A Pilot Randomized Trial of Community-Based Parent Training for Immigrant Latina Mothers

This paper reports on the development and piloting of the Madres a Madres (Mothers to Mothers) program, a new, community-based parent training program designed for immigrant Latina mothers and their children. Promotoras, or female community health workers of Latina background, delivered the program in a home visitation format. A total of 194 mothers and 194 focal children (87 male, 107 female) ages 7–12 were randomized to the intervention (113 mother–child dyads) or wait-list control condition (81 mother–child dyads) over the study period. Outcomes of interest were mother-reported parenting skills, broad family functioning, and child externalizing and internalizing behaviors. Data collection occurred at pretest, 3-month posttest, and 9-month follow-up periods. Multilevel growth models revealed increases in intervention mothers’ reported parenting skills, family support, and family organization, and reductions in child internalizing behavior from pretest to follow-up, relative to the control condition. Outcomes did not vary by focal child age, gender, nativity status, or mother acculturative status (years in the United States). Findings are discussed in the context of future directions for research on the Madres a Madres program and on the implementation and dissemination of empirically-supported parent training practices to culturally diverse families.     

Parent education home visitation program: adolescent and nonadolescent mother comparison after six months of intervention

This study examined the effect of an intervention over a 6-month period to improve first time mothers knowledge about parenting and safety in the home. The sample included 61 mothers who completed a baseline and follow-up survey. Mothers were first time adolescent (38) and nonadolescent (22) mothers recruited from rural county health departments for participation in a voluntary home visitation intervention program. Four hypotheses were tested that associated home visitation with greater parenting skill and child development knowledge and safety. Adolescent mothers were expected to make greater gains but to lag behind nonadolescent mothers in child development knowledge, parenting skills knowledge, household safety, and use of community resources. The sample included 32% with a high school degree and 12% African American. 83% were in school. 85% lived at or below the US federal poverty level. Parent Educators provided weekly in-home education based on a manual and individualized curriculum. Parenting skills knowledge was measured by the Adolescent-Adult Parenting Inventory (Bavolek, 1984). Home safety was measured by Culp's Home Safety Checklist. Educators recorded use of 13 community services. Analysis of variance revealed that infant knowledge increased to the same level among all mothers regardless of adolescents' lesser knowledge at baseline. Parenting skill knowledge of child roles increased for both ages, but older mothers scored higher. Parenting skill knowledge of alternatives to corporal punishment increased similarly for both ages. No age or interactive effects were related to improvement in safety or use of community services.     

A Clinical Trial of In-Home CBT for Depressed Mothers in Home Visitation

Despite negative outcomes for depressed mothers and their children, no treatment specifically designed to address maternal depression in the context of home visitation has emerged. In-Home Cognitive Behavioral Therapy (IH-CBT) is an adapted treatment that is delivered in the home, focuses on the needs of new mothers, and leverages ongoing home visiting to optimize engagement and outcomes. This study examined the efficacy of IH-CBT using a randomized clinical trial. Subjects were 93 new mothers in a home visiting program. Mothers with major depressive disorder identified at 3 months postpartum were randomized into IH-CBT and ongoing home visitation (n = 47) or standard home visitation (SHV; n = 46) in which they received home visitation alone and could obtain treatment in the community. Depression was measured at pre- and posttreatment, and 3-month follow-up using interviews, clinician ratings, and self-report. Mothers receiving IH-CBT showed improvements in all indicators of depression relative to the SHV condition and these gains were maintained at follow-up. For example, 70.7% of mothers receiving IH-CBT were no longer depressed at posttreatment in terms of meeting criteria for major depressive disorder compared to 30.2% in the SHV group. These findings suggest that IH-CBT is an efficacious treatment for depressed mothers in home visitation programs.     

Risk and Protective Factors for Children of Adolescents: Maternal Depression and Parental Sense of Competence

We investigated the relationship between depression and parental sense of competence to child cognitive outcomes for a sample of 49 adolescent mothers and their young children (Mean age=9 1/2 months) enrolled in a student parenting program. Cognitive development of the infants and toddlers was assessed using the Bayley Scales of Infant Development. Maternal depression was assessed with the CES-D and parental competence measured with the Parental Sense of Competence Scale. Results indicated that maternal depression and parental sense of competence alone did not predict children’s cognitive scores; the interaction of the variables significantly predicted children’s outcomes. Mothers reporting high levels of depression, who self-reported high levels of parental competence, had children who scored higher on the Bayley. Children of mothers with high levels of depression, and low reported levels of competence scored lower on the Bayley. The relationship was not significant for mothers reporting low levels of depression. Our findings suggest additional research needs to focus on the buffering effect of parental sense of competence for adolescent mothers experiencing depression.     

Family Emotional Climate and Sibling Relationship Quality: Influences on Behavioral Problems and Adaptation in Preschool-Aged Children

We examined the impact of family emotional climate and sibling relationship quality on behavioral problems and adaptation in preschool-aged children. Participants were 63 mothers with a preschool-aged child enrolled in a Southern Arizona Head Start Program. Siblings were identified as children closest in age to target child. Mothers of predominantly Mexican descent (95%) participated in home interviews during the Fall and Spring of the year children entered center-based programs. Sibling relationship quality (warmth, agonism/competition) was proposed to predict children’s adjustment (behavioral problems and adaptation) longitudinally. Results indicate that after controlling for child characteristics (temperament, child gender, birth order) and after accounting for family characteristics (family emotional expressiveness, child exposure to interparental conflict, and parental agreement on childrearing), sibling warmth made a significant and unique contribution to child adjustment as reported by mothers and teachers six months later. Findings are consistent with existing research indicating that sibling relationships impact children’s adjustment and shape young children’s lives in meaningful and marked ways. Moreover, these associations were found with an understudied sample of young children of predominantly Mexican descent in low-income families, and thus make an important contribution to knowledge in the field.     

Impact of Depression and Childhood Trauma in Mothers Receiving Home Visitation

Research has documented the deleterious effects of maternal depression and childhood trauma on parenting and child development. There are high rates of both depression and childhood trauma in new mothers participating in home visitation programs, a prevention approach designed to optimize mother and child outcomes. Little is known about the impacts of maternal depression and childhood trauma on parenting in the context of home visitation. This study contrasted depressed and non-depressed mothers enrolled in the first year of a home visitation program on parenting stress, quality of home environment, social network, and psychiatric symptoms. Mothers were young, low income, and predominantly unmarried. Results indicated that depressed mothers displayed impairments in parenting, smaller and less robust social networks, and increased psychiatric symptoms relative to their non-depressed counterparts. Path analyses for the full sample revealed a path linking childhood trauma, depression, and parenting stress. Path analyses by group revealed several differential relationships between dimensions of social network and parenting. Number of embedded networks, namely the number of different domains in which the mother is actively interacting with others, was associated with lowered parenting stress among non-depressed mothers and increased parenting stress in their depressed counterparts with childhood trauma histories. In depressed mothers, social network size was associated with lower levels of parenting stress but decreased quality of the home environment, whereas number of embedded networks was positively related to quality of the home environment. Implications of findings for home visitation programs are discussed.     

Knowledge gained by mothers enrolled in a home visitation program

This study examined whether new mothers would gain knowledge of child development after participating in a home visitation program for six months, and whether there would be differences between adolescent mothers and older mothers. Forty-seven mothers were administered the Knowledge Inventory of Development and Behavior: Infancy to School-age (KIDS) after the birth of their babies and six months later. Results indicated an overall increase in total knowledge of child development for mothers (of all ages) participating in a home visitation program. KIDS subscale scores indicated a significant increase in new mothers' knowledge about both infant and school-age development. There was no significant difference between the adolescent and older mothers in knowledge of infant development.     

Trajectories of Postpartum Maternal Depressive Symptoms and Children’s Social Skills

The vast majority of new mothers experience at least some depressive symptoms. Postpartum maternal depressive symptoms can greatly influence children’s outcomes (e.g., emotional, cognitive, language, and social development). However, there have been relatively few longitudinal studies of how maternal depressive symptoms may influence children’s social skills. The current study (n = 1363) examined the trajectory of maternal depressive symptoms (from 1 month to 36 months) and whether maternal depressive symptoms at 1 month postpartum and the change in symptoms over time (from 1 month to 3 years) predicted children’s parent- and teacher-rated social skills when they were 4.5 and 6.0 years old. A growth curve model indicated that, on average, maternal depressive symptoms declined over time in a nonlinear fashion. Further analyses indicated that after controlling for five demographic factors (child sex, family income, maternal age, mother’s marital status, and maternal education), initial maternal depressive symptoms significantly predicted children’s social skills as reported by mothers. The results support the notion that maternal depressive symptoms during children’s infancy can have long-term associations with children’s social skills. In addition, the results emphasize the importance of intervention and prevention efforts targeting maternal depressive symptoms during infancy, beginning immediately postpartum.     

Early-occurring Maternal Depression and Maternal Negativity in Predicting Young Children’s Emotion Regulation and Socioemotional Difficulties

This longitudinal investigation examined the effects of maternal depression and concomitant negative parenting behaviors on children’s emotion regulation patterns and socioemotional functioning. One hundred fifty-one mothers and their children were assessed when children were approximately 1 1/2-, 3-, 4-, and 5-years of age. Ninety-three of the children had mothers with a history of Major Depressive Disorder (MDD) that had occurred within the first 21 months of the child’s birth, and 58 of the children had mothers without any history of MDD. Early-occurring Initial maternal depression predicted children’s dysregulated emotion patterns at age 4 and decreased perceived competence ratings at age 5. Initial maternal depression also indirectly predicted decreased child social acceptance ratings at age 5 through its association with dysregulated emotion patterns. Furthermore, the relation between maternal depression and children’s decreased social acceptance was more pronounced in those offspring with a history of high versus low maternal negativity exposure. Findings increase understanding of the processes by which maternal depression confers risk on children’s socioemotional adjustment.     

Changes in maternal expressed emotion toward clinically anxious children following cognitive behavioral therapy

The aim of this study was to determine whether maternal expressed emotion (criticism and emotional overinvolvement) decreased across treatment for childhood anxiety. Mothers of 48 clinically anxious children (aged 6-14 years) were rated on levels of criticism (CRIT) and emotional overinvolvement (EOI), as measured by a Five Minute Speech Sample (FMSS) from mothers, prior to and following cognitive behavioral therapy (CBT) for their children’s anxiety. Results showed a significant decrease in the proportion of mothers who expressed high levels of criticism and emotional overinvolvement from pretreatment to posttreatment. This finding suggests that interventions aimed at reducing symptoms of child anxiety can also result in a decrease of maternal expressed emotion (criticism and emotional overinvolvement).     

The Role of Maternal and Child ADHD Symptoms in Shaping Interpersonal Relationships

The current study investigated the influence of maternal ADHD symptoms on: (a) mothers’ own social functioning; (b) their child’s social functioning; and (c) parent–child interactions following a lab-based playgroup involving children and their peers. Participants were 103 biological mothers of children ages 6–10. Approximately half of the children had ADHD, and the remainder were comparison youth. After statistical control of children’s ADHD diagnostic status and mothers’ educational attainment, mothers’ own inattentive ADHD symptoms predicted poorer self-reported social skills. Children with ADHD were reported to have more social problems by parents and teachers, as well as received fewer positive sociometric nominations from playgroup peers relative to children without ADHD. After control of child ADHD status, higher maternal inattention and hyperactivity/impulsivity each predicted children having more parent-reported social problems; maternal inattention predicted children receiving more negative sociometric nominations from playgroup peers. There were interactions between maternal ADHD symptoms and children’s ADHD diagnostic status in predicting some child behaviors and parent–child relationship measures. Specifically, maternal inattention was associated with decreased prosocial behavior for children without ADHD, but did not influence the prosocial behavior of children with ADHD. Maternal inattention was associated with mothers’ decreased corrective feedback and, at a trend level, decreased irritability toward their children with ADHD, but there was no relationship between maternal inattention and maternal behaviors for children without ADHD. A similar pattern was observed for maternal hyperactivity/impulsivity and mothers’ observed irritability towards their children. Treatment implications of findings are discussed.     

The impact of maternal control on children’s anxious cognitions, behaviours and affect: An experimental study

Controlling parenting is associated with child anxiety however the direction of effects remains unclear. The present study implemented a Latin-square experimental design to assess the impact of parental control on children’s anxious affect, cognitions and behaviour. A non-clinical sample of 24 mothers of children aged 4-5 years were trained to engage in (a) controlling and (b) autonomy-granting behaviours in interaction with their child during the preparation of a speech. When mothers engaged in controlling parenting behaviours, children made more negative predictions about their performance prior to delivering their speech and reported feeling less happy about the task, and this was moderated by child trait anxiety. In addition, children with higher trait anxiety displayed a significant increase in observed child anxiety in the controlling condition. The pattern of results was maintained when differences in mothers’ levels of negativity and habitual levels of control were accounted for. These findings are consistent with theories that suggest that controlling parenting is a risk factor in the development of childhood anxiety.     

Maternal-Related Predictors of Self-Regulation Among Low-Income Youth

The association between self-regulation and various adaptive outcomes has become a topic of growing interest to researchers. Yet, there is not much research on predictors of self-regulation in children. Using a cross-sectional design and an array of psychometrically sound scales and measures from multiple informants, this study examined whether maternal characteristics, namely maternal mental health, substance abuse, parenting practices, and child monitoring predicted self-regulation in children. Participants included a culturally diverse group of 155 youths (ages 8–17) and their mothers, all of whom were part of a larger investigation of low-income families in a mid-sized Northeastern city in the United States. Results showed that maternal substance abuse, parenting practices and parental monitoring independently predicted children’s self-regulation, accounting for 23% of the variance. Additional analyses indicated that parenting practices may partly mediate the effect of maternal mental health on children’s self-regulation. Implications for intervention and practice, especially those aimed to mitigate the detrimental effects of maternal mental health problems on children’s self-regulation, are discussed. Further research, both longitudinal and experimental, is warranted in order to extend this line of investigation.     

Socialization of Children’s Recall and Use of Strategies for Coping with Interparental Conflict

Using experimental, observational and interview-assessment methods, we examined relations among mother–child discussion skills and suggested strategies for coping with postdivorce interparental conflict in a conflict task, children’s memory for those strategies in a later recall interview, and children’s self-reported use of coping strategies in response to parental conflict at home. Participants included 50, 9–12 year-old children (50% female, 11% Mexican-American, 81% Euro-American, 8% other) and their mothers. Results indicated that the frequency of suggested coping strategies in the conflict task significantly predicted children’s later recall of the same strategies, and recalled strategies significantly predicted children’s self-reported use of the same strategies at home. Mothers’ and children’s discussion skills were less robust predictors of coping, except for secondary control and disengagement coping at-home. Gender and age differences, though few, were consistent with existing literature.     

Associations between Maternal Physical Discipline and Peer Victimization among Hong Kong Chinese Children: The Moderating Role of Child Aggression

This study examines the relation between maternal physical discipline and victimization by peers, as moderated by child aggression. The sample consisted of 211 Hong Kong Chinese children (98 boys, 113 girls; average age of 11.9). Physical discipline was assessed with a questionnaire completed by mothers, and victimization by peers and aggression were measured using a peer nomination inventory. Latent variable models revealed a moderately strong link between children’s experiences with maternal physical discipline and peer victimization, but this effect held only for children who were also high on aggression. These results highlight the interplay between harsh home environments and child aggression and their contributions to the child’s adjustment in the peer group.     

First‐time mothers in home visitation services utilizing child development specialists

Professionals in the field of child development were employed to provide home visitation services to 156 mothers and infants prenatally through the infants' first birthdays. Compared to a control group of mothers (n = 107), the intervention mothers utilized more community resources, had safer homes, had more appropriate developmental expectations, had better understanding of noncorporal punishment, and had behaviors that were more accepting and respectful to their infants. The home visitors were well educated, with experience in home visitation, and supervised. Program implementation procedures were documented and supervised. Program fidelity and the efficacy of using child development specialists as home visitors are discussed in regards to the positive findings. ©2004 Michigan Association for Infant Mental Health.     

Preventing conduct problems, promoting social competence: a parent and teacher training partnership in head start

Studied the effectiveness of parent and teacher training as a selective prevention program for 272 Head Start mothers and their 4-year-old children and 61 Head Start teachers. Fourteen Head Start centers (34 classrooms) were randomly assigned to (a) an experimental condition in which parents, teachers, and family service workers participated in the prevention program (Incredible Years) or (b) a control condition consisting of the regular Head Start program. Assessments included teacher and parent reports of child behavior and independent observations at home and at school. Construct scores combining observational and report data were calculated for negative and positive parenting style, parent-teacher bonding, child conduct problems at home and at school, and teacher classroom management style. Following the 12-session weekly program, experimental mothers had significantly lower negative parenting and significantly higher positive parenting scores than control mothers. Parent-teacher bonding was significantly higher for experimental than for control mothers. Experimental children showed significantly fewer conduct problems at school than control children. Children of mothers who attended 6 or more intervention sessions showed significantly fewer conduct problems at home than control children. Children who were the "highest risk" at baseline (high rates of noncompliant and aggressive behavior) showed more clinically significant reductions in these behaviors than high-risk control children. After training, experimental teachers showed significantly better classroom management skills than control teachers. One year later the experimental effects were maintained for parents who attended more than 6 groups. The clinically significant reductions in behavior problems for the highest risk experimental children were also maintained. Implications of this prevention program as a strategy for reducing risk factors leading to delinquency by promoting social competence, school readiness, and reducing conduct problems are discussed.     

Internal working models of caregiving and security of attachment at age six

This study describes the relation between internal working models of caregiving, child attachment, and maternal behavior in the home. Thirty-two mothers of 6-year-old children were observed in the home and subsequently interviewed regarding experiential and affective dimensions of parenting. Interviews were examined in order to assess the quality of the mother's thinking regarding two dimensions of caregiving (secure base, competence) which we hypothesized to be related to attachment security. Results indicated a strong correspondence between internal working models of caregiving and child mental representations of attachments as measured from the child's response to a laboratory reunion. The correspondence between mental representations of caregiving and maternal behavior in the home was limited. Representation ratings were most strongly associated with competence-supporting behavior. Implications for infant mental health research and program evaluation are discussed.     

Parenting contributors to early emerging problem behaviour in children of mothers in methadone maintenance treatment

This study explored whether variations in parenting provided by mothers with substance‐abuse disorders are related to behaviour problems in their young children and whether specific parenting practices are associated with specific types of behaviour problems. Mother‐reported and observational assessments were used to examine contributions of parenting behaviour and home environment to internalizing and externalizing behaviour problems in 150 preschool children of mothers receiving methadone‐maintenance treatment for heroin addiction. In multivariate analyses, mother‐reported child externalizing behaviour was related to greater maternal harshness and to mother history of illicit drug use during pregnancy but not other features of substance use and treatment history. Observer‐coded child internalizing behaviour was related to less maternal sensitivity and less provision of learning activities in the home. Additionally, mother report of her own psychopathology symptoms was related to mother‐reported, but not observer‐coded, child internalizing and externalizing problems. Findings suggest that women in substance abuse treatment should receive parenting interventions and that interventions should focus on increasing maternal sensitivity, reducing harshness, and providing children with cognitively stimulating environments. Findings also suggest that the need for attention to ongoing mental health problems of women in substance abuse treatment—both for their own well‐being and the well‐being of their children.

Highlights

• This study explored whether variations in parenting provided by mothers with substance‐abuse disorders are related to behavior problems in their young children.
• Maternal harshness was related to child externalizing behavior, low sensitivity, and low provision of learning opportunities to child internalizing problems.
• Findings suggest that women in substance abuse treatment should be provided access to parenting interventions.

     

The Role of Emotion in Parent-Child Relationships: Children’s Emotionality,Maternal Meta-Emotion,and Children’s Attachment Security

This study was intended to examine the relationship among children’s emotionality, parental meta-emotion, and parent–child attachment. The sample consisted of 546 5th and 6th grade children and their mothers. The test instruments used in this study were the Emotionality subscale of the EAS Temperament Survey (mothers’ ratings only), the Parental Meta-Emotion Survey (mothers’ ratings only) and the Attachment Security Scale (children’s ratings only). Our results showed that maternal meta-emotion (emotion coaching plus emotion dismissing) was associated with children’s attachment security vis-à-vis their mothers. Mothers who tended to adopt an emotion-coaching philosophy were more likely to achieve secure parent–child attachments, as reported by their children. Children whose mothers tended to adopt an emotion-dismissing philosophy reported lower levels of attachment security. There were no direct or indirect effects of children’s emotionality on their attachment security. Parental meta-emotion, but not children’s emotionality, was significantly associated with children’s attachment security. The results indicate the importance of parenting factors in determining the parent–child relationship. Parental education programs that focus on parental attitudes and practices related to emotion should be advocated.