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Aaron EM, Caley E, Kiel EJ. Parenting as a Moderator of the Relation Between Child Inhibited Temperament and Anxiety in Western Contexts: A Systematic Review. Clin Child Fam Psychol Rev 2024; 27:807-831. [PMID: 38879843 PMCID: PMC11486786 DOI: 10.1007/s10567-024-00492-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/23/2024] [Indexed: 10/18/2024]
Abstract
The literature on the role of parenting in the relation between child inhibited temperament and child anxiety is inconsistent, with some literature supporting a moderating role and some literature supporting alternative (e.g., mediating) roles. A systematic review of the evidence that parenting moderates the longitudinal relation between child inhibited temperament and child anxiety is needed. A systematic review of the literature was conducted in February and March of 2022 and repeated in January of 2024. Ten articles met criteria for inclusion, with 39 moderation analyses of interest among them. All included studies were conducted in Western contexts with predominately White, middle-class families. Thus, the current review can only be generalized to this population. Despite inconsistent findings, some evidence indicated that avoidance-promoting parenting behaviors such as overprotection and overinvolvement moderate the relation between child inhibited temperament and social anxiety symptoms, in particular. There was a lack of evidence that parenting behaviors moderate the relation between child inhibited temperament and anxiety disorders, and that affect-related parenting behaviors (e.g., negativity) moderate the relation between child inhibited temperament and non-social anxiety symptoms. There was mixed evidence regarding the moderating role of control-related parenting behaviors in the relation between child inhibited temperament and non-social anxiety symptoms, with some evidence that encouraging behaviors moderate this relation. Future research is needed to clarify these inconsistent and nuanced findings and investigate this moderation in non-Western, non-White, and low-income populations.
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Affiliation(s)
- Elizabeth M Aaron
- Psychology Department, Miami University, 90 N Patterson Ave, Oxford, OH, 45056, USA.
| | - Emma Caley
- Psychology Department, Miami University, 90 N Patterson Ave, Oxford, OH, 45056, USA
| | - Elizabeth J Kiel
- Psychology Department, Miami University, 90 N Patterson Ave, Oxford, OH, 45056, USA
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Tan E, Zeytinoglu S, Morales S, Buzzell GA, Almas AN, Degnan KA, Chronis-Tuscano A, Henderson H, Pine DS, Fox NA. Social versus non-social behavioral inhibition: Differential prediction from early childhood of long-term psychosocial outcomes. Dev Sci 2024; 27:e13427. [PMID: 37345685 PMCID: PMC10739650 DOI: 10.1111/desc.13427] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 04/14/2023] [Accepted: 06/11/2023] [Indexed: 06/23/2023]
Abstract
Behavioral inhibition (BI) is a temperamental style characterized by cautious and fearful behaviors in novel situations. The present multi-method, longitudinal study examined whether young children's observed and parent-reported BI in social versus non-social contexts predicts different long-term psychosocial outcomes. Participants (N = 279) were drawn from a longitudinal study of socioemotional development. BI in social contexts ("social BI") was measured via children's observed wariness toward unfamiliar adults and peers at 24 and 36 months and parents' reports of children's social fear/shyness at 24, 36, and 48 months. BI in non-social contexts ("non-social BI") was measured via children's observed fearful responses to masks and novel toys, and parents' reports of children's distress to non-social novelty at 9 months and non-social fear at 48 months. At 15 years, anxiety was assessed via adolescent- and parent-reports, and global internalizing and externalizing problems were assessed via parent-reports. Confirmatory factor analysis showed that a two-factor model fit the BI data significantly better than a single-factor model, providing evidence for the dissociation of BI in social versus non-social contexts. Social BI was uniquely associated with adolescent social anxiety, whereas non-social BI was specifically associated with adolescent separation anxiety. Neither social BI nor non-social BI predicted global internalizing and externalizing problems, providing evidence for the specific relations between BI and anxiety problems. Together, these results suggest that young children's inhibited responses in social versus non-social situations predict different subtypes of anxiety problems in adolescence, highlighting the multifaceted nature of BI and the divergent trajectories of different anxiety problems.
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Affiliation(s)
- Enda Tan
- Department of Human Development and Quantitative Methodology, University of Maryland, College Park
- Neuroscience and Cognitive Science Program, University of Maryland, College Park
| | - Selin Zeytinoglu
- Department of Human Development and Quantitative Methodology, University of Maryland, College Park
| | | | | | - Alisa N. Almas
- School of Population and Public Health, University of British Columbia
| | | | | | | | - Daniel S. Pine
- Emotion and Development Branch, Section on Development and Affective Neuroscience, National Institute of Mental Health
| | - Nathan A. Fox
- Department of Human Development and Quantitative Methodology, University of Maryland, College Park
- Neuroscience and Cognitive Science Program, University of Maryland, College Park
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Léniz-Maturana L, Vilaseca R, Leiva D, Gallardo-Rodríguez R. Positive Parenting and Sociodemographic Factors Related to the Development of Chilean Children Born to Adolescent Mothers. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1778. [PMID: 38002869 PMCID: PMC10670009 DOI: 10.3390/children10111778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 10/24/2023] [Accepted: 10/30/2023] [Indexed: 11/26/2023]
Abstract
The lack of economic resources has a negative effect on the maternal role of younger mothers. In Chile, the majority of adolescent pregnancies occur in socially and economically vulnerable contexts. The current study aimed to examine the relationship between demographic variables within the family context and parenting behaviors among Chilean adolescent mothers (including affection, responsiveness, encouragement, and teaching). These factors were correlated with communication, problem-solving abilities, and personal-social development in typically developing infants. The study included a sample of 79 Chilean adolescent mother-child dyads with children aged 10 to 24 months. Communication, problem-solving, and personal-social development were assessed using the Ages and Stages Questionnaire-3, along with a demographic information questionnaire. The parenting behaviors mentioned above were observed using the Spanish version of Parenting Interactions with Children: Checklist of Observations Linked to Outcomes. The findings indicated that mothers in employment and those who had not dropped out of school had children with better problem-solving skills. Additionally, children residing with their fathers and female children performed better in communication, problem-solving, and personal-social development. Maternal responsiveness was associated with communication and problem-solving, while maternal encouragement was linked to improved problem-solving skills. Maternal teaching was connected to communication, problem-solving, and personal-social development. The study emphasized the significance of parenting and sociodemographic factors among adolescent mothers and their influence on their children's development.
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Affiliation(s)
- Laura Léniz-Maturana
- Department of Cognition, Development and Educational Psychology, University of Barcelona, 08007 Barcelona, Spain;
| | - Rosa Vilaseca
- Department of Cognition, Development and Educational Psychology, University of Barcelona, 08007 Barcelona, Spain;
| | - David Leiva
- Department of Social Psychology and Quantitative Psychology, University of Barcelona, 08007 Barcelona, Spain;
| | - Rodrigo Gallardo-Rodríguez
- Department of Sport Science and Physical Conditioning, Faculty of Education, Universidad Católica de la Santísima Concepción, Concepción 4070129, Chile;
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Druskin LR, Novick DR, Smith KA, Chronis-Tuscano A, Wagner NJ, Pham S, Fleece HM, Danko CM, Rubin KH. Comparison of behaviorally inhibited and typically developing children's play behaviors in the preschool classroom. Front Psychol 2023; 14:1193915. [PMID: 37502750 PMCID: PMC10369178 DOI: 10.3389/fpsyg.2023.1193915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 06/22/2023] [Indexed: 07/29/2023] Open
Abstract
Introduction Behavioral inhibition (BI) is a temperamental trait characterized by a bias to respond with patterns of fearful or anxious behavior when faced with unfamiliar situations, objects, or people. It has been suggested that children who are inhibited may experience early peer difficulties. However, researchers have yet to systematically compare BI versus typically developing children's observed asocial and social behavior in familiar, naturalistic settings. Method We compared the in-school behaviors of 130 (M = 54 months, 52% female) highly inhibited preschoolers (identified using the parent-reported Behavioral Inhibition Questionnaire) to 145 (M = 53 months, 52% female) typically developing preschoolers. Both samples were observed on at least two different days for approximately 60 min. Observers used the Play Observation Scale to code children's behavior in 10-s blocks during free play. Teachers completed two measures of children's behavior in the classroom. Results Regression models with robust standard errors controlling for child sex, age, and weekly hours in school revealed that preschoolers identified as BI engaged in significantly more observed reticent and solitary behavior, and less social play and teacher interaction than the typically developing sample. Children with BI also initiated social interaction with their peers and teachers less often than their counterparts who were not inhibited. Teachers reported that children identified as BI were more asocial and less prosocial than their non-BI counterparts. Discussion Significantly, the findings indicated that inhibited children displayed more solitude in the context of familiar peers. Previous observational studies have indicated behavioral differences between BI and unfamiliar typical age-mates in novel laboratory settings. Children identified as BI did not receive fewer bids for social interaction than their typically developing peers, thereby suggesting that children who are inhibited have difficulty capitalizing on opportunities to engage in social interaction with familiar peers. These findings highlight the need for early intervention for children with BI to promote social engagement, given that the frequent expression of solitude in preschool has predicted such negative outcomes as peer rejection, negative self-regard, and anxiety during the elementary and middle school years.
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Affiliation(s)
- Lindsay R. Druskin
- Department of Psychology, West Virginia University, Morgantown, WV, United States
| | - Danielle R. Novick
- Department of Psychology, University of Maryland, College Park, MD, United States
- Yale Child Study Center, Yale School of Medicine, New Haven, CT, United States
| | - Kelly A. Smith
- Department of Human Department & Quantitative Methodology, University of Maryland, College Park, MD, United States
| | | | - Nicholas J. Wagner
- Department of Psychological & Brain Sciences, Boston University, Boston, MA, United States
| | - Stephanie Pham
- Department of Human Department & Quantitative Methodology, University of Maryland, College Park, MD, United States
| | - Hailey M. Fleece
- Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park, MD, United States
| | - Christina M. Danko
- Department of Psychology, University of Maryland, College Park, MD, United States
| | - Kenneth H. Rubin
- Department of Human Department & Quantitative Methodology, University of Maryland, College Park, MD, United States
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Palmer E, Woolgar M, Carter B, Cartwright-Hatton S, Challacombe FL. Preventing anxiety in the children of anxious parents - feasibility of a brief, online, group intervention for parents of one- to three-year-olds. Child Adolesc Ment Health 2023; 28:33-41. [PMID: 35983606 DOI: 10.1111/camh.12596] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/22/2022] [Indexed: 02/07/2023]
Abstract
BACKGROUND The evidence suggests an increased risk of developing anxiety problems in children of anxious parents. The current study explored the feasibility and acceptability of an intervention with anxious parents of young children, to inform the possibility of further trials. METHODS Participants were recruited through primary and secondary care psychological services and social media. Participants who had a current or recent anxiety disorder and a child aged 12-47 months were included. Assessments of parental and child outcomes occurred at baseline, after the intervention (week-2) and follow-up (week-8). The intervention was delivered in a small group format, in two sessions, one week apart, using videoconferencing. RESULTS Out of 32 participants, 30 (94%) attended the full intervention. All found the intervention acceptable and reported it as useful and relevant. There was a reduction in parental depression (MD = 2.63, 95%CI 1.01-4.26), anxiety (MD = 3.93, 95%CI 2.49-5.37) and stress (MD = 4.60, 95% CI 3.02-6.18) and increases in parenting confidence. CONCLUSIONS The online group intervention was feasible and acceptable. There were moderate to large effects on parental mental health and no adverse effects on children (decline on outcome measures). This indicates that intervening early in parenting with anxious parents is possible and warrants further investigation to establish prevention efficacy with a larger, controlled trial.
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Affiliation(s)
- Emily Palmer
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Matt Woolgar
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Ben Carter
- Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | | | - Fiona L Challacombe
- Section of Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
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Perlman SB, Lunkenheimer E, Panlilio C, Pérez-Edgar K. Parent-to-Child Anxiety Transmission Through Dyadic Social Dynamics: A Dynamic Developmental Model. Clin Child Fam Psychol Rev 2022; 25:110-129. [PMID: 35195833 PMCID: PMC9990140 DOI: 10.1007/s10567-022-00391-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2022] [Indexed: 12/15/2022]
Abstract
The intergenerational transmission of psychopathology is one of the strongest known risk factors for childhood disorder and may be a malleable target for prevention and intervention. Anxious parents have distinct parenting profiles that impact socioemotional development, and these parenting effects may result in broad alterations to the biological and cognitive functioning of their children. Better understanding the functional mechanisms by which parental risk is passed on to children can provide (1) novel markers of risk for socioemotional difficulties, (2) specific targets for intervention, and (3) behavioral and biological indices of treatment response. We propose a developmental model in which dyadic social dynamics serve as a key conduit in parent-to-child transmission of anxiety. Dyadic social dynamics capture the moment-to-moment interactions between parent and child that occur on a daily basis. In shaping the developmental trajectory from familial risk to actual symptoms, dyadic processes act on mechanisms of risk that are evident prior to, and in the absence of, any eventual disorder onset. First, we discuss dyadic synchrony or the moment-to-moment coordination between parent and child within different levels of analysis, including neural, autonomic, behavioral, and emotional processes. Second, we discuss how overt emotion modeling of distress is observed and internalized by children and later reflected in their own behavior. Thus, unlike synchrony, this is a more sequential process that cuts across levels of analysis. We also discuss maladaptive cognitive and affective processing that is often evident with increases in child anxiety symptoms. Finally, we discuss additional moderators (e.g., parent sex, child fearful temperament) that may impact dyadic processes. Our model is proposed as a conceptual framework for testing hypotheses regarding dynamic processes that may ultimately guide novel treatment approaches aimed at intervening on dyadically linked biobehavioral mechanisms before symptom onset.
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Jones LB, Risley SM, Kiel EJ. Maternal respiratory sinus arrhythmia contextualizes the relation between maternal anxiety and overprotective parenting. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2022; 36:92-101. [PMID: 35084875 PMCID: PMC8795692 DOI: 10.1037/fam0000877] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
This current study examined maternal characteristics that predict the use of overprotective parenting in mothers of toddlers. Maternal respiratory sinus arrhythmia (RSA) reactivity was tested as a moderator of the relation between maternal anxiety and overprotective parentig. Mothers (n = 151) and their 2-year-old toddlers participated in a laboratory visit and returned for a follow-up visit 1 year later. At child age 2, mothers reported their own anxiety. Mothers' RSA reactivity was measured between a resting baseline and a standardized laboratory task, and overprotective parenting was observed in that task. Toddler fearful temperament (FT) was observed in a separate standardized task as well as reported by mothers. At child age 3, mothers' overprotective parenting behaviors were observed according to the same procedures so change from age 2 could be measured. Results revealed that maternal anxiety and maternal RSA at age 2 interacted to predict relative increases in overprotective parenting behaviors at age 3. At low levels of RSA reactivity, reflecting RSA suppression, maternal anxiety predicted lower levels of overprotective parenting. At high levels of RSA reactivity, reflecting RSA augmentation, maternal anxiety predicted higher levels of overprotective parenting. Our results suggest that RSA suppression may protect mothers with anxiety symptoms from engaging in overprotective parenting, whereas RSA augmentation may put mothers with anxiety symptoms at risk for engaging in overprotective parenting. Findings indicate that the interaction of multiple parental traits should be considered when working with parents and families on parenting behavior. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Ostlund B, Myruski S, Buss K, Pérez-Edgar KE. The centrality of temperament to the research domain criteria (RDoC): The earliest building blocks of psychopathology. Dev Psychopathol 2021; 33:1584-1598. [PMID: 34365985 PMCID: PMC10039756 DOI: 10.1017/s0954579421000511] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
The research domain criteria (RDoC) is an innovative approach designed to explore dimensions of human behavior. The aim of this approach is to move beyond the limits of psychiatric categories in the hope of aligning the identification of psychological health and dysfunction with clinical neuroscience. Despite its contributions to adult psychopathology research, RDoC undervalues ontogenetic development, which circumscribes our understanding of the etiologies, trajectories, and maintaining mechanisms of psychopathology risk. In this paper, we argue that integrating temperament research into the RDoC framework will advance our understanding of the mechanistic origins of psychopathology beginning in infancy. In illustrating this approach, we propose the incorporation of core principles of temperament theories into a new "life span considerations" subsection as one option for infusing development into the RDoC matrix. In doing so, researchers and clinicians may ultimately have the tools necessary to support emotional development and reduce a young child's likelihood of psychological dysfunction beginning in the first years of life.
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Affiliation(s)
- Brendan Ostlund
- Department of Psychology, The Pennsylvania State University, University Park, US
| | - Sarah Myruski
- Department of Psychology, The Pennsylvania State University, University Park, US
| | - Kristin Buss
- Department of Psychology, The Pennsylvania State University, University Park, US
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, US
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Effects of Maternal Overprotection on Social Competence in Young Children: The Mediating Role of Young Children’s Anxiety. ADONGHAKOEJI 2021. [DOI: 10.5723/kjcs.2021.42.5.641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Objectives: This study aimed to examine the direct and indirect effects of maternal overprotection on the development of young children’s social competence through their anxiety. In this study, maternal overprotection was defined as anxiously shielding their young children from having negative experiences and maintaining developmentally inappropriate intrusive and permissive parenting for their children.Methods: Participants were 183 mothers and 18 teachers with young children aged from four to six years. Mothers rated themselves on the degree of their overprotecting behaviors measured by a maternal overprotection scale for young children (Y. S. Chung & Park, 2021). Teachers rated young children’s anxiety and social competence. Data were analyzed using descriptive statistics, correlation analysis, and a structural equation model. Bootstrapping method was applied to examine the significance of the mediating effects.Results: First, there were significant correlations between maternal overprotection, young children’s anxiety and social competence. Second, structural equation modeling supported the hypothesized relations among maternal overprotection, young children’s anxiety and social competence after controlling with young children’s gender, maternal academic background, and monthly household income. And the level of young children’s anxiety mediated the relationship between overprotective parenting and young children’s social competence.Conclusion: This study showed that mother’s overprotective parenting was associated with varying levels of young children’s anxiety and social competence. Additionally the maternal overprotection linked with children’s social competence indirectly through their anxiety. These findings offer basic knowledge applicable to parent education and the for the development of program for improving parenting behaviors. The limitations and other implications of this study are also discussed.
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Wang L, Hung S, Au TK. What mothers can do about their toddlers’ stranger anxiety. SOCIAL DEVELOPMENT 2021. [DOI: 10.1111/sode.12545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Lamei Wang
- School of Psychology Shenzhen University Shenzhen China
| | - San Hung
- Department of Psychology The University of Hong Kong Pokfulam Road Hong Kong
| | - Terry Kit‐fong Au
- Department of Psychology The University of Hong Kong Pokfulam Road Hong Kong
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Abstract
Objectives: This study aimed to develop and validate the Maternal Overprotection Scale to measure the degree of maternal overprotective behaviors in child-rearing.Methods: There were two parts in this study. In Study 1, the items and scale development was conducted and in Study 2, the scale evaluation was conducted. In Study 1, the sample consisted of 262 mothers with young children aged from five to six years. Mothers rated themselves on the degree of their overprotecting behaviors carried toward their children. The scale initially comprised 45 items, and it ended up with 18 items based on exploratory factor analysis and exploratory structural equation modeling. In Study 2, the data of additional 197 mothers who responded to these items were analyzed by means of confirmatory factor analysis and correlation analysis.Results: In Study 1, the exploratory factor analysis and exploratory structural equation modeling of the scale identified three sub-scale factors: Intrusive Control (eight items), Permissive Indulgence (four items), and Anxious Protection (six items). In Study 2, the Cronbach’s α values ranged from .70 to .85, showing appropriate levels of internal consistency. The cross-validation was established using different samples. The concurrent validity was confirmed by the association with a maternal parenting attitude measured by the Parenting Dimensions Questionnaire (PBDQ).Conclusion: The Maternal Overprotection Scale reliably and accurately measured degrees of overprotective maternal parenting with young children. This scale can be used as a tool for estimating individual differences in mothers’ overprotection for their young children, as well as correlations with other aspects of development.
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Toddler dysregulated fear predicts continued risk for social anxiety symptoms in early adolescence. Dev Psychopathol 2021; 33:252-263. [PMID: 32115004 DOI: 10.1017/s0954579419001743] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Identifying early risk factors for the development of social anxiety symptoms has important translational implications. Accurately identifying which children are at the highest risk is of critical importance, especially if we can identify risk early in development. We examined continued risk for social anxiety symptoms at the transition to adolescence in a community sample of children (n = 112) that had been observed for high fearfulness at age 2 and tracked for social anxiety symptoms from preschool through age 6. In our previous studies, we found that a pattern of dysregulated fear (DF), characterized by high fear in low threat contexts, predicted social anxiety symptoms at ages 3, 4, 5, and 6 years across two samples. In the current study, we re-evaluated these children at 11-13 years of age by using parent and child reports of social anxiety symptoms, parental monitoring, and peer relationship quality. The scores for DF uniquely predicted adolescents' social anxiety symptoms beyond the prediction that was made by more proximal measures of behavioral (e.g., kindergarten social withdrawal) and concurrent environmental risk factors (e.g., parental monitoring, peer relationships). Implications for early detection, prevention, and intervention are discussed.
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Do Maternal Parenting Behaviors Indirectly Link Toddler Dysregulated Fear and Child Anxiety Symptoms? Child Psychiatry Hum Dev 2021; 52:225-235. [PMID: 32406038 PMCID: PMC7666014 DOI: 10.1007/s10578-020-01004-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Dysregulated fear (DF), display of high-fear in low-threat contexts, has been shown to predict child anxiety development. Maternal protective, comforting, and intrusive behaviors have also been linked to child anxiety development and may be candidate mechanisms linking DF to anxiety. First, the relation between DF (age 2) and child separation anxiety (age 4) as indirectly linked by maternal protective, comforting, and intrusive behaviors was investigated. Second, the relation between DF and social anxiety (age 4) through parenting behaviors was investigated. Results suggested DF significantly predicted child separation anxiety through maternal intrusive behaviors, above and beyond protective and comforting behaviors. Neither protective nor comforting parenting behavior served as indirect effects between DF and separation anxiety. No parenting behaviors were found to indirectly link the relation between DF and social anxiety. Results suggest that multiple parenting behaviors are involved as environmental mechanisms by which DF predicts separation anxiety.
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Kalomiris AE, Phelps RA, Kiel EJ. The Relation between Specific Parenting Behaviors and Toddlers' Early Anxious Behaviors is Moderated by Toddler Cortisol Reactivity. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2020; 47:1367-1377. [PMID: 30793236 DOI: 10.1007/s10802-019-00522-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Differential susceptibility theory posits that neurobiological reactivity (e.g., cortisol levels) should be considered as an individual index of susceptibility to both positive and negative environments. The current investigation separately examines cortisol reactivity and total concentration in toddlerhood as moderators of the longitudinal relation between maternal protection and encouragement of independence and increases or decreases in observed anxious behaviors, respectively. A total of 119 mother-toddler dyads participated in a laboratory visit when toddlers were 12- to 18-months-old. Mothers reported on their parenting behaviors and toddlers participated in a novelty episode from which their anxious behaviors were coded. Toddlers provided three saliva samples, yielding measures of cortisol reactivity and total cortisol concentration. One year later, dyads returned to the laboratory where toddlers participated in another novelty episode to observationally assess anxious behaviors. Results revealed that maternal protection tended to relate to greater increases in anxious behaviors one year later only for toddlers who displayed high cortisol reactivity. Cortisol reactivity also moderated the relation between maternal encouragement of independence and change in toddler anxious behaviors, with this parenting behavior relating to greater decreases in anxious behaviors only for toddlers with high cortisol reactivity. Results examining total cortisol concentration as a moderator were not significant. Results suggest the importance of considering toddler cortisol reactivity a context of susceptibility when examining the longitudinal relation between parenting behaviors and the development of anxious behaviors in toddlerhood.
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Affiliation(s)
- Anne E Kalomiris
- Psychology Department, Miami University, 90 N. Patterson Ave, Oxford, OH, 45056, USA.
| | - Randi A Phelps
- Psychology Department, Miami University, 90 N. Patterson Ave, Oxford, OH, 45056, USA
| | - Elizabeth J Kiel
- Psychology Department, Miami University, 90 N. Patterson Ave, Oxford, OH, 45056, USA
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Kiel EJ, Kalomiris AE, Buss KA. Maternal Accuracy for Children's Fearful Distress in Toddlerhood and Kindergarten: Moderation of a Serial Indirect Effect by Toddler Fearful Temperament. PARENTING, SCIENCE AND PRACTICE 2020; 21:277-303. [PMID: 34629959 PMCID: PMC8493824 DOI: 10.1080/15295192.2020.1754106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVE Drawing on existing literature concerning the interrelations among toddler fearful temperament, maternal protective parenting, and maternal cognitions, the current study sought to test how mothers' abilities to predict their children's distress expressions and behaviors in future novel situations ("maternal accuracy"), may be maintained from toddlerhood to children's kindergarten year. DESIGN A sample of 93 mother-child dyads completed laboratory assessments at child age 2 and were invited back for two laboratory visits during children's kindergarten year. Fearful temperament, age 2 maternal accuracy, and protective behavior were measured observationally at age 2, and children's social withdrawal and kindergarten maternal accuracy were measured observationally at the follow-up kindergarten visits. RESULTS We tested a moderated serial mediation model. For highly fearful children only, maternal accuracy may be maintained because it relates to protective parenting, which predicts children's social withdrawal, which feeds back into maternal accuracy. CONCLUSIONS Maternal accuracy may be maintained across early childhood through the interactions mothers have with their temperamentally fearful children. Given concurrent measurement of some of the variables, the role of maternal cognitions like maternal accuracy should be replicated and then further considered for inclusion in theories and studies of transactional influences between parents and children on development.
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Grady JS. Parental gentle encouragement promotes shy toddlers' regulation in social contexts. J Exp Child Psychol 2019; 186:83-98. [PMID: 31203109 DOI: 10.1016/j.jecp.2019.05.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Revised: 05/14/2019] [Accepted: 05/21/2019] [Indexed: 11/17/2022]
Abstract
Gentle encouragement to approach appears to reduce risk for anxiety and is commonly incorporated into parenting interventions for inhibited preschoolers, yet little is known regarding whether gentle encouragement facilitates in-the-moment regulation as shy or inhibited children face social novelty, particularly during the toddler period. The current study used a sample of 55 temperamentally shy toddlers (21-24 months old) to examine toddler regulation in novel social contexts in relation to parental gentle encouragement to engage. Contexts included low-threat social novelty (i.e., a clown and puppets) and moderately threatening social novelty (i.e., strangers). Using an experimental design, parents were randomly assigned to provide behaviors thought to represent gentle encouragement: warm responsiveness to toddler fear and encouragement of toddler autonomy, prompt to engage, both warmth and prompt, or remaining uninvolved (no-encouragement control). Relative to toddlers in the no-encouragement control condition, toddlers whose parents were instructed to provide warmth showed less fear and more engagement in moderately threatening social contexts, and toddlers whose parents were instructed to provide both warmth and prompts showed greater suppression of respiratory sinus arrhythmia in low-threat social contexts. Findings suggest that parental gentle encouragement may promote regulated responses in social contexts in shy toddlers. Encouragement of toddler autonomy and warm responsiveness to toddlers in particular may help shy toddlers to engage with, rather than withdraw from, new people.
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Einziger T, Levi L, Zilberman-Hayun Y, Auerbach JG, Atzaba-Poria N, Arbelle S, Berger A. Predicting ADHD Symptoms in Adolescence from Early Childhood Temperament Traits. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2019; 46:265-276. [PMID: 28317068 DOI: 10.1007/s10802-017-0287-4] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Extreme levels of certain temperament traits can be early markers of different developmental pathways of attention-deficit/hyperactivity disorder (ADHD). However, the long-term utility of using these traits as predictors of ADHD is not fully known. This study includes 64 male adolescents (M age = 13.5), who have been followed since birth as part of a longitudinal study. The primary aim was to test effortful control (EC), activity level, and anger, measured in early childhood - both with mother's reports and laboratory assessments -as predictors of ADHD symptoms in adolescence. Further, we investigated the specificity of this prediction to the different ADHD symptom domains. The results demonstrated that early temperament dimensions of EC and activity level were predictive of ADHD symptoms about 10 years later, when the participants reached adolescence. Moreover, activity level showed specificity only to hyperactivity-impulsivity symptoms whereas EC was a predictor of the two symptom domains. Anger had a predictive correlation with ADHD symptoms; however, it did not have a unique predictive contribution. These results emphasize the relevance of EC and activity level in the developmental course of ADHD. Identification of early risk factors can lead to more efficient design and implementation of intervention programs.
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Affiliation(s)
- Tzlil Einziger
- Department of Psychology, Ben-Gurion University of the Negev, 84104, Beer Sheva, Israel.
| | - Linoy Levi
- Department of Psychology, Ben-Gurion University of the Negev, 84104, Beer Sheva, Israel
| | - Yael Zilberman-Hayun
- Department of Psychology, Ben-Gurion University of the Negev, 84104, Beer Sheva, Israel
| | - Judith G Auerbach
- Department of Psychology, Ben-Gurion University of the Negev, 84104, Beer Sheva, Israel
| | - Naama Atzaba-Poria
- Department of Psychology, Ben-Gurion University of the Negev, 84104, Beer Sheva, Israel
| | | | - Andrea Berger
- Department of Psychology, Ben-Gurion University of the Negev, 84104, Beer Sheva, Israel
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Gibler RC, Kalomiris AE, Kiel EJ. Paternal Anxiety in Relation to Toddler Anxiety: The Mediating Role of Maternal Behavior. Child Psychiatry Hum Dev 2018; 49:512-522. [PMID: 29143890 PMCID: PMC5955770 DOI: 10.1007/s10578-017-0771-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Despite robust investigations examining the impact of maternal anxiety and parenting behaviors and child anxiety risk, less is understood about the impact of paternal anxiety and parenting behaviors on child anxiety risk, particularly within the broader family context. An Actor Partner Interdependence Model (APIM) was used to examine whether paternal anxiety longitudinally predicted child anxiety risk indirectly through maternal and paternal parenting behaviors, while controlling for maternal anxiety. Both fathers and mothers of 12- to 30-month-olds (n = 94) provided self-report of their anxiety and parenting behaviors. Child inhibited temperament (i.e., anxiety risk) was coded. Two APIMs separately considering encouragement of independence and overprotection were examined. These models revealed no direct relation between parent and child anxiety while controlling for parenting behaviors. Models did suggest that paternal anxiety is indirectly linked with future child anxiety through lower maternal encouragement of independence, but not through maternal overprotection or paternal parenting behaviors.
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Affiliation(s)
- Robert C. Gibler
- Department of Psychology, University of Cincinnati, Cincinnati, OH
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19
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Majdandžić M, de Vente W, Colonnesi C, Bögels SM. Fathers' challenging parenting behavior predicts less subsequent anxiety symptoms in early childhood. Behav Res Ther 2018; 109:18-28. [PMID: 30077804 DOI: 10.1016/j.brat.2018.07.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Revised: 07/11/2018] [Accepted: 07/23/2018] [Indexed: 11/28/2022]
Abstract
Recent theories propose that (especially fathers') challenging parenting behavior (CPB) serves to reduce offspring's anxiety development, and that fearful children are more susceptible to parenting. Using a longitudinal design we explored whether more CPB (and less overprotection) of both parents, (1) separately, (2) relatively, and (3) jointly predicts less anxiety in early childhood, and (4) whether child fearful temperament moderates these relations. Participants were 132 couples with their first-born child. Child fearful temperament was observed at 4 months and 1 year, and parents' CPB and overprotection at 1 and 2.5 years. Child anxiety symptoms were assessed at 2.5 and 4.5 years. Multilevel analyses showed that more CPB and, unexpectedly, more overprotection predicted less child anxiety. Relatively, fathers' CPB and mothers' overprotection predicted less anxiety. An interaction showed that if one parent shows low CPB, the other parent's higher CPB predicts less child anxiety. A trend interaction suggested that fathers' CPB predicts less anxiety most strongly for fearful children. Thus, fathers' CPB appears to play a protective role in anxiety development, possibly in particular for children most vulnerable to develop anxiety problems. Parents can compensate for a less challenging partner. The finding that maternal overprotection mitigates child anxiety requires further investigation.
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Affiliation(s)
- Mirjana Majdandžić
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, the Netherlands; Research Priority Area Yield, University of Amsterdam, Amsterdam, the Netherlands.
| | - Wieke de Vente
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, the Netherlands; Research Priority Area Yield, University of Amsterdam, Amsterdam, the Netherlands
| | - Cristina Colonnesi
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, the Netherlands; Research Priority Area Yield, University of Amsterdam, Amsterdam, the Netherlands
| | - Susan M Bögels
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, the Netherlands; Research Priority Area Yield, University of Amsterdam, Amsterdam, the Netherlands
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Chronis-Tuscano A, Danko CM, Rubin KH, Coplan RJ, Novick DR. Future Directions for Research on Early Intervention for Young Children at Risk for Social Anxiety. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2018; 47:655-667. [PMID: 29405747 PMCID: PMC6163041 DOI: 10.1080/15374416.2018.1426006] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Anxiety disorders are common among young children, with earlier onset typically associated with greater severity and persistence. A stable behaviorally inhibited (BI) temperament and subsequent shyness and social withdrawal (SW) place children at increased risk of developing anxiety disorders, particularly social anxiety. In this Future Directions article, we briefly review developmental and clinical research and theory that point to parenting and peer interactions as key moderators of both the stability of BI/SW and risk for later anxiety, and we describe existing interventions that address early BI/SW and/or anxiety disorders in young children. We recommend that future research on early intervention to disrupt the trajectory of anxiety in children at risk (a) be informed by both developmental science and clinical research, (b) incorporate multiple levels of analysis (including both individual and contextual factors), (c) examine mediators that move us closer to understanding how and why treatments work, (d) be developed with the end goal of dissemination, (e) examine moderators of outcome toward the goal of treatment efficiency, (f) consider transdiagnostic or modular approaches, (g) integrate technology, and (h) consider cultural norms regarding BI/SW/anxiety and parenting.
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Affiliation(s)
| | | | - Kenneth H Rubin
- b Department of Human Development and Quantitative Methodology , University of Maryland, College Park
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Predicting Temperamentally Inhibited Young Children’s Clinical-Level Anxiety and Internalizing Problems from Parenting and Parent Wellbeing: a Population Study. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2018; 47:1165-1181. [DOI: 10.1007/s10802-018-0442-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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22
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Spruijt AM, Dekker MC, Ziermans TB, Swaab H. Attentional control and executive functioning in school-aged children: Linking self-regulation and parenting strategies. J Exp Child Psychol 2018; 166:340-359. [DOI: 10.1016/j.jecp.2017.09.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2017] [Revised: 08/18/2017] [Accepted: 09/01/2017] [Indexed: 10/18/2022]
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Kiel EJ, Wagers KB, Luebbe AM. The Attitudes About Parenting Strategies for Anxiety Scale: A Measure of Parenting Attitudes About Protective and Intrusive Behavior. Assessment 2017; 26:1504-1523. [PMID: 28703033 DOI: 10.1177/1073191117719513] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Protective and intrusive parenting behaviors consistently relate to children's anxiety development. We present two studies describing the development of the Attitudes about Parenting Strategies for Anxiety (APSA) scale, which assesses parent distress about children's displays of anxiety and shyness as well as parent attitudes about the effectiveness of protective and intrusive responses across several domains. Study 1 included 594 parents who completed the APSA and additional measures online and established the factor structure, internal reliability, and validity of the measure. We also performed a latent profile analysis of the attitude items to understand common patterns and their correlates. Study 2 comprised 108 mothers participating in a laboratory-based study and provided additional evidence for the factor structure, reliability, and validity, as well as 1-year stability. The APSA appears to be a reliable and valid measure that could have utility for understanding the determinants of parenting behaviors relevant to child anxiety development.
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Kalomiris AE, Kiel EJ. Maternal anxiety and physiological reactivity as mechanisms to explain overprotective primiparous parenting behaviors. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2016; 30:791-801. [PMID: 27513283 PMCID: PMC5048517 DOI: 10.1037/fam0000237] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
In this study, we sought to determine whether the affective and physiological experience of primiparous, or first-time, motherhood is distinct from multiparous motherhood, how the child's level of inhibited temperament impacts it, and if such a temperament results in overprotective parenting behaviors. A total of 117 mothers and their 24-month-old toddlers participated in novelty tasks designed to elicit parenting behaviors and toddler's typical fear reactions. Mothers also completed a battery of questionnaires. Results suggest that primiparous mothers experienced more worry, which was associated with increased overprotective parenting behaviors. Primiparous mothers also demonstrated greater physiological (i.e., cortisol) reactivity while watching their first-born children interact with novel stimuli, but how this related to overprotective parenting was dependent on the child's level of inhibition. Specifically, primiparous mothers displayed more cortisol reactivity with their uninhibited toddlers, which indirectly linked parity to less overprotective parenting behaviors. Primiparous mothers of highly inhibited toddlers displayed greater overprotective parenting behaviors, independent of maternal cortisol reactivity. The results indicate that the transition to motherhood is a unique experience associated with greater worry and physiological reactivity and is meaningfully influenced by the toddler's temperament. Distinctions in both observed and self-reported overprotective parenting are evident through considering the dynamic interaction of these various aspects. (PsycINFO Database Record
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