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Relationship between the family APGAR and behavioral problems in children

Relationship between the family APGAR and behavioral problems in children
Relationship between the family APGAR and behavioral problems in children
Objectives: to assess the use of the Family APGAR instrument as a supplement to usual clinical methods for the detection of psychosocial problems in children and to evaluate the relationship between the Family APGAR and physician diagnosis and elevated Child Behavior Checklist (CBCL) scores.

Design: cross-sectional.

Setting: ambulatory care center of a community-based, university-affiliated family medicine training program.

Subject: one hundred fifty-two parents of children aged 3 to 16 years.

Main outcome measures: family functioning was considered poor if Family APGAR scores were 5 or less. For the CBCL, sum total T scores greater than the 90th percentile for nonreferred children were considered clinically significant. Physicians used a checklist to indicate the presence of psychosocial problems or family dysfunction.

Results: agreement between the Family APGAR scores and the physician's detection of child psychosocial problems was weak (kappa = 0.23). There was no relationship between the Family APGAR scores and physician perception of family dysfunction (kappa = -0.05). Although agreement between the Family APGAR and CBCL classifications was weak (kappa = 0.20), families with low Family APGAR scores were more than twice as likely to have children with clinically significant CBCL scores than those with higher scores (risk ratio = 2.08; 95% confidence interval = 1.02 to 4.24).

Conclusions: the relationships among the Family APGAR and CBCL scores and physician detection of child psychosocial problems were weak. Child psychosocial problems were more than twice as likely to be present when the Family APGAR score was low. These findings suggest that family functioning is related to child psychosocial problems, but that the Family APGAR may not improve screening for child psychosocial problems
1063-3987
535-539
Smucker, William S.
bf129651-dbfc-44f4-9441-32ac04dff13e
Wildman, Beth S.
aae6a265-7587-40e1-863c-4d394ca62b7a
Lynch, Thomas R.
29e90123-0aef-46c8-b320-1617fb48bb20
Revolinsky, Mary C.
b54e61f1-3f49-4e61-a4c8-84b44e90b2d8
Smucker, William S.
bf129651-dbfc-44f4-9441-32ac04dff13e
Wildman, Beth S.
aae6a265-7587-40e1-863c-4d394ca62b7a
Lynch, Thomas R.
29e90123-0aef-46c8-b320-1617fb48bb20
Revolinsky, Mary C.
b54e61f1-3f49-4e61-a4c8-84b44e90b2d8

Smucker, William S., Wildman, Beth S., Lynch, Thomas R. and Revolinsky, Mary C. (1995) Relationship between the family APGAR and behavioral problems in children. Archives of Family Medicine, 4 (6), 535-539. (PMID:7773430)

Record type: Article

Abstract

Objectives: to assess the use of the Family APGAR instrument as a supplement to usual clinical methods for the detection of psychosocial problems in children and to evaluate the relationship between the Family APGAR and physician diagnosis and elevated Child Behavior Checklist (CBCL) scores.

Design: cross-sectional.

Setting: ambulatory care center of a community-based, university-affiliated family medicine training program.

Subject: one hundred fifty-two parents of children aged 3 to 16 years.

Main outcome measures: family functioning was considered poor if Family APGAR scores were 5 or less. For the CBCL, sum total T scores greater than the 90th percentile for nonreferred children were considered clinically significant. Physicians used a checklist to indicate the presence of psychosocial problems or family dysfunction.

Results: agreement between the Family APGAR scores and the physician's detection of child psychosocial problems was weak (kappa = 0.23). There was no relationship between the Family APGAR scores and physician perception of family dysfunction (kappa = -0.05). Although agreement between the Family APGAR and CBCL classifications was weak (kappa = 0.20), families with low Family APGAR scores were more than twice as likely to have children with clinically significant CBCL scores than those with higher scores (risk ratio = 2.08; 95% confidence interval = 1.02 to 4.24).

Conclusions: the relationships among the Family APGAR and CBCL scores and physician detection of child psychosocial problems were weak. Child psychosocial problems were more than twice as likely to be present when the Family APGAR score was low. These findings suggest that family functioning is related to child psychosocial problems, but that the Family APGAR may not improve screening for child psychosocial problems

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Published date: June 1995

Identifiers

Local EPrints ID: 193971
URI: http://eprints.soton.ac.uk/id/eprint/193971
ISSN: 1063-3987
PURE UUID: 86a4bdd3-d3f7-4f3b-9fb9-178a5ad41bc2
ORCID for Thomas R. Lynch: ORCID iD orcid.org/0000-0003-1270-6097

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Date deposited: 22 Jul 2011 09:14
Last modified: 13 Jun 2019 00:33

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