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Significant reductions in anxiety symptoms and behavior problems were found for those children who reported clinically elevated levels of anxiety at pretest.
In contrast, hearing and behavior problems were found to significantly decrease the HRQoL of people with DS, which is actually in line with the observations of many local parents of DS children and the previous quality of life studies on subjects with hearing impairment [ 52, 53] and with behavioral problems [ 22].
Increased levels of externalizing and internalizing behavior problems were found among preschool children in alcoholic families in a series of studies conducted by Edwards, Das Eiden and colleagues [ 27– 29], but these studies mainly examined the impact of paternal risk drinking.
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High levels of internalizing and externalizing behavior problems were also found in children exposed to other natural disasters, such as Hurricane Katrina [ 11].
The medium effect size (r = .26) that we found for the improvement in one of the treatment motivation stages during secure residential care corresponds to the moderate improvements (d = .45 − .60) in young people's behavior problems that were found in a meta-analysis of empirical studies within the context of residential youth care (Knorth et al. 2008).
No multicollinearity problem was found.
Fourthly, the toddlers' behavior problems were reported by the mother.
Toddler behavior problems were measured with items from Child Behavior Checklist.
Interestingly, the rates of internalizing behavior problems were much higher than the rates of externalizing behavior problems.
"Trying to find placements for children with behavior problems is very difficult," said Joe Delmar, a spokesman for the Division of Youth and Family Services.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com