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Spouses/partners in the intervention group reported more rapid improvement in their children's behaviour problems compared with the usual care group, but there were no differences in parenting or general psychopathology (Supplementary Table 2b).
13 Furthermore, children of mothers with comorbid PTSD and depression are significantly more likely to display internalising and externalising behaviour problems compared with children of mothers with depression only.
25 26 The children of mothers with comorbid PTSD and depression also have an increased risk for internalising and externalising behaviour problems, compared with mothers with depression alone or no disorder.
The children of mothers meeting criteria for PTSD (M=54.06, SE=18.97) were more likely to display behaviour problems compared with the children of mothers who did not meet criteria for PTSD (M=44.25, SE=30.76), but this was not a significant effect t (58)=1.19, p=0.238.
The children of mothers who abused alcohol (M=52.60, SE=24.52) were also more likely to display behaviour problems, compared with the children of mothers who did not abuse alcohol (M=45.94, SE=29.74), but this effect was also not significant t (68)=0.49, p=0.628 (see table 3).
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This is in line with previous research stating that Moroccan parents have a lower identification rate of behaviour problems compared to other ethnic groups [ 63].
A misshapen body is a small problem compared with death.
The KD group also experienced significantly more problems associated with their conduct such as temper tantrums, disobedience and argumentative behaviour when compared with the hospital control group (P = 0.030).
The observed behaviour is compared with the design basis predictions.
On a composite measure of global adversity throughout adulthood that included mental health, family life and relationships, and educational and economic problems, those with severe externalising behaviour scored significantly higher (40.1% in top quarter), as did those with mild externalising behaviour (28.3%), compared with those with no externalising behaviour (17.0%).
Previous research has shown that all three sub-domains contribute to the higher SCQ scores in children with ADHD when compared to their unaffected siblings and typically developing controls [ 31], although a smaller study found this was the case with social and communication problems but not repetitive behaviours compared with typically developing controls [ 32].
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