForeName>Nathan J</ForeName><Initials>NJ</Initials><AffiliationInfo><Affiliation>Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Power</LastName><ForeName>Thomas J</ForeName><Initials>TJ</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Dev Behav Pediatr</MedlineTA><NlmUniqueID>8006933</NlmUniqueID><ISSNLinking>0196-206X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32576785</ArticleId><ArticleId IdType="doi">10.1097/DBP.0000000000000832</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Mautone, Jennifer A" sort="Mautone, Jennifer A" uniqKey="Mautone J" first="Jennifer A" last="Mautone">Jennifer A. Mautone</name></region><name sortKey="Blum, Nathan J" sort="Blum, Nathan J" uniqKey="Blum N" first="Nathan J" last="Blum">Nathan J. Blum</name><name sortKey="Blum, Nathan J" sort="Blum, Nathan J" uniqKey="Blum N" first="Nathan J" last="Blum">Nathan J. Blum</name><name sortKey="Cassano, Michael" sort="Cassano, Michael" uniqKey="Cassano M" first="Michael" last="Cassano">Michael Cassano</name><name sortKey="Mautone, Jennifer A" sort="Mautone, Jennifer A" uniqKey="Mautone J" first="Jennifer A" last="Mautone">Jennifer A. Mautone</name><name sortKey="Pendergast, Laura L" sort="Pendergast, Laura L" uniqKey="Pendergast L" first="Laura L" last="Pendergast">Laura L. Pendergast</name><name sortKey="Power, Thomas J" sort="Power, Thomas J" uniqKey="Power T" first="Thomas J" last="Power">Thomas J. Power</name><name sortKey="Power, Thomas J" sort="Power, Thomas J" uniqKey="Power T" first="Thomas J" last="Power">Thomas J. Power</name><name sortKey="Power, Thomas J" sort="Power, Thomas J" uniqKey="Power T" first="Thomas J" last="Power">Thomas J. Power</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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