Evaluation of a decision-making aid for parents regarding childhood immunizations.

This intervention study evaluates a decision-making aid for parents considering childhood immunizations. Participants (women in 3rd trimester of pregnancy, n = 100) rated likelihood of immunizing their child, anxiety, and perceptions of risk of the diseases and immunizations. Individuals were allocated to intervention group (received a decision aid) or control group (received standard care). Ratings were then repeated, and further ratings were obtained when the infant was 10 weeks old. The intervention compared with the comparison condition was associated with significant increase in likelihood of immunizing the infant on time, decreased perceptions of risks of immunizations, increased perceptions of risk of the diseases, reduced anxiety, and increased satisfaction. This intervention may form a useful basis for decision aids in health care settings.     

Learning about life and death in early childhood

have argued that young children initially understand biological phenomena in terms of vitalism, a mode of construal in which "life" or "life-force" is the central causal-explanatory concept. This study investigated the development of vitalistic reasoning in young children's concepts of life, the human body and death. Sixty preschool children between the ages of 3 years, 7 months and 5 years, 11 months participated. All children were initially given structured interviews to assess their knowledge of (1) human body function and (2) death. From this sample 40 children in the Training group were taught about the human body and how it functions to maintain life. The Control group (n=20) received no training. All 60 children were subsequently reassessed on their knowledge of human body function and death. Results from the initial interviews indicated that young children who spontaneously appealed to vitalistic concepts in reasoning about human body functioning were also more sophisticated in their understanding of death. Results from the posttraining interviews showed that children readily learned to adopt a vitalistic approach to human body functioning, and that this learning coincided with significant development in their understanding of human body function, and of death. The overall pattern of results supports the claim that the acquisition of a vitalistic causal-explanatory framework serves to structure children's concepts and facilitates learning in the domain of biology.     

Dyadic parent-child interaction during early childhood: contributions of parental and child personality traits

Individual differences in personality play a major role for functioning in a multitude of important life domains, including one's interpersonal relationships. The present study examined the effects of parental personality and child temperament traits on dyadic parent-child interaction during early childhood. Participants were a community sample of 145 mothers, 145 fathers, and their 3- to 6-year-old children. Child traits were assessed using standardized laboratory paradigms, parents reported on their own traits, and parent-child interaction was assessed observationally. Parental positive emotionality, negative emotionality, and constraint subtraits were related to parental responsiveness; the number and type of parental bids and the quality of parental responsiveness were also a function of child positive emotionality and effortful control subtraits and, for mothers, child negative emotionality subtraits. Child traits were related to their own interaction behaviors; children higher on positive emotionality subtraits made more social bids, and children higher on effortful control subtraits made more influence attempts and fewer negative bids; child positive emotionality and effortful control subtraits were associated with higher quality child responsiveness. Findings speak to coherence in personality constructs across the life span, with comparable traits measured in adults and early childhood-aged children demonstrating remarkably consistent effects on dyadic interaction behavior.     

Assessing elements of women's decisions about mammography.

We investigated motivational and cognitive processes of behavior change with respect to mammography screening. One hundred forty-two women (ages 40 and older) recruited from three worksites answered a 41-item questionnaire consisting of statements based on constructs from the transtheoretical model of behavior change. Principal-components analysis identified two factors: a six-item component representing positive perceptions of mammography (Pros) and a six-item component representing avoidance of mammography (Cons). Analysis of variance showed that Pros, Cons, and a derived Decisional Balance measure (Pros minus Cons) were associated with stage of mammography adoption. Results are consistent with applications of the model to smoking cessation. The model is also discussed as it relates to other theories of behavior change and as a general strategy for analyzing perceptual data pertinent to health-related actions and intentions for behavioral change.     

Cyclic cortical reorganization during early childhood.

EEG coherence was computed from 8 left and 8 right intrahemispheric electrode pairs from 253 children ranging in mean age from 6 months to 7 years. The first derivative of mean coherence was computed in order to study growth spurts or rapid changes in mean coherence over the early childhood period. Growth spurts in EEG coherence were approximately 6 months to 1 year in duration and involved a cyclical process composed of a sequential lengthening of intracortical connections in the left hemisphere and a sequential contraction of intracortical connections in the right hemisphere. Each growth spurt cycle had a period of approximately 2 to 4 years and involved both a rostral-caudal expansion and contraction as well as a lateral-to-medial rotation. Data support the view that the functions of the left and right hemisphere are established early in human development through complementary developmental sequences and that these sequences appear to recapitulate differences in adult hemispheric function.     

Projection in surrogate decisions about life-sustaining medical treatments.

To honor the wishes of an incapacitated patient, surrogate decision makers must predict the treatment decisions patients would make for themselves if able. Social psychological research, however, suggests that surrogates' own treatment preferences may influence their predictions of others' preferences. In 2 studies (1 involving 60 college student surrogates and a parent, the other involving 361 elderly outpatients and their chosen surrogate decision maker), surrogates predicted whether a close other would want life-sustaining treatment in hypothetical end-of-life scenarios and stated their own treatment preferences in the same scenarios. Surrogate predictions more closely resembled surrogates' own treatment wishes than they did the wishes of the individual they were trying to predict. Although the majority of prediction errors reflected inaccurate use of surrogates' own treatment preferences, projection was also found to result in accurate prediction more often than counterprojective predictions. The rationality and accuracy of projection in surrogate decision making is discussed.     

Gambling decisions and information about expected value

Four experiments were conducted to study the effects of information about expected value (EV) on choices among gambles. The subjects were presented with one or more sets of 17 gambles and were asked to select the one gamble they would prefer from each of these sets. In all experiments the EV concept was explained to the subjects and after this EV was displayed for each choice alternative. The experiments varied with respect to (a) the structure of the gambling alternatives, (b) the type of experimental design (within- or between-subjects design), and (c) whether repeated gambles were allowed or not. The EV information had marginal effects on the subjects choice behavior except when repeated gambles were allowed. It is suggested that subjects, rather than being guided by an abstract composite measure, such as EV, attempted to find a gamble having some concrete pattern of features.     

Reasoning about conjunctive probabilistic concepts in childhood.

While adults are known to exhibit biases when making conjunctive probability judgments, little is known about childhood competencies in this area. Participants (aged between four and five years, eight and ten years, and a group of young adults) attempted to select the more likely of two events, a single event, and a conjunctive event containing, as one of its components, the single event. The problems were such that the objective probabilities of the component events were potentially available. Children in both age groups were generally successful when the single event was likely. However, when it was unlikely, a majority of children rejected it, choosing the conjunctive event instead, thereby committing the conjunction fallacy. A substantial minority of adults also committed the fallacy under equivalent conditions. It is concluded that under certain conditions children are capable of normative conjunctive judgments but that the mechanisms underpinning this capacity remain to be fully understood.     

Regulatory disorders in early childhood: Correlates in child behavior,parent–child relationship,and parental mental health

According to the guidelines published by the German Society of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy (2007), regulatory disorders of early childhood are characterized by a symptom triad, including (a) behavioral symptoms such as excessive crying, sleeping, or feeding problems; (b) a disturbed parent–child relationship; and (c) parental psychopathology. On the basis of a clinic–referred sample of 162 children, we examined whether children with and without regulatory symptoms differed in the quality of parent–child relationship and parental mental health, and how often the criteria of the symptom triad were fulfilled in the group of children with regulatory symptoms. In addition, emotional and behavior problems were compared in children with and without regulatory symptoms. Children with regulatory symptoms and children with other psychiatric symptoms did not differ with respect to child–parent relationship quality. However, parents of children with regulatory symptoms scored higher on the Symptom Checklist 90 Items‐Revised (G.H. Franke, 2002 ) than did the other parents. On the Child Behavior Checklist (T.M. Achenbach & L.A. Rescorla, 2000), children with regulatory symptoms tended to show more somatic problems, but they showed significantly less withdrawn behavior than did the other children. Of the 67 children with regulatory symptoms, only 11 (16.4%) fulfilled all three criteria of a regulatory disorder.     

Test of reliability of perception of parental and childhood illness behavior

This report details the reliability of perceived parental and childhood illness behavior. Three versions of the Illness Behavior Inventory were created to assess perceived illness behavior of one's mother, father, and oneself as a child. The measures were administered twice to 32 students of linguistics at a major university with a 2-wk. interval between administrations. Each measure across administrations correlated highly and significantly (.98 to .99). It was concluded that perceptions of parental and childhood illness behavior are reliable over time but their sensitivity to actual historical events remains an empirical question.     

Surviving childhood cancer: quality of life and parental regulatory focus

Applying Regulatory Focus Theory (RFT), the authors predicted that among survivors of childhood cancer, quality of life (QOL) may be compromised by prevention-focused parenting characterized by an overly protective concern with possible mishaps and illness recurrence rather than promotion-focused parenting encouraging expectations of recovery and a normal life. Interviews with parents of 64 survivors (M age = 13.83 years) of acute lymphoblastic leukemia (ALL) or central nervous system (CNS) tumors were coded for reports of promotion or prevention-oriented parenting and positive and negative expectancies. Overall, parents expressed more promotion than prevention focus, especially in relation to general rather than illness-related contexts. Greater use by parents of prevention focus in general contexts predicted lower QOL for survivors (as rated both by parents and survivors themselves) and less satisfactory parental well-being. These effects were independent of a main effect for type of cancer, with survivors of ALL having higher QOL.     

An experimental analysis of dynamic hypotheses about cognitive abilities and achievement from childhood to early adulthood

This study examined the dynamics of cognitive abilities and academic achievement from childhood to early adulthood. Predictions about time-dependent "coupling" relations between cognition and achievement based on R. B. Cattell's (1971, 1987) investment hypothesis were evaluated using linear dynamic models applied to longitudinal data (N=672). Contrary to Cattell's hypothesis, a first set of findings indicated that fluid and crystallized abilities, as defined by the Woodcock-Johnson Psycho-Educational Battery-Revised (WJ-R; R. W. Woodcock & M. B. Johnson, 1989-1990), were not dynamically coupled with each other over time. A second set of findings provided support for the original predictions and indicated that fluid ability was a leading indicator of changes in achievement measures (i.e., quantitative ability and general academic knowledge). The findings of this study suggest that the dynamics of cognitive abilities and academic achievement follow a more complex pattern than that specified by Cattell's investment hypothesis.     

The interplay between parental beliefs about children's emotions and parental stress impacts children's attachment security

This study investigated how parental beliefs about children's emotions and parental stress relate to children's feelings of security in the parent–child relationship. Models predicting direct effects of parental beliefs and parental stress, and moderating effects of parental stress on the relationship between parental beliefs and children's feelings of security were tested. Participants were 85 African American, European American, and Lumbee American Indian 4th and 5th grade children and one of their parents. Children reported their feelings of security in the parent–child relationship; parents independently reported on their beliefs and their stress. Parental stress moderated relationships between three of the four parental beliefs about the value of children's emotions and children's attachment security. When parent stress was low, parental beliefs accepting and valuing children's emotions were not related to children's feelings of security; when parent stress was high, however, parental beliefs accepting and valuing children's emotions were related to children's feelings of security. These findings highlight the importance of examining parental beliefs and stress together for children's attachment security. Copyright © 2010 John Wiley & Sons, Ltd.     

Grandmaternal and maternal ethnotheories about early child care.

Parenting ethnotheories represent an organized set of ideas about parents, children, and development that are shared by members of cultural groups. Because these ideas and beliefs reflect cultural models and serve as representational frameworks for parenting strategies, they need to change with historical time. To analyze these changes, the authors interviewed mothers and grandmothers of 3-month-old infants in 4 different cultural environments--urban German middle-class families (41 mothers, 22 grandmothers), urban Indian middle-class families (36 mothers, 12 grandmothers), rural Cameroonian Nso families (29 mothers, 20 grandmothers), and urban Cameroonian Nso families (28 mothers, 12 grandmothers)--in regard to their ideas about infant care. The interviews were analyzed according to content and discourse style. The results reveal that there is not only transmission of parental beliefs from one generation to the next but also variation in adaptation to changing environments. Although the global trend toward more independent cultural models of parenting is confirmed, the magnitude of change varies across the different cultural environments.     

Parental corporal punishment predicts behavior problems in early childhood.

Using data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (Research Triangle Institute, 2002), this study examined the impact of corporal punishment (CP) on children's behavior problems. Longitudinal analyses were specified that controlled for covarying contextual and parenting variables and that partialed child effects. The results indicate that parental CP uniquely contributes to negative behavioral adjustment in children at both 36 months and at 1st grade, with the effects at the earlier age more pronounced in children with difficult temperaments. Parents and mental health professionals who work to modify children's negative behavior should be aware of the unique impact that CP likely plays in triggering and maintaining children's behavior problems. Broad-based family policies that reduce the use of this parenting behavior would potentially increase children's mental health and decrease the incidence of children's behavior problems.