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Longitudinal pathways of family influence on child self-regulation: The roles of parenting, family expressiveness, and maternal sensitive guidance in the context of child maltreatment.

ABSTRACT: Maltreated children are susceptible to dysregulation, but developmental mechanisms at the family level that influence this process are understudied. In the current investigation, 4 mediators (positive parenting, positive and negative family expressiveness, and maternal sensitive guidance during reminiscing) were examined as process variables through which maltreatment relates to 2 dimensions of child emotional self-regulation (adaptive emotion regulation and lability/negativity) measured across 3 time points (baseline, 2 months, and 6 months later) using longitudinal mediation analysis with latent growth modeling. These processes were evaluated in the context of a randomized controlled trial of a brief intervention aimed at improving maternal sensitive guidance during reminiscing. Participants included 160 maltreating mothers randomized into intervention (n = 81) or control intervention (n = 79) conditions and 78 demographically matched, nonmaltreating mothers and their 3- to 6-year-old children (N = 238). In the primary analysis, maternal sensitive guidance at baseline mediated relations between early maltreatment and emotion regulation and lability/negativity at 6 months, and latent change in emotion regulation across the 3 time points. Additionally, the intervention predicted steeper positive change in emotion regulation. In the secondary analysis, there was evidence of indirect effects of the intervention on emotional self-regulation through maternal sensitive guidance, positive parenting, and positive family expressiveness. Implications and future directions are discussed. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

SUBMITTER: Speidel R

PROVIDER: S-EPMC7041838 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Longitudinal pathways of family influence on child self-regulation: The roles of parenting, family expressiveness, and maternal sensitive guidance in the context of child maltreatment.

Speidel Ruth R Wang Lijuan L Cummings E Mark EM Valentino Kristin K

Developmental psychology 20200301 3

Maltreated children are susceptible to dysregulation, but developmental mechanisms at the family level that influence this process are understudied. In the current investigation, 4 mediators (positive parenting, positive and negative family expressiveness, and maternal sensitive guidance during reminiscing) were examined as process variables through which maltreatment relates to 2 dimensions of child emotional self-regulation (adaptive emotion regulation and lability/negativity) measured across ...[more]

PMID: 32077728

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Project description:BackgroundThe current evidence for child maltreatment (CM) and domestic violence and abuse (DVA) interventions is limited by the diversity of outcomes evaluated and the variety of measures used. The result is studies that are difficult to compare and lack focus on outcomes reflecting service user or provider priorities.ObjectiveTo develop core outcome sets (COSs) for evaluations of child and family-focused interventions for: (1) CM and (2) DVA.DesignWe conducted a two-stage consensus process. Stage 1: a long list of candidate outcomes across CM and DVA was developed through rapid systematic reviews of intervention studies, qualitative and grey literature; stakeholder workshops; survivor interviews. Stage 2: three-panel, three-round e-Delphi surveys for CM and DVA with consensus meetings to agree with the final COSs.Participants287 stakeholders participated in at least one stage of the process (ie, either CM or DVA COS development): workshops (n=76), two e-Delphi surveys (n=170) and consensus meetings (n=43). Stakeholders included CM and DVA survivors, practitioners, commissioners, policymakers and researchers.ResultsStage 1 identified 335 outcomes categorised into 9 areas and 39 domains. Following stage 2, the final five outcomes included in the CM-COS were: child emotional health and well-being; child's trusted relationships; feelings of safety; child abuse and neglect; service harms. The final five outcomes in the DVA-COS were: child emotional health and well-being; caregiver emotional health and well-being; family relationships; freedom to go about daily life; feelings of safety.ConclusionsWe developed two COSs for CM and DVA with two common outcomes (child emotional health and well-being; feelings of safety). The COSs reflect shared priorities among service users, providers and researchers. Use of these COSs across trials and service evaluations for children and families affected by CM and DVA will make outcome selection more consistent and help harmonise research and practice.

Project description:BackgroundWomen who have experienced adolescent pregnancy and early motherhood are disproportionately affected in terms of their health and parenting capabilities, as well as their offspring's health. Guided by Stress Process and Social Determinants of Health (SDH) Frameworks, which posit that multiple sources of stressors and structural determinants of adolescent pregnancy influence adolescent mothers' subsequent health and quality of parenting (Xavier et al 2018, McLoyd 1998, Conger et al 2010, Gipson et al 2008). These dynamics then further impact offspring's outcomes. Using an Integrated Stress-SDH Process for Health Disparities model and we test on whether early motherhood is associated with and subsequent maternal and child health from two informal settlements in Nairobi.MethodsA cross-sectional design with 394 mothers of 2-16 years old children who sought maternal and child health services at Kariobangi and Kangemi public health centers between October 2015 to April 2016 were recruited. Participating mothers were asked questions related to their adolescent pregnancy history, their current health, wellbeing, and parenting practices, and their child's health. Structural equation modeling (SEM) was utilized to examine hypothesized mediational pathways that adolescent pregnancy history has negative influences on women's health and parenting during adulthood, which also influence their child's health and development.ResultsOur study supports that women with a history of adolescent motherhood have poor physical and mental health outcomes as adults after adjusting for demographic confounders. SEM results partially support the Stress-SDH Process model that history of adolescent pregnancy had negative consequences on women's adulthood health, which also negatively impacted offspring's physical and mental health.ConclusionConsistent with the Stress Process and SDH literature, we found consistent cross-cultural literature that adolescent pregnancy set the stage for, subsequent poor maternal health and child outcomes. Although history of adolescent pregnancy and motherhood was not necessarily associated with negative parenting, consistent with parenting literature, negative parenting was associated with poor child mental health. Findings suggest importance of providing integrated care that address health and parenting needs to optimize offspring's development in instances of early motherhood.

Project description:ObjectivesTo examine associations between child maltreatment and health service use, both overall, by type and by the number of types of maltreatment reported.Design, settingCross-sectional, retrospective survey using the Juvenile Victimization Questionnaire-R2: Adapted Version (Australian Child Maltreatment Study); computer-assisted mobile telephone interviews using random digit dialling, Australia, 9 April - 11 October 2021.ParticipantsAustralians aged 16 years or more. The target sample size was 8500 respondents: 3500 people aged 16-24 years and 1000 respondents each from the five age groups (25-34, 35-44, 45-54, 55-64, 65 years or more).Main outcome measuresSelf-reported health service use during the past twelve months: hospital admissions, length of stay, and reasons for admission; and numbers of consultations with health care professionals, overall and by type. Associations between maltreatment and health service use are reported as odds ratios adjusted for age group, gender, socio-economic status, financial hardship (childhood and current), and geographic remoteness.ResultsA total of 8503 participants completed the survey. Respondents who had experienced child maltreatment were significantly more likely than those who had not to report a hospital admission during the preceding twelve months (adjusted odds ratio [aOR], 1.39; 95% confidence interval [CI], 1.16-1.66), particularly admission with a mental disorder (aOR, 2.4; 95% CI, 1.03-5.6). The likelihood of six or more visits to general practitioners (aOR, 2.37; 95% CI, 1.87-3.02) or of a consultation with a mental health nurse (aOR, 2.67; 95% CI, 1.75-4.06), psychologist (aOR, 2.40; 95% CI, 2.00-2.88), or psychiatrist (aOR, 3.02; 95% CI, 2.25-4.04) were each higher for people who reported maltreatment during childhood. People who reported three or more maltreatment types were generally most likely to report greater health service use.ConclusionsChild maltreatment has a major impact on health service use. Early, targeted interventions are vital, not only for supporting children directly, but also for their longer term wellbeing and reducing their health system use throughout life.

Dataset Information

Longitudinal pathways of family influence on child self-regulation: The roles of parenting, family expressiveness, and maternal sensitive guidance in the context of child maltreatment.

Publications

Longitudinal pathways of family influence on child self-regulation: The roles of parenting, family expressiveness, and maternal sensitive guidance in the context of child maltreatment.

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