Brief Behavioral Intervention for Disruptive Behavior in a Child with a Hypothalamic Hamartoma: A Case Report
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Most children with hypothalamic hamartoma (HH) manifest symptoms of epilepsy and associated cognitive deficits and behavioral difficulties as well as central precocious puberty (CPP). However, there is little to no research examining behavioral difficulties in children with HH without epilepsy, nor is there research examining treatments to address the behavioral difficulties of patients with HH without epilepsy. In the current case report, the authors implemented a validated parent management training program [the Brief Behavioral Intervention (BBI)], to treat symptoms of ADHD and disruptive behavior in a 6-year-old female patient with HH and CPP. The family participated in six BBI sessions over a period of 8 weeks. Parent behavioral ratings suggested significant reductions of symptoms of ADHD and disruptive behaviors to the normal range. The current case report demonstrates the effectiveness of the BBI program in the treatment of behavioral difficulties in a patient with HH and CPP. Further, the present study explores behavioral manifestations rarely explored in patients with HH without epilepsy.
KeywordsHypothalamic hamartoma Central precocious puberty Parent management training Attention-deficit/hyperactivity disorder Brief behavioral intervention
Compliance with Ethical Standards
Conflict of interest
The authors Rachel H. Fein, Gabrielle G. Banks, Marsha N. Gragert, and Marni E. Axelrad declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Abidin, R. R. (1990). Parenting stress index-short form. Charlottesville: Pediatric Psychology Press.Google Scholar
- Beery, K. E., Buktenica, N. A., & Beery, N. A. (2010). Beery-Buktenica developmental test of visual-motor integration, sixth edition, The (BEERY™ VMI). Bloomington: Pearson.Google Scholar
- Chan, Y. M., Fenoglio, K. A., Paraschos, S., Muhammad, L., Troester, M. M., Ng, Y. T., … Seminara, S. B. (2010). Precocious puberty associated with hypothalamaus hamartomas correlates with anatomic features but not with expression of GnRH, TGFα, or KISS1. Hormone Research in Paediatrics, 73(5), 312–319.CrossRefGoogle Scholar
- Conners, C. K. (2015). Conners Kiddie continuous performance test second edition. North Tonawanda: Multi-Health Systems, Inc.Google Scholar
- Eyberg, S. (1999). Eyberg Child Behavior Inventory. Lutz: PAR, Inc.Google Scholar
- Eyberg, S. M., & Pincus, D. (1999). ECBI, SESBI-R professional manual. Lutz: PAR, Inc.Google Scholar
- Garcia, D., Barroso, N. E., Kuluz, J., & Bagner, D. M. (2016). Parent–Child Interaction Therapy and moderate pediatric traumatic brain injury: A case study. Evidence-Based Practice in Child and Adolescent Mental Health, 1(1), 40–50. https://doi.org/10.1080/23794925.2016.1191977.CrossRefGoogle Scholar
- Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function. Odessa: Psychological Assessment Resources, Inc.Google Scholar
- Kaufman, A. S., & Kaufman, N. L. (2014). Kaufman test of educational achievement (3rd ed.). Bloomington: NCS Pearson.Google Scholar
- Reynolds, C. R., Kamphaus, R. W., & Vannest, K. J. (2015). BASC3: Behavior assessment system for children. Bloomington: PsychCorp.Google Scholar
- Reynolds, C. R., & Richmond, B. O. (2008). Revised Children’s Manifest Anxiety Scale (2rd ed.). Los Angeles: Western Psychological Services.Google Scholar
- Sheslow, D., & Adams, W. (2003). Wide range assessment of memory and learning second edition administration and technical manual. Lutz, FL: Psychological Assessment Resources.Google Scholar
- Treble-Barna, A., Chapman, S. G., Schwartz, D. D., & Axelrad, M. A. (2013). Brief behavioral intervention for disruptive behavior in a child following frontal and temporal resection for medically intractable epilepsy: A case report. Clinical Practice in Pediatric Psychology, 1(4), 355–360.CrossRefGoogle Scholar
- Wechsler, D. (2014). Wechsler intelligence scale for children-fifth edition. San Antonio: NCS Pearson.Google Scholar
- Weissenberger, A. A., Dell, M. L., Liow, K., Theodore, W., Frattali, C. M., Hernandez, D., & Zametkin, A. J. (2001). Aggression and psychiatric comorbidity in children with hypothalamic hamartomas and their unaffected siblings. Journal of American Academy of Children and Adolescence Psychiatry, 40(6), 696–703.CrossRefGoogle Scholar
- Xhrouet-Heinrichs, D., Lagrou, K., Heinrichs, C., Craen, M., Dooms, L., Malvaux, P., … Bourguignon, J.-P. (1997). Longitudinal study of behavioral and affective patterns in girls with central precocious puberty during long-acting triptorelin therapy. Acta Paediatrica, 86, 808–815.CrossRefGoogle Scholar