Families Of Children Research Articles

Abstract Strengths and difficulties Lithuania

Abstract Background Most mental health disorders begin before the age of 18, peaking at 14.5 years (Solmi, 2022) and manifest as emotional and behavioural difficulties that are more frequent in institutional social care (ISC): former foster care recipients have higher rates of depression and PTSD than the general population (Pecora, 2009). The rate of children living in residential care facilities in Europe and Central Asia is double the global average (UNICEF, 2024). This study aims to assess and compare the mental health of children in ISC centers and regular high schools. Methods A cross-sectional study was conducted in ISC centres and high schools in 2022-2023. The sample size consisted of children aged 11-17 living in ISC (n = 49) or in families (n = 193). Online anonymous survey was applied to assess the prevalence of endured violence, substance use and measure mental health outcomes using the Strengths and Difficulties Questionnaire (SDQ-25). Results A total of 242 respondents (age mean 14.6, SD = 2.12) in ISC and families showed similar poor mental health rates (42% and 44%, respectively). Prosocial behaviour problems were exhibited more by boys (p < 0.05), whereas emotional symptoms were more common in families (p < 0.001): 90% normal SDQ-25 scores in ISC vs 60% in families. Enduring psychological (38% vs 60.2%) violence was more prevalent among children in families (p < 0.05); smoking - in ISC, alcohol use - in families (p < 0.05). In both groups enduring physical violence was associated with smoking and alcohol use (p < 0.05), and overall poor SDQ-25 results strongly correlated (p < 0.001, r = 0.815, r = 0.610, respectively) with hyperactivity. Conclusions A significant part of study participants reported poor mental health outcomes with most problems in relationships with peers. Mental health risk factors such as violence or substance abuse are associated with poor emotional wellbeing while being more common among children living with families. Key messages • Children living in ISC and in families demonstrate similar level of mental health problems. • Varying prevalence of substance abuse among children living in different settings highlights the importance of environmental factors when addressing the issue.

Family Functioning and Child Participation Following Early Childhood Traumatic Brain Injury

Family functioning and child participation are critical factors in recovery from traumatic brain injury (TBI) and academic and social outcomes. Using mixed methods, we investigated these factors in children who experienced early childhood TBIs and then entered formal schooling. Caregivers completed interviews and scales of family functioning and child participation. Their scores did not reflect problematic family functioning, but showed participation across settings was below average. Themes from interviews included: (1) early childhood TBIs can affect family functioning even years after the injury; (2) learning, academic, and social-emotional issues impact participation and family functioning following early childhood TBI; and (3) appropriate supports and accessible environments are critical for both family functioning and child participation across settings. Mixed methods analyses indicated convergence, divergence, and expansion between qualitative and quantitative results. Results enhance our understanding of challenges encountered after early childhood TBI and provide directions for future interventions.

Going Insane: Battered Muslim Women Reclaim a Positive Identity.

This study examines the process of identity negotiation of 15 Muslim women who resisted severe abuse by their husbands and extended family by becoming mentally ill and thereafter, divorcing. Content analysis of the interview narratives shows that these women were poor, married young, and endured years of battering, isolation, and silencing for the sake of family honor and children's well-being. Entrapped within a web of sociocultural norms legitimizing wife beating, and abusive extended family relationships that annihilate their voice by branding them as maj'nuna/insane, these women explained that they were terrorized helpless victims fearing the stigma of being labeled insane and the resultant harm to their children. With the deterioration of their health, threat of annihilation, and imminent danger to themselves and their children, these women broke through the normative oppressive framework by becoming maj'nuna/mentally ill. Detached from the extended family and no longer caring to endorse a label that discredited what they said or did, these women overtly resisted by escaping to the family of origin and/or mental health clinic to reveal the abuse, divorce, and seek treatment. Severing all family ties, and now residing in public housing, these women felt safe to renegotiate a favorable identity and reclaim the right to live with dignity. Implications/recommendations: (1) The criminalization of battering and prosecution of batterers is not enough to deter when cultural norms sanction battering, (2) additional diagnostic categories are needed to identify the precursors of battering within the strategies of overt and covert resistance battered women adopt in collectivistic cultures such as mental and neurophysiological dysfunctions, and (3) it is necessary to transcend the individualistic model titling battered women within the false dichotomy of victimization or agency as it fails to reflect battered women's experience in collectivistic cultures and their resistant strategies to abuse in the extended family.

Benefits of Pet Therapy for Children and Young Adults

Abstract: With the development of psychology, the mental health of children is paid more attention than before. Reducing attachment to parents and anxiety are common mental issues in children. People need to focus on the mental health of the children. There have been several studies about the function of pets and how they positively or negatively support adults' mental condition. With the increasing number of pets owned, pets play an important role in several families. Pets play an essential role in affecting children's mental health. Pet therapy is an example of how pets impact the mental condition of children. This research focuses on how pets can work in pet therapy to help children reduce mental stress and how pets in their daily lives can help young adults and children perform better social development. The research reviews several previous study papers about pets' influence on children's mental and social development. The research finds that pet therapy can help children with physical health and disabled children reduce their mental stress from the environment and society. In their daily lives, children in families with pets benefit from socio-emotional development and get social support from pets.

Objective detection of wheeze at home by parents through a digital device: usage patterns and relationship with SABA administration.

Wheezing is an important indicator of exacerbated respiratory symptoms in early childhood and must be monitored to regulate pharmacological therapy. However, parents' subjective perception of wheezing in their children is not always precise. We investigated the objective identification of children's wheezing by parents using a digital wheeze detector (WheezeScanTM, OMRON Healthcare Co. Ltd), its longitudinal usage patterns, and its relationship with SABA administration. We conducted a secondary nested analysis of data from the intervention arm of a multi-center randomized controlled trial completed in 2021-2022 in Berlin (Germany), London (United Kingdom), and Istanbul (Turkey). Children aged 4 to 84 months with doctor's diagnosed wheezing (GINA step 1 or 2) were included. Using an electronic diary (Wheeze-MonitorTM, TPS), parents monitored and recorded for 120 days at home the presence or absence of their child's wheezing, detected both, with WheezeScanTM ("objective" wheezing), and subjective ("perceived" wheezing). Parents also recorded the child's symptoms, medication intake, and family quality of life. Questionnaires regarding symptom control, quality of life, and parental self-efficacy were answered at baseline and after 90 and 120 days. Eighty-one/87 families completed the intervention arm of the study. WheezeScanTM was on average used 0.7 (SD 0.6) times a day, with each patient reporting a positive, negative, or "error" outcome on average in 57%, 39%, and 5% of measurements, respectively. The use of WheezeScanTM declined slightly during the first 90 days of monitoring and steeply thereafter. Repeated usage of WheezeScanTM in the same day was more frequent after a "wheeze" (HR 1.5, 95% CI 1.37-1.65, p < 0.001) and an "error" (HR 2.01, 95% CI 1.70-2.38, p < 0.001) result, compared to a "no wheeze" outcome. The average per-patient daily agreement between "objective" and "perceived" wheezing/non-wheezing was 75% at the start of the monitoring period and only weakly persisted as time passed (Spearman's rho=0.09). The frequency of short-acting beta-2-agonists (SABA) administration was lower in days with closely interspaced consecutive device uses during which the patient's status was perceived as "never wheeze" (32/455, 7%) than in those perceived as "persistent wheeze" (53/119, 44%; OR 36.6, 95% CI [14.3, 94.1]). Daily use of a digital WheezeScanTM at home allows parents to detect their child's unperceived wheezing and discloses to caregivers the longitudinal patterns of a child's wheezing disorder. Digital monitoring of wheezing also highlights poor adherence to guidelines in SABA administration for wheezing children, with under-treatment being much more frequent than over-treatment. This pioneering study opens new perspectives for further investigation of digital wheeze detectors in the early diagnosis and proper self-management of wheezing disorders in childhood.

85 Improving children and families healthcare experiences through a Community Social Paediatrics model

Abstract Background The clinical presentation of children with referrals related for behavioral and school difficulties is often complex and involves environmental and psychosocial components in addition to medical considerations. Collaborative, team based, holistic and integrated approaches are standard of care for many medically complex conditions but less emphasized for what is considered more general presentations in Paediatrics. Given the complexity of patients presenting with challenging behaviors, an integrated approach should be considered as a patient centered and efficient model of care. Objectives The aim of this study was to determine if using a Community Social Paediatrics (CSP) model with an interdisciplinary team can improve experiences and outcomes for families of children being assessed for challenging behaviors who also have complex psychosocial considerations. Design/Methods This pre-post study recruited families with children who had received behaviour-related Paediatric referrals. Participants received the standard of care and additional resources typical to a CSP model, including support from a social worker, home visits, and referral/funding for clinically indicated therapeutic services such as occupational therapy. Three measures were used to evaluate the experience and outcomes of patients and families prior to intake and after 12 months of care: Paediatric Integrated Care Survey (PICS), Child Behaviour Checklist (CBCL), and Quality of Relationship Inventory (QRI). Descriptive analyses of demographics and subscale scores were conducted. Paired t-tests were conducted to detect significant changes in subscale scores across time points. Results In total, 31 caregivers completed the intake assessment and 26 of these completed the follow-up assessment for their children, who were between the ages of 5 to 14 at the time of intake. The QRI scores, which assessed the child-caregiver relationship, indicated a significant decrease in the conflict subscale between timepoints (M1=2.23, M2=1.87, p&amp;lt;0.005). Similarly, the CBCL scores indicated significant reductions in aggressive behaviour (M1= 68.65, M2= 64.77, p&amp;lt;0.05) and conduct problems (M1= 68.69, M2= 62.31, p&amp;lt;0.05). The PICS scores indicated families reported fewer access problems (M1= 3.35, M2= 1.19, p&amp;lt;0.005), and better communication with health care providers (M1= 14.53, M2= 16.92, p&amp;lt;0.05). Conclusion Findings indicate that aspects of the family experience and child outcomes were significantly improved after receiving care through the CSP model. In particular, the reduction of caregiver-child conflict, aggressive behaviour, and conduct problems may indicate that the child’s needs are being more effectively met, thus reducing conflict at home and school. Paediatricians should strongly consider an interdisciplinary model when seeing children for behavioral referrals. This may be especially true for those with complex psychosocial needs.

Incidence and Correlates of Husband-Perpetrated Rape Among Currently Married Women in Nigeria.

Husband-perpetrated rape (HPR), which implies every form of unwilling sex with a husband as a result of force, threat or drug, is rarely discussed or reported, and it has been quite understudied in Nigeria. Hence, this study answers two questions: What is the incidence of HPR, and what are the correlates among currently married women in Nigeria? Descriptive and multi-level logistic regression tools are used to analyze data from a sub-sample of 1,583 currently married women (16 years and above) surveyed in a larger survey conducted in mid-2022. The results suggest that the national incidence rate of HPR among currently married women in Nigeria is 20%. Although any married woman could experience HPR anywhere, the main correlates that are likely to elevate the risk in Nigeria are childhood sexual abuse experience (OR = 3.9, p < .001, 95% CI [2.9, 5.2]), membership in Yoruba ethnic group (OR = 2.7, p < .001, [1.7, 4.3]), and having husbands who smoke (OR = 2.4, p < .001, [1.7, 3.4]). Other minor risk factors are minority ethnic groups membership (OR = 2.1, p < .01, [1.4, 3.3]), husband's substance use (OR = 1.7, p < .001, [1.3, 2.2]), childhood family situation wherein parents separated/divorced (OR = 1.8, p < .01, [1.3, 2.6]) and membership of the Igbo ethnic group (OR = 1.7, p < .05, [1.1, 2.8]). Therefore, to reduce HPR experience in Nigeria, appropriate organs should design and implement an invigorated child protection law targeting childhood sexual abuse reduction. An aggressive campaign against smoking and substance consumption among married men is also imperative. Also, a sustained campaign against HPR using multiple media all over Nigeria is crucial.

DESAFIOS E RESILIÊNCIA: UMA ANÁLISE DAS DIFICULDADES ENFRENTADAS POR MÃES DE FILHOS NO ESPECTRO AUTISTA

The diagnosis of Autism Spectrum Disorder presents some challenges and singularities, the limitations in its development entail a series of demands and significant changes in the family's routine and child care. The objective of this article is to understand the difficulties and experiences faced by mothers with children diagnosed with Autism Spectrum Disorder (ASD). The expected results will be significant in highlighting the challenges faced by mothers of children with Autism Spectrum Disorder (ASD), including the emotional impact of the diagnosis, the need to access specialized resources, the burden of care and difficulties in social interaction. Based on the studies analyzed, we hoped to understand this complex and significant issue faced by mothers of children with ASD in the care process. Research will play a relevant role in the development of policies and support programs that can protect the feminine essence and promote quality of life for families in society.

Stressful family life events and father involvement in Korean children's sociobehavioral health.

We examined the longitudinal associations between stressful family life events at 4 years of age and children's internalizing and externalizing behaviors at 7 years of age, whether family functioning and parental warmth (i.e., mothers' warmth, fathers' warmth) mediated those associations, and whether the associations varied by fathers' involvement in Korean families. Participants were 1,703 families, including mothers (Mage = 34 years; SD = 3.70 years), fathers (Mage = 37 years; SD = 3.97 years), and children (Mage = 51 months; SD = 1.22 months) from the Panel Study on Korean Children. Results revealed that stressful family life events were positively associated with children's internalizing and externalizing behaviors but not via family functioning and parental warmth. Family functioning and mothers' warmth successively mediated the association between father involvement and children's internalizing and externalizing behaviors. Father involvement moderated the association between stressful family life events and children's externalizing behaviors. The findings highlight that father involvement may play a protective role in children's externalizing behaviors when Korean families experience stressful situations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Melatonin receptor 1A variants as genetic cause of idiopathic osteoporosis.

Idiopathic osteoporosis (IOP) is a rare form of early-onset osteoporosis diagnosed in patients with no known metabolic or hormonal cause of bone loss and unknown pathogenesis. Patients with IOP commonly report both childhood fractures and family history of osteoporosis, raising the possibility of genetic etiologies of IOP. Whole-exome sequencing analyses of different IOP cohorts identified multiple variants in melatonin receptor 1A (MTNR1A) with a potential pathogenic outcome. A rare MTNR1A variant (rs374152717) was found in members of an Ashkenazi Jewish family with IOP, and an MTNR1A variant (rs28383653) was found in a nonrelated female IOP cohort (4%). Both variants occur at a substantially higher frequency in Ashkenazi Jewish individuals than in the general population. We investigated consequences of the heterozygous (rs374152717) variant [MTNR1Ac.184+1G>T (MTNR1Ac.184+1G>T)] on bone physiology. A mouse model of the human rs374152717 variant reproduced the low bone mass (BM) phenotype of young-adult patients with IOP. Low BM occurred because of induction of senescence in mutant osteoblasts followed by compromised differentiation and function. In human cells, introduction of rs374152717 led to translation of a nonfunctional protein and subsequent dysregulation of melatonin signaling. These studies provide evidence that MTNR1A mutations entail a genetic etiology of IOP and establish the rs374152717 variant as a loss-of-function allele that impairs bone turnover by inducing senescence in osteoblasts. The higher prevalence of the MTNR1A variants identified in IOP cohorts versus the general population indicates a greater risk of IOP in those carrying these variants, especially Ashkenazi Jewish individuals bearing the rs374152717 variant.

Early childhood family threat and longitudinal amygdala-mPFC circuit development: Examining cortical thickness and gray matter-white matter contrast

Early threat-associated cortical thinning may be interpreted as accelerated cortical development. However, non-adaptive processes may show similar macrostructural changes. Examining cortical thickness (CT) together with grey/white-matter contrast (GWC), a proxy for intracortical myelination, may enhance the interpretation of CT findings. In this prospective study, we examined associations between early life family-related threat (harsh parenting, family conflict, and neighborhood safety) and CT and GWC development from late childhood to middle adolescence. MRI was acquired from 4200 children (2069 boys) from the Generation R study at ages 8, 10 and 14 years (in total 6114 scans), of whom 1697 children had >1 scans. Linear mixed effect models were used to examine family factor-by-age interactions on amygdala volume, caudal and rostral anterior cingulate (ACC) and medial orbitofrontal cortex (mOFC) CT and GWC. A neighborhood safety-by-age-interaction was found for rostral ACC GWC, suggesting less developmental change in children from unsafe neighborhoods. Moreover, after more stringent correction for motion, family conflict was associated with greater developmental change in CT but less developmental change in GWC. Results suggest that early threat may blunt ACC GWC development. Our results, therefore, do not provide evidence for accelerated threat-associated structural development of the amygdala-mPFC circuit between ages 8–14 years.

Child care for young children with disabilities.

More than half (56%) of Canadian children aged 0 to 5 years are in non-parental child care, but data on child care attendance among children with disabilities is limited. This study examines child care participation among young children with disabilities in Canada, with a focus on different disability types. Analyses were conducted on 1,189 children aged 0 to 5 years identified with disabilities from Statistics Canada's 2023 Survey on Early Learning and Child Care Arrangements - Children with Long-term Conditions and Disabilities. Rates of child care participation, difficulties finding child care, difficulties within child care, and whether parents reported that their child had ever been denied a child care space because of their condition were examined. Logistic regression models tested for differences in the main child care arrangement and difficulty finding child care based on the child's disability while controlling for sociodemographic variables. Among children aged 0 to 5 years with disabilities, 45% attended a daycare centre, preschool, centre de la petite enfance, or before or after school care as their main child care arrangement; 17% attended another type of child care, such as a family child care home or care by a relative; and 38% did not regularly attend non-parental child care. The parents of nearly half of children with disabilities reported difficulty finding a child care arrangement, particularly for children with emotional conditions. Close to 1 in 10 parents of children with disabilities who were using child care reported that their child had been denied a child care space because of their condition. These findings highlight the need for information to support inclusive policies, practices, and resources for children with disabilities within the Canada-wide early learning and child care system.

More Than Just Treats? Effects of Grandparental Support for Children Growing up in Adversity.

This study examined whether grandparental support is a protective factor for children's socio-emotional development in the context of adversity. Using longitudinal data from the Millennium Cohort Study, we investigated the effects of grandparental support across development in children with and without adverse childhood experiences (ACEs). Socio-emotional development was assessed with the Strengths and Difficulties Questionnaire when children were aged 3 years (N=10,186), 5 years (N=10,412) and 7 years (N=10,551). Parent-reported grandparental childcare, coresidence and financial help were assessed and parents reported on the occurrence of five ACEs: physical and emotional abuse assessed with the Straus' Conflict Tactics Scale, parental mental illness assessed with the Kessler scale, domestic violence and parental separation. We found that children with relatively higher levels of ACEs showed more prosocial behaviour and less externalizing problems when they received grandparental care compared to non-grandparental (in)formal care, but only at age 3. By age 7, children with higher levels of ACEs receiving grandparental care showed less prosocial behaviour and more externalizing problems. In addition, grandparental financial support at age 3 was related to more externalizing problems. Post-hoc analyses showed that internalizing and externalizing behaviours at age 5 were related to an increased probability of grandparental childcare at age 7, indicating that children's socio-emotional problems trigger grandparental support. Our findings point to a protective effect of grandparental care on children's socio-emotional development at age 3. Our results highlight the importance of going beyond the nuclear family towards the impact of the wider family network when examining children's socio-emotional development. RESEARCH HIGHLIGHTS: Three-year-old children with high levels of adverse childhood experiences (ACEs) show more prosocial behaviour and less externalizing behaviour when they receive grandparental care. Grandparental care has therefore protective effects on young children's socio-emotional development in the context of family adversity. Grandparents respond to children's socio-emotional problems and family adversity by increasing financial support and involvement in care. These findings underscore the importance of going beyond the nuclear family towards the impact of the wider family network when examining children's socio-emotional development.

Family functioning and child internalizing and externalizing problems: A 16-wave longitudinal study during the COVID-19 pandemic.

This study explored young children's mental health trajectories during the pandemic (May 2020 to April 2021) as well as associations with family functioning (i.e., cohesion, conflict, chaos, and routines) using data reported by 204 parents (children Mage 5.49; 45% girls, 90% White). Children's internalizing problems decreased early on with the onset of the pandemic, but then leveled off, while no change in externalizing problems was found. Family conflict and chaos were significantly associated with internalizing and externalizing problems at the within- and between-family level, when examined independently. When family-level factors were evaluated simultaneously, family conflict emerged as a robust risk factor. Intervention efforts, specifically for families experiencing increased conflict, may help support the mental health needs of children.

The associations between mothers’ and grandmothers’ self-control, mother-grandmother coparenting relationships and caregiver-child attachment: An actor-partner interdependence mediation model

More and more grandparents are involved in parenting and share the responsibility of raising children with parents in China. Less is known, however, regarding the mutual effects of caregivers on children in intergenerational coparenting families. This study aimed to examine how mothers’ and grandmothers’ self-control, mother-grandmother coparenting relationships, and caregiver-child attachment were associated and to investigate whether the pathways were different in mother-child and grandmother-child dyads. Participants were mothers and grandmothers from 501 intergenerational coparenting households. The results from Actor-Partner Interdependence Mediation Modeling (APIMeM) indicated that mothers’ and grandmothers’ self-control were indirectly related to their own caregiver-child attachment through their self-report coparenting relationships. Additionally, the effect of mothers’ self-control spilled over to the grandmother-child attachment through grandmothers’ self-report coparenting relationships. Overall, the findings indicated that mothers’ and grandmothers’ self-control, mother-grandmother coparenting relationships, and their attachment to the child significantly differed between mother-child dyads and grandmother-child dyads. This study contributes to a deeper understanding of women caregiver-child attachment processes and highlight the implications of using the dyadic approach in understanding and improving family functioning in intergenerational coparenting families, which provide implications for family interventions.

Latino Family Engagement and Student Outcomes in Early Elementary School: Evidence from Two National Datasets

ABSTRACT Family engagement in children’s schooling is important. Research indicates that Latino families often utilize home-based practices (e.g. reading, telling stories, singing, counting) over school-based involvement (e.g. participating in school events and committees, volunteering in the classroom). Using an assets-based approach, the present study considers both school- and home-based forms of engagement for Latino families. Drawing upon data from two large, nationally representative datasets, the Early Childhood Longitudinal Study, Kindergarten Class of 2010–11 (ECLS-K:2011; N = 4,590) and the Head Start Impact Study (HSIS; N = 1,670), this study seeks to examine national patterns of Latino family school- and home-based engagement in kindergarten, and how such engagement relates to child academic, cognitive, and behavioral outcomes in early elementary school. Descriptive findings show high levels of Latino family participation in a variety of both home-based academic activities and school-based activities. Regression analyses indicate an association between Latino family engagement and child outcomes, most evident in school-based engagement. Implications for educators, schools, and research are discussed.

Language and Cultural Identity Construction in Children Attending a Bilingual Programme in France: A Longitudinal Case Study

ABSTRACT This 5-year longitudinal case study contributes to our understanding of how family and space impact children’s bilingual identity construction and agency development. Participants are two French-English bilinguals from contrasting family profiles. Ava was born and raised in France. Her parents’ first language and her dominant home language is English. Victor was born in France. His parents’ first language and his dominant home language is French. His family moved to Australia for 3 years before returning to France when Victor was 5. Ava and Victor, who attend the same bilingual school programme in France, are followed from the beginning to the end of elementary school. Our results show that parents’ investment is critical to children’s attitudes and identity construction. While birthplace and family links to languages and cultures are highlighted, length of time spent in a place is also significant, although it impacts the children differently. Expressions of identity evolve constantly, as reinterpretations of children’s past and present experiences, together with the support of people around them, influence their plural self-concept and agency development.

Fathers' engagement in a parenting program primarily intended for female caregivers: An early qualitative process evaluation in Western Kenya.

Parenting programs predominantly target one caregiver of the child or most commonly the child's mother. However, fathers are also important caregivers whose engagement in interventions can benefit child health, nutrition, and development. In August 2023, a qualitative process evaluation was conducted during the first quarter of implementation to assess initial fidelity, quality, and outcomes of a parenting program in rural Western Kenya. In-depth interviews were conducted with female and male caregivers along with in-depth interviews and focus group discussions with program delivery agents. This secondary analysis specifically focused on stakeholders' perceptions of father involvement in the program and aimed to identify barriers and facilitators to fathers' participation, initial program impacts when fathers were involved, and recommendations for increasing father inclusion. Thematic content analysis was conducted, and data were triangulated across stakeholder groups. Overall, relatively few fathers participated in the program. Nevertheless, for the rare cases of participating fathers, stakeholders highlighted positive changes in fathers' caregiving attitudes and practices. Key barriers to fathers' program engagement included restrictive gender norms and perceived opportunity costs. Stakeholders suggested several strategies for better reaching fathers, including providing financial incentives and flexible scheduling of sessions. Overall, we found that fathers' participation and program experiences were starkly different from those of mothers. Gender-responsive program adaptations and father-targeted implementation strategies are likely to increase the fathers' engagement in parenting programs, which in turn may facilitate greater program impacts on family caregiving and child outcomes. Future evaluations of parenting programs should combine qualitative and quantitative approaches to more comprehensively assess program impacts on fathers and over time.

Effects of childhood adversities on alexithymia features vary between sexes. Results of a prospective population study

ABSTRACT Introduction: Adverse childhood experiences (ACEs) associate with various mental disorders, including personality features. Our understanding of how ACEs influence alexithymia features in the general population is limited. In a prospective population setting, we studied whether ACEs associate with alexithymia, and the role of sex and emotional symptoms in this association. Methods: In a Finnish population-based prospective study, 3,142 individuals aged between 30 and 64 years completed eleven ACE questions and the Toronto Alexithymia Scale in 2000 and 2011, and the Hopkins Symptoms Checklist in 2011. The effect of ACEs on alexithymia and its subdomains – difficulty identifying feelings (DIF), difficulty describing feelings (DDF), and externally oriented thinking (EOT) in 2000 and 2011 – was analysed using repeated measures ANOVA. Results: The number of ACEs and their main component, childhood social disadvantage, associated positively with total alexithymia scores and its subdomains DIF and DDF, and negatively with EOT. After controlling for the effect of depression and anxiety, the strength of these associations was reduced, but the effect of social disadvantage on DIF and EOT remained significant in females. Childhood family conflicts associated positively with DIF in males and negatively with EOT in females. Additionally, maternal mental problems associated positively with DIF and DDF in females. Discussion: In the general population, ACEs, particularly social disadvantage, are associated with adult alexithymia features. Alexithymia features, detectable from youth, may predispose individuals to emotional disturbances caused by childhood adversities. The effect of family conflicts and maternal mental problems on alexithymia features varies between sexes.

Contextual Factors Predictive of Social-Emotional Functioning Among Children of Mothers With and Without Low Intellectual Functioning

This study used Future of Families Child and Wellbeing Study data to examine community, family, and maternal predictors of social-emotional outcomes for kindergarten-aged children of mothers with and without low intellectual functioning. Multivariate analysis of variance and multivariate regression explored relationships between maternal intellectual functioning, covariates, and outcomes. As poverty was an important covariate, predictive of outcomes, marginal analysis was used to understand the interaction between poverty and intellectual functioning on each of the outcomes. Children whose mothers had low intellectual functioning had poorer outcomes than their peers regarding positive, anxious/depressed, and withdrawn behaviors regardless of poverty level. This research supports prioritizing these children for early social-emotional education as they enter elementary school, as well as prioritizing their families for supportive interventions in community-based settings.