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September 1997, Vol 151, No. 9 >
Article | September 1997

Short-term Effectiveness of Anticipatory Guidance to Reduce Early Childhood Risks for Subsequent Violence FREE

Ernest H. Friedman, MD
Arch Pediatr Adolesc Med. 1997;151(9):965. doi:10.1001/archpedi.1997.02170460103030.
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Sege et al1 reported short-term effectiveness of brief, inexpensive, anticipatory guidance to reduce early childhood risks for subsequent violence. Among parents who had never used a time-out prior to the office visit, there was a marked increase in the use of time—outs. Neurobiological features are suggested by the fact that even brief (1-5 seconds) spontaneous pauses in ongoing patterned behaviors are accompanied by an immediate reduction of serotonin neuronal activity to, or below, baseline levels.2 This hypothesis is supported by serotonergic modulation of dopamine3 lateralized to the right hemisphere; optimal response organization and working memory at intermediate dopamine tone in a mediofrontostriatal activation system; and deactivation of the right hemisphere, a state marker of depression, promoting dominance of the left hemisphere associated with cardiac arrhythmia, vasoconstriction, and aggressive responding.4,5

These findings suggest evaluating the effects of repeated interventions over time on the number of time—

REFERENCES

1 +
Sege RD, Perry C, Stigol L, et al.  Short-term effectiveness of anticipatory guidance to reduce early childhood risk for subsequent violence . Arch Pediatr Adolesc Med . 1997;;151:392-397.
2 +
Friedman EH.  Behavioral correlates of coronary risk . Psychother Psychosom . 1997;;66:111.
3 +
Smith GS, Dewey SL, Brodie JD, et al.  Serotonergic modulation of dopamine measured with I 11C]raclopride and PET in normal human subjects . Am J Psychiatry . 1997;;154:490-496.
4 +
Nestler EJ.  Schizophrenia: an emerging pathophysiology . Nature . 1997;;385: 578-579.
5 +
Friedman EH.  Neurobiology of anger-hostility and coronary risk . Psychother Psychosom . 1996;;65:222.
6 +
Rockwell P.  The effects of vocal variation on listener recall . J Psycholinguist Res . 1996;;25:431-441.
7 +
Klann-Delius G, Hofmeister C.  The development of communicative competence of securely and insecurely attached children in interactions with their mothers . J Psycholinguist Res . 1997;;26:69-88.
8 +
Kuhl PK, Meltzoff AN.  Infant vocalizations in response to speech: vocal imitation and developmental change . J Acoust Soc Am . 1996;;100:2425-2438.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Sege RD, Perry C, Stigol L, et al.  Short-term effectiveness of anticipatory guidance to reduce early childhood risk for subsequent violence . Arch Pediatr Adolesc Med . 1997;;151:392-397.
2 +
Friedman EH.  Behavioral correlates of coronary risk . Psychother Psychosom . 1997;;66:111.
3 +
Smith GS, Dewey SL, Brodie JD, et al.  Serotonergic modulation of dopamine measured with I 11C]raclopride and PET in normal human subjects . Am J Psychiatry . 1997;;154:490-496.
4 +
Nestler EJ.  Schizophrenia: an emerging pathophysiology . Nature . 1997;;385: 578-579.
5 +
Friedman EH.  Neurobiology of anger-hostility and coronary risk . Psychother Psychosom . 1996;;65:222.
6 +
Rockwell P.  The effects of vocal variation on listener recall . J Psycholinguist Res . 1996;;25:431-441.
7 +
Klann-Delius G, Hofmeister C.  The development of communicative competence of securely and insecurely attached children in interactions with their mothers . J Psycholinguist Res . 1997;;26:69-88.
8 +
Kuhl PK, Meltzoff AN.  Infant vocalizations in response to speech: vocal imitation and developmental change . J Acoust Soc Am . 1996;;100:2425-2438.

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