Skip to main content
Top
Published in: Journal of Clinical Psychology in Medical Settings 4/2019

01-12-2019

Brief Behavioral Intervention for Disruptive Behavior in a Child with a Hypothalamic Hamartoma: A Case Report

Authors: Rachel H. Fein, Gabrielle G. Banks, Marsha N. Gragert, Marni E. Axelrad

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2019

Login to get access

Abstract

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.
Literature
go back to reference Abidin, R. R. (1990). Parenting stress index-short form. Charlottesville: Pediatric Psychology Press. Abidin, R. R. (1990). Parenting stress index-short form. Charlottesville: Pediatric Psychology Press.
go back to reference Axelrad, M. E., Butler, A., Dempsey, J., & Chapman, S. G. (2013). Treatment effectiveness of a brief behavioral intervention for preschool disruptive behavior. Journal of Clinical Psychology in Medical Settings, 20, 323–332.CrossRef Axelrad, M. E., Butler, A., Dempsey, J., & Chapman, S. G. (2013). Treatment effectiveness of a brief behavioral intervention for preschool disruptive behavior. Journal of Clinical Psychology in Medical Settings, 20, 323–332.CrossRef
go back to reference Axelrad, M. E., Garland, B. H., & Love, K. B. (2009). Brief behavioral intervention for young children with disruptive behaviors. Journal of Clinical Psychology in Medical Settings, 16, 263–269.CrossRef Axelrad, M. E., Garland, B. H., & Love, K. B. (2009). Brief behavioral intervention for young children with disruptive behaviors. Journal of Clinical Psychology in Medical Settings, 16, 263–269.CrossRef
go back to reference Barkley, R. A., & Murphy, K. R. (1998). Attention-deficit hyperactivity disorder: A clinical workbook. New York: Guilford.CrossRef Barkley, R. A., & Murphy, K. R. (1998). Attention-deficit hyperactivity disorder: A clinical workbook. New York: Guilford.CrossRef
go back to reference 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. 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.
go back to reference 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.CrossRef 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.CrossRef
go back to reference Cohen, M. L., Heaton, S. C., Ginn, N., & Eyberg, S. M. (2012). Parent-child interaction therapy as a family-oriented approach to behavioral management following pediatric traumatic brain injury: A case report. Journal of Pediatric Psychology, 37, 251–261.CrossRef Cohen, M. L., Heaton, S. C., Ginn, N., & Eyberg, S. M. (2012). Parent-child interaction therapy as a family-oriented approach to behavioral management following pediatric traumatic brain injury: A case report. Journal of Pediatric Psychology, 37, 251–261.CrossRef
go back to reference Conners, C. K. (2015). Conners Kiddie continuous performance test second edition. North Tonawanda: Multi-Health Systems, Inc. Conners, C. K. (2015). Conners Kiddie continuous performance test second edition. North Tonawanda: Multi-Health Systems, Inc.
go back to reference De La Mota, C. C., Del Valle, F. M., Villena, A. P., Gero, M. C., Del Poso, R. L., & Rojas, M. R. (2012). Hypothalamic hamartoma in paediatric patients: Clinical characteristics, outcomes, and review of literature. Neurologia, 27(5), 268–276.CrossRef De La Mota, C. C., Del Valle, F. M., Villena, A. P., Gero, M. C., Del Poso, R. L., & Rojas, M. R. (2012). Hypothalamic hamartoma in paediatric patients: Clinical characteristics, outcomes, and review of literature. Neurologia, 27(5), 268–276.CrossRef
go back to reference Eyberg, S. (1999). Eyberg Child Behavior Inventory. Lutz: PAR, Inc. Eyberg, S. (1999). Eyberg Child Behavior Inventory. Lutz: PAR, Inc.
go back to reference Eyberg, S. M., & Pincus, D. (1999). ECBI, SESBI-R professional manual. Lutz: PAR, Inc. Eyberg, S. M., & Pincus, D. (1999). ECBI, SESBI-R professional manual. Lutz: PAR, Inc.
go back to reference Eyberg, S., Nelson, M. M., & Boggs, S. R. (2008). Evidenced-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Child and Adolescent Psychology, 37, 215–237.CrossRef Eyberg, S., Nelson, M. M., & Boggs, S. R. (2008). Evidenced-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Child and Adolescent Psychology, 37, 215–237.CrossRef
go back to reference Fernandez, M. A., & Eyberg, S. M. (2005). Keeping families in once they’ve come through the door: Attrition and parent-child interaction therapy. Journal of Early and Intensive Behavior Intervention, 2, 207–212.CrossRef Fernandez, M. A., & Eyberg, S. M. (2005). Keeping families in once they’ve come through the door: Attrition and parent-child interaction therapy. Journal of Early and Intensive Behavior Intervention, 2, 207–212.CrossRef
go back to reference Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function. Odessa: Psychological Assessment Resources, Inc. Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function. Odessa: Psychological Assessment Resources, Inc.
go back to reference Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.CrossRef Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.CrossRef
go back to reference Katayama, K., Yamashita, Y., Yatsuga, S., Koga, Y., & Matsuishi, T. (2016). Case report: ADHD-like behavior in a patient with hypothalamic hamartoma. Brain & Development, 38, 145–148.CrossRef Katayama, K., Yamashita, Y., Yatsuga, S., Koga, Y., & Matsuishi, T. (2016). Case report: ADHD-like behavior in a patient with hypothalamic hamartoma. Brain & Development, 38, 145–148.CrossRef
go back to reference Kaufman, A. S., & Kaufman, N. L. (2014). Kaufman test of educational achievement (3rd ed.). Bloomington: NCS Pearson. Kaufman, A. S., & Kaufman, N. L. (2014). Kaufman test of educational achievement (3rd ed.). Bloomington: NCS Pearson.
go back to reference Killeen, Z., Bunch, R., & Kerrigan, J. F. (2017). Psychiatric comorbidity with hypothalamic hamartoma: Systematic review for predictive clinical features. Epilepsy & Behavior, 73, 126–130.CrossRef Killeen, Z., Bunch, R., & Kerrigan, J. F. (2017). Psychiatric comorbidity with hypothalamic hamartoma: Systematic review for predictive clinical features. Epilepsy & Behavior, 73, 126–130.CrossRef
go back to reference Mullatti, N., Selway, R., Nashef, L., Elwes, R., Honavar, M., Chandler, C., … Polkey, C. (2003). The clinical spectrum of epilepsy in children and adults with hypothalamic hamartoma. Epilepsia, 44(10), 1310–1319.CrossRef Mullatti, N., Selway, R., Nashef, L., Elwes, R., Honavar, M., Chandler, C., … Polkey, C. (2003). The clinical spectrum of epilepsy in children and adults with hypothalamic hamartoma. Epilepsia, 44(10), 1310–1319.CrossRef
go back to reference Nagaki, S., Otsuka, E., Miwa, K., Funatsuka, M., Kubo, O., Hori, T., … Osawa, M. (2010). Two cases of precocious puberty associated with hypothalamic hamartoma. Clinical Pediatric Endocrinology, 19(2), 31–37.CrossRef Nagaki, S., Otsuka, E., Miwa, K., Funatsuka, M., Kubo, O., Hori, T., … Osawa, M. (2010). Two cases of precocious puberty associated with hypothalamic hamartoma. Clinical Pediatric Endocrinology, 19(2), 31–37.CrossRef
go back to reference Nguyen, D., Singh, S., Zaatreh, M., Novotny, E., Levy, S., & Testa, F. (2003). Hypothalamic hamartomas: Seven cases and review of the literature. Epilepsy Behavior, 4, 246–258.CrossRef Nguyen, D., Singh, S., Zaatreh, M., Novotny, E., Levy, S., & Testa, F. (2003). Hypothalamic hamartomas: Seven cases and review of the literature. Epilepsy Behavior, 4, 246–258.CrossRef
go back to reference Prigatano, G. P. (2007). Cognitive and behavioral dysfunction in children with hypothalamic hamartoma and epilepsy. Seminars in Pediatric Neurology, 14, 65–72.CrossRef Prigatano, G. P. (2007). Cognitive and behavioral dysfunction in children with hypothalamic hamartoma and epilepsy. Seminars in Pediatric Neurology, 14, 65–72.CrossRef
go back to reference Reynolds, C. R., Kamphaus, R. W., & Vannest, K. J. (2015). BASC3: Behavior assessment system for children. Bloomington: PsychCorp. Reynolds, C. R., Kamphaus, R. W., & Vannest, K. J. (2015). BASC3: Behavior assessment system for children. Bloomington: PsychCorp.
go back to reference Reynolds, C. R., & Richmond, B. O. (2008). Revised Children’s Manifest Anxiety Scale (2rd ed.). Los Angeles: Western Psychological Services. Reynolds, C. R., & Richmond, B. O. (2008). Revised Children’s Manifest Anxiety Scale (2rd ed.). Los Angeles: Western Psychological Services.
go back to reference Sheslow, D., & Adams, W. (2003). Wide range assessment of memory and learning second edition administration and technical manual. Lutz, FL: Psychological Assessment Resources. Sheslow, D., & Adams, W. (2003). Wide range assessment of memory and learning second edition administration and technical manual. Lutz, FL: Psychological Assessment Resources.
go back to reference Tiffin, J., & Asher, E. J. (1948). The Purdue Pegboard: Norms and studies of reliability and validity. Journal of Applied Psychology, 32, 234–247.CrossRef Tiffin, J., & Asher, E. J. (1948). The Purdue Pegboard: Norms and studies of reliability and validity. Journal of Applied Psychology, 32, 234–247.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference Wechsler, D. (2014). Wechsler intelligence scale for children-fifth edition. San Antonio: NCS Pearson. Wechsler, D. (2014). Wechsler intelligence scale for children-fifth edition. San Antonio: NCS Pearson.
go back to reference 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.CrossRef 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.CrossRef
go back to reference 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.CrossRef 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.CrossRef
go back to reference Zlomke, K. R., Jeter, K., & Murphy, J. (2017). Open-trial pilot of Parent-Child Interaction Therapy for children with autism spectrum disorder. Child & Family Behavior Therapy, 39(1), 1–18.CrossRef Zlomke, K. R., Jeter, K., & Murphy, J. (2017). Open-trial pilot of Parent-Child Interaction Therapy for children with autism spectrum disorder. Child & Family Behavior Therapy, 39(1), 1–18.CrossRef
Metadata
Title
Brief Behavioral Intervention for Disruptive Behavior in a Child with a Hypothalamic Hamartoma: A Case Report
Authors
Rachel H. Fein
Gabrielle G. Banks
Marsha N. Gragert
Marni E. Axelrad
Publication date
01-12-2019
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2019
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-018-9592-5

Other articles of this Issue 4/2019

Journal of Clinical Psychology in Medical Settings 4/2019 Go to the issue