Child Interaction Research Articles

Study protocol for a randomized controlled trial of supportive parents – coping kids (SPARCK)—a transdiagnostic and personalized parent training intervention to prevent childhood mental health problems

BackgroundTo meet the scientific and political call for effective prevention of child and youth mental health problems and associated long-term consequences, we have co-created, tested, and optimized a transdiagnostic preventive parent-training intervention, Supportive parents – coping kids (SPARCK), together with and for the municipal preventive frontline services. The target group of SPARCK is parents of children between 4 and 12 years who display symptoms of anxiety, depression, and/or behavioral problems, that is, indicated prevention. The intervention consists of components from various empirically supported interventions representing different theorical models on parent–child interactions and child behavior and psychopathology (i.e., behavioral management interventions, attachment theory, emotion socialization theory, cognitive-behavioral therapy, and family accommodation intervention). The content and target strategies of SPARCK are tailored to the needs of the families and children, and the manual suggests how the target strategies may be personalized and combined throughout the maximum 12 sessions of the intervention. The aim of this project is to investigate the effectiveness of SPARCK on child symptoms, parenting practices, and parent and child stress hormone levels, in addition to later use of specialized services compared with usual care (UC; eg. active comparison group).MethodsWe describe a randomized controlled effectiveness trial in the frontline services of child welfare, health, school health and school psychological counselling services in 24 Norwegian municipalities. It is a two-armed parallel group randomized controlled effectiveness and superiority trial with 252 families randomly allocated to SPARCK or UC. Assessment of key variables will be conducted at pre-, post-, and six-month follow-up.DiscussionThe current study will contribute with knowledge on potential effects of a preventive transdiagnostic parent-training intervention when compared with UC. Our primary objective is to innovate frontline services with a usable, flexible, and effective intervention for prevention of childhood mental health problems to promote equity in access to care for families and children across a heterogeneous service landscape characterized by variations in available resources, personnel, and end user symptomatology.Trial registrationClinicalTrials.gov ID: NTCT05800522

“No, I Won't Do That.” Assertive Behavior of Robots and its Perception by Children

This paper contributes to the understanding of child-robot interaction through the investigation of child interactions with and anthropomorphization of humanoid robots when manipulating robot-related variables such as behavior and gender. In this study, children observe a robot demonstration in a classroom setting, during which the robot showcases either assertive or submissive behavior and is attributed a gender, either robot-female or robot-male. Afterwards, participant anthropomorphization is measured using the Attributed Mental States Questionnaire (AMS-Q). Results suggest that when prompted to select a response directed at the robot, children used significantly more commanding phrases when addressing the assertively behaving robot when compared to the submissively behaving robot. Further, younger children ages 7–9 anthropomorphize robots at a higher degree than older children 10–12 and assertive behavior from the robot lead to higher rates of anthropomorphization. Results also suggest that children are more likely to respond to female robots in an imperative way than male robots. This widened understanding of child perception of and interaction with humanoid robots can contribute to the design of acceptable robot interaction patterns in various settings.

The effects of maternal competence and situational stress level on children’s help-seeking expectations across 4 to 6 years of age

Help-seeking is a crucial problem-solving strategy for young children. However, it is not yet clear how children weigh different cues to make help-seeking decisions across preschool years, especially in caregiver–child interactions. The current study used a social expectation task to examine the effects of maternal competence and situational stress level on 4- to 6-year-old children’s help-seeking expectations from a third-party perspective. Children’s expectations of whether to seek help were measured. A total fo 135 Han Chinese children aged 4 to 6 years from an eastern city of China participated in this study. We found that 4- to 6-year-olds expected to seek more help from a competent mother than from an incompetent mother in low-stress conditions. When the stress level was high, however, they expected to seek help regardless of maternal competence levels. These results suggest that the interaction between the situational stress level and maternal competence determines young children’s help-seeking expectations across preschool years. They further suggest that young children seek help from mothers in an active and discriminatory way.

Household chaos and child problem behaviors: A cross-cultural examination of the mediating and moderating role of mindful parenting.

Household chaos has been shown to adversely associate with children's behavioral adjustment. However, the mechanism underlying the relationship between household chaos and children's behaviors is not yet fully understood. The current study proposes mindful parenting as an important mediating and moderating factor in the relationship between household chaos and child problem behaviors. This study also examines cultural influences in this process, comparing the UK and Türkiye, considering both mothers' and children's perspectives on mindful parenting. Cross-sectional questionnaires were administered to mothers and their children aged 11-16 years in the UK (n = 90; 53.3% girl) and Türkiye (n = 154; 54.5% girl) in 2021. Mother reports of the Confusion, Hubbub, and Order Scale and the Strengths and Difficulties Questionnaire, as well as mother and child reports of Mindful Parenting Inventories for Parents (MPIP) and Children (MPIC), were used to assess household chaos, child problem behaviors, and mindful parenting, respectively. Multiple-group path analysis revealed that household chaos was a significant indirect predictor of child problem behaviors via mindful parenting in both countries. Furthermore, simple slopes analysis showed that mindful parenting moderated the link between household chaos and child problem behaviors in the UK. Overall, our study sheds light on the importance of micro- and macro-environmental factors and their interactions in children's adjustment.

The Serial Multiple Mediating Effects of Play Teaching Efficacy and Play Support Competence on the Relationship between Early Childhood Teachers' Teaching Creativity and Teacher–Child Interactions

The Serial Multiple Mediating Effects of Play Teaching Efficacy and Play Support Competence on the Relationship between Early Childhood Teachers' Teaching Creativity and Teacher–Child Interactions

Lived experiences of mothers with postnatal anxiety: a qualitative phenomenology study from Pakistan

ObjectiveThe prevalence of postnatal anxiety is high among women during the first year of childbirth globally. Rates are higher in low and middle-income countries (LMICs), that is, 24%. Existing literature...

Treatment Engagement and Outcomes in Parent–Child Interaction Therapy with Mothers with a History of ADHD: A Case Series

Behavioral parent training is the recommended intervention for young children with disruptive behavior and/or attention-deficit/hyperactivity disorder (ADHD). Parent–child interaction therapy (PCIT) is an empirically supported behavioral parent-training program for families of children ages 3–6 years old. Behavioral parent-training programs, including PCIT, rely on parents as the primary agents of therapeutic change. Parents who face barriers to adequate engagement with these programs may also struggle to implement the changes necessary for children’s behavior to improve. Parental characteristics that may prevent treatment engagement, however, are seldom considered in the research literature or in clinical practice. The current case series describes engagement indicators in three mothers taking part in PCIT. Each mother has a history of diagnosed or suspected ADHD, and this series explores their ADHD-related symptoms as they relate to the treatment of their child’s behavior.

A naturalistic evaluation of parent-child interaction therapy (PCIT) and PCIT with trauma-directed interaction (PCIT with TDI) in Australian children exposed to abuse and neglect

BackgroundTo optimize PCIT treatment with children exposed to abuse and neglect, PCIT with Trauma-Directed Interaction (PCIT with TDI) was created. ObjectiveThe current study was a quasi-experimental cohort study (PCIT and PCIT with TDI treatment groups) with pre/post-treatment comparisons. The study was conducted in a statutory child protection agency and was a naturalistic evaluation of the outcomes achieved by this service. The outcomes under investigation included caregiver and child posttraumatic stress symptoms, child behavior problems, parenting stress, caregiver mental health, child protection notifications, and placement permanency goals. Participants and settingChildren were included in the study if they were aged between 2 and 7 years, had behavioral difficulties or trauma symptoms and/or their caregivers were experiencing parenting stress. MethodsFamilies were allocated to treatment group by clinician availability/preference (i.e., preference allocation). Caregivers were asked to report on child posttraumatic symptoms and behavioral issues; and to self-report on posttraumatic stress, general stress, parenting stress, and depression and anxiety at prescribed points in treatment. FindingsSixty-eight children and their caregivers were treated with either PCIT (n = 22) or PCIT with TDI (n = 46). Statistically significant changes were observed for both treatment conditions for some of the outcomes of interest for both children (i.e., child behavioral problems, posttraumatic stress) and their caregivers (i.e., general stress, posttraumatic stress). There was no significant main effect of treatment on any of the outcomes of interest. ConclusionFuture research should include a randomized controlled trial to adequately determine the efficacy of PCIT versus PCIT with TDI with this population.

Non‐violent resistance treatment for parenting stress and parent–child interaction in parents of adolescents with anorexia nervosa: A pilot study

AbstractParenting a child with anorexia nervosa (AN) is highly stressful, and the struggles around eating have a large impact on family functioning. Parents get involved in conflicts with their child and/or accommodate to the eating disorder symptoms. Non‐violent resistance (NVR) offers an additional treatment option for these families. NVR aims at helping parents effectively deal with their child's (self‐)destructive behaviour and their own helplessness, by non‐violent and non‐escalating means. In our pilot, we examined whether NVR was helpful in reducing stress and improve parent–child interaction. In six parents, it was found that parenting stress was significantly reduced at post‐assessment and at 3‐month follow‐up. For parent–child interaction, a non‐significant trend was found for improvement. Change in body mass index of the adolescents was not associated with the decrease in parenting stress. Although preliminary, the results of this pilot suggest that NVR can be a feasible treatment alternative for families of adolescents with AN.

Gender stereotypes, patriarchal beliefs, and normative generics: A survey-based measure of what Polish parents communicate in norm-breaching scenarios involving children

Normative generics, which are statements that can be seen as reflecting the social world, can be powerful tools by which parents convey norms to children. In this article, we explored how two interrelated issues, the perceived salience of gender stereotypes and the socially constructed system of patriarchy, could affect what parents communicate in the context of parent–child interactions that concern the breaching of a salient gender norm. By analyzing data from two perception studies, we found that some norms pertaining to hair length or table manners triggered a more frequent use of normative generics than other norms and that the individuals who espoused traditional gender values tended to prefer one mode of norm responsiveness (i.e., norm-following) and used more normative generics than those espousing nontraditional gender norms. In this way, the study contributed to our understanding of how rules of behavior shared by members of a given group, as well as beliefs in a system of hierarchical power, might favor the use of normative generics.

Subjective Assessment of Father – Teenage Child Interaction

The current dynamic socio-cultural processes lead to a qualitative revision of family roles, family relationships, and parenthood. The psychological interaction between parents has changed, as has the father’s status. This study featured the interaction between 40 fathers and their teenage children. The authors used the PARI method by E. S. Schaefer and R. K. Bell as adapted by T. V. Neshcheret, the Parent-Child Interaction method developed by I. M. Markovskaya, and J. Pleck’s Fatherhood and Masculinity Questionnaire. The consistency was determined by the Spearman’s correlation coefficient while the differences in the assessments provided by fathers and children were measured using the Mann – Whitney U test. For the teenagers, the main interaction indicator appeared to be the lack of strictness whereas their fathers stressed the emotional closeness. The comparative analysis revealed no significant differences between the assessments given by the fathers and the children: the father was described as not strict, accepting, cooperative, and consistent. Emotional closeness proved to be the most significant parameter in the father – teenage child interaction. Emotional closeness requires special attention from specialists that help parents and children overcome the adolescent crisis.

The effect of peers' theory of mind on children's own theory of mind development: A longitudinal study in middle childhood and early adolescence.

While there is considerable evidence that children's early ability to understand others' mental states, called "theory of mind," is shaped by family experiences, it remains unclear whether children's social interactions at school influence theory of mind (ToM) beyond early childhood. We tested whether the mean level ("quantity") and/or the diversity ("variety") of peers' ToM influenced children's own ToM. We also examined whether peer effects on ToM were independent of possible confounding variables (e.g., verbal ability, social isolation) and comparable across children with different initial levels of ToM and social status. Four hundred fifty-four 8-12-year-old children completed assessments of ToM and peer and friendship nominations at baseline and (for ToM only) 1 year later. The variety (but not the quantity) of peers' ToM predicted the development of children's ToM over and above control variables. The magnitude of the peer effect was comparable across different levels of children's ToM and between children indexed as socially isolated and those who were not. These findings fit with sociocultural models and highlight the importance of the school environment in the development of ToM. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Clarifying the relationship and analyzing the influential factors of bronchial asthma in children with attention-deficit hyperactivity disorder.

Bronchial asthma is closely related to the occurrence of attention-deficit hyperactivity disorder (ADHD) in children, which can easily have adverse effects on children's learning and social interactions. Studies have shown that childhood asthma can increase the risk of ADHD and the core symptoms of ADHD. Compared with children with ADHD alone, children with asthma and ADHD are more likely to show high levels of hyperactivity, hyperactive-impulsive and other externalizing behaviors and anxiety in clinical practice and have more symptoms of somatization and emotional internalization. To explore the relationship between ADHD in children and bronchial asthma and to analyze its influencing factors. This retrospective cohort study was conducted at Dongying People's Hospital from September 2018 to August 2023. Children diagnosed with ADHD at this hospital were selected as the ADHD group, while healthy children without ADHD who underwent physical examinations during the same period served as the control group. Clinical and parental data were collected for all participating children, and multivariate logistic regression analysis was employed to identify risk factors for comorbid asthma in children with ADHD. Significant differences were detected between the ADHD group and the control group in terms of family history of asthma and allergic diseases, maternal complications during pregnancy, maternal use of asthma and allergy medications during pregnancy, maternal anxiety and depression during pregnancy, and parental relationship status (P < 0.05). Out of the 183 children in the ADHD group, 25 had comorbid asthma, resulting in a comorbidity rate of 13.66% (25/183), compared to the comorbidity rate of 2.91% (16/549) among the 549 children in the control group. The difference in the asthma comorbidity rate between the two groups was statistically significant (P < 0.05). The results of the multivariate logistic regression analysis indicated that family history of asthma and allergic diseases, maternal complications during pregnancy, maternal use of asthma and allergy medications during pregnancy, maternal anxiety and depression during pregnancy, and parental relationship status are independent risk factors increasing the risk of comorbid asthma in children with ADHD (P < 0.05). Children with ADHD were more likely to have comorbid asthma than healthy control children were. A family history of asthma, adverse maternal factors during pregnancy, and parental relationship status were identified as risk factors influencing the comorbidity of asthma in children with ADHD. Clinically, targeted interventions based on these factors can be implemented to reduce the risk of comorbid asthma. This information is relevant for results sections of abstracts in scientific articles.

Opportunities and Challenges in Using Tangible, Teleoperated Voice Agents in Kid-Driven Moments in Play Among Families with Neurodivergent Children

Child-agent interaction research has largely focused on automated voice agents, although privacy concerns and quality of interactions serve as a rationale for using teleoperated agents in some settings. Research on neurodivergent children's interactions with voice agents has largely focused on therapy and classroom contexts as opposed to home contexts. We conducted a remote case study via Zoom observing six families with neurodivergent children playing with a tangible, parent-operated voice agent at home for up to eight weeks. We used quantitative measures of agent utilization, qualitative analysis of video recordings, and parent survey responses to identify implications for teleoperation interface design for playful voice agents. Based on our analysis, we argue joint media engagement principles are applicable to a broader set of play activities, and teleoperated agents present affordances and challenges distinct from those of automated agents.

Inclusion of children with autism spectrum disorder in preschool: Investigation of adult–child interactions in two inclusive classes over one school year

AbstractBased on a complex dynamic system approach, this study examined the dynamic of interactions between adults (a teacher and teaching assistant) and two children with ASD. We observed two preschool classrooms, each containing one child with contrasting ASD characteristics. Child engagement and adult participation during welcome time activities were observed once a month for 9 months; dramatic differences in interaction dynamics between the two classes were revealed. In the class including an autistic child with high support needs and low language ability, the active participation of adults associated with active child engagement gradually increased over the year. In the class including an autistic child with a high level of challenging behaviours (but with low support needs and typical language skills), increased variability resulted in a deep change in the landscape of attractors. Whereas the child was mostly engaged with adult participation during the first trimester, he was actively engaged without adult participation in the final trimester.

Recharging exhausted parents: How and when involvement in children's education increases working parents' flourishing at home and engagement at work

AbstractParental involvement in children's education is highly valued and encouraged in many societies. While existing research has mainly focused on the positive effects parental involvement has for children, we argue that engaging in such quality parent–child interactions can also be a resource‐gaining process for parents. Drawing on the conservation of resources theory and the work–home resources model, the current study aims to investigate how and when working parents' involvement in children's education enhances their well‐being at home and engagement at work. Using a two‐wave survey of 206 full‐time employees with at least one school‐aged child, our results indicate that for parents experiencing higher levels of parental burnout, involvement in their children's education enhances their flourishing experience at home and subsequently improves work engagement and creative process engagement at work. Overall, our study contributes to the well‐being and work–family interface literature by highlighting the positive effect of parental involvement, an underexplored construct, on working parents' well‐being both at home and in the workplace. This study also provides practical implications for burned‐out working parents that they can benefit from involving themselves in their children's education to cope with and thrive from family demands.

Is autonomic functioning distinctly associated with anxiety and unsociability in preschoolers?

There are many benefits of peer interactions for children's social, emotional, and cognitive development, and isolation from peers may have negative consequences for children. Although biological processes may underlie social withdrawal broadly, distinct patterns may be associated with withdrawal behaviors depending on their underlying motivation (e.g., shy versus disinterested). This study investigated the role of autonomic nervous system activity, as assessed via skin conductance level (SCL) and respiratory sinus arrhythmia (RSA) in predicting changes in unsociability (e.g., lack of interest in peers) and anxious-fearfulness (e.g., discomfort among peers). Data were collected using a community sample of 92 US preschool children (45.7% female; Mage = 45.51 months, SDage = 3.81 months) at two time points one year apart. Gender differences were also explored. Baseline physiology was assessed while viewing a neutral video clip, and reactivity was assessed while viewing social exclusion and post-aggression discussion videos. For all children, coinhibition (i.e., SCL inhibition accompanied by RSA inhibition) to the post-aggression discussion video and blunted SCL activation to the exclusion video were prospectively associated with higher levels of anxious-fearfulness one year later. For boys only, baseline reciprocal sympathetic activation (i.e., SCL activation and RSA inhibition) was prospectively related to higher levels of unsociability one year later. For girls only, RSA inhibition in response to the post-aggression discussion video was prospectively related to higher levels of unsociability one year later. Findings contribute to a growing literature on autonomic reactivity in preschoolers' adjustment and suggest possible differences in the physiological processes underlying unsociability and anxious-fearfulness.

유아교사의 교육신념, 반성적 사고와 교사-유아 상호작용이 민주적 학급 운영에 미치는 영향

Objectives The purpose of this study was to examine the effects of early childhood teachers' educational beliefs, reflective thinking, and teacher-young children interaction on the democratic classroom management.&#x0D; Methods For data collection, 310 early childhood teachers in Gyeonsangnamdo were surveyed by questionnaires about teachers’ educational beliefs, reflective thinking, teacher-young children interaction, and democratic classroom management from 1 Feb. 2023 to 28 Feb. For data analysis, descriptive statistics, ANOVA, Pearson’s correlation, and hierarchical multiple regression analysis were used by SPSS 27.0. statistical program.&#x0D; Results First, early childhood teachers' educational beliefs, reflective thinking, teacher-young children interaction, and democratic classroom management were high level. Second, there were found some significant positive correlations among early childhood teachers’ educational beliefs, reflective thinking, teacher-young children interaction, and democratic classroom management. Third, early childhood teachers’ educational beliefs, reflective thinking, and teacher-young children interaction were found to influence on the democratic classroom management.&#x0D; Conclusions In order to promote early childhood teachers' democratic classroom management, it is important to increase the level of teaching beliefs, reflective thinking, and teacher-young children interaction is required to support this.&#x0D;

Case Study of Congklak Playing Therapy in Children to Improve Social Interaction Due to Gadget Addiction

Objective: To see the effectiveness of congklak play therapy in increasing social interaction in children because of gadget addiction. Method: The research design used is a case study research method, with a descriptive research type. The research subject used was 1 school-age child client with social interaction problems due to gadget addiction. Result: Subjectively, the client experiences an increase in interaction with the people around him and a decrease in the intensity of his use of gadgets. Clients can better control their emotions, and there is an increase in learning. Likewise, objectively, the client seems to be able to control his emotions, and often interacts with the people around him. Conclusion: After doing research on An. M., the data obtained by the client's mother complains that the client rarely interacts with other people; the client often plays gadgets until he forgets the time; and when the gadget is taken, he often gets angry. The client's mother gets information from the client's school teacher that the client is less cooperative while studying at school. Based on the assessment, the diagnosis that emerged was social interaction disorder. The author conducted an intervention to overcome social interaction disturbances for four days. The intervention that the author has done is to provide congklak play therapy. After the intervention, the client's signs and symptoms of impaired social interaction diminished. The client has often interacted with people around him by using his gadget a little less.

Disrupted cognitive and affective empathy network interactions in autistic children viewing social animation.

Empathy can be divided into two core components, cognitive empathy (CE) and affective empathy (AE), mediated by distinct neural networks. Deficient empathy is a central feature of autism spectrum conditions (ASCs), but it is unclear if this deficit results from disruption solely within empathy networks or from disrupted functional integration between CE and AE networks. To address this issue, we measured functional connectivity (FC) patterns both within and between empathy networks in autistic children (4-8 years, n = 31) and matched typically developing (TD) children (n = 26) using near-infrared spectroscopy during the presentation of an animated story evoking CE and AE. Empathy and social communication ability were also assessed using the Empathy Quotient/Systemizing Quotient (EQ/SQ) and Social Responsiveness Scale, respectively. The results showed that the FC in the AE network of autistic children did not differ from the TD group across conditions; however, the ASC group showed weaker FC in the CE network under the CE condition and weaker FC between networks when processing AE information, the latter of which was negatively correlated with EQ scores in ASC. The empathy defect in ASC may involve abnormal integration of CE and AE network activities under AE conditions.