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Parental assessments of internalizing and externalizing behavior and executive function in children with primary

Marc B Lande1, Heather Adams, Bonita Falkner

  • 1Department of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA. marc_lande@urmc.rochester.edu

The Journal of Pediatrics
|October 1, 2008
PubMed

Insights

Children with hypertension show more internalizing behavior problems and poorer executive function. Obesity exacerbates internalizing issues in hypertensive youth, impacting behavior and executive function.

Area of Science:

  • Pediatric Health
  • Neurodevelopmental Disorders
  • Cardiovascular Health

Background:

  • Primary hypertension in children is a growing concern.
  • Behavioral and executive function deficits may be associated with pediatric hypertension.
  • Obesity is a common comorbidity in hypertensive children.

Purpose of the Study:

  • To investigate the relationship between hypertension and behavioral problems in children.
  • To examine executive function in children with primary hypertension.
  • To assess the moderating role of obesity on these associations.

Main Methods:

  • Matched case-control study comparing hypertensive (n=32) and normotensive (n=32) children (aged 10-18).
  • Parental ratings using the Child Behavior Checklist (CBCL) for internalizing/externalizing problems.
  • Parental ratings using the Behavior Rating Inventory of Executive Function (BRIEF) for executive function.

Main Results:

  • Hypertensive children had significantly higher internalizing T-scores on the CBCL (P=.02).
  • 37% of hypertensive children exhibited clinically significant internalizing problems versus 6% of controls (P=.005).
  • Hypertensive children showed poorer executive function composite scores on the BRIEF (P=.009).

Conclusions:

  • Children with hypertension exhibit elevated internalizing problems and impaired executive function.
  • Obesity amplifies internalizing problems in hypertensive children.
  • Parental reports highlight significant behavioral and executive function challenges in pediatric hypertension.
Abstract

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