title: CHILDHOOD TEMPERAMENT-BASED ANTICIPATORY GUIDANCE IN AN HMO SETTING: A LONGITUDINAL STUDY.
abstract: This study investigates whether individualized, anticipatory temperament guidance could benefit the parent-child relationship and improve children's mental health over time. Parents of preschoolers in a health management organization completed a temperament questionnaire, received written parenting information tailored to their child's temperament, and were asked to complete a program evaluation questionnaire. The numbers of subsequent visits to the pediatric and psychiatry departments with anxiety, depression, attention deficit hyperactivity disorder, and other externalizing behavior diagnoses were compared over 15 years to a control sample that received only standard care. Parents positively reviewed the program and boys who received the intervention had fewer visits with psychiatric diagnoses. Analyses revealed an interaction effect, where boys with harder-to-manage temperaments saw a greater reduction in visits from the intervention. By sensitizing parents to their child's temperament and helping parents understand and manage temperament-related behaviors, anticipatory guidance can encourage a positive parent-child relationship and reduce future occurrences of psychiatric diagnoses.
authors.affiliation: The Preventive Ounce.
authors.forename: James R
authors.initials: JR
authors.lastname: Cameron
authors.forename: David C
authors.initials: DC
authors.lastname: Rice
authors.forename: Gregg
authors.initials: G
authors.lastname: Sparkman
authors.forename: Helen F
authors.initials: HF
authors.lastname: Neville
references.citation: Psychol Bull. 2001 Nov;127(6):773-96
references.pmid: 11726071
references.citation: J Clin Child Adolesc Psychol. 2004 Mar;33(1):54-68
references.pmid: 15028541
references.citation: J Child Psychol Psychiatry. 2004 May;45(4):874-83
references.pmid: 15056317
references.citation: J Clin Child Adolesc Psychol. 2006 Sep;35(3):456-79
references.pmid: 16836483
references.citation: J Abnorm Child Psychol. 2008 May;36(4):567-89
references.pmid: 18205039
references.citation: Dev Psychopathol. 2000 Summer;12(3):467-88
references.pmid: 11014748
references.citation: J Dev Behav Pediatr. 2004 Dec;25(6):383-91
references.pmid: 15613986
references.citation: J Child Psychol Psychiatry. 1978 Jul;19(3):245-53
references.pmid: 681467
references.citation: J Clin Child Adolesc Psychol. 2008 Jan;37(1):215-37
references.pmid: 18444059
references.citation: J Clin Child Adolesc Psychol. 2008 Jan;37(1):156-83
references.pmid: 18444057
references.citation: Clin Child Fam Psychol Rev. 2005 Dec;8(4):271-89
references.pmid: 16362256
references.citation: Infant Child Dev. 2008 Aug 1;17(4):407-426
references.pmid: 19936035
references.citation: J Child Psychol Psychiatry. 2003 Jan;44(1):2-32
references.pmid: 12553411
references.citation: J Am Acad Child Adolesc Psychiatry. 1997 Aug;36(8):1036-45
references.pmid: 9256583
references.citation: Psychol Bull. 2006 Jan;132(1):33-72
references.pmid: 16435957
references.citation: J Pediatr Psychol. 1986 Jun;11(2):221-34
references.pmid: 3723284
references.citation: J Clin Child Adolesc Psychol. 2004 Mar;33(1):2-7
references.pmid: 15028536