Parent-child Dyads Research Articles

Exploring the Utility of the Limited Prosocial Emotions Specifier for Subtyping Conduct Problems and Oppositional Defiant Problems: A Multi-informant Study.

This study aimed to assess the clinical utility of the "Limited Prosocial Emotions" (LPE) specifier in subtyping conduct problems (CP) and oppositional defiant problems (ODP) among two samples including 1203 parent-child dyads and 1,937 school-attending youths in Iran. The prevalence of LPE across the entire sample, as well as subsamples of youths with clinically elevated levels of CP and ODP, were examined. CP + LPE individuals scored significantly higher than CP-Only youths on several measures of externalizing psychopathology and depression, although these findings were not fully consistent across informants. Several anticipated differences in measures of aggression and antisocial behavior were not found. Also, no significant group differences were observed between the ODP + LPE and ODP-Only groups concerning externalizing and internalizing psychopathology. In the total sample, youths with LPE scored significantly higher in measures of externalizing and internalizing psychopathology than those without LPE, though the magnitude of these differences was in small ranges. Overall, the findings provide only limited support for the clinical utility of the LPE specifier for CP and none whatsoever for ODP.

Implications of respiratory sinus arrhythmia (RSA) inertia for child psychopathology: Direct effect and interaction with between-task RSA reactivity.

Respiratory sinus arrhythmia (RSA) inertia is the temporary dependency of RSA levels between consecutive epochs, which captures the epoch-to-epoch stickiness of RSA reactivity. Previous studies examining the developmental function of between-task RSA reactivity have yielded mixed findings and have often overlooked RSA reactivity within the task. The present study examined whether RSA inertia during a stress task was associated with subsequent changes in child psychopathology symptoms. To have a comprehensive understanding of the function of RSA reactivity, we tested whether RSA inertia interacted with between-task RSA reactivity to jointly predict changes in child psychopathology symptoms. Eighty-nine middle-to-high income Chinese parent-child dyads were recruited. Children (Mage = 8.77 years, SD = 1.80 years, 41 girls) participated in a 2-min resting phase and then a 4-min stress task (a public speaking task), during which RSA was continuously recorded in the lab. Parents (Mage = 39.27 years, SD = 3.53 years, 67 mothers) reported on children's psychopathology symptoms in the lab and again 9 months later. Children with heightened RSA inertia tended to exhibit increased externalizing symptoms 9 months later. Moreover, RSA inertia interacted with between-task RSA reactivity to predict subsequent changes in externalizing symptoms. Children with the combination of lower RSA inertia and larger between-task RSA decreases had the lowest externalizing symptoms, suggesting an adaptive RSA reactivity pattern. Heightened within-task RSA inertia as well as reduced between-task RSA reactivity may help to identify children at risk for subsequent psychopathology symptoms, aiding in early intervention efforts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Family-based nutritional intervention to improve overweight in schoolchildren: a pragmatic clinical trial

Objective: To evaluate the effectiveness of behavior therapy and family-based dietary intervention for overweight schoolchildren. Methods: This is a pragmatic clinical trial. The intervention was carried out in a secondary care center with parent-child dyads attending the selected school. The children were overweight and aged between 5 and 12 years. They participated in 12 nutritional counseling sessions. One arm received non-directive nutritional counseling (NDC) and the other arm received directive nutritional counseling (DC) with a dietary intervention. The main outcomes evaluated were body mass index (BMI)/age, food intake, and eating behaviors. Comparisons between groups were made at baseline and at the end of the interventions using the Mann-Whitney U test. Intragroup differences were analyzed using the Wilcoxon test and Fisher's exact test or McNemar test analysis. Results: The DC arm showed a reduction in the eating behaviors of "desire to drink" and "emotional undereating" after the interventions. In addition, the frequency of fruit consumption by the caregiver was reduced. Conclusions: It was possible to provide nutritional care based on changes in eating behavior and dietary guidance using a menu. There is a need for specific training for nutritionists. In DC, there were changes in eating behaviors in favor of a reduction in food intake. There was no significant difference in the outcomes of BMI changes.

Impact of childhood psoriasis on children and parents during transition to adolescence: An interpretative phenomenological analysis

AbstractObjectivesPsoriasis is a chronic skin condition that can develop at any age. Childhood psoriasis can lead to stigmatization and reduced quality of life in children and parents. This study aimed to gather a detailed family‐level understanding of the experience of childhood psoriasis during the time of transition to adolescence.DesignA multi‐perspectival interpretative phenomenological analysis (IPA) was used.MethodsSixteen semi‐structured interviews with eight parent–child dyads were conducted and analysed in accordance with IPA principles.ResultsThree superordinate themes and three sub‐themes were identified: 1. ‘Transition and transaction’ including: 1.1 ‘Shifting responsibilities and self‐efficacy’; 2. ‘Stigma and social impact’; and 3. ‘The treatment journey’ including: 3.1 ‘Finding an effective treatment’, 3.2 ‘Coping with on‐going management’. Uncertainties surrounding treatment options were an initial focus of difficulty for families. In adolescence, the difficulty shifted to be more identity focussed as the responsibility for disease management and the increased awareness on body image posed added challenges. Both parents and children described visibility and stigma as the most distressing aspects of living with psoriasis and experienced negative emotions that resurfaced during adolescence.ConclusionsThis study suggests that childhood psoriasis can have a significant impact on children, particularly as they begin to transition to adolescence. Findings also highlight the burden of psoriasis for parents. As such, psychological interventions (such as adapted forms of mindfulness‐based Cognitive‐Behavioural‐Therapy) are needed to target and reduce stress. Such interventions are likely to require a systemic focus and support validation of the real impact and fear of stigmatization.

Quantifying Parental Perceptions of Their Experiences With Their Young Children's Use of Power Mobility Devices.

To quantify and explore parental perceptions of their experiences with their child's use of the Explorer Mini (EM) and a modified ride-on car (mROC) in young children with cerebral palsy. Data were gathered throughout a multisite, randomized, counterbalanced AB crossover 16-week clinical trial, wherein all participants used device A (EM) and device B (mROC) for 8-weeks each. Semistructured parent interviews were conducted at baseline (T0), post-intervention period 1 (T1), and post-intervention period 2 (T2). The Linguistic Inquiry and Word Count program was used to objectively analyze the transcribed interviews. Twenty-four child-parent dyads participated in the study. Parental perceptions were related to children's gross motor abilities, cognitive development scores, and device use order (EM-mROC or mROC-EM). Parents were positive about a potential means of helping their children. While most preferred the EM, opinions were contingent on the PM device, device use order, and child-centered factors.

Associations between school engagement and mental well-being among Finnish parent-child dyads

Abstract Background To understand how individual differences in mental well-being emerge for children and adolescents, it is important to understand the amenable factors in the context in which the development takes place - that is, for children, primarily in the family and in school. There is a notable gap in the research exploring the positive impacts of school factors on parent-child dyads and their mental well-being, and if there are any associations between school engagement and the mental well-being of parents and their children. Methods Data from 307 parent-child dyads were included in the study, the data stemming from a Finnish l research project (CONSENSUS) encompassing longitudinal survey data collection among both children in grades 4-6 and their parents. By exploring bivariate correlations and using the Actor-Partner Interdependence Model (APIM), the present study aims to investigate actor and partner effects of school engagement and mental well-being among parents and their child in grade 4-6. Results Preliminary results show that there are statistically significant correlations between parents’ and their children’s mental well-being, but that there are no significant correlations between children’s school engagement and parental school engagement. Further, statistically significant actor effects emerge between children’s school engagement and mental well-being, and between parental school engagement and mental well-being. Conclusions By clarifying the interaction between school engagement and mental well-being in parent-child dyads, this study not only contributes to the theoretical understanding of these constructs but also offers insights that can inform future development of mental well-being promotion interventions aimed at families and educational settings in Finland and elsewhere. Key messages • This study offers an innovative exploration of the links between mental well-being and school engagement among 274 Finnish parent-child dyads. • Results show various interactions between school engagement and mental well-being among the parent-child dyads, with implications for interventions intended to support well-being in families.

Parenting Practices to Prevent Childhood Obesity Among Hispanic Families: A Systematic Literature Review.

Background: Childhood obesity disproportionately affects Hispanic families and remains an unresolved public health concern. Interventions to enhance health-related parenting practices may be a promising strategy to lower the risk for childhood obesity. However, there are scarce data on which parenting practices would be culturally relevant and contribute to lower the risk for childhood obesity among Hispanic families in the United States. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. An electronic database search of records was carried out in PubMed, CINAHL, PsycINFO, and Scopus to synthesize studies assessing associations or intervention effects of parenting practices on child BMI or other anthropometric measure among Hispanic parent-child dyads aged ≥18 and 2-12 years, respectively. Results: Of 1055 unique records identified, 17 studies were included. Most of these studies used a cross-sectional design (n = 10) and child BMI z-scores or BMI-for-age-sex percentiles as the outcome variable. Parenting practices to lower the risk for child overweight/obesity among Hispanic families included setting limits and providing routines (e.g., limited screentime), supporting a healthy lifestyle and physical activity (e.g., providing transportation to places for children's physical activities), and parenting feeding or diet-related practices (e.g., control the foods that children eat). Conclusion: Parenting practices that support healthy behaviors may be components of interventions to lower the risk for childhood obesity among Hispanic families.

(Dis)connecting families: Parents’ versus children's perspectives on the role of mobile devices within family interactions

The characteristics of mobile technology devices have enabled new ways of integrating technology in familial interactions. This study aimed to investigate (1) differences in perspectives of technoference and family-oriented mobile technology use between parents and children, (2) the relation between parent–child interactions that take place via mobile technology and the quality of the parent–child relationship, and (3) its association with the well-being of parents and preadolescents separately. Structural equation modelling was performed on cross-sectional data from 390 parent–child dyads. The findings revealed discrepancies in child technoference perceptions and varying associations of the different types of mobile technology use with the parent–child relationship and parents' and children's well-being. From children's perspective, both parent and child technoference was negative for the parent–child relationship, whereas family-oriented mobile technology use when physically together was beneficial for the relationship and the child's well-being. From parents’ perspective, only child technoference was negatively related to the parent–child relationship and parent's well-being. Overall, the findings underline that mobile technology use can be both detrimental and beneficial, however, the effects can differ depending on the family member and the type of technology use.

Parenting in the Face of Trauma: Music Therapy to Support Parent-Child Dyads Affected by War and Displacement.

The literature highlights the profound psychological impact of war on children, families, and communities, emphasizing the prevalence of Post-Traumatic Stress Disorder (PTSD), anxiety, and other symptoms among affected individuals. Interventions, such as Child-Parent Psychotherapy (CPP) and music therapy, show promise in mitigating trauma effects, underscoring the need for holistic approaches that address familial and community dynamics alongside individual well-being. Aiming to explore the influences of dyadic music therapy sessions on parents' capacity to support their children, this study involved four families displaced from their home-kibbutz as result of a terrorist attack. All dyads participated in music therapy sessions with a focus on parent-child interactions and trauma processing (CPP informed). Embedded in a qualitative, phenomenological approach, the research utilized interpretative phenomenological analysis (IPA) and micro-analytic methods to explore meaningful moments in the music therapy sessions. Findings identified four central categories: (1) Discovering the child's grounding song: identifying resources; (2) Musical improvisation sets the grounds for parent-child mutual recognition of the child's traumatic experience; (3) Musical performance empowers child and parent; (4) A sense of agency is gained through controlling the musical environment. The significance of restoring the children's freedom of play, the parents' sense of competency, and of enhancing families' capacity to connect to their traumatic experiences through the musical environment is discussed.

Zoom to the Virtual Room: The Shift to Remote Early Childhood Observational Assessments.

The COVID-19 pandemic has led prevention researchers to increasingly use remote observational procedures given social distancing directives associated with the pandemic. However, few studies have used remote observational procedures with children and their caregivers, with scant literature describing procedures with socioeconomically, racially, and ethnically diverse families. This manuscript describes processes to pivot to remote assessment of parent and child observations in the context of a longitudinal study examining the effects of a postpartum depression preventive intervention on responsive parenting and child self-regulation. We conducted remote assessments across three timepoints-42, 48, and 54 months-with 133 low-income and racially and ethnically diverse parent-child dyads. Details are provided on remote observation preparation and setup, as well as adaptation of observational assessments. Lessons learned are shared on the use of technology, scheduling considerations, parent's role as facilitator, maintaining child engagement, and cost considerations. We demonstrated excellent inter-rater reliability between independent coders on all assessments, suggesting the quality of remote assessments was conducive for analysis. Surveys with families completing a remote assessment found that most felt it was easy to participate in remote assessments and their child had a positive experience. Most parents preferred virtual visits if given an option for future assessments. Much prevention research utilizes observational measures that are less subject to bias. Our study demonstrated that research teams can effectively and reliably pivot to remote assessment with racially and ethnically diverse, low socioeconomic families, thereby providing guidance to other prevention researchers considering similar remote assessments with diverse samples.

Differential Treatment Responses of Maltreated and Neglected Children and Adolescents Following an Evidence-based Multisystemic Intervention.

Limited studies have investigated differential treatment responses to family-based treatment programs and subgroup trajectories in youth in a high-risk context. This study pioneered an examination of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) and built on prior research that identified subgroups with different psychopathologies. Participants included 208 parent-child dyads enrolled in the MST-CAN evaluation in Switzerland. Parents reported their children's (Mage = 10.27years, SDage = 3.5, 44.2% girls, 55.8% boys, 98.6% White) emotional and behavioral problems. Longitudinal data were examined to analyze the differential changes within the pre- and post-treatment (T1 and T2) subgroups. The T1 cluster and T2 cluster were cross-tabulated to examine changes in the symptom class over time. Overall, the treatment proved to be highly beneficial. Subgroup analyses revealed that four out of the five subgroups (80%) showed positive changes in at least two outcome measures. The treatment was most successful for children with externalizing symptoms. Children with multiple symptoms also showed improvements across different symptoms. Regarding specific symptoms, children with anxious-avoidant symptoms benefited from the treatment. Additionally, the treatment was beneficial for children with normative emotions and behavior. Meanwhile, the treatment did not have any significant effects for children with internalizing symptoms. Notably, child neglect was reduced in three (60%) subgroups. The symptom class remained stable across time for children with externalizing and multiple symptoms. Ultimately, MST-CAN reduced emotional and behavioral problems and child neglect in most families. Understanding children's differential treatment responses to complex treatment programs is essential to adequately address different needs.

The indirect effect of parents’ work-family conflict on students’ psychosocial well-being

ABSTRACT This study aims to investigate the cascading impact of parents’ work-family conflict (WFC) on students’ psychosocial well-being. This study examines the sequential mediation effect of parents’ well-being and positive discipline using the conservation of resources (COR) theory and emotional contagion theory. Data were collected using an online survey platform where every participant received a concern form and unique code. The analysis used data from 351 parent–child dyads after removing 76 participants who failed the attention check items or did not complete the three phases of data collection. Data were analysed using a sequential mediation regression model six proposed by Hayes. The results confirmed a sequential mediation model where the parent's WFC indirectly impacted the student's psychosocial well-being through the mediating role of the parent's well-being and positive discipline. This study also discovered that WFC directly impacted parents’ well-being, positive discipline, and students’ psychosocial well-being. Organisations must provide parents with psychological services to reduce WFC and maintain their well-being. On the other hand, schools should communicate with parents and encourage positive discipline for students. This current study has advanced the literature by examining the link between parents’ WFC and students’ psychosocial well-being.

Child-father and child-mother attachment relationships in naturalistic settings.

This study examines paternal and maternal sensitivity as predictors of toddlers' attachment security in two naturalistic contexts. Seventy-three mostly White middle-class families participated between 2015 and 2019 when children (49.3% girls) were approximately 29.48 months old. Each child-parent dyad completed a home and playground visit. Findings revealed paternal and maternal sensitivity were significantly associated at home and marginally at the playground. Paternal sensitivity was only predictive of security to the father at the playground, showing a medium effect, while small effects of maternal sensitivity on security to the mother were found in both contexts. Cross-parent contributions to security were small and limited to the playground. The need to consider the greater ecology of child-parent relationships and suggestions for larger-scale research are discussed.

Empowering Unvaccinated Youth: Feasibility, Acceptability, and Efficacy of a COVID-19 Serious Game-Based Intervention.

Objective: To evaluate a serious game-based intervention's feasibility, acceptability, and efficacy in encouraging coronavirus disease (COVID-19) vaccination among 11-14-year-olds in the United States and assess participant experiences. Materials and Methods: The study, grounded in social cognitive theory and health belief model, recruited and engaged 32 English-speaking parent-child dyads with unvaccinated youths via snowball sampling and social media outreach. These dyads were randomly assigned to either the COVID-19 serious game-based intervention group (n = 16) or a usual caregroup (n = 16). The study measured beliefs, self-efficacy, and intentions regarding vaccination using surveys before and after the intervention, with follow-up at 2 months to evaluate vaccine uptake. Semistructured interviews provided insights into the gaming experience and study process. Results: All 32 eligible parent-youth dyads (16 in each group) completed the study with full participation. Most participants were Black or African American fathers, making up 75% and 81.3% of the intervention and control groups, respectively. The intervention impacted vaccine uptake, with 75% of the intervention group vaccinating their children compared with 37.5% of the control group [χ2(1, n = 32) = 4.57, P = 0.033]. Key factors for vaccine uptake included parents' motivation and youths' perceived susceptibility, with correlations of r(30) = 0.66, P = 0.006, and r(30) = 0.55, P = 0.029, respectively. The intervention reshaped youth perceptions about self and community protection. Participants expressed overall satisfaction with both the intervention and the study process. Conclusions: The intervention was found to be feasible and acceptable, with potential for integration into youth vaccination strategies to support COVID-19 vaccine decision-making.

Gender inequality in intergenerational contact after parental separation in the digital era

AbstractObjectiveThe goal of this brief report is to analyze parent‐adult child contact frequency in intact and non‐intact families by focusing on parent and child gender and the type of contact.BackgroundParental separation increases gender differences in parent–child relationships, with separated fathers having less frequent contact with their adult children compared to separated mothers. We investigate whether the father–mother gap in post‐separation contact varies according to parent–child gender mismatch and the type of contact, that is, face‐to‐face, phone, or digital (e.g., via video calls).MethodWe use data on Italian families from the Family and Social Subjects survey to examine parent–child contact frequency among 6770 adult children aged 30–55 (11,041 parent–child dyads). We estimate random and fixed effects models on the probability of having frequent contact with biological parents in intact and non‐intact families (parental separation before age 18).ResultsFathers' reduced contact frequency compared to mothers is particularly evident with daughters, more pronounced in face‐to‐face and phone contact than in digital contact, and greater among younger daughters at the time of separation. Gender differences in phone and digital contact are larger for fathers who have also less frequent face‐to‐face contact compared to mothers.ConclusionWe interpret these findings by focusing on the centrality of mother–daughter ties and the loyalty that children have with the same‐gender parent. We also suggest that different types of contact reinforce gender differences between parents and may lead to a polarization of older parents with “strong” and “weak” family ties.

Development and testing of a videogame intervention for symptom management among 8–18 years old children with cancer: a study protocol

IntroductionEvidence shows that cancer treatment-related symptoms could be managed effectively in 8–18 years old children through Digital Health Interventions (DHIs), consequently improving their health-related quality of life (HRQOL). However, limited...

Physical activity patterns of children and adolescents with Down syndrome: Using the Fitbit and parental proxy questionnaire

PurposeThe purpose of this study was to assess physical activity (PA) levels in children and adolescents with Down syndrome (DS) using a commercially available activity tracker (Fitbit) and a parental proxy questionnaire. Design and methodsThis cross-sectional study included two groups of individuals with DS (school-age children and adolescents) and one parent per child/adolescent. The school-age children and adolescents with DS wore the Fitbit for seven consecutive days. Parents completed the parental proxy questionnaire on the seventh day. Weekday and weekend PA levels for the two groups of individuals with DS were compared. In addition, PA levels obtained with the Fitbit were compared to parental responses. ResultsComplete data sets were available for 32 child-parent dyads. Sedentary time was higher for the adolescent group (p = .022), while light PA time was lower (p = .020). All measured PA patterns, excluding sedentary behavior, decreased on weekends in both groups: steps (p = .002), light PA time (p = .028), and moderate-to-vigorous PA time (p = .004). Parental proxy questionnaires underestimated actual PA levels. ConclusionsPA was lower in the adolescent group and during the weekend for both groups. Practice implicationsFindings from this study suggest a need for tailored programs designed to increase weekend PA levels in school-age children and adolescents with DS in pediatric nursing research. The use of commercial activity trackers, such as the Fitbit, which are user-friendly and relatively affordable, is effective for pediatric nurses to monitor PA levels of children and adolescents with DS in clinical settings.

A routine within a routine: Can bedtime yoga improve sleep for the whole family?

Parents often point to bedtime as a source of frustration, yet early bedtimes and sufficient sleep are important for children's development, learning, and behavior. ObjectivesThis pilot study aimed to assess the feasibility and preliminary effectiveness of a yoga-based bedtime routine in a sample of parent-child dyads from a rural community. MethodsUsing a waitlist control study design, children aged 2–5 years and their parent were randomized to either intervention (yoga) or control (bedtime story) groups. Pre- and post-intervention measures included the CHAOS, CSHQ, and FNPA scales. Height, weight, and waist circumference were measured by trained staff, while sleep and physical activity were tracked using accelerometry. ResultsOf the 15 dyads that completed all assessments, 13 (81.2%) completed at least 16 yoga sessions. CSHQ scores improved in both groups (Cohen's d 0.42 vs. 0.52 for intervention and control, respectively), and FNPA scores improved in the intervention group (Cohen's d = 0.4). The number of sessions completed was inversely correlated with changes in CHAOS score (r = −0.74, p = 0.003). DiscussionThese findings suggest that a yoga-based bedtime routine is feasible for families with 2-5-year-old children, with good adoption and adherence. Improvements in sleep and household chaos measures indicate that a yoga routine may be slightly more effective than a story-based one. This study provides preliminary support for further research on a yoga-based bedtime routine in a larger sample.

Less is not always more: Rich and meaningful counting books lead to greater gains in number understanding than sparse counting books.

Children vary widely in their number knowledge by the time they enter kindergarten, and this variation is related to their future academic success. Although talk about number predicts children's early understanding of foundational number concepts, we know little about whether interventions can increase this talk nor about the types of number talk that are most beneficial to children's number understanding. The current project examines whether embedding number talk in goal-based stories leads to more robust number learning than providing the same numeric input outside of this context. Parent-child dyads (N = 71; child age = 3 years) were randomly assigned within their preintervention cardinal number understanding levels to one of three conditions: rich counting books (narrative and pictures involving a number goal), sparse counting books (text and pictures that provide opportunities to count and label the same cardinalities as in the rich condition but with no narrative), or nonnumerical control books that involve labeling colors of objects. Children's number knowledge was measured at pretest and at 2 and 4 weeks into the intervention. Findings showed that children randomized to rich counting book condition showed significantly greater cardinal number knowledge and counting skill by the final testing session compared to children in the sparse counting book condition and the color control book condition, which did not significantly differ from each other. Results have implications for the types of number talk that most effectively support children's number learning in the home environment and for the design of interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Exploring Sugary Drink Consumption and Perceptions among Primary-School-Aged Children and Parents in Australia

Background: Sugar-sweetened beverages (SSBs) account for a significant proportion of sugar in the diet of children and are directly associated with obesity in this group. While there have been many studies on adolescent SSB consumption, few studies have examined the predictors of SSB consumption in primary-school-aged children. The aim of this study was to understand the degree to which a child’s consumption across a range of beverages is influenced by their own attitudes and by their parents’ attitudes and parents’ consumption behaviours. Methods: A survey of 1611 Australian parent–child dyads asked children (aged 4–11) and their parents to rate a variety of drinks in terms of healthiness, taste, and cost and indicate the amount of these drinks consumed in a typical week. Zero-inflated regression analyses were conducted to identify the strength of association between children’s weekly beverage consumption, their perceptions of each beverage, their parents’ perceptions, and their parents’ weekly beverage consumption. Results: Parental consumption of a specific beverage was the strongest predictor of child consumption of that beverage, more so than the children’s perceptions of the beverage. Conclusions: These findings provide insights for developing parent and child education programmes to reduce SSB consumption.