Children's Rejection Research Articles

Female adolescents' early life stress and body mass index: Differential effects of anger and anxiety in response to rejection.

Early life stress is linked to childhood obesity. As children enter adolescence, early life stress may be associated with increased rejection sensitivity, resulting in activation of behavioral and physiological changes that contribute to higher body mass index (BMI). Understanding the potential influence of rejection sensitivity on the association between early life stress and BMI is important to examine in female adolescents. For this secondary data analysis, we hypothesized that female adolescents with greater early life stress and greater rejection sensitivity would exhibit higher BMI-for-age 12 months later. Seventy-eight adolescents (Mage = 13.1 years; 100% female sex; MBMI = 23.2 kg/m2) in the United States completed study procedures from 2012 to 2016. Among these procedures, the Psychosocial Schedule was used to assess cumulative early life stress and the Children's Rejection Sensitivity Questionnaire was used to assess anger and anxiety in response to rejection. Twelve months later, height and weight were measured to derive BMI-for-age. Higher early life stress was associated with higher BMI-for-age among female adolescents with low rejection-provoked anger (1 SD below the mean). However, this association was not observed among female adolescents with high rejection-provoked anger (1 SD above the mean). Finally, there was no significant interaction between early life stress and rejection-provoked anxiety in predicting BMI-for-age. Experiencing early life stress may interact with rejection-provoked anger, but not anxiety, to predict BMI-for-age. Findings inform a developmental perspective of how rejection sensitivity may influence the association between early life stress and early cardiometabolic risk.

The Relationship of Rejection Sensitivity to Depressive Symptoms in Adolescence: The Indirect Effect of Perceived Social Acceptance by Peers.

Rejection sensitivity (RS), the tendency to expect, perceive and overreact to rejection from others, has been linked to children's and adolescents' increased vulnerability to depressive symptoms, negatively affecting their perceptions of the quality of their relationship with their peers. The aim of this study is to examine (a) the indirect effect of perceived peer social acceptance in the relationship between RS and depressive symptoms in a sample of Greek adolescents, (b) the differential effect of the different components of rejection sensitivity (angry and anxious RS) on the model, and (c) possible gender differences. The sample of the study consists of 295 adolescents (139 boys, 156 girls, Mage = 14.20, SD = 1.60) residing in the greater Heraklion Prefecture area. Data collection was carried out using self-report questionnaires that measured demographic characteristics, self-perceptions about their peer relationships (self-perception profile for adolescents/SPPA), susceptibility to rejection (children's rejection sensitivity questionnaire/CRSQ), and depressive symptoms (children's depression inventory/CDI). Results showed that (a) RS was positively related to depressive symptoms and negatively related to adolescents' perceptions of their relationships, (b) relationship perceptions were negatively related to depressive symptoms, and gender differences were also found, (c) perceived social acceptance by peers was found to have an indirect effect in the relationship between RS and depressive symptoms, with girls showing a greater effect, and (d) differences were observed in the mediating model between the components of RS, with the mediating effect of perceptions being higher in the model with anxious RS, which appears to confirm previous theoretical postulations. The results of this study highlight the importance of adolescents' perceptions of their peer relationships in the occurrence of depressive symptoms during this developmental period, especially in youths with anxious rejection sensitivity.

Parental Alienation: In Search of Common Ground For a More Differentiated Theory

The concept of parental alienation (PA) has expanded in popular usage at the same time that it remains mired in controversy about its scientific integrity and its use as a legal strategy in response to an increasing range of issues in family court. In this paper we describe how competing advocacy movements (for mothers, fathers and children) in the family justice field have, over time, helped shape the shifting definitions and widening focal concerns of PA‐ from children who make false allegations of abuse, to those who resist or refuse contact with a parent, to parent relocation, and to the emotional abuse wrecked upon children who are victims of a manipulative parent. In search of common ground for a sound approach to using PA concepts, we argue that the Single Factor model of PA (asserting that an alienating preferred parent is primarily the source of the problem) is inadequate, overly simplistic and misleading. A Single Factor model rests on the fallacy that abuse or poor parenting on the part of either parent have been, or are able to be, ruled out as sufficient reason for the child's rejecting stance. By contrast, multi‐factor models of PA make more useful, valid, differentiated clinical predictions of children's rejection of a parent, informed by basic and applied research on children and families. However, multi‐factor models are complex and difficult to argue in court and to use in assessment and interventions. Suggestions are made for developing intervention‐focused prediction models that reduce the number of factors involved and are applicable across different types of interventions.

Linking Rejection Sensitivity, Shyness and Unsociability with Posttraumatic Stress Disorder and Psychiatric Co-Morbidity among Chinese Adolescents.

This study investigated whether rejection sensitivity (RS), shyness and unsociability would positively correlate with Posttraumatic Stress Disorder (PTSD) and psychiatric co-morbidity and whether shyness and unsociability would mediate the impact of RS on distress outcomes. Four hundred and one adolescents from three middle schools in China completed a demographic questionnaire, Children's Rejection Sensitivity Questionnaire, Children's Shyness Questionnaire, Child Social Preference Scale, Posttraumatic Stress Disorder Checklist for DSM-5, and the General Health Questionnaire-28. The results showed that RS and shyness were mostly correlated with PTSD and psychiatric co-morbidity whereas unsociability was not and therefore not a mediator. Shyness, on the other hand, mediated the impact of angry RS and anxious RS on PTSD, as well as anxious RS on psychiatric co-morbidity. To conclude, the severity of PTSD along with other psychological difficulties tends to increase for those who are shy and sensitive to rejection.

Self-Stigmatization in children receiving mental health treatment in Lahore, Pakistan.

Self-stigma has a negative impact on the lives of children with mental health illnesses. It is a massive obstacle in the way of seeking professional help and poses a challenge to clinician's efforts to timely intervene and provide treatment. The aim of our study was to measure the stigma associated with mental illness in children with a variety of psychiatric diagnoses. Following Institutional Review Board approval, an interviewer-based questionnaire was administered to children (aged 8-12 years), receiving treatment in Child Psychiatry Department at a tertiary care hospital in Lahore. The questionnaire comprised of Demographic Information Form and Paediatric Self-Stigmatization Scale (PaedS). In addition, parent / caregiver also completed a modified sub scale of the PaedS measuring the children's rejection by others due to their mental health difficulties. 110 children with various psychiatric problems, were interviewed with a mean age of 10 years + 1.7. Widespread presence of self-stigmatization was found in these children with particularly high scores for the scales of Societal Devaluation (2.6 + 0.54), Secrecy (2.85 + 0.59) and Self stigma (2.7 + 0.70). Almost two third of parents also answered in affirmative to statements about their children rejection by others due to their mental health difficulties. Children with emotional/ behavioral difficulties had statistically significant scores on secrecy and personal rejection subscales (P value<.05). Significant self-stigmatization amongst the children diagnosed with mental health illnesses in Lahore, Pakistan emphasize negative societal attitudes, which need to be addressed effectively in a timely manner.

Rejection sensitivity and psychopathology symptoms in early adolescence: The moderating role of personality organization

IntroductionEmerging personality organization may play an important role in the psychological adjustment of early adolescents, but research in this area is still limited. The current study evaluated if personality organization moderates the association between rejection sensitivity and adverse psychological outcomes in early adolescence. MethodsThree-hundred eighty-six early adolescents (age range 13–15 years; 51% Female) attending junior high schools in Italy completed the semi-structured Interview of Personality Organization Processes in Adolescence (IPOP-A), the Children's Rejection Sensitivity Questionnaire (CRSQ), and the Youth Self Report/11–18 (YSR). ResultsDisruption in the emerging personality organization was associated with increasing symptom problems in early adolescence. Conversely, the successful development of personality organization buffered the relation between rejection sensitivity and negative psychological outcomes (i.e., conduct and affective problems). ConclusionThese findings encourage to accurately evaluate personality organization in adolescence, in order to take into account difficulties but also strengths in personality organization when treating early adolescents.

Rejection Sensitivity as a Moderator of Psychosocial Outcomes Following Pediatric Traumatic Brain Injury.

The current study examines whether psychosocial outcomes following pediatric traumatic brain injury (TBI) vary as a function of children's rejection sensitivity (RS), defined as their disposition to be hypersensitive to cues of rejection from peers. Children ages 8-13 with a history of severe TBI (STBI, n=16), complicated mild/moderate TBI (n=35), or orthopedic injury (OI, n=49) completed measures assessing self-esteem and RS on average 3.28 years post-injury (SD=1.33, range=1.25-6.34). Parents reported on their child's emotional and behavioral functioning and social participation. Regression analyses found moderation of group differences by RS for three outcomes: social participation, self-perceptions of social acceptance, and externalizing behavior problems. Conditional effects at varying levels of RS indicated that externalizing problems and social participation were significantly worse for children with STBI at high levels of RS, compared to children with OI. Social participation for the STBI group remained significantly lower than the OI group at mean levels of RS, but not at low levels of RS. At high levels of RS, self-perceptions of social acceptance were lower for children with moderate TBI compared to OI, but group differences were not significant at mean or low levels of RS. No evidence of moderation was found for global self-worth, self-perceptions of physical appearance or athletic ability, or internalizing problems. The findings highlight the salient nature of social outcomes in the context of varying levels of RS. These findings may have implications for the design of interventions to improve social outcomes following TBI. (JINS, 2017, 23, 451-459).

Measuring stigma in children receiving mental health treatment: Validation of the Paediatric Self-Stigmatization Scale (PaedS)

BackgroundResearch on the impact of stigma associated with mental illness in children is scarce. Considering the known negative effects of stigma associated with mental illness in adults, it is crucial to explore the stigma experienced by children who access mental health treatment. However, no scale measuring self-stigmatization in younger children is available to date. This study aimed to develop and validate such a scale, the Paediatric Self-Stigmatization Scale (PaedS). MethodsA total of 156 children (119 receiving outpatient and 37 receiving inpatient treatment), aged 8–12 years, completed the PaedS, the Self-Perception Profile for Children and the Pediatric Quality of Life Inventory (PedsQL – Child Report, ages 8–12). In addition, parents completed the PedsQL (Parent Report for Children, ages 8–12), the Strengths and Difficulties Questionnaire (SDQ) and a modified subscale of the PaedS measuring the children's rejection by others due to their mental health difficulties. ResultsA confirmatory factor analysis showed that a four-factor structure, comprising Societal Devaluation, Personal Rejection, Self-Stigma and Secrecy scales, had excellent fit to the data (CFI=0.95; TLI=0.95; RMSEA=0.05). Child-reported PaedS scores were positively correlated with parental-reported PaedS scores and negatively with PedsQL, the SDQ, and 5 out of 6 subscales of the Self-Perception Profile for Children, suggesting adequate convergent validity (all P-values<0.05). ConclusionsThe PaedS is a valid instrument, which is hoped to advance the understanding of self-stigmatization in children with mental health difficulties and contribute to its prevention.

Helping lower income parents reduce the risk of food waste resulting from children's aversion to healthier food options: Comment on Daniel (2016)

We reflect on Daniel's (2016) finding that a challenge to improving the diets of lower income children is parental worry over food waste that results from children's rejection of healthier food options such as vegetables. This finding has important implications because previous research has indicated novel foods that have a bitter or sour flavor profile (as is the case with many vegetables) must be introduced to children several times before these foods are accepted. We suggest research-based techniques that parents could utilize to reduce the risk of costly food waste, and discuss obstacles that could impede well-intended parents from reaching their goals of improving their children's diets.

Biased Facial Expression Interpretation in Shy Children

AbstractThe relationship between shyness and the interpretations of the facial expressions of others was examined in a sample of 123 children aged 12 to 14 years. Participants viewed faces displaying happiness, fear, anger, disgust, sadness, surprise, as well as a neutral expression, presented on a computer screen. The children identified each expression by pressing a button on an external keyboard. For each expression, children also rated (a) the degree to which they felt the child displaying the expression would like them, (b) the probability that someone at school would look at them with that expression, and (c) their own emotional reaction to interacting with a child displaying the expression. Participants also completed the Children's Shyness Questionnaire and the Children's Rejection Sensitivity Questionnaire. We hypothesized that shyness in children would be related to negatively biased interpretations of facial expressions. Although the accuracy with which the children could identify the facial expressions was not related to their degree of shyness, negative biases were found in their interpretations of the meanings of the expressions. Furthermore, rejection sensitivity significantly mediated many of these biased interpretations. These findings may have implications for interventions for children experiencing shyness and social anxiety, especially social‐skills training approaches. Copyright © 2015 John Wiley &amp; Sons, Ltd.

Assessing Social Competence and Behavior Problems in a Sample of Italian Preschoolers Using the Social Competence and Behavior Evaluation Scale

Research Findings: The main goals of this study were to examine the factor validity of the Social Competence and Behavior Evaluation (SCBE-30) scale using exploratory factor analysis and confirmatory factor analysis and to test factor invariance across gender in a sample of Italian preschool-age children (241 boys, 252 girls). The concurrent validity of the SCBE scale was examined with measures of children's popularity and rejection. Our findings replicated a 3-factor model of the SCBE scale found in other studies with 3 correlated factors of social competence, anger–aggression, and anxiety–withdrawal. Multigroup confirmatory factor analyses provided evidence of configural, metric, and partial scalar invariance of the scale across gender. Popularity was positively related to children's social competence and negatively related to anxiety–withdrawal. Rejection was positively related to children's anger–aggression and anxiety–withdrawal and negatively related to social competence. Practice or Policy: The use of the SCBE scale in the Italian educational setting may help teachers understand children's emotional and social competencies and thereby improve social adjustment in the classroom.

Is It Alienating Parenting, Role Reversal or Child Abuse? A Study of Children's Rejection of a Parent in Child Custody Disputes

SUMMARY This study of custody disputing families tests competing hypothesis about the correlates of children's alignment with one parent and rejection of the other. Hypotheses include: (a) parental alienation by the aligned parent, (b) abuse by the rejected parent, and (c) boundary diffusion or role reversal in the family. The data were coded from clinical research records of 125 children referred from family courts for custody evaluation or custody counseling. The findings support a multi-factor explanation of children's rejection of a parent with both the aligned and rejected parents contributing to the problem, together with role reversal.

Parents and teachers perception of the risky factors for legal or illegal drugs consumption among students

This work had the opportunity to know and analyze the parents and teachers' perception about the risky factors that influence in scholars for the legal and illegal consumption of drugs. The methodology focused is the qualitative one, of the descriptive explanatory type with the modality of case study. The sample consisted on 8 parents and 8 teachers from the 5th, 6th and 7th basic grades of the Fiscal Primary School, "Carmen Navarro Wither" from Guayaquil, Ecuador. To obtain the data, it was used the "focused group technique" and the observation participation. Also, the thematic containing analysis was done. During the develop of the focused group, it was showed by the parents and teachers a lot of interest and preoccupation about the topic and they perceived it as risky factors the following: The economic situation that commonly force the parents' emigration, the influence of the surroundings and the ignorance of parents and teachers about the drugs topic. Besides, they really would like to know and learn more the drugs' consumption prevention to raise, in this way, the children's rejection about it.

Teachers' classroom practices and children's rejection by their peers

Using a classroom-level, prospective design, we examined the role of classroom context in children's peer relationships, specifically, whether learner-centered practices used by teachers predicted less peer rejection by children, as well as more positive attitudes and behaviors hypothesized to lead to rejection. Learner-centered practices involve individualization of instruction, encouragement of child autonomy, and focus on positive relationships in the classroom. Observers, teachers, and children reported on learner-centered qualities of the instructional environment in 14 first-grade classrooms. After controlling for between-classroom differences in children's interpersonal behavior problems at school entry, greater use of learner-centered practices was predictive of (1) children's report of less anger and more empathy toward a hypothetical disruptive peer, (2) fewer children with interpersonal behavior problems in the spring, and (3) lower classroom rates of peer rejection in the spring. Further, children's behavior problems in the spring partially mediated the relationship between observed teacher practices in the fall and rejection by peers in the spring.

Family Stress and Children's Rejection by Peers: Do Siblings Provide a Buffer?

We present two studies examining the role of siblings as possible buffers against the negative impact of family stress on children's peer relations. In Study 1, we examined associations between stress, sibling status, and peer rejection in a sample of 206 children in grades 3–5 in a majority African-American, rural, lower SES sample. In this low-income sample, higher stress was associated with more peer rejection, but having a sibling did not appear to buffer children against rejection by peers. In Study 1, we examined associations between stress, sibling status, and multiple dimensions of peer relations in a sample of 47 children in grades 3–6 in a majority Caucasian, urban, middle SES sample. In this middle-class sample, stress was unrelated to peer rejection but was associated with higher aggression, which often leads to rejection. In addition, the results from the middle class sample suggested that having a sibling may act as a buffer under high-stress conditions. The results are discussed in terms of current conceptualizations of buffering, contextual influences on family–peer links, and the need to assess multiple dimensions of children's peer-related functioning.

Narrative representations of caregivers and emotion dysregulation as predictors of maltreated children's rejection by peers.

This study examined whether maltreated children were more likely than nonmaltreated children to develop poor-quality representations of caregivers and whether these representations predicted children's rejection by peers. A narrative task assessing representations of mothers and fathers was administered to 76 maltreated and 45 nonmaltreated boys and girls (8-12 years old). Maltreated children's representations were more negative/constricted and less positive/coherent than those of nonmaltreated children. Maladaptive representations were associated with emotion dysregulation, aggression, and peer rejection, whereas positive/coherent representations were related to prosocial behavior and peer preference. Representations mediated maltreatment's effects on peer rejection in part by undermining emotion regulation. Findings suggest that representations of caregivers serve an important regulatory function in the peer relationships of at-risk children.

Narrative representations of caregivers and emotion dysregulation as predictors of maltreated children's rejection by peers.

This study examined whether maltreated children were more likely than nonmaltreated children to develop poor-quality representations of caregivers and whether these representations predicted children's rejection by peers. A narrative task assessing representations of mothers and fathers was administered to 76 maltreated and 45 nonmaltreated boys and girls (8-12 years old). Maltreated children's representations were more negative/constricted and less positive/coherent than those of nonmaltreated children. Maladaptive representations were associated with emotion dysregulation, aggression, and peer rejection, whereas positive/coherent representations were related to prosocial behavior and peer preference. Representations mediated maltreatment's effects on peer rejection in part by undermining emotion regulation. Findings suggest that representations of caregivers serve an important regulatory function in the peer relationships of at-risk children.

Peer Popularity of Learning Disabled Children

The purpose of this study was to determine the peer popularity of learning disabled children who had participated in a sociometric study one year earlier. A sociometric technique was administered to 20 fourth and fifth grade classrooms in which there were 25 learning disabled children from the original study. An analysis of variance was computed for votes received on scales of Social Attraction and Social Rejection by learning disabled children and comparison children matched on variables of sex, race, and classroom. The results indicate that learning disabled children receive a greater number of votes than comparison children on Social Rejection and fewer votes on Social Attraction. The results indicate that there is reliability in children's friendship and rejection ratings across time and across classrooms.