Supporting the transition to parenthood: a systematic review of empirical studies on emotional and psychological interventions for first-time parents.

OBJECTIVES: The transition to parenthood can evoke a range of concerns in parents, profoundly impacting their psychological well-being. The literature regarding the transition to parenthood focuses primarily on functional aspects of parenthood, generally overlooking the psychological well-being of parents. METHOD: This comprehensive review synthesized studies describing emotional and psychological interventions during the transition to parenthood among participants between 2013 and 2022. A rigorous screening process, conducted by three of the authors, resulted in 18 studies that met the inclusion criteria. RESULTS: This report provides detailed descriptions of these studies, including their characteristics, demographics, types of interventions, and main outcomes. The majority of interventions focused on mothers and mother-infant dyads, with fewer interventions targeting couples, and none addressing fathers or father-infant dyads. CONCLUSIONS: The interventions examined were found to be effective in reducing symptoms such as depression, anxiety, and stress among mothers and had positive effects on infants' behaviors, mother-infant synchrony, and co-parenting. PRACTICE IMPLICATIONS: This review stresses the necessity of interventions targeting the transition to parenthood, especially among fathers and marginalized populations, as well as serves to identify barriers faced by vulnerable and minority populations.

The Child-Mother-Father-Teacher Relationship Network in Kindergarten and Its Association with Children's Social and Academic Development: An Ecological Perspective.

This study examines how a set of the child's proximal relationships (mother-child, father-child, and teacher-child) and parent-teacher relationships relate to the child's prosocial and learning behaviors in kindergarten. The sample included 95 mother-father-child triads (child mean age 5.9 years) and 42 kindergarten teachers. All adults reported on their relationship with the child and on their perceptions of parent-teacher relationships. Teachers reported on the child's behaviors. Main findings: (1) All proximal relationships and the teachers' relationships with mothers and fathers were related to children's outcomes; and (2) different patterns of associations were found between father-child and mother-child relationships, and teacher-child relationship, parent-teacher relationships, and children's outcomes. These findings hint to the different roles of fathers and mothers in their children's development and to distinguished patterns of relationships of mothers and fathers with kindergarten teachers.

Teacher-child relational conflict and maladaptive social behaviors: The moderating role of children's values.

Beginning in the preschool years, it is well established that teacher-child conflictual relationships are likely to have detrimental effects on children's behaviors. However, to date little attention has been paid to how certain core child factors, such as young children's personal values, might act as risk or protective factors in this context. Accordingly, we examined the associations between teacher-child relational conflict and children's maladaptive behaviors and asked whether children's personal values, defined here as their broad motivations in life, moderate these associations. Our sample consisted of 120 kindergarten children (58 girls; Mage = 67.53 months, SD = 6.53) and their teachers. Children's values were examined in a one-on-one interview using an animated values instrument. Teachers reported the level of conflict in the teacher-child relationships and children's maladaptive behaviors. The findings supported our hypothesis that teacher-child relational conflict is positively associated with children's externalizing and internalizing behaviors. In addition, children's self-transcendence values acted as a protective factor by weakening the adverse associations between teacher-child conflict and children's externalizing behaviors. Conversely, children's conservation values acted as a risk factor by strengthening the associations between teacher-child conflict and children's internalizing behaviors. We discuss the theoretical and practical implications of our findings.

Understanding the mental roots of social perceptions and behaviors: An integrated information-processing perspective.

Crick and Dodge's (1994) social information processing (SIP) model asserts that SIP -the mental processes activated when humans encounter social situations and need to produce a response - is a strong predictor of social behavior. However, because SIP measurement is typically limited to conscious, explicit, and subjectively-reported responses, current SIP research may not capture the subtlety of this internal process, and critical components may remain obscured. Accordingly, the present essay takes an information processing perspective to propose ways to assess currently unattended levels of processing that could further our understanding of the mental mechanisms driving social information processing and consequent social behaviors. We focus on four levels of analysis that offer a thorough inspection of the ways by which social representations evolve. First, we discuss the interplay between implicit and explicit processes in SIP affecting social perceptions and behaviors. Second, we distinguish between perceptual and post-perceptual components of encoding and interpretation of social scenarios. Third, we discuss the evolvement of social representations over the course of processing. Finally, we look at the combined effect of prior knowledge and the actual sensory evidence in real-world situations. With terms and advanced methods borrowed from cognitive psychological research, this general perspective offers a more refined model of SIP that may better account for a wide range of social decision making and behaviors.

Preschool Children's Social Information Processing Mediates the Link between the Quality of the Parent-Child Relationship and the Child's Learning Difficulties.

(1) Background: This study aims to explore children's social information processing (SIP) as an explanatory mechanism in the link between parent-child relationship and children's learning difficulties in kindergarten; (2) Methods: The sample included 115 kindergarteners (62 girls; 53 boys; Mage = 68.5 months, SD = 6.04), their parents and the school teacher. Parents reported on relationship quality with the child and teachers reported on children's learning difficulties and school achievements. Children's SIP was assessed with the social information processing interview-preschool version (3) Results: Mother and father relationship quality with the child associated with children's SIP; however, only the father's but not the mother's quality of relationship with the child was associated with children's learning difficulties and school achievements. Children's SIP mediated this latter link; (4) Conclusions: Parents' relationship quality with the child and children's SIP are pertinent factors in children's learning in the early years. The father-child relationship seems to be a strong determinant of a child's approach to learning and achievement and may have long lasting effects on children's mental health.

Parenting practices, aggressive response evaluation and decision, and social difficulties in kindergarten children: The role of fathers.

The association between fathers' parenting characteristics and their preschool children's social information processing (SIP) patterns is an understudied research topic. Hence, the current study aims to bridge this gap by examining whether there are differences between mothers' and fathers' parenting characteristics and their children's SIP patterns as well as their social functioning in school, with a specific focus on children's aggressive response evaluation and decision (RED) and social difficulties in kindergarten. Using a multimethod (self-reports and direct assessments) multi-informant (mother, father, child, and teacher) design, we collected data from 115 kindergarten children, their mothers, and their fathers, tapping the parents' perceptions of the relationships with the child and parenting style; the child's aggressively biased RED, and the child's social difficulties in kindergarten. We found that fathers' parenting capacities are associated with children's aggressively biased RED, whereas no such associations were found for mothers. In addition, aggressively biased RED mediated the association between fathers' authoritative parenting style and the child's maladaptive behavior in kindergarten. There were no differences between fathers and mothers in relation to social difficulties in kindergarten, with both parents' authoritative parenting style associated with less social difficulties. However, sex moderated this association in mothers as their authoritative style was associated with social difficulties in boys but not in girls. This difference was not found in fathers. On the other hand, fathers' authoritarian parenting style was associated with aggressive RED in boys but not in girls. The tentative nature of these findings and the need for replications are discussed.

Changing developmental trajectory in high-risk families: the effectiveness of an attachment-informed Therapeutic Nursery Program (TNP) for preschool children with complex emotional and behavioral problems.

The article describes a "Therapeutic Nursery Program" (TNP) and presents a study that examined its effectiveness. This attachment-informed program serves preschoolers with severe emotional and behavioral problems. Efficacy was assessed based on: 1) children's success in transitioning from the TNP to typical schools; (2) improvement in children's outcomes as a function of specific intervention factors; (3) gains in social informational processing during the school year. The sample included 60 children from mostly low-income African American families (>60%). Nearly 80 percent of graduates attended typical educational settings after graduation. More classroom attendance and more individual child therapy sessions were associated with better social, academic, and cognitive child outcomes. Finally, TNP children with better attendanceclosed the gap with a comparison group in their social information processing. Our findings point to the TNP as a promising prevention approach with specific implications for the practice of attachment in the "real world."

The effects of exposure to political and domestic violence on preschool children and their mothers.

The purpose of this study was to examine the effects of exposure to political violence on preschool children and their mothers. We explored whether these dyads are different from dyads with no known history of exposure to violence and from mother-child dyads with known exposure to domestic violence. Specifically, we explored differences in mothers' psychological status (depression and anxiety), dyadic emotional availability (EA), children's social information processing, and children's social behaviour, in a sample of 216 dyads divided into three groups (exposure to political violence, no exposure to violence, and exposure to domestic violence). We found evidence to support our hypotheses that children exposed to domestic violence exhibit the highest levels of social maladjustment with smaller but still significant differences between children exposed to political violence and children in the comparison group. As expected, the lowest EA scores were found in the exposure to domestic violence group, followed by dyads in the exposure to political violence group. Dyads belonging to the comparison group (no exposure) exhibited the highest levels of EA. These findings contribute to our understanding of the meaning of exposure to political violence, as well as sharpen the difference between exposure to political and domestic violence.

Association between the Mother's Social Cognition and the Child's Social Functioning in Kindergarten: The Mediating Role of the Child's Social Cognition.

Children's ability to adjust to the social rules and expectations in the educational environment is of major concern to researchers and practitioners alike. Accordingly, the main purpose of the present study was to examine predictors of children's social functioning in kindergarten with a specific focus on (a) maternal factors and (b) children's social cognition. Using a multi-method (self-reports and direct assessments), multi-informant (child, mother, teacher) design, we collected data from 301 kindergarten children and their mothers tapping the mother's social cognition (general and child-related) and parenting style, and children's social cognition (social information processing) and functioning in kindergarten. We found direct associations between the mother and child's social cognition, between the mother's authoritarian parenting style and her child's less competent social cognition and behavior, and between the child's social cognition and social functioning. Finally, as hypothesized, we found a number of interesting mediated effects. Most notably, we found that the association between the mother's social cognition (her tendency to attribute hostile intent to unknown others) and the child's social cognition (his/her tendency to generate less competent responses) is fully mediated by the mother's higher levels of authoritarian parenting style. The important theoretical and clinical implications of our findings are discussed.

Children and Caregivers' Exposure to Adverse Childhood Experiences (ACES): Association with Children's and Caregivers' Psychological Outcomes in a Therapeutic Preschool Program.

Exposure to adverse childhood experiences (ACE) has been found to have a profound negative impact on multiple child outcomes, including academic achievement, social cognition patterns, and behavioral adjustment. However, these links have yet to be examined in preschool children that are already experiencing behavior or social-emotional problems. Thus, the present study examined the links between the caregiver's and the child's exposure to ACE and multiple child and caregiver's outcomes in a sample of 30 preschool children enrolled in a Therapeutic Nursery Program (TNP). Children are typically referred to this TNP due to significant delays in their social emotional development that often result in difficulty functioning in typical childcare, home, and community settings. Analyses revealed some contradictory patterns that may be specific to this clinical sample. Children with higher exposure to ACE showed more biased social information processing patterns and their caregivers reported lower child social skills than caregivers of children with less exposure, however their inhibitory control levels were higher (better control) and staff reported that these children exhibited better social skills as well as better approaches to learning than children with less exposure. No such contradictions were found in relation to the caregiver's exposure to ACE, as it was positively associated with a number of negative child and caregiver outcomes.

Early childhood trauma in high-risk families: associations with caregiver emotional availability and insightfulness, and children's social information processing and social behavior.

The links between exposure to adverse childhood experiences (ACEs), caregiver insightfulness and emotional availability, and the child's social information processing (SIP) and social behavior were examined in a sample of 15 preschool children enrolled in a Therapeutic Nursery Program (TNP). Children are typically referred to the TNP due to significant delays in their social emotional development that often result in difficulty functioning in typical childcare, home, and community settings. Caregiver insightfulness was measured via an interview with the caregiver. Emotional availability was coded based on observations of caregiver-child interactions. The child's SIP patterns were measured in an interview, and the child's behavior in preschool was assessed by teacher reports. Higher levels of exposure to ACE were hypothesized to be related to lower levels of caregiver emotional availability and insightfulness and to higher levels of the children's perceptual (i.e. SIP) and behavioral maladjustment. It was also hypothesized that caregiver emotional availability and insightfulness would be associated with one another and significantly associated with children's perceptions and behaviors. Caregivers reporting higher levels of exposure exhibited lower levels of insightfulness and emotional availability. No such associations were found between the child's exposure to ACE and the caregivers' perceptions and behaviors. In addition, more insightful caregivers showed higher levels of emotional availability. Finally, children with more emotionally available caregivers showed more competent SIP and social behavior.

Practicing attachment in the real world: improving maternal insightfulness and dyadic emotional availability at an outpatient community mental health clinic.

The purpose of the study was to examine the efficacy of an attachment-based intervention program practiced at an outpatient clinic. Changes in parental insightfulness and dyadic emotional availability were assessed in 32 mother-child dyads from pre- to post-intervention. At both data collection points, mothers were interviewed with the Insightfulness Assessment and the mother-child dyad was observed in play sessions coded with the Emotional Availability Scales. Findings revealed a strong association between maternal insightfulness and dyadic emotional availability, both before and after treatment. In terms of intervention efficacy, positive gains were observed in both insightfulness and dyadic emotional availability from pre- to post-intervention. Mothers who changed their classifications from non-insightful to insightful following the intervention showed the greatest gains in emotional availability. These findings have important implications for the type of interventions and service delivery model that could work in real world clinical settings.

The associations among maternal negative control, children's social information processing patterns, and teachers' perceptions of children's behavior in preschool.

The links between social information processing (SIP) and social behavior in preschool are well documented. However, the antecedents of SIP in that age group are less clear. A number of influential theoretical models suggest that a major contributor to SIP is the quality of the child's relationships with the parent. Therefore, we examined the links among quality of the mother-child relationships (measured via direct observations of dyadic play interactions), the child's SIP patterns (measured via direct interview with the child), and the child's perceived behavior in preschool (measured via teacher reports) in a sample of 218 preschool and kindergarten children and their mothers. Applying structural equation modeling, we found support for our theoretical model with a specific emphasis on the negative nature of this association. Specifically, we found a strong indirect path from maternal negative control to the teacher's negative perception of the child's behavior in preschool and kindergarten via less competent SIP patterns. This empirical path remained intact after controlling for various variables such as the family income, the mother's education level, and the child's expressive language abilities, thereby providing further support for the robustness of this association.

Strong Bias Towards Analytic Perception in ASD Does not Necessarily Come at the Price of Impaired Integration Skills.

We first demonstrated analytic processing in ASD under conditions in which integral processing seems mandatory in TD observers, a pattern that is often taken to indicate a local default processing in ASD. However, this processing bias does not inevitably come at the price of impaired integration skills. Indeed, examining the same group of individuals with ASD on a task with explicit demands for integrated representations, Experiment 2 showed that the same observers with ASD demonstrated intact spatial integration. The results further showed that performance was not only quantitatively, but also qualitatively comparable to that of TD observers, demonstrating the sensitivity of integration in ASD to the same interactive effects of Gestalt cues.

Social information processing in preschool children diagnosed with autism spectrum disorder.

The social cognitive deficiencies of children diagnosed with autism spectrum disorders (ASDs) are well documented. However, the mechanisms underlying these deficiencies are unclear. Therefore, we examined the social information processing (SIP) patterns and social behaviors of 25 preschool children with ASDs in comparison to a matched group of 25 typically developing children. We found children with ASDs to be less likely than typically developing children to efficiently encode social information, to positively construct and evaluate competent responses, and to exhibit prosocial behaviors. They were also more likely than typically developing children to attribute hostile intentions to others in benign social situations, to construct and evaluate more positively aggressive responses, to construct more avoidant responses, and to display more externalizing behaviors. Interestingly, counterintuitive patterns of relationships were found within the ASD group with more competent SIP and theory of mind (ToM) patterns relating to less competent social behaviors. Finally, within the ASD group, more competent SIP patterns were found to be significantly related to higher ToM capacities.

Bullying and victimization in early adolescence: relations to social information processing patterns.

There is a gap in the literature on the social information processing (SIP) patterns of adolescents exposed to victimization in school. Therefore, we examine the SIP patterns of young adolescents characterized by their teachers and by their own reports as victims, bullies, bullies/victims, and neither bullies nor victims. The 105 adolescents participating in this study were asked to respond to hypothetical social scenarios in which a protagonist is either rebuffed or provoked by peers. The scenarios were ambiguous in nature and thus could have been processed in different ways. Indeed, distinctive processing patterns were found for each of these groups: victims tended to avoid challenging social situations while expecting others to be purposefully hostile or ignoring; bullies tended to interpret others as purposefully hostile and stated their desire to retaliate; bullies/victims showed patterns more similar to those of the bullies than the victims; and those who were neither victims nor bullies tended to view the same challenging social situations as non hostile and more likely to end well for them. We conclude by discussing the theoretical and practical implications of these findings.

Social information processing patterns, social skills, and school readiness in preschool children.

The links among social information processing, social competence, and school readiness were examined in this short-term longitudinal study with a sample of 198 preschool children. Data on social information processing were obtained via child interview, data on child social competence were obtained via teacher report, and data on school readiness were obtained via child assessment (early literacy skills) and teacher report (approaches to learning). Findings provided support for our hypothesis that both social information processing and social competence are related to school readiness. Social competence also partially mediated the link between social information processing and school readiness, thereby supporting our hypothesis about an indirect path in which mental processes are translated into social skills and then translated into school readiness.

Exposure to violence, social information processing, and problem behavior in preschool children.

Understanding the mechanisms by which early risk factors for social maladjustment contribute to disruptive behaviors in social settings is vital to developmental research and practice. A major risk factor for social maladjustment is early exposure to violence, which was examined in this short-term longitudinal study in relation to social information processing (SIP) patterns and externalizing and internalizing behaviors in a sample of 256 preschool children. Data on exposure to violence were obtained via parent report, data on SIP were obtained via child interview, and data on child problem behavior were obtained via teacher report. Findings supported the hypothesis that, compared to children not exposed to violence, children reported to witness and/or experience violence are more likely to attribute hostile intent to peers, generate aggressive responses, and evaluate socially unaccepted responses (aggressive and inept) as socially suitable. The former were also found to exhibit higher levels of externalizing and internalizing behaviors. Finally, SIP mediated the link between exposure to violence and problem behavior thus supporting this study's general approach, which argues that the link between exposure to violence and children's problem behaviors are better understood within the context of their perceptions about social relationships.

Social information processing in preschool children: Relations to sociodemographic risk and problem behavior.

Using a multicomponent, process-oriented approach, the links between social information processing during the preschool years and (a) sociodemographic risk and (b) behavior problems in preschool were examined in a community sample of 196 children. Findings provided support for our initial hypotheses that aspects of social information processing in preschool are related to both sociodemographic risk and behavior problems in preschool. Response evaluation and in particular the positive evaluation of an aggressive response were related to both sociodemographic risk and children's aggressive behavior and partially mediated the links between sociodemographic risk and aggressive behavior in preschool.

Enhancing attachment security in the infants of women in a jail-diversion program.

Pregnant female offenders face multiple adversities that make successful parenting difficult. As a result, their children are at risk of developing insecure attachment and attachment disorganization, both of which are associated with an increased likelihood of poor developmental outcomes. We evaluated the outcomes of participants in Tamar's Children, a 15-month jail-diversion intervention for pregnant, nonviolent offenders with a history of substance abuse. All women received extensive wrap-around social services as well as the Circle of Security Perinatal Protocol (Cooper, Hoffman, & Powell, 2003). We present data on 20 women and their infants who completed the full dosage of treatment (a residential-living phase from pregnancy until infant age six months and community-living phase until 12 months). Results indicated that (1) program infants had rates of attachment security and attachment disorganization comparable to rates typically found in low-risk samples (and more favorable than those typically found in high-risk samples); (2) program mothers had levels of maternal sensitivity comparable to mothers in an existing community comparison group; and (3) improvement over time emerged for maternal depressive symptomatology, but not other aspects of maternal functioning. Given the lack of a randomized control group, results are discussed in terms of the exploratory, program-development nature of the study.