Children's Psychological Adjustment Research Articles

The mediating role of coping self‐efficacy beliefs on the relationship between parental conflict and child psychological adjustment

AbstractThe effect of parental conflict on children's psychological adjustment is variable. Coping self‐efficacy refers to a person's perceived ability to self‐motivate and access the required cognitive resources to take control of, or exert their coping efforts in a stressful situation. This study investigated the mediating role of children's coping self‐efficacy beliefs between parental conflict and children's psychological adjustment (internalizing, externalizing, anxiety, and prosocial behavior). The participants were 663 school students in grade 5 (M = 10.17 years, SD = .53) and grade 7 (M = 12.11 years, SD = .52). The ethnic composition of the sample was approximately 72% White, 20% Asian, 4% Middle Eastern, and 4% from other ethnic groups. Coping self‐efficacy for avoiding maladaptive cognitions mediated the effect of parental conflict on children's internalizing symptoms longitudinally. The higher the level of parental conflict, the lower the level of children's coping self‐efficacy for avoiding maladaptive cognitions and in turn the higher their levels of internalizing. These findings support the mediational role of children's coping self‐efficacy beliefs in the context of parental conflict. It is proposed that these beliefs should be considered in designing and implementing preventative interventions for children in the context of parental conflict.

Parent–child gender matching and child psychological adjustment after divorce

ABSTRACTThe present study aimed to determine whether a parent–child gender match would influence child psychological adjustment after divorce. Participants included 69 parents (36 mothers) in active family law litigation to resolve issues related to postdissolution of marriage or time-sharing matters. Participants provided demographic information and completed the Child Behavior Checklist (CBCL; Achenbach, 1991) to assess their perceptions of their child’s internalizing and externalizing behavior problems. Results demonstrated that internalizing and externalizing behaviors were not affected by whether children spent more time with the same gender parent, opposite gender parent, or split their time equally between both. Comparisons and contradictions between the results in this study and existing research are discussed, as well as practical implications.

No differences? Meta-analytic comparisons of psychological adjustment in children of gay fathers and heterosexual parents.

No differences? Meta-analytic comparisons of psychological adjustment in children of gay fathers and heterosexual parents.

Long-term health-related quality of life and psychological adjustment in children after haemolytic-uraemic syndrome.

In children after haemolytic-uraemic syndrome (HUS), little is known about long-term health-related quality of life (HRQoL) and psychological adjustment as defined by behavioural problems, depressive symptoms and post-traumatic stress symptoms. Sixty-two paediatric patients with a history of HUS were included in this study. Medical data of the acute HUS episode were retrieved retrospectively from hospital records. Data on the clinical course at study investigation were assessed by clinical examination and laboratory evaluation. HRQoL and psychological adjustment data were measured by standardised, parent- and self-reported questionnaires. Haemolytic-uraemic syndrome was diagnosed at a mean of 6.5years before the initiation of the study (standard deviation 2.9, range 0.1-15.7) years. Among the preschool children, parents reported that their child was less lively and energetic (HRQoL emotional dimension), while no increased behavioural problems were reported. In the school-age children, self- and proxy-reported HRQoL was well within or even above the norms, while increased total behavioural problems were found. The school-age children reported no increased depression scores. Also none of the children met the criteria for full or partial HUS-associated posttraumatic stress disorder. Healthcare providers should be particularly alert to behavioural problems in school-age children with a history of HUS and to lower HRQoL in preschool children.

Pre–Post Tornado Effects on Aggressive Children’s Psychological and Behavioral Adjustment Through One-Year Postdisaster

Using a risk-resilience framework, this study examined how varying levels of exposure to a natural disaster (EF-4 tornado) and children’s characteristics (sex; anxiety) influenced the behavioral and psychological adjustment of children who shared a common risk factor predisaster (elevated aggression) prior to exposure through 1-year postdisaster. Participants included 360 children in Grades 4–6 (65% male; 78% African American) and their parents from predominantly low-income households who were already participating in a longitudinal study of indicated prevention effects for externalizing outcomes when the tornado occurred in 2011. Fourth-grade children who were screened for overt aggressive behavior were recruited in 3 annual cohorts (120 per year, beginning in 2009). Parent-rated aggression and internalizing problems were assessed prior to the tornado (Wave 1), within a half-year after the tornado (Wave 2), and at a 1-year follow-up (Wave 3). Children and parents rated their exposure to aspects of tornado-related traumatic experiences at Wave 3. Children displayed less reduction on aggression and internalizing problems if the children had experienced distress after the tornado or fears for their life, in combination with their pre-tornado level of anxiety. Higher levels of children’s and parents’ exposure to the tornado interacted with children’s lower baseline child anxiety to predict less reduction in aggression and internalizing problems 1 year after the tornado. Higher levels of disaster exposure negatively affected at-risk children’s level of improvement in aggression and internalizing problems, when life threat (parent- and child-reported) and child-reported distress after the tornado were moderated by baseline anxiety.

Contact between birth parents and children in kinship care in a sample from Spain

AbstractWithin the context of kinship care, the main objectives of this work are to study the characteristics of contact between foster children and their birth parents, and their relationship with key variables of fostering, the children and their kinship caregivers. The sample included 189 children from Spain and their kinship families. A semi‐structured placement interview and two scales relating to the child–caregiver relationship and child's psychological adjustment were used with the kinship families. The results revealed a significant percentage of foster children who had no family contact. Various visit types, frequencies and durations were described. Kinship care with contact, compared with placements without contact, was frequently characterized by the absence of professional supervision, and an affectionate child–caregiver relationship; moreover, children with contact were perceived to have fewer serious behaviour and socio‐emotional problems and a greater probability of family reunification. The regression analysis showed that the main predictors for how caregivers assessed contact were the children's emotional reaction during visits and the quality of the relationship between the kinship families and the birth parents. These results suggest the need for further research about contact, which will certainly have a major impact on professional intervention with these families.

Risk and Protective Factors at Age 10: Psychological Adjustment in Children With a Cleft Lip and/or Palate.

Objective To explore psychological functioning in children with a cleft at age 10 from a broad perspective, including cognitive, emotional, behavioral, appearance-related, and social adjustment. High-risk groups were identified within each area of adjustment to investigate whether vulnerable children were found across domains or whether risk was limited to specific areas of adjustment. Methods Retrospective chart review from psychological assessments at age 10 (N = 845). The effects of gender, cleft visibility, and the presence of an additional condition were investigated. Results were compared with large national samples. Measures Personality Inventory for Children, Child Experience Questionnaire, Strengths and Difficulties Questionnaire, Satisfaction With Appearance scale. Results The factor affecting psychological adjustment on most domains was the presence of an associated condition in addition to the cleft. As expected, no support was found for cleft visibility as a risk factor, while there were some gender differences related to emotional difficulties and attention. Correlation analyses of risk groups pointed to an association between social experiences and emotional adjustment and between social and behavioral adjustment; whereas, dissatisfaction with appearance was not related to any other domains of risk at age 10. Conclusions The results point to the importance of early screening and assessment of children born with a cleft to identify possible associated conditions and offer adapted and appropriate treatment and care. Future research should investigate how protective factors could counteract potential risk in children with a cleft.

Prosocial Tendencies among Chinese American Children in Immigrant Families: Links to Cultural and Socio‐demographic Factors and Psychological Adjustment

AbstractThe present study examined relations between prosocial tendencies (dispositional sympathy and prosocial behavior) and psychological adjustment using a multi‐method and multi‐informant approach in a socioeconomically diverse sample of first‐ and second‐generation Chinese American children from immigrant families (N = 238, M age = 9.2 years). We tested the concurrent associations between: (a) children's dispositional sympathy (rated by parents, teachers, and children, and observed prosocial behavior), (b) psychological adjustment (parent‐ and teacher‐reported externalizing problems and social competence); and (c) cultural and socio‐demographic factors (children's Chinese and American orientations, family Socioeconomic Status (SES), only child status, and children's age, sex, and social desirability). Results from correlations and structural equation modeling suggested that different measures of prosocial tendencies related differently to children's psychological adjustment. Parent‐ and teacher‐rated sympathy were associated with higher child social competence and lower externalizing problems within, but not across, reporter. By contrast, child‐rated sympathy was associated with higher teacher‐rated social competence, and observed prize donation was associated with lower teacher‐rated externalizing problems. Different measures of prosocial tendencies also showed different relations to cultural and socio‐demographic factors. These findings suggest that prosocial tendencies are not a unitary construct in Chinese American immigrant children: the manifestations of prosocial tendencies and their adjustment implications might depend on the context and/or targets of these tendencies.

Quality of life and adjustment in children and adolescents with Moebius syndrome: Evidence for specific impairments in social functioning

IntroductionMoebius syndrome is a rare congenital disorder characterized by congenital facial paralysis and impairment of ocular abduction. The absence of facial expression in people with Moebius syndrome may impair social interaction. The present study aims at replicating prior findings on psychological adjustment in children and adolescents with Moebius syndrome and providing first data on quality of life. Participants and methodsParents (n=26) and children and adolescents (n=14) with Moebius-Syndrome completed the KINDLR (Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents), the SDQ (Strengths and Difficulties Questionnaire), and a newly devised questionnaire on the global, social, and emotional impact of Moebius syndrome, including a scale that addressed what conjectures were made concerning the thoughts of other people about a child with Moebius syndrome. ResultsIn comparison with normative data, quality of life was reduced for the subscale Friends (large effect for both parental ratings and self-report) and the Total Score of the KINDLR. Parents reported elevated levels of peer problems on the respective subscale of the SDQ. In SDQ self-report data, cases classified as abnormal were observed on Peer Problems only. Moebius-specific scales showed adequate reliabilities, and were related, most notably for parent-report, to quality of life. 29% of children reported feelings of anger when being stared at, and wished that they were not affected by Moebius syndrome. ConclusionsAlthough most children and adolescents in our sample did not show behavioral problems or reduced quality of life, our results indicate that their emotional and social development should be closely monitored. Maintaining satisfying peer relationships seems to be a special challenge for children and adolescents with Moebius syndrome.

Affiliation with Socially Withdrawn Groups and Children's Social and Psychological Adjustment.

This 1-year longitudinal study examined the effects of membership in socially withdrawn peer groups on children's social and psychological adjustment in a sample of 979 children (417 boys, 562 girls, M age = 11.84years). Data on children's social and psychological adjustment and problems were collected from peer nominations and self-reports in the fall and spring of a single academic year. Using the Social Cognitive Map, 162 peer groups were identified. Multilevel analyses showed that affiliation with withdrawn groups negatively predicted social competence and school attitude, and positively predicted victimization and depression. The results suggest that affiliation with socially withdrawn groups is a risk factor for the development of social and psychological problems.

What's your motivation to be pregnant? Relations between motives for parenthood and women's prenatal functioning.

Prenatal psychological adjustment is a critical predictor of postnatal maternal adjustment, which, in turn, relates to a child's psychological development. As such, it is important to examine possible correlates of women's psychological functioning during pregnancy. Grounded in self-determination theory (Deci & Ryan, 2000), the present research investigated the link between women's motives for having a child and prenatal maternal psychological adjustment. Specifically, in a sample of 208 pregnant women, we examined the relation between women's intensity (i.e., quantity) and quality of motivation for having a child and both women's social adjustment (i.e., relationship satisfaction) and personal well-being (i.e., vitality and depressive symptoms). Further, we examined psychological need satisfaction as an explanatory mechanism underlying these associations. Results showed that both intensity and quality of motivation related, either directly or indirectly via psychological need satisfaction, to women's personal well-being and relationship satisfaction during pregnancy.

Factors impacting the quality of peer relationships of youth with Tourette's syndrome.

BackgroundTourette’s syndrome (TS) is a poorly understood neurodevelopmental disorder consistently associated with impaired peer relationships. This research aimed to investigate the relationship between TS and the ability of diagnosed youth to form secure attachment relationships with peers. A quantitative study examined differences between youth with TS and typically developing peers in social functioning, relationship problems and attachment security. Qualitative studies sought to identify factors that enhanced or impeded the ability to form secure peer relationships, including the impact of tic severity, comorbidity and personality traits. All research was conducted from the parental perspective.MethodsThe research consisted of a controlled, survey-based qualitative and quantitative study (Study One) of parents of youth with TS (n = 86) and control group peers (n = 108), and a qualitative telephone interview-based study of TS group parents (Study Two, n = 22). Quantitative assessment of social functioning, peer problems and peer attachment security was conducted using the Paediatric Quality of Life inventory, the Strengths and Difficulties Questionnaire and the Attachment Questionnaire for Children. Qualitative data relating to personality was classified using the Five Factor Model.ResultsResults revealed significantly higher rates of insecure peer attachment, problems in peer relationships, difficulty making friends, stigmatisation and lower levels of social functioning for the TS group. Significant between-group differences in number and type of factors impacting peer relationships were also determined with ‘personality’ emerging as the most prevalent factor. Whilst Extraversion and Agreeableness facilitated friendships for both groups, higher rates of Neuroticism were barriers to friendship for individuals with TS. The TS group also identified multiple ‘non-personality’ factors impacting peer relationships, including TS and comorbid symptom severity, the child’s psychological and behavioural adjustment to their disorder, coping strategies and the behaviour and attitudes of peers.DiscussionOur findings suggest that, whilst Extraversion and Agreeableness facilitated friendships for both groups, higher rates of Neuroticism were barriers to friendship for individuals with TS. Notwithstanding the fact that these findings are based on parental report and not the perceptions of youth themselves, this study may help clinicians to identify youth at increased risk of developing insecure peer relationships and guide the development of targeted supports.ConclusionsThe findings from the study may help clinicians, parents and individuals with TS to better understand and cope with the difficulties experienced in interactions with peers.Electronic supplementary materialThe online version of this article (doi:10.1186/s40359-015-0090-3) contains supplementary material, which is available to authorized users.

Risk and Protective Factors at Age 16: Psychological Adjustment in Children With a Cleft Lip and/or Palate.

Explore psychological functioning in adolescents with a cleft at age 16 from a broad perspective, including cognitive, emotional, behavioral, appearance-related, and psychosocial adjustment. High-risk groups were identified within each area of adjustment to investigate whether vulnerable adolescents were found across domains or whether risk was limited to specific areas of adjustment. Cross-sectional data based on psychological assessments at age 16 (N = 857). The effect of gender, cleft visibility, and the presence of an additional condition were investigated on all outcome variables. Results were compared with large national samples. Hopkins Symptom Checklist, Harter Self-Perception Scale for Adolescents, Child Experience Questionnaire, and Satisfaction With Appearance scale. The main factor influencing psychological adjustment across domains was gender, with girls in general reporting more psychological problems, as seen in reference groups. The presence of an additional condition also negatively affected some of the measures. No support was found for cleft visibility as a risk factor except for dissatisfaction with appearance. Correlation analyses of risk groups seem to point to an association between social and emotional risk and between social risk and dissatisfaction with appearance. Associations between other domains were found to be weak. The results point to areas of both risk and strength in adolescents born with a cleft lip and/or palate. Future research should investigate how protective factors could counteract potential risk in adolescents with a cleft.

Pancultural Gender Differences in the Relation Between Perceived Parental Acceptance and Psychological Adjustment of Children and Adult Offspring

This cross-cultural meta-analysis is based on 220 studies involving 33,081 respondents from 23 nations across five continents. The study addressed a major question drawn from the basic postulates of interpersonal acceptance–rejection theory (IPARTheory): Is the psychological adjustment of both males and females universally (i.e., panculturally) associated with children’s and adults’ perceptions of both maternal and paternal acceptance in childhood? To remain true to the major postulates of IPARTheory (formerly known as parental acceptance–rejection theory, PARTheory), all studies included in this meta-analysis used the Parental Acceptance–Rejection Questionnaire for Mothers and Fathers (Child and Adult PARQ: Mother and Father versions), as well as the Personality Assessment Questionnaire (Child and Adult versions). Results showed that both paternal and maternal acceptance correlate significantly with the psychological adjustment of both children and adults across all cultures. The study also showed that there are no gender differences in the relation between children’s perception of parental acceptance and their psychological adjustment. However, remembrances of maternal acceptance in childhood showed significantly stronger relations with adult sons’ current psychological adjustment than that of adult daughters. Moreover, remembrances of paternal acceptance in childhood were found to have significantly stronger relations with adult daughters’ psychological adjustment than did daughters’ remembrances of maternal acceptance.

Parent Psychopathology and Children's Psychological Health: Moderation by Sibling Relationship Dimensions.

Offspring of anxious adults are at heightened risk for psychological maladjustment; however factors that protect youth in the context of this risk have been rarely explored. Supported by literature showing the meaningful role of sibling relationships for children's psychological outcomes, this study examined the protective role of the sibling relationship for children in the context of risk for psychological maladjustment due to having a parent with a clinical anxiety disorder. Participants were 81 children ages 7 to 12years (58% female; 82% Caucasian), and their parents. Parents met DSM-IV-TR diagnostic criteria for a primary anxiety disorder, and youth did not meet diagnostic criteria for any psychiatric disorder. Parents completed questionnaires on their own psychological distress and use of parenting behaviors, and on their children's psychological adjustment. Children self-reported on the quality of their sibling relationship based on their closest-age sibling. Parenting behaviors were also coded based on a parent-child interaction task. Results of hierarchical regression models demonstrated that sibling relationship quality moderated the relation between parental psychological distress and child adjustment. Post-hoc simple slopes analyses showed that parental distress was significantly positively associated with greater child psychological problems only for children reporting low sibling companionship or high sibling conflict. Aspects of the sibling relationship did not moderate the association between self-rated or observer-rated parenting behaviors and child anxiety symptoms. Findings are consistent with developmental models and empirical literature emphasizing the protective role of sibling relationships for youth's psychological outcomes. Sibling relationships may be a salient target for youth psychological preventive or treatment interventions.

Psychological assessment of mothers and their daughters at the time of diagnosis of precocious puberty.

BackgroundConcerns about psychological distress are often used to justify treatment of girls with precocious puberty, but there is little evidence to support these concerns. The extent to which psychological problems are associated with central precocious puberty (CPP) compared with other forms of early puberty in girls has likewise not been established.MethodsGirls presenting with untreated CPP, premature adrenarche (PA) or early normal puberty (ENP) were recruited from our pediatric endocrine clinic along with their mothers. Child psychological adjustment was assessed by child self-report and parent report. Parent self-reported personality, anxiety, and depression were also assessed. Differences between groups were explored using one-way ANOVA and Dunnett’s T3 test.ResultsSixty-two subjects (aged 7.5 ± 1.4 years, range 4.8-10.5) were enrolled, of whom 19 had CPP, 22 had PA, and 21 had ENP. Girls with ENP were significantly older (8.9 ± .9 years) than girls with CPP (6.9 ± 1.1 years, p < .001) and PA (6.6 ± 1.0 years, p < .001). Girls with PA had significantly higher BMI z-scores (1.7 ± .8) than girls with CPP (1.1 ± .6, p = .01) and ENP (1.2 ± .6, p = .04). More girls with PA and ENP were from racial minorities (47% and 50% respectively) than girls with CPP (32%). No group differences were found for any child measure of psychological adjustment. However, mothers of girls with PA scored significantly higher than mothers of girls with ENP on one measure of depression (p = .04) and stress (p = .01).ConclusionsWhile mothers of girls with PA report increased psychological distress on some measures, no differences in psychological adjustment were found at baseline amongst the girls themselves. Whether these results will change as puberty progresses in the PA and ENP groups or with treatment of CPP is unknown. Long-term prospective studies are needed in order to further investigate psychological correlates of early puberty in girls.

Attachment and Family Processes in Children's Psychological Adjustment in Middle Childhood.

This study examined the links between parent-child attachment, whole family interaction patterns, and child emotional adjustment and adaptability in a sample of 86 community families with children between the ages of 8 and 11years. Family interactions were observed and coded with the System for Coding Interactions and Family Functioning (SCIFF; Lindahl, 2001). Both parents and each target child completed the appropriate form of the Behavior Assessment System for Children-2nd Edition (BASC-2; Reynolds & Kamphaus, 2004). Target children also completed the Children's Coping Strategies Questionnaire (CCSQ; Yunger, Corby, & Perry, 2005). Hierarchical multiple regressions indicated that Secure mother-child attachment was a robust predictor of children's emotional symptoms, but father-child attachment strategies were not significant independent predictors. Positive Affect in family interactions significantly increased the amount of variance accounted for in children's emotional symptoms. In addition, Family Cohesion and Positive Affect moderated the relationship between father-child attachment and children's emotional symptoms. When data from all BASC-2 informants (mother, father, child) were considered simultaneously and multidimensional constructs were modeled, mother-child security directly predicted children's adjustment and adaptive skills, but the influence of father-child security was fully mediated through positive family functioning. Results of the current study support the utility of considering dyadic attachment and family interaction patterns conjointly when conceptualizing and fostering positive emotional and behavioral outcomes in children.

Adversity and Adjustment in Children in Institutions, Family Foster Care, and Adoption.

This study's objective was to identify the adversity profiles of children in different childcare placements, and to analyze their relationship with subsequent psychological adjustment. We studied a group of 230 children 4 to 10 years old indifferent childcare placements (international adoption, institutional care, non-kin foster care, and kinship care), as well as a control group. Information was collected from parent or caregiver interviews and the Strengths and Difficulties Questionnaire (SDQ). The results showed that children in the child welfare system had experienced significant adversity before their current placement, especially among institutional care cases and international adoptees. Meanwhile, children in kinship care had experienced less adversity (p .50 to d > .80). After a period of time in their respective placements, children's psychological adjustment was generally positive, but children living in institutional care exhibited the most problems and difficulties, followed by non-kin foster care cases (p .50 to d > .80). Finally, we found that children's early adversity levels (p < .05; r = .16), age of current placement (p < .01; r = .23), and duration of current placement (p < .05: r = -.19) were all tied to current psychological adjustment.

Child Abuse and its Relation to Quality of Life of Male and Female Children

It is an established fact that family strengths can promote positive outcomes for children; of course these strengths include high quality parent-child relationships. On the other hand, family violence and child abuse can lead to negative consequences regarding child well-being and quality of life. On the long run, child's mental health and psychological adjustment are compromised. This study aims at investigating the relationship between child abuse (physical abuse, psychological abuse and neglect) and quality of life in children of abusive fathers and mothers. This study operates on the assumption that child abuse affects all dimensions of children's quality of life; however the effect on each dimension is not necessarily the same. Male and female children completed Child Abuse Scale (CAS) and Children's Quality of Life Questionnaire (CQOLQ), both measurements were prepared by the author. Results of the study indicated significant negative relationship between child abuse in two types (physical abuse and emotional abuse) and the total score of CAS on one hand, and the family life dimension of CQOLQ on the other hand. Results also indicated significant negative relationship between total score of CAS and total score of CQOLQ in the male sample, while no similar relationship was indicated in the female sample. The findings of the study concerning the general score of quality of life assessment were discussed in the light of literature of the subject, and clinical implications of the results were also discussed reaching at some recommendations to help alleviating the negative impact of child abuse.

Systems analysis of associations over time between maternal and sibling well-being and behavioral and emotional problems of children with autism

Taking a family systems perspective, several research studies have shown that the family context (especially maternal well-being) predicts psychological adjustment in children with autism. This work has mainly focused on dyadic relationships in the family (especially parent–child reciprocal effects). In the present study, we extended a systems perspective in autism family research to a triad involving the child with autism, their mother, and a sibling, and also adopted a longitudinal design. Mothers from 60 families of children with autism reported on their own depression, and the behavior problems and pro-social behavior of their child with autism and a sibling. Results from longitudinal regression models suggested that earlier levels of maternal depression and sibling pro-social behavior did not have an independent effect on the behavior problems or pro-social behavior of children with autism 2.5–3 years later. Earlier levels of sibling behavior problems were associated with increased behavior problems of the child with autism 2.5–3 years later. Although replication is required, these are the first data to suggest that outcomes for children with autism may be affected by their siblings’ psychological adjustment. The methodology of longitudinal family systems analysis of triadic relationships has important research and practical implications.