Signals In Children Research Articles

Maladaptive mother-child interactions in mothers with remitted major depression are associated with blunted amygdala responses to child affective facial expressions.

Maternal depression is associated with difficulties in understanding and adequately responding to children's emotional signals. Consequently, the interaction between mother and child is often disturbed. However, little is known about the neural correlates of these parenting difficulties. Motivated by increasing evidence of the amygdala's important role in mediating maternal behavior, we investigated amygdala responses to child sad and happy faces in mothers with remitted major depression disorder (rMDD) relative to healthy controls. We used the sensitivity subscale of the emotional availability scales and functional magnetic resonance imaging in 61 rMDD and 27 healthy mothers to examine the effect of maternal sensitivity on mothers' amygdala responses to their children's affective facial expressions. For mothers with rMDD relative to controls, we observed decreased maternal sensitivity when interacting with their child. They also showed reduced amygdala responses to child affective faces that were associated with lower maternal sensitivity. Connectivity analysis revealed that this blunted amygdala response in rMDD mothers was functionally correlated with reduced activation in higher-order medial prefrontal areas. Our results contribute toward a better understanding of the detrimental effects of lifetime depression on maternal sensitivity and associated brain responses. By targeting region-specific neural activation patterns, these results are a first step toward improving the prediction, prevention, and treatment of depression-related negative effects on mother-child interaction.

CIPAS Scale: Pilot Test for Evaluating Interaction Quality and Secure Attachment Potential

The adult's sensitivity to the child's communicative signals, their prompt and appropriate response to the child's needs for security, protection, and comfort, along with their ability to regulate emotions in the face of childhood stress, are parenting skills associated with attachment quality. Various instruments and observation scales code these constructs. Furthermore, developmental psychology has made significant contributions regarding the affective and communicative exchanges between parents and children during early stages of life and their implications for the formation of emotional bonds. The objective of this study is to describe the development and preliminary analysis of a new observation scale called: Quality of Interaction and Secure Attachment Potential (CIPAS), which aims to simply integrate the different parameters of the interactive relationship between attachment figures and children in early childhood. The construction process and initial psychometric analyses from a pilot sample are presented. The results showed very high inter-rater reliability, with an overall kappa value of κ=0.88. The relevance of CIPAS is discussed not only as a valuable tool for developmental psychology research but also as an effective instrument to guide educational practices in promoting secure attachment and quality interaction in young children.

Pathway of LCK Tyrosine Kinase and mTOR Signaling in Children with T-Cell Acute Lymphoblastic Leukemia.

The aim of this study is to analyze available research on targeting signaling pathways for the development of new drugs in patients with T-cell acute lymphoblastic leukemia (T-ALL). This analysis focuses specifically on the role of LCK tyrosine kinase and mTOR signaling pathways in pediatric patients. Outcome: Current literature suggests that these pathways play a significant role in the regulation of T-cell cycles, making them potential therapeutic targets. However, despite promising findings, there remains a need for further research, particularly in pediatric populations, to fully understand the therapeutic implications and to optimize drug development. The conclusion drawn from this analysis highlights the significant influence of LCK and mTOR on T-cell cycle regulation, underscoring the importance of continued investigation in this area.

Maternal and paternal sensitivity: Key determinants of child attachment security examined through meta-analysis.

Sensitive caregiving behavior, which involves the ability to notice, interpret, and quickly respond to a child's signals of need and/or interest, is a central determinant of secure child-caregiver attachment. Yet, significant heterogeneity in effect sizes exists across the literature, and sources of heterogeneity have yet to be explained. For all child-caregiver dyads, there was a significant and positive pooled association between caregiver sensitivity and parent-child attachment (r = .25, 95% CI [.22, .28], k = 174, 230 effect sizes, N = 22,914). We also found a positive association between maternal sensitivity and child attachment security (r = .26, 95% CI [.22, .29], k = 159, 202 effect sizes, N = 21,483), which was equivalent in magnitude to paternal sensitivity and child attachment security (r = .21, 95% CI [.14, 27], k = 22, 23 effect sizes, N = 1,626). Maternal sensitivity was also negatively associated with all three classifications of insecure attachment (avoidant: k = 43, r = -.24 [-.34, -.13]; resistant: k = 43, r = -.12 [-.19, -.06]; disorganized: k = 24, r = -.19 [-.27, -.11]). For maternal sensitivity, associations were larger in studies that used the Attachment Q-Sort (vs. the Strange Situation), used the Maternal Behavior Q-Sort (vs. Ainsworth or Emotional Availability Scales), had strong (vs. poor) interrater measurement reliability, had a longer observation of sensitivity, and had less time elapse between assessments. For paternal sensitivity, associations were larger in older (vs. younger) fathers and children. These findings confirm the importance of both maternal and paternal sensitivity for the development of child attachment security and add understanding of the methodological and substantive factors that allow this effect to be observed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The recognition and the initial reaction to children's signals after experiencing maltreatment during childhood

AbstractMaltreatment during childhood has many long‐lasting effects. Victims often become parents who experience parenting difficulties, therefore contributing to the intergenerational cycle of maltreatment. This paper highlights the consequences of severe trauma during childhood on two processes critical for a sensitive response, namely the recognition of and the initial reaction to emotional signals. We argue that most interventions focus on the observed parental response to children's behaviors or on parental interpretation of children's signals, that is, the attribution of meaning or intent to the signal. Interventions should better integrate research indicating that a history of childhood maltreatment could impair the capacity to correctly identify the emotion and the immediate reaction to these signals. By failing to acknowledge these long‐lasting consequences of childhood maltreatment, scholars and practitioners might never achieve true success in intervening with families in the hope of breaking the intergenerational cycle of maltreatment.

Parental depression moderates the relationship between childhood maltreatment and the recognition of children expressions of emotions.

Sensitivity plays a crucial role in parenting as it involves the ability to perceive and respond appropriately to children's signals. Childhood maltreatment and depression can negatively impact adults' ability to recognize emotions, but it is unclear which of these factors has a greater impact or how they interact. This knowledge is central to developing efficient, targeted interventions. This paper examines the interaction between parents' depressive symptoms and childhood maltreatment and its influence on their ability to recognize the five basic emotions (happiness, anger, sadness, fear, and disgust) in children's faces. The sample consisted of 52 parents. Depressive symptoms were measured by the depression subscale of the Brief Symptom Inventory-18 (BSI-18), and maltreatment history was assessed by the Childhood Trauma Questionnaire (CTQ). Children's emotional stimuli were morphed images created using The Child Affective Facial Expression (CAFE) database. Our findings indicate that depressive symptoms moderate the relationship between parents' history of childhood maltreatment and emotion recognition skills. Parents with higher depressive symptoms had lower emotion recognition accuracy when they had not experienced maltreatment. When childhood maltreatment was severe, emotion recognition skills were more consistent across all levels of depression. The relationship between depression and emotion recognition was primarily linked to recognizing sadness in children's faces. These findings highlight how different experiences can affect parental abilities in emotion recognition and emphasize the need for interventions tailored to individual profiles to improve their effectiveness.

Mothers' experience of infant massage in child health care: A qualitative interview study.

To investigate mothers' experience of infant massage. This was an exploratory-descriptive qualitative study based on individual interviews. A qualitative interview study with an inductive approach was used according to the COREQ guidelines. The participants in the study were mothers (n = 11) residing in Sweden who received training in infant massage from the child health care nurse in the child health care services. The transcribed interviews were analysed using a qualitative content analysis. The collected material resulted in two categories and eight subcategories. The categories were learning infant massage and using infant massage as a tool. The eight subcategories were massaging in a parent group, massaging at home, massage movements and the child health care nurse's supporting hand, reading the child's signals, creating time and relaxation together, interaction and connection between the child and the parent, relief from stomach problems and anxiety and continuing to massage the older child. The study showed that mothers experienced that the relationship created through infant massage brought more joy, tenderness and security to the child. The child health care nurse had an important role in supporting the mothers, especially when it came to different views on doing infant massage at home and in groups. Mothers with experience of infant massage were interviewed.

MiR-188-5p Promotes Tumor Growth by Targeting CD2AP Through PI3K/AKT/mTOR Signaling in Children with Acute Promyelocytic Leukemia [Retraction]

miR-188-5p Promotes Tumor Growth by Targeting CD2AP Through PI3K/AKT/mTOR Signaling in Children with Acute Promyelocytic Leukemia [Retraction]

Decoding the content of working memory in school-aged children

Developmental improvements in working memory (WM) maintenance predict many real-world outcomes, including educational attainment. It is thus critical to understand which WM mechanisms support these behavioral improvements, and how WM maintenance strategies might change through development. One challenge is that specific WM neural mechanisms cannot easily be measured behaviorally, especially in a child population. However, new multivariate decoding techniques have been designed, primarily in adult populations, that can sensitively decode the contents of WM. The goal of this study was to deploy multivariate decoding techniques known to decode memory representations in adults to decode the contents of WM in children. We created a simple computerized WM game for children, in which children maintained different categories of information (visual, spatial or verbal). We collected electroencephalography (EEG) data from 20 children (7–12-year-olds) while they played the game. Using Multivariate Pattern Analysis (MVPA) on children's EEG signals, we reliably decoded the category of the maintained information during the sensory and maintenance period. Across exploratory reliability and validity analyses, we examined the robustness of these results when trained on less data, and how these patterns generalized within individuals throughout the testing session. Furthermore, these results matched theory-based predictions of WM across individuals and across ages. Our proof-of-concept study proposes a direct and age-appropriate potential alternative to exclusively behavioral WM maintenance measures in children. Our study demonstrates the utility of MVPA to measure and track the uninstructed representational content of children's WM. Future research could use our technique to investigate children's WM maintenance and strategies.

Compressibility Analysis of Functional Near-Infrared Spectroscopy Signals in Children With Attention-Deficit/Hyperactivity Disorder.

Functional near- infrared spectroscopy (fNIRS) as an emerging optical neuroimaging technique has attracted the interest and attention of many investigators. With the growth of fNIRS data volume, effective data compression methods are urgent. Compressive sensing (CS) has been demonstrated a promising tool to deal with biomedical data. However, whether the compressibility of fNIRS data can discriminate different brain states is unclear. In this study, the fNIRS signals from fifteen attention-deficit/hyperactivity disorder (ADHD) children and fifteen typically developing (TD) children were recorded during an N-back task and a Go/NoGo task respectively. A block sparse Bayesian learning-based CS method was used to reconstruct the compressed fNIRS data. To assess the performance of the CS method, we adopted two metrics, structural similarity index (SSIM) and mean squared error (MSE), both of them effective in evaluating the compressibility of fNIRS data. Then, the two metrics were analyzed to discriminate the brain states of ADHD children and TD children during the two tasks using the multivariate pattern analysis (MVPA) method. As indicated by the results, the CS method could reconstruct the compressed fNIRS data with a high reconstruction quality at different compression ratio ([Formula: see text] and [Formula: see text]). Furthermore, the MVPA method could distinguish different brain states with high accuracy, and identify that the prefrontal cortex is a key brain region for distinguishing ADHD vs. TD or N-back vs. Go/NoGo. These findings indicated that CS is very promising for the storage and transmission of massive fNIRS data, and the compressibility of fNIRS data is a potential biomarker for the diagnosis of ADHD.

Enactive explorations of children's sensory-motor play and therapeutic handling in physical therapy.

IntroductionIn pediatric physical therapy, there is an ongoing debate about the use of therapeutic handling and its potential effects on motor learning. In this study, we build on enactive theoretical perspectives to explore the role of therapeutic handling in connection to children's sensory-motor play, engagement, and performance during a single physical therapy session.Material and methodsThis is a qualitative study based on video observations of therapy sessions and interviews with 15 physical therapists (PTs) each treating two different children aged 0–3. The authors utilized a framework of co-reviewing, discussing, and reflecting on the sessions. Themes were identified and used to describe the ways by which PTs’ therapeutic handling unfolds, with connections to theories on sensory-motor play and learning, along with enactive perspectives on embodiment, experience, mutual incorporation, and sense-of-agency.ResultsThe characteristics and purposes of therapeutic handling are presented in two main themes: (1) position and support, and (2) directing movement. We found that position and support promoted sensory-motor improvement when the PTs’ handling aligned with the child's play interests and engagements. As part of play, the children used new and additional support surfaces to self-initiate better posture and movement solutions and reach play goals. The PTs’ ways of directing movements varied. To awaken curiosity and induce a child's self-driven motor exploration the PT needs to be subtle, flexible, and precise in the directing of movement. This entails responsiveness to the child's signals and bodily know-how in the placing of hands and direction of pressure to enable the child to actively participate in and eventually self-drive movement.DiscussionTherapeutic handling that is mutually incorporated between PT and child can enrich the child's playing-to-learn-to-move process by providing novelty and facilitating the child's sense-of-agency in the self-initiated exploration and refinement of movement possibilities. In the PTs’ effort to merge therapeutic handling with children's play, the momentum of interaction can open new therapeutic windows of movement experience and learning opportunities.

To excel and to be happy: Parenting behaviors, parenting stress, and sociocultural contexts in Dutch and urban Chinese families

The current research examined the similarities and differences in parenting behaviors between 1090 Dutch and 2339 urban Chinese mothers with 1- to 4-year olds and investigated to what extent group differences in parenting stress, proportions of only children, and maternal working hours explain cultural variations in parenting behaviors. Thirteen parenting behaviors were assessed using the Comprehensive Early Childhood Parenting Questionnaire. Parenting stress was measured by 10 items selected from the Parenting Stress Index-Short Form. Mothers also reported whether the child was an only child and how many hours they worked per week. Results showed that Dutch mothers and urban Chinese mothers had similar levels of sensitivity, affection, using toys, verbal punishment, and positive discipline. For the other 8 parenting behaviors on which cultural variations were found, a mediational model, examining whether parenting stress, the only-child status, and maternal working time could explain cultural differences in parenting behaviors, was investigated. Compared to Dutch mothers, urban Chinese mothers had higher parenting stress, worked longer hours, and were more likely to have an only child. The group differences in involvement in activities, exposure, over-reactivity, and physical punishment were fully explained by cultural differences in parenting stress and proportions of only children. These mediators, however, only explained a part of the cultural differences in responsiveness, psychological control, consistency, and laxness, showing that Dutch mothers were still more consistent in enforcing rules and less lax in parenting, whereas urban Chinese mothers were still slightly more responsive to children's signals, but also more psychologically controlling.

A Multimodal Convolutional Neural Network Model for the Analysis of Music Genre on Children's Emotions Influence Intelligence.

This paper designs a multimodal convolutional neural network model for the intelligent analysis of the influence of music genres on children's emotions by constructing a multimodal convolutional neural network model and profoundly analyzing the impact of music genres on children's feelings. Considering the diversity of music genre features in the audio power spectrogram, the Mel filtering method is used in the feature extraction stage to ensure the effective retention of the genre feature attributes of the audio signal by dimensional reduction of the Mel filtered signal, deepening the differences of the extracted features between different genres, and to reduce the input size and expand the model training scale in the model input stage, the audio power spectrogram obtained by feature extraction is cut the MSCN-LSTM consists of two modules: multiscale convolutional kernel convolutional neural network and long and short term memory network. The MSCNN network is used to extract the EEG signal features, the LSTM network is used to remove the temporal characteristics of the eye-movement signal, and the feature fusion is done by feature-level fusion. The multimodal signal has a higher emotion classification accuracy than the unimodal signal, and the average accuracy of emotion quadruple classification based on a 6-channel EEG signal, and children's multimodal signal reaches 97.94%. After pretraining with the MSD (Million Song Dataset) dataset in this paper, the model effect was further improved significantly. The accuracy of the Dense Inception network improved to 91.0% and 89.91% on the GTZAN dataset and ISMIR2004 dataset, respectively, proving that the Dense Inception network's effectiveness and advancedness of the Dense Inception network were demonstrated.

Usefulness of the Parental Electronic Diary During Medical Rounds in a NICU.

Parental involvement in the care of their baby in family rooms in neonatal intensive care units (NICUs) can be improved. This could be done with an electronic medical report completed by the parents, which is then linked to the patient record system. The parents selected for this study completed an electronic diary during their stay in the NICU, while the staff answered a questionnaire about their opinion on the usefulness of the parents' diary. The length of stay, length of time the baby spent in Kangaroo care, breastfeeding, time given to breastfeeding, feeling of tiredness, the capability of identifying the newborn's signals, and parents' opinion on the diary were variables in the study. The NICU staff's opinion about the usefulness of the diary in decision-making was sought using a questionnaire. Eleven mothers and three fathers completed the diary. The median time for staying in the ward was 20 hours/day. The median time in Kangaroo care was 3 hours/day. The majority of mothers were breastfeeding on average 5 times per day. The commonest length of time for breastfeeding was 1 to 2 hours/day. The parents felt somewhat tired during their stay. All parents recognized their child's signals mostly or all the time. Most parents were happy with the diary. The nursing staff's opinions on the usefulness of the diary too were uniformly positive, whereas the doctors' opinions varied from positive to critical in nature. In conclusion, the diaries provided us with new information about parents' perceptions in the NICU. The nurses found the diary useful whereas the doctors were more critical.

Шкала коммуникативных сигналов ребенка раннего возраста: оценка детско-родительского взаимодействия

The research is aimed at developing a scale for evaluating the communication signals of an early-age child, which can help to assess the predictors of the development of behavioral, cognitive, and socio-emotional skills in a child. This system of fixing the child's communication signals is based on the periodization of the ontogeny of communication between M. Lisina and her followers (E. Smirnova, D. Godovikova, S. Meshcheryakova, etc.), which allows us to consider specific forms of communication between a child and an adult in the new social situation of modern children's development. The materials of an empirical study conducted on a sample of dyads of mothers and young children are presented. The study (N=55) involved dyads of mothers and children aged 2,4 to 3,3 years (M=2,9; SD=0,40), of which 62% were girls. The study included a video recording of a mother's playtime interaction with a child for 15 minutes. The resulting video clips were analyzed and encoded using the "Observer-XT 14" program. To evaluate video protocols, experts used the evaluation of the child-parent interaction method "Evaluation of child-parent interaction" [ECPI- 2 ed.], the scale of "Child communication signals". The method of main components was used for processing expert assessments, which allowed us to distinguish three factors of children's indicators ["Exploratory activity"; "Personal autonomy"; "Emotional alienation"]. Based on the results, we can talk about the stability of indicators-factors that characterize the child's communication signals. Based on the array of experimental data [49,500 seconds of video tape], a model has been developed for analyzing dynamic changes occurring in the process of child-parent interaction. All factors are stable over time: autocorrelation dynamic series are characterized by high values of correlation coefficients. It is noted that the formation of personal autonomy when interacting with a significant adult and the emotional alienation of a child from an adult can ambivalently influence the child's research activity.

Detection of Drug-Induced Thrombocytopenia Signals in Children Using Routine Electronic Medical Records.

Background: Drug-induced thrombocytopenia (DITP) is a severe adverse reaction and a significantly under-recognized clinical problem in children. However, for post-marketing pharmacovigilance purposes, detection of DITP signals is crucial. This study aimed to develop a signal detection model for DITP using the pediatric electronic medical records (EMR) data. Methods: This study used the electronic medical records collected at Beijing Children’s Hospital between 2009 and 2020. A two-stage modeling method was developed to detect the signal of DITP. In the first stage, we calculated the crude incidence by mining cases of thrombocytopenia to select the potential suspected drugs. In the second stage, we constructed propensity score–matched retrospective cohorts of specific screened drugs from the first stage and estimated the odds ratio (OR) and 95% confidence interval (CI) using conditional logistic regression models. The novelty of the signal was assessed by current evidence. Results: In the study, from a total of 839 drugs, 21 drugs were initially screened as potentially inducing thrombocytopenia. In total, we identified 18 positive DITP associations. Of these, potential DITP risk of nystatin (OR: 1.75, 95% CI: 1.37–2.22) and latamoxef sodium (OR: 1.61, 95% CI: 1.38–1.88) were two new DITP signals in both children and adults. Six associations between thrombocytopenia and drugs including imipenem (OR: 1.69, 95% CI: 1.16–2.45), teicoplanin (OR: 4.75, 95% CI: 3.33–6.78), fusidic acid (OR: 2.81, 95% CI: 2.06–3.86), ceftizoxime sodium (OR: 1.83, 95% CI: 1.36–2.45), ceftazidime (OR: 2.16, 95% CI: 1.58–2.95), and cefepime (OR: 5.06, 95% CI: 3.77–6.78) were considered as new signals in children. Conclusion: This study developed a two-stage algorithm to detect safety signals of DITP and found eighteen positive signals of DITP, including six new signals in a pediatric population. This method is a promising tool for pharmacovigilance based on EMR data.

Parents' strategies and advice for creating a positive sleep situation in the family.

The aim of this study was to describe the experience-based knowledge of parents of children aged 0-3years for creating a positive sleep situation in the family. This study has a qualitative design. Data were collected using an online survey and analysed using the critical incident technique. The study participants were recruited through an announcement posted in parenting groups on a social media platform in September 2018. A total of 93 parents answered the questionnaire; 76 of the parents matched the study's selection criteria, and their responses were included in the analysis. The results are presented from the two main questions in the survey: "Strategies for creating a positive sleep situation" and "Advice to new parents regarding sleep". Having routines and reading the child's signals were important strategies, as were creating good conditions for sleep and making sure the child was well-fed and content at bedtime. Winding down and giving the child closeness and touch was described as important, and some parents would co-sleep to soothe the child quickly and create a sense of security and belonging. Parents' most frequent advice to other parents was to accept the situation and to let go of the idea that the child should sleep without waking up in a separate bed or room. Personal preferences and needs are likely to vary among individuals, and it is important that nurses tailor sleep advice in accordance with families' preferences and needs, taking individual variations and views into account.

MENTAL HEALTH PREPAREDNESS FOR SCHOOL CHILDREN DURING COVID-19 PANDEMIC

COVID-19-related school closures have affected over 1.5 billion children around the world. It is highly signicant to provide an insight into the mental health challenges faced by children during the pandemic. Signicance of school children mental health in relation to pandemic included limited coping strategies , stress and anxiety . Emotional supports for parents and children included normalizing their emotional response , focusing on self-compassion, emotional awareness, and coping strategies, helping parents understand their child's emotional signals .Tips for children and parents comprises of words and practices to help children cope with their feelings , being calm , listen to children ,provide ageappropriate information about COVID-19 to keep themselves healthy and safe, be honest , reassuring , acknowledging distress and answering all their questions , implement routines , create a basic loose structure for day and week , setting a goal, provide exercise, fun and recreation. Interventions for promoting child mental health in younger children were spending more quality time with child , listening to music , singing , dancing ,setting up a routine , encourage hand hygiene, video chat , reading story , free play, art activities . In older children, mental health promotion interventions included setting time for regular activities , encourage social interactions , spend in outdoor activities , exercise , video chat , positive use of social media . World Health Organization recommendations included behavioural aspects , community level, safety and security measures, hygiene and daily practices , screening and care of sick students, teachers and other school staff , protection of individuals at high-risk, communication with parents and students, immunization checks and vaccination programmes, remote learning ,physical distancing outside and inside classroom. Supporting child's mental health during COVID 19 school return is signicant. Students need to be supported and encouraged to reconnect, heal and develop their own social and emotional capacities.

Measuring Responsive Feeding in Sri Lanka: Development of the Responsive Feeding Practices Assessment Tool

ObjectiveTo develop and validate a tool focusing on responsive feeding (RF) practices among mothers and infants aged between 6 and 12 months in Sri Lanka. DesignA comprehensive review, an in-depth qualitative study, and a cross-sectional study were carried out. SettingAnuradhapura District, Sri Lanka. ParticipantsSample of mother-infant pairs (n = 170). Variables MeasuredItems were developed by extracting data from a previous in-depth qualitative study on RF, informed by currently available RF items. AnalysisContent validation was performed among experts using standard techniques, followed by cognitive interviews among mothers. Structural validity was assessed using principal component analysis. Test-retest reliability was done with a sample of 50 mothers. ResultsCognitive validation with mothers confirmed the applicability and comprehensiveness of the tool. The tool possessed good reliability with an intraclass correlation of 0.80 and internal consistency of 0.79. The principal component analysis showed a clear 3 factor solution. The 3 factors were interpreted as responsive communication during feeding, appropriate feeding, attentive to child's signals, and proactive preparation of the feeding environment. The final version of the tool consisted of 15 items. Conclusions and ImplicationsThe 15-item Responsive Feeding Practices Assessment Tool is a valid tool to assess RF.

Study of early childhood development and its relationship with parenting practices in poverty contexts within the city of Córdoba.

This study addresses the relationship between social determinants in poverty contexts, parenting practices, and the psychomotor development of children aged 0 to 5 in the city of Córdoba. The Screening for psychomotor development problems at primary care level (PRUNAPE, Prueba Nacional de Pesquisa), the Parenting Practices Instrument (Instrumento de Prácticas de Crianza), and the Family Environment Questionnaire (Cuestionario de Ambiente Familiar) were applied to the mother-child coupling (246 cases). The data were analyzed based on the frequency of the categorical variables, and the summary measures of assessable variables and associations were evaluated with the chi-squared test for categorical variables, ANOVA and non-parametric test for the assessable ones. A 95% confidence level was considered. Children have a close relationship with their social and environmental determinants, the development of 3 out of 10 children is at risk. The father's educational level (p<0.001) and the mother's employment status (or father's) (p<0.001) were associated. The parenting practice risk was predominant in cases where the adult does not interpret the child's signals 16.66%; does not interact with songs, stories nor games 16.66%, and does not receive parenting help 20.73%. Children whose parents do not perceive their autonomy have approximately twice the risk of not passing the PRUNAPE (p<0.02, OR: 1.96; IC: 1.11-3.49). It may be assumed that the course of development, as a process, is associated with adult-child interaction, mother-child communication and the visualization that parents have of the children' autonomy.