Positive Parent-child Interactions Research Articles

Early-life family and school impacts on adolescent conduct problems: A path analysis.

Limited research has been conducted to examine the factors during early childhood that may contribute to conduct problems in later stages of life. This study aimed to investigate the relationship between family and school environments during early childhood and conduct problems in adolescence. In Wave 1 (W1), the study recruited 502 participants, aged 5-6 years, from Hong Kong local kindergartens, with 51.4% boys. One of their parents provided information about family socioeconomic status (SES), parent-child recreational activities, and child screen time, whereas the class teacher rated their school readiness using the Chinese version of the Early Development Instrument. Data on the number of special facilities were obtained from the kindergartens. In Wave 2 (W2), the same parents of 395 participants were asked about their involvement in their children's education. Finally, in Wave 3 (W3), the parents of 206 participants completed the Conduct Problem scale of the Strength and Difficulties Questionnaire to evaluate the level of conduct problems in the participants. The results of the path analysis revealed that higher W1 family SES was associated with fewer W3 conduct problems through an increase in W1 and W2 parental involvement in children's learning and play activities. Findings have implications for understanding the impact of early-life family and school environments on adolescent conduct problems. Early childhood interventions that promote family resources and positive parent-child interactions have the potential to reduce adolescent conduct problems.

Longitudinal associations between positive parenting and youths’ engagement in sexting behaviors: The mediating role of filial self-efficacy beliefs

Youths who enter emerging adulthood with a background of familial relations grounded in positive parent-child interactions are better equipped to cope with transitional stressors, to voice effectively their opinions with parents, and to resist engaging in risky activities. However, little is known about the longitudinal associations between positive parenting, filial self-efficacy beliefs and youths' engagement in sexting behaviors. This study examined if positive parenting (mothers' and fathers' reports at children ages 13, 14, and 15) were related to youths' engagement in sexting behaviors (child's reports at age 19) both directly and indirectly, through adolescents perceived filial self-efficacy beliefs (child's reports at age 18). Participants included 194 Italian children (MAgeAtTime1 = 13.54, 52.6% girls), their mothers (n = 193), and fathers (n = 150), who provided data across five waves over seven years. The mediation model was tested through a path analysis. Overall, results showed that, controlling for child gender and family SES, the effect of positive parenting on sexting behaviors was fully mediated by higher levels of perceived filial self-efficacy beliefs. The study reveals filial self-efficacy beliefs as central to the benefits conveyed to teens by parents in reducing their sexting behaviors.

Parent and Child-Reported Strengths of Children With ADHD

A strength-based approach to childhood attention-deficit/hyperactivity disorder (ADHD) research highlights children’s positive attributes that can support their areas of difficulty. However, research on perceptions of a child’s positive attributes is understudied. Specifically, there is little research that examines strength-based perceptions of children with ADHD, and only one known article addresses parent perceptions of their children with ADHD. As such, this study analyzed parent and child-reported strengths in children with ADHD. Parent and child-reported strengths were measured using the Behavioral and Emotional Rating Scale—Second edition, Parent Form and Child Form (BERS-2). Results indicated that parents and children perceived strengths in the interpersonal, intrapersonal, and affective domains to be similar, falling in the Average range. However, children indicated their family involvement and school functioning fell within the Average range, whereas parents rated these domains below average. Positive parental perspectives of their children may promote positive parent-child interactions and serve as an overall protective factor for children with ADHD. Domains which parents and children see as strengths should be utilized to support areas of weakness. Strength-based research for children with ADHD and positive interventions utilizing strengths may benefit families with ADHD, as well as classroom teachers and school psychologists.

Association between maltreatment, hair cortisol concentration, positive parent-child interaction, and psychosocial outcomes in Chinese preschool children.

Children now are facing an increasing risk of early life stress (ELS), which leads to detrimental psychosocial outcomes. Behavior studies suggested that positive parental interactions might moderate the negative impact of ELS, but the related biological alteration remains unclear. This study aims to investigate whether positive parent-child interactions moderate the association between maltreatment (as a severe form of ELS) and hair cortisol concentration (HCC), as well as between HCC and psychosocial outcomes in young children. Participants were 6-year-old Chinese children (N = 257, Mage = 6.2, 121 were male) selected by stratified cluster random sampling from a Shanghai population representative cohort. Proximal 3cm hair strands were analyzed using liquid chromatography coupled with tandem mass spectrometry for HCC. Children's psychosocial outcome was evaluated using the parental report Strengths and Difficulties Questionnaire (SDQ). Parents also reported the frequency of positive parent-child interactions using the Chinese Parent-Child Interaction Scale (CPCIS) as well as the history of maltreatment. Multi-level logistic regression models adjusting for individual, kindergarten, and district confounders were used to evaluate the associations between maltreatment, HCC, and psychosocial outcomes. Interactions terms tested whether more frequent positive parent-child interactions moderates the association between maltreatment and HCC, as well as between HCC and psychosocial outcomes. Maltreated children exhibited higher levels of HCC (B = 1.20, 95% CI: 0.38,2.02; p = 0.004), and children with higher HCC exhibited poorer psychosocial outcomes (B = 0.34, 95% CI: 0.18,0.51; p < 0.001). Positive parent-child interactions did not have a moderating effect on the association between maltreatment and HCC, but they demonstrated a moderating effect on the association between increased HCC and psychosocial outcomes (interaction term: B = -0.42, 95% CI: -0.75,-0.10; p = 0.01). These findings provide evidence that positive parental interaction may serve as a moderator between chronic cortisol exposure and psychosocial problems. It highlights the importance of frequent parent-child interactions, especially among children under a high risk of ELS.

Exploring the Impact of Second-Child Mothers' Dislike on the Eldest Child: Understand its Influence and the Path to Building Intimate Relationships

This study aims to explore the influence of the mother's dislike on the eldest child in the second-child family, and to understand its influence and the way to establish intimate relationship. By interviewing and analyzing the mothers and eldest children of five groups of second-child families, the study found that the mother's dislike had a significant impact on the behavior and psychological state of the eldest children. The results show that the mother's dislike will lead the eldest children to feel neglected and ignored, thus affecting their study, mood, behavior and career choice. In addition, this study proposes to promote the establishment of intimate relationship between mother and eldest child through positive parent-child interaction, emotional expression and support. This study is of great significance to understand the influence of mother's dislike on the eldest child in the second child family and to establish a healthy parent-child relationship.

Positive parent-child interactions moderate certain maltreatment effects on psychosocial well-being in 6-year-old children.

Positive parental interactions may buffer maltreated children from poor psychosocial outcomes. The study aims to evaluate the associations between various types of maltreatment and psychosocial outcomes in early childhood, and examine the moderating effect of positive parent-child interactions on them. Data were from a representative Chinese 6-year-old children sample (n = 17,088). Caregivers reported the history of child maltreatment perpetrated by any individuals, completed the Strengths and Difficulties Questionnaire as a proxy for psychosocial well-being, and reported the frequency of their interactions with children by the Chinese Parent-Child Interaction Scale. Physical abuse, emotional abuse, neglect, and sexual abuse were all associated with higher odds of psychosocial problems (aOR = 1.90 [95% CI: 1.57-2.29], aOR = 1.92 [95% CI: 1.75-2.10], aOR = 1.64 [95% CI: 1.17-2.30],aOR = 2.03 [95% CI: 1.30-3.17]). Positive parent-child interactions were associated with lower odds of psychosocial problems after accounting for different types of maltreatment. The moderating effect of frequent parent-child interactions was found only in the association between occasional only physical abuse and psychosocial outcomes (interaction term: aOR = 0.34, 95% CI: 0.15-0.77). Maltreatment and positive parent-child interactions have impacts on psychosocial well-being in early childhood. Positive parent-child interactions could only buffer the adverse effect of occasional physical abuse on psychosocial outcomes. More frequent parent-child interactions may be an important intervention opportunity among some children. It provides the first data on the prevalence of different single types and combinations of maltreatment in early childhood in Shanghai, China by drawing on a city-level population-representative sample. It adds to evidence that different forms and degrees of maltreatment were all associated with a higher risk of psychosocial problems in early childhood. Among them, sexual abuse posed the highest risk, followed by emotional abuse. It innovatively found that higher frequencies of parent-child interactions may provide buffering effects only to children who are exposed to occasional physical abuse. It provides a potential intervention opportunity, especially for physically abused children.

Predictors of harsh parenting practices and inter-partner conflict during the COVID-19 pandemic in Ontario, Canada: a cross-sectional analysis from the Ontario Parent Survey

ObjectivesGuided by the bioecological model, the purpose of this study was to examine the associations of (1) individual level factors (sociodemographic, health behaviour and mental health), (2) family (micro) level...

Association of parent-child interactions with parental psychological distress and resilience during the COVID-19 pandemic.

The effects of psychological distress/resilience on parent-child engagement (e.g., family dinners, reading) during the COVID-19 pandemic have not been well studied. Among very young children from underrepresented backgrounds enrolled in the ongoing longitudinal Bronx Mother Baby Health Study of healthy term infants, we (1) examined associations between exposures to COVID-19-related events, demographic factors and parental psychological distress and resilience; and (2) correlated these factors with parent-child engagement activities. Between June 2020-August 2021, parents of 105 Bronx Mother Baby Health Study participants aged birth-25 months completed questionnaires related to exposures to COVID-19-related events, frequency of positive parent-child engagement activities, food and housing insecurity, and parental psychological distress and resilience. Families were also asked open ended questions about the pandemic's impact. 29.8% and 47.6% of parents reported food and housing insecurity, respectively. Greater exposures to COVID-19-related events were associated with increased parental psychological distress. Positive parent-child interactions were associated with demographic factors and higher levels of maternal education, but not with exposures to COVID-19-related events. This study adds to a growing body of literature on the negative impacts of COVID-19 exposures and psychosocial stressors on families during the pandemic, supporting the need for enhanced mental health resources and social supports for families.

Brief interventions to build social and emotional strengths and foster resilience in children: A Delphi consensus study

Social and emotional competencies developed in childhood are among the strongest predictors of adult wellbeing. Simple parenting techniques that build these strengths and foster children's resilience can be easily taught and modelled. Our aim was to identify whether and which interventions, offered by primary care providers of 4–6 year-olds, could use the supportive nature of the doctor-patient relationship to demonstrate methods for augmenting children's social and emotional development to parents. We conducted a telephone and online Delphi process among 33 international, child development experts. Round 1 individual interviews identified feasibility of and content to incorporate into routine visits. Content areas were then ranked in Round 2 to identify three key themes. Finally, those participants with expertise in the identified areas verified best strategies for modelling these with parents. All 33 invited experts participated in Round 1, agreed that a brief, in-person intervention was valuable and feasible, and named 48 possible approaches or subthemes. After Round 2 (26 participants) the three themes and related strategies that emerged were reading to children, regulating emotions, and fostering positive parent-child interactions. Routine appointments present an opportunity for healthcare providers to address emotional development and foster resilience. Evidence for ongoing benefit of the brief parenting approaches that emerged is clear, however none is currently integrated into medical practice as a routine. Our findings can inform subsequent efforts to develop standard practices for including such interventions in well-child checks.

The effects of a music enrichment program on parent-infant interactions during mealtime: A randomized controlled trial

BackgroundParent-child interactions are linked to childhood obesity. Music enrichment programs enhance parent-child interactions and may be a strategy for early childhood obesity prevention. ObjectiveWe implemented a 2-year randomized, controlled trial to assess the effects of a music enrichment program (music, n = 45) vs. active play date control (control, n = 45) on parent-child interactional quality and infant weight status. MethodsTypically developing infants aged 9-to 15-months were enrolled with a primary caregiver in the Music Together ® or a play date program. Participants attended once per week group meetings for 12 months and once per month group meetings for an additional 12 months. Parent-child interaction was measured using the Parent Child Early Relational Assessment (PCERA) at baseline, month 6, 12, and 24. We used a modified intent-to-treat mixed model regression to test group differences in parent-child interactions and Weight for length z-score (zWFL) growth trajectories were modeled. ResultsThere were significant differential group changes across time for negative affect during feeding (group*month; p = 0.02) in that those parents in the music group significantly decreased their negative affect score compared with the control group from baseline to month 12 (music change = −0.279 ± 0.129; control change = +0.254 ± 0.131.; p = 0.00). Additionally, we also observed significant differential group changes across time for parent intrusiveness during feeding (group*month; p = 0.04) in that those parents in the music group significantly decreased their intrusiveness score compared with the control group from month 6 to month 12 (music change = −0.209 ± 0.121; control change = 0.326 ± 0.141; p = 0.01). We did not find a significant association between any of the changes in parental negative affect and intrusiveness with child zWFL trajectories. ConclusionParticipating in a music enrichment program from an early age may promote positive parent-child interactions during feeding, although this improvement in the quality of parent-child interactions during feeding was not associated with weight gain trajectories.

Family Violence Reduction Within a Parenting Intervention in Rwanda: A Mixed-Methods Study.

A mixed-methods study of mechanisms of change through which a home-visiting-based early childhood development intervention, Sugira Muryango ("strong family"), reduced violent discipline and intimate partner violence in Rwanda. The cluster-randomized trial of Sugira Muryango enrolled socioeconomically vulnerable families with children aged 6 to 36 months in rural Rwanda. We interviewed 18 female caregivers early in the intervention, and 21 female caregivers and 11 male intimate partners were interviewed after the intervention. Coded interviews identify risk factors for violence and mechanisms of intervention-related change in violence. Quantitative analyses included 931 caregivers (52.6% female) who lived with an intimate partner to examine risk factors for violence, intervention effects, and mechanisms of violence reduction. The qualitative data identified daily hardships and alcohol problems as risk factors for violent discipline and intimate partner violence. Through Sugira Muryango, caregivers learned that strong relationships between partners and engagement of male caregivers in child care has positive impacts on children's development. Techniques taught by community lay workers improved communication, promoted positive parent-child interactions, and reduced intimate partner violence and violent discipline. Quantitative analyses also found that daily hardships predict violent discipline and intimate partner violence. Sugira Muryango reduced violent discipline, increased father engagement, and increased female caregiving warmth. Moreover, pre- to postintervention change in caregiving warmth was associated with reduced use of violent discipline among female caregivers and marginally associated with reduced female victimization. Violence reduction can be integrated into early child development programs to reduce violent discipline and intimate partner violence.

Resettlement, mental health, and coping: a mixed methods survey with recently resettled refugee parents in Canada

BackgroundResettlement experiences of refugee parents are under-researched despite evidence indicating higher risk of poor mental health. The current study integrates family systems and social determinants of refugee mental health frameworks to examine: (1) Refugee parents’ experiences of resettlement stressors and mental health; (2) Perceived impacts of resettlement stressors on individual and family indicators of well-being; and (3) Refugee parents’ coping strategies and resources.MethodsThe study draws on data from a mixed methods survey conducted with 40 Government-Assisted Refugee parents who had resettled to Hamilton, Canada within the past 4 years. Quantitative and qualitative data were analyzed separately and then integrated at the results stage using a weaving approach.ResultsResults indicate significant exposure to economic and social stressors across multiple domains of daily life, as well as high levels of parental psychological distress. Parents drew linkages between resettlement stressors and negative mental health impacts that were compounded by intersecting risk factors of ill health, caregiving burden, single parenthood, and low levels of education and literacy. Most parents rated themselves as coping well or very well and described various coping strategies such as positive reframing, problem solving, planning, and turning to religion. Quantitative and qualitative findings indicate high frequency of positive parent-child interaction and low frequency of family conflict, and highlight the importance of family as a protective resource for coping with adversity. Exploratory regression analyses suggest that longer stay in Canada, poorer self-rated health, higher levels of resettlement stressors, and more conflict between adults in the household may be associated with greater psychological distress.ConclusionStudy findings highlight both the resilience of refugee parents and the psychological toll of navigating their families through a new and challenging environment. Policies and programs to provide comprehensive social and economic supports to refugees beyond the first one to two years after arrival are necessary to mitigate the mental health impacts of displacement over time and strengthen individual and family resilience. Such programs should include culturally responsive and family-based models of mental health care that acknowledge collective experiences and impacts of adversity, as well as harness family resources to overcome past and present challenges.

Mental health in children with living donor liver transplantation: a propensity score-matched analysis

BackgroundThis study explored mental health of pediatric patients with living donor liver transplantation.MethodsA total of 741 children who successfully underwent living donor liver transplantation from 2009 to 2019 enrolled in this study. Participants were aged between 3 and 12 years (mean age = 5.28; SD = 2.01). The Strengths and Difficulties Questionnaire was used to evaluate emotional and behavioral problems. Parents completed the 5-item World Health Organization Well-Being Index and reported their child’s height, weight, sleep duration, parent-child interactions, home environment, physical activities, and time spent on screen exposure. Propensity score matching method was used to generate a control group from 20,934 healthy children. Univariate analysis and multiple logistic regression analyses were used to identify the correlational factors in children’s mental health following a liver transplantation.ResultsCompared to healthy children, patients after liver transplantation were prone to emotional problems, hyperactivity, and peer problems. Moreover, parental mental health, physical activity, and family environment were identified as factors associated with mental health of pediatric liver transplant patients.ConclusionThe findings highlight the need to focus on mental health of pediatric transplant patients, increase support for parents, and strengthen positive parent-child interactions.

Coaching home visitors: A thematic review with an emphasis on research and practice needs.

There is wide recognition in early childhood fields that coaching is important to a professional's development and growth in general, but little is known about coaching home visiting professionals in particular. An early childhood home visiting professional works with families to encourage positive parent-child interactions, family goal setting, and family well-being and health. Determining the essential components of coaching home visitors will help advance this field. Because coaching in the home visiting field is emergent, this article draws on literature from the early childhood field with an emphasis on applications for home visiting. We gleaned six themes that may represent common features of coaching. This article presents a compilation of common themes identified in literature reviews on coaching professionals across the early childhood field that warrant further development and evaluation by home visiting practitioners and researchers regardless of the home visiting model. The discussion concludes with recommendations to stimulate research and practice on coaching home visitors.

Resilience, and positive parenting in parents of children with syndromic autism and intellectual disability. Evidence from the impact of the COVID-19 pandemic on family's quality of life and parent-child relationships.

Family quality of life (FQoL) outcomes collected during the first year of COVID-19 has been combined with 2018 data to estimate the outbreak's impact on parental outcomes on a sample of 230 families with syndromic autistic children and those with intellectual disabilities (IDs). Despite challenges imposed by the COVID-19 outbreak, our study found that FQoL outcomes reported by participating parents during the first year of COVID-19 appears to be similar to ratings from a prepandemic study of families with the same conditions. Parents of children in our sample generally displayed a stable functioning trajectory as measured by the validated FQoL instrument. Across syndromic autistic groups considered, families reported that their relationships with their children were positive. Our findings provide evidence of families' resilience which might explain the presence of positive parent-child interactions during COVID-19. Exploring mechanisms which would explain how families with autistic and ID children confront, manage disruptive experiences, and buffer COVID-19 induced stress is a fruitful direction for future research.

The family stress model and parents' differential treatment of siblings: A multilevel meta-analysis.

The family stress model (FSM) suggests that stress, particularly economic stress, hinders effective parenting. Expanding on the FSM, the present study examined not only the economic stress but also the general stress and several contexts that may promote stress-namely, physical health, mental health, socioeconomic status, employment status, and marital status. The present study also expanded the FSM to examine parenting of sibling groups. Ineffective parenting of sibling groups was conceptualized as greater parental differential treatment (PDT). A number of moderating variables were also considered. Multilevel meta-analysis models were used to test hypotheses. Across models, data came from 6,003 effect sizes, nested within 59 sources, nested within 16 unique samples (all coming from 8 published studies and 11 raw data sets). Results showed main effects for only parents' general stress and parents' mental health. More stress and poorer mental health were linked with greater amounts of PDT. Additionally, poorer physical health was linked to greater PDT but only when PDT involved positive parent-child interactions. As a whole, findings suggested that actual feelings of stress and psychological distress may show stronger links with PDT than contexts that merely have the potential to cause stress. Caution is warranted, however, as effect sizes were generally small and some models were based on predominantly Caucasian samples. Future research on the FSM and PDT should focus on actual experiences of stress and further consider the moderating role of domains of parenting. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Pathways from parent mental health to child outcomes in Liberia: Testing cross-sectional and longitudinal serial mediation models

Children in humanitarian settings face complex adversities that impact development. The interplay of caregiver mental health, couples' relationship quality, and parenting practices can both protect against adversity and contribute to it. The purpose of the study was to examine whether caregiver depressive symptoms are associated with increased couples' distress, in turn predicting fewer positive parent-child interactions and then worse child emotional and behavioral outcomes. This study took place in four urban settlements in Monrovia, Liberia. Participants (N ​= 569) included parents or caregivers of children three- or four-years-old. Using structural equation modeling, the serial mediation pathway from depressive symptoms to child outcomes through couples' distress and reduced positive parent-child interactions was tested cross-sectionally and longitudinally across three time points. In the cross-sectional model, two statistically significant, but very small, indirect effects were found: 1) a serial mediation from parent depressive symptoms to child problems through increased couples' distress and reduced positive parent-child interactions and 2) a specific mediation effect through couples’ distress. The longitudinal model yielded null direct and indirect effects. These mixed results suggest that, while these processes may be related, the specific pathways linking these family indicators are not well understood, especially over time and in humanitarian settings.

Systematic review of the effectiveness of psychological interventions on parent-child interaction improving in children with ADHD

Introduction: Positive parent-child interactions prevent psychological, developmental, emotional and social harm in children. Aim: The aim of this study was to investigate the effectiveness of psychological interventions on parent-child interactions in children with attention deficit hyperactivity disorder. Method: The research method was a systematic review and the statistical population included all national research using the keywords of parent-child interactions, parenting, attention deficit-hyperactivity in databases of, Society of Humanities portal, Jihad University Scientific Information Center, Noor Specialized Journals, Iran Institute of Information Science and Technology and, database of publications of the country. Amongst them, 334 studies were selected using the purposive sampling method, whereas, 11 studies were methodologically acceptable in this study. All of studies were analyzed according to the instructions of PRISMA. Results: The results showed that most of the researches are related to the years 2019-2020. Tehran and Isfahan have the most researches, hence, in recent years, the attention of researchers to the subject of various interventions in the field of parent-child interactions has increased. Moreover, neurofeedback-related interventions (40 sessions) and multidimensional parenting (16 sessions) had the largest shares in terms of intervention sessions. Conclusion: The results indicate the importance of various educational interventions aimed at improving parent-child interactions and their effectiveness in reducing mental stress, behavioral problems and attention problems in children with attention deficit-hyperactivity disorder. Therefore, behavioral education programs with parental participation and the use of multidimensional and integrated interventions are the most effective therapies which can be placed at the top of the planning of researchers and therapists in this field.

School Bullying Victimization and Associated Factors Among School-Aged Adolescents in China.

There has been a significant amount of research on correlates of bullying victimization, but most prior studies are descriptive and do not distinguish between different types of bullying. The current study used a case-control study design to explore factors related to different types of bullying victimization, including physical, relational, verbal, sexual, property, and poly-bullying victimization. This study was conducted in a southern city in China, including 3054 cases who self-reported being victims of school bullying and 3054 controls who reported not being involved in any school bullying in the past 12months. Each victim case was matched with a control on gender, school, and grade level. Univariate logistic analyses and multivariate conditional logistic regression analyses were used to identify factors associated with being a victim of school bullying. Results suggest physical bullying victimization was only associated with a family-level characteristic (parenting style) while the other four types of bullying victimization (relational, verbal, sexual, and property bullying) and poly-bullying victimization were associated with multiple social domain variables at individual, family, and school levels. Findings from this study provide evidence of factors for different types of bullying victimization and have implications for potential measures to prevent bullying. Measures from multiple social domains, including individual, family and school (e.g., developing healthy behaviors, improving social skills, positive parent-child interactions, building trust between teachers and peers, and forming strong friendships), should be considered in order to effectively prevent adolescent victimization from bullying.

Parent-child interactions in early life mediating association between prenatal maternal stress and autistic-like behaviors among preschoolers

ABSTRACT A range of studies have shown that prenatal maternal stress (PNMS) exposure is associated with offspring autistic-like behaviors, however the potential pathways remain unexplored. This study aimed to evaluate the mediating role of parent-child interactions in early life in the association between PNMS exposure and preschoolers’ autistic-like behaviors. Data from 65,928 child-parent dyads were obtained via a primary caregiver-reported questionnaire administered as part of the Longhua Child Cohort Study. To strengthen confidence in the reliability of the results, the analyses were initially conducted on a random selection of 70% of the total sample, and then validated on the remaining 30% of the sample. Analysis of covariance and multiple linear models were employed to estimate the associations between PNMS exposure, parent-child interactions in early life, and children’s autistic-like behaviors. The results showed that PNMS exposure was positively associated with the presence of autistic-like behaviors at preschool age. The total indirect effect of the frequency of positive parent-child interactions in early life accounted for 9.69% or 8.99% of the variance of the association. Our findings indicate that parent-child interactions in early life might function as potential mediators of the association between PNMS and the increased risk of offspring autistic-like behaviors.