Students with internalizing behavioral concerns are an overlooked and underserved segment within education. The trend unfortunately results in poor academic and societal outcomes. In response, early prevention and identification through universal screening practices has become an important method for combating internalizing problems in education. However, additional research in the field is needed, including better psychometric understanding of the instruments available and what types of informants provide the best evidence for proper identification. Therefore, the purpose of the following study was to investigate how student and teacher informants of internalizing behaviors influence outcomes in the context of universal screening. Comparison of these two informants were done by analyzing the relationship between a teacher completed screener, the Student Internalizing Behavioral Screener (SIBS) and a student completed behavior rating scale, the Behavioral Assessment System for Children – 2nd edition (BASC-2). In addition to exploration of informant agreement, discrepancies in test score outcomes for different student age groups were investigated along with criterion relatedness of the SIBS when using student self-report as a criterion measure. Results included low agreement between teacher and student informant, as well as poor discriminate ability of the SIBS when using student self-report as a criterion. Findings also revealed a small but significant age discrepancy in the total score for the SIBS when comparing a child vs. adolescent sample. Implications of the findings suggest teachers as a sole informant about internalizing behaviors of students may not be sufficient for desired outcomes of proper identification with internalizing behaviors. Moreover, age may be a factor in monitoring internalizing problems across development and current psychometric evaluation of screeners (e.g., type of validity) should also include other informants. Based on the findings, future directions of research are also proposed. This includes exploration of the impact teachers and teacher training as well as considerations for multi-informant screening procedures.

The purpose of the study is to examine young children's internalizing and externalizing behaviors in the context of post paternal incarceration by focusing on both risks (i.e., parental depressive symptoms), protective factors (i.e., coparenting alliance), and their impact considered together. The final sample included 426 previously incarcerated fathers and the biological mothers of their three-year-old children. Using hierarchical multiple regression, I examined three sets of analyses: 1) the association between parental depressive symptoms and children's behavior outcomes, 2) the association between coparenting alliance and children's behavior, 3) the association between parental depressive symptoms and children's behavior as moderated by coparenting alliance. Expectedly, higher paternal depressive symptoms were associated with higher externalizing behavioral problems in children. Unexpectedly, higher maternal depressive symptoms were associated with lower externalizing behavioral problems. Also, unexpectedly, the associations between maternal and paternal coparenting alliance and both child behavioral outcomes were not statistically significant. Further, when mothers reported lower coparenting alliance with their child's father, the negative association between fathers' depressive symptoms and children’s internalizing behavioral problems was not attenuated; in fact, children had higher internalizing behavioral problems. My findings suggests father's depressive symptoms are an important point of consideration given the deleterious effects parental depressive symptoms can have on children, and the risks for depressive symptoms among formerly incarcerated fathers. Further, my findings have implications for addressing and treating fathers' depressive symptoms when children are relatively young in order to lower internalizing behavior problems from persisting across and beyond childhood.

Thesis advisor: Maureen E. Kenny / Childhood obesity is one of the most significant threats to the health development of children in the United States. A relationship has been found between mental health conditions, such as depression, and obesity development. Obesity prevention initiatives frequently target children's health behaviors due to their important role in the development of childhood obesity. Yet despite their importance, relatively little is known about the association between mental health factors and children's health behaviors. In addition, self-efficacy and self-regulation, cognitive factors which have been found to have a prominent role in behavior change, may also be correlated with children's health behaviors. These cognitive factors may also interact with mental health factors to predict children's health behaviors. The current study sought to investigate whether or not internalizing behaviors, self-efficacy, and self-regulation significantly predicted healthy eating behavior, unhealthy eating behavior, and physical activity behavior in preadolescent children. The study was a secondary data analysis of the Study of Early Child Care and Youth Development (SECCYD) Phase II-III data. Internalizing behaviors were found to have a significant relationship with unhealthy eating behaviors for both boys and girls, however, the relationship was positive for girls and negative for boys. Among the cognitive factors, sports self-efficacy and self-regulation, sports self-efficacy was found to be a significant predictor of physical activity behavior for both boys and girls. In addition, the moderating relationship between internalizing behaviors and self-regulation as a predictor of physical activity behavior was supported for boys. Findings from the study indicate individual psychological factors, such as mental health and self-efficacy may have a significant influence on children's health behaviors. Results also suggest factors at the psychological level may be interacting with one another, along with factors at the biological and social levels of development, to influence health behaviors. The current study highlights that investigating the psychological factors influencing health behaviors may yield an important contribution towards understanding obesity development. These findings have implications both for identifying children at risk for developing obesity, as well as, the design and implementation of obesity prevention initiatives. / Thesis (PhD) — Boston College, 2012. / Submitted to: Boston College. Lynch School of Education. / Discipline: Counseling, Developmental, and Educational Psychology.

Despite research that indicates that internationally adopted children are at greater risk for poor developmental outcomes than their non-adopted peers (Bimmel, Juffer, IJzendoorn, Bakermans-Kranenburg, 2003; Juffer, & van IJzendoorn, 2005), girls adopted from China into Western culture tend to thrive, exhibiting high self-esteem, low behavior problems (i.e., both externalizing and internalizing), and excelling academically (Rojewski, Shapiro, & Shapiro, 2000; Tan & Jordan-Arthur, 2012). However, few studies have examined whether this trend continues into adolescence, as well as to what factors lead to these positive outcomes. The purpose of this study was to investigate predictors of mental health outcomes among internationally adopted adolescent Chinese girls, particularly factors that predicted levels of internalizing pathology (e.g., depression and anxiety) in adolescence. To fulfill this purpose, a secondary data analysis (N = 167) of information collected as part of a longitudinal study of U.S. international adoptions of Chinese children (2005-present) was completed using a hierarchical regression approach. Overall, these variables (e.g., age at adoption, pre-adoption adversity, family stress, parenting style, adolescent self-esteem, and academic competence) predicted 35% of the variance in internalizing behavior outcomes. The positive adjustment that has been seen in childhood continued to adolescence in this study, with 88% of the adolescent girls reporting Total Internalizing T-scores of less than 60 (i.e., in the normal range) on the Youth Self-Report form on the Child Behavior Checklist (Achenbach & Rescorla, 2001b). Authoritative parenting style and self-esteem showed the strongest relations to internalizing behaviors. Implications of the study for practice and discussion of future research based on these findings are explored.

Students with internalizing behaviors are often overlooked in terms of receiving interventions that could change academic outcomes and prevent problems that could have serious implications, including social withdrawal, social isolation, and suicidal ideation. Recent research has found the use of social emotional learning (SEL), school-wide positive behavior support (SWPBS), and social skill instruction, to be effective in treating students with both internalizing and externalizing behavior problems. The use of peers has also shown promise in helping students with behavior problems. In this study, a multiple baseline across participants' design was used across two playgrounds to evaluate a buddy bench intervention, which utilized peers to help socially withdrawn students increase social engagement and peer interactions and decrease social isolation. All students (N = 448) in grades 1st through 6th were observed during the pre-lunch recess period. Results revealed that from baseline to intervention phases there was a decrease of between 19% (on the 4th to 6th grade playground) and 24% (on the 1st to 3rd grade playground) in the number of students engaged in solitary behavior on the playground. The majority of students reported positive attitudes towards the intervention. Teachers reported mixed feelings about the social validity of the Buddy Bench. Limitations and implications are discussed.

The purpose of this study was to investigate how levels of stress among caregivers beginning a behavioral parent training program are related to caregiver and child variables. Research questions were answered using archival data collected from 474 caregivers who participated in HOT DOCS, a behavioral parent training program, between January 2009 through July 2010. The three objectives of the study were to (a) examine caregivers' perceived stress in relation to caregiver demographic variables (i.e., gender, marital status, level of education); (b) examine caregivers' perceived stress in relation to child demographic variables (i.e., levels of externalizing and internalizing behavior and presence or absence of a diagnosis); and (c) determine how levels of caregiver stress were related to number of parent training sessions completed. Results showed that female caregivers beginning a behavioral parent training program have higher levels of perceived stress than their male counterparts. Additionally, caregivers with a higher level of education reported less stress than caregivers with less education. No differences were found among those of different marital statuses. With regard to child variables, parents' perceptions of their child's externalizing behavior, as measured by the Child Behavior Checklist (CBCL) Externalizing score, were a significant predictor of caregiver perceived stress, but internalizing behavior (also as measured by the CBCL) and presence/absence of a diagnosis were not. Perceived stress upon entering the behavioral parent training was not a significant predictor of number of sessions completed. Implications of the study for parent training for caregivers raising young children with challenging behaviors are discussed.

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This study investigated the effects of lesion presence within larger brain networks (e.g., default mode network (DMN), salience network (SN), and mentalizing network (MN)) in the chronic phase of a pediatric traumatic brain injury (TBI) and the effect on social function. We compared children with a TBI to children with an orthopedic injury (OI) with three different aims. The first aim was to determine whether network volume differed by group (e.g., TBI vs. OI). Second, investigate if lesion presence in a sub component region of the network resulted in total network volume loss for that network. Finally, learn whether network volume would predict outcome on the Behavior Assessment System for Children, Second Edition (BASC-2). Approximately 184 participants (65% male; 70% Caucasian) between the ages of 6-17 years completed testing and a structural MRI scan in the chronic stage (at least one-year post-injury) of the injury. Injury severity included complicated mild, moderate, and severe TBI. Radiological findings were analyzed using recommendations from the Common Data Elements' core (presence or absence of a lesion) and supplementary (lesion type and location) recommendations. Volumetrics for all participants were obtained with FreeSurfer to quantify total network volumes for the DMN, SN, and MN. The parent of each participant completed a behavioral measure for externalizing and internalizing behaviors. Three sets of statistical analyses were completed, including multivariate analysis of covariance, analysis of covariance, and multiple regression, for each of the three aims of the study, respectively. There were significant differences in total DMN volume between the two groups and participants with lesions solely in the MN had lower total MN volume. Moreover, lower total MN volume was associated with worse functioning on measures of externalizing and internalizing behaviors. The larger implications, including developmental and social implications, of these findings are discussed.