Prompt

You are the general paediatrician seeing preschool behaviour concerns. The examiner will test norms versus impairment, functional assessment, first-line care and safety.

Stem

The examiner starts with a toddler tantrum history, then adds multi-setting aggression, a smacking request, rural access limits, and an acute safety twist. ^[1] ^[2]

References11Show

[1]Gleason MM Addressing Early Childhood Emotional and Behavioral Problems. Pediatrics, 2016.PMID 27940734
[2]Sege RD Effective Discipline to Raise Healthy Children. Pediatrics, 2018.PMID 30397164
[3]Gershoff ET Spanking and child outcomes: Old controversies and new meta-analyses. J Fam Psychol, 2016.PMID 27055181
[4]Wakschlag LS Defining the developmental parameters of temper loss in early childhood: implications for developmental psychopathology. J Child Psychol Psychiatry, 2012.PMID 22928674
[5]Wakschlag LS Clinical Implications of a Dimensional Approach: The Normal:Abnormal Spectrum of Early Irritability. J Am Acad Child Adolesc Psychiatry, 2015.PMID 26210331
[6]Furlong M Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database Syst Rev, 2012.PMID 22336837
[7]Valero-Aguayo L Meta-analysis of the Efficacy and Effectiveness of Parent Child Interaction Therapy (PCIT) for Child Behaviour Problems. Psicothema, 2021.PMID 34668468
[9]Comer JS Remotely delivering real-time parent training to the home: An initial randomized trial of Internet-delivered parent-child interaction therapy (I-PCIT). J Consult Clin Psychol, 2017.PMID 28650194
[10]Bagner DM Telehealth Treatment of Behavior Problems in Young Children With Developmental Delay: A Randomized Clinical Trial. JAMA Pediatr, 2023.PMID 36622653
[15]Hanley GP Functional analysis of problem behavior: a review. J Appl Behav Anal, 2003.PMID 12858983
[16]Iffland M Pharmacological intervention for irritability, aggression, and self-injury in autism spectrum disorder (ASD). Cochrane Database Syst Rev, 2023.PMID 37811711

Stem

The examiner starts with a toddler tantrum history, then adds multi-setting aggression, a smacking request, rural access limits, and an acute safety twist. ^[1] ^[2]

References11Show

[1]Gleason MM Addressing Early Childhood Emotional and Behavioral Problems. Pediatrics, 2016.PMID 27940734
[2]Sege RD Effective Discipline to Raise Healthy Children. Pediatrics, 2018.PMID 30397164
[3]Gershoff ET Spanking and child outcomes: Old controversies and new meta-analyses. J Fam Psychol, 2016.PMID 27055181
[4]Wakschlag LS Defining the developmental parameters of temper loss in early childhood: implications for developmental psychopathology. J Child Psychol Psychiatry, 2012.PMID 22928674
[5]Wakschlag LS Clinical Implications of a Dimensional Approach: The Normal:Abnormal Spectrum of Early Irritability. J Am Acad Child Adolesc Psychiatry, 2015.PMID 26210331
[6]Furlong M Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database Syst Rev, 2012.PMID 22336837
[7]Valero-Aguayo L Meta-analysis of the Efficacy and Effectiveness of Parent Child Interaction Therapy (PCIT) for Child Behaviour Problems. Psicothema, 2021.PMID 34668468
[9]Comer JS Remotely delivering real-time parent training to the home: An initial randomized trial of Internet-delivered parent-child interaction therapy (I-PCIT). J Consult Clin Psychol, 2017.PMID 28650194
[10]Bagner DM Telehealth Treatment of Behavior Problems in Young Children With Developmental Delay: A Randomized Clinical Trial. JAMA Pediatr, 2023.PMID 36622653
[15]Hanley GP Functional analysis of problem behavior: a review. J Appl Behav Anal, 2003.PMID 12858983
[16]Iffland M Pharmacological intervention for irritability, aggression, and self-injury in autism spectrum disorder (ASD). Cochrane Database Syst Rev, 2023.PMID 37811711

Temper tantrums, aggression and emotional dysregulation — branching viva

Stem

Temper tantrums, aggression and emotional dysregulation — branching viva

Stem