Child Emotional Difficulties Research Articles

Fathers as Key Figures Shaping the Foundations of Early Childhood Development: An Exploratory Longitudinal Study on Web-Based Intervention.

Background/Objectives: Early childhood development is profoundly influenced by parent-child interactions, with recent research emphasizing the crucial role fathers play alongside mothers. Paternal involvement, especially in caregiving activities like feeding, positively impacts children's cognitive, emotional, and social development. However, paternal depressive symptoms can hinder the quality of these interactions, potentially leading to long-term behavioral and emotional difficulties in children. Despite this, interventions to enhance caregiving quality that target fathers remain limited. This study aimed to evaluate the effectiveness of a web-based video feedback intervention in improving father-child feeding interactions and reducing psychopathological symptoms in both fathers and their 12- to 24-month-old children. Methods: A longitudinal study was conducted with 244 fathers and their young children. Participants were assessed at two time points (T1 and T2) four weeks apart. Fathers engaged in remote one-hour intervention sessions twice a week, based on the Video Intervention Therapy (VIT) approach. The Symptom Checklist-90-Revised (SCL-90-R) assessed the fathers' psychopathological symptoms, while the Child Behavior Checklist (CBCL 1½-5) evaluated the children's emotional and behavioral functioning. Father-child feeding interactions were video-recorded and analyzed using the Scala di Valutazione delle Interazioni Alimentari (SVIA). Results: Post-intervention analyses showed significant improvements in father-child feeding interactions, with reductions in maladaptive behaviors and interactive conflicts. Fathers exhibited significant decreases in psychopathological symptoms, particularly in depression, anxiety, and obsessive-compulsive tendencies. Children demonstrated significant reductions in internalizing and externalizing problems. Conclusions: The web-based video feedback intervention effectively enhanced the quality of father-child feeding interactions and reduced psychopathological symptoms in both fathers and children. These findings highlight the importance of supporting fathers in their caregiving roles to promote positive developmental outcomes during critical early childhood periods. Further research is warranted to explore the long-term effects of such interventions and their applicability across diverse populations.

Evaluating the association between developmental language disorder and depressive symptoms in preschool children

This study aims to investigate the association between developmental language disorder (DLD) and depressive symptoms in preschool-aged children, building upon previous research that has demonstrated emotional difficulties in children with DLD. Forty-one children with DLD or children at risk for DLD (DLD group) and 41 children with typical language development (TLD) were included in this study. Language development was evaluated using the TEDIL test which is a Turkish adaptation of the Test of Early Language Development-3. Auto acoustic Emissions Testing and Immittance-Metric Assessment were used to exclude children with hearing impairment. Developmental delays were excluded by Denver Developmental Screening Test II. Mothers filled out the Sociodemographic Data Form and the Child Depressive Symptoms Assessment Scale. The results demonstrate that children in DLD group scored significantly higher on the Child Depressive Symptoms Assessment Scale, manifesting increased levels of aggression, separation anxiety, impulsivity, hyperactivity, and encountering greater social adaptation difficulties and deterioration in cognitive processes than TLD. Multivariate regression analysis suggests that increased impulsivity and hyperactivity, alongside social and cognitive challenges, are predictors of DLD. The study concludes that depressive symptoms are more prevalent in children in DLD group than in their typically developing counterparts. These findings underscore the necessity for targeted psychiatric and pedagogical interventions, as well as individualized educational programs that cater to the socio-emotional and cognitive needs of children with DLD.

Maternal child maltreatment and trajectories of offspring behavioural and emotional difficulties from age 4 to 7 years - results from a prospective birth cohort study.

Maternal experience of child maltreatment (CM) has been associated with maternal and child mental health. However, evidence about the course of child mental health and maternal CM is scarce. Therefore, this study aims to compare trajectories of mental health in children according to maternal CM exposure and maternal mental health. We included 327 mothers and their singleton child from the Ulm SPATZ Health Study, a prospective birth cohort study. Child mental health was determined by the Strength and Difficulties Questionnaire (SDQ) at the age of 4, 5, 6, and 7 years and maternal CM by the Childhood Trauma Questionnaire (CTQ). Results display that maternal CM is associated with more behavioural and emotional difficulties in children, a trend that tends to increase with older child age. The sum of maternal mental health problems across this time course mediates this association. Male child sex is associated with more mental health problems in the child and the mother. These results provide an important first insight into the relevance of maternal CM on the trajectories of mental health in the offspring and highlight the importance of chronicity and severity of maternal mental health. Further prospective research in cohorts with longer follow-ups up into adolescence and adulthood is needed.

Longitudinal relations between child emotional difficulties and parent-child closeness: a stability and malleability analysis using the STARTS model

BackgroundPast empirical evidence on the longitudinal relations between emotional mental health symptoms and parent-child close relationships has produced mixed and inconclusive results. Some studies suggest a unidirectional relation, whereas other studies point toward a bidirectional association. Additionally, most of the past research has been carried out with adolescent samples, rather than children. Hence, this study aimed to estimate the longitudinal relations between children’s trait emotional difficulties and trait parent-child closeness, accounting for the time-invariant and time-varying state components of each factor.MethodsParticipants were 7,507 children (ages 3 years, 5 years, 7 years, and 9 years) from the Growing Up in Ireland cohort. Α bivariate stable trait, autoregressive trait, and state (STARTS) model was estimated using Bayesian structural equation modelling.ResultsThe STARTS model revealed that children’s emotional difficulties and parent-child closeness were relatively stable across time, and these overarching traits were strongly negatively correlated. Children’s earlier trait emotional difficulties predicted later trait parent-child closeness and vice versa between 3 years and 5 years, and between 5 years and 7 years, but these effects disappeared between 7 years and 9 years. At all pairs of time points, state emotional difficulties and state parent-child closeness were weakly negatively correlated.ConclusionsOverall, the results suggest that early and middle childhood are critical stages for improving parent-child relationships and reducing children’s emotional difficulties. Developing close parent-child relationships in childhood appears to be a key factor in reducing children’s subsequent emotional difficulties. Children who face greater than usual emotional difficulties tend to be more withdrawn and less receptive to close parent-child relationships and this could serve as an important screening indicator.

Correlates of Impairment and Growth in Families of Young Autistic Children.

The purpose of this project was to investigate potential correlates of family life impairment in families of young autistic children. This project incorporated measures of specific child and parent challenges in addition to a commonly used unidimensional measure of autism characteristics. In this way, we could assess whether such challenges explain variance in family life impairment, and whether their inclusion diminish associations between autism characteristics and family life impairment. Cross-sectional data were collected from 564 parents of autistic children aged 2 to 5years who participated in a larger online study. Participants completed measures on child characteristics (autism characteristics, emotion dysregulation, speaking ability, flexibility, and sleep problems), parent depression, and family life impairment, using the Family Life Impairment Scale (FLIS). Multiple linear regression models were generated to examine whether any of the independent variables were associated with the four domains of the FLIS. Models controlled for child age and sex, parent education, and single-parent homes. All independent variables were associated with impairment in one or more FLIS domains. None of the primary independent variables were significantly associated with positive growth. More overt characteristics and behaviors (e.g., autism characteristics, reactivity, speaking ability, and flexibility) were associated with impairment in domains that reflected a family's ability to navigate the community. However, sleep challenges and parent and child emotional difficulties were most strongly associated with parent impairment. Findings suggests that families may have different needs across contexts and provide new avenues through which they might be better supported.

Pathways to resilience: The parallel change in children's emotional difficulties and family context during the COVID-19 lockdown in Italy.

The study analyses which pathways to adjustment emerged at the family level during the COVID-19 containment period in Italy, during which children were locked down with their families for 56 days from March 11 to May 6. Using a longitudinal design, with data pre- and postevent, a bivariate latent change score model analyzed the covariance of the change in family well-being (FW) and in emotional difficulties (ED), testing if the longitudinal change in ED is a function of the starting level of FW, and vice-versa. Children's stress reactions to the pandemic and other related experiences were included as additional predictors. A total of 166 middle school students (86 females) with a mean age of 11.14 (SD = .47) completed two online questionnaires, in January 2020 (T0) and in June 2020 (T1). Results showed that children's ED decreased significantly, on average, during the lockdown period, and FW remained constant. ED and FW change scores had a significant and negative covariation (β = - .46; p = .01). When family well-being increased emotional difficulties decreased, and vice versa. FW at T0 predicted no change in FW, nor did T0 scores of ED predict any change in FW. The strong intercorrelated change between children's ED and FW during the lockdown does not seem influenced by preexisting levels of individual and family functioning. Findings supported the view that for some families, the COVID-19 lockdown was also an opportunity to experience deeper emotional connections, contributing to a decrease in ED. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Understanding Postpartum Depression: A Comprehensive Review

Postpartum depression (PPD) is a significant mental health concern affecting women worldwide, with implications for maternal well-being and infant development. This article provides a comprehensive overview of PPD, including its prevalence, risk factors, and impact on maternal-infant health outcomes. The prevalence of PPD varies across different countries, with recent studies indicating rates ranging from 10% to 23% among new mothers. Younger maternal age, history of mental health issues, lack of social support, and stressful life events are among the identified risk factors for developing PPD. Untreated PPD can have detrimental effects on both maternal and infant health. Mothers experiencing PPD may struggle with bonding with their infants, leading to disrupted attachment and compromised emotional regulation in infants. Furthermore, untreated PPD is associated with adverse outcomes such as impaired cognitive development in infants and an increased risk of behavioral and emotional difficulties in children. Early detection and intervention are crucial in addressing PPD and mitigating its impact. Healthcare providers play a vital role in recognizing PPD symptoms and providing appropriate support and treatment options to affected mothers. Screening programs aimed at identifying at-risk women during prenatal and postnatal care can help in timely intervention and support. In conclusion, understanding the prevalence, risk factors, and consequences of PPD is essential for promoting maternal mental health and ensuring optimal outcomes for both mothers and infants. Efforts to increase awareness, improve screening practices, and enhance support services are critical in addressing this significant public health issue.

Parent-perceived recurrent pain in children: associations with maternal pain, depressiveness, socioeconomic status, and children's behavioural difficulties.

The current study aimed to examine the potential transgenerational associations between maternal pain and depressiveness and childhood pain, and to explore the associations between the children's difficulties and recurrent pain (defined as pain occurring at least once a month in the previous 6 month) in healthy children aged 3-13 years. We collected Data between 2015 and 2019 as part of the LIFE Child study in Germany and investigated associations of maternal pain and depressiveness, child age, sex, pubertal stage, emotional difficulties, conduct difficulties, hyperactivity/inattention, peer group difficulties, and prosocial skills, and family socioeconomic status with the frequency of parent-perceived headache, backache, and stomachache in a sample of 1,850 children (4,819 documented visits) using logistic and ordinal regression analyses. Overall, 10.4%, 24.4%, and 45.2% of parents reported their children had recurrent backache, headache, and stomachache, respectively, with 5.5% of children were reported to experience all three types of pain simultaneously. Higher age, female sex, puberty, emotional difficulties, low family socioeconomic status, as well as higher maternal impairment due to pain and maternal depressiveness were significantly associated with more frequent pain. Our study suggests that maternal pain, maternal depressiveness, and lower family socioeconomic status as well as child's emotional difficulties are significantly associated with a higher frequency of recurrent pain in children perceived by their parents.

Parents' dyadic coping, parent–child relationship quality, and children's emotional difficulties during the COVID‐19 pandemic

AbstractAlthough studies have highlighted the role played by couple and parental relationships for children's psychosocial adjustment, especially in challenging situations, research on these two relationship domains has largely developed separately and mostly focussed on negative couple processes. However, Family Systems Theory highlights how these subsystems are interconnected, and studies inspired by this theoretical framework provide evidence of how the quality of the interparental relationship predicts the parent–child relationship. This study focussed on the association between two relational resources (dyadic coping and parent–child relationship quality) and children's emotional difficulties during the outbreak of the COVID‐19 pandemic in Italy. Five hundred ninety‐one Italian parents filled in an online self‐report questionnaire. A path analysis model was estimated to test the mediating role of parent–child relationship quality in the association between partner positive dyadic coping and children's emotional difficulties. The findings showed both a direct effect and an indirect effect of partner positive dyadic coping on children's emotional difficulties, because parent–child relationship quality partially mediated this association. Enhancing parents' ability to cope together with stress and the quality of the parent–child relationship might contribute to decrease children's vulnerability to emotional difficulties in challenging times.

Facing Pediatric Rheumatic Diseases: The Role of Disease Activity and Parental Emotion Regulation Strategy in Parents' and Children's Psychological Adjustment.

Pediatric rheumatic diseases (PRDs) are a group of chronic disorders that start in childhood and are characterized by periodic exacerbations and remissions of symptoms, with limitations in family, school, and social activities. The aim of this study was to detect differences in parents' psychological adjustment and emotion regulation strategies, and parent-reported children's adjustments in families of children with active and inactive PRDs. Fifty-four parents (38 mothers and 16 fathers) of children with PRD were recruited from a pediatric unit. Disease activity was evaluated by their pediatric rheumatologist, while parents' depressive and anxiety symptoms, emotion regulation strategies, and children's emotional difficulties and hyperactivity-inattention symptoms were assessed through a web-based survey. Parents of children with active PRDs reported higher levels of their child's emotional difficulties and hyperactivity-inattention symptoms. Linear regression analysis demonstrated that having a child in the active phases of PRD and lower use of cognitive reappraisal lead to higher children's emotional symptoms, while active disease, low use of cognitive reappraisal, and greater expressive suppression were associated with higher hyperactivity-inattention symptoms. Our study highlights that children with PRDs and their parents may be at increased risk for psychological problems, especially during the active disease phase, highlighting the importance of a multidisciplinary approach.

Brief Parenting Seminars for Preventing Child Behavioral and Emotional Difficulties: a Pilot Randomized Controlled Trial

Early parenting programs can prevent the development of child behavioral and emotional difficulties. Despite the high prevalence of these difficulties in Greek children aged 2 to 12, no evidence-based parenting programs have been tested in randomized trials in Greece. We pilot-tested the efficacy of a brief parenting intervention for universal prevention of child behavioral and emotional difficulties. Parents from the general population (N = 124) were randomly assigned to receive the Triple P (Positive Parenting Program) Seminar Series (n = 83), or leaflet information on child health (n = 41). Most participants were highly educated mothers with boys and girls aged 2–12, from middle-income, inner-city households. Participants reported on child behavior, parenting style and parenting adjustment, before and after the intervention and six months later. At post-intervention, parent-reported behavioral problems were reduced in the intervention group, but increased in the control group (p = 0.001); these differences remained at 6-month follow-up. Of those in the clinical range (28%) at baseline, significantly more intervention children than control children moved to normal range six months later. Disrupted parenting practices were reduced more in intervention parents at post-intervention but were not maintained at follow-up. No significant differences were found in secondary child behavioral difficulties, child emotional difficulties, parenting confidence and distress over time. This Seminar Series is a brief, easily replicable and likely cost-effective early intervention leading to significant medium-sized reductions over six months in behavioral difficulties, and improvements in disrupted parenting. These findings broadly support other evidence about effective transportability of parenting interventions across countries.

Epigenome-Wide Associations of Placental DNA Methylation and Behavioral and Emotional Difficulties in Children at 3 Years of Age.

The placenta is a key organ for fetal and brain development. Its epigenome can be regarded as a biochemical record of the prenatal environment and a potential mechanism of its association with the future health of the fetus. We investigated associations between placental DNA methylation levels and child behavioral and emotional difficulties, assessed at 3 years of age using the Strengths and Difficulties Questionnaire (SDQ) in 441 mother-child dyads from the EDEN cohort. Hypothesis-driven and exploratory analyses (on differentially methylated probes (EWAS) and regions (DMR)) were adjusted for confounders, technical factors, and cell composition estimates, corrected for multiple comparisons, and stratified by child sex. Hypothesis-driven analyses showed an association of cg26703534 (AHRR) with emotional symptoms, and exploratory analyses identified two probes, cg09126090 (intergenic region) and cg10305789 (PPP1R16B), as negatively associated with peer relationship problems, as well as 33 DMRs, mostly positively associated with at least one of the SDQ subscales. Among girls, most associations were seen with emotional difficulties, whereas in boys, DMRs were as much associated with emotional than behavioral difficulties. This study provides the first evidence of associations between placental DNA methylation and child behavioral and emotional difficulties. Our results suggest sex-specific associations and might provide new insights into the mechanisms of neurodevelopment.

Mother and father depression symptoms and child emotional difficulties: a network model.

Mother and father depression symptoms often co-occur, and together can have a substantial impact on child emotional well-being. Little is understood about symptom-level mechanisms underlying the co-occurrence of depression symptoms within families. The objective was to use network analysis to examine depression symptoms in mothers and fathers after having a baby, and emotional symptoms in children in early adolescence. We examined data from 4492 mother-father-child trios taken from a prospective, population-based cohort in the UK. Symptoms were examined using two unregularised partial correlation network models. The initial model was used to examine the pattern of associations, i.e. the overall network structure, for mother and father depression symptoms, and then to identify bridge symptoms that reinforce depression symptoms between parents during offspring infancy. The second model examined associations between the parent symptom network, including bridge symptoms, with later child emotional difficulties. The study included 4492 mother-father-child trios; 2204 (49.1%) children were female. Bridge symptoms reinforcing mother and father depression symptoms were feeling guilty and self-harm ideation. For mothers, the bridge symptom of feeling guilty, and symptoms of anhedonia, panic and sadness were highly connected with child emotional difficulties. For fathers, the symptom of feeling overwhelmed associated with child emotional difficulties. Guilt and anhedonia in fathers appeared to indirectly associate with child emotional difficulties through the same symptom in mothers. Our findings suggest that specific symptom cascades are central for co-occurring depression in parents and increased vulnerability in children, providing potential therapeutic targets.

Therapeutic work to enhance parental mentalizing for parents with ACEs to support their children's mental health: A theoretical and clinical review

This review outlines the literature concerning the impact of adverse childhood experiences (ACEs) on parenting, focusing on how childhood trauma in parents might impede the development of adaptive parental mentalizing skills. Non-adaptive parental mentalizing may lead to non-mentalizing cycles between parents and children, which can put the child's mental health at risk. When parents who have endured ACEs have to cope with their children's mental health problems, they may have to deal with a double dose of parental stress related to their own traumatic history and their children's emotional difficulties. This heightened parental stress may further shake the parents' mentalizing skills. In line with this special issue's topic, we propose the promoting and restoring of parental mentalizing as a treatment goal for parents who have endured ACEs and whose children face mental health difficulties. We review the empirical and clinical evidence regarding the benefits of effective parental mentalizing and the availability of techniques to enhance it. We argue that working therapeutically and focusing on supporting and advancing parental mentalizing is an effective and feasible treatment goal with parents who endured ACEs. We demonstrate how we use these interventions through fictional vignettes from our therapeutic work and offer recommendations for clinical work with parents with traumatic histories.

Pediatric Primary Care Perspectives of Mental Health Services Delivery during the COVID-19 Pandemic.

Due to a national shortage of child and adolescent psychiatrists, pediatric primary care providers (PCPs) are often responsible for the screening, evaluation, and treatment of mental health disorders. COVID-19 pandemic stay-at-home orders decreased access to mental health care and increased behavioral and emotional difficulties in children and adolescents. Despite increased demand upon clinicians, little is known about mental health care delivery in the pediatric primary care setting during the pandemic. This focus group study explored the experiences of pediatric PCPs and clinical staff delivering mental health care during the pandemic. Transcripts from nine focus groups with San Francisco Bay Area primary care practices between April and August 2020 were analyzed using a thematic analysis approach. Providers expressed challenges at the patient-, provider-, and system-levels. Many providers reported increased patient mental health symptomatology during the pandemic, which was often intertwined with patients’ social determinants of health. Clinicians discussed the burden of the pandemic their own wellness, and how the rapid shift to telehealth primary care and mental health services seemed to hinder the availability and effectiveness of many resources. The findings from this study can inform the creation of new supports for PCPs and clinical staff providing mental health care.

Mother and father depression symptoms and child emotional difficulties: a network model

IntroductionEnhancing understanding of depression symptom interactions between parents and associations with subsequent child emotional difficulties will inform targeted treatment of depression to prevent transmission within families.ObjectivesTo use a network approach to identify ‘bridge’ symptoms that reinforce mother and father depression, and whether bridge symptoms, as well as other symptoms, impact subsequent child emotional difficulties.MethodsSymptoms were examined using two unregularized partial correlation network models. The study included 4,492 mother-father-child trios from a prospective, population-based cohort in the United Kingdom. Mother and father reports of depression symptoms were assessed when the child was twenty-one months old. Child emotional difficulties were reported by the mother at ages nine, eleven and thirteen years.ResultsBridge symptoms mutually reinforcing mother and father depression symptoms were feelings of guilt and self-harm ideation, whereas anhedonia acted as a bridge from the father to the mother, but not vice-versa (fig.1, network 1). The symptom of feelings of guilt in mothers was the only bridge symptom which directly associated with child emotional difficulties. Other symptoms that directly associated with child emotional difficulties were feeling overwhelmed for fathers and anhedonia, sadness, and panic in mothers (fig.1, network 2).ConclusionsSpecific symptom interactions are central to the co-occurrence of depression symptoms between parents. Of interest, only one of the bridge symptoms associated with later child emotional difficulties. In addition, specific symptom-to-child outcomes were identified, suggesting that different symptoms in mothers and fathers are central for increased vulnerability in children.DisclosureNo significant relationships.

Protective and risk activities for emotional and behavioural well-being of children and adolescents during the COVID-19 lockdown.

BackgroundThe lockdown imposed to contain the COVID‐19 pandemic brought deep changes in the daily life of Italian children and adolescents, increasing the time spent at home. This study aims to explore how activities that children and adolescents carried out at home during the lockdown were related to their emotional and behavioural well‐being.MethodParents completed an anonymous online survey on how much time their children and adolescents dedicated to social networks, solitary screen time, play time and to a series of parent–child dyadic activities. They also reported on their offspring's emotional difficulties and behavioural problems.ResultsThe use of social networks had a negative impact on children's emotional difficulties, while it promoted well‐being in adolescents. Pertaining to solitary screen activities, these were associated with more behavioural problems in both children and adolescents. Regarding parent–child dyadic activities, get along with the parent was associated with less emotional difficulties and behavioural problems in children and with less behavioural problems in adolescents. Furthermore, for adolescents, the more they talked with the parent, the less behavioural problems they evidenced.ConclusionThe current study may help to identify activities that could be promoted and those that should be limited to effectively menage home time, in order to ultimately safeguard the emotional and behavioural well‐being of children and adolescents.

Risk and protective factors related to children’s symptoms of emotional difficulties and hyperactivity/inattention during the COVID-19 related lockdown in France: results from a community sample

Abstract Objective To contain the COVID-19 epidemic preventive measures including social distancing, economic shutdown, and school closures were introduced, carrying risk of mental health burden in adults and children. Although the knowledge base regarding children's response to trauma and adverse events has broadened, descriptions of their mental health during epidemics remain scarce. In particular, the role of family socioeconomic characteristics and parental mental health are poorly understood. Methods We assessed the correlates of children's emotional difficulties and symptoms of hyperactivity/inattention during the COVID-19 lockdown in a French community-based sample. 432 community-based parents (27-46 years, TEMPO cohort) and their children (mean age 6.8 +/- 4.1) were interviewed online. Children's symptoms of emotional difficulties and hyperactivity/inattention were assessed using the parent reported Strengths and Difficulties Questionnaire during the 5th week of home confinement. Family socioeconomic characteristics and parental mental health and substance use were assessed weekly during the first 5 weeks of home confinement. Data were analyzed using multivariate logistic regression models. Results 7.1% of children presented symptoms of emotional difficulties and 24.7% symptoms of hyperactivity/inattention. The presence of psychological difficulties was significantly associated with family characteristics including financial difficulties (OR = 4.3) and parental symptoms of anxiety and depression (OR = 2.5). Children's sleeping difficulties and screen time were statistically significant in bivariate analyses but lost statistical significance in multivariate models. Conclusions Children's emotional and behavioural difficulties are associated with parental mental health and socioeconomic difficulties. In the COVID-19 epidemic, parents and professionals involved in caring for children should pay special attention to mental health needs.

Measuring Emotion Dysregulation in Children With Attention-Deficit/Hyperactivity Disorder: Revisiting the Factor Structure of the Emotion Regulation Checklist

Emotion dysregulation (ED) is prevalent among youth with Attention-Deficit/Hyperactivity Disorder (ADHD) and significantly impacts functioning. Nuanced measurement of ED is central to understanding its role in this disorder and informing treatment approaches. The present study examined the factor structure of the Emotion Regulation Checklist (ERC) among children with ADHD with and without Oppositional Defiant Disorder (ODD). Exploratory factor analysis (EFA) conducted in a sample of 328 youth (mean age = 6.08) with ADHD indicated a four-factor solution, comprised of the following factors: Negative Emotion Lability, Positive Emotion Lability, Socially Appropriate Affect, and Socially Incongruent Affect. The Negative and Positive Emotion Lability subscales assess the reactivity of negatively and positively valenced emotions, respectively. The Socially Appropriate and Socially Incongruent Affect subscales provide an assessment of social-emotional functioning. All subscales discriminated between children with ADHD only and ADHD with co-morbid ODD, such that children with ODD had greater emotional lability and social-emotional difficulties. This revised factor structure of the ERC facilitates a uniquely brief, yet multifaceted and specific, assessment of emotional difficulties in children with ADHD that can inform treatment planning and operationalize emotional reactivity and social-emotional functioning in future research efforts.

Effectiveness of Group vs. Individual Therapy to Decrease Peer Problems and Increase Prosociality in Children.

Emotional difficulties in children are often shown to be associated with peer problems and low prosocial behaviors. Super Skills for Life (SSL) is a transdiagnostic protocol for the prevention of emotional problems in children and has also obtained improvements of other comorbid symptoms. This study aimed at comparing the effects of SSL in reducing peer problems and increasing prosocial behaviors in children aged 8 to 12 years between the group and the individual modalities. For this purpose, 140 children (35% girls) received the program, 70 in group format and 70 in individual format, and were evaluated at the baseline, posttest, and after one year. Both modalities were effective in enhancing social relationships in children, although the individual modality showed more promising results. Children belonging to the individual modality group presented fewer peer problems (less social isolation and rejection, greater social acceptance, more friends) and greater prosocial behaviors (helping, empathy, kindness, and sharing) compared to children receiving the therapy in group modality, both in the short and in the long term. In conclusion, this study provides evidence of SSL protocol efficacy for improving children’s peer relationships and prosocial behaviors and encourages the implementation of transdiagnostic interventions in both clinical and educational settings.