PCIT-Health: Preventing Childhood Obesity by Strengthening the Parent–Child Relationship

Childhood obesity is a costly, yet preventable, public health concern. Strengthening the parent–child relationship and teaching parents strategies to manage children’s general and health-related behaviors has the potential to reduce childhood obesity risk. Selective prevention interventions may help parents of young children establish positive parenting and feeding practices to actively reduce risk factors. We review the existing literature on childhood obesity interventions and describe an adaptation to a behavioral parent training program—parent–child interaction therapy (PCIT)—to address children’s behaviors in obesity-salient (e.g., mealtime, screen time, bedtime) contexts. In a case example, we describe how PCIT-Health can be effectively implemented.     

Intergenerational Continuity in Qualities of the Parent–Child Relationship: Mediating and Moderating Mechanisms

Intergenerational continuity in parenting quality has been demonstrated but the mechanisms underlying this continuity are less understood. This study investigated whether the offspring personality and years of education mediate the continuity in qualities of the parent–child relationship and whether offspring personality moderates this association. The sample comprised 1308 Finnish offspring (G2; 62% female) and their mothers (G1). G1 (Mean age?=?37.7) reported self-perceived qualities of the parent–child relationship in terms of emotional warmth and acceptance towards G2 aged 3–18 years in 1980. Thirty-two years later, once having become parents themselves, G2 (Mean age?=?42.9) self-rated their own qualities of the parent–child relationship towards their children using the same scales. Between these follow-ups, G2 self-rated their personality (consisting of temperament and character traits) using the Temperament and Character Inventory and reported years of education. Results indicated that G2 character traits—Self-directedness and Cooperativeness—partially mediated the intergenerational continuity in self-perceived emotional warmth and explained 16% of this association. No mediating role of G2 temperament traits was found (all ps?>?.240). Character traits accounted for the indirect association better than education in a multiple mediator model. Moreover, no moderating role of either temperament or character traits was found (all ps?≥?.064). Study findings show that warm and accepting qualities of the parent–child relationship in childhood are related to offspring character traits that reflect personality maturity in adulthood, which in turn would predict their own positive parent–child relationship later in life.     

The Parent–Child Relationship as an Archetype for the Relationship Between God and Humanity in Genesis

This article explores the idea that the relationship between a parent and developing child may serve as an archetype for understanding the changing relationship between God and humanity in Genesis. With Adam, Abraham, Jacob, and Joseph representing successive stages of human development, the narrative structure of Genesis is said to portray the relationship between God and humanity as changing in a way that parallels a parent's changing relationship with his or her children across their growth toward psychological integration. This changing relationship with God, which starts out with a symbiotic union with the divine, progresses through separation and individuation, and culminates in reintegration with God, may offer a Biblical approach to psychological growth and healing, as well as a theoretical conceptualization for both the parental and mutable nature of God.     

Peer Victimization and Depressive Symptoms: Role of Peers and Parent–Child Relationship

The purpose of this study was to investigate the moderating role of parental and peer support and gender differences in the association between peer victimization forms and depressive symptoms. The sample included 261 youths (ages 10–14). Physical victimization rates were higher for boys, whereas girls reported higher emotional victimization experiences and higher peer support. Regardless of gender, a significant moderation effect indicated that physical victimization was significantly related to depressive symptoms among youths with lower peer support. There were significant main effects of parental and peer support for both genders. The findings contribute to the literature regarding the effects of peer victimization on mental health by illustrating the protective role of peer support against depressive symptoms.     

The Association Between Reflective Functioning and Parent–Child Relationship Quality

Research consistently links adult and infant attachment styles, yet the means by which attachment is transmitted is relatively elusive. Recently, attention has been directed to the psychological underpinnings of caregiver sensitivity—originally thought to be the mechanism of transmission—as indicated by caregivers’ ability to keep in mind children’s mental states when interpreting children’s behavior, or reflective functioning. Unfortunately for researchers, extant measures of reflective functioning are time-consuming and require extensive observation and coding. A self-report measure could help facilitate the study and assessment of reflective functioning in research and clinical settings. This study investigated the relationship between parental reflective functioning and multiple aspects of the parent–child relationship, by using a new, self-report measure of reflective functioning. Participants were 79 caregivers (M _age = 31.8 years) who completed self-report measures assessing reflective functioning, parent–child relationship characteristics, perceived rejection in early relationships, attachment anxiety and avoidance in current close relationships, depression, and substance use. The results indicated that reflective functioning is a strong predictor of parent–child relationship quality (i.e., parental involvement, communication, parent satisfaction, limit setting, and parental support), independent of other potential indicators. Findings support parental reflective functioning as a contributor to the quality of parent–child relationship and suggest that a parent’s capacity to reflect on the mental states of his or her child in parent–child interactions may provide a key target for interventions that aim to improve parent–child relationships.     

Youthful Arrest and Parental Support: Gendered Effects in Straining the Parent–Child Relationship

Much research confirms the importance of the quality of the parent–child relationship on youth involvement in delinquency. Yet, few have examined this in reverse order, that is, how an arrest for delinquency impacts the parent–child relationship. This article explores the effects of arrest on the child’s perceived level of parental support using youth survey data for the nation. Among non-arrested youth, parental support experiences a gradual decline during the early teen years, and a considerable rebound in the late teen years. Among arrested youth, support shows sharper drops and recoveries over the teen years. Controlling for a set of social, legal, and demographic items, we examine the effects of the number of arrests on parental support with multinomial logistic regression, noting several gender effects. First, we find that arrests predict lower levels of support for mothers, but not for fathers. An equally noteworthy finding is that boys report more parental support than girls do, regardless of parent gender.     

Parent–Child Conversations about the Past: Exercises for the Child’s Study of the Present

We outline ideas and research in training parents to help their children to appreciate historical patterns of social contingencies as well as contingencies in the present. Parents’ use of “lessons and dialogue” is presented as a means of guiding the children’s efforts to describe their past experiences in narrative format, along with teaching the children about contingency management in the present. Lessons define this latter type of parent teaching, and dialogue defines the former type. Our focus is on dialogue because it is not well known in the parent training literature. A case study is included to illustrate the potential benefits and problems encountered in training parents to use dialogue.     

Improved Parental Emotional Functioning After Circle of Security 20-Week Parent–Child Relationship Intervention

This study examined the effectiveness of the attachment-based Circle of Security 20-week intervention (COS) in improving parent emotional functioning in 83 families referred to a community clinical service with concerns about their young children’s behavior. Parenting stress and parent psychological symptoms were assessed pre and post intervention and mixed design repeated measures ANOVAs were used to assess change. Severity of presenting problems was considered as a moderator. Results showed clinically significant improvements in both aspects of parent emotional functioning, with changes accounted for by for those with more severe problems at the outset. Improvements for parents were associated with improved child behavior and more positive parent representations of the child and of parenting capacity. Findings suggest the intensive COS intervention is effective in reducing parenting stress and psychological symptoms in parents of children from aged 1–7 years. Questions remain about the mechanisms of change and the direction of effects.     

Sibling Relationships in Emerging Adulthood: Associations with Parent–Child Relationship

Conflicting theories (e.g., compensatory and congruence) describe the effect of the parent–child relationship on sibling relationship quality. By identifying specific parenting factors (i.e., Care and Control) and specific aspects of the sibling relationship (i.e., Affect, Behaviors, and Cognitions), the current study sought to examine the factors related to either theory in order to better understand the sibling relationship in emerging adulthood. Data were collected from 575 undergraduate students. A factorial MANOVA tested the relationship between parenting style and sibling relationship quality, measured by the Lifespan Sibling Relationship Scale. Results primarily supported the congruence hypothesis and revealed that parental Care and Control are important variables in understanding the sibling relationship. Additionally, the findings were consistent across racial/ethnic groups.     

Indirect Effects of Parent–Child Relationship Quality and Media on Emerging Adult Body Esteem

Journal of Child and Family Studies - Previous research has shown that media messages affect body image in emerging adults. Furthermore, parental body image messages and parent–child...     

A Brief Parenting Intervention to Enhance the Parent–Child Relationship in Hong Kong: Harmony@Home

There is a dearth of high-level evidence for brief programs designed to promote positive parent–child relationships in nonwestern cultures. We present a pilot randomized controlled trial of a four-session intervention to enhance the parenting skills that promote a positive relationship with pre-adolescent children in Hong Kong. Our intervention, Harmony@Home, utilized Cunningham’s culturally appropriate coping modeling, problem-solving approach to change parental behavior. Our objective was to evaluate the feasibility, acceptability and initial evidence of benefit of the intervention. We blindly randomized 150 Hong Kong parents of children 10–13 years of age to (a) a Harmony@Home intervention group, (b) a waitlist control group, or (c) a third active intervention which shared the control group. Immediately following the intervention, we report increases in satisfaction with the parent–child relationship, one of the targeted parenting behaviors and family harmony, for the Harmony@Home group versus control group. However, only the results from satisfaction with the parent–child relationship were significant at 3-months post intervention. Most respondents reported high levels of program satisfaction. The results provide preliminary evidence that this parenting intervention is culturally acceptable for a nonwestern general population, is feasible for implementation in a community setting and shows evidence of benefit. This intervention is concordant with public health priorities because of the global importance of the parent–child relationship as a protective factor for adolescent outcomes, the need for culturally-appropriate interventions for nonwestern populations, and design characteristics that promote dissemination.     

Parental Anxiety Disorders, Child Anxiety Disorders, and the Perceived Parent–Child Relationship in an Australian High-Risk Sample

This study was designed to explore the role of perceived parenting behavior in the relationship between parent and offspring anxiety disorders in a high-risk sample of adolescents. We examined the relationship between parental and child anxiety disorders and tested whether perceived parenting behavior acted as a mediator between these variables. Analyses were performed on a high-risk sample of 816 fifteen-year-olds drawn from a birth cohort in Queensland, Australia. Parental depression and income were covaried. Maternal anxiety disorder significantly predicted the presence of anxiety disorders in children; the association between paternal anxiety disorder and child anxiety disorder was not significant. There was no evidence that perceived parenting played a mediating role in the association between mother and child anxiety disorders. These results replicate earlier studies' findings of elevated rates of anxiety disorders among the offspring of anxious parents, but only when the child's mother is the anxious parent.     

Examining the Efficacy of Parent–Child Interaction Therapy with Children on the Autism Spectrum

Externalizing behaviors are a common component of the clinical presentation of autism spectrum disorders. Although traditionally used with typically-developing children, parent–child interaction therapy (PCIT) is one behaviorally-based parent training program that has demonstrated success in increasing child compliance, reducing problem behavior, and improving parent–child communication. The study examined the efficacy of PCIT as a treatment for children with autism spectrum disorders by employing a single subject, non-concurrent multiple baseline design across three subjects. Primary findings revealed increases in child compliance, reductions in child disruptive behavior, and improved parenting skills across participants. In addition, each caregiver reported high levels of satisfaction with the intervention. Results suggested that PCIT may be a treatment option for children on the autism spectrum with co-occurring behavioral difficulties. Although the non-concurrent nature of the multiple baseline design is a limitation, this study replicates and extends previous research investigating the efficacy of PCIT with children with autism and their parents.     

A Latent Profile Analysis of the Parent–Adolescent Relationship: Assessing Both Parent and Adolescent Outcomes

Using family systems and attachment theory frameworks, this study identified specific dimensions of the parent–adolescent relationship and examined the association between those dimensions and adolescent depression and delinquency, and parental depression 2 years later in a racially and ethnically diverse sample. Parent–adolescent relationships were identified using a person-centered approach, latent profile analysis, using closeness, communication, conflict, and autonomy as dimensions of the relationship. The latent profile analysis produced a four-profile solution, which was labeled secure, avoidant, anxious, and detached. Next, parent and adolescent outcomes were examined. Results indicated that adolescents in the detached profile exhibited the highest amount of delinquency, whereas the parents exhibited the lowest amount of depression. Adolescents in the avoidant profile also exhibited high levels of delinquency, and parents in this profile also exhibited the highest amount of depression symptoms. No profile differences were found for adolescent depression symptoms. Implications for family interventions are discussed.     

Actor–Partner Interdependence of Compassion toward Others with Qualities of Marital Relationship and Parent–Child Relationships in Chinese Families

Considering the nature of compassion and cultural and times characteristics of Chinese families, individuals' general dispositional compassion toward others may have potential benefits for relationship qualities in Chinese families. In this study, we explored how men's and women's compassion related to their own (actor effects) and the partners' (partner effects) marital relationship and parent–child relationships, respectively, using the Actor–Partner Interdependent Model. Participants were from a cross-sectional sample of 534 Chinese heterosexual married couples (females' mean age = 37.20, SD = 4.28; males' mean age = 40.29, SD = 5.39) whose biological children were pupils (mean age = 9.28, SD = 1.11). Results revealed that: (a) within marital relationships, couple members' actor effects and partner effects were found both significant; but (b) within parent–child relationships, couple members' actor effects were significant, whereas only mothers' partner effect of compassion on father–child relationship was significant. These findings support the benefits of couple members' individual compassion with respect to family relationship quality in contemporary China. Limitations, implications, and future directions are discussed.     

Effects of a Workplace Intervention on Parent–Child Relationships

This study tested whether effects of a workplace intervention, aimed at promoting employees’ schedule control and supervisor support for personal and family life, had implications for parent–adolescent relationships; we also tested whether parent–child relationships differed as a function of how many intervention program sessions participants attended. Data came from a group randomized trial of a workplace intervention, delivered in the information technology division of a Fortune 500 company. Analyses focused on 125 parent–adolescent dyads that completed baseline and 12-month follow-up home interviews. Results revealed no main effects of the intervention, but children of employees who attended 75 % or more program sessions reported more time with their parent and more parent education involvement compared to adolescents whose parents attended <75 % of sessions, and they tended to report more time with parent and more parental solicitation of information about their experiences compared to adolescents whose parents were randomly assigned to the usual practice condition.     

The Communication of Naïve Theories of the Social World in Parent–Child Conversation

Three studies examined the communication of naïve theories of social groups in conversations between parents and their 4-year-old children (N = 48). Parent–child dyads read and discussed a storybook in which they either explained why past social interactions had occurred (Study 1) or evaluated whether future social interactions should occur (Studies 2 and 3). In all 3 studies, the content of parents’ and children's explanations reflected an intuitive theory of social groups as markers of intrinsic obligations, whereby individuals are obligated to avoid harm to and direct positive actions toward their in-group members. Furthermore, Studies 2 and 3 suggested that when discussing the normative obligations that guide behavior, parents covertly reinforce their children's developing beliefs about social categories. Implications for the development of social cognition are discussed.     

Comparison of Mothers' and Fathers' Opinions of Parent–Child Interaction Therapy

Opinions of parenting programs mostly have been obtained from mothers. Because mothers and fathers' interactions with children differ, gathering data from both parents regarding behavior modification and parenting programs is necessary. This project was part of a larger study and compared mothers and fathers' acceptability of Parent-Child Interaction Therapy (PCIT) and its various components. Acceptability data were obtained using the Treatment Evaluation Inventory-Short Form and a modified version of this measure assessing specific PCIT components. The sample consisted of 40 community mother-father pairs of a young male child. Findings suggest gender differences in PCIT treatment acceptability and various PCIT components.     

A Sequential Examination of Parent–Child Interactions at Anesthetic Induction

Parental presence is often employed to alleviate distress in children within the context of surgery under general anesthesia. The critical component of this intervention may not be the presence of the parent per se, but more importantly the behaviors in which the parent and child engage when the parent is present. The purpose of the current study was to examine the sequential and reciprocal relationships between parental behaviors and child distress during induction of general anesthesia. Participants were 32 children (3–6 years) receiving dental surgery as a day surgery procedure, and their parents. A modified Child Adult Medical Procedures Interaction Scale-Revised was used to code parent and child behaviors. Initial child distress led to increased parental provision of reassurance and decreased provision of physical comfort. Our findings may inform the development of preoperative preparation programs whereby parents can be appropriately educated about what behaviors will be helpful/unhelpful for their child during induction of general anesthesia.     

Perceived Parent–Child Relations and Adolescent Self-Esteem

We used data drawn from the National Longitudinal Study of Adolescent Health to assess the independent and interactive correlations of maternal and paternal parenting with adolescent self-esteem. Specifically, ordinary least squares regression was used to provide estimates for a large, culturally diverse sample of married, biological parent-families with adolescent children. Our results suggested that adolescent reports of mothers’ and fathers’ physical availability, involvement, and quality of relations are each independently associated with adolescent self-esteem. In addition, statistically significant interactions indicated the positive associations of one parent’s involvement and high quality relations with self-esteem grow stronger in the presence of high involvement and relationship quality of the second parent. Our study highlights the need to assess the independent and interactive associations parents have with the well-being of their children.