Mothers’ and Fathers’ Reluctance to Seek Psychological Help for Their Children

We investigated the gap between parents’ willingness to seek help for their children and their willingness to refer other parents to help, and the relationship of this gap to gender. Two hundred and eleven parent couples with elementary-school children reported their willingness to seek help from professional and informal sources for a hypothetical problem with their child, and their willingness to refer a friend’s child with an identical problem to similar help. Attitudes toward help seeking and parental behaviors were also measured. Findings revealed that parents were more willing to refer a friend’s child to professional help than they were to seek such help for their own child, although no gap was found regarding informal help. No gender differences were found regarding willingness to seek help or to refer another, although gender was related to variables that predicted help seeking.     

Seeking urgent pediatric treatment: factors contributing to frequency, delay, and appropriateness

The present study explored the factors that contribute to mothers' decisions to seek urgent medical attention for their children when symptoms are not of a traumatic nature. One hundred mothers seeking treatment for their children at a prepaid clinic completed a questionnaire eliciting their expectations regarding the course of their children's problems, seriousness of the problems, perceived responsibility for the symptoms, and extent to which a variety of factors contributed to their decisions to seek treatment. Demographic data and information about each child's symptoms and medical history were also obtained. Four major "reasons for seeking treatment" factors were identified: family history of the presenting complaint, worry regarding the symptoms, situational variables, and the extent of the child's illness behavior. The appropriateness of the visit, delay in seeking treatment, and frequency of mothers' use of the pediatric clinic were predicted by the nature of the presenting symptoms (particularly the presence of fever), the ages of the mother and child, and two of the reasons for seeking treatment factors (i.e., family history and child's illness behavior). The present study suggests that mothers pay more attention to presenting symptoms and to the children's behavior than to psychosocial stressors in deciding to seek urgent care.     

Dynamic Associations between Maternal Depressive Symptoms and Adolescents’ Depressive and Externalizing Symptoms

The current prospective study investigated transactional relations between maternal depressive symptoms and children’s depressive and externalizing symptoms. Participants included 240 children (M age = 11.86 years, SD = 0.56; 53.9% female) and their mothers who were part of a 6-year longitudinal study. Measures of maternal depression (Beck Depression Inventory), child depression (Children’s Depression Inventory), and children’s externalizing symptoms (Youth Self-Report Form) were assessed annually. Data analyses using dynamic latent difference score structural equation models indicated that the observed relations between mothers’ and adolescents’ symptoms were stable across the 6 years. Higher levels of maternal depressive symptoms predicted subsequent elevations in children’s depressive symptoms and in their externalizing problems over time. Among mothers with high initial levels of depression, children’s depressive symptoms predicted subsequent declines in mothers’ depressive symptoms. Children’s externalizing problems were not related to subsequent change in maternal symptoms.     

Biological Essentialism, Gender Ideologies, and Role Attitudes: What Determines Parents’ Involvement in Child Care

This study draws on Bem’s conceptualization (The lenses of gender: Transforming the debate on sexual inequality. New Haven, CT: Yale University Press, 1993) of biological essentialism to explore fathers’ and mothers’ involvement in child care. The relationships between parental essentialist perceptions, gender ideology, fathers’ role attitudes, and various forms of involvement in child care were examined. Two hundred and nine couples with 6–36-month-old children completed extensive questionnaires. Analyses revealed that fathers’ essentialist perceptions predicted involvement in child care tasks and hours of care by the mother, whereas mothers’ essentialist perceptions predicted hours of care by the father. Parents’ attitudes toward the father’s role predicted involvement in child care tasks. Parents’ attitudes and perceptions contributed to involvement in child care even after the effects of the parents’ employment were controlled. The importance of examining various aspects of parents’ views, and distinguishing different forms of involvement in child care is discussed.     

Predictors of Parenting Stress for Abusive and Nonabusive Mothers

We examined a model of parenting stress for abusive mothers (n = 80) and nonabusive mothers (n = 86) using linear regression analyses. Predictors in the model included (a) the degree to which mothers were bothered by child misbehavior, (b) mothers’ general psychological functioning, and (c) observed child behavior during parent–child interactions. Whether abuse status moderated the relations between each predictor and parenting stress was also explored. Results indicated that mothers’ psychological functioning significantly predicted parenting stress; however, neither mothers’ intolerance for their children’s misbehavior nor observed child behavior were significant predictors of parenting stress in the regression model. A test of moderation revealed a significant interaction between parental intolerance and abuse status such that intolerance predicted parenting stress level only for abusive mothers. A comparison of correlations indicated that abusive mothers’ level of parenting stress was more closely related to their intolerance for child conduct problems than to the child’s behavior during play with their mothers. Findings are discussed in terms of implications for interventions to reduce parenting stress experienced by nonabusive and abusive mothers.     

Childhood correlates of adult levels of incongruence between implicit and explicit motives

The present study used archival longitudinal data from 5 years old children and their mothers to explore mother and child characteristics associated with motive incongruence 26 years later. Motive incongruence was assessed in terms of discrepancies between implicit and explicit measures of the need for achievement, power and affiliation. Previous research has suggested that trait self-determination, which involves self-awareness and perceived volition in one’s actions, moderates the level of implicit/explicit motive incongruence. We hypothesized that early childhood experiences that interfere with the development of self-determination would be associated with later motive incongruence. Our results showed that childhood factors that reflected mother–child difficulties in the areas of autonomy and relatedness were significantly related to adult levels of motive incongruence. Specifically, adult motive incongruence was significantly associated with strong maternal inhibition of the child’s dependent and sexual impulses, maternal separation during the child’s second year, and mother reports of feeling dominated by the child. Limitations of the data are discussed.     

The Role of Maternal and Child ADHD Symptoms in Shaping Interpersonal Relationships

The current study investigated the influence of maternal ADHD symptoms on: (a) mothers’ own social functioning; (b) their child’s social functioning; and (c) parent–child interactions following a lab-based playgroup involving children and their peers. Participants were 103 biological mothers of children ages 6–10. Approximately half of the children had ADHD, and the remainder were comparison youth. After statistical control of children’s ADHD diagnostic status and mothers’ educational attainment, mothers’ own inattentive ADHD symptoms predicted poorer self-reported social skills. Children with ADHD were reported to have more social problems by parents and teachers, as well as received fewer positive sociometric nominations from playgroup peers relative to children without ADHD. After control of child ADHD status, higher maternal inattention and hyperactivity/impulsivity each predicted children having more parent-reported social problems; maternal inattention predicted children receiving more negative sociometric nominations from playgroup peers. There were interactions between maternal ADHD symptoms and children’s ADHD diagnostic status in predicting some child behaviors and parent–child relationship measures. Specifically, maternal inattention was associated with decreased prosocial behavior for children without ADHD, but did not influence the prosocial behavior of children with ADHD. Maternal inattention was associated with mothers’ decreased corrective feedback and, at a trend level, decreased irritability toward their children with ADHD, but there was no relationship between maternal inattention and maternal behaviors for children without ADHD. A similar pattern was observed for maternal hyperactivity/impulsivity and mothers’ observed irritability towards their children. Treatment implications of findings are discussed.     

Intergenerational Transmission of Multiple Problem Behaviors: Prospective Relationships between Mothers and Daughters

Much of the research examining intergenerational continuity of problems from mother to offspring has focused on homotypic continuity (e.g., depression), despite the fact that different types of mental health problems tend to cluster in both adults and children. It remains unclear whether mothers with multiple mental health problems compared to mothers with fewer or no problems are more likely to have daughters with multiple mental health problems during middle childhood (ages 7 to 11). Six waves of maternal and child data from the Pittsburgh Girls Study (n = 2,451) were used to examine the specificity of effects of maternal psychopathology on child adjustment. Child multiple mental health problems comprised disruptive behavior, ADHD symptoms, depressed mood, anxiety symptoms and somatic complaints, while maternal multiple mental health problems consisted of depression, prior conduct problems and somatic complaints. Generalized Estimating Equations (GEE) was used to examine the prospective relationships between mother’s single and multiple mental health problems and their daughter’s single and multiple mental health problems across the elementary school-aged period (ages 7–11 years). The results show that multiple mental health problems in the mothers predicted multiple mental health problems in the daughters even when earlier mental health problem of the daughters, demographic factors, and childrearing practices were controlled. Maternal low parental warmth and harsh punishment independently contributed to the prediction of multiple mental health problems in their daughter, but mediation analyses showed that the contribution of parenting behaviors to the explanation of girls’ mental health problems was small.     

Maternal Depression,Locus of Control,and Emotion Regulatory Strategy as Predictors of Preschoolers’ Internalizing Problems

Childhood internalizing problems may occur as early as preschool, tend to be stable over time, and undermine social and academic functioning. Parent emotion regulatory behaviors may contribute to child internalizing problems and may be especially important during the preschool years when parents model emotion coping and regulation for their children. Parents who feel out of control of their preschoolers’ behavior and emotional states may adopt avoidant emotion regulatory strategies. We proposed that parent depression, perceived locus of control, and experiential avoidance would be linked with internalizing symptoms in a high-risk sample of preschool-aged children. We also expected that locus of control would mediate the relationship between maternal depression, experiential avoidance, and child internalizing problems. Seventy-four urban, low-income, diverse mothers of Head Start preschool children completed rating scales measuring their own depression, locus of control, experiential avoidance, and their children’s internalizing behaviors. Correlational analyses revealed that mothers reporting higher levels of depression were more likely to report experiential avoidance, feeling out of control in their parenting role, and internalizing symptoms in their children. Hierarchical multiple regressions showed that locus of control explained additional unique variance in child internalizing problems over and above that explained by maternal depression. Locus of control mediated the relationship between maternal depression and child internalizing symptoms. The importance of considering parent locus of control and its relation to children’s internalizing symptoms is discussed as a potential target for early childhood prevention programs.     

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.     

Children's Adjustment in a Climate of Political Violence: Comparing Mother and Child Reports

There is a dearth of research on parent and child reports regarding a parent’s parenting and its contribution to a child’s adjustment. Therefore, the current study examined: (a) the differences between mother and child reports of aspects of maternal parenting (i.e., care and control), among both boys and girls; (b) which parenting report (i.e., mother’s or child’s) makes a stronger contribution to mother and child reports of the child’s adjustment in the context of political violence. One hundred and twenty-one mother-child dyads (children aged seven to 12 years old (M?=?10.02, SD?=?1.03)), who were exposed to prolonged political violence, participated in this study. Maternal care and control were assessed by mother and child reports on the Parental Bonding Instrument. Child’s adjustment was assessed both by mother’s report of child’s total difficulties and child’s self-report of posttraumatic stress symptoms (PTSS). Results revealed that both the mothers of girls and the girls themselves reported higher care, in comparison to mothers of boys and the boys themselves, while mothers of boys and the boys themselves reported higher control. Higher maternal control, as reported by the child, was associated with the child’s self-reported PTSS. Higher maternal control, as reported by the mother, was associated with the child’s total difficulties, as reported by the mother. However, maternal care, whether reported by mother or child, was not found to be associated with the child’s adjustment. School-aged children and their mothers were in agreement regarding maternal dimensions and their contribution to children’s adjustment.     

The Effects of Instructions on Mothers’ Ratings of Child Attention-Deficit/Hyperactivity Disorder Symptoms

We examined whether instructional materials describing how to rate child ADHD symptoms would improve the accuracy of mothers’ ratings of ADHD symptoms presented in standard child behavior stimuli, and whether instructions would be equally effective across a range of maternal depressive symptoms and family incomes. A community sample of 100 mothers with 5 to 12 year old sons were randomly assigned to either receive or not receive the instructions. All mothers watched standard video recordings of boys displaying nonproblem behavior, ADHD symptoms, ADHD plus oppositional behaviors, or ADHD plus anxious behaviors, and then rated the ADHD symptoms of the boys in the videos. These ratings were compared to ratings of the boys’ ADHD symptoms made by objective coders. Results indicated an interaction such that the instructional materials improved the agreement between mothers’ and coders’ ratings, but only for mothers at lower family income levels. The instructional materials improved all mothers’ open-ended responses regarding knowledge of ADHD. All mothers rated more ADHD symptoms in boys with comorbid oppositional or anxious behaviors, and this effect was not reduced by the instructional materials. The potential utility of these instructions to improve the accuracy of ratings of child ADHD symptoms is explored.     

Trajectories of Postpartum Maternal Depressive Symptoms and Children’s Social Skills

The vast majority of new mothers experience at least some depressive symptoms. Postpartum maternal depressive symptoms can greatly influence children’s outcomes (e.g., emotional, cognitive, language, and social development). However, there have been relatively few longitudinal studies of how maternal depressive symptoms may influence children’s social skills. The current study (n = 1363) examined the trajectory of maternal depressive symptoms (from 1 month to 36 months) and whether maternal depressive symptoms at 1 month postpartum and the change in symptoms over time (from 1 month to 3 years) predicted children’s parent- and teacher-rated social skills when they were 4.5 and 6.0 years old. A growth curve model indicated that, on average, maternal depressive symptoms declined over time in a nonlinear fashion. Further analyses indicated that after controlling for five demographic factors (child sex, family income, maternal age, mother’s marital status, and maternal education), initial maternal depressive symptoms significantly predicted children’s social skills as reported by mothers. The results support the notion that maternal depressive symptoms during children’s infancy can have long-term associations with children’s social skills. In addition, the results emphasize the importance of intervention and prevention efforts targeting maternal depressive symptoms during infancy, beginning immediately postpartum.     

The Role of Parental Stress, Mother’s Childhood Abuse and Perceived Consequences of Violence in Predicting Attitudes and Attribution in Favor of Corporal Punishment

We investigate maternal attitudes toward corporal punishment and the attribution of blame to the child on the basis of data gathered from a population survey of a representative sample of mothers and mother figures. A total of 3,148 women living at least half of the time with a child participated in a telephone survey. The independent variables included in the multivariate model predicting maternal attitudes and attributions include the child’s, the mother’s and the family’s characteristics and social support. Results of the multiple regression analysis demonstrate the unique contribution of variables according to the mother’s characteristics (mother’s sensitivity to the consequences of violence, mother’s experience of childhood violence and parental stress related to child’s temperament). These results partially support the importance of prevention programs that would reduce stress and increase the level of parental empathy through the means of parental training.     

In-Home Training for Fathers of Children with Autism: A Follow up Study and Evaluation of Four Individual Training Components

Literature regarding fathers of children with autism remains sparse, and because mothers are the more common intervening parent, few training methods have focused on fathers. Thus, we sought to evaluate effects of in-home training directed at fathers and their ability to train mothers in the same manner in which they were trained. Fathers were taught four skills commonly associated with in-home training interventions for parents of children with autism: following the child’s lead, imitation with animation, commenting on the child, and expectant waiting. Father skills were evaluated twice a week for 12 weeks during videotaped in-home father–child play sessions. Analyses included visual inspection of graphed data and statistical analyses of father skill acquisition, mother skill acquisition, and child behaviors with both parents. A multivariate repeated measures analysis of 18 dyads revealed significant increases in frequencies of fathers’ imitation with animation, expectant waiting, and commenting on the child. Child initiating rates increased significantly as did frequencies of child non-speech vocalizations. Analysis of mothers revealed significant increases in frequencies of imitation with animation, expectant waiting, and following the child’s lead. Child behaviors had similar results for father and mother sessions. Findings are consistent with those from our first study indicating that fathers can effectively implement skills that promote father–child social interactions and that children respond positively to this approach.     

Are Mindful Parents More Authoritative and Less Authoritarian? An Analysis of Clinic-Referred Mothers

Forty clinic-referred mothers completed questionnaires describing their children’s problems, the mothers’ parenting styles, and their everyday mindfulness. Psychometric analyses of the questionnaires showed mother reports to be internally consistent, except for one of the parenting style scales (i.e., permissive style). We dropped the scale and analyzed intercorrelations between the remaining two scales, the mindfulness measure and the child problem measure. Results showed the authoritative and authoritarian scales were not correlated, and each scale covaried with measures of mindfulness and child problems. Regression analyses revealed two pathways between mothers’ mindfulness and child problems. Both pathways showed parenting styles to mediate the connections between mothers’ mindfulness and their perceptions of child problems. We speculated on the nature of the mediating process.     

Early Adolescents’ Perceptions of Their Mother’s Anxious Parenting as a Predictor of Anxiety Symptoms 12 Months Later

Parental overprotection and modeling of fearful behaviors have been proposed to play a central role in the development of anxiety. Yet there have been few longitudinal examinations of these relationships and virtually none focusing on the adolescent period. The current study measured adolescent perceptions of maternal anxious parenting (a combination of overprotection and expression of anxiety), mothers’ levels of anxiousness, and adolescents’ anxiety symptoms in 421 girls in grade 7 and their mothers. Measures were repeated 12 months later. When the adolescent’s self report of anxiety was used as the outcome, the adolescent’s perception of maternal anxious parenting significantly predicted adolescent anxiety 12 months later. When the mother’s report of adolescent anxiety was used as the outcome adolescent anxiety significantly predicted adolescent perceptions of maternal anxious parenting 12 months later. Maternal anxiousness predicted the adolescent’s perception of anxious parenting, but meditational relationships were not significant in either model. The data are partly consistent with reciprocal influence models of parent/child relationships but point to the importance of informant perspectives in determining relationships between these complex variables.     

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.     

Early-occurring Maternal Depression and Maternal Negativity in Predicting Young Children’s Emotion Regulation and Socioemotional Difficulties

This longitudinal investigation examined the effects of maternal depression and concomitant negative parenting behaviors on children’s emotion regulation patterns and socioemotional functioning. One hundred fifty-one mothers and their children were assessed when children were approximately 1 1/2-, 3-, 4-, and 5-years of age. Ninety-three of the children had mothers with a history of Major Depressive Disorder (MDD) that had occurred within the first 21 months of the child’s birth, and 58 of the children had mothers without any history of MDD. Early-occurring Initial maternal depression predicted children’s dysregulated emotion patterns at age 4 and decreased perceived competence ratings at age 5. Initial maternal depression also indirectly predicted decreased child social acceptance ratings at age 5 through its association with dysregulated emotion patterns. Furthermore, the relation between maternal depression and children’s decreased social acceptance was more pronounced in those offspring with a history of high versus low maternal negativity exposure. Findings increase understanding of the processes by which maternal depression confers risk on children’s socioemotional adjustment.     

Family,friend, and neighbour child care providers and maternal well‐being in low‐income systems: An ecological social perspective

Integrating theory from the family ecological systems and social support literatures with findings from child care research, in this study we develop and test a model relating family, friend, and neighbour (FFN) child care provider characteristics to perceived child care quality (provider reports of caregiving behaviours, mother‐provider caregiving relationship) and maternal well‐being (work‐family conflict, depressive symptoms). Results from phone interviews with 187 FFN providers receiving public subsidies indicated that even after controlling for familial status or household income, caregiver perceptions of higher quality care were associated with higher education levels, greater attachment to child care as a job; and lower provider depressive symptoms. After controlling for familial status, data analysed from a subset of 51 mother‐provider pairs, indicated that mothers using care from providers who reported higher quality parent‐caregiver social relationships reported lower work‐family conflict and depressive symptoms. This study suggests mothers who have providers with whom they have good caregiving interactions may experience positive social support and psychological crossover dynamics associated with mother well‐being.