Children's Adjustment Research Articles

The Mediating Effect of School Adjustment on the Relationship between a Creative School Environment and Children's Happiness

This study examined the mediating effect of children's school adjustment on the relationship between a creative school environment and children’s happiness. For this purpose, an analysis was performed of data from the 12th Panel Study on Korean Children conducted in 2019. The participants were 1,393 fifth-grade elementary school students. Data were analyzed using descriptive statistics, one-way ANOVA, Pearson correlation analysis, confirmatory factor analysis, and structural equation modeling using SPSS 25.0 and AMOS 23.0 programs. The principal results were as follows. Firstly, there were significant positive correlations among creative school environment, children's school adjustment, and happiness. Secondly, the creative school environment significantly affected children's school adjustment and happiness. Thirdly, children's school adjustment had a positive effect on their happiness. Fourthly, the creative school environment had an indirect effect on children's happiness through school adjustment. The results thus demonstrate that school is a social environment that strongly influences children's happiness. Therefore, to improve children's school happiness, it is essential to consider the relationship between a creative school environment and school adjustment.

Cultural values, parenting and child adjustment: Introduction to the special issue.

This introduction provides an overview of the major constructs that are the focus of this Special Issue. Individualism and collectivism have been the cornerstones of theoretical work on cultural values in psychological science, and conformity is an important component of theories related to motivational values. Individualism, collectivism and conformity values are reviewed in relation to parenting (warmth, knowledge solicitation, rules/limit-setting, parents' expectations regarding children's family obligations) and children's adjustment (internalising and externalising behaviours). Background on the Parenting Across Cultures project, a study of children, mothers and fathers, in nine countries (China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand and the United States) is provided as a prelude to the country-specific papers from each of these countries that follow in the rest of the Special Issue before a final concluding paper that focuses on between-country versus within-country variation in cultural values, parenting and children's adjustment.

Psychosocial outcomes of children born via embryo donation.

What are parents' perceptions of their relationships with and the psychosocial adjustments of their children who are born via embryo donation? Families created through embryo donation have well-adjusted parent-child relationships and reassuring child psychosocial outcomes. Embryo donation is an effective and growing form of third-party reproduction, but there is limited research in this field. Prior studies suggest that families created through gamete donation function well regarding parent-child relationship quality and child behavioral and socioemotional adjustment. This is a cross-sectional survey study with 187 total participants. Parents of children born via embryo donation were recruited nationally by contacting all embryo donation programs registered with the Society for Assisted Reproductive Technology Clinic Outcome Reporting System (SART CORS) as well as medically directed embryo donation or 'embryo adoption' centers. Participants completed three online Qualtrics questionnaires. The first was a survey including 33 questions on demographics, the procurement process, and self-reported obstetric outcomes. Participants also completed two standardized measures assessing children's behavior and parents' adjustment to parenthood: the Strengths and Difficulties Questionnaire (SDQ) and the Parental Acceptance-Rejection Questionnaire (PARQ). Scoring of the SDQ and PARQ was totaled and compared to standardized values (SDQ) or previously published results on other forms of gamete donation (PARQ), such as oocyte donation and sperm donation. On the SDQ (n = 46), the average total difficulties scores by age were: 8.2 ± 0.98 for ages 2-4, 7.6 ± 0.93 for ages 5-10, and 3.5 ± 0.77 for ages 11-17; this is compared to the normal reported range of 0-13, which indicates that clinically significant psychosocial problems are unlikely. Across all ages and individual categories (emotional symptoms, conduct problem, hyperactivity, peer problem, prosocial), scores on the SDQ were within the normal ranges. The average PARQ score (n = 70) for all respondents was 27.5 ± 1.18 (range: 24-96), suggesting perceived parental acceptance. Because this study was cross-sectional, it could not capture familial relationships over time. This survey-based study design allows for potential selection bias (parents of well-adjusted children may be more likely to participate). Additionally, the overall sample size is relatively small; however, it remains one of the largest published to date. Another significant limitation to this study is the lack of generalizability: most participants were recruited from private, faith-based, embryo donation programs who are demographically similar. Though embryo donation is an established form of third-party reproduction, it is significantly less robustly studied compared to other forms of gamete donation (oocyte or sperm donation). This study provides a larger data set with a more expanded age range of children compared to the limited number of previously published studies. Furthermore, these findings indicate a high parental disclosure rate with respect to the use of embryo donation which contrasts previous findings. No external funding source was utilized for the completion of this study. No conflicts are disclosed. N/A.

Affinity for solitude in Chinese children and adolescents: Relations with social, school, and psychological adjustment.

This study examined relations of affinity for solitude with social-behavioral, academic, and psychological adjustment in Chinese children and adolescents. The participants included 3,417 students (1,714 boys) in fourth, sixth, and eighth grades (Mages = 10, 12, and 14 years, respectively) in China. Data on affinity for solitude were collected from students' self-reports and data on adjustment were collected from multiple sources. The results showed that whereas affinity for solitude was negatively associated with social competence and academic achievement and positively associated with behavioral problems in Grade 4, the associations were weaker or nonsignificant in Grade 6. Moreover, affinity for solitude was positively associated with academic achievement and negatively associated with behavioral problems in Grade 8. Affinity for solitude was negatively associated with psychological adjustment in general, but the associations were weaker in higher grades. The results indicate that the functional meaning of affinity for solitude may differ across developmental periods. Parents, teachers, and professionals should be aware of the different implications of affinity for solitude in childhood and adolescence and use different strategies to support children and adolescents who display affinity for solitude. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

An instrument to assess biopsychosocial pain concepts in adults : Development and evaluation by experts

The biopsychosocial model is fundamental for the understanding and treatment of chronic pain; however, little research has focused on whether those affected show a biopsychosocial understanding. The multidimensional questionnaire Biopsychosocial Pain Concept Matrix (BiPS matrix) is presented. The conception of the BiPS matrix is based on the biological, psychological and social areas as well as on the common sense model of self-regulation with five dimensions: (1) type of disorder, (2) assumptions on the causes, (3) consequences, (4) duration of the disease and (5) possibilities for control and treatment. The present study aims to examine the content relevance and comprehension of the areas, dimensions and items, including the use of the BiPS matrix with children by interdisciplinary expert ratings. The questionnaire can be perspectively used by treating professionals for diagnostic purposes. In an online study 17experts were questioned. In addition to descriptive statistics, comments were evaluated using qualitative content analysis according to Mayring. All experts rated the assessment of pain concepts with the BiPS matrix as well as the areas and dimensions as very relevant. With respect to the items, suggestions were made mainly regarding the wording of the items and adjustments for children. From an expert point of view the BiPS matrix represents arelevant instrument. Further research on the psychometric properties of the BiPS matrix in adults and children is indicated. In addition, the BiPS matrix can also be used to investigate pain concepts of medical and psychotherapeutic professional groups to demonstrate the biopsychosocial understanding of pain and the associated treatment options.

Hovering Is Not Helping: Relationships among Helicopter Parenting, Attachment, Academic Outcomes, and Mental Health in College Students

Helicopter parenting (or overparenting) refers to developmentally inappropriate or intrusive tactics to control a child’s behavior. Helicopter parents are usually trying to help their children, but their behavior has been associated with adverse academic, adjustment, and mental health outcomes in older children (i.e., adolescents, young adults), who should be developing more autonomy. The current study examined potential associations between helicopter parenting, attachment security, and academic and mental health outcomes in college students, hypothesizing that higher rates of helicopter parenting would be associated with more insecure attachment with parental figures and closest friends, poorer mental health (i.e., higher rates of depression and/or anxiety), and reduced academic motivation, performance, and self-efficacy. Our sample of 135 college students completed measures of anxiety, depression, and somatization, academic self-efficacy and motivation, perceptions of parental involvement, and dimensions of attachment in multiple relationships (i.e., mother, father, and closest friend). As expected, the bivariate and regression analyses revealed that higher levels of parental involvement (i.e., helicopter parenting) predicted significantly more insecure parental and peer attachment, greater internalizing, and lower effort regulation among college students.

Sibling and pet relationships: links with adversity and adjustment in pre-adolescence

Although children view pets (i.e. companion animals) as family members, child-pet relationships are rarely studied alongside other family relationships. In a socially diverse sample of 77 British families with pre-adolescent children (M age = 12.14 years, SD = 0.29 years), we examine how the quality of children’s relationships with their pets and siblings vary in the context of adversity, and controlling for parent-child relationship quality, predict their behavioral adjustment. Children reported on the quality of their relationships and mothers rated child adjustment. Mother, child, and researcher ratings were combined to construct a multi-informant index of adversity. Child-pet positivity differed by adversity level for girls (but not boys) and, in low adversity contexts, was associated with greater concurrent prosocial behavior. Sibling positivity was unrelated to adversity, but had a buffering effect, in that adversity only predicted increases in problem behaviors over 12 months for those with low sibling positivity.

Association between SARS-CoV-2 infection and select symptoms and conditions 31 to 150 days after testing among children and adults

BackgroundAn increasing number of studies have described new and persistent symptoms and conditions as potential post-acute sequelae of SARS-CoV-2 infection (PASC). However, it remains unclear whether certain symptoms or conditions occur more frequently among persons with SARS-CoV-2 infection compared with those never infected with SARS-CoV-2. We compared the occurrence of specific COVID-associated symptoms and conditions as potential PASC 31- to 150-day following a SARS-CoV-2 test among adults and children with positive and negative test results.MethodsWe conducted a retrospective cohort study using electronic health record (EHR) data from 43 PCORnet sites participating in a national COVID-19 surveillance program. This study included 3,091,580 adults (316,249 SARS-CoV-2 positive; 2,775,331 negative) and 675,643 children (62,131 positive; 613,512 negative) who had a SARS-CoV-2 laboratory test during March 1, 2020–May 31, 2021 documented in their EHR. We used logistic regression to calculate the odds of having a symptom and Cox models to calculate the risk of having a newly diagnosed condition associated with a SARS-CoV-2 positive test.ResultsAfter adjustment for baseline covariates, hospitalized adults and children with a positive test had increased odds of being diagnosed with ≥ 1 symptom (adults: adjusted odds ratio[aOR], 1.17[95% CI, 1.11–1.23]; children: aOR, 1.18[95% CI, 1.08–1.28]) or shortness of breath (adults: aOR, 1.50[95% CI, 1.38–1.63]; children: aOR, 1.40[95% CI, 1.15–1.70]) 31–150 days following a SARS-CoV-2 test compared with hospitalized individuals with a negative test. Hospitalized adults with a positive test also had increased odds of being diagnosed with ≥ 3 symptoms or fatigue compared with those testing negative. The risks of being newly diagnosed with type 1 or type 2 diabetes (adjusted hazard ratio[aHR], 1.25[95% CI, 1.17–1.33]), hematologic disorders (aHR, 1.19[95% CI, 1.11–1.28]), or respiratory disease (aHR, 1.44[95% CI, 1.30–1.60]) were higher among hospitalized adults with a positive test compared with those with a negative test. Non-hospitalized adults with a positive test also had higher odds or increased risk of being diagnosed with certain symptoms or conditions.ConclusionsPatients with SARS-CoV-2 infection, especially those who were hospitalized, were at higher risk of being diagnosed with certain symptoms and conditions after acute infection.

Cultural values, parenting and child adjustment in the Philippines.

This study examined whether Filipino mothers' and fathers' cultural values, namely individualism, collectivism and conformity values; are associated with parental warmth, rules/limit-setting and expectations of family obligations; and child internalising and externalising behaviours. Children (n = 103; Mage = 10.52, SDage = .44) and their mothers (n = 100) and fathers (n = 79) from urban Metro Manila, Philippines, responded to self-report measures orally or in writing. Mothers' collectivistic values, and fathers' individualistic and collectivistic values, were positively associated with expectations for children's familial obligations. Fathers' individualist values predicted lower internalising behaviours in children, whereas the valuing of conformity predicted greater paternal warmth. Future research on cultural values should unpack their dynamic meanings, processes and associations with parenting behaviours and child adjustment.

Lumacaftor/Ivacaftor Population Pharmacokinetics in Pediatric Patients with Cystic Fibrosis: A First Step Toward Personalized Therapy.

A major breakthrough in cystic fibrosis (CF) therapy was achievedAQ1 with CFTR modulators. The lumacaftor/ivacaftor combination is indicated for the treatment of CF in pediatric patients above 6 years old. Pharmacokinetic (PK) studies of lumacaftor/ivacaftor in these vulnerable pediatric populations are AQ2crucial to optimize treatment protocols. The objectives of this study were to describe the population PK (PPK) of lumacaftor and ivacaftor in children with CF, and to identify factors associated with interindividual variability. The association between drug exposure and clinical response was also investigated. A total of 75 children were included in this PPK study, with 191 concentrations available for each compound and known metabolites (lumacaftor, ivacaftor, ivacaftor-M1, and ivacaftor-M6). PPK analysis was performed using Monolix software. A large interindividual variability was observed. The main sources of interpatient variability identified were patient bodyweight and hepatic function (aspartate aminotransferase). Forced expiratory volume in the first second (FEV1) was statistically associated with the level of exposure to ivacaftor after 48 weeks of treatment. This study is the first analysis of lumacaftor/ivacaftor PPK in children with CF. These data suggest that dose adjustment is required after identifying variability factors to optimize efficacy. The use of therapeutic drug monitoring as a basis for dose adjustment in children with CF may be useful.

Prenatal buds of conditional regard and autonomy support: Associations with postnatal parenting and child adjustment.

Toddlerhood is a period where issues of autonomy and control in parent-child relationships become particularly intense. In response to these challenges, some parents adopt controlling practices, whereas others are more autonomy supportive. However, research has yet to examine prenatal orientations that foreshadow specific controlling or autonomy-supportive parental practices in toddlerhood and children's socioemotional functioning. In particular, literature on early childhood socialization lacks sufficient evidence on the effects of the controversial controlling practice of parental conditional positive regard. To increase our knowledge on these issues, we examined reports provided by Israeli Jewish mothers during their first pregnancy (N = 294), at 18-month postpartum (N = 226), and when the child was 42 months old (N = 134). To control for child temperament, both parents reported 8-month postpartum (N = 235) on infant temperament dispositions, which may act as precursors of later socioemotional functioning. Structural equations modeling revealed that a general prenatal maternal orientation to use conditional regard as a socialization practice predicted mothers' use of the specific practices of conditional positive and negative regard with toddlers, which then predicted internalizing problems when children reached the age of 42 months. Additionally, a general prenatal orientation toward autonomy-supportive parenting predicted mothers' perspective taking with toddlers, which then predicted children's prosocial behavior at 42 months. The effects emerged also after controlling for infants' temperamental dispositions toward negative emotionality and positive affect. Findings underlie the potential role of prenatal orientations toward conditional regard and autonomy support that, when later transform into specific early parenting practices, may serve as early markers of child socioemotional adjustment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Abdominal fat and risk of impaired lung function and asthma in children: A population‐based prospective cohort study

AbstractBackgroundObesity, specifically abdominal adiposity, is associated with increased risks of lung function impairment and asthma in children, but potential adverse effects among adolescents are unknown. We hypothesized that elevated amounts of specific abdominal fat depots during childhood and adolescence may lead to adverse respiratory outcomes in adolescents.MethodsIn a population‐based prospective cohort study among 2877 children at 13 years, we measured specific abdominal fat depots including subcutaneous fat mass and visceral fat mass by magnetic resonance imaging. Lung function was measured by spirometry, and current asthma by a questionnaire. Conditional regression analyses were used to examine the associations of abdominal fat depots with respiratory outcomes in adolescence.ResultsAfter adjustment for confounders and child's body mass index, higher subcutaneous and visceral fat mass index at age 13 years, independent of these measures at earlier age, were associated with lower FEV1, FEV1/FVC, and FEF75 (range Z‐score difference (95% CI): −0.10 (−0.15, −0.06) to −0.06 (−0.11, −0.01)). Also, an increase in subcutaneous and visceral fat between ages 10 and 13 years was associated with a decrease in FEV1, FEV1/FVC, and FEF75 during the same period. No associations of abdominal fat depots with asthma were observed.ConclusionAdolescents with higher amounts of subcutaneous and visceral fat, independent of that at an earlier age and body mass index, have an increased risk of lung function impairment.

어머니의 일-가정 양립 시 이점과 갈등, 양육스트레스, 초등학생의 심리적 특성, 학교적응 간 관계

Objectives The purpose of this study was to identify the structural relationship among the gains and strains of mothers’ work-parenting balance with children in the sixth grade of elementary school and to explore how its rela-tionship changes through the influences of parenting stress, elementary school students' self-esteem, and grit on school adjustment. Methods A total of 769 pairs of mother-child data in the 13th wave of the Panel Study of Korea Children were ana-lyzed by using structural equation modeling. The measurement model verification was followed by the structural model verification, and the maximum likelihood method (ML) was used. Results The results of this study are as follows. First, the strains between mothers' work-family balance had a positive effect on parental life stress and parental role stress, and the gains of mothers' work-family balance had a negative effect on parental role stress. Also, parental role stress has a negative effect on children's self-esteem and grit, mother’s life stress did not shown any relationship with self-esteem, grit, and school adjustment. In ad-dition, it was confirmed that childrens’ self-esteem had a positive effect on grit and school adjustment, and grit had a positive effect on school adjustment. Second, the strains in work-family balance has a negative effect on school adjustment through the multiple mediators of parental role stress, self-esteem, and grit, and the gains of work-family balance has a positive effect on school adjustment through the multiple mediators of parent role stress, self-esteem, and grit. Conclusions This study suggests that the gains and strains of work-family balance affect the self-esteem, grit, and school adjustment of children through the mothers’ parental role stress. It implies that its important to reduce the parental role stress in order to help psychological stability and school adjustment of children.

Cultural values, parenting and child adjustment in Thailand.

The purpose of this study was to understand the associations of Thai parents' cultural values (i.e., individualism, collectivism and conformity) with parenting behaviour (i.e., warmth, autonomy granting, rules/limit-setting, knowledge solicitation and expectations regarding children's family obligations) and children's adjustment (i.e., internalising and externalising problems). These data were collected via child, mother and father reports when the children were 10 years old, on average. Mothers' individualism was correlated with more parental autonomy granting. Fathers' individualism was correlated with higher maternal expectations regarding children's family obligations. Parents' higher collectivism was correlated with more with parental warmth. Mothers' higher collectivism was also correlated with more parental knowledge solicitation, and fathers' higher collectivism was also associated with mothers' and fathers' higher expectations regarding children's family obligations. Fathers' higher conformity values were correlated with more parental autonomy granting and with fewer child internalising and externalising behaviours. However, after controlling for child gender, parent education and the other cultural values, mothers' and fathers' collectivism remained the only significant cultural value predicting parenting behaviours. Results advance understanding of relations between cultural values of Thai mothers and fathers and their parenting behaviours and children's adjustment.

The joint effects of individual-level and classroom-level teacher−child relationships on children’s psychosocial adjustment: A longitudinal study

This longitudinal study examined the interactive effects of individual- and classroom-level teacher−child relationships on developing externalizing, internalizing, and prosocial behaviors in kindergarten children over time. On two occasions separated by about 1 year, data were collected from 473 kindergarten children (52% boys, Mage = 4.36 years) and their class teachers and mothers in Hong Kong, China. Class teachers reported the closeness and conflict in their relationships with each participating child of their class at Time 1, and mothers reported the child’s externalizing, internalizing, and prosocial behaviors at Times 1 and 2. Results indicated that controlling for child age, gender, grade, maternal education, and prior levels of child adjustment, individual-level teacher−child closeness was negatively associated with internalizing behaviors, and individual-level teacher−child conflict was positively associated with child externalizing behaviors over time. Classroom-level teacher−child closeness and conflict emerged as moderators. The longitudinal association between individual-level teacher−child closeness and externalizing behaviors was negative in low-closeness classrooms but not in high-closeness classrooms. However, the longitudinal association between individual-level teacher−child conflict and child prosocial behaviors was negative in low-conflict classrooms but not in high-conflict classrooms. Despite the statistical significance of the cross-level interaction effects, they were of small effect sizes and explained only very small amounts of variance. Theoretically, our findings demonstrated the interplay of the individual- and classroom-level teacher−child relationships in shaping children’s psychosocial adjustment over time. Practically, our findings highlighted the importance of enhancing teachers’ awareness of the affective quality of their relationships with children at both classroom and individual levels, which could potentially impede or promote child development.

Maternal Parenting Practices and Psychosocial Adjustment of Primary School Children

This study was aimed at evaluating the associations between maternal parenting practices (positive, negative/inconsistent, and punitive), children’s difficulties (such as conduct problems, emotional symptoms, peer problems, and hyperactivity), and prosocial behaviors. Participants were 131 Italian mothers of primary school children; mothers were aged between 26 and 52 years (M = 38.38, SD = 5.46); children (54% girls) were aged between 6 and 10 years (M = 7.15, SD = 0.98). Mothers completed two scales assessing their parenting practices and their children’s psychosocial adjustment. A path analysis was run to test the hypothesized model. The results showed the following: (a) maternal positive parenting was negatively and significantly related to children’s conduct problems and hyperactivity, and positively and significantly to children’s prosocial behavior; (b) maternal negative/inconsistent parenting was positively and significantly related to children’s conduct problems, emotional symptoms, and hyperactivity; (c) maternal punitive parenting was positively and significantly related to children’s conduct problems and emotional symptoms. Moreover, the results showed that, according to the mothers’ perceptions, boys tended to exhibit higher levels of hyperactivity and peer problems and lower levels of prosocial behaviors than girls. Overall, this study highlights the unique role of different maternal parenting practices in the psychosocial adjustment of primary school children.

Prosocial and externalizing behaviors in children raised by different-and same-gender parent families: new directions in parenting research.

Limited research focused on the association between parenting practices and children's prosocial and externalizing behaviors comparing same- and different-gender parent families. The present study considered 76 Italian families (73% same-gender and 27% different-gender parent families) with 8-year-old (SD = 2.17; 49% assigned female at birth) children born through assisted reproductive techniques, to explore parenting practices and children's prosocial and externalizing behaviors. We ran a Multiple-group-by-couple Structural Equation Model in which we estimated the predictive role of parenting on children's behaviors, controlling for age, gender, and family socioeconomic status using the Maximum Likelihood estimation. Results showed that both same- and different-gender parent families reported high levels of parental warmth and very low levels of hostility and rejection; regarding children's behaviors, both same- and different-gender parent families reported high levels of prosociality and low levels of externalizing behaviors. In addition, same-gender parents reported significantly higher levels of children's prosociality and parental warmth than different-gender parents. Regarding associations between parenting practices and behaviors, we found a positive association between positive parenting practices and increasing children's prosocial behaviors and decreasing children's externalizing behaviors, in both same- and different-gender families, controlling for family background characteristics. The present study encourages future research to investigate how specific parenting practices can influence behavioral adjustment in children, focusing on same-gender parent families.

Cultural values, parenting and child adjustment in Sweden.

To examine whether mothers' and fathers' individualism, collectivism and conformity values are significantly related to parenting behaviours and child adjustment during middle childhood, mothers (n = 95), fathers (n = 72) and children (n = 98) in Sweden were interviewed when children were, on average, 10 years old. Mothers' collectivism was significantly correlated with mothers' and fathers' higher expectations for children's family obligations. Fathers' collectivism was significantly correlated with mothers' and fathers' higher warmth and with fathers' higher expectations for children's family obligations. Fathers' conformity values were significantly correlated with fewer child internalising problems. Fathers' higher collectivism was associated with more paternal warmth even after taking into account the other cultural values, child gender and fathers' education. Our findings indicate that individual-level cultural values are correlated with some aspects of parenting and child adjustment in Sweden.

Mothers' recollections of parenting by their own mothers and fathers and maternal and infant outcomes.

Using a family network approach, we examined patterns of remembered parental rearing by both parents and associations with maternal and infant outcomes. Women's memories of how they were cared for by their own mothers in childhood are associated with important outcomes in the perinatal period. However, few studies assess women's recollections of caregiving by their fathers, despite fathers' influence on the larger family context and child adjustment. We combined data from two prospective longitudinal studies of mothers and their infants (N = 468) in the perinatal period to identify profiles of remembered parental rearing by both parents using latent profile analysis and examined how these profiles were associated with maternal depressive symptoms, mothers' perceived romantic relationship satisfaction, parenting, and infant socioemotional problems. Four distinct profiles of remembered parental rearing emerged: two supportive parents, two unsupportive parents, a supportive mother but unsupportive father, and a supportive father but unsupportive mother. Results document the differential effects of these profiles on parenting and other maternal and infant outcomes. Remembering two supportive parents confers the most benefit for mothers and their infants. For mothers with nonsupportive childhood experiences, processing that legacy within a therapeutic relationship may bolster multiple perinatal domains.

Students’ School and Psychological Adjustment in Classrooms with Positive and Negative Leaders

Positive and negative leadership styles may influence classroom norms and be related to the school and psychological adjustment of children in general, and victims in particular. This study tested the relation between leadership styles and children’s adjustment, and the moderating effects of leadership on the association between self-reported victimization and school and psychological adjustment (self-esteem, social anxiety, and depressive symptoms); and it tested for potential gender differences. Classrooms were classified into those with only positive leaders, only negative leaders, both positive and negative leaders, and without leaders. The sample contained 8748 children (Mage = 10.05, SD = 1.22; 51.2% girls) from 392 classrooms, in grades three to six, in 98 Dutch schools. Multilevel analysis revealed that, in general, children in negative leader classrooms experienced lower school well-being than children in other classrooms. In positive leader classrooms, male and female victims had lower school well-being. For psychological well-being, female victims had lower self-esteem and more depressive symptoms in positive leader classrooms. Male and female victims in negative leader classrooms did not suffer from additional maladjustment. These results demonstrate that negative leadership styles are related to lower school well-being of all children, whereas victimization in classrooms with positive leaders is negatively related to male and female victims’ school well-being and girls’ psychological adjustment (depressive symptoms); this is in line with the ‘healthy context paradox’.