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Abstract
The main purpose of this study was to examine the associations between attachment state of mind and adjustment to college. A related aim was to examine the moderating role of attachment state of mind in the relation between parental control and school adjustment. One-hundred two college freshmen completed the Adult Attachment Interview and a measure of parental control. They also completed a measure of college adjustment at the very beginning and at the very end of their freshman year. The findings showed that pre-occupation with attachment is related to poor adjustment after 1 year in college and to a general deterioration in adjustment and in grades during the freshman year. Preoccupation with attachment also accentuates the negative relationbetween parental psychological control and social adjustment. Dismissing attachment tendencies were found to be unrelated to college adjustment.
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77
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Bernier A, Calkins SD, Bell MA. Longitudinal Associations Between the Quality of Mother-Infant Interactions and Brain Development Across Infancy. Child Dev 2016; 87:1159-74. [PMID: 27040719 PMCID: PMC4939105 DOI: 10.1111/cdev.12518] [Citation(s) in RCA: 82] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The aim of this study was to investigate if normative variations in parenting relate to brain development among typically developing children. A sample of 352 mother-infant dyads came to the laboratory when infants were 5, 10, and 24 months of age (final N = 215). At each visit, child resting electroencephalography (EEG) was recorded. Mother-infant interactions were videotaped at the 5-month visit. The results indicated that higher quality maternal behavior during mother-infant interactions predicted higher frontal resting EEG power at 10 and 24 months, as well as increases in power between 5 and 10 months, and between 10 and 24 months. These findings provide rare support for the hypothesis that normative variation in parenting quality may contribute to brain development among typically developing infants.
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Bernier A, Dozier M. Bridging the attachment transmission gap: The role of maternal mind-mindedness. INTERNATIONAL JOURNAL OF BEHAVIORAL DEVELOPMENT 2016. [DOI: 10.1080/01650250244000399] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The intergenerational transmission of attachment patterns is one of the most reliable yet least understood findings of attachment research. The aim of this report was to examine the capacity of maternal mind-mindedness to account for the relation between adult attachment state of mind and infant attachment security. Sixty-four foster children (aged 6–30 months) participated with their foster mothers. The mother’s tendency to use mental features in describing her child (mindmindedness) was negatively related to the security of both maternal state of mind and infant attachment. Further, mind-mindedness accounted for the totality of the predictive power of state of mind on infant attachment. The results suggest that age-appropriate representations of the child may help explain intergenerational transmission, through their interplay with parental interactive behaviours.
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79
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Maier MA, Bernier A, Pekrun R, Zimmermann P, Grossmann KE. Attachment working models as unconscious structures: An experimental test. INTERNATIONAL JOURNAL OF BEHAVIORAL DEVELOPMENT 2016. [DOI: 10.1080/01650250344000398] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Internal working models of attachment (IWMs) are presumed to be largely unconscious representations of childhood attachment experiences. Several instruments have been developed to assess IWMs; some of them are based on self-report and others on narrative interview techniques. This study investigated the capacity of a self-report measure, the Inventory of Parent and Peer Attachment (IPPA; Armsden & Greenberg, 1987), and of a narrative interview method, the Adult Attachment Interview (AAI; George, Kaplan, & Main, 1985), to measure unconscious attachment models. We compared scores on the two attachment instruments to response latencies in an attachment priming task. It was shown that attachment organisation assessed by the AAI correlates with priming effects, whereas the IPPA scales were inversely or not related to priming. The results are interpreted as support for the assumption that the AAI assesses, to a certain degree, unconscious working models of attachment.
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80
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Bernier A, Landry J, Kristof A, Carmant L, Major P. 2. Characterization of the tuberous sclerosis complex population in the province of Quebec: Healthcare services utilization and long term outcome. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.10.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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81
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Lalonde G, Bernier A, Beaudoin C, Gravel J, Beauchamp MH. Investigating social functioning after early mild TBI: the quality of parent-child interactions. J Neuropsychol 2016; 12:1-22. [DOI: 10.1111/jnp.12104] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2015] [Revised: 02/23/2016] [Indexed: 11/29/2022]
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82
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Bélanger MÈ, Bernier A, Simard V, Bordeleau S, Carrier J. Viii. Attachment and sleep among toddlers: disentangling attachment security and dependency. Monogr Soc Res Child Dev 2015; 80:125-40. [PMID: 25704739 DOI: 10.1111/mono.12148] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Many scholars have proposed that parent-child attachment security should favor child sleep. Research has yet, however, to provide convincing support for this hypothesis. The current study used objective measures of sleep and attachment to assess the longitudinal links between mother-child attachment security and subsequent sleep, controlling for child dependency. Sixty-two middle-class families (30 girls) were met twice, when children were 15 months (Wave 1; W1) and 2 years of age (Wave 2; W2). At W1, mother-child attachment was assessed with the observer version of the Attachment Q-Sort. At W2, children wore an actigraph monitor for 72 hr. Results indicated that children more securely attached to their mothers subsequently slept more at night and had higher sleep efficiency, and these predictions were not confounded by child dependency. These findings suggest a unique role for secure attachment relationships in the development of young children's sleep regulation, while addressing methodological issues that have long precluded consensus in this literature.
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Bélanger MÈ, Bernier A, Simard V, Desrosiers K, Carrier J. Sleeping Toward Behavioral Regulation: Relations Between Sleep and Externalizing Symptoms in Toddlers and Preschoolers. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2015; 47:366-373. [DOI: 10.1080/15374416.2015.1079782] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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84
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Dubois-Comtois K, Bernier A, Tarabulsy GM, Cyr C, St-Laurent D, Lanctôt AS, St-Onge J, Moss E, Béliveau MJ. Behavior problems of children in foster care: Associations with foster mothers' representations, commitment, and the quality of mother-child interaction. CHILD ABUSE & NEGLECT 2015; 48:119-30. [PMID: 26187685 DOI: 10.1016/j.chiabu.2015.06.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2015] [Revised: 06/16/2015] [Accepted: 06/30/2015] [Indexed: 05/16/2023]
Abstract
This study investigated different environmental and contextual factors associated with maltreated children's adjustment in foster care. Participants included 83 children (52 boys), ages 1-7 years, and their foster caregivers. Quality of interaction with the foster caregiver was assessed from direct observation of a free-play situation; foster caregiver attachment state of mind and commitment toward the child were assessed using two interviews; disruptive behavior symptoms were reported by foster caregivers. Results showed that quality of interaction between foster caregivers and children were associated with behavior problems, such that higher-quality interactions were related to fewer externalizing and internalizing problems. Foster caregivers' state of mind and commitment were interrelated but not directly associated with behavior problems of foster children. Type of placement moderated the association between foster caregiver commitment and foster child behavior problems. Whereas greater foster caregiver commitment was associated with higher levels of adjustment for children in foster families (kin and non-kin), this was not the case in foster-to-adopt families. Finally, the associations between foster child behavior problems and history of maltreatment and placement related-risk conditions fell below significance after considering child age and quality of interaction with the foster caregiver. Findings underscore the crucial contribution of the foster caregiver-child relationship to fostering child adjustment and, thereby, have important implications for clinical services offered to this population.
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85
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Bouvette-Turcot AA, Pluess M, Bernier A, Pennestri MH, Levitan R, Sokolowski MB, Kennedy JL, Minde K, Steiner M, Pokhvisneva I, Meaney MJ, Gaudreau H. Effects of Genotype and Sleep on Temperament. Pediatrics 2015; 136:e914-21. [PMID: 26371199 DOI: 10.1542/peds.2015-0080] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/16/2015] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Sleep problems are frequent in young children; however, children vary in the degree to which they are affected by poor sleep quality. We investigated whether a polymorphism in the serotonin transporter gene, which is linked to emotional function, is a potential moderator of the influences of sleep duration on infant temperament using longitudinal data. METHODS We examined the interactive effects of average sleep duration between 6 and 36 months of age and the 5-HTTLPR genotype on negative emotionality/behavioral dysregulation at 36 months in 209 children recruited into a longitudinal birth cohort study. Triallelic genotyping of 5-HTTLPR was performed by looking at SLC6A4 genotype, focusing on the serotonin transporter-linked polymorphic region (5-HTTLPR) including the SNP polymorphism (rs23351). Child sleep habits were assessed with a maternal self-report questionnaire. RESULTS After controlling for demographics and both previous and concurrent maternal depression, multiple linear regression analyses revealed a significant interaction effect of average sleep duration for the first 3 years of life and 5-HTTLPR genotype on child negative emotionality/behavioral dysregulation such that the effects were exclusive to those with low-expressing 5-HTTLPR genotypes. CONCLUSIONS The results suggest differential susceptibility to the effect of sleep duration early in life, which reiterates that the short allele of the 5-HTTLPR represents a marker of increased environmental sensitivity regarding emotional development. Differential susceptibility theory posits that certain factors may increase an individual's susceptibility to the environment, in either a positive or negative fashion.
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Miljkovitch R, Moss E, Bernier A, Pascuzzo K, Sander E. Refining the assessment of internal working models: the Attachment Multiple Model Interview. Attach Hum Dev 2015; 17:492-521. [PMID: 26325611 DOI: 10.1080/14616734.2015.1075561] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The Attachment Multiple Model Interview (AMMI) was developed to assess internal working models (IWMs) of specific relationships in adulthood (e.g., with mother, father, and romantic partner). In an initial effort to validate the AMMI, the interview was administered to participants who were followed from age 4 to 23. ANOVA and contrast tests confirmed the AMMI's capacity to discriminate between mother, father, and partner IWMs. AMMI security with each parent was correlated with coherence according to the Adult Attachment Interview, and AMMI disorganization with mother with unresolved trauma (N = 53). AMMI dimensions of security, deactivation, and hyperactivation with the mother were associated with cumulative lifetime scores of security (N = 23), avoidance, and resistance (N = 34), respectively. Intercorrelations between these AMMI scales were also theory-consistent. Associations with the AAI and between AMMI security scores of different relationships are consistent with previous findings suggesting a contribution from both parents in the development of a state of mind, but a more important role of the mother for representations of the partner.
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87
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Bernier A, Beauchamp MH, Carlson SM, Lalonde G. A secure base from which to regulate: Attachment security in toddlerhood as a predictor of executive functioning at school entry. Dev Psychol 2015; 51:1177-89. [PMID: 26192039 DOI: 10.1037/dev0000032] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
In light of emerging evidence suggesting that the affective quality of parent-child relationships may relate to individual differences in young children's executive functioning (EF) skills, the aim of this study was to investigate the prospective associations between attachment security in toddlerhood and children's EF skills in kindergarten. Mother-child dyads (N = 105) participated in 2 toddlerhood visits in their homes, when children were 15 months and 2 years of age. Mother-child attachment security was assessed with the Attachment Q-Sort during both these visits. When children were in kindergarten (ages 5-6), they were administered a battery of EF tasks, and their teachers completed the Behavior Rating Inventory of Executive Function to assess children's EF problems. The results indicated that kindergarteners who were more securely attached to their mothers in toddlerhood showed better performance on all EF tasks, and were considered by their teachers to present fewer EF problems in everyday school situations. These results held above family socioeconomic status (SES) and child age, sex, and general cognitive functioning. The fact that early attachment security uniquely predicted both teacher reports and children's objective EF task performance suggests that parent-child attachment may be a promising factor to consider in the continuing search for the social antecedents of young children's EF.
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88
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Rochette É, Bernier A. Parenting and preschoolers’ executive functioning. INTERNATIONAL JOURNAL OF BEHAVIORAL DEVELOPMENT 2014. [DOI: 10.1177/0165025414557370] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A growing body of theoretical and empirical work has been attempting to answer the questions of how and how much of the effects of children’s early experience may depend on their inner characteristics. Theory and evidence suggest that some children, notably those with difficult temperaments, are more susceptible to both negative and positive aspects of parenting. The purpose of the current study was to investigate whether child temperament moderated the links between the quality of mother-infant interactions, observed when children were 1 year of age, and two components of child executive functioning (EF) at 3 years, namely impulse control and conflict EF, among 74 mother–child dyads. The results were consistent with the notion that children with more difficult temperaments may be more susceptible to maternal behaviors than children with less difficult temperaments, but only regarding the development of impulse control abilities. There was no clear evidence of such moderation for conflict EF. These results support the idea that distinct mechanisms may underlie the development of different dimensions of child EF.
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Deschênes M, Bernier A, Jarry-Boileau V, St-Laurent D. Concordance between the quality of maternal and paternal parenting behavior within couples. The Journal of Genetic Psychology 2014; 175:346-62. [PMID: 25175683 DOI: 10.1080/00221325.2014.926264] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
There is compelling evidence that the quality of maternal and paternal parenting behavior bears critical importance for child development. Yet, less is known of the degree of similarity between maternal and paternal parenting behavior in families, and especially little is known about the factors that may explain variation in degrees of similarity. This article aims to examine (a) the concordance (similarity) between the quality of mothers' and fathers' interactive behavior with their child and (b) the sociodemographic determinants of this concordance. The sample included 74 families (mother, father, and their child). The quality of maternal and paternal interactive behavior was assessed independently, and rated with the Maternal Behavior Q-Sort (mother-infant, 12 months; D. R. Pederson et al., 1990) or the Mutually Responsive Orientation scale (father-toddler, 18 months; N. Aksan et al., 2006). The results indicated that the overall correlation between the quality of mothers' and fathers' behavior was moderate. The concordance was greater among higher socioeconomic status families or when interacting with a boy, but did not differ according to the presence or absence of siblings in the family.
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90
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Bernier A, Bélanger MÈ, Tarabulsy GM, Simard V, Carrier J. My mother is sensitive, but I am too tired to know: infant sleep as a moderator of prospective relations between maternal sensitivity and infant outcomes. Infant Behav Dev 2014; 37:682-94. [PMID: 25243613 DOI: 10.1016/j.infbeh.2014.08.011] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2014] [Revised: 06/16/2014] [Accepted: 08/26/2014] [Indexed: 10/24/2022]
Abstract
This study investigated the moderating role of infant sleep in the connections between maternal sensitivity and three indicators of infant functioning: attachment security, theory of mind, and executive functioning (EF). Maternal sensitivity was assessed when infants (27 girls and 36 boys) were 1 year of age. Infant sleep was assessed with actigraphy at age 2; attachment security, theory of mind, and EF were also assessed at age 2. Results indicated that maternal sensitivity was positively related to attachment security only among infants who got more sleep at night, and to conflict-EF and theory of mind only for infants who got greater proportions of their sleep during the night. These results suggest that sleep may enhance the benefits of maternal sensitivity for some aspects of infants' functioning, providing further support for the importance of sleep maturation as a salient developmental task of infancy.
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91
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Laranjo J, Bernier A, Meins E, Carlson SM. The roles of maternal mind-mindedness and infant security of attachment in predicting preschoolers’ understanding of visual perspective taking and false belief. J Exp Child Psychol 2014; 125:48-62. [DOI: 10.1016/j.jecp.2014.02.005] [Citation(s) in RCA: 54] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2012] [Revised: 02/19/2014] [Accepted: 02/19/2014] [Indexed: 11/29/2022]
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92
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Milot T, Lorent A, St-Laurent D, Bernier A, Tarabulsy G, Lemelin JP, Ethier LS. Hostile-Helpless state of mind as further evidence of adult disorganized states of mind in neglecting families. CHILD ABUSE & NEGLECT 2014; 38:1351-1357. [PMID: 24661690 DOI: 10.1016/j.chiabu.2014.02.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Revised: 02/14/2014] [Accepted: 02/26/2014] [Indexed: 06/03/2023]
Abstract
This study aimed to assess disorganized states of mind in a sample of neglecting and at-risk of neglecting mothers using the recently developed Hostile-Helpless (HH) coding system (Lyons-Ruth et al., 2006) for the Adult Attachment Interview (Main & Goldwyn, 1998). The relation between HH states of mind and mothers' childhood traumas was also examined. Participants were 70 neglecting mothers and at-risk of neglecting mothers. Childhood traumas were assessed using the Childhood Trauma Questionnaire. HH states of mind were coded from Adult Attachment Interview transcripts by two reliable coders. Results revealed a high prevalence of disorganized states of mind in this sample. Forty-five mothers were classified HH, representing 64% of the entire sample. Most mothers reported at least one form of childhood trauma, with a mean of 2.9 different forms of trauma. Mothers classified HH reported having been emotionally abused, sexually abused and physically neglected more frequently than non-HH mothers. There was no difference between neglecting and at-risk of neglect mothers on HH states of mind and childhood experiences of trauma. These findings are in line with theorization on maltreating mothers' psychological background and they provide further empirical support to the validation of the HH classification system with at-risk populations.
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Moss E, Tarabulsy GM, St-Georges R, Dubois-Comtois K, Cyr C, Bernier A, St-Laurent D, Pascuzzo K, Lecompte V. Video-feedback intervention with maltreating parents and their children: program implementation and case study. Attach Hum Dev 2014; 16:329-42. [DOI: 10.1080/14616734.2014.912486] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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94
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Bernier A, Jarry-Boileau V, Lacharité C. Marital satisfaction and quality of father-child interactions: the moderating role of child gender. The Journal of Genetic Psychology 2014; 175:105-17. [PMID: 24796158 DOI: 10.1080/00221325.2013.799059] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The authors aimed to investigate the prospective links between normative variation in fathers' marital satisfaction and the observed quality of father-toddler interactions, as well as the moderating role of child gender in these associations. Sixty-three fathers reported on their marital satisfaction when their children were 15 months of age, and were observed interacting with their child at 18 months. The results suggested that marital satisfaction was positively associated with the quality of father-son interactions, while no relations emerged among fathers of girls. These findings reiterate the importance of marital relationships for the quality of fathers' parenting, while reaffirming previous suggestions that the role of child gender in the marriage-parenting connections requires further investigation.
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Bernier A, Matte-Gagné C, Bélanger MÈ, Whipple N. Taking stock of two decades of attachment transmission gap: broadening the assessment of maternal behavior. Child Dev 2014; 85:1852-65. [PMID: 24611791 DOI: 10.1111/cdev.12236] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
This report aimed to investigate the capacity of maternal behaviors tailored to children's attachment and exploration systems to jointly explain the well-known mother-child transmission of attachment. Four home visits were conducted between ages 7 months and 2 years with 130 mother-child dyads to assess maternal attachment state of mind, sensitivity, autonomy support, and mother-child attachment security. Results showed that together, maternal sensitivity and autonomy support fully accounted for the relation between maternal and child attachment, that they each accounted for a unique portion of this relation, and that the magnitude of these mediated pathways was equivalent. These results suggest that the attachment transmission gap can be narrowed by the use of a theory-driven multidimensional approach to maternal behavior.
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Bélanger MÈ, Simard V, Bernier A, Carrier J. Investigating the Convergence between Actigraphy, Maternal Sleep Diaries, and the Child Behavior Checklist as Measures of Sleep in Toddlers. Front Psychiatry 2014; 5:158. [PMID: 25426082 PMCID: PMC4226151 DOI: 10.3389/fpsyt.2014.00158] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Accepted: 10/23/2014] [Indexed: 11/23/2022] Open
Abstract
The current study examined associations among actigraphy, maternal sleep diaries, and the parent-completed child behavior checklist (CBCL) sleep items. These items are often used as a sleep measure despite their unclear validity with young children. Eighty middle class families (39 girls) drawn from a community sample participated. Children (M = 25.34 months, SD = 1.04) wore an actigraph monitor (Mini-Mitter(®) Actiwatch Actigraph, Respironics) for a 72-h period, and mothers completed a sleep diary during the same period. Eighty-nine percent of the mothers and 75% of the fathers also filled out the CBCL (1.5-5). Mother and father CBCL scores were highly correlated. Overall, good correspondence was found between the CBCL filled out by mothers and sleep efficiency and duration derived from maternal sleep diaries (r between -0.39 and -0.25, p ≤ 0.05). Good correspondence was also found between the CBCL filled out by fathers and sleep efficiency as derived from maternal sleep diaries (r between -0.39 and -0.24, p ≤ 0.05), but not with sleep duration (all results were non-significant). Very few correlations between actigraphy and the CLBL scores reached statistical significance. The Bland and Altman method revealed that sleep diaries and actigraphy showed poor agreement with one another when assessing sleep duration and sleep efficiency. However, diary- and actigraphy-derived sleep durations were significantly correlated. Consistent with findings among older groups of children, this study suggests that the CBCL sleep items, sleep diaries, and actigraphy tap into quite different aspects of sleep among toddlers. The choice of which measures to use should be based on the exact aspects of sleep that one aims to assess. Overall, despite its frequent use, the composite sleep score of the CBCL shows poor links to objective measures of sleep duration and sleep efficiency.
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Bernier A, Cleret-Buhot A, Zhang Y, Goulet JP, Monteiro P, Gosselin A, DaFonseca S, Wacleche VS, Jenabian MA, Routy JP, Tremblay C, Ancuta P. Transcriptional profiling reveals molecular signatures associated with HIV permissiveness in Th1Th17 cells and identifies peroxisome proliferator-activated receptor gamma as an intrinsic negative regulator of viral replication. Retrovirology 2013; 10:160. [PMID: 24359430 PMCID: PMC3898812 DOI: 10.1186/1742-4690-10-160] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2013] [Accepted: 12/10/2013] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND We previously demonstrated that primary Th1Th17 cells are highly permissive to HIV-1, whereas Th1 cells are relatively resistant. Molecular mechanisms underlying these differences remain unknown. RESULTS Exposure to replication competent and single-round VSV-G pseudotyped HIV strains provide evidence that superior HIV replication in Th1Th17 vs. Th1 cells was regulated by mechanisms located at entry and post-entry levels. Genome-wide transcriptional profiling identified transcripts upregulated (n = 264) and downregulated (n = 235) in Th1Th17 vs. Th1 cells (p-value < 0.05; fold change cut-off 1.3). Gene Set Enrichment Analysis revealed pathways enriched in Th1Th17 (nuclear receptors, trafficking, p38/MAPK, NF-κB, p53/Ras, IL-23) vs. Th1 cells (proteasome, interferon α/β). Differentially expressed genes were classified into biological categories using Gene Ontology. Th1Th17 cells expressed typical Th17 markers (IL-17A/F, IL-22, CCL20, RORC, IL-26, IL-23R, CCR6) and transcripts functionally linked to regulating cell trafficking (CEACAM1, MCAM), activation (CD28, CD40LG, TNFSF13B, TNFSF25, PTPN13, MAP3K4, LTB, CTSH), transcription (PPARγ, RUNX1, ATF5, ARNTL), apoptosis (FASLG), and HIV infection (CXCR6, FURIN). Differential expression of CXCR6, PPARγ, ARNTL, PTPN13, MAP3K4, CTSH, SERPINB6, PTK2, and ISG20 was validated by RT-PCR, flow cytometry and/or confocal microscopy. The nuclear receptor PPARγ was preferentially expressed by Th1Th17 cells. PPARγ RNA interference significantly increased HIV replication at levels post-entry and prior HIV-DNA integration. Finally, the activation of PPARγ pathway via the agonist Rosiglitazone induced the nuclear translocation of PPARγ and a robust inhibition of viral replication. CONCLUSIONS Thus, transcriptional profiling in Th1Th17 vs. Th1 cells demonstrated that HIV permissiveness is associated with a superior state of cellular activation and limited antiviral properties and identified PPARγ as an intrinsic negative regulator of viral replication. Therefore, triggering PPARγ pathway via non-toxic agonists may contribute to limiting covert HIV replication and disease progression during antiretroviral treatment.
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98
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Bélanger MÈ, Bernier A, Paquet J, Simard V, Carrier J. Validating actigraphy as a measure of sleep for preschool children. J Clin Sleep Med 2013; 9:701-6. [PMID: 23853565 DOI: 10.5664/jcsm.2844] [Citation(s) in RCA: 77] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
STUDY OBJECTIVES The algorithms used to derive sleep variables from actigraphy were developed with adults. Because children change position during sleep more often than adults, algorithms may detect wakefulness when the child is actually sleeping (false negative). This study compares the validity of three algorithms for detecting sleep with actigraphy by comparing them to PSG in preschoolers. The putative influence of device location (wrist or ankle) is also examined. METHODS Twelve children aged 2 to 5 years simultaneously wore an actigraph on an ankle and a wrist (Actiwatch-L, Mini-Mitter/Respironics) during a night of PSG recording at home. Three algorithms were tested: one recommended for adults and two designed to decrease false negative detection of sleep in children. RESULTS Actigraphy generally showed good sensitivity (> 95%; PSG sleep detection) but low specificity (± 50%; PSG wake detection). Intraclass correlations between PSG and actigraphy variables were strong (> 0.80) for sleep latency, sleep duration, and sleep efficiency, but weak for number of awakenings (< 0.40). The two algorithms designed for children enhanced the validity of actigraphy in preschoolers and increased the proportion of actigraphy-scored wake epochs scored that were also PSG-identified as wake. Sleep variables derived from the ankle and wrist were not statistically different. CONCLUSION Despite the weak detection of wakefulness, Acti-watch-L appears to be a useful instrument for assessing sleep in preschoolers when used with an adapted algorithm.
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