Background Children with intellectual disability are at heightened risk for behaviour problems and diagnosed mental disorder. Methods The present authors studied the early manifestation and continuity of problem behaviours in  pre-school children with and without developmental delays. Results Behaviour problems were quite stable over the year from age  - months. Children with developmental delays were rated higher on behaviour problems than their non-delayed peers, and were three times as likely to score in the clinical range. Mothers and fathers showed high agreement in their rating of child problems, especially in the delayed group. Parenting stress was also higher in the delayed group, but was related to the extent of behaviour problems rather than to the child's developmental delay. Conclusions Over time, a transactional model fit the relationship between parenting stress and behaviour problems: high parenting stress contributed to a

Children's vulnerability to jealousy surrounding their best friends was explored in 2 studies. Study 1 involved 94 adolescents who reported on their friendship jealousy on a newly created measure. Results indicated that the jealousy measure had sound psychometric properties and produced individual differences that were robust over time and free from socially desirable responding. As expected, girls and adolescents with low self-worth reported the greatest friendship jealousy. Study 2 involved 399 young adolescents and extended the measurement of self-report jealousy to a broader age range. In addition, Study 2 included assessments of jealousy provided by friends and other peers. Self- and peer-reported jealousy were only modestly associated and had somewhat distinct correlates. Structural modeling revealed that young adolescents' reputation for friendship jealousy was linked to behaving aggressively and to broader peer adjustment difficulties. Both self- and peer-reported jealousy contributed to loneliness.

Mothers' empathic understanding of their children's motives, thoughts, and feelings is thought to guide parenting behaviors and shape the mother-child relationship. However, little is known about the relation between empathic understanding and parenting behaviors during developmental shifts that may be emotionally challenging for mothers, such as the transition from infancy to the toddler years, or how it may relate to maternal depressive symptoms. We assessed relations between maternal empathic understanding, depression, and sensitivity. We developed a coding system, the Empathic Understanding Assessment (EUA), to measure this construct in the mothers of 30-month old children. One hundred twenty eight mother-child pairs participated in a series of lab-based tasks designed to be challenging for the children. Mothers then watched these videotaped interactions and responded to questions regarding their children's experiences. Interview content was coded using the EUA. Results indicated that mothers higher in empathic understanding and more intensely emotional were rated as more sensitive. Maternal depression was negatively related to empathic understanding. The importance of considering the role of maternal empathic understanding in parenting behavior is discussed, as are potential implications for child outcomes.

The ecology of economic disadvantage includes chaotic living conditions that may disrupt children's regulatory functioning and undermine mastery oriented responses to challenge. The present study examined chaotic living conditions, sleep problems, and responses to academic challenge for 96 economically disadvantaged children enrolled in a Head Start preschool. Caregiver interviews provided information regarding chaotic living conditions of residential crowding, noise, and family instability, as well as child sleep problems. Tasks individually administered to children provided measures of responses to academic challenge. Chaotic living conditions statistically predicted helpless/hopeless responses to academic challenge, and sleep problems partially mediated this relationship. Implications concern pathways of ecological risk and diversity in the school functioning of economically disadvantaged children.

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Introduction and Aims. The contextual and temporal factors of post-school celebratory events ('Schoolies'

Pediatric settings are increasingly called upon to implement early childhood developmental and behavioral health screening as an early identification and health promotion strategy. Understanding the dynamic barriers and facilitators of implementation at various stages will help implementers plan for and address these factors in support of high quality implementation. Our research supported this goal by analyzing longitudinal, qualitative data. There were 128 semistructured interviews conducted with pediatric clinic and implementation providers across four years. Interviews were transcribed, coded, and synthesized using rigorous qualitative methods. Results were produced using an iterative process to summarize, analyze, and consolidate themes about screening implementation over time. Barriers and facilitators of implementation included characteristics of screening implementation as well as contextual characteristics of the pediatric primary care setting. Some implementation themes were stable over time whereas others demonstrated shifts. Results are discussed in terms of lessons learned for successfully integrating this critical preventive practice within pediatric clinics.

The number of medical students disclosing disabilities and requesting accommodations is increasing, [1][2][3] prompting new questions about performance of students with disabilities (SWD) on United States Medical Licensing Exam (USMLE) examination scores and to match into residency. Historical data on SWD suggest lower performance and extended time to graduation, 4,5 but little is known about whether category of disability and accommodation on the Step 1 examination impact performance, time to graduation, and match rates. Our aim was to determine performance outcomes and match to residency of medical SWD by category of disability and whether they received accommodations on Step 1. Conclusions:Barriers remain for medical students with cognitive/learning disabilities, which are partially mitigated by accommodations on board exams.