Role of psychosocial risk factors in predicting maternal and paternal depressive symptomatology during pregnancy

The aim of the present study was to investigate the role of several psychosocial risk factors in predicting depressive symptomatology during pregnancy in mothers and fathers, respectively. A total of 146 primiparous mothers and 105 primiparous fathers reporting a psychosocial risk condition were recruited independently from maternity and child health services, during the second trimester of pregnancy. All parents were evaluated for depressive symptomatology, anxiety, and perceived social support. Two hierarchical multiple regression analyses were performed to determine the role of psychosocial factors in predicting depressive symptomatology during pregnancy, in mothers and fathers. Marital dissatisfaction, personal history of depression, and personal trait anxiety were identified as significant predictors of depressive symptomatology during pregnancy, both in mothers and in fathers. Family history of substance abuse, conflictual relationship with the parents in the past year, and bereavement in the past year were identified as significant factors contributing to elevated depressive symptoms during pregnancy in mothers, but not fathers. In this study, several psychosocial risk factors were consistently related to an increase in maternal and paternal depressive symptoms during pregnancy; some of these factors seem to be specifically related to maternal depressive mood.     

Relations Between Parents’ Anxiety Symptoms,Marital Quality,and Preschoolers’ Externalizing and Internalizing Behaviors

Our objective was to expand understanding of the associations between fathers’ and mothers’ anxiety symptoms, their perceptions of marital quality, and their children’s maladjustment behaviors. Sixty Israeli families with a child aged 3–5 participated. Mothers and fathers completed self-report questionnaires assessing parents’ anxiety symptoms, marital dissatisfaction, and marital overt conflict, and child internalizing and externalizing behaviors. The actor–partner interdependence mediation model (APIMeM) design with distinguishable dyads within a path analysis framework was used. Findings showed that marital dissatisfaction of both mothers and fathers partially mediated the links between mothers’ anxiety and child behaviors. For externalizing behaviors, actor and partner effects were found, so that mothers’ anxiety symptoms predicted mothers’ own marital dissatisfaction (actor effect) and fathers’ marital dissatisfaction (partner effect), which, in turn were linked with children’s externalizing behaviors. As for internalizing behaviors, only actor effect was found, so that mothers’ anxiety symptoms were linked with maternal dissatisfaction, which, in turn, was linked with child internalizing behaviors. For fathers’ anxiety symptoms, the APIMeM indicated only direct effects on both internalizing and externalizing behaviors. These findings highlight the risk associated with parental anxiety and the contribution of the marital relations to children’s adjustment and are discussed in light of Bronfenbrenner’s ecological model and Emotional Security Theory.     

Implementation of a brief early intervention in times of socio-economic crisis: effects on parental stress

The paper investigates the effect of brief early intervention on parental stress in the midst of a socio-economic crisis, such as the one that struck Greece in the past decade. During this period, a psychoanalytically oriented prevention programme with parents and their infants/young children, named ‘Early Intervention Programme’, was designed and implemented in the Department of Child Psychiatry at ‘Aghia Sophia’ Children’s Hospital in Athens, Greece. The families that attended the programme were asked to participate in a research study regarding its effectiveness; data were collected from 102 mothers and 73 fathers. This paper presents the statistical findings regarding parental stress, mainly because it is a factor that has systematically been shown to negatively influence several aspects of a child’s development, but also because our hypothesis was that parental stress would be influenced by the negative external conditions. The results showed that both mothers’ and fathers’ stress levels were high before their participation to the programme (with fathers’ Total Stress scores falling within the clinical range), while they decreased to a statistically significant level after the completion of the programme. These findings are discussed in conjunction with some illustrative clinical material. Based on these, it is argued that the implementation of a psychoanalytically oriented brief early intervention programme with parents and infants/young children can alleviate parental stress, and thus support the parental capacity to efficiently deal with the high demands of early development, even in periods of economic crisis where the tensions for young parents are significant and the available mental health resources are scarce.     

Increases in parental investment and child health as a result of an early intervention

Parental investment (involving time or money invested in 3-year-olds) and child health were assessed as an outcome of (a) children’s risk status (preterm vs. full-term birth) and (b) maternal resources (defined here in terms of their problem-solving skills in resolving caregiving challenges). Resources were varied systematically as a function of maternal participation in a traditional home visitation program versus a novel cognitively enhanced program that facilitated parenting skills more successfully. As predicted, mothers in the traditional home visitation condition invested preferentially in low-risk children, whereas mothers in the cognitively enhanced condition invested preferentially in high-risk children (who, in turn, showed maximal health benefits). Maternal investment of time in care provision mediated the relationship between predictor variables and children’s health. This pattern supports an evolutionary model of parental investment in which parents show discriminative solicitude based on the reproductive potential of the child and parents’ access to relevant resources.     

A Longitudinal Study of Parental Depressive Symptoms and Coparenting in the First 18 Months

Although the negative impact of postpartum depression on parenting behaviors has been well established—albeit separately—for mothers and fathers, the respective and joint impact of both parents' mood on family‐group interactive behaviors, such as coparenting support and conflict behaviors between the parents, have not yet been investigated. The aim of this study was to examine the association between parental depressive symptoms and coparenting behaviors in a low‐risk sample of families with infants, exploring reciprocity between the variables, as well as gender differences between mothers and fathers regarding these links. At 3 (T1), 9 (T2), and 18 months postpartum (T3), we assessed both parents' depressive symptoms with a self‐report questionnaire and observed coparenting support and conflict during triadic mother–father–child interactions. The results revealed that higher maternal depressive symptoms at T1 were associated with lower support at T1 and T2. Conflict at T3 was associated with higher maternal depressive symptoms at T3 and, more surprisingly, with less depressive symptoms in mothers at T2 and fathers at T3. Cross‐lagged associations suggested that parental depressive symptoms were more likely to influence coparenting than the reverse. Moreover, maternal depressive symptoms were more likely to be linked to coparenting behaviors than were paternal depressive symptoms. These results confirm that parental—mostly maternal—depressive symptoms, even of mild intensity, may jeopardize the development of healthy family‐level relations, which previous research has shown to be crucial for child development.     

Parents’ Reports of Children’s Internalizing Symptoms: Associations with Parents’ Mental Health Symptoms and Substance Use Disorder

This brief report examined the unique associations between parents’ ratings of child internalizing symptoms and their own depression and anxiety in families with parental substance use disorder (SUD). Further, we examined whether parental SUD (father only, mother only, both parents) was related to discrepancy in mothers’ and fathers’ reports of children’s internalizing symptoms. Participants were 97 triads (fathers, mothers) in which one or both parents met criteria for SUD. Polynomial regression analyses were conducted to examine whether father-mother reports of child internalizing symptoms had unique associations with parents’ own symptoms of depression and anxiety while controlling for child gender, child age, and SUD diagnoses. Controlling for fathers’ symptoms and other covariates, mothers experiencing more depression and anxiety symptoms reported more symptoms of child internalizing symptoms than did fathers. Mothers’ and fathers’ SUD was associated with higher anxiety symptoms among mothers after controlling for other variables. A second set of polynomial regressions examined whether father-mother reports of child internalizing symptoms had unique associations with parents’ SUD diagnoses while controlling for child gender and child age. After controlling for mothers’ symptoms and other covariates, parents’ reports of children’s internalizing symptoms were not significantly associated with either parent’s SUD or parental SUD interactions (i.e., both parents have SUD diagnoses). Taken together, mothers’ ratings of children’s internalizing symptoms may be accounted for, in part, by her reports of depression and anxiety symptoms.     

The impact of parents’ mental health on parent–baby interaction: A prospective study

The aims of the current study were to examine the effect of fathers’ and mothers’ pre and postnatal mental health on mother–infant and father–infant interactions. Mental health was broadly defined to include anxiety, depression and PTSD. A community sample of 44 mothers and 40 fathers from 45 families completed questionnaire measures of mental health in late pregnancy and three months postpartum. Mother–infant and father–infant interactions were observed and videoed three months postpartum and analysed using the CARE-index. Results showed that prenatal mental health, in particular anxiety, was associated with parent–infant interactions to a greater extent than postnatal mental health. Fathers’ prenatal symptoms were associated with higher paternal unresponsiveness and infant passivity whilst fathers’ postnatal symptoms were associated with higher levels of infant difficulty in the father–baby interaction. The results also indicated that mothers and fathers interaction with their babies were similar, both on average and within the couples, with 34% being inept or at risk. These findings highlight the need for early detection and prevention of both mental health and parent–infant relationship problems in fathers as well as mothers. However, further prospective and longitudinal studies are needed to understand the influences of parental mental health on the parent–infant interactions further. Also it should be noted that the mental health scores were low in this sample, which may reflect the sample characteristics. Future studies therefore would benefit from focusing on more vulnerable groups of parents.     

Parent–Child Attunement Moderates the Prospective Link between Parental Overcontrol and Adolescent Adjustment

Parental overcontrol (OC), behavior that intrusively or dominantly restricts child autonomy, has been identified as a transdiagnostic risk factor for youth. However, it is as yet unknown whether the association between parental OC and child maladjustment remains even when OC is exerted infrequently or by attuned parents. Rather, the selective use of OC might steer children away from danger. Taking a developmental psychopathology approach, this study focuses on the larger parent–child relationship context, testing whether either the dose at which parents demonstrate OC or the degree to which children perceive their parents as attuned determines whether OC is risky or protective for adolescents’ adjustment. Among a community sample of 114 families of children followed from the ages of 12–18, we examine whether OC, behaviorally coded from triadic mother–father–child discussions in middle childhood, is associated with later risky behavior and anxiety symptoms in adolescence. Overcontrol exerted by either mothers or fathers had a curvilinear effect on adolescent risky behaviors, and this effect was moderated by children's perceived attunement. Although OC generally was associated with increased risky behaviors, low doses of OC or OC exerted by highly attuned parents protected against engagement in risky behaviors. No main effect of OC was observed on adolescent anxiety; however, mothers’ OC interacted with perceived parental attunement, such that OC exerted by less attuned parents predicted greater anxiety. Results underscore that the effect of parenting behaviors depends on the larger parent–child relationship context.     

MOTHER–CHILD AND FATHER–CHILD PLAY INTERACTION: THE IMPORTANCE OF PARENTAL PLAYFULNESS AS A MODERATOR OF THE LINKS BETWEEN PARENTAL BEHAVIOR AND CHILD NEGATIVITY

Based on the premise that father–child play is an important context for children's development and that fathers “specialize” in play, similarities and differences in the role of playfulness in the father–child and mother–child relationship were examined. Participants in this study included 111 families (children's age: 1–3 years). Father–child and mother–child play interactions were videotaped and coded for parental playfulness, sensitivity, structuring, and nonintrusiveness as well as child negativity. Results indicated that mothers and fathers did not differ in playfulness and that mothers and fathers who were higher in playfulness had children with lower levels of negativity. However, playfulness differently moderated the links between parents’ and children's behaviors for mothers and fathers. A double‐risk pattern was found for mothers, such that the links between child negativity and maternal sensitivity, structuring, and nonintrusiveness were significant only for the subgroup of mothers with low levels of playfulness. When mothers had high levels of playfulness, these effects were negligible. For fathers, a double‐buffer pattern was revealed, indicating that the links between child negativity and paternal sensitivity and structuring were significant only for fathers with high levels of playfulness. When fathers had low levels of playfulness, these effects were negligible. These findings demonstrate the important role that parental playfulness has on parent–child interaction as well as the need to examine moderation patterns separately for fathers and mothers.     

Marital satisfaction,parenting satisfaction,and parenting behavior in early infancy

The relationships between marital adjustment, satisfaction with parenting and actual parental behavior were assessed for a sample of first-time parents. Results indicated that there were consistent relationships between fathers' satisfaction scores and their own behaviors, but few relationships between mothers' behaviors and satisfaction scores. It was suggested that the determinants of the behavior of mothers and fathers may differ. In the absence of specific socialization of fathers into a caregiving role, fathers' caregiving style may become organized and develop primarily in the context of their relationships with their spouses.     

FATHER–CHILD PLAY DURING THE PRESCHOOL YEARS AND CHILD INTERNALIZING BEHAVIORS: BETWEEN ROBUSTNESS AND VULNERABILITY

Play observations with a total of 400 toddlers and preschoolers were videotaped and rated for Intensity and Quality of play with their parents. Parents were asked about perceived stress and personality characteristics (Big 5). Child's motor, cognitive skills, temperament, and internalizing behaviors were assessed. Study 1 investigated the robustness of play across child age and gender, and examined differences between fathers and mothers. Study 2 explored the vulnerability of play with fathers of children born preterm (PT‐fathers) and fathers who had experienced adverse childhoods (AC‐fathers). Study 3 investigated child internalizing behaviors. Intensity of play was maintained almost independently of child age and gender. It was similar for AC‐ and PT‐fathers, and similar to maternal Intensity. In contrast, paternal Quality of play was higher with boys and independent of fathers’ personality and perceived parenting stress whereas maternal Quality of play was higher with girls and linked to mothers’ perceived parenting competence, acceptability of the child, and neuroticism. AC‐fathers scored significantly low on Quality, as did PT‐fathers, but the Quality of their play became better with growing child age, birth weight, and cognitive (but not motor and temperament) scores. Finally, child internalizing behaviors were negatively related to paternal Quality of play.     

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.     

Brief Parenting Interventions for Children at Risk of Externalizing Behavior Problems: A Systematic Review

We systematically reviewed the evidence for the efficacy and effectiveness of brief parenting interventions, defined as <8 sessions in duration, in reducing child externalizing behaviors. While there is significant evidence to support the efficacy of parenting interventions of 8–12 sessions in duration, the public health benefit of these interventions is limited by low participation rates, high attrition rates and the lack of implementation by a wide range of practitioners. Brief parenting interventions have the potential to extend the reach and impact of parenting interventions and steer children away from a trajectory of life course persistent behavior problems. A search of four electronic databases was undertaken to identify RCTs conducted on brief parenting interventions. The primary outcome was child externalizing behaviors and secondary outcomes included parenting skills, parental self-efficacy, parental mental health and partner relationship functioning. The heterogeneity of included studies prevented a meta-analysis but characteristics of the studies were described. Nine papers summarising the results of eight studies with 836 families in five countries met inclusion criteria. All studies found significant improvements in parent-rated child externalizing behaviors, parenting skills and parenting self-efficacy, relative to control or comparison groups, with findings maintained at follow-up. Less consistent findings emerged for parental mental health and partner relationship functioning. This review provides initial evidence that brief parenting interventions may be sufficient to reduce child externalizing behavior problems for some families, however further research is needed.     

Associations Between Fathers’ and Mothers’ Psychopathology Symptoms,Parental Emotion Socialization,and Preschoolers’ Social-Emotional Development

In this study we tested whether the relation between fathers’ and mothers’ psychopathology symptoms and child social-emotional development was mediated by parents’ use of emotion talk about negative emotions in a sample of 241 two-parent families. Parents’ internalizing and externalizing problems were measured with the Adult Self Report and parental emotion talk was observed while they discussed a picture book with their children (child age: 3 years). Children’s parent-reported internalizing and externalizing problems and observed prosocial behaviors were assessed at the age of 3 years and again 12 months later. We found that mothers’ use of emotion talk partially mediated the positive association between fathers’ internalizing problems and child internalizing problems. Fathers’ internalizing problems predicted more elaborative mother–child discussions about negative emotions, which in turn predicted more internalizing problems in children a year later. Mothers’ externalizing problems directly predicted more internalizing and externalizing problems in children. These findings emphasize the importance of examining the consequences of parental psychological difficulties for child development from a family-wide perspective.     

Children's perceptions of parental behaviors

Children's perceptions of positive and negative parental behaviors were assessed using a newly-developed scale, the Parent Perception Inventory (PPI). Reliability and validity were examined across a sample of 75 children aged 5 to 13 using additional measures administered to the children and measures completed by their parents. The scale showed acceptable levels of internal consistency. No effects of children's age were apparent, but effects of the child's and parent's gender were found. Boys reported more positive parental behaviors, particularly for fathers, and children reported more negative (disciplinary) behaviors by mothers. PPI scores were predictably related to child's self-concept and behavior problems (convergent validity) and generally unrelated to measures of child's achievement (discriminant validity). As predicted by family systems theory, children from nondistressed families viewed their parents as behaving more similarly on the PPI than did children from distressed families.     

Parents' perfectionism and its relation to child rearing behaviors

The aim of the study was to investigate the relationship between parents' perfectionism and self‐reported parenting behaviors. The study included 786 parents (417 mothers and 369 fathers) of high school students. Results showed that parents' positive and negative perfectionism were differently related to specific forms of child rearing practices. Namely, positive perfectionism was positively, while negative perfectionism was negatively related to parental acceptance for both mothers and fathers. Mothers' and fathers' negative perfectionism was positively related to parental criticism and permissiveness. In addition, fathers' positive perfectionism was negatively associated with permissive child rearing practices. After controlling for background variables, parents' positive and negative perfectionism explained significant amounts of variance in all self‐reported parenting dimensions for fathers and significantly accounted for the variance of parental acceptance and criticism for mothers. According to our findings, parents' perfectionism might have an important role in shaping parenting behaviors.     

Maternal and Paternal Depressive Symptoms and Child Maladjustment: The Mediating Role of Parental Behavior

This study examined parental behaviors as mediators in links between depressive symptoms in mothers and fathers and child adjustment problems. Participants were 4,184 parents and 6,048 10- to 15-year-olds enrolled in the 1998 and 2000 cycles of the Canadian National Longitudinal Survey of Children and Youth. Mothers and fathers self-reported symptoms of depression at Times 1 and 2 and their children assessed parental nurturance, rejection, and monitoring and self-reported internalizing and externalizing problems and prosocial behavior at Time 2. Hierarchical linear modeling showed evidence of mediation involving all three domains of parental behavior. Findings supported the hypothesis that the quality of the child's rearing environment is one mechanism that carries risk to children of depressed parents. Interventions for parents whose symptoms of depression interfere with parenting responsibilities could help reduce the risk of some childhood disorders.     

The Impact of Evidence-Based Parent Education in Organized Youth Sport: A Pilot Study

Although existing literature in organized youth sport illuminates developmentally appropriate parent involvement behaviors, practitioners have yet to effectively disseminate evidence-based tools and strategies to parents. The purpose of the present pilot study was to design, implement, and assess an evidence-based education program for parents in organized youth sport. Thirty-nine fathers and 42 mothers from 7 youth soccer teams were assigned to full, partial, or nonimplementation conditions. Parents and their sport-participating children (41 boys, 40 girls) were administered surveys at pre- and postseason. Data reveal a positive impact of the implementation on aspects of parent involvement, the parent–child relationship, and salient child outcomes.     

Parental child-rearing attitudes associated with Type A behaviors in children

The relation of Type A behaviors to parental child-rearing attitudes was assessed for 177 mothers, 153 fathers, and their children in preschools. Type A behaviors of children were measured on the Japanese version of the Matthews Youth Test for Health (MYTH), and parental child-rearing attitudes were measured on the Parents' Attitudes Test (PAT). Children were classified as Type A and Type B on the basis of their MYTH scores, and parental child-rearing attitudes in the two types were compared in a combination of parental sex (mothers vs fathers) and child's sex (boys vs girls). Analysis showed that especially mothers and fathers of Type A boys had less concern for their children than their peers whose boys were classified as Type B. The notion that boys showing Type A behaviors might develop Type A behavior patterns by striving to obtain more expression of concern or affection from their parents was presented.     

Do Mothers and Fathers Perceive Their Child’s Problems and Prosocial Behaviors Differently?

The aim of this study was to compare mothers’ and fathers’ ratings of their young children’s problems and prosocial behaviors using the Korean version of the Strengths and Difficulties Questionnaire (SDQ). Furthermore, the present study examined whether parental depressive symptoms were linked to agreement between mothers’ and fathers’ ratings of their young children’s behavior. The sample consisted of 302 parents whose 5-year-old children attended childcare centers in Korea. The parents completed the Korean version of the SDQ and the Center for the Epidemiological Studies of Depression short form. The results revealed that both the mothers’ and fathers’ reports moderately correlated for both boys and girls, with greater correlations for externalizing problems than for internalizing problems. Whereas there were no significant differences between mothers’ and fathers’ reports of their children’s problems, mothers reported significantly more prosocial behaviors than fathers did, regardless of the child’s gender. Polynomial regression showed that mothers’ reports were more strongly associated with fathers’ report of their children’s prosocial behavior when mothers reported lower levels of depressive symptoms. The findings provide empirical evidence that mothers and fathers reported more similarities than differences in assessing child problems. Further analyses suggest considering maternal depressive symptoms when interpreting interparental agreement on their children’s prosocial behaviors.