Correlates of suicidal behaviors among Asian American outpatient youths

Medical record abstraction was conducted at an ethnic-specific mental health outpatient clinic to identify correlates of suicidal behaviors in a sample of 285 Asian American youths. Some risk factors, such as parent-child conflict and age, which have been associated with suicidality in majority group youths, predicted suicidality in this sample, whereas other risk factors, such as gender, did not generalize to this sample. Acculturation interacted with the risk factor of parent-child conflict to predict suicidality. Less acculturated Asian youths were at proportionally greater risk for suicidality under conditions of high parent-child conflict than were their more acculturated counterparts. This finding underscores the importance of culture as a context for determining the relevance of stressors for potentiating psychopathology.     

祖辈协同教养与幼儿错误信念理解能力的关系:亲子依恋与祖辈同住的作用

为考察祖辈协同教养与幼儿错误信念理解之间的关系以及幼儿亲子依恋的中介作用,采用方便抽样的方法,调查了某城市三所幼儿园345名小班至大班的祖辈协同教养幼儿及其家庭教养人。对幼儿使用操作任务考察错误信念理解能力,对其家庭教养人利用自陈式问卷收集家庭教养方式和亲子依恋等数据。结果显示：(1)祖辈协同教养类型显著影响幼儿的错误信念理解水平和亲子依恋,“有祖辈同住”协同教养幼儿的错误信念理解水平以及依恋的安全性均显著低于“无祖辈同住”协同教养幼儿;(2)亲子依恋在祖辈协同教养的民主信任和教养冲突两个维度与幼儿错误信念理解能力之间分别存在显著的中介作用;(3)祖辈协同教养类型在教养冲突、亲子依恋、错误信念理解能力的中介模型中起调节作用,在“有祖辈同住”条件下,协同教养冲突显著负向预测幼儿的亲子依恋安全感。     

The Relations among Measurements of Informant Discrepancies within a Multisite Trial of Treatments for Childhood Social Phobia

Discrepancies between informants’ reports of children’s behavior are robustly observed in clinical child research and have important implications for interpreting the outcomes of controlled treatment trials. However, little is known about the basic psychometric properties of these discrepancies. This study examined the relation between parent-child reporting discrepancies on measures of child social phobia symptoms, administered before and after treatment for social phobia. Participants included a clinic sample of 81 children (7–16 years old [M = 11.75, SD = 2.57]; 39 girls, 42 boys) and their parents receiving treatment as part of a multisite controlled trial. Pretreatment parent-child reporting discrepancies predicted parent-child discrepancies at posttreatment, and these relations were not better accounted for by the severity of the child’s pretreatment primary diagnosis. Further, treatment responder status moderated this relation: Significant relations were identified for treatment non-responders and not for treatment responders. Overall, findings suggest that informant discrepancies can be reliably employed to measure individual differences over the course of controlled treatment trials. These data provide additional empirical support for recent work suggesting that informant discrepancies can meaningfully inform understanding of treatment response as well as variability in treatment outcomes.     

TRAINING PARENTS TO USE THE NATURAL LANGUAGE PARADIGM TO INCREASE THEIR AUTISTIC CHILDREN'S SPEECH

Parents of four nonverbal and four echolalic autistic children were trained to increase their children's speech by using the Natural Language Paradigm (NLP), a loosely structured procedure conducted in a play environment with a variety of toys. Parents were initially trained to use the NLP in a clinic setting, with subsequent parent-child speech sessions occurring at home. The results indicated that following training, parents increased the frequency with which they required their children to speak (i.e., modeled words and phrases, prompted answers to questions). Correspondingly, all children increased the frequency of their verbalizations in three nontraining settings. Thus, the NLP appears to be an efficacious program for parents to learn and use in the home to increase their children's speech.     

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.     

Novel Insights into Longstanding Theories of Bidirectional Parent–Child Influences: Introduction to the Special Section

Although bidirectional parent and child influences have been incorporated in theoretical models pertaining to the development of internalizing and externalizing behaviors in youth, studies have historically focused on the socializing influence that parents have on their children. This has left several important research questions unanswered about the nature of bidirectional parent-child relations across development, including how these bidirectional effects are related to different types of child and adolescent psychopathology. The goal of this special section is to examine some longstanding issues regarding the nature of bidirectional parent-child effects across time using a diverse array of longitudinal datasets. The results from these studies emphasize the importance of considering bidirectional effects in developmental psychopathology research, particularly the often overlooked influence that children and adolescents have on their parents' behavior and emotional well-being. Following these empirical articles, an expert in the field provides a scholarly commentary designed to outline the progress that has been made in understanding bidirectional parent-child effects across development as well as to propose fruitful areas for future research.     

Clinical significance and correlates of disruptive behavior in environmentally at-risk preschoolers

Examines the clinical significance and correlates of disruptive behavior disorder symptoms (DBDSX) in preschoolers. Participants were 129 predominantly minority preschoolers (2 1/2 to 5 1/2) residing in low-income environments, half of whom were clinic-referred for disruptive behavior. Children with higher levels of DBDSX were more impaired in parent-child, preschool and clinic contexts. Correlates of DBDSX included both prenatal and infancy risks (low soothability as infants, prenatal exposure to cigarettes) and concurrent parenting factors (harshness, low levels of behavioral responsiveness, and parenting stress). In general, the clinical and risk profile of DBDSX in preschoolers at environmental risk appears to be similar to that of older children. Based on the results of this study, etiologic and prevention research on disruptive behavior disorders should begin in the first few years of life.     

Maternal ADHD: Parent-Child Interactions and Relations With Child Disruptive Behavior

This study examined how ADHD symptoms in mothers of children with ADHD relate to their behavior during parent-child interactions and to their children's disruptive behavior. Findings indicated that mothers’ retrospective self-ratings of ADHD symptoms were related to their present negativity during parent-led play. Mothers’ self-ratings of current inattentive symptoms were related to their impatience during child-led play. Maternal ADHD symptoms were also related to their ratings of their children's ADHD and oppositional-defiant behaviors. Identifying relations between maternal psychopathology, such as ADHD symptomatology, and behaviors during parent-child interactions may yield clues to additional parent behavioral changes that would enhance treatment outcomes for young children with ADHD.     

Assessment of mothers' working models of relationships: Some clinical implications

The parent-child relationship exerts a powerful influence upon child behavior. Thus, it has been suggested that psychiatric diagnoses of infants and young children should include a characterization of parent-child relationships and interactions. In this article, we discuss one way of characterizing relationships, which is based upon interviews of parents' childhood histories and their conceptualizations or working models of early experiences (Adult Attachment Interview, George, Kaplan, & Main, 1985). The associations between mothers' working models, their parenting behavior, and the behavior of their children are discussed. Patterns of parent-child relationships described in mothers' subjective histories are discussed with respect to the patterns of interactional behavior of the mothers and their children observed in a laboratory play session. Case examples are given to illustrate the patterns, and implications for clinical use of this system are discussed. The interview appears to be a reliable tool for characterizing parental histories, assessing the associations between subjective conceptualizations and parenting behavior, exploring parental contributions to child behavior, and outlining patterns of relationships.     

亲子互动中游戏参与方式、情感交流和儿童心理理论的关系

本研究通过亲子互动游戏观察来考查亲子游戏参与方式、情感交流与儿童心理理论发展的关系。实验结果如下:第一,控制了年龄因素后,儿童的亲子游戏参与方式中的主动参与和建议游戏两种方式与儿童心理理论发展之间存在显著的相关;而对于母亲来说,指导游戏的参与方式和儿童心理理论发展存在显著相关。第二,控制了年龄因素之后,儿童情感交流方面的分享积极情感和心理理论发展之间存在显著相关。而母亲这方面的指标和儿童心理理论发展没有显著相关。文章对上述结果进行了分析讨论。     

在家庭自由游戏和智力任务游戏中亲子交往行为特征

本研究采用家庭录像观察,考察了53名4岁儿童及其父母在自然的家庭环境中的两个情境———自由游戏和完成拼图任务的智力游戏情境中儿童与其父母交往的行为特征和互动类型。结果发现:(1)在儿童4岁时,在家庭自由游戏情境中母亲的各种行为均显著多于父亲的各种行为,这表明在游戏过程中,母亲是儿童主要的交往对象。在拼图游戏情境中,除了父亲和母亲在商量和交流行为上没有显著差异之外,母亲的其他行为显著多于父亲的其他行为。儿童在这两个游戏情境中均表现出较多的顺从行为。(2)在自由游戏情境中,亲子互动类型包括四种:父母交流-儿童不交流型、母亲高控-儿童顺从型、父亲控制-儿童不顺从型和母亲不交流-儿童交流型。拼图游戏情境中,亲子互动类型有四种:父母放任-儿童独立型、父母控制-儿童顺从型、母子交流型和父亲控制-儿童顺从型。     

Crisis phenomena among African adolescents

This study investigated inadequate parent-child relationships, problems with regard to sexuality, and substance abuse among African university students. They reported experiencing positive aspects of the parent-child relationship, such as acceptance, love, understanding, encouragement, and guidance, as well as negative aspects, including inadequate communication and parents' authoritarian attitudes. Numerous sexual issues and the abuse of alcohol and other drugs were perceived as serious problems among teenagers in general. Although an inadequate parent-child relationship appears to contribute to substance abuse and sexuality problems, it cannot be regarded as solely responsible, as a multitude of factors also play a role. The results indicate the need for life-skills training for both adolescents and parents, particularly regarding communication.     

Exploring How Parents Make Sense of Change in Parent-Child Psychotherapy

Understanding how change occurs in psychotherapy is imperative in informing clinical practice. Increasing attention has been given to the role that qualitative research could play in enhancing our understanding of therapeutic change. Although quantitative research suggests that parent-child psychotherapy is effective in facilitating change, no research to date has focused on how parents make sense of their change experience. In this study, interpretative phenomenological analysis was used to analyze semi-structured interviews of eight parents who had completed parent-child psychotherapy about their understanding of change. Five master themes emerged that encapsulated participants’ understanding of change. These included constructing a survivor narrative, the experience of being understood enabling further understanding, adjusting expectations and practicing acceptance, and feeling empowered to relinquish control. The final theme summarized how despite psychotherapy being conceptualized as a “precious” resource, there was a sense that its limitations could negatively impact participant’s well-being.     

Issues in Parent-Child Agreement: The Case of Structured Diagnostic Interviews

There are three primary purposes of this review. First, the review distinguishes among three types of reliability and describes the importance of evaluating the reliability of child psychopathology assessment instruments for clinical practice and research. Second, parent-child reliability findings from 5 of the more carefully studied and frequently used Structured (semi and highly) diagnostic interviews (The Schedule for Affective Disorders and Schizophrenia for School-age Children, The Child Assessment Scale, The Anxiety Disorders Interview Schedule for Children. The Diagnostic Interview for Children and Adolescents, and the Diagnostic Interview Schedule for Children) are examined. Finally, this review explores factors that have been implicated in terms of their potential effect on parent-child agreement. In addition, future directions for research and clinical practice within this area are identified and potential resolutions to the conundrum of parent-child discordance are discussed.     

Attachment-based assessments of parent-child relationships in middle childhood

Although a number of measures have been developed to assess parent-child attachments, validity data on middle-childhood measures are lacking. The present study tested attachment-based measures of parent-child relationships designed for the later middle-childhood years (9-12 years of age). Self-reports from children assessed perceptions of security and avoidant and preoccupied coping. Some children also completed a projective interview assessing attachment state of mind. Mothers and fathers reported their willingness to serve as an attachment figure and were rated for responsiveness. Data were collected from a cross-sectional sample of 3rd and 6th graders and their parents. A 2-year follow-up on the younger sample provided data on the stability of the measures. There were modest associations across the different measures and moderate to high stability. The attachment-based measures were also related to teacher ratings of children's school adaptation.     

Family interaction and child psychopathology: A comparison of two observation strategies

We examined two systems of assessing family interactions that are in common usage: a home based observation of free parent-child interaction and a clinic based observation of a structured mother-child problem solving discussion. Participants were 18 depressed, 27 conduct disordered and 16 comparison children and their mothers. Results indicated that: 1) these observations may yield very different data about child, and to a lesser extent, parent behavior, 2) parental affect in the clinic was related to their level of aversive behaviour in the home, 3) levels of both aversive and positive behavior for children and their mothers were correlated within each setting, 4) accuracy of diagnostic classifications made on the basis of the observational data were highest for comparison and conduct disordered children, but lowest for depressed children observed in the clinic, and 5) the inclusion of data on mothers' behavior increased classification accuracy for conduct disordered children only.     

Dyadic Mental State Talk and Sophistication of Symbolic Play between Parents and Children with Behavioral Problems

Parents’ ability to recognize children’s mental states and use mental state language in their interactions are associated with children’s mentalization, affect regulation, and symbolization in play. However, the relations among these constructs have not been investigated in school-age children with behavioral problems. This study examined the association between 53 Turkish mother-child and 40 father-child dyads’ mental state talk, children’s play characteristics, and behavioral problems at the beginning of psychotherapy. Results indicated that parents’ and children’s play-related mental state talk was associated with children’s interactive role-play, and mothers’ mental state talk was associated with children’s affect regulation in play. Moreover, mental state talk through pretend play was linked with fewer internalizing symptoms; yet a direct focus on children’s mental states out-of-pretend play was correlated with more behavioral problems, highlighting the multidimensional nature of the mentalization construct. These results are discussed taking into account the socio-cultural variations of the Turkish culture highlighting the unique characteristics of the parent-child play in context. The clinical implications point to the importance of parental and child mentalization within pretend play, that provide opportunities for affect processing, which could promote symptomatic improvement.     

Parent-child physical play: The effects of sex and age of children and parents

Physical play is an important vehicle for differential socialization of boys and girls into appropriate sex roles. The aim of the study was to examine developmental changes in patterns of parent-child physical play as a function of the sex of parent and child. Three hundred ninety families with a total of 746 children ranging in age from under 1 year to 10 years were contacted by telephone and questioned about the frequency of physical-play interactions with their children. The results indicated that the strongest variable affecting the frequency of physical play was the age of the child. This developmental effect was curvilinear, with comparatively low levels prior to age one, a peak in the early childhood years, and the decline thereafter. Fathers tended to engage in more physical play than mothers. Effects of child sex were less evident, but tended to indicate that girls participated more often in nonstrenuous physical games with their parents, such as pattycake and being bounced on the parent's knee, while boys participated more often in activities such as wrestling and ball playing. There was a modest but significant tendency for older parents to engage less often in physical play with their children at each age level. The implications of parent-child physical play for sex role typing were noted.     

家庭微系统对幼儿心理理论的影响:因素、过程和机制

基于国内外家庭对幼儿心理理论影响的研究,可将家庭微系统分成三个子系统:家庭基本环境子系统(包含家庭社会经济地位和兄弟姐妹数量类型)、父母与儿童互动子系统(包含依恋类型、教养方式、情绪表达和亲子游戏)和兄弟姐妹与儿童互动子系统(包含合作冲突和假装游戏)。家庭微系统对幼儿心理理论的影响机制模型可假设为:家庭基本环境子系统中家庭社会经济地位影响着父母与儿童互动子系统,兄弟姐妹数量类型影响着兄弟姐妹与儿童互动子系统。父母与儿童互动子系统、兄弟姐妹与儿童互动子系统中的各变量均通过心理状态术语使用这一中介变量进而影响儿童心理理论的发展。该模型需要实证研究加以进一步验证。