Behavioural and emotional disorders in childhood: A brief overview for paediatricians

Michael O Ogundele, Michael O Ogundele

Abstract

Mental health problems in children and adolescents include several types of emotional and behavioural disorders, including disruptive, depression, anxiety and pervasive developmental (autism) disorders, characterized as either internalizing or externalizing problems. Disruptive behavioural problems such as temper tantrums, attention deficit hyperactivity disorder, oppositional, defiant or conduct disorders are the commonest behavioural problems in preschool and school age children. The routine Paediatric clinic or Family Medicine/General Practitioner surgery presents with several desirable characteristics that make them ideal for providing effective mental health services to children and adolescents. DSM-5 and ICD-10 are the universally accepted standard criteria for the classification of mental and behaviour disorders in childhood and adults. The age and gender prevalence estimation of various childhood behavioural disorders are variable and difficult to compare worldwide. A review of relevant published literature was conducted, including published meta-analyses and national guidelines. We searched for articles indexed by Ovid, PubMed, PubMed Medical Central, CINAHL, EMBASE, Database of Abstracts and Reviews, and the Cochrane Database of Systematic reviews and other online sources. The searches were conducted using a combination of search expressions including "childhood", "behaviour", "disorders" or "problems". Childhood behaviour and emotional problems with their related disorders have significant negative impacts on the individual, the family and the society. They are commonly associated with poor academic, occupational, and psychosocial functioning. It is important for all healthcare professionals, especially the Paediatricians to be aware of the range of presentation, prevention and management of the common mental health problems in children and adolescents.

Keywords: Anxiety; Autism; Challenging behaviour; Childhood behavioural disorders; Conduct disorder; Depression; Disruptive behaviour disorder; Emotional disorder; Pervasive developmental disorders.

Conflict of interest statement

Conflict-of-interest statement: The author declares no conflict of interest for this article.

References

    1. Parry TS. Assessment of developmental learning and behavioural problems in children and young people. Med J Aust. 2005;183:43–48.
    1. Hong JS, Tillman R, Luby JL. Disruptive behavior in preschool children: distinguishing normal misbehavior from markers of current and later childhood conduct disorder. J Pediatr. 2015;166:723–730.e1.
    1. Wakschlag LS, Choi SW, Carter AS, Hullsiek H, Burns J, McCarthy K, Leibenluft E, Briggs-Gowan MJ. Defining the developmental parameters of temper loss in early childhood: implications for developmental psychopathology. J Child Psychol Psychiatry. 2012;53:1099–1108.
    1. Bagner DM, Rodríguez GM, Blake CA, Linares D, Carter AS. Assessment of behavioral and emotional problems in infancy: a systematic review. Clin Child Fam Psychol Rev. 2012;15:113–128.
    1. El-Radhi AS. Management of common behaviour and mental health problems. Br J Nurs. 2015;24:586, 588–590.
    1. Gardner F, Shaw DS. 2009. Behavioral Problems of Infancy and Preschool Children (0–5). Chapter 53 in Rutter’s Child and Adolescent Psychiatry Fifth Edition.
    1. Lu Y, Mak KK, van Bever HP, Ng TP, Mak A, Ho RC. Prevalence of anxiety and depressive symptoms in adolescents with asthma: a meta-analysis and meta-regression. Pediatr Allergy Immunol. 2012;23:707–715.
    1. Chernyshov PV, Ho RC, Monti F, Jirakova A, Velitchko SS, Hercogova J, Neri E. Gender Differences in Self-assessed Health-related Quality of Life in Children with Atopic Dermatitis. J Clin Aesthet Dermatol. 2016;9:19–24.
    1. Quek YH, Tam WWS, Zhang MWB, Ho RCM. Exploring the association between childhood and adolescent obesity and depression: a meta-analysis. Obes Rev. 2017;18:742–754.
    1. Kolko DJ, Perrin E. The integration of behavioral health interventions in children’s health care: services, science, and suggestions. J Clin Child Adolesc Psychol. 2014;43:216–228.
    1. American Academy of Child and Adolescent Psychiatry (AACAP) A Guide to Building Collaborative Mental Health Care Partnerships. In: Pediatric Primary Care; 2010. pp. 1–27. Available from: .
    1. American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders 5th Edition. Washington (DC): APA; 2013. Available from: .
    1. World Health Organization (WHO) International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) Geneva Switzerland: World Health Organization, 1990. Available from: .
    1. Emerson E. Cambridge University Press; 2001. Challenging Behaviour: Analysis and intervention in people with learning disabilities. 2nd edition; pp. 2–4.
    1. National Institute for Health and Clinical Excellence (NICE) Challenging behaviour and learning disabilities: Prevention and interventions for people with learning disabilities whose behaviour challenges. 2015. Available from: .
    1. Langridge D. 2007. Health and Challenging Behaviour information sheet. The Challenging Behaviour Foundation. Available from: .
    1. Tremblay RE, Nagin DS, Séguin JR, Zoccolillo M, Zelazo PD, Boivin M, Pérusse D, Japel C. Physical aggression during early childhood: trajectories and predictors. Pediatrics. 2004;114:e43–e50.
    1. Reebye P. Aggression during early years - infancy and preschool. Can Child Adolesc Psychiatr Rev. 2005;14:16–20.
    1. Gurnani T, Ivanov I, Newcorn JH. Pharmacotherapy of Aggression in Child and Adolescent Psychiatric Disorders. J Child Adolesc Psychopharmacol. 2016;26:65–73.
    1. Bolhuis K, Lubke GH, van der Ende J, Bartels M, van Beijsterveldt CEM, Lichtenstein P, Larsson H, Jaddoe VWV, Kushner SA, Verhulst FC, et al. Disentangling Heterogeneity of Childhood Disruptive Behavior Problems Into Dimensions and Subgroups. J Am Acad Child Adolesc Psychiatry. 2017;56:678–686.
    1. National Institute for Health and Care Excellence (NICE) Attention deficit hyperactivity disorder: diagnosis and management. [updated 2008 Sept 24] Available from: .
    1. Campbell SB, Shaw DS, Gilliom M. Early externalizing behavior problems: toddlers and preschoolers at risk for later maladjustment. Dev Psychopathol. 2000;12:467–488.
    1. Dretzke J, Frew E, Davenport C, Barlow J, Stewart-Brown S, Sandercock J, Bayliss S, Raftery J, Hyde C, Taylor R. The effectiveness and cost-effectiveness of parent training/education programmes for the treatment of conduct disorder, including oppositional defiant disorder, in children. Health Technol Assess. 2005;9:iii, ix–ix, 1-233.
    1. Centers for Disease Control and Prevention (CDC) Perou RH, Bitsko SJ, Blumberg P, Pastor RM, Ghandour JC, Gfoerer SL. Mental Health Surveillance among Children - United States 2005-2011. Morbidity and Mortality Weekly Report (MMWR) 2013;62(Suppl 2):1–35. Available from: .
    1. State of Victoria Australia Better Health Channel. Suppl 2. 2014. Conduct Disorder. Available from: .
    1. American Academy of Child and Adolescent Psychiatry (AACAP) Conduct Disorder. 2103c. Available from: .
    1. Nock MK, Kazdin AE, Hiripi E, Kessler RC. Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: results from the National Comorbidity Survey Replication. J Child Psychol Psychiatry. 2007;48:703–713.
    1. Bradley MC, Mandell D. Oppositional defiant disorder: a systematic review of evidence of intervention effectiveness. J Exp Criminol. 2005;1:343–365.
    1. Ramsawh HJ, Chavira DA, Stein MB. Burden of anxiety disorders in pediatric medical settings: prevalence, phenomenology, and a research agenda. Arch Pediatr Adolesc Med. 2010;164:965–972.
    1. American Academy of Child and Adolescent Psychiatry (AACAP) The Anxious Child. 2013b. Available from: .
    1. American Academy of Child and Adolescent Psychiatry (AACAP) 2013. The Depressed Child. Available from: .
    1. Stringaris A. Irritability in children and adolescents: a challenge for DSM-5. Eur Child Adolesc Psychiatry. 2011;20:61–66.
    1. American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders 4th Edition. Washington (DC): APA; 2000. p. 866.
    1. McPartland J, Volkmar FR. Autism and related disorders. Handb Clin Neurol. 2012;106:407–418.
    1. Huerta M, Bishop SL, Duncan A, Hus V, Lord C. Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. Am J Psychiatry. 2012;169:1056–1064.
    1. Kim YS, Fombonne E, Koh YJ, Kim SJ, Cheon KA, Leventhal BL. A comparison of DSM-IV pervasive developmental disorder and DSM-5 autism spectrum disorder prevalence in an epidemiologic sample. J Am Acad Child Adolesc Psychiatry. 2014;53:500–508.
    1. Kulage KM, Smaldone AM, Cohn EG. How will DSM-5 affect autism diagnosis? A systematic literature review and meta-analysis. J Autism Dev Disord. 2014;44:1918–1932.
    1. Maggin DM, Johnson AH, Chafouleas SM, Ruberto LM, Berggren M. A systematic evidence review of school-based group contingency interventions for students with challenging behavior. J Sch Psychol. 2012;50:625–654.
    1. Iacono T, Trembath D, Erickson S. The role of augmentative and alternative communication for children with autism: current status and future trends. Neuropsychiatr Dis Treat. 2016;12:2349–2361.
    1. American Speech-Language-Hearing Association (ASHA) Autism (Practice Portal) Available from:
    1. Reisinger LM, Cornish KM, Fombonne E. Diagnostic differentiation of autism spectrum disorders and pragmatic language impairment. J Autism Dev Disord. 2011;41:1694–1704.
    1. Miller M, Young GS, Hutman T, Johnson S, Schwichtenberg AJ, Ozonoff S. Early pragmatic language difficulties in siblings of children with autism: implications for DSM-5 social communication disorder? J Child Psychol Psychiatry. 2015;56:774–781.
    1. Rapin I. Historical data. In Rapin I (Ed) Vol. 139. Preschool Children with Inadequate Communication: Developmental Language Disorder, Autism, Low IQ. Clinics in Developmental Medicine. Cambridge University Press, New York; 1996. pp. 57–97.
    1. Norbury CF. Practitioner review: Social (pragmatic) communication disorder conceptualization, evidence and clinical implications. J Child Psychol Psychiatry. 2014;55:204–216.
    1. Adams C, Lockton E, Freed J, Gaile J, Earl G, McBean K, Nash M, Green J, Vail A, Law J. The Social Communication Intervention Project: a randomized controlled trial of the effectiveness of speech and language therapy for school-age children who have pragmatic and social communication problems with or without autism spectrum disorder. Int J Lang Commun Disord. 2012;47:233–244.
    1. Newson E, Le Maréchal K, David C. Pathological demand avoidance syndrome: a necessary distinction within the pervasive developmental disorders. Arch Dis Child. 2003;88:595–600.
    1. O’Nions E, Viding E, Greven CU, Ronald A, Happé F. Pathological demand avoidance: exploring the behavioural profile. Autism. 2014;18:538–544.
    1. O’Nions E, Christie P, Gould J, Viding E, Happé F. Development of the ‘Extreme Demand Avoidance Questionnaire’ (EDA-Q): preliminary observations on a trait measure for Pathological Demand Avoidance. J Child Psychol Psychiatry. 2014;55:758–768.
    1. National Research Council/ Institute of Medicine (NHRC/IOM) Adolescent Health Services: Highlights and Considerations for State Health Policymakers, 2009: 1-25. Available from: .
    1. World Health Organization (WHO) Mental health: new understanding new hope [report] Geneva (CH): WHO, 2001. Available from: .
    1. Green H, McGinnity A, Meltzer H, Ford T, Goodman R. Mental health of children and young people in Great Britain 2004. NY: Palgrave Macmillan; 2005. Available from: .
    1. Copeland WE, Angold A, Costello EJ, Egger H. Prevalence, comorbidity, and correlates of DSM-5 proposed disruptive mood dysregulation disorder. Am J Psychiatry. 2013;170:173–179.
    1. Boden JM, Fergusson DM, Horwood LJ. Risk factors for conduct disorder and oppositional/defiant disorder: evidence from a New Zealand birth cohort. J Am Acad Child Adolesc Psychiatry. 2010;49:1125–1133.
    1. Plant DT, Barker ED, Waters CS, Pawlby S, Pariante CM. Intergenerational transmission of maltreatment and psychopathology: the role of antenatal depression. Psychol Med. 2013;43:519–528.
    1. Murray J, Burgess S, Zuccolo L, Hickman M, Gray R, Lewis SJ. Moderate alcohol drinking in pregnancy increases risk for children’s persistent conduct problems: causal effects in a Mendelian randomisation study. J Child Psychol Psychiatry. 2016;57:575–584.
    1. Owens EB, Hinshaw SP. Perinatal problems and psychiatric comorbidity among children with ADHD. J Clin Child Adolesc Psychol. 2013;42:762–768.
    1. Webster-Stratton C, Reid MJ, Hammond M. Treating children with early-onset conduct problems: intervention outcomes for parent, child, and teacher training. J Clin Child Adolesc Psychol. 2004;33:105–124.
    1. Smeekens S, Riksen-Walraven JM, van Bakel HJ. Multiple determinants of externalizing behavior in 5-year-olds: a longitudinal model. J Abnorm Child Psychol. 2007;35:347–361.
    1. Brody GH, Murry VM, Kim S, Brown AC. Longitudinal pathways to competence and psychological adjustment among African American children living in rural single-parent households. Child Dev. 2002;73:1505–1516.
    1. Padrón A, Galán I, García-Esquinas E, Fernández E, Ballbè M, Rodríguez-Artalejo F. Exposure to secondhand smoke in the home and mental health in children: a population-based study. Tob Control. 2016;25:307–312.
    1. Royal College of Physicians Royal College of Psychiatrists (RCP/RCPsy) Smoking and mental health. London: RCP; 2013. Available from: .
    1. McLoyd V. How money matters for children’s socioemotional adjustment: Family processes and parental investment. Carlo G, Crockett L, Caranza M editors; Addressing youth health disparities in the twenty first century. Based on 57th Annual Nebraska Symposium on motivation. Springer; New York; In: Motivation and health. 2011. pp. 33–72.
    1. Odgers CL, Caspi A, Russell MA, Sampson RJ, Arseneault L, Moffitt TE. Supportive parenting mediates neighborhood socioeconomic disparities in children’s antisocial behavior from ages 5 to 12. Dev Psychopathol. 2012;24:705–721.
    1. Galler JR, Bryce CP, Waber DP, Hock RS, Harrison R, Eaglesfield GD, Fitzmaurice G. Infant malnutrition predicts conduct problems in adolescents. Nutr Neurosci. 2012;15:186–192.
    1. Conger RD, Donnellan MB. An interactionist perspective on the socioeconomic context of human development. Annu Rev Psychol. 2007;58:175–199.
    1. Taylor SE, Seeman TE. Psychosocial resources and the SES-health relationship. Ann N Y Acad Sci. 1999;896:210–225.
    1. Shaw DS, Hyde LW, Brennan LM. Early predictors of boys’ antisocial trajectories. Dev Psychopathol. 2012;24:871–888.
    1. Waller R, Dishion TJ, Shaw DS, Gardner F, Wilson MN, Hyde LW. Does early childhood callous-unemotional behavior uniquely predict behavior problems or callous-unemotional behavior in late childhood? Dev Psychol. 2016;52:1805–1819.
    1. Shaw DS, Bell RQ, Gilliom M. A truly early starter model of antisocial behavior revisited. Clin Child Fam Psychol Rev. 2000;3:155–172.
    1. Fischer M, Rolf JE, Hasazi JE, Cummings L. Follow-up of a preschool epidemiological sample: cross-age continuities and predictions of later adjustment with internalizing and externalizing dimensions of behavior. Child Dev. 1984;55:137–150.
    1. Mian ND, Wainwright L, Briggs-Gowan MJ, Carter AS. An ecological risk model for early childhood anxiety: the importance of early child symptoms and temperament. J Abnorm Child Psychol. 2011;39:501–512.
    1. Dougherty LR, Smith VC, Bufferd SJ, Stringaris A, Leibenluft E, Carlson GA, Klein DN. Preschool irritability: longitudinal associations with psychiatric disorders at age 6 and parental psychopathology. J Am Acad Child Adolesc Psychiatry. 2013;52:1304–1313.
    1. Szczepaniak D, McHenry MS, Nutakki K, Bauer NS, Downs SM. The prevalence of at-risk development in children 30 to 60 months old presenting with disruptive behaviors. Clin Pediatr (Phila) 2013;52:942–949.
    1. Raudino A, Woodward LJ, Fergusson DM, Horwood LJ. Childhood conduct problems are associated with increased partnership and parenting difficulties in adulthood. J Abnorm Child Psychol. 2012;40:251–263.
    1. Patterson GR, DeBaryshe BD, Ramsey E. A developmental perspective on antisocial behavior. Am Psychol. 1989;44:329–335.
    1. Brennan LM, Shaw DS. Revisiting data related to the age of onset and developmental course of female conduct problems. Clin Child Fam Psychol Rev. 2013;16:35–58.
    1. Michalska KJ, Decety J, Zeffiro TA, Lahey BB. Association of regional gray matter volumes in the brain with disruptive behavior disorders in male and female children. Neuroimage Clin. 2014;7:252–257.
    1. Fahim C, He Y, Yoon U, Chen J, Evans A, Pérusse D. Neuroanatomy of childhood disruptive behavior disorders. Aggress Behav. 2011;37:326–337.
    1. Sebastian CL, McCrory EJ, Cecil CA, Lockwood PL, De Brito SA, Fontaine NM, Viding E. Neural responses to affective and cognitive theory of mind in children with conduct problems and varying levels of callous-unemotional traits. Arch Gen Psychiatry. 2012;69:814–822.
    1. Raine A, Yang Y, Narr KL, Toga AW. Sex differences in orbitofrontal gray as a partial explanation for sex differences in antisocial personality. Mol Psychiatry. 2011;16:227–236.
    1. Kiehl KA, Smith AM, Mendrek A, Forster BB, Hare RD, Liddle PF. Temporal lobe abnormalities in semantic processing by criminal psychopaths as revealed by functional magnetic resonance imaging. Psychiatry Res. 2004;130:27–42.
    1. Kohrt BA, Hruschka DJ, Kohrt HE, Carrion VG, Waldman ID, Worthman CM. Child abuse, disruptive behavior disorders, depression, and salivary cortisol levels among institutionalized and community-residing boys in Mongolia. Asia Pac Psychiatry. 2015;7:7–19.
    1. Martel MM, Roberts BA. Prenatal testosterone increases sensitivity to prenatal stressors in males with disruptive behavior disorders. Neurotoxicol Teratol. 2014;44:11–17.
    1. National Institute for Health and Clinical Excellence (NICE) 2006. Parent-training/education programmes in the management of children with conduct disorders. Available from: .
    1. Smith JD, Dishion TJ, Shaw DS, Wilson MN, Winter CC, Patterson GR. Coercive family process and early-onset conduct problems from age 2 to school entry. Dev Psychopathol. 2014;26:917–932.
    1. Lynch RJ, Kistner JA, Allan NP. Distinguishing among disruptive behaviors to help predict high school graduation: does gender matter? J Sch Psychol. 2014;52:407–418.
    1. Serra-Pinheiro MA, Mattos P, Regalla MA, de Souza I, Paixão C. Inattention, hyperactivity, oppositional-defiant symptoms and school failure. Arq Neuropsiquiatr. 2008;66:828–831.
    1. Spruyt K, Gozal D. Sleep disturbances in children with attention-deficit/hyperactivity disorder. Expert Rev Neurother. 2011;11:565–577.
    1. Shanahan L, Copeland WE, Angold A, Bondy CL, Costello EJ. Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry. 2014;53:550–558.
    1. Dougherty LR, Smith VC, Bufferd SJ, Kessel E, Carlson GA, Klein DN. Preschool irritability predicts child psychopathology, functional impairment, and service use at age nine. J Child Psychol Psychiatry. 2015;56:999–1007.
    1. Stringaris A, Lewis G, Maughan B. Developmental pathways from childhood conduct problems to early adult depression: findings from the ALSPAC cohort. Br J Psychiatry. 2014;205:17–23.
    1. Luby JL, Gaffrey MS, Tillman R, April LM, Belden AC. Trajectories of preschool disorders to full DSM depression at school age and early adolescence: continuity of preschool depression. Am J Psychiatry. 2014;171:768–776.
    1. Kretschmer T, Hickman M, Doerner R, Emond A, Lewis G, Macleod J, Maughan B, Munafò MR, Heron J. Outcomes of childhood conduct problem trajectories in early adulthood: findings from the ALSPAC study. Eur Child Adolesc Psychiatry. 2014;23:539–549.
    1. van der Molen E, Blokland AA, Hipwell AE, Vermeiren RR, Doreleijers TA, Loeber R. Girls’ childhood trajectories of disruptive behavior predict adjustment problems in early adolescence. J Child Psychol Psychiatry. 2015;56:766–773.
    1. Burke JD, Waldman I, Lahey BB. Predictive validity of childhood oppositional defiant disorder and conduct disorder: implications for the DSM-V. J Abnorm Psychol. 2010;119:739–751.
    1. Fergusson DM, Horwood LJ, Ridder EM. Show me the child at seven: the consequences of conduct problems in childhood for psychosocial functioning in adulthood. J Child Psychol Psychiatry. 2005;46:837–849.
    1. Engqvist U, Rydelius PA. Death and suicide among former child and adolescent psychiatric patients. BMC Psychiatry. 2006;6:51.
    1. Ogundele MO. The Influence of Socio-Economic Status on the Prevalence of School-Age Childhood Behavioral Disorders in a Local District Clinic of North West England. J Fam Med and Health Care. 2016;2:98–107.
    1. Strickland J, Hopkins J, Keenan K. Mother-teacher agreement on preschoolers’ symptoms of ODD and CD: does context matter? J Abnorm Child Psychol. 2012;40:933–943.
    1. American Academy of Pediatrics (APA) 2012. Mental Health Screening and Assessment Tools for Primary Care. Available from: .
    1. Shaw DS, Bell RQ. Developmental theories of parental contributors to antisocial behavior. J Abnorm Child Psychol. 1993;21:493–518.
    1. Comer JS, Chow C, Chan PT, Cooper-Vince C, Wilson LA. Psychosocial treatment efficacy for disruptive behavior problems in very young children: a meta-analytic examination. J Am Acad Child Adolesc Psychiatry. 2013;52:26–36.
    1. Hawes DJ, Price MJ, Dadds MR. Callous-unemotional traits and the treatment of conduct problems in childhood and adolescence: a comprehensive review. Clin Child Fam Psychol Rev. 2014;17:248–267.
    1. Cunningham CE, Boyle MH. Preschoolers at risk for attention-deficit hyperactivity disorder and oppositional defiant disorder: family, parenting, and behavioral correlates. J Abnorm Child Psychol. 2002;30:555–569.
    1. Gardner F, Burton J, Klimes I. Randomised controlled trial of a parenting intervention in the voluntary sector for reducing child conduct problems: outcomes and mechanisms of change. J Child Psychol Psychiatry. 2006;47:1123–1132.
    1. Hutchings J, Gardner F, Bywater T, Daley D, Whitaker C, Jones K, Eames C, Edwards RT. Parenting intervention in Sure Start services for children at risk of developing conduct disorder: pragmatic randomised controlled trial. BMJ. 2007;334:678.
    1. Perrin EC, Sheldrick RC, McMenamy JM, Henson BS, Carter AS. Improving parenting skills for families of young children in pediatric settings: a randomized clinical trial. JAMA Pediatr. 2014;168:16–24.
    1. Shaw DS, Dishion TJ, Supplee L, Gardner F, Arnds K. Randomized trial of a family-centered approach to the prevention of early conduct problems: 2-year effects of the family check-up in early childhood. J Consult Clin Psychol. 2006;74:1–9.
    1. Funderburk BW, Eyberg SM. Parent-Child Interaction Therapy. In: History of Psychotherapy: Continuity and Change., editor. Norcross JC VandenBos GR Freedheim DK editors. 2nd ed. Washington DC: American Psychological Association; 2011. pp. 415–420.
    1. Thomas R, Zimmer-Gembeck MJ. Behavioral outcomes of Parent-Child Interaction Therapy and Triple P-Positive Parenting Program: a review and meta-analysis. J Abnorm Child Psychol. 2007;35:475–495.
    1. Furlong M, McGilloway S, Bywater T, Hutchings J, Smith SM, Donnelly M. Cochrane review: behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years (Review) Evid Based Child Health. 2013;8:318–692.
    1. Lane KL. Identifying and Supporting Students at Risk for Emotional and Behavioral Disorders within Multi-level Models: Data Driven Approaches to Conducting Secondary Interventions with an Academic Emphasis. Education & Treatment of Children. 2007;30:135–164.
    1. Farley C, Torres C, Wailehua C-UT, Cook L. Evidence-Based Practices for Students with Emotional and Behavioral Disorders: Improving Academic Achievement. Beyond Behavior. 2012;21:37–43.
    1. Winther J, Carlsson A, Vance A. A pilot study of a school-based prevention and early intervention program to reduce oppositional defiant disorder/conduct disorder. Early Interv Psychiatry. 2014;8:181–189.
    1. Horner RG, Sugai G, Vincent C. School-wide Positive Behavior Support: Investing in Student Success. Impact. 2005;18:4.
    1. Mesibov GB, Shea V, Schopler E. The TEACCH approach to autism spectrum disorders. New York NY: Springer-Verglag; 2007. p. 211. Available from: .
    1. Warren Z, Veenstra-VanderWeele J, Stone W, Bruzek JL, Nahmias AS, Foss-Feig JH, Jerome RN, Krishnaswami S, Sathe NA, Glasser AM, et al. Therapies for Children With Autism Spectrum Disorders, 2011
    1. Christie P. The Distinctive Clinical and Educational Needs of Children with Pathological Demand Avoidance Syndrome: Guidelines for Good Practice. Good Autism Practice. 2007;8:3–11.
    1. Lindgren S, Doobay A. 2011. Evidence-Based Interventions for Autism Spectrum Disorders. Available from: .
    1. Ollendick TH, King NJ. Empirically supported treatments for children with phobic and anxiety disorders: current status. J Clin Child Psychol. 1998;27:156–167.
    1. Liber JM, De Boo GM, Huizenga H, Prins PJ. School-based intervention for childhood disruptive behavior in disadvantaged settings: a randomized controlled trial with and without active teacher support. J Consult Clin Psychol. 2013;81:975–987.
    1. Wong C, Odom SL, Hume K, Cox AW, Fettig A, Kucharczyk S. Evidence-based practices for children youth and young adults with Autism Spectrum Disorder. Chapel Hill: The University of North Carolina Frank Porter Graham Child Development Institute Autism Evidence-Based Practice Review Group; 2013. Available from: .
    1. Reichow B, Volkmar FR. Social skills interventions for individuals with autism: evaluation for evidence-based practices within a best evidence synthesis framework. J Autism Dev Disord. 2010;40:149–166.
    1. Carr EG, Durand VM. Reducing behavior problems through functional communication training. J Appl Behav Anal. 1985;18:111–126.
    1. Koegel RL, Koegel LK. Pivotal response treatments for autism: Communication social and academic development. Baltimore MD: Brookes; 2006. p. 312. Available from: .
    1. Carr EG, Dunlap G, Horner RH, Koegel RL, Turnbull AP, Sailor W, Fox L. Positive behavior support: evolution of an applied science. J Pos Beh Interv. 2002;4:4–16.
    1. Reid R, Trout AL, Schartz M. Self-Regulation Interventions for Children with Attention Hyperactivity Disorder. Exceptional Children. 2005;71:361–377.
    1. Schepis MM, Reid DH, Ownbey J, Parsons MB. Training support staff to embed teaching within natural routines of young children with disabilities in an inclusive preschool. J Appl Behav Anal. 2001;34:313–327.
    1. Beukelman DR, Mirenda P. Augmentative and alternative communication: Supporting children and adults with complex communication needs. Baltimore MD: Brookes; 2013. p. 616. Available from: .
    1. Drager K, Light J, McNaughton D. Effects of AAC interventions on communication and language for young children with complex communication needs. J Pediatr Rehabil Med. 2010;3:303–310.
    1. Mirenda P. Supporting individuals with challenging behavior through functional communication training and AAC: Research review. Augment Altern Commun. 1997;13:207–225.
    1. Hart JE, Whalon KJ. Promote academic engagement and communication of students with autism spectrum disorder in inclusive settings. ISC. 2008;44:116–120.
    1. Briars L, Todd T. A Review of Pharmacological Management of Attention-Deficit/Hyperactivity Disorder. J Pediatr Pharmacol Ther. 2016;21:192–206.
    1. Chan E, Fogler JM, Hammerness PG. Treatment of Attention-Deficit/Hyperactivity Disorder in Adolescents: A Systematic Review. JAMA. 2016;315:1997–2008.
    1. McPheeters ML, Warren Z, Sathe N, Bruzek JL, Krishnaswami S, Jerome RN, Veenstra-Vanderweele J. A systematic review of medical treatments for children with autism spectrum disorders. Pediatrics. 2011;127:e1312–e1321.
    1. Roy A, Roy M, Deb S, Unwin G, Roy A. Are opioid antagonists effective in attenuating the core symptoms of autism spectrum conditions in children: a systematic review. J Intellect Disabil Res. 2015;59:293–306.
    1. Sonuga-Barke EJ, Daley D, Thompson M, Laver-Bradbury C, Weeks A. Parent-based therapies for preschool attention-deficit/hyperactivity disorder: a randomized, controlled trial with a community sample. J Am Acad Child Adolesc Psychiatry. 2001;40:402–408.
    1. Doyle CA, McDougle CJ. Pharmacologic treatments for the behavioral symptoms associated with autism spectrum disorders across the lifespan. Dialogues Clin Neurosci. 2012;14:263–279.
    1. Pringsheim T, Hirsch L, Gardner D, Gorman DA. The pharmacological management of oppositional behaviour, conduct problems, and aggression in children and adolescents with attention-deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder: a systematic review and meta-analysis. Part 1: psychostimulants, alpha-2 agonists, and atomoxetine. Can J Psychiatry. 2015;60:42–51.
    1. Kodish I, Rockhill C, Varley C. Pharmacotherapy for anxiety disorders in children and adolescents. Dialogues Clin Neurosci. 2011;13:439–452.
    1. Gledhill J, Hodes M. Management of depression in children and adolescents. Prog Neurol Psychiatry. 2015;19:28–33.
    1. Shelton KH, Collishaw S, Rice FJ, Harold GT, Thapar A. Using a genetically informative design to examine the relationship between breastfeeding and childhood conduct problems. Eur Child Adolesc Psychiatry. 2011;20:571–579.
    1. Bandiera FC, Richardson AK, Lee DJ, He JP, Merikangas KR. Secondhand smoke exposure and mental health among children and adolescents. Arch Pediatr Adolesc Med. 2011;165:332–338.

Source: PubMed

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