Gaps in Pediatricians’ Advice to Parents Regarding Early Childhood Aggression
Persistent early childhood aggression is a strong predictor of violence later in life. To determine how well general pediatricians counsel parents regarding aggression management strategies, responses to open-ended questions and endorsements of specific aggression management strategies, among 27 ped...
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| Veröffentlicht in: | Clinical pediatrics 2006-01, Vol.45 (1), p.23-28 |
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| creator | Scholer, Seth J. Nix, Robert L. Patterson, Barron |
| description | Persistent early childhood aggression is a strong predictor of violence later in life. To determine how well general pediatricians counsel parents regarding aggression management strategies, responses to open-ended questions and endorsements of specific aggression management strategies, among 27 pediatricians were evaluated. Sixteen (59%) screened regularly for aggression and 23 (85%) counseled (rather than referred) if there were parental concerns. Pediatricians were most likely to spontaneously recommend time-outs (85%) and verbal reprimands (78%) and much less likely to recommend other strategies such as redirecting (26%, p < 0.01) and promoting empathy (22%, p < 0.001). Pediatricians did endorse other aggression management strategies, however, when specifically asked about them. Pediatricians appear to take a limited approach to counseling parents of children with hurtful behavior. To increase health care providers’ role in violence prevention, more systematic efforts are needed to increase rates of screening for early childhood aggression and to broaden the scope of how pediatricians counsel parents. |
| doi_str_mv | 10.1177/000992280604500104 |
| format | Article |
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To determine how well general pediatricians counsel parents regarding aggression management strategies, responses to open-ended questions and endorsements of specific aggression management strategies, among 27 pediatricians were evaluated. Sixteen (59%) screened regularly for aggression and 23 (85%) counseled (rather than referred) if there were parental concerns. Pediatricians were most likely to spontaneously recommend time-outs (85%) and verbal reprimands (78%) and much less likely to recommend other strategies such as redirecting (26%, p < 0.01) and promoting empathy (22%, p < 0.001). Pediatricians did endorse other aggression management strategies, however, when specifically asked about them. Pediatricians appear to take a limited approach to counseling parents of children with hurtful behavior. 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To determine how well general pediatricians counsel parents regarding aggression management strategies, responses to open-ended questions and endorsements of specific aggression management strategies, among 27 pediatricians were evaluated. Sixteen (59%) screened regularly for aggression and 23 (85%) counseled (rather than referred) if there were parental concerns. Pediatricians were most likely to spontaneously recommend time-outs (85%) and verbal reprimands (78%) and much less likely to recommend other strategies such as redirecting (26%, p < 0.01) and promoting empathy (22%, p < 0.001). Pediatricians did endorse other aggression management strategies, however, when specifically asked about them. Pediatricians appear to take a limited approach to counseling parents of children with hurtful behavior. To increase health care providers’ role in violence prevention, more systematic efforts are needed to increase rates of screening for early childhood aggression and to broaden the scope of how pediatricians counsel parents.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aggression</subject><subject>Aggressiveness</subject><subject>Child</subject><subject>Child Behavior</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Counseling - standards</subject><subject>Counseling - trends</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Pediatrics - standards</subject><subject>Pediatrics - trends</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Practice Patterns, Physicians' - trends</subject><subject>Prevalence</subject><subject>Probability</subject><subject>Quality of Health Care</subject><subject>Reproducibility of Results</subject><subject>Risk Assessment</subject><subject>Sex Factors</subject><subject>Surveys and Questionnaires</subject><subject>Violence - prevention & control</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9Kw0AQhxdRbK2-gAdZPHiL3T9JNjmWUqtQsIiew2Z3km5Jk7qbCL35Gr6eT-KGFgoKMoc5zDe_GT6Erim5p1SIMSEkTRlLSEzCiBBKwhM0pClPAiaIOEXDHgh6YoAunFt7hJOIn6MBjUOWMsqG6Hkutw6bGi9BG9lao4ys3ffnF57oD6MAtw1eSgt16_ALlNJqU5d4Jm21w9OVqfSqaTSelKUF50xTX6KzQlYOrg59hN4eZq_Tx2DxPH-aThaB4nHSBv5fEUquRFRAoiiNcyXifkSTKGJ5ESoNIk1BF6lUiUg0E1qQUCpOJMmB8xG62-dubfPegWuzjXEKqkrW0HQu8wJ8MebB21_guuls7X_LmPfjj1DhIbaHlG2cs1BkW2s20u4ySrLedfbXtV-6OSR3-Qb0ceUg1wPjPeBkCcez_0T-AKpdhiw</recordid><startdate>200601</startdate><enddate>200601</enddate><creator>Scholer, Seth J.</creator><creator>Nix, Robert L.</creator><creator>Patterson, Barron</creator><general>SAGE Publications</general><general>Westminster Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200601</creationdate><title>Gaps in Pediatricians’ Advice to Parents Regarding Early Childhood Aggression</title><author>Scholer, Seth J. ; Nix, Robert L. ; Patterson, Barron</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-45074a3c75fe8c116bc76c36818552bf4cde799edf9ac878d27d704ac30a0be33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aggression</topic><topic>Aggressiveness</topic><topic>Child</topic><topic>Child Behavior</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Counseling - standards</topic><topic>Counseling - trends</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><topic>Pediatrics - standards</topic><topic>Pediatrics - trends</topic><topic>Physician-Patient Relations</topic><topic>Physicians</topic><topic>Practice Patterns, Physicians' - trends</topic><topic>Prevalence</topic><topic>Probability</topic><topic>Quality of Health Care</topic><topic>Reproducibility of Results</topic><topic>Risk Assessment</topic><topic>Sex Factors</topic><topic>Surveys and Questionnaires</topic><topic>Violence - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scholer, Seth J.</creatorcontrib><creatorcontrib>Nix, Robert L.</creatorcontrib><creatorcontrib>Patterson, Barron</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scholer, Seth J.</au><au>Nix, Robert L.</au><au>Patterson, Barron</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gaps in Pediatricians’ Advice to Parents Regarding Early Childhood Aggression</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>2006-01</date><risdate>2006</risdate><volume>45</volume><issue>1</issue><spage>23</spage><epage>28</epage><pages>23-28</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><coden>CPEDAM</coden><abstract>Persistent early childhood aggression is a strong predictor of violence later in life. To determine how well general pediatricians counsel parents regarding aggression management strategies, responses to open-ended questions and endorsements of specific aggression management strategies, among 27 pediatricians were evaluated. Sixteen (59%) screened regularly for aggression and 23 (85%) counseled (rather than referred) if there were parental concerns. Pediatricians were most likely to spontaneously recommend time-outs (85%) and verbal reprimands (78%) and much less likely to recommend other strategies such as redirecting (26%, p < 0.01) and promoting empathy (22%, p < 0.001). Pediatricians did endorse other aggression management strategies, however, when specifically asked about them. Pediatricians appear to take a limited approach to counseling parents of children with hurtful behavior. To increase health care providers’ role in violence prevention, more systematic efforts are needed to increase rates of screening for early childhood aggression and to broaden the scope of how pediatricians counsel parents.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>16429212</pmid><doi>10.1177/000992280604500104</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Age Factors Aggression Aggressiveness Child Child Behavior Child, Preschool Children & youth Counseling - standards Counseling - trends Female Follow-Up Studies Health Care Surveys Humans Male Middle Aged Parents & parenting Pediatrics Pediatrics - standards Pediatrics - trends Physician-Patient Relations Physicians Practice Patterns, Physicians' - trends Prevalence Probability Quality of Health Care Reproducibility of Results Risk Assessment Sex Factors Surveys and Questionnaires Violence - prevention & control |
| title | Gaps in Pediatricians’ Advice to Parents Regarding Early Childhood Aggression |
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