Tag Archives: research

University of Pennsylvania study: Parents’ education affects child’s working memory

8 May

Teachers and administrators as well as many politicians if they are honest know that children arrive at school at various points on the ready to learn continuum. Teachers have to teach children at whatever point on the continuum the children are. Jay Matthews reports in the Washington Post article, Try parent visits, not parent takeovers of schools. http://www.washingtonpost.com/local/education/try-parent-visits-not-parent-takeovers-of-schools/2012/05/30/gJQAlDDz2U_story.html
The key ingredient is parental involvement. The Wisconsin Council on Children and Families (Council) has a great policy brief on parental involvement. http://www.wccf.org/pdf/parentsaspartners_ece-series.pd
Parent involvement is crucial to the success of children.

Daniel S. Dinsmoor, Ph. D. wrote the article, Why is Working Memory Important?

Working memory is usually classified as having two forms. The first is verbal working memory and the second is visual-spatial working memory. Verbal working memory involves being able to remember things that are said to us and the manipulation of language based cognitive material. Visual-spatial working memory is used to remember anything that is seen. So this could include sequences of events, visual patterns and images. Visual-spatial working memory is often involved in mathematical skills. Children vary in terms of the size of their working memory capacity. Research into working memory gives us factual information about how this cognitive process develops. We know for example, that working memory gradually increases through childhood into early adulthood. Generally speaking, a child at five years of age can hold one item in mind, a seven years old child can hold two items in mind, a 10 -year-old can hold three items, and a 14 year old can hold four items in mind. A child who has a working memory capacity that’s much greater than other children in his class, may find class boring and unmotivating. A child whose working memory capacity is much smaller relative to other members in the class may experience the academic work as being such a struggle that they no longer can continue to be motivated to do it.
Contrary to what one might expect, how many years in preschool a child has does not affect working memory. That is, starting preschool at an early age does not increase working memory capacity. Similarly, parent’s social economic level or their number of years of education does not correlate well with the working memory capacity of their child.
Without intervention, difficulties with working memory do not improve over time (we will discuss interventions that help later in this article). So if a child in the third grade is seen to have a significant problem with working memory, that child will also have a significant problem with working memory in high school.
Recent research indicates that working memory is even more important than IQ in terms of determining educational outcome. It is possible to understand in this context why there are some very bright children who are not succeeding in the classroom. There is a correlation between working memory and Attention Deficit Disorder. The correlation is not perfect, but there is a fairly substantial overlap between those two types of problems. It is interesting to see that some researchers in the study of ADD, inattentive type suggest that working memory challenges are an essential element in the disorder…. http://www.familycompassgroup.com/articles/attentionLearningChallenges/110428_workingMemory.php

MedicineNet.com defines working memory in the article, Definition of Working memory:

Working memory is a system for temporarily storing and managing the information required to carry out complex cognitive tasks such as learning, reasoning, and comprehension. Working memory is involved in the selection, initiation, and termination of information-processing functions such as encoding, storing, and retrieving data.
One test of working memory is memory span, the number of items, usually words or numbers, that a person can hold onto and recall. In a typical test of memory span, an examiner reads a list of random numbers aloud at about the rate of one number per second. At the end of a sequence, the person being tested is asked to recall the items in order. The average memory span for normal adults is 7 items. http://www.medterms.com/script/main/art.asp?articlekey=7143

The University of Pennsylvania researchers studied working memory in a longitudinal study. See, Penn and CHOP Researchers Track Working Memory From Childhood Through Adolescence http://www.upenn.edu/pennnews/news/penn-and-chop-researchers-track-working-memory-childhood-through-adolescence

Science Daily reported in the article, Working memory differs by parents’ education; effects persist into adolescence:

Working memory — the ability to hold information in your mind, think about it, and use it to guide behavior — develops through childhood and adolescence, and is key for successful performance at school and work. Previous research with young children has documented socioeconomic disparities in performance on tasks of working memory. Now a new longitudinal study has found that differences in working memory that exist at age 10 persist through the end of adolescence. The study also found that parents’ education — one common measure of socioeconomic status — is related to children’s performance on tasks of working memory, and that neighborhood characteristics — another common measure of socioeconomic status — are not. The study, conducted by researchers at the University of Pennsylvania, the Children’s Hospital of Philadelphia, West Chester University, and the University of Pennsylvania School of Medicine, appears in the journal Child Development…. http://www.sciencedaily.com/releases/2014/04/140430083137.htm#

Citation:

Working memory differs by parents’ education; effects persist into adolescence

Date: April 30, 2014

Source: Society for Research in Child Development
Summary:
A new longitudinal study has found that differences in working memory — the ability to hold information in your mind, think about it, and use it to guide behavior — that exist at age 10 persist through the end of adolescence. The study also found that parents’ education — one common measure of socioeconomic status — is related to children’s performance on tasks of working memory. The researchers studied more than 300 10- through 13-year-olds over four years.
Journal Reference:
1. Daniel A. Hackman, Laura M. Betancourt, Robert Gallop, Daniel Romer, Nancy L. Brodsky, Hallam Hurt, Martha J. Farah. Mapping the Trajectory of Socioeconomic Disparity in Working Memory: Parental and Neighborhood Factors. Child Development, 2014; DOI: 10.1111/cdev.12242

Here is the press release from the Society for Research in Child Development:

PUBLIC RELEASE DATE:
30-Apr-2014
Contact: Hannah Klein
hklein@srcd.org
202-289-0320
Society for Research in Child Development
Working memory differs by parents’ education; effects persist into adolescence
Working memory—the ability to hold information in your mind, think about it, and use it to guide behavior—develops through childhood and adolescence, and is key for successful performance at school and work. Previous research with young children has documented socioeconomic disparities in performance on tasks of working memory. Now a new longitudinal study has found that differences in working memory that exist at age 10 persist through the end of adolescence. The study also found that parents’ education—one common measure of socioeconomic status—is related to children’s performance on tasks of working memory, and that neighborhood characteristics—another common measure of socioeconomic status—are not.
The study, conducted by researchers at the University of Pennsylvania, the Children’s Hospital of Philadelphia, West Chester University, and the University of Pennsylvania School of Medicine, appears in the journal Child Development.
“Understanding the development of disparities in working memory has implications for education,” according to Daniel A. Hackman, a postdoctoral scholar at the University of Pittsburgh who led the study when he was a graduate student at the University of Pennsylvania. “Persistent disparities are a potential source of differences in academic achievement as students age and as the demands of both school work and the social environment increase.
“Our findings highlight the potential value of programs that promote developing working memory early as a way to prevent disparities in achievement,” Hackman continues. “The fact that parents’ education predicts working memory suggests that parenting practices and home environments may be important for this aspect of cognitive development and as a fruitful area for intervention and prevention.”
To look at the rate of change in working memory in relation to different measures of socioeconomic status, the researchers studied more than three hundred 10- through 13-year-olds from urban public and parochial schools over four years. The sample of children was racially, ethnically, and socioeconomically diverse. Each child completed a number of tasks of working memory across the four-year period. The researchers gathered information on how many years of education the parents of each child had completed, as well as on neighborhood characteristics, looking—for example—at the degree to which people in a child’s neighborhood lived below the poverty line, were unemployed, or received public assistance.
Neither parents’ education nor living in a disadvantaged neighborhood was found to be associated with the rate of growth in working memory across the four-year period. Lower parental education was found to be tied to differences in working memory that emerged by age 10 and continued through adolescence. However, neighborhood characteristics were not related to working memory performance.
The study suggests that disparities seen in adolescence and adulthood start earlier in childhood and that school doesn’t close the gap in working memory for children ages 10 and above. Generally, children whose parents had fewer years of education don’t catch up or fall further behind by the end of adolescence, when working memory performance reaches mature levels.
That said, the findings of this study do not suggest that working memory is not malleable. Interventions that strengthen working memory in children, such as training games, may help children with lower levels of working memory improve and reduce disparities.
###
The study was funded by the National Institute on Drug Abuse, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and the National Institute of Mental Health.
Summarized from Child Development, Mapping the Trajectory of Socioeconomic Disparity in Working Memory: Parental and Neighborhood Factors by Hackman, DA (currently at University of Pittsburgh, formerly at University of Pennsylvania), Betancourt, LM (The Children’s Hospital of Philadelphia), Gallop, R (West Chester University), Romer, D (University of Pennsylvania), Brodsky, NL (The Children’s Hospital of Philadelphia), Hurt, H (The Children’s Hospital of Philadelphia and the University of Pennsylvania School of Medicine), and Farah, MJ (University of Pennsylvania). Copyright 2014 The Society for Research in Child Development, Inc. All rights reserved.

It is going to take coordination between not only education institutions, but a strong social support system to get many of children through school. This does not mean a large program directed from Washington. But, more resources at the local school level which allow discretion with accountability. For example, if I child is not coming to school because they have no shoes or winter coat, then the child gets new shoes and/or a coat. School breakfast and lunch programs must be supported and if necessary, expanded. Unfortunately, schools are now the early warning system for many families in crisis.

Related:

Tips for parent and teacher conferences https://drwilda.com/2012/11/07/tips-for-parent-and-teacher-conferences/

Common Sense Media report: Media choices at home affect school performance

Common Sense Media report: Media choices at home affect school performance

Parents can use tax deductions to pay for special education needs

Parents can use tax deductions to pay for special education needs

Intervening in the lives of truant children by jailing parents

Intervening in the lives of truant children by jailing parents

Making time for family dinner https://drwilda.com/2012/09/10/making-time-for-family-dinner/

Embracing parents as education leaders https://drwilda.com/2012/11/28/embracing-parents-as-education-leaders/

Where information leads to Hope. Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

American Psychological Association study: Girls make higher grades than boys

30 Apr

Moi has posted quite a bit about gender differences. In Boys are different from girls despite what the culture is trying to say:
Some in the current culture do not want to recognize that boys have different styles, because to say otherwise is just not politically correct (P.C.). Being P.C., however, is throwing a lot of kids under the bus. The American Psychological Association (APA) released a study which shows that girls have historically achieved at higher levels than boys.

Science Daily reported in the article, Girls make higher grades than boys in all school subjects, analysis finds:

Despite the stereotype that boys do better in math and science, girls have made higher grades than boys throughout their school years for nearly a century, according to a new analysis published by the American Psychological Association….
Based on research from 1914 through 2011 that spanned more than 30 countries, the study found the differences in grades between girls and boys were largest for language courses and smallest for math and science. The female advantage in school performance in math and science did not become apparent until junior or middle school, according to the study, published in the APA journal Psychological Bulletin. The degree of gender difference in grades increased from elementary to middle school, but decreased between high school and college.
The researchers examined 369 samples from 308 studies, reflecting grades of 538,710 boys and 595,332 girls. Seventy percent of the samples consisted of students from the United States. Other countries or regions represented by more than one sample included Norway, Canada, Turkey, Germany, Taiwan, Malaysia, Israel, New Zealand, Australia, Sweden, Slovakia, United Kingdom Africa and Finland. Countries represented by one sample included Belgium, Czech Republic, Estonia, Mexico, Hong Kong, India, Iran, Jordan, the Netherlands, Portugal, Saudi Arabia, Serbia and Slovenia.
All studies included an evaluation of gender differences in teacher-assigned grades or official grade point averages in elementary, junior/middle or high school, or undergraduate and graduate university. Studies that relied on self-report and those about special populations, such as high-risk or mentored students, were excluded. The studies also looked at variables that might affect the students’ grades, such as the country where students attended school, course material, students’ ages at the time the grades were obtained, the study date and racial composition of the samples.
The study reveals that recent claims of a “boy crisis,” with boys lagging behind girls in school achievement, are not accurate because girls’ grades have been consistently higher than boys’ across several decades with no significant changes in recent years, the authors wrote.
“The fact that females generally perform better than their male counterparts throughout what is essentially mandatory schooling in most countries seems to be a well-kept secret, considering how little attention it has received as a global phenomenon,” said co-author Susan Voyer, MASc, also of the University of New Brunswick.
As for why girls perform better in school than boys, the authors speculated that social and cultural factors could be among several possible explanations. Parents may assume boys are better at math and science so they might encourage girls to put more effort into their studies, which could lead to the slight advantage girls have in all courses, they wrote. Gender differences in learning styles is another possibility. Previous research has shown girls tend to study in order to understand the materials, whereas boys emphasize performance, which indicates a focus on the final grades. “Mastery of the subject matter generally produces better marks than performance emphasis, so this could account in part for males’ lower marks than females,” the authors wrote.
http://www.sciencedaily.com/releases/2014/04/140429104957.htm

Citation:

Girls make higher grades than boys in all school subjects, analy
Date: April 29, 2014
Source: American Psychological Association (APA)
Summary:
Despite the stereotype that boys do better in math and science, girls have made higher grades than boys throughout their school years for nearly a century, according to a new analysis. “School marks reflect learning in the larger social context of the classroom and require effort and persistence over long periods of time, whereas standardized tests assess basic or specialized academic abilities and aptitudes at one point in time without social influences,” said lead study author.
Journal Reference:
1. Daniel Voyer, Susan D. Voyer. Gender differences in scholastic achievement: A meta-analysis.. Psychological Bulletin, 2014; DOI: 10.1037/a0036620

Here is the press release from the APA:

April 29, 2014
Girls Make Higher Grades than Boys in All School Subjects, Analysis Finds
For math, science, boys lead on achievement tests while girls do better on classroom grades, research reveals
WASHINGTON — Despite the stereotype that boys do better in math and science, girls have made higher grades than boys throughout their school years for nearly a century, according to a new analysis published by the American Psychological Association.
“Although gender differences follow essentially stereotypical patterns on achievement tests in which boys typically score higher on math and science, females have the advantage on school grades regardless of the material,” said lead study author Daniel Voyer, PhD, of the University of New Brunswick, Fredericton, Canada. “School marks reflect learning in the larger social context of the classroom and require effort and persistence over long periods of time, whereas standardized tests assess basic or specialized academic abilities and aptitudes at one point in time without social influences.”
Based on research from 1914 through 2011 that spanned more than 30 countries, the study found the differences in grades between girls and boys were largest for language courses and smallest for math and science. The female advantage in school performance in math and science did not become apparent until junior or middle school, according to the study, published in the APA journal Psychological Bulletin®. The degree of gender difference in grades increased from elementary to middle school, but decreased between high school and college.
The researchers examined 369 samples from 308 studies, reflecting grades of 538,710 boys and 595,332 girls. Seventy percent of the samples consisted of students from the United States. Other countries or regions represented by more than one sample included Norway, Canada, Turkey, Germany, Taiwan, Malaysia, Israel, New Zealand, Australia, Sweden, Slovakia, United Kingdom, Africa and Finland. Countries represented by one sample included Belgium, Czech Republic, Estonia, Mexico, Hong Kong, India, Iran, Jordan, the Netherlands, Portugal, Saudi Arabia, Serbia and Slovenia.
Related
• Gender Differences in Scholastic Achievement: A Meta-Analysis (PDF, 251KB) http://www.apa.org/pubs/journals/releases/bul-a0036620.pdf
All studies included an evaluation of gender differences in teacher-assigned grades or official grade point averages in elementary, junior/middle or high school, or undergraduate and graduate university. Studies that relied on self-report and those about special populations, such as high-risk or mentored students, were excluded. The studies also looked at variables that might affect the students’ grades, such as the country where students attended school, course material, students’ ages at the time the grades were obtained, the study date and racial composition of the samples.
The study reveals that recent claims of a “boy crisis,” with boys lagging behind girls in school achievement, are not accurate because girls’ grades have been consistently higher than boys’ across several decades with no significant changes in recent years, the authors wrote.
“The fact that females generally perform better than their male counterparts throughout what is essentially mandatory schooling in most countries seems to be a well-kept secret, considering how little attention it has received as a global phenomenon,” said co-author Susan Voyer, MASc, also of the University of New Brunswick.
As for why girls perform better in school than boys, the authors speculated that social and cultural factors could be among several possible explanations. Parents may assume boys are better at math and science so they might encourage girls to put more effort into their studies, which could lead to the slight advantage girls have in all courses, they wrote. Gender differences in learning styles is another possibility. Previous research has shown girls tend to study in order to understand the materials, whereas boys emphasize performance, which indicates a focus on the final grades. “Mastery of the subject matter generally produces better marks than performance emphasis, so this could account in part for males’ lower marks than females,” the authors wrote.
Article: “Gender Differences in Scholastic Achievement: A Meta-Analysis,” Daniel Voyer, PhD, and Susan D. Voyer, MASc, University of New Brunswick, Psychological Bulletin, online April 28, 2014.
Daniel Voyer can be contacted by email or by phone at 1-506-453-4974.
The American Psychological Association, in Washington, D.C., is the largest scientific and professional organization representing psychology in the United States. APA’s membership includes nearly 130,000 researchers, educators, clinicians, consultants and students. Through its divisions in 54 subfields of psychology and affiliations with 60 state, territorial and Canadian provincial associations, APA works to advance the creation, communication and application of psychological knowledge to benefit society and improve people’s lives.

Boys’ Barriers to Learning and Achievement

Gary Wilson wrote a thoughtful article about some of the learning challenges faced by boys. Boys Barriers to Learning He lists several barriers to learning in his article.

1. Early years
a. Language development problems
b. Listening skills development
2. Writing skills and learning outcomes
A significant barrier to many boys’ learning, that begins at quite an early age and often never leaves them, is the perception that most writing that they are expected to do is largely irrelevant and unimportant….
3. Gender bias
Gender bias in everything from resources to teacher expectations has the potential to present further barriers to boys’ learning. None more so than the gender bias evident in the ways in which we talk to boys and talk to girls. We need to be ever mindful of the frequency, the nature and the quality of our interactions with boys and our interactions with girls in the classroom….A potential mismatch of teaching and learning styles to boys’ preferred ways of working continues to be a barrier for many boys….
4. Reflection and evaluation
The process of reflection is a weakness in many boys, presenting them with perhaps one of the biggest barriers of all. The inability of many boys to, for example, write evaluations, effectively stems from this weakness….
5. Self-esteem issues
Low self-esteem is clearly a very significant barrier to many boys’ achievement in school. If we were to think of the perfect time to de-motivate boys, when would that be? Some might say in the early years of education when many get their first unwelcome and never forgotten taste of failure might believe in the system… and themselves, for a while, but not for long….
6. Peer pressure
Peer pressure, or the anti-swot culture, is clearly a major barrier to many boys’ achievement. Those lucky enough to avoid it tend to be good academically, but also good at sport. This gives them a licence to work hard as they can also be ‘one of the lads’. …To me one of the most significant elements of peer pressure for boys is the impact it has on the more affective domains of the curriculum, namely expressive, creative and performing arts. It takes a lot of courage for a boy to turn up for the first day at high school carrying a violin case….
7. Talk to them!
There are many barriers to boys’ learning (I’m currently saying 31, but I’m still working on it!) and an ever-increasing multitude of strategies that we can use to address them. I firmly believe that a close examination of a school’s own circumstances is the only way to progress through this maze and that the main starting point has to be with the boys themselves. They do know all the issues around their poor levels of achievement. Talk to them first. I also believe that one of the most important strategies is to let them know you’re ‘on their case’, talking to them provides this added bonus….

If your boy has achievement problems, Wilson emphasizes that there is no one answer to address the problems. There are issues that will be specific to each child.

John Hechinger wrote in Bloomberg/Business Week about the data, Women Top Men In Earning Bachelor’s Degrees, U.S. Data Shows http://www.bloomberg.com/news/2011-02-10/women-top-men-at-earning-bachelor-s-degrees-u-s-data-show.html There are some good information sources about helping boys to learn. PBS Parents in Understanding and Raising Boys has some great strategies for helping boys learn. http://www.pbs.org/parents/raisingboys/school04.html
Trying to pretend there are no gender differences is leading to some differences in outcome for many male children. Even Beltrand and Pan want very badly to emphasize environmental factors, which are important, but clearly is an P.C. explanation which skates over biological gender differences.

Those trendy intellectuals who want to homogenize personalities into some “metrosexual ideal are sacrificing the lives of many children for their cherished ideal of some sociological utopia.
There is no one solution to solving a child’s achievement problems and a variety of tools may prove useful. Whether there is a “boy crisis” can be debated. The research is literally all over the map and a variety of positions can find some study to validate that position. If your child has achievement and social adjustment problems, whether there is an overall crisis is irrelevant, you feel you are in a crisis situation. There is no one solution, be open to using a variety of tools and strategies.

So, how is your boy doing?

There should not be a one size fits all approach. Strategies must be designed for each population of kids.

Other Resources:

Classroom Strategies to Get Boys Reading http://gettingboystoread.com/content/classroom-strategies-get-boys-reading/

Me Read? A Practical Guide to Improving Boys Literacy Skills http://www.edu.gov.on.ca/eng/document/brochure/meread/meread.pdf

Understanding Gender Differences: Strategies To Support Girls and Boys http://www.umext.maine.edu/onlinepubs/PDFpubs/4423.pdf

Helping Underachieving Boys Read Well and Often http://www.ericdigests.org/2003-2/boys.html

Boys and Reading Strategies for Success http://www.k12reader.com/boys-and-reading/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Harvard Study: Television impairs kid’s sleep patterns

21 Apr

Moi wrote in Study: Blue light may affect the sleep habits of students:
The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn. One of the mantras of this blog is there should not be a one size fits all approach to education and that there should be a variety of options to achieve the goal of a good basic education for all children.
The University of Illinois Extension has some good advice for helping children with study habits. In Study Habits and Homework he University of Illinois recommends:

Parents can certainly play a major role in providing the encouragement, environment, and materials necessary for successful studying to take place.
Some general things adults can do, include:
Establish a routine for meals, bedtime and study/homework
Provide books, supplies, and a special place for studying
Encourage the child to “ready” himself for studying (refocus attention and relax)
Offer to study with the child periodically (call out spelling words or do flash cards) http://urbanext.illinois.edu/succeed/habits.cfm

Some folks claim they need as few as four hours of sleep. For most folks, that is not healthy and it definitely isn’t healthy for children.

Sarah D. Sparks reported in the Education Week article, ‘Blue Light’ May Impair Students’ Sleep, Studies Say:

Schools may soon face an unintended consequence of more flexible technology and more energy-efficient buildings: sleepier students.
That’s because evidence is mounting that use of artificial light from energy-efficient lamps and computer and mobile-electronics screens later and later in the day can lead to significant sleep problems for adults and, particularly, children….
http://www.edweek.org/ew/articles/2013/12/11/14sleep_ep.h33.html?tkn=XYNFw7hK%2F8TdYrgvqxBY6H%2FjAT%2FMKwiy%2FAaU&cmp=clp-edweek

Technology may be interrupting children’s sleep patterns.
https://drwilda.com/tag/blue-light-may-impair-students-sleep-studies-say/

Tara Haelle reported in the Yahoo news post, More TV, Less Sleep for Kids:

A recent study found that children tended to get slightly less sleep with the more TV they watched. The most dramatic drop in daily sleep time, however, was linked to having a TV in the bedroom for minority children.
The authors suggested that reducing TV time and/or removing televisions from children’s bedrooms might help their sleep time.
The study, led by Elizabeth Cespedes, of the Obesity Prevention Program at Harvard Medical School, looked at the possible impact of television of children’s sleep.
The researchers collected daily average TV viewing information and sleep time from the parents of 1,864 children, starting at 6 months old and then once a year through age 7.
The researchers also gathered information on which children had a TV in their bedroom when they were aged 4 through 7.
Then the researchers analyzed the interaction of television viewing and sleep along with the children’s age, sex, race/ethnicity, income and mothers’ education level.
The group of children were diverse, including 35 percent who were racial/ethnic minorities and 37 percent who had family incomes of at least $70,000.
The children went from getting an average 12.2 hours of sleep each day at age 6 months old to an average of 9.8 hours a day at age 7.
During the same time span, the amount of TV the children watched increased from 0.9 hours a day to 1.6 hours a day.
About 17 percent of the children had a TV in their bedrooms when they were 4 years old, which increased to 23 percent by the time the children were 7 years old.
In comparing TV viewing time with sleep, the researchers found that each additional hour per day of watching TV was linked to seven fewer minutes of sleep each day.
Having a TV in children’s room also appeared to influence how much sleep the children got, but only for racial/ethnic minority children.
Among racial and ethnic minorities, children got an average 31 fewer minutes of sleep each day if they had a TV in their bedrooms than if they didn’t have a TV.
Among white, non-Hispanic children, however, a TV in the bedroom was only linked to eight fewer minutes of sleep each day, but this finding could have been the result of chance.
“Our study supports a negative influence of TV viewing and bedroom TV on children’s sleep,” the researchers wrote.
“TV viewing and the presence of a bedroom TV track over time,” they added. “Thus, modest decreases in sleep duration could form lasting habits leading to substantial sleep deficits as children age.”
The researchers suggested that making changes related to children’s TV viewing could have a positive impact on their sleep time.
http://health.yahoo.net/articles/parenting/more-tv-less-sleep-kids

Citation:

• Article
Television Viewing, Bedroom Television, and Sleep Duration From Infancy to Mid-Childhood
Authors
1. Elizabeth M. Cespedes, SMa,b,
2. Matthew W. Gillman, MD, SMa,b,
3. Ken Kleinman, ScDa,
4. Sheryl L. Rifas-Shiman, MPHa,
5. Susan Redline, MD, MPHc, and
6. Elsie M. Taveras, MD, MPHb,d
1. aObesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts;
2. bDepartment of Nutrition, Harvard School of Public Health, Boston, Massachusetts;
3. cBrigham and Women’s Hospital and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; and
4. dDivision of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, Massachusetts
Abstract
BACKGROUND: Television and insufficient sleep are associated with poor mental and physical health. This study assessed associations of TV viewing and bedroom TV with sleep duration from infancy to midchildhood.
METHOD: We studied 1864 children in Project Viva. Parents reported children’s average daily TV viewing and sleep (at 6 months and annually from 1–7 years) and the presence of a bedroom TV (annually 4–7 years). We used mixed effects models to assess associations of TV exposures with contemporaneous sleep, adjusting for child age, gender, race/ethnicity, maternal education, and income.
RESULTS: Six hundred forty-three children (35%) were racial/ethnic minorities; 37% of households had incomes ≤ $70 000. From 6 months to 7 years, mean (SD) sleep duration decreased from 12.2 (2.0) hours to 9.8 (0.9) hours per day; TV viewing increased from 0.9 (1.2) hours to 1.6 (1.0) hours per day. At 4 years, 17% had a bedroom TV, rising to 23% at 7 years. Each 1 hour per day increase in lifetime TV viewing was associated with 7 minutes per day (95% confidence interval [CI]: 4 to 10) shorter sleep. The association of bedroom TV varied by race/ethnicity; bedroom TV was associated with 31 minutes per day shorter sleep (95% CI: 16 to 45) among racial/ethnic minority children, but not among white, non-Hispanic children (8 fewer minutes per day [95% CI: −19 to 2]).
CONCLUSIONS: More TV viewing, and, among racial/ethnic minority children, the presence of a bedroom TV, were associated with shorter sleep from infancy to midchildhood.
Key Words:
• television
• sleep duration
• sleep hygiene
• childhood
• Accepted February 11, 2014.
• Copyright © 2014 by the American Academy of Pediatrics
1. Published online April 14, 2014

(doi: 10.1542/peds.2013-3998)
1. » AbstractFree
2. Full Text (PDF)Free

Education is a partnership between the student, parent(s) or guardian(s), teachers(s), and school. The students must arrive at school ready to learn and that includes being rested. Parent(s) and guardian(s) must ensure their child is properly nourished and rested as well as providing a home environment which is conducive to learning. Teachers must have strong subject matter knowledge and strong pedagogic skills. Schools must enforce discipline and provide safe places to learn. For more information on preparing your child for high school, see the U.S. Department of Education’s Tools for Success http://www2.ed.gov/parents/academic/help/tools-for-success/index.html

Resources:

National Sleep Foundation’s Teens and Sleep http://www.sleepfoundation.org/article/sleep-topics/teens-and-sleep

Teen Health’s Common Sleep Problems http://kidshealth.org/teen/your_body/take_care/sleep.html

CBS Morning News’ Sleep Deprived Kids and Their Disturbing Thoughts
http://www.cbsnews.com/2100-500165_162-6052150.html

Psychology Today’s Sleepless in America
http://www.psychologytoday.com/blog/sleepless-in-america

National Association of State Board’s of Education Fit, Healthy and Ready to Learn
http://eric.ed.gov/?id=ED465734

U.S. Department of Education’s Tools for Success
http://www2.ed.gov/parents/academic/help/tools-for-success/index.html

Related:
Another study: Sleep problems can lead to behavior problems in children

Another study: Sleep problems can lead to behavior problems in children

Stony Brook Medicine study: Teens need sleep to function properly and make healthy food choices https://drwilda.com/2013/06/21/stony-brook-medicine-study-teens-need-sleep-to-function-properly-and-make-healthy-food-choices/

University of Massachusetts Amherst study: Preschoolers need naps Does school start too early? https://drwilda.com/tag/too-little-sleep-raises-obesity-risk-in-children/

Where information leads to Hope. © Dr. Wilda.com

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Blogs by Dr. Wilda:

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Parent involvement: Mobile apps increase parent involvement

6 Apr

Moi wrote about the importance of parental involvement in Missouri program: Parent home visits:
One of the mantras of this blog is that education is a partnership between the student, parent(s) or guardian(s), teacher(s), and the school. All parts of the partnership must be involved. Many educators have long recognized that the impact of social class affects both education achievement and life chances after completion of education. There are two impacts from diversity, one is to broaden the life experience of the privileged and to raise the expectations of the disadvantaged. Social class matters in not only other societies, but this one as well. A few years back, the New York Times did a series about social class in America. That series is still relevant. Janny Scott and David Leonhardt’s overview, Shadowy Lines That Still Divide http://www.nytimes.com/2005/05/15/national/class/OVERVIEW-FINAL.html?pagewanted=all&_r=0describes the challenges faced by schools trying to overcome the disparity in education. The complete series can be found at Class Matters http://www.nytimes.com/pages/national/class/

Teachers and administrators as well as many politicians if they are honest know that children arrive at school at various points on the ready to learn continuum. Teachers have to teach children at whatever point on the continuum the children are. Jay Matthews reports in the Washington Post article, Try parent visits, not parent takeovers of schools. http://www.washingtonpost.com/local/education/try-parent-visits-not-parent-takeovers-of-schools/2012/05/30/gJQAlDDz2U_story.html

The key ingredient is parental involvement. The Wisconsin Council on Children and Families (Council) has a great policy brief on parental involvement. http://www.wccf.org/pdf/parentsaspartners_ece-series.pd
Parent involvement is crucial to the success of children.

Heather B. Hayes reported in the EdTech article, School Districts Use Mobile Apps to Engage Parents:

When Michael Thurmond, superintendent of the DeKalb County School District near Atlanta, challenged his staff to come up with new, innovative ways to bridge the gap between their highest- and lowest-performing schools, CIO Gary Brantley had a ready response: a mobile app for parents.
That might seem like a knee-jerk ¬reaction, given the current zest for all things mobile, but Brantley’s solution was strongly rooted in need and fact. The lowest performers among the district’s 137 schools also had the lowest levels of parent engagement, in large part ¬because a majority of parents didn’t have the time or ability to travel to school for parent-teacher conferences or other functions. However, an internal survey showed that those same parents had access to mobile technology, with more than 90 percent of all district parents owning either a mobile phone or tablet.
“The idea was, parents can’t always come to us, so let’s try to take this information to them,” Brantley says. “When a grade is entered into the system, their student is late to class or there’s an emergency notification, let’s push that out to their mobile devices immediately, so they know what’s ¬happening at all times.”
Parents also can email teachers, get real-time notifications of bus pickup and drop-off times, access calendars, and receive Twitter and Facebook news feeds and sports scores. The app, which launched in early January, is already seen as a success, having been downloaded more than 6,000 times in its first month and earning rave reviews from users…
The Added Benefits of Having a Mobile App
How do mobile apps pay off for schools?
• During the ice storms of 2014, parents who downloaded the DeKalb County (Ga.) School District’s mobile app were able to receive school ¬closing and delay alerts in real time — a fact that earned praise for district officials, even as other district leaders were criticized for their delayed and confusing communication efforts.
• Parents at Wichita (Kan.) Public Schools can now view a single calendar of all academic and athletic events at any schools they choose to follow — a capability that’s impossible to create on a regular website and that helps parents keep up with what’s happening at all times. http://www.edtechmagazine.com/k12/article/2014/04/school-districts-use-mobile-apps-engage-parents

It is going to take coordination between not only education institutions, but a strong social support system to get many children through school. This does not mean a large program directed from Washington. But, more resources at the local school level which allow discretion with accountability. For example, if I child is not coming to school because they have no shoes or winter coat, then the child gets new shoes and/or a coat. School breakfast and lunch programs must be supported and if necessary, expanded. Unfortunately, schools are now the early warning system for many families in crisis.

Related:
Tips for parent and teacher conferences https://drwilda.com/2012/11/07/tips-for-parent-and-teacher-conferences/

Common Sense Media report: Media choices at home affect school performance

Common Sense Media report: Media choices at home affect school performance

Parents can use tax deductions to pay for special education needs https://drwilda.com/2012/10/24/parents-can-use-tax-deductions-to-pay-for-special-education-needs/

Intervening in the lives of truant children by jailing parents https://drwilda.com/2012/10/07/intervening-in-the-lives-of-truant-children-by-jailing-parents/

Making time for family dinner https://drwilda.com/2012/09/10/making-time-for-family-dinner/

Embracing parents as education leaders https://drwilda.com/2012/11/28/embracing-parents-as-education-leaders/

Where information leads to Hope. Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

Study: Autism starts from brain changes in the womb

1 Apr

Moi has posted quite a bit about autism. Studies indicate that the incidence of autism is growing in the population. In order for children with autism to reach their full potential there must be early diagnosis and treatment. Alice Park of Time reported in the article, U.S. Autism Rates Jump 30% From 2012:

One in 68 eight-year-olds in the U.S. is now affected by autism spectrum disorder, according to new CDC data. The prevalence of autism has continued to climb upward, from affecting 1 in every 150 eight-year-olds studied in 2000, to 1 in 88 in 2008
One in 68 eight-year-olds in the U.S. is now affected by autism spectrum disorder, according to the latest figures from the Centers for Disease Control (CDC). The data come from the Autism and Developmental Disabilities Monitoring (ADDM) Network, which has tracked the developmental disorder periodically since 2000.
Based on medical or school records (including access to special education services) for a representative group of 5,338 children from 11 sites in 2010, the researchers report in the Morbidity and Mortality Weekly Report (MMWR) that one in 68 met the criteria for an autism spectrum disorder, a 30% increase over the last ADDM survey, released in 2012, based on 2008 data that revealed a one in 88 rate.
Since the ADDM began, the prevalence of autism has continued to climb upward, from affecting one in every 150 eight-year-olds studied in 2000, to one of 110 children studied in 2004 and 2006, to one in 88 in 2008. Now, the government report estimates, 1.2 million children under 21 are affected by some form of autism.
While definitions of autism have changed slightly during that time, experts attribute most of the increase to greater awareness of the developmental disorder among parents, teachers, and doctors. At home, parents are more attuned to signs that their child may not be communicating properly or acquiring the social skills needed to interact with siblings, family and friends. Teachers are also trained to recognize behavioral symptoms in the classroom, and doctors are more comfortable asking about and diagnosing autism disorders by symptoms that usually start appearing around age two…. http://time.com/#40524/u-s-autism-rates-jump-30-from-2012/

Several studies suggest that autism may start in the womb.

Jon Hamilton of NPR reported in the story, Brain Changes Suggest Autism Starts In The Womb:

The symptoms of autism may not be obvious until a child is a toddler, but the disorder itself appears to begin well before birth.
Brain tissue taken from children who died and also happened to have autism revealed patches of disorganization in the cortex, a thin sheet of cells that’s critical for learning and memory, researchers report in the New England Journal of Medicine. Tissue samples from children without autism didn’t have those characteristic patches.
Organization of the cortex begins in the second trimester of pregnancy. “So something must have gone wrong at or before that time,” says Eric Courchesne, an author of the paper and director of the Autism Center of Excellence at the University of California, San Diego.
The finding should bolster efforts to understand how genes control brain development and lead to autism. It also suggests that treatment should start early in childhood, when the brain is capable of rewiring to work around damaged areas.
The study grew out of research by Courchesne on development of the cortex in children with autism. In typical kids, the cortex is “like a layer cake,” he says. “There are six layers, one on top of the other, and in each layer there are different types of brain cells.”
Courchesne suspected that these layers might be altered in the brains of children with autism. So he and a team of researchers studied samples of cortex from 11 children with autism and an equal number of typical kids. The cortex came from areas known to be associated with the symptoms of autism.
In the brain tissue from typical children, the cortex had six distinct layers, each made up of a specific type of cell. But in the children with autism, “there are patches in which specific cells in specific layers seem to be missing,” Courchesne says. So instead of distinct layers, there are disorganized collections of brain cells.
These patches of disorganized cortex would have different effects on the brain depending on where they occur and how many there are, Courchesne says. That could help explain why the symptoms of autism vary so much.
And finding that the damage isn’t everywhere suggests how a child’s brain might compensate by rewiring to avoid the trouble spots, Courchesne says. “That’s one of our guesses about how it is that autistic children, with treatment, very commonly get better,” he says.
The new study appears to confirm research from the University of California, Los Angeles showing that people with autism tend to have genetic changes that could disturb the formation of layers in the cortex.
And it adds to the already considerable evidence that autism starts in the womb, says Dr. Stanley Nelson, a geneticist at UCLA. “The overwhelming set of data is that the problems are existing during brain development, probably as an embryo or fetus,” he says.
But some of the new study’s findings are surprising and even a bit perplexing, Nelson says. For example, it’s odd that only certain bits of brain tissue contain these disorganized cells. “Why is the whole cortex not disorganized?” he says.
It’s also odd that 10 of the 11 children with autism had the same sort of disorganized patches of cortex, Nelson says. That’s not what you would expect with a disorder known to involve many different genes, presumably affecting many different aspects of brain development….http://www.npr.org/blogs/health/2014/03/26/294446735/brain-changes-suggest-autism-starts-in-the-womb?utm_medium=Email&utm_source=share&utm_campaign=storyshare

Citation

Patches of Disorganization in the Neocortex of Children with Autism
Rich Stoner, Ph.D., Maggie L. Chow, Ph.D., Maureen P. Boyle, Ph.D., Susan M. Sunkin, Ph.D., Peter R. Mouton, Ph.D., Subhojit Roy, M.D., Ph.D., Anthony Wynshaw-Boris, M.D., Ph.D., Sophia A. Colamarino, Ph.D., Ed S. Lein, Ph.D., and Eric Courchesne, Ph.D.
N Engl J Med 2014; 370:1209-1219March 27, 2014DOI: 10.1056/NEJMoa1307491
Share:
BACKGROUND
Autism involves early brain overgrowth and dysfunction, which is most strongly evident in the prefrontal cortex. As assessed on pathological analysis, an excess of neurons in the prefrontal cortex among children with autism signals a disturbance in prenatal development and may be concomitant with abnormal cell type and laminar development.
METHODS
To systematically examine neocortical architecture during the early years after the onset of autism, we used RNA in situ hybridization with a panel of layer- and cell-type–specific molecular markers to phenotype cortical microstructure. We assayed markers for neurons and glia, along with genes that have been implicated in the risk of autism, in prefrontal, temporal, and occipital neocortical tissue from postmortem samples obtained from children with autism and unaffected children between the ages of 2 and 15 years.
RESULTS
We observed focal patches of abnormal laminar cytoarchitecture and cortical disorganization of neurons, but not glia, in prefrontal and temporal cortical tissue from 10 of 11 children with autism and from 1 of 11 unaffected children. We observed heterogeneity between cases with respect to cell types that were most abnormal in the patches and the layers that were most affected by the pathological features. No cortical layer was uniformly spared, with the clearest signs of abnormal expression in layers 4 and 5. Three-dimensional reconstruction of layer markers confirmed the focal geometry and size of patches.
CONCLUSIONS
In this small, explorative study, we found focal disruption of cortical laminar architecture in the cortexes of a majority of young children with autism. Our data support a probable dysregulation of layer formation and layer-specific neuronal differentiation at prenatal developmental stages. (Funded by the Simons Foundation and others.)

Parents must pay attention to whether their children are developing within the parameters of what is appropriate for the child’s age.

Resources:

For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute’s Brain Resources and Information Network (BRAIN) at:
BRAIN
P.O. Box 5801
Bethesda, MD 20824
(800) 352 9424
http://www.ninds.nih.gov

Association for Science in Autism Treatment
P.O. Box 188
Crosswicks, NJ 08515-0188
info@asatonline.org http://www.asatonline.org

Autism National Committee (AUTCOM)
P.O. Box 429
Forest Knolls, CA 94933 http://www.autcom.org

Autism Network International (ANI)
P.O. Box 35448
Syracuse, NY 13235-5448
jisincla@syr.edu http://www.ani.ac

Autism Research Institute (ARI)
4182 Adams Avenue
San Diego, CA 92116
director@autism.com http://www.autismresearchinstitute.com
Tel: 866-366-3361
Fax: 619-563-6840

Autism Science Foundation
419 Lafayette Street
2nd floor
New York, NY 10003
contactus@autismsciencefoundation.org http://www.autismsciencefoundation.org/
Tel: 646-723-3978
Fax: 212-228-3557

Autism Society of America
4340 East-West Highway
Suite 350
Bethesda, MD 20814 http://www.autism-society.org
Tel: 301-657-0881 800-3AUTISM (328-8476)
Fax: 301-657-0869

Autism Speaks, Inc.
2 Park Avenue
11th Floor
New York, NY 10016
contactus@autismspeaks.org http://www.autismspeaks.org
Tel: 212-252-8584 California: 310-230-3568
Fax: 212-252-8676 Birth Defect Research for Children, Inc.
976 Lake Baldwin Lane
Suite 104
Orlando, FL 32814
betty@birthdefects.org
http://www.birthdefects.org
Tel: 407-895-0802

MAAP Services for Autism, Asperger Syndrome, and PDD
P.O. Box 524
Crown Point, IN 46308
info@aspergersyndrome.org http://www.aspergersyndrome.org/
Tel: 219-662-1311
Fax: 219-662-1315

National Dissemination Center for Children with Disabilities
U.S. Dept. of Education, Office of Special Education Programs
1825 Connecticut Avenue NW, Suite 700
Washington, DC 20009
nichcy@aed.org http://www.nichcy.org
Tel: 800-695-0285 202-884-8200
Fax: 202-884-8441

National Institute of Child Health and Human Development (NICHD)
National Institutes of Health, DHHS
31 Center Drive, Rm. 2A32 MSC 2425
Bethesda, MD 20892-2425 http://www.nichd.nih.gov
Tel: 301-496-5133
Fax: 301-496-7101 National Institute on Deafness and Other Communication Disorders Information Clearinghouse
1 Communication Avenue
Bethesda, MD 20892-3456
nidcdinfo@nidcd.nih.gov http://www.nidcd.nih.gov
Tel: 800-241-1044 800-241-1055 (TTD/TTY)

National Institute of Environmental Health Sciences (NIEHS)
National Institutes of Health, DHHS
111 T.W. Alexander Drive
Research Triangle Park, NC 27709
webcenter@niehs.nih.gov http://www.niehs.nih.gov
Tel: 919-541-3345

National Institute of Mental Health (NIMH)
National Institutes of Health, DHHS
6001 Executive Blvd. Rm. 8184, MSC 9663
Bethesda, MD 20892-9663
nimhinfo@nih.gov http://www.nimh.nih.gov
Tel: 301-443-4513/866-415-8051 301-443-8431 (TTY)
Fax: 301-

Related:

Father’s age may be linked to Autism and Schizophrenia https://drwilda.com/2012/08/26/fathers-age-may-be-linked-to-autism-and-schizophrenia/

Autism and children of color https://drwilda.com/tag/autism-not-diagnosed-as-early-in-minority-children/

Archives of Pediatrics and Adolescent Medicine study: Kids with autism more likely to be bullied https://drwilda.com/2012/09/06/archives-of-pediatrics-and-adolescent-medicine-study-kids-with-autism-more-likely-to-be-bullied/

Chelation treatment for autism might be harmful https://drwilda.com/2012/12/02/chelation-treatment-for-autism-might-be-harmful/

University of Connecticut study: Some children with autism may be ‘cured’ with intense early therapy https://drwilda.com/tag/optimal-outcome-in-individuals-with-a-history-of-autism/

Children of older fathers can have genetic issues: Study reports mental illness risk higher https://drwilda.com/2014/02/28/children-of-older-fathers-can-have-genetic-issues-study-reports-mental-illness-risk-higher/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

University of California, San Francisco study identifies most common reasons for children’s mental health hospitalizations

23 Mar

Moi wrote about troubled children in Schools have to deal with depressed and troubled children: Both the culture and the economy are experiencing turmoil. For some communities, the unsettled environment is a new phenomenon, for other communities, children have been stressed for generations. According to the article, Understanding Depression which was posted at the Kids Health site:

Depression is the most common mental health problem in the United States. Each year it affects 17 million people of all age groups, races, and economic backgrounds.
As many as 1 in every 33 children may have depression; in teens, that number may be as high as 1 in 8.
Schools are developing strategies to deal with troubled kids…. http://kidshealth.org/parent/emotions/feelings/understanding_depression.html

One strategy in helping children to succeed is to recognize and treat depression.

How Common Is Depression In Children?

According to Mary H. Sarafolean, PhD in the article, Depression In School Age Children and Adolescents

In general, depression affects a person’s physical, cognitive, emotional/affective, and motivational well-being, no matter their age. For example, a child with depression between the ages of 6 and 12 may exhibit fatigue, difficulty with schoolwork, apathy and/or a lack of motivation. An adolescent or teen may be oversleeping, socially isolated, acting out in self-destructive ways and/or have a sense of hopelessness.
Prevalence and Risk Factors
While only 2 percent of pre-teen school-age children and 3-5 percent of teenagers have clinical depression, it is the most common diagnosis of children in a clinical setting (40-50 percent of diagnoses). The lifetime risk of depression in females is 10-25 percent and in males, 5-12 percent. Children and teens who are considered at high risk for depression disorders include:
* children referred to a mental health provider for school problems
* children with medical problems
* gay and lesbian adolescents
* rural vs. urban adolescents
* incarcerated adolescents
* pregnant adolescents
* children with a family history of depression http://www.healthyplace.com/depression/children/recognizing-symptoms-of-depression-in-teens-and-children/

If you or your child has one or more of the risk factors and your child is exhibiting symptoms of prolonged sadness, it might be wise to have your child evaluated for depression.

How to Recognize Depression In Your Child?

MedNet has an excellent article about Depression In Children and how to recognize signs of depression in your child.
Signs and symptoms of depression in children include:

* Irritability or anger
* Continuous feelings of sadness, hopelessness
* Social withdrawal
* Increased sensitivity to rejection
* Changes in appetite — either increased or decreased
* Changes in sleep — sleeplessness or excessive sleep
* Vocal outbursts or crying
* Difficulty concentrating
* Fatigue and low energy
* Physical complaints (such as stomachaches, headaches) that do not respond to
treatment
* Reduced ability to function during events and activities at home or with friends, in school, extracurricular activities, and in other hobbies or interests
* Feelings of worthlessness or guilt
* Impaired thinking or concentration
* Thoughts of death or suicide
Not all children have all of these symptoms. In fact, most will display different symptoms at different times and in different settings. Although some children may continue to function reasonably well in structured environments, most kids with significant depression will suffer a noticeable change in social activities, loss of interest in school and poor academic performance, or a change in appearance. Children may also begin using drugs or alcohol,
especially if they are over the age of 12. http://www.onhealth.com/depression_in_children/article.htm

The best defense for parents is a good awareness of what is going on with their child. As a parent you need to know what is going on in your child’s world. https://drwilda.com/2011/11/15/schools-have-to-deal-with-depressed-and-troubled-children/

Science Daily reported in the article, Study identifies most common, costly reasons for mental health hospitalizations for kids:

Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis led by UCSF Benioff Children’s Hospital.
The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
“This is the first paper to give a clear picture of the mental health reasons kids are admitted to hospitals nationally,” said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children’s Hospital and lead author. “Mental health hospitalizations have been increasing in kids, up 24% from 2007-2010. Mental health is a priority topic for national quality measures, which are intended to help improve care for all kids.”
The study will be published in the April issue of the journal Pediatrics.
More than 14 million children and adolescents in the United States have a diagnosable mental health disorder, yet little is known about which specific mental health diagnoses are causing children to be hospitalized. In the study, researchers found that depression, bipolar disorder and psychosis are the most common and expensive primary diagnoses for pediatric admissions.
“We now know through our analysis of cost and frequency which diagnoses are the most relevant,” said Bardach. “Next, we need to define what the optimal care is for children with these conditions so that hospitals can consistently deliver the best care for every child, every time.”
Using two national databases — Kids’ Inpatient Database and Pediatric Health Information System — the researchers looked at all hospital discharges in 2009 for patients aged three to 20 years old to determine the frequency of hospitalizations for primary mental health diagnoses. They compared the mental health hospitalizations between free-standing children’s hospitals and hospitals that treat both adults and children, to assess if there was a difference in frequency of diagnoses.
The study found that hospitalizations for children with primary mental health diagnoses were more than three times more frequent at general hospitals than free standing children’s hospitals, which the researchers say could indicate that general hospitals have a greater capacity to deliver inpatient psychiatric care than free-standing children’s hospitals…. http://www.sciencedaily.com/releases/2014/03/140317084531.htm

Citation:

Study identifies most common, costly reasons for mental health hospitalization

Date: March 17, 2014

Source: University of California, San Francisco

Summary:
Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis. The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
Journal Reference:
1.Naomi S. Bardach, Tumaini R. Coker, Bonnie T. Zima, J. Michael Murphy, Penelope Knapp, Laura P. Richardson, Glenace Edwall, and Rita Mangione-Smith. Common and Costly Hospitalizations for Pediatric Mental Health Disorders. Pediatrics, March 2014 DOI: 10.1542/peds.2013-3165

Here is the press release from the University of San Francisco:

Study Identifies Most Common, Costly Reasons for Mental Health Hospitalizations for Kids
By Juliana Bunim on March 13, 2014
Nearly one in 10 hospitalized children have a primary diagnosis of a mental health condition, and depression alone accounts for $1.33 billion in hospital charges annually, according to a new analysis led by UCSF Benioff Children’s Hospital.
The study is the first to examine frequency and costs associated with specific inpatient mental health diagnoses for children, and is a step towards creating meaningful measures of the quality of pediatric hospital care.
“This is the first paper to give a clear picture of the mental health reasons kids are admitted to hospitals nationally,” said Naomi Bardach, MD, an assistant professor of pediatrics at UCSF Benioff Children’s Hospital and lead author. “Mental health hospitalizations have been increasing in kids, up 24% from 2007-2010. Mental health is a priority topic for national quality measures, which are intended to help improve care for all kids.”
The study will be published in the April issue of the journal Pediatrics.
More than 4 million children and adolescents in the United States have a diagnosable mental health disorder, yet little is known about which specific mental health diagnoses are causing children to be hospitalized. In the study, researchers found that depression, bipolar disorder and psychosis are the most common and expensive primary diagnoses for pediatric admissions.
“We now know through our analysis of cost and frequency which diagnoses are the most relevant,” said Bardach. “Next, we need to define what the optimal care is for children with these conditions so that hospitals can consistently deliver the best care for every child, every time.”
Using two national databases – Kids’ Inpatient Database and Pediatric Health Information System – the researchers looked at all hospital discharges in 2009 for patients aged three to 20 years old to determine the frequency of hospitalizations for primary mental health diagnoses. They compared the mental health hospitalizations between free-standing children’s hospitals and hospitals that treat both adults and children, to assess if there was a difference in frequency of diagnoses.
The study found that hospitalizations for children with primary mental health diagnoses were more than three times more frequent at general hospitals than free standing children’s hospitals, which the researchers say could indicate that general hospitals have a greater capacity to deliver inpatient psychiatric care than free-standing children’s hospitals.
At both kinds of hospitals, the most common mental health diagnoses were similar (depression, bipolar disorder, and psychosis), which the researchers say supports the creation of diagnosis-specific quality measures for all hospitals that admit children.
Depression accounted for 44.1 percent of all pediatric primary mental health admissions, with charges of $1.33 billion dollars, based on the billing databases used in the study. Bipolar was the second most common diagnosis accounting for 18.1 percent and $702 million, followed by psychosis at 12.1 percent and $540 million.
“These are costly hospitalizations, and being hospitalized is a heavy burden for families and patients. Prevention and wellness is a huge part of the Affordable Care Act, along with controlling costs by delivering great care,” said Bardach. “This study helps us understand that mental health is a key priority. The long term goal is not only to improve hospital care for these kids, but also to understand how to effectively optimize mental health resources in the outpatient world.”
Co-authors include Tumaini Coker, MD, MBA and Bonnie Zima, MD, MPH, both of UCLA; J. Michael Murphy, EdD, Massachusetts General Hospital Boston; Penelope Knapp, MD, UC Davis; Laura Richardson, MD, MPH and Rita Mangione-Smith, MD, MPH, both of the University of Washington School of Medicine, Seattle; and Glenace Edwall, PsyD, PhD, MPP, Minnesota State Health Access Data Assistance Center.
The study was supported by the Agency for Healthcare Research and Quality and the National Institute for Children’s Health and Human Development.
UCSF Benioff Children’s Hospital creates an environment where children and their families find compassionate care at the forefront of scientific discovery, with more than 150 experts in 50 medical specialties serving patients throughout Northern California and beyond. The hospital admits about 5,000 children each year, including 2,000 babies born in the hospital.

If you or your child needs help for depression or another illness, then go to a reputable medical provider. There is nothing wrong with taking the steps necessary to get well.

Related:

GAO report: Children’s mental health services are lacking

GAO report: Children’s mental health services are lacking

Schools have to deal with depressed and troubled children:

Schools have to deal with depressed and troubled children

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

In the rush to produce geniuses, are we forgetting the value of play

10 Mar

Children are not “mini mes” or short adults. They are children and they should have time to play, to dream, and to use their imagination. Dan Childs of ABC News reports in the story, Recess ‘Crucial’ for Kids, Pediatricians’ Group Says:

The statement by the American Academy of Pediatrics is the latest salvo in the long-running debate over how much of a young child’s time at school should be devoted to academics — and how much should go to free, unstructured playtime.
The authors of the policy statement write that the AAP “believes that recess is a crucial and necessary component of a child’s development and, as such, it should not be withheld for punitive or academic reasons.”
“The AAP has, in recent years, tried to focus the attention of parents, school officials and policymakers on the fact that kids are losing their free play,” said the AAP’s Dr. Robert Murray, one of the lead authors of the statement. “We are overstructuring their day. … They lose that creative free play, which we think is so important.”
The statement, which cites two decades worth of scientific evidence, points to the various benefits of recess. While physical activity is among these, so too are some less obvious boons such as cognitive benefits, better attention during class, and enhanced social and emotional development. http://abcnews.go.com/Health/recess-crucial-kids-aap-policy-statement/story?id=18083935#.UOZ606zIlIq

The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn.

Debbie Rhea wrote the thoughtful Education Week commentary, Give Students Time to Play:

It seems counterintuitive to think that less classroom time and more outdoor play would lead to a better education for kids. After all, what many in our country, including most recently New Jersey Gov. Chris Christie, have prescribed are longer days in the classroom. But longer days on task don’t equate to better results. Instead, they translate into more burnout, lower test scores, and more of the same. All work and no play really does make dull boys and girls.
For years, educators have tried different strategies of more testing and of more time on task to reverse these trends, but they have proved to be unsuccessful. The answer is not additional in-class sitting time. What kids need is time to move and have unstructured play.
On a recent sabbatical, I spent six weeks in Finland studying how that country practices education. Reading, science, and math are important in the Finnish education system, but so are social studies, physical education, arts, music, foreign languages, and a number of practical skills. The school day in Finland looks much different from the school day in the United States.
“We should not sacrifice recess time for classroom time, and neither should be used to discipline students.”
In the United States, for example, a 1st grader attends school 35 hours a week, seven hours a day. In Finland, a 1st grader spends 22.5 hours a week in school, or 4.5 hours a day. Three hours each day are spent on content in the classroom, and another 1.5 hours are spent on recess or “unstructured outdoor play.” Some elementary schools in the United States do not have recess time built into their schedules, let alone outdoor recess.
Kids are built to move. Having more time for unstructured outdoor play is like handing them a reset button. It not only helps to break up their day, but it also allows them to blow off steam, while giving them an opportunity to move and redirect their energy to something more meaningful once they return to the classroom.
When a human sits for longer than about 20 minutes, the physiology of the brain and body changes. Gravity begins to pool blood into the hamstrings, robbing the brain of needed oxygen and glucose, or brain fuel. The brain essentially just falls asleep when we sit for too long. Moving and being active stimulates the neurons that fire in the brain. When you are sitting, those neurons don’t fire.
Getting students out of their chairs and moving outdoors is essential. A 2008 study published in JAMA Opthamology found that 42 percent of people in the United States between the ages of 12 and 54 are nearsighted. But 40 years ago, that number was only 25 percent, a change that can’t be explained by heredity. Time indoors can weaken our vision, especially if we are staring at computer screens and not looking away for long periods of time. Additional studies have also shown that when people have inadequate daylight exposure at work, particularly in areas that have poor indoor lighting, it can disrupt their circadian rhythms—the cycle that allows for healthy sleep. When these rhythms are thrown off, it can have a negative impact on academic performance.
I’m such a believer in more unstructured outdoor play and recess throughout the day that I’ve launched a pilot program called Project ISIS—Innovating Strategies, Inspiring Students—that is being implemented in two Texas private schools, with an additional three public elementary schools in that state coming on board by the fall. While the program doesn’t reduce the number of hours spent at school, it does build in more outside recess time. Students get two 15-minute unstructured outdoor-play breaks in the morning (one is right before lunch, the other is a full lunch with a short recess afterward), and then two more 15-minute recess breaks in the afternoon. These schools will continue to have physical education as a content area.
We should not sacrifice recess time for classroom time, and neither should be used to discipline students. The more movement children have throughout the day, the better they will be with attentional focus, behavioral issues, and academic performance…. http://www.edweek.org/ew/articles/2014/02/26/22rhea.h33.html?tkn=VRYFMBKESIDvZIGHetFWpKk1lBN%2FPqxFrjSh&intc=es

We must not so over-schedule children that they have no time to play and to dream. Our goal as a society should be:

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

Related:

The ‘whole child’ approach to education
https://drwilda.wordpress.com/2012/02/10/the-whole-child-approach-to-education/

Childhood obesity: Recess is being cut in low-income schools

Childhood obesity: Recess is being cut in low-income schools

Louisiana study: Fit children score higher on standardized tests

Louisiana study: Fit children score higher on standardized tests

Seattle Research Institute study about outside play
https://drwilda.wordpress.com/tag/childrens-physical-activity/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

Transitional courses: Trying to prepare poorly educated high schoolers for college

20 Feb

Moi wrote in Remedial education in college:
Whether or not students choose college or vocational training at the end of their high school career, our goal as a society should be that children should be “college ready.” David T. Conley writes in the ASCD article, What Makes a Student College Ready?

The Big Four
A comprehensive college preparation program must address four distinct dimensions of college readiness: cognitive strategies, content knowledge, self-management skills, and knowledge about postsecondary education.
Key Cognitive Strategies
Colleges expect their students to think about what they learn. Students entering college are more likely to succeed if they can formulate, investigate, and propose solutions to nonroutine problems; understand and analyze conflicting explanations of phenomena or events; evaluate the credibility and utility of source material and then integrate sources into a paper or project appropriately; think analytically and logically, comparing and contrasting differing philosophies, methods, and positions to understand an issue or concept; and exercise precision and accuracy as they apply their methods and develop their products.
Key Content Knowledge
Several independently conducted research and development efforts help us identify the key knowledge and skills students should master to take full advantage of college. Standards for Success (Conley, 2003) systematically polled university faculty members and analyzed their course documents to determine what these teachers expected of students in entry-level courses. The American Diploma Project (2004) consulted representatives of the business community and postsecondary faculty to define standards in math and English. More recently, both ACT (2008) and the College Board (2006) have released college readiness standards in English and math. Finally, the Texas Higher Education Coordinating Board (2008), under mandate of state law, developed one of the first and most comprehensive sets of state-level college readiness standards….
Key Self-Management Skills
In college, students must keep track of massive amounts of information and organize themselves to meet competing deadlines and priorities. They must plan their time carefully to complete these tasks. They must be able to study independently and in informal and formal study groups. They must know when to seek help from academic support services and when to cut their losses and drop a course. These tasks require self-management, a skill that individuals must develop over time, with considerable practice and trial-and-error.
Key Knowledge About Postsecondary Education
Choosing a college, applying, securing financial aid, and then adjusting to college life require a tremendous amount of specialized knowledge. This knowledge includes matching personal interests with college majors and programs; understanding federal and individual college financial aid programs and how and when to complete appropriate forms; registering for, preparing for, and taking required admissions exams; applying to college on time and submitting all necessary information; and, perhaps most important, understanding how the culture of college is different from that of high school….
Students who would be the first in their family to attend college, students from immigrant families, students who are members of racial and ethnic minority groups traditionally underrepresented in college, and students from low-income families are much more easily thrown off the path to college if they have deficiencies in any of the four dimensions.http://www.ascd.org/publications/educational-leadership/oct08/vol66/num02/What-Makes-a-Student-College-Ready%C2%A2.aspx

The difficult question is whether current testing accurately measures whether students are prepared for college. https://drwilda.com/2012/03/04/remedial-education-in-college/

Caralee J. Adams reported in the Education Week article, ‘Transitional’ Courses Catch On as College-Prep Strategy:

With many students entering college ill prepared to succeed academically, one remedy states and districts are increasingly bringing to the table is transitional coursework for high schoolers who need extra help.
Take Tennessee. High school teachers and community college faculty members teamed up to develop an online math course, first piloted in 2012, for those who score poorly on the act and need to catch up before graduation. Since then, the initiative has drawn broader support, including backing from Gov. Bill Haslam.
This academic year, the course began to roll out statewide with some $1.12 million from the governor’s “innovation fund.” Mr. Haslam, a Republican, is proposing another $2.6 million to expand the program as part of his fiscal 2014-15 budget.
Eight states now offer transitional curricula statewide to high school students, and another 21 states have locally run initiatives, according to a recent review by the Community College Research Center at Teachers College, Columbia University. The report, issued last May, also found that 25 states, and districts in another 13 states, measure the ability of all high school students by the junior year to succeed in entry-level courses at the postsecondary level.
Early assessments and corresponding course interventions are gaining traction as part of a concerted push to help students leave high school college-ready, said Elisabeth A. Barnett, a researcher at the center who led the recent state review. Her report also found that more than a dozen other states were in the process of planning such programs.
‘Paying Twice’
With the annual cost of providing remedial education in college pegged at nearly $7 billion, based on federal data, states are eager for ways to reduce the need.
“To policymakers, it’s like paying twice for the same education,” said Ms. Barnett.
The transitional curricula being offered by states and districts typically consist of a course, a set of instructional units, online tutorials, or other educational experiences offered no later than 12th grade to students considered at risk of being placed into remedial college courses, according to the Teachers College report.
These programs are designed for students who don’t quite meet college-readiness benchmarks, but who aspire to college and need some extra instruction. Students take the transitional courses during the school day, usually for high school credit with the goal of entering credit-bearing college courses upon matriculation.
A few states, such as California, were early adopters of the transitional approach, but most states have launched their programs in the past two to three years, and interest is rising, according to Ms. Barnett. The issue will be front and center in every state soon with the advent of assessments aligned with the Common Core State Standards. Once students are deemed ready or not—and many educators anticipate that large numbers will not be college-ready—states will be scrambling to find ways to get students up to speed, Ms. Barnett added.
“The huge readiness gap has been apparent for several years, but it is growing, and we will continue to see it grow as the common core takes hold,” said Megan A. Root, a senior associate with the Southern Regional Education Board, in Atlanta, which has been an advocate of what it calls “readiness” courses to ease the transition to college or career training.
The SREB convened teams of teachers, college faculty members, and other experts who worked for three years to develop curricula for a math course and a literacy course for struggling high school students. The courses are being piloted now in 20 schools in seven states, including Arkansas, Indiana, and Louisiana, and the curriculum was posted free online in November. The board is working with 16 states, which have committed to the agenda with varying levels of policy to support it.
While such efforts with transitional curricula may be part of the answer to the challenge of improving college completion, alone they are insufficient, said Phillip Lovell, a vice president of the Alliance for Excellent Education, a Washington-based research and advocacy group. http://www.edweek.org/ew/articles/2014/02/19/21highschool.h33.html?tkn=NUOFOPsd0T8GfgW3DUT6xdmEy4RDZdYvKyv2&cmp=clp-edweek&intc=es

See. Alliance for Excellent Education http://all4ed.org/issues/college-career-readiness/

Here is an explanation of the Core to College Program:

Core to College
What is Core to College?
Core to College is a multi-state grant initiative designed to promote strong collaboration between higher education and the K-12 sectors in the implementation of the Common Core State Standards and aligned assessments. In 12 grantee states – Colorado, Florida, Hawaii, Indiana, Kentucky, Louisiana, Maine, Massachusetts, North Carolina, Oregon, Tennessee and Washington – Core to College is helping states drive higher levels of alignment and collaboration to achieve greater college readiness with financial resources, technical assistance and evaluation support.
How will Core to College Make an Impact?
Core to College has a number of intended state-level outcomes. Each grantee state has identified its own specific activities that support the following:
• Establishing a statewide definition of college readiness.
• Creating the conditions that lead to the adoption by post-secondary institutions of the CCSS assessments as a determinant of a student’s readiness for credit-bearing course enrollment.
• Promoting greater K-12/post-secondary sector alignment around the CCSS in areas including, but not limited to:
o Academic courses and sequences
o Data and accountability
o Teacher development (including both pre-service and in-service)
What are Core to College States Doing?
Core to College grantees have developed a number of strategies and activities to meet their goals:
Convenings. All twelve states are hosting trainings and convenings to foster connections between K-12 educators and leaders and post-secondary faculty and administrators. These are occurring at various levels – state, regional and local.
Dedicated Staff. All grantee states have hired an Alignment Director to add critical cross-sector capacity and drive the collaborative work forward.
Communications. States are developing communications plans to create and disseminate information about the Common Core State Standards and assessments, and how these new tools will improve college readiness and college completion in their state.
Data Activities. The grantee states plan to gather, analyze and distribute information about student transitions and preparedness to ensure that collaboration and initiatives are supported by outcomes data; in some cases, states will be collecting and sharing post-secondary student outcomes with high schools in their state.
Core to College is a sponsored project of Rockefeller Philanthropy Advisors with funding from the Lumina Foundation, the William and Flora Hewlett Foundation, the Bill & Melinda Gates Foundation and the Carnegie Corporation of New York. WestEd will conduct an independent evaluation of the project. Education First is the project manager and oversees the Core to College Learning Network. For more information contact Anand Vaishnav at
avaishnav@education-first.com.
http://rockpa.org/page.aspx?pid=580

In Critical thinking is an essential trait of an educated person, moi said:
There is a great deal of dissatisfaction with the state of education in America. A lot of that dissatisfaction comes from the belief that the education system fails to actually educate children and to teach them critical thinking skills.
K-12 education must not only prepare students by teaching basic skills, but they must prepare students for training after high school, either college or vocational. There should not only be a solid education foundation established in K-12, but there must be more accurate evaluation of whether individual students are “college ready.” https://drwilda.com/2012/01/22/critical-thinking-is-an-essential-trait-of-an-educated-person/

Related:

What the ACT college readiness assessment means https://drwilda.com/2012/08/25/what-the-act-college-readiness-assessment-means/

Study: What skills are needed for ’21st-century learning?’ https://drwilda.com/2012/07/11/study-what-skills-are-needed-for-21st-century-learning/

ACT to assess college readiness for 3rd-10th Grades https://drwilda.com/2012/07/04/act-to-assess-college-readiness-for-3rd-10th-grades/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:
COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

Brown University – Hasbro Children’s Hospital study: School violence is a very big issue

19 Jan

The Centers for Disease Control (CDC) writes about school violence:

In the United States, an estimated 50 million students are enrolled in pre-kindergarten through 12th grade. Another 15 million students attend colleges and universities across the country. While U.S. schools remain relatively safe, any amount of violence is unacceptable. Parents, teachers, and administrators expect schools to be safe havens of learning. Acts of violence can disrupt the learning process and have a negative effect on students, the school itself, and the broader community.
2013 Understanding School Violence Fact Sheet Adobe PDF file [PDF 250KB]

Click to access school_violence_fact_sheet-a.pdf

School violence is youth violence that occurs on school property, on the way to or from school or school-sponsored events, or during a school-sponsored event.
What is School Violence?
School violence is a subset of youth violence, a broader public health problem. Violence is the intentional use of physical force or power, against another person, group, or community, with the behavior likely to cause physical or psychological harm. Youth Violence typically includes persons between the ages of 10 and 24, although pathways to youth violence can begin in early childhood.
Examples of violent behavior include:
Bullying
Fighting (e.g., punching, slapping, kicking)
Weapon use
Electronic aggression
Gang violence
School violence occurs:
On school property
On the way to or from school
During a school-sponsored event
On the way to or from a school-sponsored event
Data Sources:
Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System (YRBSS) 2009 National Youth Risk Behavior Survey Overview. Available from URL: http://www.cdc.gov/healthyyouth/yrbs/pdf/us_overview_yrbs.pdf.

School violence is a growing issue.

Linda Carroll of NBC News reported in the story, School violence lands more than 90,000 a year in the ER, study finds:

Despite all the lip service given to battling bullying, many kids are still being seriously hurt while on school grounds, a new study shows. Each year more than 90,000 school children suffer “intentional” injuries severe enough to land them in the emergency room, according to the study published in Pediatrics.
Though there was a decrease in the number of intentional injuries at school over the last 10 years, it was minor, said study co-author Dr. Siraj Amanullah, an assistant professor of emergency medicine and pediatrics at the Alpert Medical School at Brown University.
“We were surprised,” Amanullah said. “With so much emphasis on school safety and bullying now, we expected a bigger decline. Ninety-thousand per year is quite huge.”
And keep in mind, Amanullah said, the study was only looking at kids who turned up in the ER. This could just be the tip of the iceberg.
“Bullying is so underreported,” said Amanullah, adding that children are still reluctant to tell anyone because often little gets done about it. “We were hoping this study would bring more attention to the problem.”
Amanullah and his colleagues pored through data from the National Electronic Injury Surveillance System — All Injury Program collected from January of 2001 through December of 2008. The ER reports include a plethora of detail, including the type of injury, whether it occurred at school and whether it was the result of an accident or was intentional.
While cuts and bruises were the most common injuries at 40 percent, fractures accounted for 12 percent, brain injuries for 10 percent and sprains and strains another 7 percent. The vast majority of injuries — 96 percent — were the result of an assault, with most perpetrators identified as friends or acquaintances. A full 10 percent of the assaults involved multiple perpetrators.
Part of the problem may be the adults that kids model themselves after. An article published in the same issue of Pediatrics reported that bullying behavior by coaches is quite high — and that the schools often make excuses for the behavior if it’s a winning coach.
A survey cited in the article found that 45 percent of kids “reported verbal misconduct by coaches, including name-calling and insulting them during play.”
During the study period, a total of 7,397,301 injuries occurred at school, of which 736,014 were intentional. The new study shows “that almost 10 percent of injuries are intentional, which means there’s a lot of violence going on in the schools that doesn’t include football, or hockey, or volleyball or tripping and falling and getting hurt,” said Patrick Tolan, a professor at the University of Virginia and director of Youth-Nex, the U.Va. Center to Promote Effective Youth Development.
Part of the solution may be increased monitoring of the kids, Tolan said. “Every school should assume they have an issue,” he added. “They should be looking at where and how both intentional and unintentional injuries are occurring….” http://www.nbcnews.com/health/school-violence-lands-more-90-000-year-er-study-finds-2D11898820

Citation:

Emergency Department Visits Resulting From Intentional Injury In and Out of School
1. Siraj Amanullah, MD, MPHa,b,c,
2. Julia A. Heneghan, MDc,d,
3. Dale W. Steele, MD, MSa,b,
4. Michael J. Mello, MD, MPHa,c, and
5. James G. Linakis, PhD, MDa,b,c
+ Author Affiliations
1. Departments of aEmergency Medicine and
2. bPediatrics, Alpert Medical School of Brown University, Providence, Rhode Island;
3. cInjury Prevention Center, Rhode Island Hospital, Providence, Rhode Island; and
4. dDepartment of Pediatrics, Rainbow Babies and Children’s Hospital, University Hospitals Case Medical Center, Cleveland, Ohio
Abstract
BACKGROUND AND OBJECTIVE: Previous studies have reported concerning numbers of injuries to children in the school setting. The objective was to understand temporal and demographic trends in intentional injuries in the school setting and to compare these with intentional injuries outside the school setting.
METHODS: Data from the National Electronic Injury Surveillance System–All Injury Program from 2001 to 2008 were analyzed to assess emergency department visits (EDVs) after an intentional injury.
RESULTS: There were an estimated 7 397 301 total EDVs due to injuries sustained at school from 2001 to 2008. Of these, an estimated 736 014 (10%) were reported as intentional (range: 8.5%–10.7% for the study time period). The overall risk of an EDV after an intentional injury in school was 2.33 (95% confidence interval [CI]: 1.93–2.82) when compared with an EDV after an intentional injury outside the school setting. For intentional injury–related EDVs originating in the school setting, multivariate regression identified several demographic risk factors: 10- to 14-year-old (odds ratio [OR]: 1.58; 95% CI: 1.10–2.27) and 15- to 19-year-old (OR: 1.69; 95% CI: 1.01–2.82) age group, black (OR: 4.14; 95% CI: 2.94–5.83) and American Indian (OR: 2.48; 95% CI: 2.06–2.99) race, and Hispanic ethnicity (OR: 3.67; 95% CI: 2.02–6.69). The odds of hospitalization resulting from intentional injury–related EDV compared with unintentional injury–related EDVs was 2.01 (95% CI: 1.50–2.69) in the school setting. These odds were found to be 5.85 (95% CI: 4.76–7.19) in the outside school setting.
CONCLUSIONS: The findings of this study suggest a need for additional prevention strategies addressing school-based intentional injuries.

Here is the press release from Hasbro Children’s Hospital:

Hasbro Children’s Hospital National Study Finds High Number of Pediatric Injuries Caused by Violence at School
1/14/2014
________________________________________
Siraj Amanullah, MD, MPH, an emergency medicine attending physician at Hasbro Children’s Hospital, recently led a study that found children between the ages of five and 19 still experience a substantial number of intentional injuries while at school. The study, titled “Emergency Department Visits Resulting from Intentional Injury In and Out of School,” has been published online ahead of print in the journal Pediatrics.
Amanullah’s team analyzed data from the National Electronic Injury Surveillance System All Injury Program from 2001 to 2008 to assess emergency department (ED) visits after an intentional injury. Of an estimated 7.39 million emergency department visits due to injuries occurring at school, approximately 736,014 (10 percent) were reported as intentional, such as those from bullying and peer-to-peer violence.
“This study is the first of its kind to report such a national estimate,” said Amanullah. “The 10 percent number may not seem large, but it is alarmingly high when you consider that such a significant number of intentional injuries are occurring in the school setting, where safety measures meant to prevent these sorts of injuries, are already in place.”
The study also identified gender and age disparities. Boys were most likely to be identified as at risk for intentional injury-related ED visits from within the school setting, along with all students in the 10- to 14-year age group; whereas girls were most at risk for intentional injury-related ED visits from outside of the school setting, along with the 15- to 19-year age group.
Additionally, both African-American and Hispanic ethnicities were found to be associated with higher risks for intentional injury in the school setting compared to outside school. “The important point about these disparities related to specific ethnicities and specific age groups is that the findings suggest that preventive safety efforts in the school setting may need to be tailored for the groups that carry much of this injury burden,” said Amanullah.
James Linakis, MD, PhD, associate director of pediatric emergency medicine at Hasbro Children’s Hospital and co-author of the study, added, “We know that the risk of hospitalization was found to be higher from intentional injury-related ED visits versus unintentional injuries.” Linakis continued, “In supervised environments such as schools, we have a great opportunity to implement additional prevention strategies and reduce the number of seriously injured children who we are seeing in emergency departments nationwide.”
The study highlights the continued public health impact of bullying and peer-to-peer violence. While there are substantial numbers of emergency department visits due to intentional injuries occurring in U.S. schools, there are still likely many others that do not result in ED visits.
Michael Mello, MD, MPH, director of the Injury Prevention Center at Hasbro Children’s Hospital who also contributed to the study, added a reminder that these injuries not only affect the physical health, but also the emotional health of children, families and both victim and perpetrator. “As parents, guardians and physicians we need to keep talking to our children and patients about this physical and mental health burden. It is our responsibility to address the issue of violence and bullying, both in and out of school, just like prevention efforts for any other medical illness,” said Mello. http://www.lifespan.org/Newsroom/News.aspx?NewsId=64730/Hasbro-Children%E2%80%99s-Hospital-National-Study-Finds-High-Number-of-Pediatric-Injuries–Caused-by-Violence-at-School/#null

One of the best concise guides to preventing school violence is the National PTA Checklist.

The National PTA Checklist recommends the following actions:

1. Talk to Your Children
Keeping the lines of communication open with your children and teens is an important step to keeping involved in their schoolwork, friends, and activities. Ask open-ended questions and use phrases such as “tell me more” and “what do you think?” Phrases like these show your children that you are listening and that you want to hear more about their opinions, ideas, and how they view the world. Start important discussions with your children—about violence, smoking, drugs, sex, drinking, death—even if the topics are difficult or embarrassing. Don’t wait for your children or teens to come to you.
2. Set Clear Rules and Limits for Your Children
Children need clearly defined rules and limits set for them so that they know what is expected of them and the consequences for not complying. When setting family rules and limits, be sure children understand the purpose behind the rules and be consistent in enforcing them.
Discipline is more effective if children have been involved in establishing the rules and, oftentimes, in deciding the consequences. Remember to be fair and flexible—as your children grow older, they become ready for expanded rights and changes in rules and limits. Show your children through your actions how to adhere to rules and regulations, be responsible, have empathy toward others, control anger, and manage stress.
3. Know the Warning Signs
Knowing what’s normal behavior for your son or daughter can help you recognize even small changes in behavior and give you an early warning that something is troubling your child. Sudden changes—from subtle to dramatic—should alert parents to potential problems. These could include withdrawal from friends, decline in grades, abruptly quitting sports or clubs the child had previously enjoyed, sleep disruptions, eating problems, evasiveness, lying, and chronic physical complaints (stomachache or headaches).
4. Don’t Be Afraid to Parent; Know When to Intervene
Parents need to step in and intervene when children exhibit behavior or attitudes that could potentially harm them or others. And you don’t have to deal with problems alone—the most effective interventions have parent, school, and health professionals working together to provide on-going monitoring and support.
5. Stay Involved in Your Child’s School
Show your children you believe education is important and that you want your children to do their best in school by being involved in their education. Get to know your child’s teachers and help them get to know you and your child. Communicate with your child’s teachers throughout the school year, not just when problems arise. Stay informed of school events, class projects, and homework assignments. Attend all parent orientation activities and parent-teacher conferences. Volunteer to assist with school functions and join your local PTA. Help your children seek a balance between schoolwork and outside activities. Parents also need to support school rules and goals.
6. Join Your PTA or a Violence Prevention Coalition
According to the National Crime Prevention Council, the crime rate can decrease by as much as 30 percent when a violence prevention initiative is a community-wide effort. All parents, students, school staff, and members of the community need to be a part of creating safe school environments for our children. Many PTAs and other school-based groups are working to identify the problems and causes of school violence and possible solutions for violence prevention.
7. Help to Organize a Community Violence Prevention Forum
Parents, school officials, and community members working together can be the most effective way to prevent violence in our schools.
8. Help Develop A School Violence Prevention and Response Plan
School communities that have violence prevention plans and crisis management teams in place are more prepared to identify and avert potential problems and to know what to do when a crisis happens. The most effective violence prevention and response plans are developed in cooperation with school and health officials, parents, and community members. These plans include descriptions of school safety policies, early warning signs, intervention strategies, emergency response plans, and post-crisis procedures.
9. Know How to Deal With the Media in a Crisis
Good public relations and media relations start with understanding how the media works and what they expect from organization’s that issue press releases, hold press conferences, and distribute media kits.
10. Work to Influence Lawmakers
Writing an editorial for the local newspaper, holding a petition drive, speaking before a school board meeting, or sending a letter to your legislator can be effective ways to voice your opinion and gain support from decision makers for violence prevention programs in your community. Working with other concerned parents, teachers, and community members, you can influence local, state and even federal decisions that affect the education, safety, and well-being of our children. http://www.pta.org/content.cfm?ItemNumber=984

School violence is a complex set of issues and there is no one solution. The school violence issue mirrors the issue of violence in the larger society. Trying to decrease violence requires a long-term and sustained focus from parents, schools, law enforcement, and social service agencies.

Resources:
A Dozen Things Students Can Do to Stop School Violence http://www.sacsheriff.com/crime_prevention/documents/school_safety_04.cfm

A Dozen Things. Teachers Can Do To Stop School Violence. http://www.ncpc.org/cms-upload/ncpc/File/teacher12.pdf

Preventing School Violence: A Practical Guide http://www.indiana.edu/~safeschl/psv.pdf

Related:

Violence against teachers is becoming a bigger issue https://drwilda.com/2013/11/29/violence-against-teachers-is-becoming-a-bigger-issue/

Hazing remains a part of school culture https://drwilda.com/2013/10/09/hazing-remains-a-part-of-school-culture/

FEMA issues Guide for Developing High-Quality School Emergency Operations Plans https://drwilda.com/2013/07/08/fema-issues-guide-for-developing-high-quality-school-emergency-operations-plans/

Study: 1 in 3 teens are victims of dating violence https://drwilda.com/2013/08/05/study-1-in-3-teens-are-victims-of-dating-violence/

Pediatrics article: Sexual abuse prevalent in teen population https://drwilda.com/2013/10/10/pediatrics-article-sexual-abuse-prevalent-in-teen-population/

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Technological Educational Institute of Crete study: Parenting style linked to internet addiction in children

16 Jan

Moi wrote in Children’s sensory overload from technology:

Jason Dick has 15 Warning Signs That Your Child is An Internet Addict:

Psychological and media experts have compiled a list of warning signs for Internet addiction:
1. The Internet is frequently used as a means of escaping from problems or relieving a depressed mood.
2. Your child often loses track of time while online.
3. Sleep is sacrificed for the opportunity to spend more time online.
4. Your child prefers to spend more time online than with friends or family.
5. He/She lies to family member and friends about the amount of time or nature of surfing being done on the Internet.
6. Your child becomes irritable if not allowed to access the Internet.
7. He/She has lost interest in activities they once found enjoyable before getting online access.
8. Your child forms new relationships with people they have met online.
9. They check their email several times per day.
10. He/She has jeopardized relationships, achievements, or educational opportunities because of the Internet.
11. Your child disobeys the time limits that have been set for Internet usage.
12. They eat in front of the computer frequently.
13. Your child develops withdrawal symptoms including: anxiety, restlessness, or trembling hands after not using the Internet for a lengthy period of time.
14.Your child is preoccupied with getting back online when away from the computer.
15. They have trouble distinguishing between the virtual world and the real world.
It is very important that parents identify Internet addiction in their children at an early age and set limits on their Internet use. My next article will provide a no nonsense contract that parents can use with their children to set limits and boundaries on Internet use. http://ezinearticles.com/?Internet-Addiction-and-Children-Hidden-Dangers-and-15-Warning-Signs&id=546552

See also, Internet Addiction in Children http://www.disabled-world.com/health/pediatric/internet-addiction.php and Internet Addiction Linked to ADHD and Depression in Teens http://www.cnn.com/2009/HEALTH/10/05/depression.adhd.internet.addiction/index.html?_s=PM:HEALTH

Katherine Doyle of Reuters reported in the article, Parenting style linked to kids’ Internet addiction:

Recollections of strict, unaffectionate parents were more common among young adults with an unhealthy attachment to Internet use, compared to their peers, in a new Greek study.
Young adults who recall their parents being tough or demanding without showing affection tend to be sad or to have trouble making friends, and those personality traits raise their risk of Internet addiction, the researchers say.
“In short, good parenting, including parental warmth and affection, that is caring and protective parents, has been associated with lower risk for Internet addiction,” said lead author Argyroula E. Kalaitzaki of the Technological Education Institute (TEI) of Crete in Heraklion, “whereas bad parenting, including parental control and intrusion, that is authoritarian and neglectful parents, has been associated with higher risk for addiction.”
Research on Internet addiction is still relatively new, and there are no actual criteria for diagnosing the disorder, though there are many inpatient and outpatient treatment facilities in the U.S., Australia and Asia.
Some of the studies done to date suggest that kids who have trouble relating to others in person might be at higher risk for a problematically high level of Internet use. Those who are socially withdrawn or lonely might also be more likely to spend excessive time online.
Kalaitzaki’s team predicted that the way kids bonded with their parents would predict aspects of their personality as young adults, which in turn would predict their likelihood of Internet addiction.
For the study, more than 700 young adults at technical schools, all around age 20, filled out questionnaires during class time. They answered questions about their feelings of loneliness, sadness and anxiety, and about their Internet use.
They also answered questions about how they recalled being brought up during their first 16 years of life.
In Greece, previous studies have found that between 1 percent and 8 percent of teens are addicted to the Internet.
The current study classified almost 2 percent of the men and 0.6 percent of the women as severely addicted, according to the results published in Addictive Behaviors.
The authors did not find a link between anxiety or loneliness and Internet addiction, nor could they directly link any particular parenting style with addiction.
But Kalaitzaki and her colleagues did find indirect connections.
The kids who remembered their fathers as controlling and not affectionate tended to have more trouble relating to others as young adults, and those who had trouble relating to others were more likely to be addicted.
Those who remembered their mothers as just not being very good parents were more likely to report sadness as young adults, which was also linked to Internet addiction.
“Parents should be made aware of the harmful impact that a potential negative parental rearing style may have upon their children in later life,” Kalaitzaki told Reuters Health…
http://ca.news.yahoo.com/parenting-style-linked-kids-39-internet-addiction-222041126.html

Citation:

Argyroula Kalaitzaki
Technological Educational Institute of Crete
Article
The impact of early parenting bonding on young adults’ Internet addiction, through the mediation effects of negative relating to others and sadness.
Argyroula Kalaitzaki
Addictive Behaviors 01/2014; 39(3):733–736.

ABSTRACT The aim of the present study is the investigation of the potential role of negative relating to others, perceived loneliness, sadness, and anxiety, as mediators of the association between early parental bonding and adult Internet Addiction (IA). The factorial structure of the Internet Addiction Test (IAT) and the prevalence rates of it in a Greek samplewill also be investigated. A total of 774 participants were recruited froma Technological Education Institute (mean age = 20.2, SD = 2.8) and from high school technical schools (mean age = 19.9, SD = 7.4). The IATwas used tomeasure the degree of problematic Internet use behaviors; the Parental Bonding Instrument was used to assess one’s recalled parenting experiences during the first 16 years of life; the shortened Person’s Relating to Others Questionnaire was used to assess one’s negative (i.e. maladaptive) relating to others (NRO). Both exploratory and confirmatory factor analyses confirmed the three-factor structure of the IAT. Only 1.0% of the sample was severely addicted to the Internet. The mediated effects of only the NRO and sadness were confirmed.
Negative relating to others was found to fully mediate the effect of both the father’s optimal parenting
and affectionless control on IA, whereas sadness was found to fully mediate the effect of the mother’s optimal parenting on IA. Overall, the results suggest that parenting style has an indirect impact on IA, through the mediating role of negative relating to others or sadness in later life. Both family-based and individual-based prevention and intervention efforts may reduce the incidence of IA.
http://www.researchgate.net/publication/259586504_The_impact_of_early_parenting_bonding_on_young_adults_Internet_addiction_through_the_mediation_effects_of_negative_relating_to_others_and_sadnes

Helpguide.Org has a good article on treating internet addiction in teens. Among their suggestions are:

It’s a fine line as a parent. If you severely limit a child or teen’s Internet use, they might rebel and go to excess. But you can and should model appropriate computer use, supervise computer activity and get your child help if he or she needs it. If your child or teen is showing signs of Internet addiction, there are many things that you as a parent can do to help:
• Encourage other interests and social activities. Get your child out from behind the computer screen. Expose kids to other hobbies and activities, such as team sports, Boy or Girl Scouts, and afterschool clubs.
• Monitor computer use and set clear limits. Make sure the computer is in a common area of the house where you can keep an eye on your child’s online activity, and limit time online, waiting until homework and chores are done. This will be most effective if you as parents follow suit. If you can’t stay offline, chances are your children won’t either.
• Talk to your child about underlying issues. Compulsive computer use can be the sign of deeper problems. Is your child having problems fitting in? Has there been a recent major change, like a move or divorce, which is causing stress? Don’t be afraid to seek professional counseling if you are concerned about your child. Helpguide.Org has a good article on treating internet addiction in teens. Among their suggestions are:
• It’s a fine line as a parent. If you severely limit a child or teen’s Internet use, they might rebel and go to excess. But you can and should model appropriate computer use, supervise computer activity and get your child help if he or she needs it. If your child or teen is showing signs of Internet addiction, there are many things that you as a parent can do to help:
• Encourage other interests and social activities. Get your child out from behind the computer screen. Expose kids to other hobbies and activities, such as team sports, Boy or Girl Scouts, and afterschool clubs.
• Monitor computer use and set clear limits. Make sure the computer is in a common area of the house where you can keep an eye on your child’s online activity, and limit time online, waiting until homework and chores are done. This will be most effective if you as parents follow suit. If you can’t stay offline, chances are your children won’t either.
• Talk to your child about underlying issues. Compulsive computer use can be the sign of deeper problems. Is your child having problems fitting in? Has there been a recent major change, like a move or divorce, which is causing stress? Don’t be afraid to seek professional counseling if you are concerned about your child. Helpguide.Org has a good article on treating internet addiction in teens. Among their suggestions are:
• It’s a fine line as a parent. If you severely limit a child or teen’s Internet use, they might rebel and go to excess. But you can and should model appropriate computer use, supervise computer activity and get your child help if he or she needs it. If your child or teen is showing signs of Internet addiction, there are many things that you as a parent can do to help:
• Encourage other interests and social activities. Get your child out from behind the computer screen. Expose kids to other hobbies and activities, such as team sports, Boy or Girl Scouts, and afterschool clubs.
• Monitor computer use and set clear limits. Make sure the computer is in a common area of the house where you can keep an eye on your child’s online activity, and limit time online, waiting until homework and chores are done. This will be most effective if you as parents follow suit. If you can’t stay offline, chances are your children won’t either.
• Talk to your child about underlying issues. Compulsive computer use can be the sign of deeper problems. Is your child having problems fitting in? Has there been a recent major change, like a move or divorce, which is causing stress? Don’t be afraid to seek professional counseling if you are concerned about your child. http://www.helpguide.org/mental/internet_cybersex_addiction.htm

There is something to be said for Cafe Society where people actually meet face-to-face for conversation or the custom of families eating at least one meal together. Time has a good article on The Magic of the Family Meal http://content.time.com/time/magazine/article/0,9171,1200760,00.html See, also Family Dinner: The Value of Sharing Meals http://www.ivillage.com/family-dinner-value-sharing-meals/6-a-128491

Related:

Is ‘texting’ destroying literacy skills https://drwilda.com/2012/07/30/is-texting-destroying-literacy-skills/

UK study: Overexposure to technology makes children miserable https://drwilda.com/2012/10/31/uk-study-overexposure-to-technology-makes-children-miserable/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/