1
|
Wiggins ER, Brisson JM, Lavner JA, Ehrlich KB. The benefits of nurturant-involved parenting for children's internalizing symptoms and cardiometabolic health in high-risk contexts. Dev Psychopathol 2023; 35:2420-2429. [PMID: 37386849 DOI: 10.1017/s0954579423000652] [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] [Indexed: 07/01/2023]
Abstract
Despite evidence that nurturant-involved parenting is linked with children's social, psychological, and physiological development, less is known about the specific contexts in which nurturant-involved parenting is most beneficial for children's mental and physical health. The present study examined how associations between nurturant-involved parenting and children's internalizing symptoms and cardiometabolic risk varied as a function of children's stress and discrimination. Participants included 165 Black and Latinx children (Mage = 11.5 years) and their guardians. Children reported on their ongoing stress, experiences of discrimination, and internalizing symptoms (depression and anxiety). Guardians provided information about their nurturant-involved parenting practices. Children's cardiometabolic risk was assessed as a composite reflecting a high level of systolic or diastolic blood pressure, waist circumference, HbA1c, triglycerides, and low HDL cholesterol. Regression analyses indicated that among youth who reported high levels of stress and discrimination, nurturant-involved parenting was negatively associated with cardiometabolic risk. Although children's stress and discrimination were significantly associated with their internalizing symptoms, neither stress nor discrimination moderated the relation between nurturant-involved parenting and internalizing symptoms. Results highlight the significant role that parents play in shaping children's health, particularly among youth experiencing high levels of stress and discrimination.
Collapse
Affiliation(s)
| | - Julie M Brisson
- Department of Psychology, University of Georgia, Athens, GA, USA
| | - Justin A Lavner
- Department of Psychology, University of Georgia, Athens, GA, USA
| | - Katherine B Ehrlich
- Department of Psychology, University of Georgia, Athens, GA, USA
- Center for Family Research, University of Georgia, Athens, GA, USA
| |
Collapse
|
2
|
Koyama Y, Fujiwara T, Doi S, Isumi A, Morita A, Matsuyama Y, Tani Y, Nawa N, Mashiko H, Yagi J. Heart rate variability in 2014 predicted delayed onset of internalizing problems in 2015 among children affected by the 2011 Great East Japan Earthquake. J Psychiatr Res 2022; 151:642-648. [PMID: 35661521 DOI: 10.1016/j.jpsychires.2022.05.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 04/22/2022] [Accepted: 05/20/2022] [Indexed: 10/18/2022]
Abstract
Experience of natural disaster was related to an increased risk of long-term child internalizing problems. Initial traumatic experiences are hypothesized to work as disaster-related stresses and sensitize neural circuitry, leading to heightened reactivity to subsequent stressful experiences, which in turn results in delayed onset of internalizing problems. However, empirical evidence is lacking. Thus, we aimed to examine the association between heart rate variability (HRV) and internalizing problems among children exposed to the disaster. The Great East Japan Earthquake Follow-up for Children (GEJE-FC) study followed children aged 4-6 years old and their siblings and parents from three affected prefectures (Miyagi, Fukushima, and Iwate) and one unaffected prefecture (Mie) in Japan over four periods: from August 2012 to June 2013 (= T1), August 2013 to April 2014 (= T2), July 2014 to December 2014 (= T3), and August 2015 to December 2015 (= T4) (n = 155). HRV was assessed at T2 and T3 as a biomarker of autonomic nervous system activity. Child internalizing problems were assessed by caregivers at T3 and T4, using the Child Behavior Checklist. HRV measurements at T2 were not associated with child internalizing problems at T3. However, HRV in low frequency domains at T3 showed an inverse association with child internalizing problems at T4 (B = -1.72, 95% CI = -3.12 to -0.31). The findings indicated that later exacerbation of internalizing problems could be predicted by dysfunction of autonomic nervous system measured by HRV.
Collapse
Affiliation(s)
- Yuna Koyama
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - Takeo Fujiwara
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
| | - Satomi Doi
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - Aya Isumi
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan; Japan Society of the Promotion of Science, 5-3-1 Kojimachi, Chiyoda-ku, Tokyo, 102-0083, Japan
| | - Ayako Morita
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - Yusuke Matsuyama
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - Yukako Tani
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - Nobutoshi Nawa
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan; Department of Medical Education Research and Development, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - Hirobumi Mashiko
- Fukushima Rehabilitation Center for Children, 1 Hikarigaoka, Fukushima, 960-1247, Japan
| | - Junko Yagi
- Department of Neuropsychiatry, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 020-0023, Japan
| | | |
Collapse
|
3
|
Propper CB, McLaughlin K, Goldblum J, Camerota M, Gueron-Sela N, Mills-Koonce WR, Wagner NJ. Parenting and maternal reported child sleep problems in infancy predict school-age aggression and inattention. Sleep Health 2021; 8:62-68. [PMID: 34980579 DOI: 10.1016/j.sleh.2021.11.010] [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: 06/30/2021] [Revised: 11/15/2021] [Accepted: 11/18/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To examine caregiving predictors of maternal reported sleep problems and child behavioral and cognitive outcomes in early childhood. DESIGN A prospective longitudinal study from 6 to 84 months of age. SETTING Lab visits, assessments, and questionnaires conducted with a community-based sample. PARTICIPANTS One hundred sixty-four African American and White children, their mothers, and teachers. MEASUREMENT Parenting behavior was measured during a free-play task at 6 months of age, maternal-report of child sleep problems was completed at 6 timepoints, and teacher report of child aggression and attention was collected in kindergarten and second grade. RESULTS Latent growth curve modeling revealed that maternal reported sleep problems decreased in children from 18 to 84 months and harsh-intrusive parenting at 6 months predicted sleep problems at 18 months. Maternal reported sleep problems at 18 months predicted aggressive behaviors in kindergarten and second grade. CONCLUSION Parenting at 6 months of age exerts an influence on sleep quality at 18 months which is associated with aggressive behavior in early childhood.
Collapse
Affiliation(s)
- Cathi B Propper
- Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
| | - Kirsten McLaughlin
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Jessica Goldblum
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Marie Camerota
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI
| | - Noa Gueron-Sela
- Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - W Roger Mills-Koonce
- School of Education, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Nicholas J Wagner
- Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts, USA
| |
Collapse
|
4
|
Eskandari B, Pouretemad H, Mousavi M, Farahani H. Common elements of parent management training programs for preschool children with autism spectrum disorder. Asian J Psychiatr 2020; 52:102149. [PMID: 32442878 DOI: 10.1016/j.ajp.2020.102149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 04/29/2020] [Accepted: 04/30/2020] [Indexed: 11/15/2022]
Abstract
Parent management training is a general set of interventions used as a part of a variety of clinical approaches to reduce behavioral problems of children. These behavioral problems in children with special needs (such as autism spectrum disorder) take a more complex form. The objective is to present elements, needed to develop parent management training program to reduce behavioral problems in preschool children with autism spectrum disorder. At first, all parent management training programs for reducing behavioral problems of preschool children were collected. Subsequently, all programs were reviewed from the perspective of having a systematic review or meta-analysis, confirming the effectiveness of this program at preschool age. After that, interviews with experts and parents were conducted to identify effective elements on development of this program. In the next step, a set of components was obtained using information about parent management training programs as well as items obtained from interviews with experts and parents. At this stage, 10 experts were asked to rate the items according to their importance using the Delphi method. The items that achieved the required scores were introduced as main items. The number of them was 13 and included items such as full assessment of the child and appropriate communication with the child. Considering the characteristics of children with autism spectrum disorder will require changes in some parts of parent management training program, therefore, it is necessary to develop a specific program for these children to cover all of their characteristics.
Collapse
Affiliation(s)
| | - Hamidreza Pouretemad
- Institute for Cognitive and Brain Science, Shahid Beheshti University, Tehran, Iran.
| | - Masoumeh Mousavi
- Department of Psychology, Faculty of Psychology and Education Science, Shahid Beheshti University, Tehran, Iran
| | - Hojjatollah Farahani
- Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran
| |
Collapse
|
5
|
Effects of an attachment-based intervention in infancy on children's autonomic regulation during middle childhood. Biol Psychol 2019; 143:22-31. [PMID: 30772404 DOI: 10.1016/j.biopsycho.2019.01.006] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 12/22/2018] [Accepted: 01/12/2019] [Indexed: 11/21/2022]
Abstract
The present study used a longitudinal randomized clinical trial to test whether an early intervention has causal effects on children's autonomic nervous system regulation. When children were infants, parents involved with Child Protective Services received Attachment and Biobehavioral Catch-up (ABC; N = 43), an intervention that promotes sensitive parenting, or a control intervention (N = 53). When children were 9 years old, children whose parents had received ABC exhibited higher respiratory sinus arrhythmia and lower heart rate at rest and during a parent-child interaction than children in the control group. Intervention effects were not detected for children's average skin conductance levels or for indices of autonomic reactivity. Results suggest that a parenting-focused early intervention impacted the development of children's autonomic regulation.
Collapse
|
6
|
Farrell AK, Waters TEA, Young ES, Englund MM, Carlson EE, Roisman GI, Simpson JA. Early maternal sensitivity, attachment security in young adulthood, and cardiometabolic risk at midlife. Attach Hum Dev 2019; 21:70-86. [PMID: 30428778 DOI: 10.1080/14616734.2018.1541517] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Children who experience high-quality early parenting tend to have better physical health, but limited research has tested whether this association extends into adulthood using prospective, observational assessments. Likewise, mechanisms that may explain such links have not yet been illuminated. In this study, we test whether the quality of early maternal sensitivity experienced during the first 3½ years of life predicts cardiometabolic risk at midlife (ages 37 and 39 years) via attachment representations measured in young adulthood (ages 19 and 26 years). We do so by comparing the predictive significance of two different forms of attachment representations coded from the Adult Attachment Interview (AAI): (a) secure base script knowledge and (b) coherence of mind. Using data from the Minnesota Longitudinal Study of Risk and Adaptation, we find that early maternal sensitivity is negatively associated with cardiometabolic risk at midlife. Secure base script knowledge (but not coherence of mind) partially mediated this link. These findings are consistent with the possibility that early parenting has lasting significance for physical health in part by promoting higher levels of secure base script knowledge.
Collapse
Affiliation(s)
- Allison K Farrell
- a Department of Psychology and Center for Molecular Medicine and Genetics , Wayne State University , Detroit , MI , USA
| | - Theodore E A Waters
- b Department of Psychology , NYU Abu Dhabi , Abu Dhabi , United Arab Emirates
| | - Ethan S Young
- c Department of Psychology , University of Minnesota , Minneapolis , MN , USA
| | - Michelle M Englund
- d Institute of Child Development , University of Minnesota , Minneapolis , MN , USA
| | - Elizabeth E Carlson
- d Institute of Child Development , University of Minnesota , Minneapolis , MN , USA
| | - Glenn I Roisman
- d Institute of Child Development , University of Minnesota , Minneapolis , MN , USA
| | - Jeffry A Simpson
- c Department of Psychology , University of Minnesota , Minneapolis , MN , USA
| |
Collapse
|
7
|
Niu Z, Tanenbaum H, Kiresich E, Cordola Hsu A, Lei X, Ma Y, Li Z, Xie B. Impact of childhood parent-child relationships on cardiovascular risks in adolescence. Prev Med 2018; 108:53-59. [PMID: 29277412 DOI: 10.1016/j.ypmed.2017.12.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Revised: 12/04/2017] [Accepted: 12/13/2017] [Indexed: 10/18/2022]
Abstract
This study aims to determine prospective effects of the childhood parent-child relationships on the development of cardiovascular risks in adolescence. Using available 917 parent-child dyads from the Study of Early Child Care and Youth Development (1991 to 2006), we analyzed the prospective effects of childhood parent-child relationships of Conflict and Closeness, as well as their categorized combinations (Harmonic, Dramatic, Hostile, and Indifferent) on the development of subscapular and triceps skinfold thickness (SST/TST), body mass index (BMI), systolic and diastolic blood pressure (SBP/DBP), and heart rate (HR) during adolescence. We found that higher levels of Conflict in the relationship with mothers (slope=0.05, P<0.001) and fathers (slope=0.04, P=0.03) increased the growth rate of TST among girls during adolescence, but not among boys. The maternal-girl dyadic with higher Conflict scores also increased girl's growth rate of BMI percentile (slope=0.10, P=0.02), though the paternal-boy dyadic with higher Conflict scores decreased boy's growth rate of BMI percentile (slope=-0.13, P=0.04). A Hostile maternal-son relationship lowered boy's growth rate of SBP (slope=-3.15, P<0.001) and DBP (slope=-4.42, P<0.001). A Dramatic maternal-son relationship increased boy's growth rate of SST (slope=0.89, P<0.001) and TST (slope=0.64, P=0.03). Hostile paternal-daughter relationships were positively associated with the growth rate of TST (slope=0.28, P=0.03). Overall, there was a significant influence of childhood parent-child relationships on the development of cardiovascular risks during adolescence, and the effect was further modified by both parents' and child's gender.
Collapse
Affiliation(s)
- Zhongzheng Niu
- School of Community and Global Health, Claremont Graduate University, Claremont, CA 91711, USA; Department of Epidemiology and Environmental Health, University at Buffalo, State University of New York, Buffalo, NY 14260, USA.
| | - Hilary Tanenbaum
- School of Community and Global Health, Claremont Graduate University, Claremont, CA 91711, USA
| | - Emily Kiresich
- School of Community and Global Health, Claremont Graduate University, Claremont, CA 91711, USA
| | - Amber Cordola Hsu
- School of Community and Global Health, Claremont Graduate University, Claremont, CA 91711, USA
| | - Xiaomeng Lei
- School of Community and Global Health, Claremont Graduate University, Claremont, CA 91711, USA
| | - Yunsheng Ma
- Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01605, USA
| | - Zhaoping Li
- Center for Human Nutrition, David Geffen School of Medicine, Department of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA
| | - Bin Xie
- School of Community and Global Health, Claremont Graduate University, Claremont, CA 91711, USA.
| |
Collapse
|
8
|
Robinson LR, Leeb RT, Merrick MT, Forbes LW. Conceptualizing and Measuring Safe, Stable, Nurturing Relationships and Environments in Educational Settings. JOURNAL OF CHILD AND FAMILY STUDIES 2016; 25:1488-1504. [PMID: 28018122 PMCID: PMC5178870 DOI: 10.1007/s10826-015-0332-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Most children and adolescents older than five years spend at least six hours of their day in school settings. Like parents, education professionals can promote health and protect youth from harm by providing safe, stable, nurturing relationships and environments. The Centers for Disease Control and Prevention (CDC) has developed a framework which posits that safe, stable, nurturing relationships and environments are Essentials for Childhood and are fundamental to promoting health and well-being; protecting youth from maltreatment and other violence and victimization; and ensuring optimal, healthy development. In this paper, the authors propose an approach to applying safe, stable, nurturing relationships and environments to the school ecology; review select survey measures to examine these constructs within educational settings; and suggest available indicators to measure safety, stability, and nurturance within the school context.
Collapse
Affiliation(s)
- Lara R Robinson
- Division of Human Development and Disability, Centers for Disease Control and Prevention
| | - Rebecca T Leeb
- Division of Human Development and Disability, Centers for Disease Control and Prevention
| | - Melissa T Merrick
- Division of Violence Prevention, Centers for Disease Control and Prevention
| | - Lauren W Forbes
- Division of Human Development and Disability, Centers for Disease Control and Prevention
| |
Collapse
|
9
|
Rauber SB, Boullosa DA, Carvalho FO, de Moraes JFVN, de Sousa IRC, Simões HG, Campbell CSG. Traditional games resulted in post-exercise hypotension and a lower cardiovascular response to the cold pressor test in healthy children. Front Physiol 2014; 5:235. [PMID: 25009506 PMCID: PMC4069719 DOI: 10.3389/fphys.2014.00235] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2014] [Accepted: 06/05/2014] [Indexed: 11/26/2022] Open
Abstract
The present study aimed to verify if blood pressure (BP) reactivity could be reduced through a previous single session of active playing when compared to sedentary leisure. Sixteen pre-pubertal healthy children participated in this study. After familiarization with procedures and anthropometric evaluation, participants performed three sessions in randomized order: (1) 30 min of traditional Brazilian games (PLAY); (2) 30 min of video game playing (DDR); and (3) 30 min of watching TV (TV). Each session lasted 80 min, being 10 min of rest; 30 min of intervention activity; and 40 min of recovery. After recovery, the Cold Pressor Test (CPT) was used for the assessment of acute cardiovascular reactivity. BP was recorded at 30 s and 1 min during the CPT. Analysis of variance showed post-exercise hypotension (PEH) only after PLAY, and that systolic and diastolic BP were significantly increased in all conditions during CPT. However, the magnitude of the CPT-induced BP response was significantly less in PLAY compared to DDR and TV. The PEH observed during recovery and the reduced BP response to CPT following playing traditional games may be due its higher cardiovascular and metabolic demand as was indicated by the increased heart rate, oxygen consumption, and BP. It was concluded that BP reactivity to stress may be reduced through a previous single session of traditional games and that PEH was recorded only after this exercise form. This benefit indicates a potential role of playing strategies for cardiovascular health in childhood.
Collapse
Affiliation(s)
- Suliane B Rauber
- Graduate Program on Physical Education and Health, Laboratory Study of Physical Activity and Health, Catholic University of Brasilia Brasilia, Brazil
| | - Daniel A Boullosa
- Graduate Program on Physical Education and Health, Laboratory Study of Physical Activity and Health, Catholic University of Brasilia Brasilia, Brazil ; Undergraduate Program on Physical Education, Study Group of the Benefits of Physical Activity for Children's Health (GEBEXFISI-Grupo de Estudos dos Benefícios do Exercício Físico para Saúde Infantil), Catholic University of Brasilia Brasilia, Brazil
| | - Ferdinando O Carvalho
- Graduate Program on Physical Education and Health, Laboratory Study of Physical Activity and Health, Catholic University of Brasilia Brasilia, Brazil ; Department of Physical Education, College of Physical Education, Federal University of Vale do São Francisco Petrolina, Brazil
| | - José F V N de Moraes
- Graduate Program on Physical Education and Health, Laboratory Study of Physical Activity and Health, Catholic University of Brasilia Brasilia, Brazil ; Department of Physical Education, College of Physical Education, Federal University of Vale do São Francisco Petrolina, Brazil
| | - Ioranny R C de Sousa
- Graduate Program on Physical Education and Health, Laboratory Study of Physical Activity and Health, Catholic University of Brasilia Brasilia, Brazil
| | - Herbert G Simões
- Undergraduate Program on Physical Education, Study Group of the Benefits of Physical Activity for Children's Health (GEBEXFISI-Grupo de Estudos dos Benefícios do Exercício Físico para Saúde Infantil), Catholic University of Brasilia Brasilia, Brazil
| | - Carmen S G Campbell
- Graduate Program on Physical Education and Health, Laboratory Study of Physical Activity and Health, Catholic University of Brasilia Brasilia, Brazil ; Undergraduate Program on Physical Education, Study Group of the Benefits of Physical Activity for Children's Health (GEBEXFISI-Grupo de Estudos dos Benefícios do Exercício Físico para Saúde Infantil), Catholic University of Brasilia Brasilia, Brazil
| |
Collapse
|
10
|
Kalak N, Gerber M, Kirov R, Mikoteit T, Pühse U, Holsboer-Trachsler E, Brand S. The relation of objective sleep patterns, depressive symptoms, and sleep disturbances in adolescent children and their parents: a sleep-EEG study with 47 families. J Psychiatr Res 2012; 46:1374-82. [PMID: 22841346 DOI: 10.1016/j.jpsychires.2012.07.006] [Citation(s) in RCA: 62] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2012] [Revised: 06/25/2012] [Accepted: 07/09/2012] [Indexed: 12/27/2022]
Abstract
OBJECTIVES Numerous studies have shown that the sleep and well-being of children and their parents are closely related. Previous studies have relied on subjective sleep data and have focused mostly on younger preadolescent children. The aim of the present study was therefore to investigate the relationship between the sleep patterns of adolescents and those of their parents using objective assessment of sleep. METHODS Forty-seven families took part in this study. The sample comprised 80 adolescents (age: 16.3 ± 2.0 years; 44 males/36 females), 47 mothers (age: 49.5 ± 4.0 years), and 39 fathers (age: 50.8 ± 5.1 years). All participants individually completed questionnaires related to psychological functioning and sleep. Sleep-EEGs were assessed for all family members in their homes. RESULTS Adolescents' and parents' objective sleep patterns were associated. In particular, the sleep continuity and architecture of adolescents and their mothers were strongly related. Additionally, significant relationships between objectively assessed sleep patterns, subjective sleep disturbances, depression scores and family climate held true for equally adolescents and mothers. Also, substantial links were found between adolescents' and parents' subjective sleep disturbances, depressive symptoms, and perceived family climate. CONCLUSION The present findings document objectively for the first time the existence of relationships between adolescents' sleep and well-being and parents' sleep and well-being. These relationships were apparent regardless of whether subjective or objective sleep data were considered. The overall pattern of results strongly indicates that adolescents' sleep and well-being and family functioning are related.
Collapse
Affiliation(s)
- Nadeem Kalak
- Psychiatric Hospital of the University of Basel, Centre for Affective, Stress and Sleep Disorders, CH-4012 Basel, Switzerland
| | | | | | | | | | | | | |
Collapse
|
11
|
Falceto OG, Giugliani ERJ, Fernandes CLC. Problematic parent-infant relationships in two-parent families: prevalence and risk factors in a Brazilian neighborhood. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2012; 34:139-46. [DOI: 10.1590/s2237-60892012000300005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Introduction: Although the quality of parent-child relationships is known to be associated with the offspring's mental health, little is known about the prevalence of problematic relationships in this scenario. This cross-sectional study aims to investigate the prevalence and risk factors of different types of early parent-infant relationships in a Brazilian population group. Methods: During 1 year, all families (n = 230) from an urban community of Porto Alegre, southern Brazil, with 4-month-old infants born in public hospitals were identified, and 148 were fully investigated by two family therapists. This study describes data on the 116 infants with two-parent families. Demographic, obstetric, and relational variables were collected through questionnaires and scales (Parent-Infant Relationship Global Assessment Scale, Global Assessment of Relational Functioning, and Self-Report Questionnaire). Prevalence ratios were calculated, and Poisson regression with robust variance was performed to adjust for covariates. Results: Almost 10% of mothers and 12% of fathers showed at least a significantly perturbed relationship with their 4-month-old infants. Inadequate mother-infant bonding coincided with evidence of paternal mental disorder, poor maternal social network, and discontinuation of breastfeeding at 4 months. A problematic father-infant relationship was associated with a dysfunctional couple relationship and with low infant birth weight. Conclusions: There is a high prevalence of early parent-child relationship problems, suggesting a need for health system interventions. Parent-infant relational problems are prevalent very early in life and more associated with other relational problems than with socioeconomic burden.
Collapse
|
12
|
Mistry KB, Minkovitz CS, Riley AW, Johnson SB, Grason HA, Dubay LC, Guyer B. A new framework for childhood health promotion: the role of policies and programs in building capacity and foundations of early childhood health. Am J Public Health 2012; 102:1688-96. [PMID: 22813416 PMCID: PMC3482035 DOI: 10.2105/ajph.2012.300687] [Citation(s) in RCA: 66] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2011] [Indexed: 01/01/2023]
Abstract
Although the connection between early life experiences and later health is becoming increasingly clear, what is needed, now, is a new organizing framework for childhood health promotion, grounded in the latest science. We review the evidence base to identify the steps in the overall pathway to ensuring better health for all children. A key factor in optimizing health in early childhood is building capacities of parents and communities. Although often overlooked, capacities are integral to building the foundations of lifelong health in early childhood. We outline a framework for policymakers and practitioners to guide future decision-making and investments in early childhood health promotion.
Collapse
Affiliation(s)
- Kamila B Mistry
- Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
| | | | | | | | | | | | | |
Collapse
|
13
|
Lane SP, Bluestone C, Burke CT. Trajectories of BMI from early childhood through early adolescence: SES and psychosocial predictors. Br J Health Psychol 2012; 18:66-82. [PMID: 22574894 DOI: 10.1111/j.2044-8287.2012.02078.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVES This study examined the ways in which body mass index (BMI) percentile - an identified risk factor for overweight and cardiovascular disease in adulthood - develops from birth through early adolescence. In addition, we examined whether psychosocial factors, such as parenting style and maternal depression, mediated the link between socio-economic status (SES) and BMI growth. Design. Data were obtained from phases 1-3 of the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD) - a longitudinal study that followed children from 10 communities in the United States from birth to age 11. METHODS We applied growth mixture models to identify distinct subtypes of BMI development. Within these models, we performed between- and within-class mediation analyses to examine whether SES predicted class membership or differences in development within each class via maternal depression and parenting styles. RESULTS Results identified three prototypic trajectories of BMI percentile growth, elevated, steady increase, and stable. We found evidence for both between- and within-class mediation, suggesting multiple pathways by which SES can affect BMI development. CONCLUSIONS These findings add to the research that suggests that being in a family with a low SES is associated with falling into patterns of development characterized by early and lasting increases in BMI relative to one's peers, and that this association is partly accounted for by maternal depression and parenting styles. STATEMENT OF CONTRIBUTION What is already known? Past research has found evidence that patterns of childhood overweight are impacted by socioeconomic status through psychosocial factors like parenting and depression. This evidence is often limited to individual points in time where neglectful, permissive, and authoritarian parenting and higher levels of maternal depression are associated with higher levels of overweight status among children from infancy to adolescence. However, little research has linked together whether the children who receive non-authoritative parenting and are overweight in infancy are the same children who are overweight in adolescence. WHAT DOES THIS STUDY ADD?: • Evidence for 3 different prototypes of BMI percentile growth over the course of childhood approaching adolescence. • Adds complexity re the influence of parenting styles as an influence on patterns of weight gain. • Buttresses existing research as to early and lasting effects of SES on patterns of BMI.
Collapse
Affiliation(s)
- Sean P Lane
- New York University, New York, NY 11364, USA
| | | | | |
Collapse
|
14
|
The stress response and adolescents' adjustment: the impact of child maltreatment. J Youth Adolesc 2012; 41:1067-77. [PMID: 22359225 DOI: 10.1007/s10964-012-9746-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2011] [Accepted: 02/03/2012] [Indexed: 01/08/2023]
Abstract
Experience with and management of stress has implications for adolescents' behavioral and socioemotional development. This study examined the relationship between adolescents' physiological response to an acute laboratory stressor (i.e., Trier Social Stress Test; TSST) and anger regulation and interpersonal competence in a sample of 175 low-income urban adolescents (51.8% girls). Findings suggested that heightened reactivity as indicated by cortisol, heart rate, and blood pressure was associated with increased interpersonal competence and anger regulation. However, these findings were context dependent such that, for youth high in self-reported child maltreatment, heightened reactivity was associated with decreased interpersonal competence and anger regulation. Results highlight the importance of considering how context may condition the effect of stress reactivity on functioning during adolescence.
Collapse
|
15
|
Lucas-Thompson RG, Goldberg WA. Family relationships and children's stress responses. ADVANCES IN CHILD DEVELOPMENT AND BEHAVIOR 2011; 40:243-99. [PMID: 21887964 DOI: 10.1016/b978-0-12-386491-8.00007-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
In this chapter, the theoretical and empirical associations between family relationships and children's responses to stressors are reviewed. Family relationships explored are primarily dyadic, representing the emphasis of past empirical research; these include parent-parent, parent-child, and sibling relationships. However, in recognition of the more complicated and interconnected nature of family relationships, also reviewed are associations between the broader family context and children's stress responses. Multiple measures of stress responses are considered, including both physiological and emotional responses to and recovery from stressful experiences. Overall, the studies reviewed suggest that poor-quality family environments, including those characterized by low emotional support or high conflict, are associated with dysregulated stress responses throughout childhood and adolescence. In contrast, children and adolescents in families with high emotional support or low conflict seem to be protected from developing stress regulatory problems. Limitations in this body of research as well as directions for future research are discussed.
Collapse
|
16
|
McConnell D, Breitkreuz R, Savage A. From financial hardship to child difficulties: main and moderating effects of perceived social support. Child Care Health Dev 2011; 37:679-91. [PMID: 21143271 DOI: 10.1111/j.1365-2214.2010.01185.x] [Citation(s) in RCA: 89] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND There is an unequivocal relationship between socio-economic status and child well-being. The Family Stress Model of economic hardship proposes that this relationship is mediated by financial hardship, parenting stress and parenting behaviours. In this study, the Family Stress Model is tested and analysis is extended to examine main and moderating effects of social support. METHODS A survey incorporating well-validated measures of financial hardship, parenting stress, parenting behaviours and child difficulties was sent to 1296 parents who had utilized universal family support services in Alberta, Canada. A total of 923 parents (71%) responded. Hierarchical linear regression was employed to investigate the mediating roles of financial hardship, parenting stress and parenting behaviours, and to investigate main and moderating influences of parental social support. RESULTS The study findings generally support the Family Stress Model. The relationship between socio-economic status and child difficulties was mediated by financial hardship and parenting stress. Higher levels of parental social support were associated with lower levels of parenting stress, ineffective parenting and child difficulties. Parental social support was important irrespective of parenting stress levels. CONCLUSIONS The study findings add to the now critical mass of data showing that parent-child health and well-being is inextricably linked with parental social support. While there is a burgeoning literature on parent training, far less research attention has been given to the development and evaluation of strategies to strengthen parents' social relationships. This is an important direction for future research.
Collapse
Affiliation(s)
- D McConnell
- Family and Disability Studies Initiative, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada
| | | | | |
Collapse
|
17
|
Roubinov DS, Luecken LJ. Father bonding and blood pressure in young adults from intact and divorced families. J Psychosom Res 2010; 69:161-8. [PMID: 20624514 DOI: 10.1016/j.jpsychores.2010.03.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2009] [Revised: 03/18/2010] [Accepted: 03/19/2010] [Indexed: 12/21/2022]
Abstract
OBJECTIVE The father-child relationship may uniquely affect offspring's physical and psychological health. Divorce may change the nature of the father-child bond and the long-term health consequences of paternal parenting behaviors. The current study investigated a possible biological pathway from father-child relationship quality to physical health outcomes in young adults. METHODS Cardiovascular stress reactivity to a lab-based challenge task and ambulatory blood pressure (ABP) were measured in young adults (mean age=20.1 years) from divorced (n=50) and intact, married (n=49) families. Participants completed self-report measures of paternal control and caring during childhood. RESULTS Higher perceived father control was associated with elevated BP reactivity to the task and higher ABP among participants from divorced families. Young adults from intact families who reported lower paternal caring demonstrated higher ABP. CONCLUSIONS The family context may provide an important backdrop for evaluating the long-term physiological consequences of fathers' parenting behaviors.
Collapse
|