Parental Trajectories Research Articles

Use of Parental Disability Trajectories to Identify Adolescents Who are Young Carers

Being a young carer can have significant impacts on the lives of children and adolescents. Identifying young carers is difficult, making the provision of support challenging for service providers. This sample contained 4464 Australian children/adolescents across 11 years (49% female, aged 6/7 years at baseline, and 16/17 years at final wave). Group-based trajectory modeling was applied to examine parental disability trajectories across 5 waves of data collection. Associations between estimated trajectories and unpaid/informal caring at age 16/17 years were then assessed. Three trajectory groups were identified: consistently-low (80%), low-increasing-high (10%) and moderate-high (10%) levels of parental disability. There was strong evidence that caring was elevated in the low-increasing-high group compared to the consistently-low group, and moderate evidence of elevation in the moderate-high group. By identifying adolescents with increased odds of becoming young carers, this study shows that parental disability may be an important way for service providers to identify and support young carers.

Maternal Responsive Parenting Trajectories From Birth to Age 3 and Children's Self-Esteem at First Grade.

This paper examines the quality and stability of the responsive parenting practices of mothers with infants and the longitudinal links between these practices and children’s self-esteem. Using data presented by the Panel Study on Korean Children, this study identified Korean mothers’ responsive parenting trajectories from birth to age three and examined their associations with children’s self-esteem at first grade. Korean mothers developed one of three responsive parenting patterns from birth to age three: low (19.0%), moderate (66.0%), or high (15.0%). Children’s self-esteem differed according to their mother’s responsive parenting trajectory. First-graders with mothers displaying the low responsive parenting trajectory were more likely to have lower self-esteem than children of mothers with the moderate responsive parenting trajectory and children of mothers with the high responsive parenting trajectory. The longitudinal link between mother-reported responsive parenting patterns during infancy and child-reported self-esteem at first grade was verified. This finding highlights the significance of early responsive parenting from mothers as a predictor of the self-esteem of children in later developmental stages.

Associations between developmental patterns of negative parenting and emotion regulation development across adolescence.

Research has documented changes in parenting practices and in emotion regulation (ER) during adolescence. However, developmental trajectories of these constructs and how they may be linked are not clearly known. The present study examined longitudinal associations between developmental trajectories of negative parenting and developmental trajectories of ER (e.g., abilities and strategy use, including cognitive reappraisal and suppression). The sample included 167 adolescents (53% males) who were first recruited at age 13 or 14 years and assessed annually four times. Adolescents self-reported on the perceived degree of their parent's negative parenting and ER. Growth mixture modeling revealed two distinct trajectories of negative parenting across adolescence: Class 1 contained the majority of adolescents (84%), with moderate initial levels of negative parenting that decreased across adolescence; Class 2 contained a smaller group of adolescents (16%), reporting moderate initial levels of negative parenting that increased across adolescence. Though growth curve modeling did not reveal significant growth in ER across time in the sample as a whole, results from a two-group model demonstrated that ER development significantly differs depending on adolescents' experiences of negative parenting trajectories. Adolescents experiencing decreases in negative parenting showed significant increases in ER abilities and no significant changes in suppression. Adolescents experiencing increases in negative parenting exhibited significant decreases in ER abilities. Adolescent's cognitive reappraisal was unaffected by negative parenting. The findings underscore the significant role of differential parenting environments in the development of ER abilities during adolescence. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Investigating active ingredients of the GenerationPMTO intervention: Predictors of postintervention change trajectories in parenting practices.

Empirically determining the active ingredients of evidence-based parenting interventions is a promising means for strengthening interventions and enhancing their public health impact. This study aimed to determine which distinct ingredients of the GenerationPMTO (GenPMTO) intervention were associated with subsequent changes in parenting practices. Using a sample of 153 participants randomly assigned to the GenPMTO condition, we employed multilevel modeling to identify intervention ingredients empirically linked with change trajectories in parenting practices observed across the 2 years following intervention exposure. Coercive parenting and positive parenting outcomes were examined. Study results indicated that emotion regulation, effective communication, problem solving, and monitoring each demonstrated a significant pattern of findings for coercive parenting. Differential exposure to each of these ingredients significantly predicted the level of coercive parenting immediately postintervention and/or trajectories of change in coercive parenting across the subsequent 2-year period, controlling for coercive parenting at baseline. No significant predictors were found for positive parenting trajectories. Our findings suggest four components as active ingredients of the GenPMTO intervention for coercive parenting. Identification of these active ingredients may lead to strengthening future iterations of GenPMTO by expanding the set of core components specified in the model, which may further improve public health benefits. Implications for further understanding change stemming from evidence-based parenting interventions are also discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Parent and child adjustment dual trajectories at the beginning of the COVID-19 syndemic.

Children and their families have been significantly impacted by the unfolding of the COVID‐19 syndemic. We sought to identify (1) groups of families with distinct profiles of joint trajectories of parental anxiety and child emotional distress and (2) protective and risk factors associated with these dual‐trajectory profiles. A sample of 488 parents (65% White; 77% mothers) with 3‐ to 8‐year‐old children (M Age = 5.04, SD Age = 1.59) was followed from late March to early July in 2020. Survey data on parent (i.e., anxiety symptoms) and child (i.e., emotional distress) adjustment were collected at three time points. Using multivariate growth mixture modeling, we identified one group with low parental anxiety and child emotional distress (42.7%) and three other distinct groups with varying risk levels among parents and/or children. We also identified protective (e.g., positive parenting) and risk (e.g., child negative affect, negative parenting, perceived stress with racism) factors in predicting parent and child adjustment. It can be concluded that, overall, our sample (mostly middle‐ and high‐socioeconomic status families) demonstrated family resilience amid COVID‐19, consistent with prior disaster coping literature. At the same time, our findings also indicated the need to identify at‐risk families and modifiable factors for post‐disaster public health interventions.

Parents' reflective functioning and their agreement on treatment goals in attachment-based family therapy for sexual and gender minority young adults and their nonaccepting parents.

This study examined the trajectories of parents' reflective functioning over the course of individual preparatory sessions with the therapist in attachment-based family therapy (ABFT) for Israeli sexual minority young adults and their nonaccepting parents, and whether such reflective functioning was associated with parents' agreement on the goals for subsequent conjoint corrective attachment sessions.Three parents with good agreement on treatment goals were compared to three parents with poor agreement on treatment goals. Parents' in-session reflectivity regarding their child's experience of nonacceptance, and regarding the quality of their relationship with their child, was observationally measured at the session level.Reflective functioning increased over time among those parents who reported good agreement with the treatment goals. There were no changes in parents' reflective functioning in the poor agreement group.Findings suggest the potential importance of facilitating parents' reflective functioning in ABFT, before conducting conjoint corrective attachment sessions. Research and clinical implications are discussed.

Parental preconception BMI trajectories from childhood to adolescence and asthma in the future offspring

Recent evidence suggests that parental exposures before conception can increase the risk of asthma in offspring. We investigated the association between parents' preconception body mass index (BMI) trajectories from childhood to adolescence and subsequent risk of asthma in their offspring. Using group-based trajectory modeling from the Tasmanian Longitudinal Health Study, we identified BMI trajectories for index participants (parents) when aged 4 years to 15 years. Multinomial regression models adjusted for potential confounders were utilized to estimate the association between these early-life parents' BMI trajectories and asthma phenotypes in their subsequent offspring. The main analysis included 1822 parents and 4208 offspring. Four BMI trajectories from age 4 years to 15 years were identified as the best-fitting model: low (8.8%), normal (44.1%), above normal (40.2%), and high (7.0%). Associations were observed between father's high BMI trajectory and risk of asthma in offspring before the age of 10 years (relative risk ratio [RRR]=1.70 [95% CI= 0.98-2.93]) and also asthma ever (RRR= 1.72 [95% CI= 1.00-2.97]), especially allergic asthma ever (RRR= 2.05 [95% CI= 1.12-3.72]). These associations were not mediated by offspring birth weight. No associations were observed for maternal BMI trajectories and offspring asthma phenotypes. This cohort study over 6 decades of life and across 2 generations suggests that the high BMI trajectory in fathers, well before conception, increased the risk of asthma in their offspring.

Associations between Parental BMI and Offspring BMI Trajectories - Potential Effect Modification by Grandparental Socio-Economic Position

Associations between Parental BMI and Offspring BMI Trajectories - Potential Effect Modification by Grandparental Socio-Economic Position

Parent and child mental health trajectories April 2020 to May 2021: Strict lockdown versus no lockdown in Australia.

To control a second-wave COVID-19 outbreak, the state of Victoria in Australia experienced one of the world's first long and strict lockdowns over July-October 2020, while the rest of Australia experienced 'COVID-normal' with minimal restrictions. We (1) investigate trajectories of parent/child mental health outcomes in Victoria vs non-Victoria and (2) identify baseline demographic, individual and COVID-19-related factors associated with mental health trajectories. Online community sample of 2004 Australian parents with rapid repeated assessment over 14 time-points over April 2020 to May 2021. Measures assessed parent mental health (Depression, Anxiety and Stress Scales-21), child depression symptoms (13-item Short Mood and Feelings Questionnaire) and child anxiety symptoms (four items from Brief Spence Children's Anxiety Scale). Mental health trajectories shadowed COVID-19 infection rates. Victorians reported a peak in mental health symptoms at the time of the second-wave lockdown compared to other states. Key baseline predictors, including parent and child loneliness (standardized regression coefficient [β] = 0.09-0.46), parent/child diagnoses (β = 0.07-0.21), couple conflict (β = 0.07-0.18) and COVID-19 stressors, such as worry/concern about COVID-19, illness and loss of job (β = 0.12-0.15), predicted elevated trajectories. Effects of predictors on parent and child mental health trajectories are illustrated in an online interactive app for readers (https://lingtax.shinyapps.io/CPAS_trend/). Our findings provide evidence of worse trajectories of parent and child mental health symptoms at a time coinciding with a second COVID-19 outbreak involving strict lockdown in Victoria, compared to non-locked states in Australia. We identified several baseline factors that may be useful in detecting high-risk families who are likely to require additional support early on in future lockdowns.

Separated kin: location of multiple children and mental health trajectories of older parents in rural China

Objective This study examines the longitudinal association between the location of multiple children and depressive symptoms of older parents in rural China, where massive rural-to-urban migration has profoundly altered the family life of the aging population. Methods Using seven waves of panel data from the Longitudinal Study of Older Adults in Anhui Province (2001–2018, N = 8,253) and multilevel growth curve models, this study compares mental health trajectories of old parents across different compositions of local and migrant children over an 18-year time period. Results The results show that older parents with a greater share of adult children who had migrated away not only scored worse mental health on average, but also experienced a more rapid increase in depressive symptoms across ages, after accounting for other covariates. Further, older adults who had their most children migrated away for a longer period of time suffered from the steeper rate of increase in depressive symptoms as they got older. Conclusions We suggest that it is not the geographic locality of a single child but the location of multiple children that matters for parental mental health in later life.

SmartFeeding4Kids, an online self-guided parenting intervention to promote positive feeding practices and healthy diet in young children: study protocol for a randomized controlled trial

BackgroundCaregivers’ influence on young children’s eating behaviors is widely recognized. Nutritional interventions that focus on the promotion of children’s healthy diet should actively involve parents, focusing on their feeding behaviors and practices.MethodsThis work aims to describe the development and study protocol of the SmartFeeding4Kids (SF4K) program, an online self-guided 7-session intervention for parents of young (2–6 years old) children. The program is informed by social cognitive, self-regulation, and habit formation theoretical models and uses self-regulatory techniques as self-monitoring, goal setting, and feedback to promote behavior change. We propose to examine the intervention efficacy on children’s intake of fruit, vegetables, and added sugars, and parental feeding practices with a two-arm randomized controlled with four times repeated measures design (baseline, immediately, 3 and 6 months after intervention). Parental perceived barriers about food and feeding, food parenting self-efficacy, and motivation to change will be analyzed as secondary outcomes. The study of the predictors of parents’ dropout rates and the trajectories of parents’ and children’s outcomes are also objectives of this work.DiscussionThe SmartFeeding4Kids program relies on technological resources to deliver parents’ self-regulation techniques that proved effective in promoting health behaviors. The study design can enhance the knowledge about the most effective methodologies to change parental feeding practices and children’s food intake. As a self-guided online program, SmartFeeding4Kids might overcome parents’ attrition more effectively, besides being easy to disseminate and cost-effective.Trial registrationThe study was registered in ClinicalTrials.gov (NCT04591496) on October 19, 2020.

Couple, Parent, and Infant Characteristics and Perceptions of Conflictual Coparenting over the Transition to Parenthood.

This study examined trajectories of new parents' perceptions of conflictual coparenting and predictors thereof. Partners in 182 dual-earner different-gender U.S. couples reported their prenatal marital conflict and individual characteristics (conflictual coparenting in the family of origin, parenting self-efficacy expectations, and parenting role beliefs) during the third trimester of pregnancy, their infant's characteristics (negative affectivity and gender) at 3 months postpartum, and their perceptions of undermining coparenting and exposure to conflict at 3, 6, and 9 months postpartum. Results of latent growth curve models indicated that new parents' perceptions of undermining, but not exposure to conflict, increased similarly from 3 to 9 months. Fathers perceived higher initial undermining than mothers, but there were no gender differences in exposure to conflict. For mothers, greater prenatal marital conflict and greater infant negative affectivity were associated with elevated levels of perceived undermining and exposure to conflict. For fathers, more egalitarian role beliefs were associated with lower undermining and less exposure to conflict, whereas greater prenatal marital conflict, higher conflictual coparenting in the family of origin, and greater infant negative affectivity were associated with greater exposure to conflict. Fathers also perceived greater undermining and exposure to conflict when mothers reported higher prenatal marital conflict, whereas mothers' greater conflictual coparenting in the family of origin was related to fathers' lower exposure to conflict. These findings provide valuable information to strengthen programs focused on improving coparenting.

Impact of parental perinatal depressive and anxiety symptoms trajectories on early parent-infant impaired bonding: a cohort study in east and west coasts of Malaysia.

The association between maternal depressive and anxiety symptoms and impaired bonding with infants were widely studied, but not in fathers and none in Malaysia. We investigated the impact of different trajectories of perinatal depressive and anxiety symptoms on parent-infant impaired bonding during 2-3months postpartum in both mothers and fathers in two areas of Malaysia. This study originated from a psychiatric morbidity cohort study carried out in health clinics in east and west Malaysia. Edinburgh Postnatal Depression Scale and anxiety subscale of Depression, Anxiety, and Stress Scale at late pregnancy and 2-3months postpartum and Postpartum Bonding Questionnaire were completed by 566 mothers and 457 fathers. About 11.7% mothers and 16.1% fathers reported depressive symptoms during pregnancy, 6.5% mothers and 10.5% fathers during 2-3months postpartum, and 3-4% mothers and fathers both depressive and anxiety symptoms 2-3months postpartum. The mean impaired bonding score was highest in mothers and fathers who had both depressive and anxiety symptoms 2-3months postpartum. Impaired bonding is associated with higher EPDS and DASS (anxiety subscale) scores 2-3months postpartum in both parents. Physical partner violence and deteriorated marital relationship were associated with increased risk of impaired bonding in mothers. The association between depressive, anxiety, and comorbidity of depressive and anxiety symptoms in both mothers and fathers and parent-infant impaired bonding during 2-3months postpartum urges for screening and treatment of depressive and anxiety symptoms in both parents during early parenthood.

Testing the effects of a prenatal depression preventive intervention on parenting and young children\u2019s self-regulation and functioning (EPIC): protocol for a longitudinal observational study

BackgroundPerinatal depression is a pervasive public health concern that disproportionately affects low-income women and can have negative impacts on parenting and child developmental outcomes. Few interventions focus on preventing perinatal depression. Previous studies suggest that Mothers and Babies is efficacious in preventing the worsening of depressive symptoms and the onset of postpartum depression. This manuscript presents the protocol of the EPIC study (Effects of a Prenatal Depression Preventive Intervention on parenting and young children’s Self-Regulation and Functioning) to test the effects of Mothers and Babies on parenting and child developmental outcomes through 54 months postpartum. EPIC is an observational study that builds on a completed cluster-randomized trial (CRT). Innovations of this study are direct observations of a subsample of mother-child dyads and the inclusion of fathers/caregivers’ variables as moderators of maternal mental health.MethodsFor this study, we plan to enroll 738 women with children under 30 months old, ≥18 years old, and who speak English or Spanish. Additionally, 429 fathers, partners, or other adult caregivers will be recruited through women participating in the study. Women will be recruited through the parent study (intervention and control participants) or through one of 10 home visiting programs in Illinois (control participants). Data collection will take place through maternal self-report at five time points (when the child is 30, 36, 42, 48, and 54 months), paternal self-report at three time points (when the child is 30, 42, and 54 months), and through mother-child observations at three time points (when the child is 36, 42, and 48 months). Outcome domains include maternal mental health, cognitive-behavioral and parenting skills, and child self-regulation and functioning. Moderators include the contributions of fathers/caregivers, race-ethnicity, and socioeconomic disadvantage. Power and sample size were calculated assuming a two-sided 5% type I error rate and assumed analyses on the individual level.DiscussionThis study has several key strengths and innovations, as well as great potential significance to influence the long-term trajectories of parenting and child development via prenatal intervention.Trial registrationThe study was retrospectively registered at ClinicalTrials.gov (Identifier: NCT04296734) on March 5, 2020.

Does the impact of parental death vary by parental socioeconomic status? A study of children's educational and occupational attainment

AbstractObjectiveWe examine whether parental death differentially affects educational and occupational attainment by the socioeconomic status of the parent who dies and the socioeconomic status of the surviving parent and extended kin.BackgroundAn extensive literature has explored the main effect of parental death on offspring attainment, but few studies have examined socioeconomic differentials in the impact of parental death. Understanding the potential role of socioeconomic resources in compensating for disadvantage is important for understanding whether parental death and disadvantageous events more generally have an equalizing or exacerbating effect on socioeconomic differences in offspring socioeconomic attainment.MethodUsing Swedish population register data on cohorts born 1973–1982, grade point average at age 16, the transition from lower to upper‐secondary education, the transition to tertiary education, overall educational attainment, and occupational status by age 30 was examined. Families using antemortem parental socioeconomic trajectories were matched. Sibling fixed effects models were also employed.ResultsInconsistent results in between‐family regression analyses adjusting for observables were observed. In sibling fixed effects models, zero results for moderation by parents' occupations were shown.ConclusionLittle clear or convincing evidence that there are socioeconomic differentials in the impact of parental death in Sweden were found.ImplicationsThe Swedish welfare state may reduce socioeconomic differentials in the impact of parental death. However, the lack of socioeconomic variation may also be influenced by factors such as compensatory agency.

Intergenerational persistence of family formation trajectories among teenage-mothers and -fathers in Sweden

In this paper, we address the questions of whether early family trajectories of parents are reflected in childbearing teenagers, and how socio-economic and family background factors impact these intergenerational correlations. We use within-dyad sequence analysis to examine combined marital and childbearing trajectories, up to age 30, of two generations of a representative sample of childbearing teenagers born between 1975 and 1985 and their progenitors, drawn from the Swedish population register data. We find evidence for within-family persistence of early family trajectories, with better matches across family state sequences for dyads composed of childbearing teenagers and their parents, than for dyads composed of childbearing teenagers and parents of random birth cohort peers. Regression analysis shows that these intergenerational associations are stronger and occur among later-born siblings from non-traditional family backgrounds, and among families with lower socio-economic backgrounds. This study fills gaps in the knowledge of intergenerational family life course dynamics beyond the early parenthood event.

Parental factors and adolescent well-being: Associations between developmental trajectories

ObjectivesThis study examined the associations between developmental trajectories of parenting and adolescent well-being. The moderating effect of child gender was also explored. MethodThe participants were 3,328 Hong Kong Chinese adolescents (52.1% boys, mean age = 12.59 years at baseline) who responded to questionnaires measuring their perceptions of parenting and well-being every year during the six-year high school period. ResultsLatent growth curve modeling revealed that trajectories of positive parental factors (behavioral control and parent–child relationship) positively predicted trajectory of life satisfaction, but negatively predicted hopelessness trajectory, indexed by intercept–intercept and slope–slope associations. Reverse associations were found for psychological control. Child gender mainly moderated the influence of psychological control, with the associations appearing to be slightly stronger for girls than for boys. ConclusionThese findings add evidence that there may be long-term parental impacts on children’s well-being and highlight the importance of looking at related developmental trajectories involved.

Race/Ethnicity, Parental Support, and Youth Depressive Symptoms: A Moderated Longitudinal Mediation Analysis.

Racial/ethnic disparities in depression exist among youth in the United States. The purpose of this study was to determine if parental support trajectories in adolescence explain the relationship between race/ethnicity and depressive symptom trajectories in adulthood. A two-step longitudinal parallel process analysis with multigroup structural equation modeling was conducted with a nationally representative sample of youth (N = 5300; 48.5% female; M = 13.33 (Range:12-15) years at baseline). While parental support trajectories did not mediate the relationship between race/ethnicity and depressive symptoms, parental support trajectories were related to depressive symptom trajectories in adulthood. Immigrant generation status also moderated the relationship between race/ethnicity and depressive symptom trajectories. The results demonstrate the impact of parental support on later mental health outcomes regardless of race/ethnicity.

Marital quality over the life course and child well-being from childhood to early adolescence

Research on marital quality and child well-being is currently limited by its common use of geographically constrained, homogenous, and often cross-sectional (or at least temporally limited) samples. We build upon previous work showing multiple trajectories of marital quality and data from the National Longitudinal Survey of Youth-1979 (NLSY79) regarding mothers and their children (inclusive of ages 5-14). We examine how indicators of child well-being are linked to parental trajectories of marital quality (happiness, communication, and conflict). Results showed children whose parents had consistently poor marital quality over the life course exhibited more internalizing and externalizing problems, poorer health, lower quality home environments, and lower math and vocabulary scores than children of parents in consistently higher-quality marriages. Group differences remained stable over time for child health, home environment, and vocabulary scores. Group differences for internalizing problems declined over time, whereas group differences increased for externalizing problems and math scores. Initial advantages for females across nearly all indicators of child well-being tended to shrink over time, with boys often moving slightly ahead by mid adolescence. We discuss the implications of these findings in regard to children's development and well-being and suggest treating marriage as a monolithic construct betrays important variation within marriage itself.

Trajectories of Response to Treatments in Children with ADHD and Word Reading Difficulties.

This study investigated patterns of response to intervention in children with co-occurring attention-deficit/hyperactivity disorder (ADHD) and reading difficulties (RD), who participated in a randomized clinical trial examining the efficacy of reading intervention, ADHD treatment, or combined treatments. Growth Mixture Modeling (GMM) was used to investigate trajectories of parent and teacher academic impairment ratings and child oral reading fluency, and whether trajectories were predicted by pre-treatment covariates (ADHD severity, reading achievement, phonemic awareness, rapid letter naming, anxiety, oppositional defiant disorder), for 216 children with ADHD/RD in 2nd-5th grade (61.1% male; 72.2% African American; 8.8 ± 1.3years of age). GMM revealed three trajectories for academic impairment (6.9-24.2% stable, 23.7-78.7% moderately improving, and 14.1-52.1% steeply improving) and oral reading fluency (20.8% low improving, 42.1% moderate improving, and 37.1% high improving). Children in the reading intervention were more likely to be in the stable or moderately improving trajectory than those in the ADHD and combined treatments, who were more likely to be in the steeply improving trajectory for academic impairment. Relative to the ADHD intervention, children in the reading intervention were more likely to be in the high improving trajectory than the moderate or low improving trajectory for oral reading fluency. Children without comorbid anxiety and with better reading skills showed a more positive treatment response for teacher-rated academic progress and oral reading fluency. Results highlight the importance of examining individual differences in response to reading and ADHD interventions. Intervention modality predicted differences in parent/teacher ratings of academic progress as well as reading fluency.