Parental Depression and Child Externalizing and Internalizing Symptoms: Unique Effects of Fathers’ Symptoms and Perceived Conflict as a Mediator

Although a developing body of literature suggests that depressive symptoms in fathers are related to child psychopathology, little evidence suggests that paternal depression plays a unique role in children’s symptoms. We used a high-risk design involving children of mothers with and without histories of depression to test the unique mediating role of father–child conflict in the relations between fathers’ depressive symptoms and child externalizing and internalizing symptoms. In all regression analyses, mothers’ history of depression and current depressive symptoms were controlled. Depressive symptoms in fathers were associated with child externalizing and internalizing symptoms, and father–child conflict. Father–child conflict mediated relations between fathers’ depressive symptoms and child externalizing symptoms above and beyond the effects of maternal depression history and depressive symptoms. The results suggest that negative interpersonal consequences of parental depression on child psychopathology may not be limited to mothers.     

Association Between Independent Reports of Maternal Parenting Stress and Children’s Internalizing Symptomatology

Although considerable research has investigated parenting stress and children’s externalizing behavior problems, comparatively less has considered parenting stress in relation to children’s internalizing difficulties. Even less research on parenting stress has incorporated children’s report of their internalizing symptoms or the potential mediating role of children’s attributional style. The current study hypothesized that children’s independent reports of internalizing symptoms would be associated with mothers’ reports of parenting stress through children’s attributional style. A community sample of 92 mother–child dyads participated. Results suggest maternal parenting stress from both child and parent sources were significantly associated with children’s anxious and depressive symptoms. Parenting stress was associated with children’s internalizing symptoms partially mediated by children’s maladaptive attributional style, primarily negative attributions for positive outcomes. Findings are discussed in terms of future directions to tease apart specific areas of parenting stress that may be most pertinent as well as to explore other cognitive mechanisms in children that may relate to parenting stress and children’s adjustment.     

Children’s Externalizing and Internalizing Symptoms over Time: The Role of Individual Differences in Patterns of RSA Responding

We examined associations between basal respiratory sinus arrhythmia (RSA) in conjunction with RSA regulation with the hypothesis that their interaction would explain unique variability in children’s prospective adjustment 2 years later. Participants were 176 children (98 girls; 78 boys) in middle childhood. RSA regulation was assessed through social and problem-solving challenges. Parents reported on children’s internalizing and externalizing symptoms. Interactions between RSA baseline and regulation to the social stressor predicted children’s later internalizing symptoms. Interactions between RSA baseline and responding to the problem-solving stressor predicted children’s externalizing symptoms. The highest levels of internalizing symptoms were predicted for children with both lower basal RSA and higher RSA suppression. The highest levels of externalizing symptoms were predicted for children who demonstrated lower basal RSA in conjunction with RSA augmentation. Findings highlight the importance of the contemporaneous consideration of basal RSA and RSA regulation in the prediction of developmental psychopathology symptomology.     

Parents’ and Children’s Religiosity and Child Behavioral Adjustment Among Maltreated and Nonmaltreated Children

We investigated the role of parents’ and children’s religiosity in behavioral adjustment among maltreated and nonmaltreated children. Data were collected on 170 maltreated and 159 nonmaltreated children from low-income families (mean age = 10 years). We performed dyadic data analyses to examine unique contributions of parents’ and children’s religiosity and their interaction to predicting child internalizing and externalizing symptomatology. A four group structural equation modeling was used to test whether the structural relations among religiosity predictors and child outcomes differed by child maltreatment status and child gender. We found evidence of parent-child religiosity interaction suggesting that (1) parents’ frequent church attendance was related to lower levels of internalizing symptomatology among nonmaltreated children with low church attendance and (2) parents’ importance of faith was associated with lower levels of internalizing and externalizing symptomatology among nonmaltreated children with low faith. The results suggest that independent effects of parents’ religiosity varied depending on children’s religiosity and parent-child relationship.     

流动儿童的问题行为与人格、家庭功能的关系

以北京市806名流动儿童和319名城市儿童为被试,采用问题行为问卷、小五人格问卷和家庭功能问卷,考察流动儿童问题行为的特点及其与城市儿童的差异,并探讨人格和家庭功能对流动儿童问题行为的影响。结果发现:(1)流动儿童内、外化问题行为的自我报告率分别达到了31.0%2、0.1%,与城市儿童相比,流动儿童的内化问题行为较为突出。(2)人格的情绪性、开放性显著正向预测流动儿童的内化问题题行为,外向性、家庭功能的亲密度显著负向预测其内化问题行为,情绪性、开放性显著正向预测流动儿童的外化问题行为,宜人性、谨慎性、亲密度显著负向预测外化问题行为。(3)人格在家庭功能的亲密度与内化问题行为之间起部分中介作用,在亲密度与外化问题行为之间起完全中介作用。     

On the Links Between Attachment Style, Parental Rearing Behaviors, and Internalizing and Externalizing Problems in Non-Clinical Children

  We sought to investigate the relationships between negative family factors such as insecure attachment and adverse parental rearing, and internalizing and externalizing symptoms in a large sample of non-clinical children (N = 237) aged 9 to 12 years. All children completed a set of self-report questionnaires including a single-item measure of attachment style towards the mother and the father as well as an index of perceived parental rearing behaviors. Further, measures of internalizing symptoms (e.g., anxiety and depression) and externalizing symptoms (e.g., aggression) were completed. Results showed that perceived rearing behaviors of both mother and father (in particular rejection and anxious rearing) consistently accounted for a significant proportion of the variance in internalizing and externalizing symptoms. Attachment style was found to play a less prominent role. Some support for gender-specific relationships was found, indicating that the presence of negative family factors in fathers had more impact on symptoms in boys, whereas the presence of such factors in the mothers had more influence on symptoms in girls. Altogether, these results suggest that in addition to common pathways by which both parents promote psychopathological symptoms in children, there may also be separate pathways by which the father or the mother may have a unique impact on the development of such symptoms in boys or girls respectively.     

父母严厉管教与儿童问题行为的关系:儿童自我控制的中介作用

为探讨父母严厉管教、儿童自我控制与儿童问题行为间的关系,采用中文版亲子冲突解决策略量表、社会技能评定量表和儿童行为核查量表对济南市两所公立学校的1097名小学四到六年级儿童及其父母双亲进行测查。结果发现：（1）父母心理攻击和体罚与儿童自我控制均呈显著负相关,与儿童内化和外化问题行为均呈显著正相关,儿童自我控制与其内化和外化问题行为均呈显著负相关;（2）父亲心理攻击可以显著正向预测儿童内化和外化问题行为,母亲体罚可以显著正向预测儿童外化问题行为;（3）儿童自我控制在父亲心理攻击和母亲体罚与儿童内外化问题行为之间起中介作用,在母亲心理攻击和父亲体罚与儿童内外化问题行为关系间的中介作用不显著,中介作用模型不存在显著的儿童性别差异。综上,本研究发现父母严厉管教不仅直接影响儿童的内外化问题行为,而且会通过降低儿童自我控制水平间接导致儿童问题行为的增多。     

父母严厉管教与儿童问题行为的关系:儿童自我控制的中介作用

为探讨父母严厉管教、儿童自我控制与儿童问题行为间的关系,采用中文版亲子冲突解决策略量表、社会技能评定量表和儿童行为核查量表对济南市两所公立学校的1097名小学四到六年级儿童及其父母双亲进行测查。结果发现：（1）父母心理攻击和体罚与儿童自我控制均呈显著负相关,与儿童内化和外化问题行为均呈显著正相关,儿童自我控制与其内化和外化问题行为均呈显著负相关;（2）父亲心理攻击可以显著正向预测儿童内化和外化问题行为,母亲体罚可以显著正向预测儿童外化问题行为;（3）儿童自我控制在父亲心理攻击和母亲体罚与儿童内外化问题行为之间起中介作用,在母亲心理攻击和父亲体罚与儿童内外化问题行为关系间的中介作用不显著,中介作用模型不存在显著的儿童性别差异。综上,本研究发现父母严厉管教不仅直接影响儿童的内外化问题行为,而且会通过降低儿童自我控制水平间接导致儿童问题行为的增多。     

Children’s behavioral patterns, the Five-Factor model of personality, and risk behaviors

Although relations between children’s personality and health behaviors have been identified, previous research has relied primarily on survey assessments. The present study used behavioral observations to examine children’s (n = 94, mean age = 10.07 years) behavioral patterns in relation to their participation in risk behaviors 1 year later. Results contribute to previous reports linking specific personality traits to children’s likelihood of participation in risky behaviors. Specifically, girls’ participation in risky behavior was related to the expression of behavioral patterns associated with neuroticism, introversion, and disagreeableness, while boys participation in risk behaviors was related to behavioral patterns associated with extraversion and disagreeableness. Findings are discussed in terms of their potential for contributing to health promotion efforts aimed at identifying children most at risk for adopting unhealthy behaviors.     

Emotional Development in the Context of Conflict: The Indirect Effects of Interparental Violence on Children

Our study examined the links between interparental violence and children’s internalizing and externalizing problems by testing a theoretical model for indirect pathways from interparental violence to childhood emotional problems. Our theoretical model suggests that interparental violence is associated with maternal depression, maternal depression is associated with the use of maladaptive parenting practices, and maternal maladaptive parenting practices are associated with children’s internalizing and externalizing problems. Participants included 359 women and one of their children between the ages of 5- and 12-years-old. Sixty-four of these women resided in a battered women’s shelter, 100 of these women resided in the community but had a history of interparental violence, and 195 of these women were recruited as a comparison sample. Our theoretical model was supported by the results of structural equation modeling. However, a variation of the broader indirect pathway, one which indicates that interparental violence is related to children’s internalizing and externalizing problems through maternal depression, which is then directly associated with children’s internalizing and externalizing problems, was also supported. Results are discussed in terms of their theoretical and applied implications and suggest that longitudinal studies that clarify temporal relationships in the model are warranted.     

Patterns of Parental Rearing Styles and Child Behaviour Problems among Portuguese School-Aged Children

The majority of studies investigating the effects of parental behaviour on the child’s adjustment have a dimensional approach. We identified the existence of various patterns in parental rearing styles and analysed the relationship between different parenting patterns and behavioural problems in a group of school-aged children. A longitudinal, multi-informant study was conducted. The sample consisted of 519 school-aged children from the Portuguese general population. Parental rearing styles were measured using the EMBU-C, a questionnaire that evaluates children’s perception of parental rearing dimensions. The assessment of child behavioural problems included the evaluation of internalizing and externalizing problems, and data from multiple reporters (parents and teacher). One year later, after a school transition, the adjustment of a sub-sample of 220 children was evaluated again. Cluster analysis identified four types of parental rearing styles: low support, supportive-controller, rejecting-controller, and supportive. In both assessment periods, low support and rejecting-controller parenting patterns showed higher levels of behavioural problems than the supportive and supportive-controller parenting patterns. These patterns show significant differences between them regarding behavioural problems and have a higher predictive value regarding externalizing problems (versus internalizing problems).     

Internalizing and Externalizing Problems as Correlates of Self-Reported Attachment Style and Perceived Parental Rearing in Normal Adolescents

The current study examined relationships between attachment style, parental rearing behaviors, and symptoms of internalizing and externalizing in a large sample of nonreferred adolescents (N = 742). Adolescents completed (a) a single-item measure of attachment style, (b) the child version of the EMBU, a questionnaire measuring perceptions of parental rearing behaviors, and (c) the Youth Self-Report, an index of severity of internalizing and externalizing symptoms. Results showed that attachment style was related to internalizing as well as externalizing symptoms. More specifically, adolescents who classified themselves as avoidantly or ambivalently attached displayed higher levels of internalizing and externalizing symptoms than adolescents who classified themselves as securely attached. Furthermore, perceived parental rearing behaviors were also associated with internalizing and externalizing symptoms. That is, low levels of emotional warmth and high levels of rejection and overprotection were accompanied by high levels of psychopathological symptoms. Finally, both attachment and parental rearing behaviors accounted for a unique proportion of the variance in internalizing symptoms. Yet, when predicting externalizing symptoms, only parental rearing behaviors declared a significant proportion of the variance.     

Parental Experiences of Having a Child with Obsessive-Compulsive Disorder: Associations with Clinical Characteristics and Caregiver Adjustment

We examined parental experience of having a child with obsessive-compulsive disorder (OCD) in 62 parent–child dyads. Youth with a primary diagnosis of OCD and their parent(s) were administered the CY-BOCS jointly by a trained clinician. Parents completed several measures about their child’s OCD-related impairment and accommodation, emotional and behavioral functioning, parental distress, caregiver stress, and parental experiences of having a child with OCD. Results indicated that parents of children with OCD are considerably distressed about their child’s condition. As expected, negative parental experiences (e.g., anxiety about child’s condition, uncertainty about their future) were directly related to OCD symptom severity and impairment, as well as child internalizing and externalizing problems, family accommodation of symptoms, and caregiver strain. The presence of emotional resources was negatively related to most outcomes, although some of these relationships did not achieve statistical significance. The presence of internalizing symptoms mediated the relationship between parental experiences and parental distress. Given these findings, addressing parental experiences as part of a family based cognitive-behavioral treatment program for pediatric OCD may help reduce parental distress and improve patient prognosis.     

Testing Developmental Pathways to Antisocial Personality Problems

This study examined the development of antisocial personality problems (APP) in young adulthood from disruptive behaviors and internalizing problems in childhood and adolescence. Parent ratings of 507 children’s (aged 6–8 years) symptoms of attention deficit hyperactivity disorder, oppositional defiant disorder, and anxiety, were linked to self-ratings of adolescents’ (aged 14–16 years) symptoms of depression, substance use, conduct problems, and somatic problems, to predict self-ratings of APP in young adulthood (age 20–22 years). The findings suggested a hierarchical development of antisocial behavior problems. Despite being positively associated with conduct problems in adolescence, neither internalizing problems nor substance use added to the prediction of APP in young adulthood from conduct problems in adolescence. The developmental pathways to APP in young adulthood did not differ by gender.     

A Prevalence Study on Internalizing Problems Among Primary School Children in Hong Kong

Studies in Hong Kong indicated that there is a tendency for young children to use internalizing as a means to cope with their daily difficulties. Mother–child relationship has been seen as a factor affecting a child’s adaptive coping skills. In this study, we explored the prevalence of internalizing problems among primary school children in Hong Kong, as well as the mother–child relationship that contribute to children’s internalizing problems. Data used to assess the internalizing behavior among 1598 primary school children were collected from their mothers. The estimated prevalence of internalizing problem was 11.4%. This prevalence was based on the cutoff point for internalizing disorders according to the Child Behavior Checklist (CBCL). The CBCL internalizing score was significantly correlated with mother–child relationship as measured using the Parent–Child Relationship Questionnaire (PCRQ). Results from the PCRQ indicated that children’s internalizing problems were positively correlated with mother’s use of verbal punishment and rejection as well as their possessiveness and protection on their children. On the other hand, a nurturing and intimate relationship between mother and child was an important factor contributing to the development of mentally healthy children. Implications of this study and suggestions for further research were discussed.     

Parental Depression and Economic Disadvantage: The Role of Parenting in Associations with Internalizing and Externalizing Symptoms in Children and Adolescents

This study examined the effects of parental depression symptoms, economic disadvantage, and parenting behaviors in 180 children and adolescents of depressed parents (ages 9–15 years-old). Analyses revealed that while parental depression symptoms, economic disadvantage, and disrupted parenting behaviors were related to children’s internalizing and externalizing symptoms, disrupted parenting (e.g., intrusive, neglectful parenting) accounted for the association of parental depressive symptoms and economic disadvantage with children’s symptoms. This study provides evidence that disrupted parenting may be a common or shared process through which both parental depression and economic disadvantage are associated with children’s internalizing and externalizing problems.     

Parenting and Preschoolers' Symptoms as a Function of Child Gender and SES

ABSTRACT

Improving parental discipline practices is a central target of behavioral parent training programs, but little research has examined how discipline varies as a function of gender. Based on the assumption that socialization practices might be related to gender differences in psychopathology, we examined relations between parenting and problem behaviors in children. We predicted that parents would be overreactive toward children displaying symptoms inconsistent with gender stereotypes and lax towards those with gender stereotype-consistent behavior. Parents of 112 preschool-aged children reported on their children's externalizing and internalizing symptoms, and their own lax and overreactive parenting. As hypothesized, internalizing symptoms in girls and externalizing symptoms in boys predicted lax parenting, while externalizing behaviors in girls and internalizing symptoms in boys were associated with overreactive parenting. Exploratory analyses suggest that relations differed somewhat as a function of sociocultural status, pointing to the need for future studies to consider social context.     

The Role of Maternal Depression on Treatment Outcome for Children with Externalizing Behavior Problems

Studies have shown that, on average, Parent Management Training combined with cognitive-behavioral therapy decreases children’s externalizing behavior, but some children do not improve through treatment. The current study aimed to examine the role of maternal depression in understanding this variability in treatment outcome. Children with externalizing behavioral problems and their parents were recruited from combined Parent Management Training and Cognitive-Behavioral programs in “real-world” clinical settings. At pre- and post treatment, maternal depression and children’s externalizing behavior were assessed. Results showed that treatment was less effective for children of depressed mothers compared to non-depressed mothers and that improvements in maternal depression were associated with improvements in children’s externalizing behavior. These findings suggest that treatment programs for children with externalizing problems may be able to improve outcomes if maternal depression is a target of intervention.