Mary Lou Kelley

Development and Validation of the Screen for Adolescent Violence Exposure (SAVE)

Empirical evidence was provided on the utility of the Screen for Adolescent Violence Exposure (SAVE) in assessing adolescent exposure to school, home, and community violence. The SAVE was empirically developed on 1,250 inner-city adolescents, and obtained excellent reliability and validity. Both exploratory and confirmatory factor analyses identified three factors: Traumatic Violence, Indirect Violence, and Physical/Verbal Abuse. The SAVE demonstrated utility in classifying high- and low-violence participants, and correlated significantly with both objective crime data and theoretically relevant constructs (anger, posttraumatic stress symptoms, and internalizing/externalizing problems). Thus, the SAVE provides measurement of the stressor criterion associated with posttraumatic stress disorder, and allows quantification of severity of violence exposure by setting.

Development and Initial Validation of the Child Routines Inventory

The importance of establishing predictable routines during childhood consistently has been emphasized in the popular parenting literature, despite a paucity of empirical evidence. The lack of research may be partially due to a lack of suitable instruments designed to measure childrens routines. This study describes development and preliminary psychometric data in support of the Child Routines Inventory (CRI), an empirically derived, content-valid, parent-report measure of commonly occurring routines in school-aged children. Principal components analysis yielded a four-factor structure (composed of 36 items), accounting for 44.2% of the total variance. The CRI was found to have excellent internal consistency (α = .90), good test-retest reliability (r = .86), and preliminary evidence of construct validity, demonstrating a moderate relationship with measures of child behavior problems and family routines. These results suggest the CRI to be a promising new measure of child routines that would benefit from further validation studies.

Promoting Academic Performance in Inattentive Children The Relative Efficacy of School-Home Notes with and without Response Cost

The present study examined the effectiveness of two different school-home notes for increasing academic productivity and appropriate classroom behavior in five inattentive children. Using an alternating treatments design, students received a school-home note with or without response cost. Both notes required teachers to evaluate students and required parents to provide consequences on a daily basis. The notes differed as to whether reprimands and response cost were included. The results indicated that on-task behavior and academic work completion improved in all five elementary school-age children. The majority of subjects achieved greater improvements in on-task behavior with the response-cost component added to the school-home note.

The moderating effects of maternal psychopathology on children's adjustment post-Hurricane Katrina.

This study investigated the role of maternal psychopathology in predicting childrens psychological distress in a disaster-exposed sample. Participants consisted of 260 children (ages 8–16) recruited from public schools and their mothers. These families were displaced from New Orleans because of Hurricane Katrina in 2005. Assessment took place 3 to 7 months postdisaster. Hierarchical regression analyses revealed that global maternal psychological distress and maternal posttraumatic stress disorder moderated the relation between child hurricane exposure and mother-reported child internalizing and externalizing symptoms.

Parent vs. Self-Report: Contributions Toward Diagnosis of Adolescent Psychopathology

Assessment of psychopathology in adolescents can be complicated due to uncertainties about who should be considered the primary informant. While a multimethod, multiinformant approach to assessment allows for a thorough assessment, it can also result in contradictory findings. The purpose of this study was to use a sample of 121 adolescents to investigate issues of parent-adolescent agreement on behavior rating scales and a structured diagnostic interview. Additionally, this study evaluated whether adolescent report offers unique information to the assessment beyond the parents report. The sample included both normal controls and adolescents who met criteria for diagnosis of an Internalizing or Externalizing disorder based on the DSM-IV criteria. Agreement between parents and adolescents on the Diagnostic Interview for Children and Adolescents—Revised (DICA-R) was low for ADHD (39.4%) and Externalizing Disorders (41.1%) and moderate for Internalizing Disorders (56.6%). A significant difference was found between the number of ADHD symptoms reported, with parents reporting more symptoms (M = 9.42) than adolescents (M = 8.34). Regression analysis indicated that the adolescent completed Youth Self-report (YSR) contributed unique information beyond the parent completed measures in predicting both the adolescent and the parent interviews for Internalizing Disorders. This finding emphasizes the need to continue to collect self-report information, especially when assessing Internalizing disorders, which inherently contain symptoms indicating high-risk behaviors such as suicide ideation.

Posttraumatic stress disorder symptom trajectories in Hurricane Katrina affected youth

OBJECTIVE This study examined trajectories of posttraumatic stress disorder symptoms in Hurricane Katrina affected youth. METHOD A total of 426 youth (51% female; 8-16 years old; mean age=11 years; 75% minorities) completed assessments at 4 time points post-disaster. Measures included Hurricane impact variables (initial loss/disruption and perceived life threat); history of family and community violence exposure, parent and peer social support, and post-disaster posttraumatic stress symptoms. RESULTS Latent class growth analysis demonstrated that there were three distinct trajectories of posttraumatic stress disorder symptoms identified for this sample of youth (resilient, recovering, and chronic, respectively). Youth trajectories were associated with Hurricane-related initial loss/disruption, community violence, and peer social support. CONCLUSIONS The results suggest that youth exposed to Hurricane Katrina have variable posttraumatic stress disorder symptom trajectories. Significant risk and protective factors were identified. Specifically, youth Hurricane and community violence exposure increased risk for a more problematic posttraumatic stress disorder symptom trajectory, while peer social support served as a protective factor for these youth. Identification of these factors suggests directions for future research as well as potential target areas for screening and intervention with disaster exposed youth. LIMITATIONS The convenience sample limits the external validity of the findings to other disaster exposed youth, and the self-report data is susceptible to response bias.

The development of the Toddler Behavior Screening Inventory.

The purpose of the present study was to develop the Toddler Behavior Screening Inventory (TBSI) for rapidly assessing maternal reports of toddler behavior problems. The TBSI is a 40-item measure intended for use by pediatricians, psychologists, and other child-care professionals. A group of mothers (n = 312) rated the initial 93-item TBSI in terms of behavior frequency and parental perception of the behavior as problematic. Following item elimination, 40 items were retained due to being both frequent and problematic at all toddler age levels. Data were obtained with a new sample of mothers (n = 581) and showed the TBSI to possess good reliability and validity.

Effects of community violence exposure and parental mental health on the internalizing problems of urban adolescents.

Previous research has documented an association between adolescent community violence exposure (CVE) and poor psychological functioning. The purpose of this study is to delineate the relations of CVE, parental mental health, and adolescent PTSD and depression. Participants consisted of 121 pairs of junior high and high school students and their parents. Adolescents completed measures to assess their history of violence exposure and current psychological functioning. Parents completed a demographic questionnaire and measures assessing their psychological functioning. Hierarchical regression analyses were conducted, and results indicated that, after controlling for demographic variables and family violence exposure, parental mental health emerged as a moderating variable in the relation between CVE and adolescent-rated PTSD, but not in the association between adolescent CVE and depression. Clinical implications of this study and directions for future research are discussed.

Children's homework problems: a comparison of goal setting and parent training

Most reviews of empirical research conclude that homework is beneficial to academic achievement and learning. However, poor homework production and homework-related behavior problems are common among school-aged children. Unfortunately, research aimed at evaluating effective homework interventions has been limited. The current study compared two practical behavioral interventions for homework problems in elementary-aged children: parent training and goal setting with contingency contracting. Homework Problem Checklist scores were significantly improved in both active treatment groups. However, only goal setting resulted in significant increases in number of homework answers correct per minute.

Development of a Screening Instrument for Exposure to Violence in Children: The KID-SAVE

The present study provided psychometric data on the KID-SAVE, an empirically based measure of childrens exposure to community violence. The KID-SAVE was administered to 470 inner-city children in the third through seventh grades and demonstrated excellent reliability. Factor analysis yielded three subscales: Traumatic Violence, Indirect Violence, and Physical/Verbal Abuse. Initial investigation of construct validity suggested that the KID-SAVE successfully discriminated between groups of children reporting high and low levels of traumatic symptoms. The KID-SAVE appears to be a promising assessment tool and allows for quantification of the severity of violence exposure.