TantrumsTelana Fairchild

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ObjectivesDefinitionCharacteristicsTriggers/ CausesAnticipatory GuidanceNormal vs. AbnormalParentsNPs

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DefinitionTemper tantrum: a child’s way of showing

frustration or anger by whining and crying to screaming, kicking, hitting, and breath holding.

Begins to occur when child wants autonomyHave a hard time expressing what they wantLooking for limits

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CharacteristicsNormal part of development Equally common in boys and girls Usually occur between the ages of 15 months

to 3 yearsShould taper off after 3yrsBased on kids' temperaments Lack inhibitions or control

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Triggers/CausesBe Aware of TemperamentFamily-Child InteractionEnvironmental InfluencesHungerSleepAttentionR/o Developmental or Health Status www.bidorbuy.co.z

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Anticipatory GuidanceDistractionGive choicesGive controlPraise good behavior and accomplishmentsConsistency and RoutinesDiscipline by teaching and

protecting

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Normal vs. Abnormal

Age 12mo-4yrsCrying, flailing arms or legs, falling to the floor, pushing, pulling, or bitingUp to 15minLess than five times a dayReturn to normal mood b/w tantrums

Beyond age 4yrsInjury to themselves or othersLonger than 15minMore than five times dayPersistent negative moods b/w tantrumsSleep disorders, enuresis, aggressive behavior, or extreme anxiety

When parents need to call usIf tantrums are increasing in: frequency,

intensity, or durationIf self-injurious, hurtful to others, depressed,

signs of low self-esteem, or overly dependentIf have questions, uncomfortable, or keep

giving in

Guidance for the NP’s5-20% of children have severe temper

tantrumsQuestions we should ask (History)Remember the abnormal characteristicsR/O physiological causes (PE)Prevention best methodReferrals or treatment of illness

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What questions do you have?

References American Academy of Pediatrics. (2011). Temper Tantrums: A

Normal Part of Growing Up. Retrieved from http://www.healthychildren.org/English/family-life/family-dynamics/communication-discipline/Pages/Temper-Tantrums.aspx

Belden, A.C., Thomson, N.R., & Luby, J.L. (2008). Temper tantrums in healthy versus depressed and disruptive preschoolers: Defining tantrum behaviors associated with clinical problems. Journal of Pediatrics, 152 (1), 117-122.

Daniels, E., Mandleco, B., & Luthy, K.E. (2012). Assessment, management, and prevention of childhood temper tantrums. Journal of American Academy of Nurse Practitioners, 24, 569–573. doi: 10.1111/j.17457599.2012.00755.x

Hagan, J.F., Shaw, J.S., & Duncan, P.M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.

References Harrington, R.G. (2004). Temper Tantrums: Guidelines for

Parents. National Association of School Psychologists. Retrieved from http://www.nasponline.org/resources/behavior/tantrums_ho.aspx

Pendley, J.S. (2012). Temper Tantrums. The Nemours Foundation: KidsHealth. Retrieved from http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=107&cat_id=146&article_set=21609

Wakschlag, L.S., Choi, S.W., Carter, A.S., Hullsiek, H., Burns, J. McCarthy, K.,…Briggs-Gowan, M.J. (2012). Defining the developmental parameters of temper loss in early childhood: Implications for developmental psychopathology. Journal of Child Psychology and Psychiatry, 53 (11), 1099-1108. doi:10.1111/j.1469- 7610.2012.02595.x.