Parental Recognition Research Articles

Impact of alexithymia, speech problems and parental emotion recognition on internalizing and externalizing problems in preschoolers.

Alexithymia, characterized by difficulty identifying and describing emotions and an externally oriented thinking style, is a personality trait linked to various mental health issues. Despite its recognized importance, research on alexithymia in early childhood is sparse. This study addresses this gap by investigating alexithymia in preschool-aged children and its correlation with psychopathology, along with parental alexithymia. Data were analyzed from 174 parents of preschoolers aged 3 to 6, including 27 children in an interdisciplinary intervention program, all of whom attended regular preschools. Parents filled out online questionnaires assessing their children's alexithymia (Perth Alexithymia Questionnaire-Parent Report) and psychopathology (Strengths and Difficulties Questionnaire), as well as their own alexithymia (Perth Alexithymia Questionnaire) and emotion recognition (Reading Mind in the Eyes Test). Linear multivariable regressions were computed to predict child psychopathology based on both child and parental alexithymia. Preschool children's alexithymia could be predicted by their parents' alexithymia and parents' emotion recognition skills. Internalizing symptomatology could be predicted by overall child alexithymia, whereas externalizing symptomatology was predicted by difficulties describing negative feelings only. Parental alexithymia was linked to both child alexithymia and psychopathology. The findings provide first evidence of the importance of alexithymia as a possible risk factor in early childhood and contribute to understanding the presentation and role of alexithymia. This could inform future research aimed at investigating the causes, prevention, and intervention strategies for psychopathology in children.

Comparative analysis: Surrogacy regulation in India and global perspectives

This research paper examines the complex regulatory environment surrounding surrogacy in India, investigating its historical development and the intricate interplay of legal, ethical, and cultural factors. The paper examines the regulatory reforms that ensued after India became a prominent international hub for commercial surrogacy, with a specific emphasis on the intricate provisions of the Surrogacy (Regulation) Act, 2021. It emphasizes the impact of the act and addresses any limitations that were previously present. This study investigates the constitutional and legal ramifications that arise from the criteria for eligibility, with a particular focus on the effects on the infant, surrogate mothers, and intended parents. With the assistance of a global comparative analysis, this paper provides a nuanced perspective on surrogacy laws in Ukraine, the United States, and the United Kingdom, among others. These three jurisdictions were selected due to the fact that their surrogacy legislations regulate the industry to varying degrees: Ukraine regulates commercial surrogacy, the United States has state-made legislation, and the United Kingdom's legislation is very similar to that of India. The core of the manuscript consists of ten recommendations that are specifically designed for the Indian context. These recommendations promote the following: comprehensive legislation, parental rights recognition, autonomy for surrogate mothers, and ethical guidelines. The aforementioned suggestions encompass public education initiatives, anti-discrimination protocols, and international surrogacy regulations. In conclusion, the paper proposes a legal structure that is congruent with the cultural heterogeneity of India, thereby cultivating an atmosphere for surrogacy arrangements that is ethical, inclusive, and transparent.

Parents' perceptions of patient safety in paediatric hospital care-A mixed-methods systematic review.

To identify and summarize evidence on paediatric patient safety in a hospital setting from parents' point of view. A mixed-methods systematic review. ID number CRD42023453626. PubMed, Scopus, ScienceDirect, the Cochrane Library and the Wiley database were searched in July 2023. Two researchers independently applied eligibility criteria, selected studies and conducted a quality appraisal. Data-based convergent synthesis and thematic content analysis were employed. Twelve studies were included: eight qualitative research studies, two cross-sectional studies, one non-randomized experimental study and one mixed-methods study. The results were grouped into two themes-parental perceptions of inclusion in paediatric patient safety and parental perceptions of exclusion from paediatric patient safety-and comprised seven main subthemes: comfort in communication, parental engagement, communication difficulties, withdrawal from activity, uncertainty about available information and threats to patient safety. Parents are willing to be engaged in care but require support from healthcare professionals, as they are often anxious about the condition of their children and actions they believe might be helpful. They need to be treated as valuable partners and be engaged in communication and decision processes. The development and implementation of interventions involving parents in ensuring the safety of hospitalized paediatric patients should be of the utmost priority to healthcare organizations, as the common theme throughout the included studies was the need for improved communication with and recognition of parents as allies. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist was followed. No Patient or Public Contribution.

Familial transmission of mental health help-seeking: Does it “run in the family”?

Familial transmission of mental illnesses and health behaviors is well established. However, little research has examined familial transmission of mental health help-seeking behaviors despite social science theoretical traditions that support its occurrence including social learning theory and the network episode model. Among parent-adolescent dyads, extant literature supports consideration of adolescent-autonomy versus parent-gatekeeping according to whether or not parents recognize a mental health problem in their adolescent. Given this, we examined familial transmission of self-reported mental health help-seeking among parent-adolescent dyads over an 18-month period from a school-based study (N = 422; Texas, USA). Generalized estimating equations tested the effect of multiple forms of parent help-seeking on similar forms of adolescent help-seeking, controlling for personal/family characteristics. We also examined interaction by parent recognition of a mental health problem in their adolescent to discern unique intergenerational processes across these subgroups of parent-adolescent dyads. Owing to effect modification by parent problem recognition (p<0.01), two unique familial transmission of help-seeking pathways emerged. When parent problem recognition was present, parent self help-seeking history reduced adolescent help-seeking net of controls. In contrast, when parent problem recognition was absent, parent self help-seeking history increased adolescent help-seeking net of controls. Our findings provide evidence of familial transmission of mental health help-seeking behaviors, but the direction of influence fundamentally depends on parent recognition of a mental health problem in their adolescent in order to reveal intergenerationally transmitted processes. The findings support our hypotheses that familial transmission of help-seeking starts early in adolescence and is likely influenced by parent modeling and gatekeeping, though explanations for the patterns observed, such as short- and long-term positive and negative mixed impacts of past help-seeking experiences of parents, require further study to ascertain.

GCT-07. CONTRIBUTORS TO DELAYED TREATMENT OF NON-GERMINOMATOUS GERM CELL TUMORS IN CHINA: A TERTIARY-CENTER REVIEW

Abstract BACKGROUND Non-Germinomatous Germ Cell Tumors (NGGCT) are rare malignancies with potential for treatment delays. This study aims to identify risk factors and systemic challenges contributing to delayed management of NGGCT in China. METHODS We reviewed the clinical features and referral pattern of 56 consecutively diagnosed NGGCT patients at Shanghai Children’s Medical Center (SCMC) from 9/2018-2/2023. Patients were diagnosed by pathology (n=42), or by elevated markers alone (n=14, AFP&amp;gt;10ng/ml, and/or β-HCG&amp;gt;50mIU/ml). Patients were treated per COG ACNS0122. Delay of treatment was defined as chemotherapy initiated more than 6 months after symptom onset. RESULTS Forty-three males and 13 females were included. Median age at diagnosis was 9.17year (4month-16year). Primary tumor locations included the pineal region (n=31), sellar region (n=19), basal ganglia (n=5), and posterior fossa (n=1). Presenting symptoms included features of increased intracranial pressure (ICP, n=29), endocrine symptoms (n=21), blurred vision or squint (n=7), and hemiplegia (n=4). Delayed treatment occurred in 16 cases (29%), and was more likely in patients with non-pineal region primary (Chi-square p=0.003), and absence of symptoms pertaining to increased ICP (Chi-square p&amp;lt;0.001). Reasons for delay included lack of parental recognition on symptoms (n=7), misdiagnosis (n=3), and inappropriate/incomplete workup (n=6). As a national referral center, patients commuted a median of 483 km (range: 12-2943km) to SCMC (median 2 hospitals (1,5) before SCMC), including 10 patients with obvious hydrocephalus travelling before any CSF diversion procedure. Three-year Event-Free Survival (EFS) was 76.9% and Overall Survival was 86.0%. There was a trend to inferior outcome in patients with delay in treatment (3y EFS 69.6%) compared with those without (3year EFS 80.6%, p=0.112). CONCLUSIONS Delay in treatment is common for children with NGGCT managed at a tertiary referral center in China. Improving public awareness, training for primary-care clinicians, and establishing a national referral network are potential strategies to enhancing the outcome.

A Child's Recognition of Parents

A Child's Recognition of Parents

Stress Coping Strategies in Parents of Newborns and Infants with Congenital Cyanotic Heart Disease with Regard to Stress Levels and Negative Emotions.

Parents of children suffering from congenital heart disease experience high levels of stress and negative emotions. Therefore, recognition of parents' emotional states and their ways of coping with it is becoming more and more important. The study group consisted of 154 parents of newborns and infants with cyanotic congenital heart disease, before and after cardiac surgery (partial or full). To assess parental negative emotions, the level of stress, and strategies of coping with it, standardized questionnaires, such as HADS-M, PSS-10, and COPE, were used. Stress levels in parents were high and associated with negative emotions (anxiety, depression, irritability), as well as the choice of non-constructive coping strategies, which was observed especially in younger parents. Assessing parents' stress levels and ways of coping with stress can improve family functioning and provide better development conditions for the child.

Being the nurse for my child at home: A qualitative analysis of parental recognition, appraisal, and reactions to childhood cancer in Ghana.

Parental involvement in childhood cancer care is of utmost importance, but the understanding of parental recognition, appraisal, and reactions to childhood cancer in settings such as Ghana is limited. We conducted an empirical phenomenological study to explore these aspects among Ghanaian parents. Twenty parents were purposively sampled to participate in semi-structured interviews between June and September 2022. All interviews were transcribed and analysed using an inductive thematic approach. We found that parents recognised symptoms through personal observation and their child's self-report, often perceiving them as non-severe. Emotional reactions upon receiving their child's cancer diagnosis included psychological distress, fear, doubts, and confusion. Enduring emotions experienced by parents were fears of disease recurrence and impending death of their child. Parents assumed the role of nurses at home, monitoring therapy effects, managing pain and symptoms, and dressing wounds. In conclusion, parents in Ghana play a crucial role in the recognition, diagnosis, and treatment pathways of childhood cancer. To enhance their ability to recognise symptoms and take timely actions, it is recommended to implement media programs and health education initiatives targeting parents.

Children's personal lives in the family: Achieving relational agency and individual privacy in intrafamilial relationships in Türkiye

AbstractThis paper aims to explore how children's achieving privacy is interwoven with parental recognition of their agency, by providing empirical accounts of family lives in Türkiye. Building on a relational understanding of agency and privacy, it debates both concepts as social constructs that can be distinctively understood in western and Turkish cultures. It employs ethnographic research with children aged 10–14 years and their families to illustrate everyday contexts of parental privacy invasions and children's exercise of relational agency in response. A relational approach towards achieving agency and privacy as an interlaced process mirrors children's experience of power asymmetries within family relationships.

“Heteronormativity at Every Turn”: The Legal Recognition of Same-Sex Parents in Ireland

Irish law allows for some LGBTQI + parents to be jointly recognized as legal parents of their children, but legal recognition is dependent on the mode of conception of the child and, as a result, many LGBTQI + parent families cannot secure full legal recognition of their families. Because these families fall outside of the legally recognized parenting pathways, limited empirical research has been conducted to understand their experiences. This article presents the findings of a survey that was conducted with 99 Irish LGBTQI + parents to investigate the nuances of, and legal difficulties faced by, the families in obtaining legal recognition of their family relationships. The article presents the findings of a bivariate descriptive analysis that was used to analyze the quantitative data and a thematic analysis used to examine the qualitative open-ended comments. The results serve to identify the difficulties experienced by respondents in obtaining legal recognition of their family relationships in Ireland. Following this analysis, the article considers how Irish law might better respond to the reality of these parenting arrangements.

Mental health, art and creativity II: develop the child within

PurposeThe purpose of this paper is to elevate the importance of complementary views concerning the first years of life as important precursors for personal growth and sustainable mental health.Design/methodology/approachPaper II is a follow up to Paper I. After a short overview, connecting to the previous paper, the focus is on infancy followed by a few overlooked aspects and then a short summary on childhood and adolescence. Finally, some concluding remarks have been provided to put the paper together.FindingsThe main findings are connected to publications by other authors with insights which could be viewed as either “politically incorrect” or as simply overlooked in present research studies and discussions.Research limitations/implicationsThe author presents his personal perspective on the aforementioned topics. There are contrasting ways to view them.Practical implicationsA recognition of the importance for a child to experience a “good as possible” infancy and childhood, which could mean to grow up with less use of computers and less influences from social media.Social implicationsA recognition of the importance parents and other adults have for the socialization of infants, children and adolescents.Originality/valueThis conceptual paper has compiled complementary views of infancy and childhood which are seldom heard about but are of importance for sustainable mental health.

Non-birthing mothers’ experiences of perinatal anxiety and depression: Understanding the perspectives of the non-birthing mothers in female same-sex parented families

ObjectivePartners of birthing mothers can themselves experience perinatal mental health (PMH) difficulties. Despite birth rates increasing amongst LGBTQIA+ communities and the significant impact of PMH difficulties, this area is under-researched. This study aimed to examine the experiences of perinatal depression and anxiety of non-birthing mothers in female same-sex parented families. DesignInterpretative Phenomenological Analysis (IPA) was used to explore the experiences of non-birthing mothers who self-identified as having experienced perinatal anxiety and/or depression. Setting and participantsSevenparticipants were recruited from online and local voluntary and support networks for LGBTQIA+ communities and for PMH. Interviews were in-person, online or via telephone. Measurements and findingsSix themes were generated. Distress was characterised by feelings of “Failure and Inadequacy in Role” (i.e., parent, partner and individual) and “Powerlessness and Intolerable Uncertainty” in their parenting journey. These feelings were reciprocally influenced by perceptions of the “Legitimacy of (Di)stress as a Non-birthing Parent”, which impacted help-seeking. Stressors that contributed to these experiences were: “Parenting Without” a parental role template, social recognition and safety, and parental connectedness; and “Changed Relationship Dynamics” with their partner. Finally,participants spoke about “Moving Forward” in their lives. Key conclusionsSome findings are consistent with the literature on paternal mental health, including parents’ emphasis on protecting their family and experiencing services as focusing on the birthing parent. Others appeared distinct or amplified for LGBTQIA+ parents, including the lack of a defined and socially recognised role; stigma concerning both mental health and homophobia; exclusion from heteronormative healthcare systems; and the importance placed on biological connectedness. Implications for practiceCulturally competent care is needed to tackle minority stress and recognise diverse family forms.

An Analysis of Work Life Balance and Mental Health of Women in India during Work from Home with Special Reference to IT Sector

The Indian IT industry has helped place India on the world platform. With the sector’s rise has come a rise in female employment. Work-life balance is a problem that affects all genders, although it affects women more than men. Work-life balance is vital for women in the Indian IT industry because of cultural considerations and the fact that professional women in India still do most, if not all, domestic tasks. The current research explores the mental health of top female IT employees to identify their work-life balance concerns especially during working from home. The majority of respondents agreed that parental recognition and economic circumstances at home influence women’s career perspective, they disagreed that women with career growth focus are less likely to be responsible spouses, mothers, or daughters-in-law, or to take on extra family obligations. The respondents also agreed that work-life balance is tied to self-inclination as well as ambition; several of them believed that a woman who wants it would seek solutions. Working at home and balancing personal life as well is the hard task for women in India.

Balancing the books: how we can better support students who are parents

ABSTRACT Striking a balance between being a parent and being a student can place heavy demands on time and energy. Many students who are parents have employment obligations and financial concerns which create additional barriers to success. Despite these difficulties, institutional support for students who are parents is often limited. Common challenges include accessing adequate on-campus childcare and parenting rooms, and scheduling study around care commitments. A distinct recognition of student parents has been largely missing from the Australian student equity space. To address this gap, we captured the first-hand accounts of 578 student parents through a national survey of their motivations, challenges, and strengths. Findings are analysed within the four stages of the Critical Interventions Framework – pre-access, access, participation, and attainment/transition out. Our article recommends new avenues of intervention to foster the success of student parents.

Stress and Resilience Experiences during the Transition to Parenthood among Belgian Lesbian Mothers through Donor Insemination.

The present research explored parenting, stress, and resilience experiences among 16 Belgian, lesbian, first-time parental couples with donor-conceived children aged 3-72 months. In each couple, both mothers participated in a conjoint, semi-structured interview focused on their parenthood desire; the impact of stigmatization and social support from families of origin, friends, and institutions; and couple and family resources. Interviews were audio recorded, transcribed, and analyzed using Braun and Clarke's reflective thematic analysis. Four themes were identified: (1) "The precious baby": Realizing the parenthood project; (2) "Can we show ourselves in public without prying eyes?": Family social visibility; (3) "It's complicated!": Parental legal recognition and role imbalance; and (4) "How can we handle this?": Family resilience. The themes indicated that the child's donor conception, the parents' coming out, the non-gestational mother's role, the legal obstacles encountered, and the need to find a balance between the two mothers in childcare tasks generated stress and required mothers to develop resilience strategies. The results suggest several potential areas for mental health practitioners to explore in clinical contexts when supporting intended lesbian mothers in their transition to parenthood through donor insemination.

Analysis of Parents' Interpersonal Communication Patterns to Shape Children's Personalities in Siangkat Village, Dairi Regency

This study is entitled Analysis of Interpersonal Communication Patterns of Parents and Children to Shape Children's Personalities in Sidiangkat Village, Dairi Regency. How interpersonal communication patterns of parents and children to shape children's personalities and how different communication patterns of parents to the eldest and youngest children. This study uses a descriptive qualitative approach that aims to understand a phenomenon experienced by the research subject, techniques used in data collection, observation methods, interview methods, and documentation methods. The theories used are analysis theory and social penetration theory. The results of the study can be concluded that parents adhere to the pattern of authorithative interpersonal communication, namely communication that refers to the climate of social relations in the family, the application of rules, parental recognition, giving rewards or punishments or can be called by responding to all children's actions. Communication differences between parents and children unconsciously inevitably occur. In accordance with ethical theory, a person will use different messages depending on the person's perception of the situation and the listener.

Struggle for recognition, rights, and redistribution: Understanding the identity of parents of children with autism spectrum disorder in China.

The number of children diagnosed with autism spectrum disorders (ASD) worldwide has increased rapidly in the past decade and China is no exception. Yet the identity development of Chinese parents of children with ASD is little understood. This study employed an ethics of care perspective to explore the identity of parents of children with ASD as shaped in their social-cultural context in mainland China. Qualitatively driven mixed-method design was adopted. Qualitative data about their experiences were obtained from in-depth interviews with 20 parents from 17 families of children with ASD in Beijing and participant observation of 9 participants' daily parenting experience. A complex and dynamic parenting identity was revealed. With limited recognition within and external to the family, parents experienced constant challenges toward their sense of self. The parents used strategies to assert their rights as carers and develop positive self-perceptions. Yet because of the unjust distribution of care work within families and with the state, the parents retained a sense of insecurity throughout the process of parenting. The parents' sense of inferiority due to devaluing children with disabilities was accentuated by traditional Chinese cultural values about good parenting. They were intensely worried about the lack of policy for support as they and their children grew older. The findings reinforce the need for recognition of parents' dignity, capacity, and efforts in caring.

Relationships Between Parental Support and Recognition of Emotional Facial Expressions in Pre-Adolescents

Resumo Este estudo analisou a relação entre suporte parental e habilidade de reconhecer expressões faciais emocionais em pré-adolescentes através de uma revisão integrativa de pesquisas empíricas dos últimos dez anos. Foram encontradas 12 publicações, as quais utilizaram principalmente tarefas computadorizadas para avaliar o reconhecimento de expressões faciais, sendo a maioria estudos transversais. Houve uma associação de práticas parentais positivas com uma melhor habilidade de reconhecimento de expressões faciais dos filhos, assim como aspectos negativos da parentalidade estiveram associados a um pior reconhecimento de expressões faciais e a um favorecimento do reconhecimento de expressões negativas, sendo que alguns resultados foram contraditórios. Discute-se a importância desta habilidade para o desenvolvimento infanto-juvenil e destacam-se lacunas metodológicas e sugestões para avançar os estudos na área.

Picture Cards Versus Physical Examination: A Proof-of-Concept Study to Improve the SOSAS Survey Tool

IntroductionThe Surgeons OverSeas Assessment of Surgical Needs (SOSAS) survey tool is used to determine the unmet surgical needs in the community and has been validated in several countries. A major weakness is the absence of an objective assessment to verify patient-reported surgically treatable conditions. The goal of this study was to determine whether a picture portfolio, a tool previously shown to improve parental recognition of their child's congenital deformity, could improve the accuracy of the SOSAS tool by how it compares with physical examination. This study focused on children as many surgical conditions in them require prompt treatment but are often not promptly diagnosed. MethodsWe conducted a descriptive cross-sectional community-based study to determine the prevalence of congenital and acquired surgical conditions among children and adults in a mixed rural-urban area of Lagos, Southwest Nigeria. The picture portfolio was administered only to children and the surgical conditions to be assessed were predetermined using an e-Delphi process among pediatric surgeons. The modified The Surgeons OverSeas Assessment of Surgical Needs–Nigeria Survey Tool (SOSAS-NST) was administered to household members to collect other relevant data. Data were analyzed using the REDCap analytic tool. ResultsEight hundred and fifty-six households were surveyed. There were 1984 adults (49.5%) and 2027 children (50.5%). Thirty-six children met the predetermined criteria for the picture portfolio–hydrocephalus (n = 1); lymphatic malformation (n = 1); umbilical hernia (n = 14); Hydrocele (n = 5); inguinal hernia (n = 10) and undescended testes (n = 5). The picture portfolio predicted all correctly except a case of undescended testis that was mistaken for a hernia. The sensitivity of the picture portfolio was therefore 35/36 or 97.2%. ConclusionsThe SOSAS-NST has improved on the original SOSAS tool and within the limits of the small numbers, the picture portfolio has a high accuracy in predicting diagnosis in children in lieu of physical examination.

Same-sex Marriage Legalization and the Stigmas of LGBT Co-parenting in Taiwan

In 2019, Taiwan became the first country in Asia to legalize same-sex marriage. Celebrated as a victory for global lesbian, gay, bisexual, and transgender (LGBT) rights, Taiwan’s 2019 law privileges marriage and biological parent-child ties as the foundation for LGBT family rights and (co-)parental recognition. This article contributes to sociolegal debates about the benefits and limitations of marriage equality by asking how restrictive legal approaches to legitimating LGBT parenthood may harm LGBT families, with consequences both for families ostensibly protected under the new laws and for those denied newly bestowed rights and protections. Drawing from legal and ethnographic research on Taiwan’s same-sex marriage law and the family formation strategies of Taiwanese LGBT parents, we interrogate how marriage equality interacts with related legal domains and prevailing stigmas of illegitimacy, adoption, and homosexuality in Taiwan. Encoded in, and reproduced through, the substance and implementation of law, these stigmas narrow the scope of legal rights and foster potentially discriminatory forms of recognition. The article shows how progressive laws may reduce LGBT family stigma for some, while also creating new stigma interactions that devalue diverse forms of LGBT parenthood.