The impact of infant-directed videos on parent-child interaction

This study assessed whether infant-directed videos designed to promote parent-child interactions actually support such engagement. Parents watched videos from the Baby Einstein or the Sesame Beginnings series for 2 weeks at home with their 12- or 18-month-old infants. Baby Einstein encourages parents to label objects and actions; Sesame Beginnings models activities in which parents can engage with their children. A control group was not provided videos for home viewing. In laboratory sessions, parent-child interactions were recorded during free play without TV, during the presentation of one of the videos, and immediately after watching. During viewing, interactions decreased in quantity and quality across groups; however, parents used video content as a basis for interaction. Coviewing Sesame Beginnings at home was positively associated with quantity of parent-child interaction during the initial free-play session. Furthermore, the quantity and quality of interactions were greater immediately following viewing of Sesame Beginnings than with Baby Einstein.     

Similarities and differences between western cultures: Toddler temperament and parent-child interactions in the United States (US) and Germany

Parents play a critical role in shaping social-emotional development, particularly in early childhood; however, children’s influence on their own development is equally important. Parent-child interactions, fundamental to secure attachment and social schemes, represent a critical area of social-emotional development subject to child effects associated with temperament. The present study explores these effects through a cross-cultural lens via comparisons of dyads from the United States (US) and Germany. Specifically, cross-cultural differences in toddler temperament were evaluated via the Early Childhood Behavior Questionnaire (ECBQ; Putnam et al., 2006), with cross-cultural variability in parent-child interactions examined as well, along with differences in child temperament effects on the quality of these interactions. Ratings of temperament were generally similar between the two cultures; however, US toddlers were rated higher in attention shifting, whereas German children were rated higher on soothability and perceptual sensitivity. Additionally, dyadic interactions in the US were rated as more stimulating and demonstrating greater partner engagement than those in Germany. Differential contributions of temperament to interaction quality and complexity were also observed. Higher ratings of toddler discomfort and perceptual sensitivity predicted more stimulating interactions overall in the US but not Germany. In contrast, higher ratings of toddler low-intensity pleasure predicted more stimulating interactions in Germany but not the US. Overall, the present study identifies many similarities between US and German toddlers and supports theories describing children as active agents in shaping their own development, in what appears to be a different manner across cultures.     

Parent-child interaction and developmental outcomes in children with typical and elevated likelihood of autism

BackgroundEarly parent-child interactions have a critical impact on the developmental outcomes of the child. It has been reported that infants with a family history of autism and their parents may engage in different patterns of behaviours during interaction compared to those without a family history of autism. This study investigated the association of parent-child interactions with child developmental outcomes of those with typical and elevated likelihood of autism.MethodThis longitudinal study investigated the relationship between global attributes of parent-child interaction and the developmental outcomes of infant siblings with elevated likelihood (EL: n = 29) or typical likelihood (TL: n = 39) of developing autism. Parent-child interactions were recorded during a session of free-play when the infants were six months of age. Developmental assessments were carried out when the children were 12 and 24 months of age.ResultsThe intensity of mutuality was significantly higher in the TL group than in the EL group, and developmental outcomes were poorer in the EL group when compared to the TL group. Positive associations between parent-child interaction scores at six months and developmental outcomes at 12 months were observed only in the TL group. However, in the EL group, higher levels of infant positive affect and attentiveness paid to the caregiver is associated with lower autism symptoms. Due to the sample size and design of the study, the findings must be viewed as indicative.ConclusionThis preliminary investigation demonstrated differences in the association between parent-child interaction quality and developmental outcomes for children with typical and elevated likelihood for autism. Future studies should combine micro-analytic and macro-analytic approaches to parent-child interaction to further examine the nature of this relationship.     

Parent-child interaction during the first year of life in infants at elevated likelihood of autism spectrum disorder

Autism spectrum disorder (ASD) likely emerges from a complex interaction between pre-existing neurodevelopmental vulnerabilities and the environment. The interaction with parents forms a key aspect of an infant’s social environment, but few prospective studies of infants at elevated likelihood (EL) for ASD (who have an older sibling with ASD) have examined parent-child interactions in the first year of life. As part of a European multisite network, parent-child dyads of free play were observed at 5 months (62 EL infants, 47 infants at typical likelihood (TL)) and 10 months (101 EL siblings, 77 TL siblings). The newly-developed Parent-Infant/Toddler Coding of Interaction (PInTCI) scheme was used, focusing on global characteristics of infant and parent behaviors. Coders were blind to participant information. Linear mixed model analyses showed no significant group differences in infant or parent behaviors at 5 or 10 months of age (all ps≥0.09, d≤0.36), controlling for infant’s sex and age, and parental educational level. However, without adjustments, EL infants showed fewer and less clear initiations at 10 months than TL infants (p = 0.02, d = 0.44), but statistical significance was lost after controlling for parental education (p = 0.09, d = 0.36), which tended to be lower in the EL group. Consistent with previous literature focusing on parent-infant dyads, our findings suggest that differences between EL and TL dyads may only be subtle during the first year of life. We discuss possible explanations and implications for future developmental studies.     

Exploring an integrative model of infant behavior: what is the relationship among temperament, sensory processing, and neurobehavioral measures?

Traditionally, developmental psychology, occupational/physical therapy, and behavioral pediatrics view similar infant behaviors from temperament, sensory processing, or neurobehavioral theoretical perspectives. This study examined the relations between similar and unique summary scores of three infant assessments (Early Infancy Temperament Questionnaire - EITQ, the Infant Sensory Profile - ISP, and the NICU Network Neurobehavioral Scale - NNNS) in a healthy sample of 100, one-month-old infants. A Principal Components Analysis of selected subscale scores derived from the three assessments suggested a three-factor model. Temperament and sensory summary scores had the strongest relations on two factors: Sensory-Affective Reactivity and Engagement. A third factor had strong relations between state regulation and motor competence. This new integrative model also validates an existing model and expands explanation of infant behavior across disciplines and methods which have significant implications for assessment, intervention, and management practices.     

Parent-child relationship, temperament, and physiological reactions to fear-inducing film clips: further evidence for differential susceptibility

Recent studies have supported the intriguing hypothesis that highly reactive infants are most susceptible to the effect of parenting. This study replicates and extends an earlier study on 4-year-olds concerning higher susceptibility of more fearful children to the quality of their relationships with their mothers, as shown by their physiological reactions to fear-inducing film clips. Two groups of children (4- and 7-year-olds) were shown the same fear-inducing and neutral film clips. During the film clips, their skin conductance and heart rate variability were measured. Both 4- and 7-year-olds responded to the fear-inducing film clips with increases in skin conductance and decreases in heart rate variability. A secure relationship affected the reactivity to fearful stimuli in temperamentally more fearful children but not in less fearful children irrespective of children's ages. Our findings add to the growing literature showing that children high in negative emotion are more susceptible to positive as well as negative rearing influences for better and for worse.     

Fathers’ personality and its interaction with children’s personality as predictors of perceived parenting behavior six years later

We investigated fathers’ personality and its interaction with children’s personality as predictors of adolescent perceived parenting behavior. Data were used from the Flemish Study on Parenting, Personality and Development including 353 children. At Time 1 fathers rated their personality whereas teachers rated the child’s personality. Six years later, adolescents rated their fathers’ parenting. Higher levels of paternal Emotional Stability were associated with less perceived overreactive and more positive parenting behaviors only when children were high on Extraversion, Benevolence, Conscientiousness, Emotional Stability and Imagination. This study is of theoretical interest because the results demonstrate that different forms of parenting are associated with goodness-of-fit relations between parent and child personality and that these relations are different for negative and positive parenting.     

Infant behavioural effects of smartphone interrupted parent-infant interaction

Infants are vulnerable to changes in the dyadic synchrony with their caregivers, as demonstrated in numerous experiments employing the still-face paradigm. The sudden lack of attunement causes infant stress reactions and the still-face literature have suggested potential long-term costs of this in terms of development of social, emotional and cognitive skills. Acknowledging the rapid technological development accompanied by altered practices in the parent-infant interaction, the current study investigates infant behavioural reactions in a similar experimental paradigm, manipulating parental responsiveness and sensitivity in a slightly different manner. In the current study, the parent interrupts the ongoing interaction, simulating occupation with a smartphone, rather than making a ‘still-face’. In a cross-sectional design, infants of six, nine and twelve months display increased levels of protest behaviour in response to the interrupted interaction with their parent, together with lowered levels of positive engagement and social monitoring, suggesting similar behavioural responses as the still-face effect. Implications for infant social and emotional development, as well as for mindful tech habits are discussed.     

Predicting cognitive development and early symptoms of autism spectrum disorder in preterm children: The value of temperament and sensory processing

This study was the first to longitudinally explore the extent to which early temperament and sensory processing were of predictive value for cognitive development and Autism Spectrum Disorder (ASD) symptomatology in a sample of preterm children (N = 50, 22 girls, mean gestational age 27 weeks). At the corrected ages of 10, 18, and 24 months, sensory processing and temperament were assessed, as were cognitive development and ASD symptoms at 36 months. Better cognitive development was predicted by fewer hospitalisation days at birth and by lower Activity Level at 18 months. Temperamental subscales of Negative Affect showed associations with both parent-reported and observational measures of ASD symptomatology, whereas sensory processing only had predictive value for parent-reported symptoms of ASD. The usefulness of temperament and sensory processing for prediction of ASD symptom severity and cognitive outcomes became clear in the second year of life. The results indicate that this area of research is worth additional investigation in the extreme and very preterm population, to explore in further detail whether these two concepts might be able to provide information about which preterms are more likely to develop ASD or cognitive impairments.     

The effect of chronic low back pain on tactile suppression during back movements

The aim of the present study was to examine whether tactile suppression, the phenomenon whereby tactile perception is suppressed during movement, would occur in the context of back movements. Of particular interest, it was investigated if tactile suppression in the back would be attenuated in those suffering from chronic low back pain. Individuals with chronic low back pain (N = 30) and a matched control group (N = 24) detected tactile stimuli on three possible locations (back, arm, chest) while performing a back or arm movement, or no movement. We hypothesized that the movements would induce tactile suppression, and that this effect would be largest for low-intense stimuli on the moving body part. We further hypothesized that, during back movements, tactile suppression on the back would be less pronounced in the chronic low back pain group than in the control group. The results showed the expected general tactile suppression effects. The hypothesis of back-specific attenuation of tactile suppression in the chronic low back pain group was not supported. However, back-specific tactile suppression in the chronic low back pain group was less pronounced in those who performed the back movements more slowly.     

Infant characteristics and parental engagement at the transition to parenthood

Positive engagement activities support children's adaptive development and new parents are encouraged to be highly engaged with infants. Yet, fathers’ engagement is widely understudied and maternal engagement quantity is frequently overlooked. Our study contributes to growing knowledge on associations between infant temperament and parental engagement by testing transactional and moderation models in a recent sample of first-time parents when infants were 3, 6, and 9 months old. Stringent longitudinal, reciprocal structural equation models partially confirmed an engagement “benefit”. Mothers’ engagement marginally contributed to their children's gains in effortful control from 3 to 6 months regardless of child gender. Further, mothers’ engagement reduced infant negative affect from 6 to 9 months regardless of child gender. Mothers’ ratings of infant negative affect were gendered; mothers’ ratings of infant negative affect increases more from 3 to 6 months for boys. Fathers’ engagement was contextually sensitive; child gender moderated the link between negative affect and engagement from 6 to 9 months, such that fathers became more engaged with boys whom they rated higher on negative affect; there was no effect for daughters. Finally, we found that effortful control moderated associations between negative affect and maternal engagement; mothers’ engagement increases from 3 to 6 months were greater for children initially rated lower in effortful control. Implications for future research and parenting education and support services are discussed.     

Parent-child interactions during joint engagement with touchscreen technology: A comparison of younger versus older toddlers

With a plethora of touchscreen apps aimed at young children, parents are receiving mixed messages about the appropriateness of such technology for their toddlers. The American Academy of Pediatrics (2016) advises limited engagement with digital media for this age group and encourages parents to co-engage with children when they are using screens. However, very little is known about parent-child interaction in the context of joint engagement with digital screen media in the toddler years. This study observed 56 toddlers (M = 32.5 months old; 53 % female) and a parent (52 mothers; 4 fathers) performing a 3-minute drawing task on a touchscreen tablet (digital condition), and on an Etch-A-Sketch (non-digital condition) using a repeated measures design. Observations were analysed using global ratings of dyadic interaction, comparing warmth, cooperation and conflict between digital and non-digital conditions. A mixed MANCOVA analysis, controlling for levels of daily usage of touchscreens, revealed lower levels of parent-child cooperation and warmth in the digital condition compared to the non-digital condition. In addition, there was a main effect of age with younger dyads displaying less cooperation overall, particularly in the digital condition where interactions were also less warm. Results suggest that co-engaging with digital technology can be a challenging and potentially emotionally charged context for both parents and young children. Younger toddlers, especially, may be more likely to experience less cooperative interactions when co-engaging with digital technology with a parent. Results are discussed in relation to developmental differences between 2- and 3-year olds, and the need for more nuanced guidance for parents supporting young children’s interaction with digital media.     

Infant irritability and early mother–infant reciprocity patterns

This study investigated how various forms of neonatal irritability (at 3 days) and irritability at 10 weeks are related to reciprocal interactions between mothers and their infants. Fifty‐six fullterm, first‐born male infants were examined using the Neonatal Behavioral Assessment Scale (NBAS‐K) at 3 days postpartum. Each infant was rated for irritability to aversive stimuli, general irritability, consolability and responsiveness to visual–auditory stimuli. At 10 weeks of age, during a home visit, mother–infant reciprocity was scored for gaze, smile, vocalization and hold behaviors. Based upon maternal reports and behavioral observations, infant irritability was scored at 10 weeks using the NBAS‐K scoring system. Findings revealed that: (1) there were two distinct forms of reciprocity: social and physical; (2) general irritability at 3 days was negatively related to reciprocal hold interaction and positively related to reciprocal social interaction at 10 weeks, and (3) neonatal irritability to aversive stimuli (at 3 days) was positively related to subsequent reciprocal social interaction. Regression analyses showed that neonatal variables were the foremost predictors of reciprocal hold at 10 weeks. Findings are discussed in terms of (1) the need to differentiate between social and physical behavioral patterns, and (2) time‐lag effects with respect to mother–infant interactions. Copyright © 1999 John Wiley & Sons, Ltd.     

Cortisol reactivity and negative affect among preterm infants at 12 months during a mother-infant interaction task

The purpose of this study was to investigate correlates of preterm (PT) infant’s cortisol reactivity and the association to infant negative affect, during a mother-infant interaction procedure. Participants included 48 infants born prematurely (gestational age < 37 weeks) and their mothers, assessed when infants were 12 months old corrected for prematurity. The examined variables comprised both neonatal and environmental dimensions including maternal interactive behavior. Infant negative affect and maternal interactive behavior were assessed with a standardized mother-infant interaction task. A baseline infant saliva sample was collected before the interaction began, and a second sample after the interaction episodes ended. Results revealed that decrease of infant’s cortisol concentration was significantly associated with the exposure to more sensitive, and less intrusive maternal behaviors. However, once controlled for neonatal risk, family SES and maternal psychological distress, the associations were rendered non-significant. Although the association between cortisol reactivity and negative affect trended toward significance, maternal intrusiveness was the only significant predictor of observed infant negative affect. Findings suggest the importance of primary relational experiences on PT infants' early regulatory competencies.     

Temperament and its Relationship to Autistic Symptoms in a High-Risk Infant Sib Cohort

The present study prospectively investigated early temperamental profiles and their associations with autistic symptoms in high-risk infants (N = 138) with an older sibling with autistic spectrum disorder (ASD) and low-risk infants (N = 73) with no family history of ASD. Children who were diagnosed with ASD at 36 months were distinguished from non-ASD sibs and controls by a temperament profile marked by lower positive affect, higher negative affect and difficulty controlling attention and behavior, which we labeled Effortful Emotion Regulation. This profile also distinguished the non-ASD sib group from the control group. Children with ASD were distinguished from both of the other two groups by a temperament profile of low Behavioral Approach (lower sensitivity to “social” reward cues). Low levels of Behavioral Approach were associated with a higher number of ASD symptoms, even after taking into account IQ, sex and group membership. Finally, a cluster analysis revealed two ASD subgroups distinguished by number of ASD symptoms, IQ, age of diagnosis and scores on the Behavioral Approach profile. These findings suggest that temperament may be a useful framework for understanding the emergence of ASD early in life.     

The use of psychopharmacology to study reciprocal influences in parent-child interaction

The present paper reviews the possible utility and limitations of using behavior-modifying drugs to study reciprocal influences in parent-child interactions. Ideal circumstances for use of this approach are outlined and contrasted with the current status of the field of psychopharmacology. Numerous limitations to the approach are found. Yet the utility of the design is demonstrated in several studies of stimulant drug effects on the mother-child interactions of hyperactive children, and in one pilot study of the effects of diazepam, an anxiolytic, on these same interactions. The major pitfalls to this approach will quite likely be overcome by future research and the development of safer, more highly specific behavior-modifying drugs.Funding for this paper is derived from Grant No. 1-R01-MH32334-01 from the National Institute of Mental Health.     

Clinic observations of structured parent-child interaction designed to evaluate externalizing disorders

Observing structured parent-child interaction in clinic analogs has been a tradition in child clinical assessment since the 1960s. The clinic analog is designed to re-create important conditions from natural contexts such that dysfunctional parent-child patterns can be observed and modified. To those basic goals, the modern clinician would add diagnosis and treatment evaluation. Three classes of parent-child clinic analogs designed to evaluate preadolescent children with externalizing disorders were reviewed: free play, parent-directed play, and parent-directed chores. Free-play analogs and parent-directed chore analogs were found to have merit, but remain psychometrically underdeveloped. Practitioner reliance on questionnaires and interviews appears likely to continue until observational analogs have attained sufficient psychometric qualities to facilitate routine clinical decisions.     

Individual differences in emotional reactivity moderate the strength of the relationship between attentional and implicit-memory biases towards threat-related stimuli

The study investigated whether the strength of the relationship between attentional and implicit-memory biases for threat-related material can be moderated by individual differences in temperament and personality. A spatial cueing task, where task-irrelevant angry, happy, and neutral faces acted as spatial cues preceding a target, was immediately followed by an unexpected “old/new” task involving previously presented faces. Temperament-based emotional reactivity (ER; one's typical response strength to emotional stimuli) predicted improved memory performance for angry faces in the “old/new” task. Critically, the relationship between the attentional bias towards threat (indexed by a cue validity index, i.e., a difference in response times on trials where cues with angry expression were presented in the same versus different location to the subsequent target) and enhanced implicit-memory for previously presented task-irrelevant threat-related information was found to be moderated by ER. The current findings provide the first evidence that temperament traits can offer novel insights into the mechanisms enhancing cognitive biases towards threat in the typical population.     

Relations from temperamental approach reactivity and effortful control to academic achievement and peer relations in early elementary school

The goal of the current study was to examine relations from temperamental approach reactivity (i.e., impulsivity, frustration, and positive affect) and effortful control (EC; 42 and 54 months) to teachers’ reports of academic achievement and popularity (72 and 84 months). Frustration was positively related to achievement and negatively related to popularity for girls, but unrelated to boys’ outcomes. Interactions suggested that, among children with high EC or emotional approach (frustration or positive emotion), impulsivity positively predicted achievement. Few gender differences in interactions were noted. These results provide insight into the dynamics relations from temperament/personality to children’s academic and social adjustment.