Internalizing Symptoms In Children Research Articles

Maternal asthma symptoms during pregnancy on child behaviour and executive function: A Bayesian phenomics approach

ObjectiveMaternal history of inflammatory conditions has been linked to offspring developmental and behavioural outcomes. This phenomenon may be explained by the maternal immune activation (MIA) hypothesis, which posits that dysregulation of the gestational immune environment affects foetal neurodevelopment. The timing of inflammation is critical. We aimed to understand maternal asthma symptoms during pregnancy, in contrast with paternal asthma symptoms during the same period, on child behaviour problems and executive function in a population-based cohort. MethodsData were obtained from 844 families from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) birth cohort. Parent asthma symptoms during the prenatal period were reported. Asthma symptoms in children were reported longitudinally from two to five years old, while behavioural problems and executive functioning were obtained at seven years old. Parent and child measures were compared between mothers with and without prenatal asthma symptoms. Generalized linear and Bayesian phenomics models were used to determine the relation between parent or child asthma symptoms and child outcomes. ResultsChildren of mothers with prenatal asthma symptoms had greater behavioural and executive problems than controls (Cohen’s d: 0.43–0.75; all p < 0.05). This association remained after adjustments for emerging asthma symptoms during the preschool years and fathers’ asthma symptoms during the prenatal period. After adjusting for dependence between child outcomes, the Bayesian phenomics model showed that maternal prenatal asthma symptoms were associated with child internalising symptoms and higher-order executive function, while child asthma symptoms were associated with executive function skills. Paternal asthma symptoms during the prenatal period were not associated with child outcomes. ConclusionsAssociations between child outcomes and maternal but not paternal asthma symptoms during the prenatal period suggests a role for MIA. These findings need to be validated in larger samples, and further research may identify behavioural and cognitive profiles of children with exposure to MIA.

BEST-Foundations: a mixed methods exploration of the feasibility of a novel intervention treating internalising symptoms in children

ABSTRACT Objective Internalising disorders are one of the most common mental health problems in children under 12 years, yet mixed findings exist for current treatment options. This pilot involves a novel 10-session intervention, BEST-Foundations, to treat internalising symptoms in children using a family-inclusive model. Initial findings and feasibility using a mixed-methods approach are reported. Method Twenty-two participants from eight families (n = 8 children; n = 8 mothers; n = 6 fathers) participated in an uncontrolled single treatment design. Included children (aged 3–11 years) reported clinical-level internalising symptoms on the Child Behaviour Checklist. Data were collected across four timepoints: baseline, pre-intervention, post-intervention, and 4-weeks follow-up. Results As predicted, mothers reported large improvements in child internalising symptoms pre-post (SMD = −.83; 95% CI = 50.58–70.42) and maintained pre to follow-up (SMD = −.92; 95% CI = 50.14–69.11). Sustained improvements were also found in externalising problems and total problems. Qualitative analysis indicated families reported positive improvements in targeted areas including parent confidence and parent–child relationships. Conclusions Findings demonstrate initial feasibility data and effect size estimates comparable to previous trials using the “BEST” framework, and larger than CBT-based interventions. Results are considered preliminary due to the small sample. Further evaluation is warranted, showing the value of family-inclusive interventions to treat child internalising problems.

An intergenerational examination of retrospective and current depression patterns among Black families

BackgroundThere is limited information regarding the intergenerational transmission of mental health among three generations (i.e., grandparents, parents, and children) of Black families. Given that intergenerational and kinship ties are integral in Black families, this study explores the context that might contribute to the generational transmission of mental health among Black families. MethodsThe present study examined the retrospective family history of mental health among fathers and mothers, current reports of their depression, and their children's internalizing and depressive symptoms among a sample of 2530 Black families from the Future of Families and Child Wellbeing Study using waves 4 to 6. All analyses were conducted using STATA 15.1. ResultsFocal children's maternal and paternal grandparents' history of mental health was associated with higher odds of depression in their mothers and fathers; in addition, child-internalizing symptoms were associated with a report of depression in maternal grandparents in waves 4 and 5. Children of mothers who were depressed had higher internalizing scores in waves 4, 5, and 6. LimitationsThis descriptive study did not account for how parenting might also be protective against childhood internalizing behaviors. A retrospective account may not fully encapsulate a complete understanding of mental health patterns. ConclusionsIn treating the mental and behavioral health of Black families, it is essential to focus on multiple generations of family health, given that family history is the strongest predictor of the youth's onset of depression. The utility of these findings in understanding psychological distress and strengths among Black families is discussed.

Witnessing Parental Arrest As a Predictor of Child Internalizing and Externalizing Symptoms During and After Parental Incarceration.

PurposeOne in fourteen children in the United States experiences the incarceration of a parent with whom they have lived. Although prior research has established that witnessing the arrest of a parent is a common occurrence for children of criminal justice-involved parents, child outcomes following such an event are understudied. Little is known about the long-term impacts of witnessing an arrest on children and the extent to which they may vary by child age.MethodsUsing longitudinal data from the Parent Child Study of mothers and fathers incarcerated in state prison, we examine the witnessing of parental arrest as an acute traumatic event and identify the extent to which this type of trauma predicts externalizing and internalizing symptoms for children during their parents’ incarceration and following release.ResultsWitnessing a parent’s arrest predicted greater internalizing behavior concerns while parents were incarcerated, with a greater magnitude of effect for children under eight years of age. Six months post-release of the parent, children younger than age eight who witnessed the arrest showed significantly higher internalizing and externalizing behaviors. No effect was found for children ages eight years or older.ConclusionImplications for future policies to reduce the likelihood of children witnessing parental arrests, as well as the potential benefit of screening for trauma when working with children with incarcerated parents, are discussed.

Effects of Familism, Parenting, and Family Cohesion on Child Internalizing Symptoms among Mexican Immigrant Families

Effects of Familism, Parenting, and Family Cohesion on Child Internalizing Symptoms among Mexican Immigrant Families

Supplemental Material for Implications of Intergenerational Trauma: Associations Between Caregiver ACEs and Child Internalizing Symptoms in an Urban African American Sample

Supplemental Material for Implications of Intergenerational Trauma: Associations Between Caregiver ACEs and Child Internalizing Symptoms in an Urban African American Sample

The Relation between Parent Mental Health and Child Internalizing Symptoms in Parent–Child Interaction Therapy

The Relation between Parent Mental Health and Child Internalizing Symptoms in Parent–Child Interaction Therapy

A Longitudinal Study on the Effects of Parental Mental Health and Handheld Devices on Child Outcomes

Children have been thrust into a “portable age” where handheld devices, such as smartphones, tablets or iPads, have become a part of the daily norm. Parental factors and early life experiences, such as engaging in screen devices, have been widely established as major influences on children’s outcomes. This study aimed to investigate the relationships between the mental health of parents, parental and child screen time (ST), and child outcomes. A longitudinal study of mothers and fathers (<I>N = </I>214) were recruited at two time points (T1, April 2019-February 2020; T2, September 2020-February 2021). Due to loss to follow-up, the final sample consisted of 101 participants (97 mothers, 4 fathers) with a mean age of 37.55 (<I>SD</I> = 4.14). Children of participants had a mean age of T1 = 5.25 (<I>SD </I>= .44) and T2=6.51 (<I>SD </I>= .52). Participants completed a battery of self-report questionnaires regarding their own mental health, their child’s and their own engagement with handheld devices, as well as their child’s internalising and externalising behaviour. The study demonstrated that parental anxiety significantly predicted child internalising symptoms, whereas both parental anxiety and depression significantly predicted child externalising symptoms, across time. These findings suggest that after controlling for ST, parental mental health is predictive of temporal child outcomes. Future studies should consider early intervention programs that target parents with mental health concerns, examining children who engage in excessive ST, and consider context and content of ST amongst these trends.

Impact of Sibling Victimization on Child Internalizing Symptoms.

The current study examined associations between sibling victimization and anxiety and depression symptoms while also considering peer victimization within time and six months later among elementary school-age youth. Both sibling and peer victimization were associated with depression symptoms within as well as across time when considered independently. However, when examined together, peer victimization was only uniquely associated with depression symptoms within time and sibling victimization was only uniquely associated with depression symptoms across time. Sibling and peer victimization were associated with anxiety symptoms within, but not across, time when examined independently, and no associations were evident when sibling and peer victimization were examined simultaneously. No interactive effects of sibling and peer victimization were evident for depression or anxiety symptoms, indicating unique rather than cumulative contributions. Findings suggest that the impact of sibling victimization on depression symptoms is more robust than effects of peer victimization over time.

Parenting Practices, Victimization, and Negative Affectivity in Child Internalizing Symptoms: Moderated-Mediation Models

Separate lines of research have linked negative parenting practices, victimization, and negative affectivity - separately - with internalizing symptoms in children. However, no previous studies have connected these lines of research to examine internalizing pathology in children. The current study tested complex moderated-mediation models to investigate the respective effects of victimization and negative affectivity on the relationship between parenting practices and internalizing symptoms. Greek-Cypriot children (N = 374) and their parents took part in the study. The children completed the Revised Olweus Bully/Victim Questionnaire, the Negative Affect Scale for Children, and the Parental Bonding Instrument. Their parents completed the Child Behavior Checklist – Parent Report (CBCL). Moderated-mediation models highlighted that negative affectivity moderates the mediating effect of victimization on the relationship between parenting practices and internalizing symptoms. The research findings contribute to the existing literature and advance our understanding of children’s internalizing symptoms development. Implications and future directions are discussed.

Observed Maternal Coping Socialization and Child Internalizing Symptoms: The Roles of Maternal Depressive Symptoms and Peer Stress.

Empirical evidence relying primarily on questionnaire reports indicates parent coping socialization messages play an important role in children's psychological functioning. The present study utilized a multi-informant, multi-method design to build on previous coping socialization research in childhood and adolescence. A novel coding system was developed to measure observed parental socialization of coping messages from observations of a discussion-based peer stress task. Questionnaires and direct observations were obtained from mothers with and without a history of depression (N = 116; 50% with a history of depression) and their children (9 to 15years). Observed maternal coping socialization messages were not significantly correlated with mother or child reports of child internalizing symptoms in bivariate analyses. However, in multiple linear regression analyses, current maternal depressive symptoms and children's level of peer stress emerged as significant moderators of the association between observed maternal coping socialization messages and children's internalizing symptoms. The conceptual and methodological contributions of the current study are discussed, limitations and strengths are noted, and implications for future research are outlined.

Comorbid Internalizing Symptoms in Children with Disruptive Behavior Disorders: Buffering Effects or Multiple Problem Effects?

Children with disruptive behavior disorders (DBDs) experience high rates of comorbid psychopathology, including internalizing disorders. According to the dual pathway model, comorbid internalizing symptoms may be associated with less (buffer hypothesis) or more (multiple problems) severe clinical presentations among children with DBDs. We examined whether the presence of comorbid internalizing symptoms is associated with differences in the severity of clinic-referred children’s (N = 284, age 6 to 12) disruptive behavior, as measured by parent ratings of their oppositionality-defiance, impairment, and callous-unemotional traits. Potential gender effects were also examined. Children with DBD and clinically elevated internalizing symptoms showed significantly higher levels of oppositionality-defiance and overall behavioral impairment and, unexpectedly, callous-unemotional traits, than children with DBD and sub-clinical internalizing symptoms. There were no significant main effects of gender or interactions between internalizing symptoms and gender. Results are consistent with the multiple problems hypothesis and suggest that children with DBDs should be assessed for internalizing symptoms. Moreover, children with comorbid DBD and internalizing disorders may require specific clinical attention, such as sequenced or modular interventions, or interventions targeting relevant transdiagnostic processes, in order to meet their treatment needs.

Associations of Maternal Controlling Feeding Practices with Child Internalizing Symptoms and Body Mass Index in Ethnically-Diverse Mother-Child Dyads

Mothers may use controlling feeding practices (i.e., pressure to eat and restriction) to regulate their child’s weight. However, these practices may have unintended consequences on the weight and mental health of children. The first aim of this study was to investigate differences in maternal controlling feeding practices by child gender, age, and maternal ethnicity. The second aim was to examine cross-sectional associations among maternal controlling feeding practices, child body mass index z-scores (BMI-z), global internalizing symptoms (i.e., depression and anxiety symptoms), and self-esteem. The third aim was to determine whether child sex and mother ethnicity moderate these associations. A sample of 202 ethnically diverse mother-child dyads (children ages 8-12; 49% female) completed self-report questionnaires and had weight and height measurements taken. Results showed no differences in maternal controlling feeding practices by gender, ethnicity, or age. Pressure to eat was negatively related to child BMI-z, and restriction was positively related to BMI-z. Moreover, pressure to eat was negatively related to child self-esteem. There were no associations between maternal controlling feeding practices and global internalizing symptoms. Further, no associations differed by child gender or mother ethnicity. Maternal controlling feeding practices may be used to move a child’s weight toward a healthy weight range. Overall, there was little evidence for associations between feeding practices and poor mental health; although, pressure to eat was related to poorer self-esteem in children. KEYWORDS: Maternal; Feeding; Practices; Child; BMI-z; Mental; Health; Controlling; Restricting

Early Parenting Characteristics Associated with Internalizing Symptoms Across Seven Waves of the Longitudinal Study of Australian Children.

The aim of this study was to identify whether parenting style during a child's toddler years predicts the course of the child's internalising symptoms throughout early to middle childhood. The current study uses data from waves 1 to 7 (acquired biennially) of the infant cohort (N= 4494) of Growing up in Australia: the Longitudinal Study of Australian Children (LSAC), a population-based longitudinal study. Latent class growth analysis identified four distinct longitudinal trajectories of internalizing symptoms: Low stable (66% of the children), High increasing (7%), Low increasing (17%) and High decreasing (10%). Multinomial logistic regression indicated that low self-efficacy and socioeconomic disadvantage during the toddler years were significant predictors of unfavourable (i.e., increasing) trajectories of internalizing symptoms across later childhood. Parenting hostility was a significant predictor of the low increasing trajectory. Additionally, male children were more likely than females to follow unfavourable trajectories. However, low parenting warmth was not predictive of increasing symptoms across time. Our findings highlight the importance of parenting factors in a child's early years, particularly the potentially detrimental outcomes associated with parental hostility and low self-efficacy.

Cool Little Kids translational trial to prevent internalising: two-year outcomes and prediction of parent engagement.

The aim was to determine outcomes in the first year of school of a population-delivered parenting program to prevent internalising problems in temperamentally inhibited preschool children and predictors of engagement in parenting groups. Design: Randomised controlled trial. 307 preschool services across eight socio-economically diverse government areas in Melbourne, Australia. 545 parents of inhibited 4-year-old children; 469 (86%) retained at two-year follow-up. Cool Little Kids program. Primary outcomes were child internalising symptoms and anxiety disorders. Secondary outcomes were parenting, parent well-being and engagement. Trial registration ISRCTN30996662 http://www.isrctn.com/ISRCTN30996662. In the first year of school (M (SD) age 6.7 (0.4) years), child anxiety symptoms were reduced in the intervention versus control arm (PAS-R M (SD): total 36.2 (17.2) versus 39.4 (18.5); adjusted difference -3.26, 95% CI -6.46 to -0.05, p=.047; specific fears 9.1 (6.2) versus 10.7 (6.8), adjusted difference -1.53; 95% CI -2.69 to -0.38, p=.009). However, there was little difference in broader child internalising (CMFWQ M (SD): 2.2 (0.5) versus 2.3 (0.6); adjusted difference -0.03, 95% CI -0.13 to 0.06, p=.489) or anxiety disorders (37.6% vs. 42.6%; adjusted OR 0.79, 95% CI 0.53 to 1.18, p=.242). Lower income, younger mothers, less educated and more culturally diverse fathers engaged less with the intervention. Continued skills practice was less frequent for parents of girls and in advantaged neighbourhoods. There were population effects of Cool Little Kids in the first year of school for anxiety symptoms but not disorders. Considering motivation techniques to engage subgroups of families would be helpful in translation research.

Exploring the stress sensitization theory with temperamentally inhibited children: a population-based study

BackgroundThis study explored whether temperamentally inhibited children who experience early trauma are vulnerable to developing internalizing problems in the face of later life-stressors.MethodsA validated screen for temperamental inhibition was distributed to parents of young children attending preschools in six government regions of Melbourne, Australia. Screening identified 11% of children as inhibited (703 of 6347 screened) and eligible for a prevention study. Participants were 545 parents of inhibited preschoolers (78% uptake), of whom 84% were followed into mid childhood (age 7–10 years: wave 1, n = 446; wave 2, n = 427; wave 3, n = 426). Parents and children then completed questionnaires for child internalizing (anxious and depressive) symptoms, and parents received a diagnostic interview for child anxiety disorder. In mid-childhood parents also completed questionnaires annually to describe recent life-stressors experienced by their child, and any potentially traumatic events in the first four years of life.ResultsOnly one in 14 temperamentally inhibited children had experienced a potentially traumatic event in early childhood. In mid childhood 56% experienced recent life-stressors. Inhibited children who had early life trauma experienced slightly more anxiety disorder and symptoms in mid childhood. Those children with more recent life-stressors in mid childhood also had slightly more symptoms of anxiety and depression. In contrast to stress sensitization, inhibited children with early trauma plus recent stressors did not show especially high mid-childhood internalizing difficulties.ConclusionsEarly life trauma and recent life-stressors each convey a small risk for children with an inhibited temperament to develop internalizing problems. Nevertheless, early life stress may not always result in negative sensitization for children in the general population.

BPT for Early-Onset Behavior Disorders: Examining the Link Between Treatment Components and Trajectories of Child Internalizing Symptoms.

Behavioral Parent Training (BPT) is the standard of care for early-onset Behavior Disorders (BDs). Preliminary evidence suggests that BPT may also lead to improvement in comorbid symptomatology, particularly internalizing problems, in children with BDs, yet less is currently known about how BPT produces such cascading effects. To begin to address this gap in the literature, trajectory analyses were used to examine the link between treatment components of one mastery-based BPT program, Helping the Noncompliant Child (HNC), and child internalizing symptoms over the course of treatment. Findings revealed that parental use of the Attends skill (i.e., parental description of child activity with warmth and enthusiasm) over time was significantly associated with decreases in trajectories of child internalizing symptoms across treatment. Further probing of these effects revealed that parent use of average or above-average levels of Attends across treatment sessions led to significant reductions in child internalizing symptoms by Sessions 7 to 10 of treatment. Consistent with the movement toward a modular approach to the treatment of children, findings highlight the importance of identifying particular BPT skills that can be used in treatment to target multiple comorbid child symptom clusters. Clinical implications and future directions are discussed.

Bullying, mental health and friendship in Australian primary school children.

Frequent bullying predicts adolescent mental health problems, particularly depression. This population-based study with young Australian primary school children aimed to determine the frequency and mental health correlates of bullying, and whether friendship could be protective. Participants were a population-based sample of 1221 children aged 8-9years attending 43 primary schools in metropolitan Melbourne, Australia. Children were taking part in the Childhood to Adolescence Transition Study. Children completed online questionnaires at school to measure peer relations and emotional well-being. Parents reported on their child's mental health in questionnaires sent to the home. One in three children (29.2%) reported experiencing frequent bullying, defined as at least once a week. This included physical bullying alone (13.8%), verbal bullying alone (22.7%) and the combination (7.4%). Children who reported being frequently bullied self-reported higher internalising symptoms compared with children who did not report frequent bullying (M (SD) 1.6 (0.9) vs. 1.1 (0.8), p<.001). This difference was confirmed by parents' reports of their child's internalising symptoms (M (SD) 2.4 (2.3) vs. 2.1 (2.0), p=.026, respectively). Amongst children who reported frequent bullying, those with a group of friends had better emotional well-being. A substantial proportion of children report experiencing bullying on a weekly basis early in primary school. Given the prevalence of bullying in primary school and its relationship to children's mental health, we recommend effective school-wide antibullying programmes. Further research can explore whether intervention to foster a group of friends around bullied children can improve their emotional well-being.

Stressful life events and perceived parental control in formerly homeless families: Impact on child-internalizing symptoms.

Research has neglected the potential role of perceived parental control as a moderator between stressful life events (SLEs) and child-internalizing symptoms. Using secondary data from the Early Risers "Skills for Success" Program (August, Realmuto, Hektner, & Bloomquist, 2001), this study examined the impact of perceived parental control on the association between SLEs and child internalizing symptoms in formerly homeless families. The sample consisted of 137 families with 223 children between 4 and 12 years of age (M = 8.1, SD = 2.3) living in supportive housing sites in Minneapolis, Minnesota. Participants completed measures assessing the number of SLEs experienced (e.g., unemployment of parent, death of loved one, serious illness, homelessness), perceived parental control, and child-internalizing symptoms. In this sample, 65% of children (n = 144) experienced at least 1 SLE with an average experience of 2 SLEs (M = 2.0, SD = 1.9, range = 0-7). A regression analysis found that experiencing more SLEs and a perceived absence of parental control over child behavior were positively associated with child-internalizing symptoms. A significant interaction between SLEs and perceived absence of parental control over child behavior in predicting child internalizing symptoms was also found. These findings suggest that children of parents who model appropriate control are more likely to experience fewer internalizing symptoms in response to SLEs. (PsycINFO Database Record

Maternal Psychosocial Maladjustment and Child Internalizing Symptoms: Investigating the Modulating Role of Maternal Sensitivity.

In light of evidence suggesting that maternal adaptation may impact early child emotional development, this study investigated the interactive effects of maternal psychosocial maladjustment and maternal sensitivity on child internalizing symptoms, with the aim of investigating the potentially protective function of maternal sensitivity. Families (N = 71 to 106 across measures, with gender spread almost evenly: number of boys = 31 to 51 across measures) took part in four assessments between child ages 1 and 3years. Mothers completed measures of parental stress, psychological distress, and marital satisfaction when their children were between 12 and 15months. A composite score of maternal psychosocial maladjustment was derived from these measures. Maternal sensitivity was rated by trained observers at 12months following a home visit. Child internalizing symptoms were assessed by both parents when the child was 2 and 3years old. Hierarchical regressions revealed that increased maternal psychosocial maladjustment was related to more internalizing symptoms in children, however only among children of less sensitive mothers. In contrast, children of more sensitive mothers appeared to be protected. This was observed with maternal reports at 2years, and both maternal and paternal reports at 3years. These results suggest that young children may be differentially affected by their parents' emotional adjustment, while highlighting the pivotal protective role of maternal sensitivity in this process.