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Kim SG, Holland A, Brezinski K, Tu KM, McElwain NL. Adolescent-Mother Attachment and Dyadic Affective Processes: Predictors of Internalizing and Externalizing Symptoms. J Youth Adolesc 2024:10.1007/s10964-024-02091-7. [PMID: 39322855 DOI: 10.1007/s10964-024-02091-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2024] [Accepted: 09/15/2024] [Indexed: 09/27/2024]
Abstract
Given that adolescence is a critical period for socioemotional development, marked by shifting dynamics in the parent-child relationship, parent-adolescent dyadic regulation may serve as a key mechanism linking the quality of the parent-adolescent relationship to adolescent mental health. The current study investigated two dyadic regulatory processes during mother-adolescent conflictual interactions as interpersonal mechanisms underlying the link between adolescent-mother attachment security and adolescents' internalizing and externalizing symptoms: (a) mutual engagement in positive affect (i.e., dyadic positivity) and (b) mutual engagement in re-coordination following relational mismatches (i.e., dyadic repair). Eighty-six adolescents (Mage = 13.3 years, SD = 0.6, 37% girls) and their mothers participated. Path models revealed that attachment security was associated with greater engagement in dyadic positivity and repair. Moreover, the indirect effect of attachment security on adolescents' symptoms (i.e., internalizing symptoms at age 13 and externalizing symptoms at age 14) was significant via dyadic positivity, but not dyadic repair. Dyadic positivity during mother-adolescent conflictual interactions may be one interpersonal process that underlies the link between a secure child-mother attachment and mental health during adolescence.
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Affiliation(s)
- Stephanie Gyuri Kim
- Department of Human Development and Family Studies, University of Illinois Urbana-Champaign, Urbana, IL, 61801, USA.
| | - Ashley Holland
- Department of Psychology, Edgewood College, Madison, WI, USA
| | - Kaylee Brezinski
- Department of Human Development and Family Studies, University of Illinois Urbana-Champaign, Urbana, IL, 61801, USA
| | - Kelly M Tu
- Department of Human Development and Family Studies, University of Illinois Urbana-Champaign, Urbana, IL, 61801, USA
| | - Nancy L McElwain
- Department of Human Development and Family Studies, University of Illinois Urbana-Champaign, Urbana, IL, 61801, USA
- The Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, Urbana, IL, 61801, USA
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2
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Dahlberg A, Fängström K. "Daddy comforts me"-Young Swedish children's perspectives on their family relations before and after their parents' participation in a parenting programme. PLoS One 2024; 19:e0298075. [PMID: 38489339 PMCID: PMC10942041 DOI: 10.1371/journal.pone.0298075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Accepted: 01/18/2024] [Indexed: 03/17/2024] Open
Abstract
Despite extensive research assessing parenting support, there is a lack of knowledge about the perspectives of the youngest children. In this study, we explored changes in preschool children's emotional and relational experiences at home before and after their parents participated in a parenting intervention, the Triple P parenting programme. Nine children in total were interviewed, aged 3-6 years, whose parents participated in a group parenting intervention. The interviews were conducted during the first and final group sessions attended by the children's parents. Data were analysed qualitatively, using a longitudinal approach, resulting in a deductive mapping of the children's statements onto four themes, based on the parenting intervention's main objectives. Further, changes in content for each of the four themes were assessed. Before the programme, children described conflicts with siblings, parents' negative emotions, and punitive parenting behaviours. After the programme, sibling conflicts remained, but parents' negative emotions decreased and parent threats and violence ceased. Positive family interactions and quality time increased, along with experiences of tenderness and being comforted. Parents also implemented new strategies such as verbal management and more comforting or soothing behaviours. Clinical implications of the results include promoting positive sibling relationships, emphasising parental self-regulation, encouraging empathy and reconciliation, and highlighting the importance of spending quality time with children. These findings contribute to a better understanding of children's perspectives and provide implications for clinical practice and future research.
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Affiliation(s)
- Anton Dahlberg
- Department of Public Health and Caring Sciences, Uppsala university, Uppsala, Sweden
| | - Karin Fängström
- Department of Public Health and Caring Sciences, Uppsala university, Uppsala, Sweden
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3
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Wekerle C, Gilmore AK, Self-Brown S. Editorial: Technology innovations for violence prevention, mental wellness and resilience among youth. Front Digit Health 2024; 6:1365726. [PMID: 38440197 PMCID: PMC10910084 DOI: 10.3389/fdgth.2024.1365726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 01/15/2024] [Indexed: 03/06/2024] Open
Affiliation(s)
- Christine Wekerle
- Department of Pediatrics, Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada
- Department of Psychiatry & Behavioural Neuroscience, Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada
- Optentia Research Unit, South-West University, Vanderbijlpark, South Africa
| | - Amanda K. Gilmore
- Mark Chaffin Center for Healthy Development, School of Public Health, Georgia State University, Atlanta, GA, United States
| | - Shannon Self-Brown
- Mark Chaffin Center for Healthy Development, School of Public Health, Georgia State University, Atlanta, GA, United States
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4
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Li D, Li W, Zhu X. Parenting style and children emotion management skills among Chinese children aged 3-6: the chain mediation effect of self-control and peer interactions. Front Psychol 2023; 14:1231920. [PMID: 37790239 PMCID: PMC10543697 DOI: 10.3389/fpsyg.2023.1231920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 08/30/2023] [Indexed: 10/05/2023] Open
Abstract
Drawing on ecosystem theory, which is based on the interaction of family environment, individual characteristics, and social adaptation, this study aimed to examine the effects of parenting style on emotion management skills and the mediating roles of self-control and peer interactions among Chinese children aged 3-6 years. Some studies have investigated the relationship between parenting style and emotion management skills. However, research on the underlying mechanisms is still deficient. A sample of 2,303 Chinese children completed the PSDQ-Short Version, the Self-Control Teacher Rating Questionnaire, the Peer Interaction Skills Scale, and the Emotion Management Skills Questionnaire. The results show that: (1) Authoritarian parenting style negatively predicted children's emotion management skills, self-control, and peer interactions; (2) Authoritative parenting style positively predicted children's emotion management skills, self-control, and peer interactions; (3) Structural equation models indicated that self-control and peer interactions partially mediated the effects of authoritarian and authoritative parenting styles. The parenting style of Chinese children aged 3-6 years is related to emotion management skills, and self-control and peer interactions have chain mediating effects between parenting style and children's emotion management skills. These results provide further guidance for the prevention and intervention of emotional and mental health problems in children.
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Affiliation(s)
- Dexian Li
- School of Education, Liaoning Normal University, Dalian, China
| | - Wencan Li
- School of Education, Liaoning Normal University, Dalian, China
| | - Xingchen Zhu
- College of Psychology, Liaoning Normal University, Dalian, China
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5
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Zhang X, Gatzke-Kopp LM, Cole PM, Ram N. The role of strategy-use and parasympathetic functioning in maternal emotion regulation. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2023; 37:110-120. [PMID: 35862081 PMCID: PMC9859936 DOI: 10.1037/fam0001017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Research has recognized that parental emotion regulation influences whether parents respond sensitively to their children in challenging parenting situations. However, parental emotion regulation is usually assessed using questionnaires that are not about parenting, rather than through examining parents' reaction to specific parenting situations that might evoke negative emotions. This study investigates individual differences in mothers' emotion regulation during parenting, specifically examining the relation between their subjective negative emotions and observed parenting behaviors and whether this relation is moderated by cognitive (strategies to manage negative emotions) and physiological (resting baseline and reactivity of respiratory sinus arrhythmia; RSA) processes. Data of 157 mothers' self-reported negative emotions and strategy-use, their RSA, observed maternal responsiveness, and their preschool-age children's (30-60 months, 49.7% female) challenging behaviors were collected during a Wait Task, in which mothers told children to wait before opening an appealing gift. Regression analysis indicated that, after controlling for how challenging children were, mothers' level of negative emotion was not associated with observed level of maternal responsiveness. In line with hypotheses, the association was moderated by mothers' resting RSA and the extent to which they suppressed negative emotions. However, contrary to hypotheses, the association was not moderated by use of reappraisal, distraction, or rumination, or RSA reactivity. The significant findings suggest that, although mothers' subjective experiences of negative emotions are not necessarily related to less responsive parenting behaviors, the link between maternal emotions and parenting behavior may indicate differences in how mothers engage cognitive strategies as well as their physiological regulation capacity. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
- Xutong Zhang
- Department of Human Development and Family Studies
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6
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Mattson JT, Thorne JC, Kover ST. [Formula: see text]Parental interaction style, child engagement, and emerging executive function in fetal alcohol spectrum disorders (FASD). Child Neuropsychol 2022; 28:853-877. [PMID: 34978272 PMCID: PMC10686097 DOI: 10.1080/09297049.2021.2023122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 12/19/2021] [Indexed: 10/19/2022]
Abstract
Children with fetal alcohol spectrum disorders (FASD) are known to experience cognitive and neurobehavioral difficulties, including in areas of executive function and social skills development. Interventions for these challenges have focused on a number of areas, including parent-based training. Despite the general consensus that specific parenting styles consistent with an "authoritative" - warm but firm - parenting approach may influence behavioral self-regulation, it is not known what specific parental interaction styles are associated with child engagement and emerging executive function in this population. The current study used an observation-based behavioral coding scheme during parent-child play interactions and associated parent report-based executive function measures in children with FASD. Here, we demonstrate that parental interaction styles with increased responsive/child-oriented behavior and parental affect are associated with higher levels of child play engagement, while parental interaction that has increased achievement-orientation is associated with higher levels of emerging executive function in children with FASD. These findings help inform future studies on behavioral targets in parent-based training programs and highlight the importance of considering certain parental interaction styles during parent-child play.
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Affiliation(s)
- Julia T. Mattson
- Department of Pediatrics, University of Washington, Seattle, Washington
| | - John C. Thorne
- Department of Speech & Hearing Sciences, University of Washington, Seattle, Washington
| | - Sara T. Kover
- Department of Speech & Hearing Sciences, University of Washington, Seattle, Washington
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7
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Brown KM, Ram N, Lunkenheimer E. The influence of children's effortful control on parent-child behavioral synchrony. JOURNAL OF FAMILY PSYCHOLOGY : JFP : JOURNAL OF THE DIVISION OF FAMILY PSYCHOLOGY OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION (DIVISION 43) 2022; 36:907-918. [PMID: 35708957 PMCID: PMC9764230 DOI: 10.1037/fam0001010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Child temperament appears to evoke specific parenting behaviors that contribute to child development. However, questions remain about whether individual differences in children's temperamental self-regulation, namely, effortful control (EC), shape moment-to-moment parent-child interaction dynamics. Accordingly, we examined whether differences in children's EC were related to dynamic synchrony of parent and child behaviors during a challenging problem-solving task. We also tested whether these relations varied by parents' expressions of positive and negative behaviors that might differentially support or undermine children's regulatory efforts. State-trait multilevel models demonstrated that parent-child dyads engaged in dynamic, real-time behavioral concordance while parents engaged in positive but not negative behaviors. Further, dynamic concordance during parents' expressions of both positive and negative behaviors was moderated such that dyads with children higher in EC showed greater concordance. Additionally, when child behavior was more negative on average, parent behavior was also more negative on average. Results suggest parents' positive (compared to negative) behaviors are more likely to facilitate real-time synchrony and that children with higher EC may experience or foster greater behavioral synchrony with parents. Discussion centers on the importance of children's individual differences in shaping parent-child synchrony and potential implications for children's developing self-regulation. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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8
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Gatzke-Kopp L, Zhang X, Creavey KL, Skowron EA. An event-based analysis of maternal physiological reactivity following aversive child behaviors. Psychophysiology 2022; 59:e14093. [PMID: 35567524 DOI: 10.1111/psyp.14093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 04/27/2022] [Accepted: 04/28/2022] [Indexed: 11/29/2022]
Abstract
Research investigating the association between parents' physiological reactivity and their ability to self-regulate in parenting contexts typically examines the average physiological response across the duration of a dyadic task, conflating reactivity across a multitude of parent and child behaviors. The present study utilized a moving-window analytical technique to generate a continuous, second × second time series of mothers' high-frequency heart rate variability (HF-HRV) to conduct an event-based analysis of maternal reactivity in the 10 s following an aversive child event. Analyses examined whether maternal reactivity related to parenting behaviors similarly among maltreating (n = 48) and non-maltreating (n = 29) mother-preschooler dyads. Results indicate that maternal behavior was not associated with average HF-HRV reactivity, but mothers who demonstrated an increase in HF-HRV immediately following a negative child event were more likely to engage in behaviors to return the dyad to a positive state. Findings were specific to incidents of negative child behavior, and results were not moderated by maltreatment status. These results highlight the value of using an event-based design to isolate reactivity in response to targeted events to understand how physiological reactivity supports parenting.
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Affiliation(s)
- Lisa Gatzke-Kopp
- Department of Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania, USA
| | - Xutong Zhang
- Department of Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania, USA
| | - Kristine L Creavey
- Department of Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania, USA.,School of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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9
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Armstrong-Carter E, Miller JG, Obradović J. Parent-child physiological synchrony: Concurrent and lagged effects during dyadic laboratory interaction. Dev Psychobiol 2021; 63:e22196. [PMID: 34674249 DOI: 10.1002/dev.22196] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 08/09/2021] [Accepted: 08/15/2021] [Indexed: 11/08/2022]
Abstract
This study investigated whether parents and kindergarten children show concurrent and time-lagged physiological synchrony during dyadic interaction. Further, we tested whether parent-child behavioral co-regulation was associated with concurrent and time-lagged synchrony, and whether synchrony varied by the type of interaction task. Participants were 94 children (Mage = 5.6 years, 56% female) and their parents. We simultaneously measured parent and child respiratory sinus arrhythmia (RSA) during four dyadic interaction tasks: free play, clean up, problem-solving, and puzzle teaching. We found that synchrony varied by task. Concurrent synchrony occurred only during the puzzle teaching task, such that parent and child RSA were significantly and positively associated with each other simultaneously. Time-lagged synchrony occurred only during the problem-solving task, such that parent RSA was positively associated with child RSA 30 seconds later, and child RSA was negatively associated with parent RSA 30 seconds later. Although behavioral co-regulation and physiological synchrony have been conceptualized as markers of responsive parent-child interactions, our study finds no evidence that physiological synchrony is associated with between-dyad differences in behavioral co-regulation.
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10
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Fuchs A, Lunkenheimer E, Brown K. Parental history of childhood maltreatment and child average RSA shape parent-child RSA synchrony. Dev Psychobiol 2021; 63:e22171. [PMID: 34423421 DOI: 10.1002/dev.22171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 05/26/2021] [Accepted: 07/06/2021] [Indexed: 12/16/2022]
Abstract
We examined whether dynamic parent-child RSA synchrony varied by individual differences in child average RSA and parental history of childhood maltreatment (CM), which has been linked to parental behavioral and physiological dysregulation. We also examined whether RSA synchrony was curvilinear, reflecting homeostatic regulation. Synchrony was defined as the dynamic association between parent and child RSA reactivity (change relative to their own mean) within epoch across a challenging task. Eighty-three mother-preschooler and 61 father-preschooler dyads participated. State-trait modeling showed that RSA synchrony was curvilinear such that significant relations were only found at lower and higher child reactivity. Children's higher task average RSA predicted maternal RSA augmentation and lower task average RSA predicted maternal RSA withdrawal, regardless of whether child reactivity in the moment was low or high, suggesting individual differences in child regulatory capacity were associated with dynamic maternal reactivity. When maternal CM history and child average RSA were both higher, mothers showed RSA augmentation. Father-child synchrony was not moderated by child average RSA but greater paternal CM history predicted fathers' greater RSA withdrawal regardless of whether child RSA reactivity was low or high. Findings offer novel insights into the nature and meaning of RSA synchrony with parents at risk.
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Affiliation(s)
- Anna Fuchs
- Department of Psychology, Pennsylvania State University, University Park, Pennsylvania.,Child and Adolescent Psychiatry, Heidelberg University Clinic, Heidelberg University, Heidelberg, Germany
| | - Erika Lunkenheimer
- Department of Psychology, Pennsylvania State University, University Park, Pennsylvania
| | - Kayla Brown
- Department of Psychology, Pennsylvania State University, University Park, Pennsylvania
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11
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Armstrong‐Carter E, Sulik MJ, Obradović J. Self‐regulated behavior and parent‐child co‐regulation are associated with young children's physiological response to receiving critical adult feedback. SOCIAL DEVELOPMENT 2020. [DOI: 10.1111/sode.12498] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Affiliation(s)
| | - Michael J. Sulik
- Graduate School of Education Stanford University Stanford CA USA
| | - Jelena Obradović
- Graduate School of Education Stanford University Stanford CA USA
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12
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Nekkanti AK, Jeffries R, Scholtes CM, Shimomaeda L, DeBow K, Norman Wells J, Lyons ER, Giuliano RJ, Gutierrez FJ, Woodlee KX, Funderburk BW, Skowron EA. Study Protocol: The Coaching Alternative Parenting Strategies (CAPS) Study of Parent-Child Interaction Therapy in Child Welfare Families. Front Psychiatry 2020; 11:839. [PMID: 33101068 PMCID: PMC7495141 DOI: 10.3389/fpsyt.2020.00839] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Accepted: 08/03/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Child maltreatment (CM) constitutes a serious public health problem in the United States with parents implicated in a majority of physical abuse and neglect cases. Parent-Child Interaction Therapy (PCIT) is an intensive intervention for CM families that uses innovative "bug-in-ear" coaching to improve parenting and child outcomes, and reduce CM recidivism; however, the mechanisms underlying its effects are little understood. The Coaching Alternative Parenting Strategies (CAPS) study aims to clarify the behavioral, neural, and physiological mechanisms of action in PCIT that support positive changes in parenting, improve parent and child self-regulation and social perceptions, and reduce CM in child welfare-involved families. METHODS The CAPS study includes 204 child welfare-involved parent-child dyads recruited from Oregon Department of Human Services to participate in a randomized controlled trial of PCIT versus a services-as-usual control condition (clinicaltrials.gov, NCT02684903). Children ages 3-8 years at study entry and their parents complete a pre-treatment assessment prior to randomization and a post-treatment assessment 9-12 months post study entry. Dyads randomized to PCIT complete an additional, abbreviated assessment at mid-treatment. Each assessment includes individual and joint measures of parents' and children's cardiac physiology at rest, during experimental tasks, and in recovery; observational coding of parent-child interactions; and individual electroencephalogram (EEG) sessions including attentional and cognitive control tasks. In addition, parents and children complete an emotion regulation task and parents report on their own and their child's adverse childhood experiences and socio-cognitive processes, while children complete a cognitive screen and a behavioral measure of inhibitory control. Parents and children also provide anthropometric measures of allostatic load and 4-5 whole blood spots to assess inflammation and immune markers. CM recidivism is assessed for all study families at 6-month follow-up. Post-treatment and follow-up assessments are currently underway. DISCUSSION Knowledge gained from this study will clarify PCIT effects on neurobehavioral target mechanisms of change in predicting CM risk reduction, positive, responsive parenting, and children's outcomes. This knowledge can help to guide efforts to tailor and adapt PCIT to vary in dosage and cost on the basis of individual differences in CM-risk factors.
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Affiliation(s)
- Akhila K Nekkanti
- Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.,Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Rose Jeffries
- Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.,Department of Psychology, University of Oregon, Eugene, OR, United States
| | - Carolyn M Scholtes
- Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.,Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Lisa Shimomaeda
- Department of Psychology, University of Washington, Seattle, WA, United States
| | - Kathleen DeBow
- Center for Excellence, Graduate School of Medicine, University of Tennessee, Knoxville, TN, United States
| | - Jessica Norman Wells
- Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.,Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Emma R Lyons
- Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.,Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Ryan J Giuliano
- Department of Psychology, University of Manitoba, Winnipeg, MB, Canada
| | - Felicia J Gutierrez
- Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.,Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Kyndl X Woodlee
- Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.,Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Beverly W Funderburk
- Department of Developmental & Behavioral Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
| | - Elizabeth A Skowron
- Center for Translational Neuroscience, University of Oregon, Eugene, OR, United States.,Department of Psychology, University of Oregon, Eugene, OR, United States
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