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Full-Text Articles in Clinical Psychology

Music Therapy As A Support Model In Massachusetts Special Education: A Literature Review, Bonnie Diamond May 2024

Music Therapy As A Support Model In Massachusetts Special Education: A Literature Review, Bonnie Diamond

Expressive Therapies Capstone Theses

Mental health directly impacts student propensity for making academic progress in the public education system. For children with disabilities, it is especially vital to develop and implement techniques within special education that deliver personally tailored benefits. According to the United States Department of Education, music therapy offers highly effective support to a wide range of students within the school setting so that they may achieve academic success and be supported in their social/emotional development (U.S Department of Education, 2011; AMTA, 2021). In examining the multifaceted ways that music therapy can offer support within the structure of education and mental health, …


Communication Of Mental Health Diversity To The Early Childhood Age Group: “The Adventures Of Anxious Anderson, Distracted Daniel, And Organized Olive”, Jessica Gower Apr 2024

Communication Of Mental Health Diversity To The Early Childhood Age Group: “The Adventures Of Anxious Anderson, Distracted Daniel, And Organized Olive”, Jessica Gower

Honors Projects

In this project, I aim to explore various aspects of communication, cognitive ability, and mental health diversity in early child development. The three research questions guiding this project are: What cognitive and language abilities do children in the early childhood stage of development have? What are the most effective strategies for communicating information about mental health disorders to children ages 4 to 7 through storytelling? And lastly, how do anxiety, attention-deficit/ hyperactivity disorder (ADHD), and obsessive-compulsive disorder (OCD) manifest, particularly in children? The storybook's purpose is to create a sense of empathy and understanding of mental health diversity in children …


The Developmental Importance Of Napping In Preschool Children, Adam T. Newton Nov 2022

The Developmental Importance Of Napping In Preschool Children, Adam T. Newton

Electronic Thesis and Dissertation Repository

Most children cease napping between 2- and 5-years-old. Little is known about the predictors or outcomes related to this cessation, or the interrelation of different components of nap behavior. Four empirical studies were conducted to investigate the developmental importance of napping among preschool children.

Studies 1 and 2 used a large, longitudinal sample of Canadian children to investigate the predictors (Study 1) and outcomes (Study 2) related to early nap cessation. Early nap cessation was defined as stopping daytime sleep before three years old. In Study 1, parents reported on their own, child, and family functioning at two timepoints (0-1 …


Pediatric Seizures: Access And Utilization Of Specialty Care And Mental Health Care, Samantha Delos Santos Jul 2022

Pediatric Seizures: Access And Utilization Of Specialty Care And Mental Health Care, Samantha Delos Santos

Theses and Graduate Projects

Epilepsy is the leading neurological disorder among children, and requires specialized health care (Zack & Kobau, 2015). However, many patients with seizures do not receive appropriate specialized care (Begley et al., 2009; Burneo et al., 2009). This study examined the impact of health insurance type on access to and use of specialty care and mental health care among pediatric patients, ages 3-17, whose parents reported that they had experienced at least one seizure in the last year. This study was a secondary analysis of data collected in the 2011 (n = 77) and 2016 (n = 87) National Health Survey …


Children As Mischievous Spirits: Legitimizing Child Cruelty And Filicide In Contemporary Africa, Chima Agazue Jun 2021

Children As Mischievous Spirits: Legitimizing Child Cruelty And Filicide In Contemporary Africa, Chima Agazue

Dignity: A Journal of Analysis of Exploitation and Violence

The belief that certain humans are spiritual entities and the belief that some people are spiritually possessed can be found across histories and cultures. While these individuals are not always viewed in the negative or treated inhumanely, cases abound whereby degrading and inhumane treatments are meted out to some of them. In the African continent, certain groups of people, particularly children are linked to certain mischievous spirits due to their unusual appearance, aberrant behavior, disability, chronic illness, psychopathology or exceptional ability. Some are also suspected and consequently mistreated due to events surrounding their birth. Such children are known by different …


Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson May 2021

Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson

Electronic Thesis and Dissertation Repository

Globally, anxiety disorders represent the most prevalent mental health disorders in children and youth (Polanczyk et al., 2015), with an increasing number of individuals perceiving the need for professional help (Georgiades et al., 2019). It is unclear, however, where families are seeking help from, what barriers families are facing, and what services are being provided for effective management of symptoms. Two methods were used to investigate possible treatment support models; a questionnaire identified patterns in parental help-seeking behaviours and outlined perceived barriers to professional help, while a scoping review examined key components of parent/caregiver treatment models. Findings showed that parents …


Consistent Bedtime Routines Are Linked To Better Sleep Outcomes: Why?, Kristy Larsen May 2021

Consistent Bedtime Routines Are Linked To Better Sleep Outcomes: Why?, Kristy Larsen

Dissertations

Results from nationwide studies estimate that between 81 and 95% of parents in the United States with young children use bedtime routines. This is auspicious given that the use of a consistent bedtime routine is linked with better sleep quality. Indeed, the use of bedtime routines has been determined to have “strong” empirical support for addressing bedtime behavior problems (e.g., bedtime resistance) and for improving children’s sleep. However, it is unclear how, or through what mechanism(s), that a consistent bedtime routine is associated with positive sleep outcomes. We evaluated compliance near bedtime and anxious distress at bedtime as possible mechanisms …


Picky Eating In Children: Associations With Iq And Executive Functioning, Ara Nazmiyal May 2021

Picky Eating In Children: Associations With Iq And Executive Functioning, Ara Nazmiyal

Senior Honors Papers / Undergraduate Theses

Picky eating is an under-researched behavior in children. The current study aims to assess what behaviors correlate with picky eating to better understand potential risk factors for Anorexia Nervosa. 111 children were evaluated at 5 and 6 years old, and a subset was evaluated again at 7 and 8 years old (n=36). Executive function and IQ were evaluated using parent reports and behavioral measures at baseline. Picky eating was reported by a parent questionnaire. Results showed deficits in shifting to be a predictor of higher picky eating behaviors at ages 5-6 years. Additionally, children who were reported extremely picky eaters …


Pediatric Asthma And Psychological Resilience: Examining Whether Family Functioning And Social Support Relate To Asthma Symptoms And Lung Function, Dalia Jaafar, Natasha H. Hikita, Pornchai Tirakitsoontorn, Azucena Talamantes, Anchalee Yuengsrigul, Eric Sternlicht, Brooke N. Jenkins Dec 2020

Pediatric Asthma And Psychological Resilience: Examining Whether Family Functioning And Social Support Relate To Asthma Symptoms And Lung Function, Dalia Jaafar, Natasha H. Hikita, Pornchai Tirakitsoontorn, Azucena Talamantes, Anchalee Yuengsrigul, Eric Sternlicht, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

Upwards of 6 million children in the United States are afflicted with pediatric asthma. While previous research has linked asthma to multiple contributing biological and environmental factors, recent research suggests that psychological and social factors may have an impact on physiological outcomes of asthma like lung function and lung inflammation. Therefore, we suggest the need to study the impact of positive psychological factors such as a well-functioning family environment and beneficial social support on symptoms and lung function of children diagnosed with asthma. In the present pilot study, we recruited a total of 15 children with a confirmed asthma diagnosis …


Impacts Of Motor And Sensory Impairment On Language In Young Children With Autism, Elizabeth A. Bisi Jun 2020

Impacts Of Motor And Sensory Impairment On Language In Young Children With Autism, Elizabeth A. Bisi

Clinical Psychology Dissertations

Children with autism spectrum disorder (ASD) present with varying degrees of deficit in the broader areas of social communication and stereotyped behaviors, but emerging research proposes delayed motor skill and atypical sensory processing as additional factors worth closer examination. In the current study, I sought to investigate the impacts of visual motor skills and sensory differences on language ability in young children with autism. I hypothesized that young children with autism, atypical sensory processing (Short Sensory Profile, 2nd Edition), and impaired visual motor integration (Beery VMI, 6th Edition) would have the most impacted language ability scores (Differential Ability …


Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris Jun 2020

Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris

Dissertations

Mass imprisonment does not only impact the incarcerated individual; it also affects approximately five million children in the United States. Researchers identified and compare the impact of parental incarceration on child development. They acknowledged the protective factors across the lifecycle from a social-ecological perspective and specifically related to parental incarceration. The comprehensive literature review inspired an innovative model, the social-ecological and protective factor approach to managing parental incarceration. The primary goal of this model is to combat the detrimental effects of parental incarceration by identifying protective factors across the lifecycle and throughout the microsystem, mesosystem, and exosystem. This model is …


Exploration Of Factors That Influence The Use Of Psychological Testing In The Treatment And Evaluation Of Children: Development Of A Clinical Decision-Making Model, Joy Bui Jun 2020

Exploration Of Factors That Influence The Use Of Psychological Testing In The Treatment And Evaluation Of Children: Development Of A Clinical Decision-Making Model, Joy Bui

Dissertations

Mental health disorders are on the rise among children. Within the field of clinical psychology, psychological testing is considered a professional competency and a formative diagnostic tool. Simultaneously, testing can help clarify differential diagnosis, guide treatment for both medical and mental health conditions, and provide accurate monitoring of treatment over time. Although there is substantial evidence supporting the use of testing in practice, there is limited scientific data linking these same benefits to the assessment process. One explanation for this is that studying psychological assessments is a challenging task, given the complexities of the process. Subsequently, many have described conducting …


Reactive And Regulative Temperament Dimensions, Emotion Regulation, And Concurrent Internalizing And Externalizing Pathology Among Youth With Adhd., Kirsten D. Leaberry May 2020

Reactive And Regulative Temperament Dimensions, Emotion Regulation, And Concurrent Internalizing And Externalizing Pathology Among Youth With Adhd., Kirsten D. Leaberry

Electronic Theses and Dissertations

Emerging research has increasingly identified the detrimental effect of internalizing and externalizing comorbidity on the functioning of youth with Attention-Deficit/Hyperactivity Disorder (ADHD). Research in the broad child psychopathology literature has identified a variety of dispositional and developmental risk factors for psychopathology development in youth. However, a conceptual model of psychopathology development has yet to be developed and empirically evaluated in an ADHD sample. Children with ADHD may be particularly vulnerable to exhibiting high rates of psychopathology, given deficits in self-regulation prevalent in this population. The current study proposed and evaluated a theoretical model of distal and proximal risk factors for …


Child And Adolescent Sleep Disturbances And Psychopathology In A Mental Health Clinic Sample, Aviva Blacher Dec 2019

Child And Adolescent Sleep Disturbances And Psychopathology In A Mental Health Clinic Sample, Aviva Blacher

Electronic Thesis and Dissertation Repository

Sleep disturbances in children and adolescents (hereafter children) are associated with significant short-term and long-term impairments including more severe psychopathology, reduced cognitive functioning, and poorer general health. We know that children being treated in specialty mental health services are more likely to have sleep disturbances than community samples. We also know that relationships exist between sleep and psychopathology in children with specific disorders (e.g. ADHD, depression, etc.). However, few studies have investigated the relationship between sleep and psychopathology in a broad sample of children seen at mental health agencies. Both child factors and family factors may influence both sleep and …


Attentional Processes In Anxiety: Examining Threat-Related Attention Bias And Attentional Control In Anxious Youth, Raquel Melendez Jun 2019

Attentional Processes In Anxiety: Examining Threat-Related Attention Bias And Attentional Control In Anxious Youth, Raquel Melendez

FIU Electronic Theses and Dissertations

Attention bias modification treatment (ABMT) is a computer-administered intervention informed by theoretical models implicating the role of attentional processes in the etiology and maintenance of anxiety. Attention bias modification treatment presents an innovative, cost-effective approach to meeting demand for treatment of anxiety disorders; however data are limited regarding long-term outcomes and related predictors of ABMT treatment outcomes in youth. Therefore, the present study examined long-term outcomes of ABMT as a standalone or adjunctive treatment in 74 youth referred to an anxiety disorders clinic. Three groups of youth (ages 9 to 22) were identified and assessed approximately one to six years …


Key Expressions Of Posttraumatic Distress In Cambodian Children: A Step Toward Culturally-Sensitive Trauma Assessment And Intervention, Caleb J. Figge Jun 2019

Key Expressions Of Posttraumatic Distress In Cambodian Children: A Step Toward Culturally-Sensitive Trauma Assessment And Intervention, Caleb J. Figge

College of Science and Health Theses and Dissertations

More than half of all children in Cambodia experience direct abuse and over 70% other traumatic events, which significantly increase risk for a range of physical and mental health problems. Additionally, Cambodian children face longstanding sociopolitical, intergenerational, and cultural factors that compound the impact of direct victimization. As a result, rates of posttraumatic stress symptoms among Cambodian youth are high. However, care providers often rely on Western-based nosology that does not account for culturally specific expressions of trauma. Lack of knowledge surrounding the expressions of distress that best represent the experience of traumatized Cambodian children hinders diagnostic accuracy and treatment …


The Role Of Antecedent-Focused Emotion Regulatory Strategies On Emotionally Dysregulated Behavior Above And Beyond The Influence Of Adhd., Skyler C. Vanmeter May 2019

The Role Of Antecedent-Focused Emotion Regulatory Strategies On Emotionally Dysregulated Behavior Above And Beyond The Influence Of Adhd., Skyler C. Vanmeter

College of Arts & Sciences Senior Honors Theses

Emotion dysregulation in children may contribute to poor interpersonal relationships and a variety of internalizing and externalizing psychopathological outcomes in children both with and without ADHD. This study serves to provide an examination of how emotional self-awareness and situationally appropriate emotional expression may affect an individual's ability to broadly regulate emotion and additionally provides an exploratory investigation of how these attributes may affect specific emotion regulation. The present study found that emotional self-awareness and emotion recognition may both contribute to emotion regulation through shared variance with each other rather than unique variance of either one. Exploratory analyses of regulation of …


An Exploration Of The Experience Of Adults With Learning Disabilities Through Art, Adi Greenboim-Zimchoni Feb 2019

An Exploration Of The Experience Of Adults With Learning Disabilities Through Art, Adi Greenboim-Zimchoni

Expressive Therapies Dissertations

This study employed arts-based research with phenomenological, qualitative inquiry to understand and explore the perspectives of adults with learning disabilities and their sense of self and support in inclusive and special education classrooms in Israel during their school years. In this study, the researcher attempted to take Bronfenbrenner’s Ecological Systems Theory (1979) one step further by examining the participants’ feelings and relationships with the people in their daily lives during childhood. The researcher met with 12 participants ages 18-31 diagnosed with learning disabilities between third and eleventh grade. Participants created drawings illustrating how they felt about teachers, parents, friends and …


Stimulus Regulation In Pediatric Trichotillomania, Tia Rose Lee Jan 2019

Stimulus Regulation In Pediatric Trichotillomania, Tia Rose Lee

Senior Projects Spring 2019

Previous research on pediatric trichotillomania (TTM) has focused on the difference between two different subgroups of hair-pullers: “focused” pullers (i.e. those who pull within their awareness) and “automatic” pullers (i.e. those who pull outside of their awareness; Christenson et al., 1992; Flessner et al., 2008; Penzel, 2003). To date, only one other study has examined how sensory processing may differ between these two groups, or how these differences may impact these groups’ hair-pulling triggers (Falkenstein et al., 2018). Thus, the aim of the current study was to analyze how sensory processing patterns may differ between predominantly focused pullers and predominantly …


Teaching The Leisure Skill Of Photography To Children With Autism Spectrum Disorder, Alicia Tsai Jan 2019

Teaching The Leisure Skill Of Photography To Children With Autism Spectrum Disorder, Alicia Tsai

CMC Senior Theses

Children with autism spectrum disorder (ASD) often do not use their leisure time appropriately. Previous studies have shown that children with ASD tend to engage in inappropriate actions and maladaptive behaviors (such as engaging in stereotypy and tantrums) that decrease their quality of life. Establishing age-appropriate leisure skills is important for these children as these skills have been recognized as fulfilling habilitative needs, and can increase the quality of life and social acceptance and decrease the amount of stress for these individuals. The present study used a multiple baseline across-participants design to investigate whether children with ASD can learn and …


Parental Mindfulness And Stress As An Influence On Clinically Referred Children’S Emotional Competence, Ahmad Baiyasi May 2018

Parental Mindfulness And Stress As An Influence On Clinically Referred Children’S Emotional Competence, Ahmad Baiyasi

Honors College Theses

Children acquire the skills of emotional competence in a variety of contexts, and demonstrate through their behavior the skills evident of emotional competence. Such skills include a sense of well-being, adaptive resilience in the face of stressful circumstances, and the ability to manage their own emotions (Saarni, 2000). Mindfulness, a relatively new construct in the study of human development, is nonjudgmentally paying attention to relevant aspects of our experiences, including our own emotions and thoughts (Ludwig & Kabat-Zinn, 2008). Stress is emotional or mental strain resulting from adverse or very demanding life circumstances, such as our living environment (Lunney, 2006). …


Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann May 2018

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …


Bedtime Fading With Response Cost For Treatment Of Sleep Disturbances In Children With Autism Spectrum Disorder, Sela Ann Sanberg Aug 2017

Bedtime Fading With Response Cost For Treatment Of Sleep Disturbances In Children With Autism Spectrum Disorder, Sela Ann Sanberg

Theses & Dissertations

As many as 82% of children with Autism Spectrum Disorders (ASD) experience numerous chronic sleep-related problems and at a much higher frequency and severity than their typically developing peers. Behavioral treatments are considered best practice and first-line treatment to address sleep problems. These treatments tend to address one specific sleep-related behavior at a time. Bedtime Fading with Response Cost (BFRC) is a promising intervention that targets a multitude of sleep problems concurrently and has yet to be replicated by more than one investigative team in the home setting with children on the autism spectrum. This study evaluated the effectiveness of …


Sleep, Executive Control, And Psychopathology In Children: A Longitudinal Study And An Examination Of Brief Sleep Treatment, Katherine M. Kidwell Oct 2016

Sleep, Executive Control, And Psychopathology In Children: A Longitudinal Study And An Examination Of Brief Sleep Treatment, Katherine M. Kidwell

Department of Psychology: Dissertations, Theses, and Student Research

Researchers have acknowledged that poor sleep is not merely a symptom of psychopathology but also a contributing factor to the development of psychopathology in children (Walker & Harvey, 2010). However, more research is needed to explicate the associations among sleep, executive control (EC), and psychopathology. Specifically, there are few studies using longitudinal designs and limited research on how treating sleep can improve mental health symptoms. This dissertation provides a conceptual framework for the associations among sleep, EC, and psychopathology. The conceptual framework is bolstered by two studies. Study 1 is an examination of early sleep problems and preschool EC as …


Observational Assessment Of Empathy In Parent-Child Verbal Exchanges And Their Influence On Child Behavior, Patty Carambot Sep 2016

Observational Assessment Of Empathy In Parent-Child Verbal Exchanges And Their Influence On Child Behavior, Patty Carambot

Dissertations, Theses, and Capstone Projects

Empathy, the ability to both experientially share in and understand others’ thoughts, behaviors, and feelings, is vital for human adaptation. Deficits in empathy development have implications across the lifespan for the development of prosocial behavior, social functioning, mental health disorders, and risk for antisocial behavior (e.g., Guajardo, Snyder, & Petersen, 2009; Moreno, Klute & Robinson, 2008). In light of these societal and individual burdens, it is imperative to foster and strengthen the development of this ability early in life to prevent or ameliorate such negative outcomes. This type of prevention can take a variety of forms, but parent and child …


Identifying The Trauma Recovery Needs Of Maltreated Children: An Examination Of Child Welfare Workers' Effectiveness In Screening For Traumatic Stress, Adrienne Whitt-Woosley Jan 2016

Identifying The Trauma Recovery Needs Of Maltreated Children: An Examination Of Child Welfare Workers' Effectiveness In Screening For Traumatic Stress, Adrienne Whitt-Woosley

Theses and Dissertations--Social Work

Children in the child welfare system comprise a group characterized by their exposure to trauma via experiences of maltreatment, under circumstances presenting multiple risk factors for traumatic stress. High rates of posttraumatic stress have been observed in this population. However, there is currently no standard for the universal screening of children in child welfare for trauma exposure and traumatic stress. The purpose of this study was to analyze the trauma experiences of a sample of maltreated children and examine whether child welfare workers are effective screeners of traumatic stress symptoms with children from their caseloads. Method: A sample of children …


The Efficacy Of Electroconvulsive Therapy In Managing Self-Injurious Behaviors Among Youth With Autism Spectrum Disorder: A Review, Themal I. Ellawala Oct 2015

The Efficacy Of Electroconvulsive Therapy In Managing Self-Injurious Behaviors Among Youth With Autism Spectrum Disorder: A Review, Themal I. Ellawala

Scholarly Undergraduate Research Journal at Clark (SURJ)

Self-Injurious Behaviors (SIB) in Autism Spectrum Disorder (ASD) form a constellation of particularly pervasive and harmful symptoms signifying high morbidity for children and adolescents. Electroconvulsive Therapy (ECT) has been proposed as a last resort for particularly severe and treatment-resistant forms of SIB, yet has received little acceptance in mainstream clinical psychology. This paper summarizes findings of four studies investigating the effic- acy of ECT in treating SIB in ASD inflicted youth. This paper also evaluates the research on potential side-effects and ethical implications of ECT use. I conclude that while extensive further research is required to understand the implications of …


Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati Jan 2015

Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati

Theses and Dissertations

Family factors have long been associated with the psychosocial adjustment of children with chronic illnesses, such as asthma (Minuchin, 1975; Rapee, 1997). Research indicates that negative family factors may also contribute to child disease severity, via bio-behavioral mechanisms of effect (Wood et al., 2006); however, these pathways have yet to be examined with a comprehensive focus on more positive family factors. This study sought to examine whether factors such as family cohesion, problem solving abilities, and communication influence asthma symptom severity in children via their effects on child depression and anxiety symptoms. Using structural equation modeling, we identified significant indirect …


Differences In Narcissistic Presentation In Abused And Non-Abused Children And Adolescents, Mallory Laine Malkin Aug 2014

Differences In Narcissistic Presentation In Abused And Non-Abused Children And Adolescents, Mallory Laine Malkin

Dissertations

The present study examined whether children and adolescents who have been victims of sexual or physical abuse report higher levels of narcissistic tendencies than children and adolescents who have not been victims of abuse. Inaddition to narcissism, internalizing symptoms, externalizing behaviors, and risky behaviors were evaluated, as such issues have been associated with both maltreatment (Baer & Maschi, 2003) and narcissism (Barry & Malkin, 2010; Bushman & Baumeister, 1998). One-hundred fifty- six (156) children and adolescents (100 females, 56 males) ranging in age from 8 to 17 (M = 12.90, SD = 2.66) were recruited as participants. The vast majority …


Childhood Sexual Behavior: An Integrated Developmental Ecological Assessment Approach, Kelley Simmons Jones Jan 2014

Childhood Sexual Behavior: An Integrated Developmental Ecological Assessment Approach, Kelley Simmons Jones

Antioch University Full-Text Dissertations & Theses

This qualitative, theoretical review and analysis of extant literature explored the sociocultural influences effecting conceptualization of childhood sexual behavior problems. Themes emerged from analysis of peer-reviewed journals that illustrated the complex, multidimensional, and ecological factors influencing child sexual development and problematic sexual behavior. These included major themes of Child Sexuality: Ecological Context, Developmental Context, Complex Trauma, and Ecological Interventions. Specific factors associated with childhood sexual behavior problems included trauma, domestic violence, sexual and physical abuse, psychological and emotional distress, impaired attachment, and the effects of diverse ecological systems such as the family, parents, and sociocultural influences of the greater community. …