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1.
Fam Process ; 2024 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-38889885

RESUMO

There has been great interest in analyzing the potential of mindful parenting in promoting family well-being. Studies indicated that there is a lack of research on the predictive relationship between parenting practice and youth emotional and behavioral problems analyzed from a multi-informant perspective. This study evaluates the family-centered profiles of mothers and fathers' mindful parenting and negative parenting and youth problems associated with those profiles. A total of 441 youths (aged 9-14 years), along with their parents, answered self-report questionnaires in a three-wave longitudinal study conducted over 1 year. A latent profile analysis was performed to examine the mindful parenting profiles and to identify their associations with youth emotional and behavioral problems and negative parenting as outcomes. The results of latent profile analyses supported a three-profile solution: low mindful parenting family (35%), high maternal mindful parenting family (24%), and average mindful parenting family (41%). The low mindful parenting family profile showed the highest scores on negative parenting and youth emotional and behavioral problems. The high maternal mindful parenting family profile had the lowest scores on youth negative outcomes but demonstrated similar levels to those of the average mindful parenting family profile regarding negative parenting. Our findings highlight the importance of analyzing specific family profiles that help to develop personalized interventions with optimized treatments regarding family cohesion and environment.

2.
Child Adolesc Ment Health ; 29(1): 33-42, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-37431157

RESUMO

BACKGROUND: Screen media activity (SMA) can negatively affect youth behavioral health. Sleep may mediate this association but has not been previously explored. We examined whether sleep mediated the association between SMA and youth behavioral health among a community sample. METHOD: Parents completed questions about their child (N = 564) ages 3-17 at Wave 1, Wave 2 (4-8 months later), and Wave 3 (12 months later). Path analyses were conducted to examine links between Wave 1 SMA and Wave 3 behavioral health problems (i.e., internalizing, externalizing, attention, peer problems) through Wave 2 sleep disturbance and duration. RESULTS: SMA was significantly associated with greater sleep disturbance, ß = .11, 95% CI [.01, .21] and shorter sleep duration, ß = -.16 [-.25, -.06], and greater sleep disturbance was associated with worse youth behavioral health across internalizing, ß = .14 [.04, .24], externalizing, B = .23 [.12, .33], attention, ß = .24 [.15, .34], and peer problems, ß = .25 [.15, .35]. Longer sleep duration was associated with more externalizing, ß = .13 [.04, .21], and attention problems, ß = .12 [.02, .22], and fewer peer problems, ß = -.09 [-.17, -.01], but not with internalizing problems. Lastly, there was a direct effect of SMA on peer problems, ß = -.15 [-.23, -.06] such that higher SMA that does not impact sleep may have a positive impact on reducing peer problems. CONCLUSIONS: Sleep (i.e., disturbances and shorter duration) may partially account for the small associations observed between SMA and worse behavioral health in youth. To continue expanding our understanding, future research should utilize more diverse representative samples, use objective measures of SMA and sleep, and examine other relevant aspects of SMA, including content, device type, and timing of use.


Assuntos
Comportamento Problema , Transtornos do Sono-Vigília , Adolescente , Criança , Humanos , Pais , Sono , Duração do Sono , Transtornos do Sono-Vigília/epidemiologia , Pré-Escolar
3.
Psychol Sci ; 34(10): 1173-1185, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37733001

RESUMO

This study examined whether children exposed to adversity would exhibit lower epigenetic age acceleration in the context of improved parenting. Children with developmental delays and externalizing behavior problems (N = 62; Mage = 36.26 months; 70.97% boys, 29.03% girls; 71% Latinx, 22.6% Black) were drawn from a larger randomized controlled trial (RCT), which randomized them to receive Internet-delivered parent-child interaction therapy (iPCIT; n = 30) or community referrals as usual (RAU; n = 32). Epigenetic age acceleration was estimated with the pediatric buccal epigenetic clock, using saliva. Adversity was assessed using parent, family, and neighborhood-level cumulative-risk indicators. Adversity interacted with Time 2 (T2) observations of positive and negative-parenting practices to predict epigenetic age acceleration 1.5 years later, regardless of treatment assignment. Children exposed to more adversity displayed lower epigenetic age acceleration when parents evidenced increased positive (b = -0.15, p = .001) and decreased negative (b = -0.12, p = .01) parenting practices.


Assuntos
Poder Familiar , Comportamento Problema , Masculino , Feminino , Criança , Humanos , Pré-Escolar , Lactente , Pais , Relações Pais-Filho , Epigênese Genética
4.
J Clin Child Adolesc Psychol ; : 1-14, 2023 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-37494309

RESUMO

OBJECTIVE: Early-onset behavior disorders (BDs) are common and costly. The evidence-base for Behavioral Parent Training (BPT), the standard of care for early intervention for BDs in young children, is well-established; yet, common comorbidities such as internalizing symptoms are common and their impact, not well understood. The goal of the current study was to examine the potential for technology to improve BPT effects on observed parenting and child behavior outcomes for families of children recruited for clinically significant problem behavior who also presented with relatively higher internalizing symptoms. METHOD: Families with low incomes (N = 101), who are overrepresented in statistics on early-onset BDs, were randomized to an evidence-based BPT program, Helping the Noncompliant Child (HNC), or Technology-Enhanced HNC (TE-HNC). Children were ages 3 to 8 years (55.4% were boys). Child race included White (64.0%), Black or African American (21.0%), more than one race (14.0%), and Hispanic/Latinx (13.9%). RESULTS: Families in both groups evidenced improvement in internalizing symptoms at posttreatment; however, TE-HNC yielded the greatest improvement in positive parenting and child compliance at posttreatment and follow-up for children with the highest internalizing symptoms at baseline. CONCLUSIONS: TE-HNC resulted in improved parenting and child behavior outcomes for children with elevated levels of co-occurring internalizing symptoms at baseline relative to standard HNC. We posit that these added benefits may be a function of TE-HNC, creating the opportunity for therapists to personalize the treatment model boosting parent skill use with more complex presentations, although a formal test of mediation will be important in future work.

5.
J Child Psychol Psychiatry ; 63(9): 992-1001, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-34888861

RESUMO

BACKGROUND: Early-onset (3-8 years old) disruptive behavior disorders (DBDs) have been linked to a range of psychosocial sequelae in adolescence and beyond, including delinquency, depression, and substance use. Given that low-income families are overrepresented in statistics on early-onset DBDs, prevention and early-intervention targeting this population is a public health imperative. The efficacy of Behavioral Parent Training (BPT) programs such as Helping the Noncompliant Child (HNC) has been called robust; however, given the additional societal and structural barriers faced by low-income families, family engagement and retention barriers can cause effects to wane with time. This study extends preliminary work by examining the potential for a Technology-Enhanced HNC (TE-HNC) program to improve and sustain parent skill proficiency and child outcomes among low-income families. METHODS: A randomized controlled trial with two parallel arms was the design for this study. A total of 101 children (3-8-years-old) with clinically significant problem behaviors from low-income households were randomized to HNC (n = 54) or TE-HNC (n = 47). Participants were assessed at pre-treatment, post-treatment, 3-month, and 6-month follow-ups. Primary outcomes were parent-reported and observed child behavior problems. Secondary outcomes included observed parenting skills use (ClinicalTrials.gov Identifier: NCT02191956). RESULTS: Primary analyses used latent curve modeling to examine treatment differences in the trajectory of change during treatment, maintenance of treatment gains, and levels of outcomes at the 6-month follow-up. Both programs yielded improvements in parenting skills and child problems at post-treatment. However, TE-HNC families evidenced greater maintenance of parent-reported and observed child behavior and observed positive parenting skills at the 6-month follow-up. CONCLUSIONS: Our findings contribute to an ongoing line of work suggesting that technology-enhanced treatment models hold promise for increasing markers of engagement in BPT and sustaining long-term outcomes among low-income families.


Assuntos
Transtornos do Comportamento Infantil , Pais , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/terapia , Criança , Transtornos do Comportamento Infantil/psicologia , Transtornos do Comportamento Infantil/terapia , Pré-Escolar , Seguimentos , Humanos , Relações Pais-Filho , Poder Familiar/psicologia , Pais/educação , Tecnologia
6.
Dev Psychopathol ; : 1-16, 2022 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-36229943

RESUMO

Children with callous-unemotional (CU) traits are at risk for severe conduct problems. While CU traits are moderately heritable, parenting also predicts risk. However, few studies have investigated whether parenting factors (e.g., acceptance, conflict, parental psychopathology) moderate the etiology of CU traits, while accounting for gene-environment correlations. To address this knowledge gap, we used data from 772 twin pairs from the Adolescent Brain and Cognitive Development Study to test bivariate models that explored overlapping etiological influences on CU traits and child reports of their parenting environment. We also used gene-by-environment interaction models to test whether parenting moderated genetic versus environmental influences. There were no overlapping etiological influences on CU traits and parental acceptance, but modest genetic and non-shared environmental overlap between CU traits and family conflict. Parental acceptance and psychopathology moderated non-shared environmental influences, with stronger non-shared environmental influences on CU traits among children who experienced lower parental acceptance and greater parental psychopathology. Family conflict only moderated environmental influences when models did not covary for conduct problems. Parental acceptance and parental psychopathology may be specific environmental protective and risk factors for CU traits, whereas family conflict may represent a general environmental risk factor for both CU traits and conduct problems.

7.
J Clin Child Adolesc Psychol ; 51(5): 726-739, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33492172

RESUMO

OBJECTIVE: Behavioral parent training (BPT) is the first line of treatment for preschool-aged children with attention-deficit hyperactivity disorder (ADHD); however, clinically significant improvements are not universal. In the current study, we employ a person-centered approach to create subgroups of families based on the intersection of multiple parent, child, and family pre-treatment factors. Further, we explore the utility of pre-treatment family profiles in predicting post-treatment differences in observed parenting behavior (i.e., behavioral control, parental warmth) and clinically significant change in child ADHD and oppositional symptoms. METHOD: Longitudinal data were collected using observational and parent-, teacher- and clinician-reported assessments from 130 parent-child dyads (Mage= 3.57, range = 3.0- 4.11, 73.8% male, 69.2% White, 25.6% Hispanic) participating in BPT. RESULTS: Findings from the current study suggest three distinct family profiles, which consisted of one profile with high family stress (HFS) as evidenced by elevated symptomatology across parent, child, and family-level domains, a second profile with elevated parental anxiety (PA), and a final profile with elevated parental depression (PD). These family-centered profiles were differentially associated with changes in observed parenting practices. Specifically, the PD profile (39%) demonstrated minimal improvements in behavioral control and warmth following treatment. In contrast, the HFS profile (30%) only improved in behavioral control and the PA profile (31%) improved in both parenting domains following treatment. In addition, marginally significant differences in child oppositional and ADHD symptoms were observed across profiles. CONCLUSIONS: Family-centered approaches may be useful for selecting and implementing interventions.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Poder Familiar , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Terapia Comportamental , Pré-Escolar , Feminino , Humanos , Masculino , Poder Familiar/psicologia , Pais/psicologia , Instituições Acadêmicas
8.
J Clin Child Adolesc Psychol ; 51(6): 982-996, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33769163

RESUMO

OBJECTIVE: Parent-child role confusion has been shown to influence developmental outcomes for children whose parents have a history of depression; however, more research is needed to understand the pathways by which parental depression increases risk of role confusion. The current study aimed to extend previous literature by evaluating how different family processes (e.g., interparental conflict, guilt induction, family cohesion, and positive parenting practices) contribute to the development of emotional role confusion in families with a history of parental depression. METHOD: The sample was comprised of 90 parent-child dyads (parent Mage = 42, 90% female, 83.3% White; child Mage = 11.51, 51.1% female, 75.6% White) participating in the control group of a randomized controlled trial. All parents had a history of depression. A longitudinal path analysis was conducted to evaluate prospective associations in the multiple mediator model. RESULTS: Findings from the current study suggest that parental depressive symptoms are not directly related to the development of parent-child emotional role confusion, but are instead indirectly related through increased interparental conflict observed by youth. Although not identified as significant mediators, guilt induction and positive parenting practices emerged as predictors of emotional role confusion. Lastly, family cohesion did not appear to influence the development of role confusion. CONCLUSION: Findings suggest that parenting behaviors and coparenting relationship quality play important roles in the development of parent-child emotional role confusion, with interparental conflict emerging as the strongest predictor in families with a history of parental depression.


Assuntos
Depressão , Relações Pais-Filho , Adolescente , Feminino , Humanos , Masculino , Depressão/psicologia , Pais/psicologia , Poder Familiar/psicologia , Conflito Familiar/psicologia
9.
Artigo em Inglês | MEDLINE | ID: mdl-36571648

RESUMO

The current study utilized mediation analyses to examine how parental symptoms of depression and anxiety impact child emotion regulation (ER) and emotion stability (ES) through parent emotion functioning, parenting, and the coparent relationship. 564 parents of children between 3 and 17 years (Mage = 9.47; 54.4% male) were recruited via Amazon's Mechanical Turk across three time points: baseline (Wave 1), 4 months (Wave 2), 8 months (Wave 3). Mediation results demonstrated that symptoms of parent depression at Wave 1 predicted worse coparent relationships and decreases in parents' ability to identify their own emotions at Wave 2. Symptoms of parental anxiety at Wave 1 predicted decreases in positive parenting and an increased tendency to have negative secondary emotional responses, impulse-control difficulties, and difficulty accessing emotion-regulation strategies at Wave 2. Additionally, symptoms of parental anxiety at Wave 1 directly predicted lower child ER and ES at Wave 3. However, no significant indirect pathways were identified between parent symptoms and child ER and ES. Sensitivity analyses examined the effects of three youth developmental stages (i.e., early and middle childhood and adolescence), as well as parent gender (i.e., mother and father), and found no significant differences across groups. Thus, even at non-clinical levels, parental symptoms of anxiety and depression may negatively impact parenting, parent regulation, and the coparent relationship, while parental anxiety symptoms may contribute to lower child ER and ES.

10.
Fam Process ; 61(2): 808-822, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-34355396

RESUMO

Recent studies have increasingly focused on mindfulness as it relates to interpersonal processes. In particular, cross-sectional research has shown that parents' dispositional mindfulness is associated with increased mindful parenting and coparenting, as well as improved coparenting relationship quality. The current study replicates and extends such work, representing the first longitudinal investigation of mindful coparenting. A sample of 449 parents (60% mothers) of children between the ages of 3 and 17 years were recruited online through Amazon's Mechanical Turk (MTurk) as part of a larger study on the assessment of parenting. Parents reported on their dispositional mindfulness, mindful coparenting, and coparenting relationship quality at three time points across an 8-month period. Results from a cross-lagged panel model using maximum likelihood estimation suggested that higher levels of parental mindfulness at baseline were related with higher levels of mindful coparenting at 4 months, which, in turn, were related to higher quality coparenting relationship at 8 months. Support for this model was found for both mothers and fathers and across all examined child age groups (i.e., early childhood, middle childhood, and adolescence), highlighting the robust nature of these effects. Overall, findings suggest that increasing mindfulness at an individual level can promote meaningful change within a family system, specifically through improvements in coparenting and parent-child interactions.


Los estudios recientes se han centrado cada vez más en la conciencia plena en relación con los procesos interpersonales. En particular, las investigaciones transversales han demostrado que la conciencia plena disposicional de los padres está asociada con una crianza y una cocrianza más conscientes, así como con una mejor calidad de la relación de cocrianza. El presente estudio reproduce y amplía dicho trabajo, y representa la primera investigación longitudinal de cocrianza consciente. Se reunió virtualmente una muestra de 449 padres (el 60 % madres) de niños de entre 3 y 17 años mediante Amazon's Mechanical Turk (MTurk) como parte de un estudio más extenso sobre la evaluación de la crianza. Los padres informaron sobre su conciencia plena disposicional, la cocrianza consciente y la calidad de la relación de cocrianza en tres intervalos de tiempo durante un periodo de ocho meses. Los resultados de un modelo de panel de retardo cruzado utilizando la estimación por máxima verosimilitud indicaron que los niveles más altos de conciencia plena de los padres en el momento basal estuvieron relacionados con niveles más altos de cocrianza consciente a los cuatro meses, los cuales, a su vez, estuvieron relacionados con una relación de cocrianza de mayor calidad a los ocho meses. Se encontró respaldo para este modelo tanto en el caso de las madres como en el de los padres y entre todos los grupos etarios de los niños analizados (p. ej.: primera infancia, segunda infancia, adolescencia). Asimismo, se destacó la índole sólida de estos efectos. En general, los resultados indican que aumentar la conciencia plena a nivel individual puede promover un cambio significativo dentro de un sistema familiar, específicamente mediante mejoras en la cocrianza y en las interacciones entre padres e hijos.


Assuntos
Atenção Plena , Adolescente , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Mães , Relações Pais-Filho , Poder Familiar , Pais
11.
Cogn Behav Pract ; 28(4): 618-629, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34629838

RESUMO

The SARS-COV-2 (COVID-19) pandemic and associated social distancing guidelines have accelerated the telehealth transition in mental health. For those providing Behavioral Parent Training (BPT), this transition has called for moving sessions that are traditionally clinic-based, active, and directive to engaging, supporting, and treating families of children with behavior disorders remotely in their homes. Whereas many difficulties accompany this transition, the lessons learned during the current public health crisis have the potential to transform BPT service delivery on a large scale in ways that address many of its long-standing limitations. We describe both challenges and opportunities and consider the possibilities inherent in a large scale BPT service delivery model capable of increasing the reach and impact of evidence-based treatment for all families.

12.
Fam Process ; 59(4): 1722-1736, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-31782804

RESUMO

This study examined the hypothesis that parent socialization of coping (SOC) would have a longitudinal relation with child emotion regulation abilities. Participants included a sample of 256 parents of 5- to 12-year-old children (child M age = 8.36, SD = 2.03, 54.7% male; parent M age = 34.49, SD = 6.20, 59% female). Data on demographic information, parenting behaviors, and child emotion regulation abilities were collected via online questionnaires at baseline and 12 months. Results from longitudinal structural equation modeling (SEM) analyses suggested that parent SOC, measured at baseline, predicted child adaptive and maladaptive emotion regulation, measured 12 months later. More specifically, parental engagement coping suggestions predicted child's adaptive emotion regulation, whereas parental disengagement coping suggestions predicted child's maladaptive emotion regulation. Further, child gender emerged as a moderator in the longitudinal association between socialization of engagement coping and child adaptive emotion regulation: Whereas this association was small and marginally significant for girls, it was large and statistically significant for boys. Results highlight the importance of parent SOC as potentially contributing to emotion regulation abilities of 5- to 12-year-olds.


Este estudio examinó la hipótesis de que la socialización del afrontamiento por parte de los padres tendría una relación longitudinal con las habilidades de regulación emocional de los niños. Los participantes fueron una muestra de 256 padres de niños de entre 5 y 12 años (edad promedio de los niños = 8.36, desviación típica= 2.03, el 54.7 % de sexo masculino; edad promedio de los padres = 34.49, desviación típica = 6.20, el 59 % de sexo femenino). Se recopilaron datos sobre información demográfica, conductas de crianza y habilidades de regulación emocional de los niños mediante cuestionarios en línea al inicio del estudio y a los 12 meses posteriores. Los resultados de los análisis de ecuaciones estructurales longitudinales sugirieron que el afrontamiento por parte de los padres, medido al inicio del estudio, predijo la regulación emocional adaptativa y desadaptativa medida 12 meses después. Más específicamente, las sugerencias de afrontamiento del interés de los padres predijeron la regulación emocional adaptativa del niño, mientras que las sugerencias de afrontamiento del desinterés de los padres predijeron la regulación emocional desadaptativa del niño. Además, el género del niño surgió como moderador en la asociación longitudinal entre la socialización del afrontamiento del interés y la regulación emocional adaptativa del niño: si bien esta asociación fue pequeña y marginalmente significativa para las niñas, fue grande y estadísticamente significativa para los niños. Los resultados destacan la importancia de la socialización del afrontamiento por parte de los padres como posible favorecedora de las habilidades de regulación emocional de los niños de entre 5 y 12 años.


Assuntos
Adaptação Psicológica , Comportamento Infantil/psicologia , Regulação Emocional , Poder Familiar/psicologia , Socialização , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Estudos Longitudinais , Masculino , Pais/psicologia , Inquéritos e Questionários
13.
J Clin Psychol ; 76(4): 699-715, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31714614

RESUMO

OBJECTIVE: Numerous psychological constructs exist to describe different facets of emotional responding, but they have rarely been examined together. We empirically modeled the associations between four psychological constructs (mindfulness, emotional nonacceptance, experiential avoidance, and anxiety sensitivity) of individuals' responses to their affective experience, hypothesizing that a bifactor model would fit the data best. METHOD: We used exploratory structural equation modeling, a novel latent variable modeling framework, to compare five measurement models of emotional responding in an online community sample (N = 307). RESULTS: A bifactor model including a general emotional responding factor had substantial factor loadings from nearly all items, with mixed results for specific factors. Exploratory analyses supported the significant association of avoidant emotional responding and psychopathology/well-being. CONCLUSION: The general avoidant emotional responding factor appears to overlap most directly with experiential avoidance and may be a transtheoretical construct relevant to mental health.


Assuntos
Emoções/fisiologia , Transtornos Mentais/fisiopatologia , Saúde Mental , Adulto , Feminino , Humanos , Masculino , Modelos Psicológicos
14.
Dev Psychopathol ; 31(1): 219-231, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-29229006

RESUMO

The current investigation examined if changes in youth internalizing problems as a result of a family group cognitive behavioral (FGCB) preventive intervention for families with a parent with a history of depression had a cascade effect on youth social problems over 24 months and the bidirectional nature of these effects. One hundred eighty families with a parent with a history of major depressive disorder (M age = 41.96; 88.9% mothers) and a youth age 9 to 15 years (49.4% females; M age = 11.46) participated. Findings from a panel model indicated that, compared to a minimum intervention condition, the FGCB intervention significantly reduced youth internalizing problems at 12 months that in turn were associated with lower levels of social problems at 18 months. Similarly, the FGCB intervention reduced internalizing problems at 18 months, which were associated with fewer social problems at 24 months. Changes in social problems were not related to reductions in subsequent internalizing problems. The findings suggest that reductions in youth internalizing problems can lead to lower levels of social problems. Youth social problems are difficult to change; therefore, targeting internalizing problems may be an effective way to reduce the social problems of children of parents with a history of depression.


Assuntos
Filho de Pais com Deficiência/psicologia , Terapia Cognitivo-Comportamental/métodos , Transtorno Depressivo Maior/psicologia , Terapia Familiar/métodos , Controle Interno-Externo , Delinquência Juvenil/prevenção & controle , Psicoterapia de Grupo/métodos , Adolescente , Adulto , Criança , Mecanismos de Defesa , Feminino , Seguimentos , Humanos , Delinquência Juvenil/psicologia , Masculino , Pais/psicologia , Problemas Sociais
15.
J Trauma Stress ; 31(4): 549-557, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30025175

RESUMO

Although crowdsourcing websites like Amazon's Mechanical Turk (MTurk) allow researchers to conduct research efficiently, it is unclear if MTurk and traditionally recruited samples are comparable when assessing the sequela of traumatic events. We compared the responses to validated self-report measures of posttraumatic stress disorder (PTSD) and related constructs that were given by 822 participants recruited via MTurk and had experienced a DSM-5 Criterion A traumatic event to responses obtained in recent samples of participants recruited via traditional methods. Results suggested that the rate of PTSD in the present sample (19.8%) was statistically higher than that found in a recent systematic review of studies that used only traditional recruitment methods. The severity of PTSD reported in the MTurk sample was significantly greater than that reported in a college sample, d = 0.24, and significantly less than that reported in a veteran sample, d = 0.90. The factor structure of PTSD found in the MTurk sample was consistent with prevailing models of PTSD. Findings indicate that crowdsourcing may improve access to this hard-to-reach population.


Assuntos
Crowdsourcing/métodos , Coleta de Dados/métodos , Seleção de Pacientes , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Crowdsourcing/economia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicopatologia/métodos , Autorrelato , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Adulto Jovem
16.
Fam Process ; 57(3): 752-766, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29090461

RESUMO

Caregivers play a crucial role in the socialization of youth emotion understanding, competence, and regulation, which are implicated in youth social and emotional health; however, there is less understanding of parental psychosocial or cognitive factors, like mindful parenting, that may be associated with the use of particular emotion socialization (ES) strategies. This study tests a model of the cross-sectional and short-term longitudinal associations between mindful parenting and supportive and nonsupportive ES strategies in a community sample of parents (N = 246; 63.8% mothers) of youth ranging from ages 3-12. Caregivers reported on mindful parenting and ES strategies at two time points 4 months apart. The structural equation model indicated that higher levels of mindful parenting are positively related to supportive ES responses and negatively related to nonsupportive ES responses both concurrently and over time. The longitudinal association between mindful parenting and nonsupportive, but not supportive, ES was marginally larger for fathers as compared to mothers. Given the documented impact of ES strategies on youth emotional and behavioral outcomes and interventions emerging to educate parents about how to provide a healthy emotional atmosphere, incorporating a focus on mindful parenting strategies may provide one pathway to increase supportive responses and decrease nonsupportive ones.


Assuntos
Emoções , Atenção Plena , Poder Familiar/psicologia , Socialização , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Estudos Longitudinais , Masculino , Relações Pais-Filho , Pais/psicologia
17.
Dev Psychopathol ; 29(5): 1619-1626, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29162169

RESUMO

Serotonin signaling pathways play a key role in brain development, stress reactivity, and mental health. Epigenetic alterations in the serotonin system may underlie the effect of early life stress on psychopathology. The current study examined methylation of the serotonin receptor 2A (HTR2A) gene in a sample of 228 children including 119 with child welfare documentation of moderate to severe maltreatment within the last 6 months. Child protection records, semistructured interviews in the home, and parent reports were used to assess child stress exposure, psychiatric symptoms, and behavior. The HTR2A genotype and methylation of HTR2A were measured at two CpG sites (-1420 and -1224) from saliva DNA. HTR2A genotype was associated with HTR2A methylation at both CpG sites. HTR2A genotype also moderated associations of contextual stress exposure and HTR2A methylation at site -1420. Contextual stress was positively associated with -1420 methylation among A homozygotes, but negatively associated with -1420 methylation among G homozygotes. Posttraumatic stress disorder and major depressive disorder symptoms were negatively associated with methylation at -1420, but positively associated with methylation at -1224. Results support the view that the serotonin system is sensitive to stress exposure and psychopathology, and HTR2A methylation may be a mechanism by which early adversity is biologically encoded.


Assuntos
Maus-Tratos Infantis/psicologia , Metilação de DNA , Transtorno Depressivo Maior/genética , Receptor 5-HT2A de Serotonina/genética , Transtornos de Estresse Pós-Traumáticos/genética , Pré-Escolar , Transtorno Depressivo Maior/psicologia , Feminino , Interação Gene-Ambiente , Genótipo , Humanos , Masculino , Regiões Promotoras Genéticas , Transdução de Sinais/genética , Transtornos de Estresse Pós-Traumáticos/psicologia , Estresse Psicológico/genética , Estresse Psicológico/psicologia
18.
Dev Psychopathol ; 29(5): 1635-1648, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29162170

RESUMO

Epigenetics processes may play a vital role in the biological embedding of early environmental adversity and the development of psychopathology. Accumulating evidence suggests that maltreatment is linked to methylation of the glucocorticoid receptor gene, nuclear receptor subfamily 3, group C, member 1 (NR3C1), which is a key regulator of the hypothalamus-pituitary-adrenal axis. However, prior work has been exclusively cross-sectional, greatly constraining our understanding of stress-related epigenetic processes over time. In the current study, we examined the effect of maltreatment and other adversity on change in NR3C1 methylation among at-risk preschoolers to begin to characterize within-child epigenetic changes during this sensitive developmental period. Participants were 260 preschoolers (3-5 years old, 53.8% female), including 51.5% with moderate to severe maltreatment in the past 6 months. Child protection records, semistructured interviews, and parent reports were used to assess child stress exposure. Methylation of exons 1D and 1F of NR3C1 via saliva DNA were measured at two time points approximately 6 months apart. Results indicate that maltreated children evidence higher baseline levels of NR3C1 methylation, significant decreases in methylation over time, and then at follow-up, lower levels of methylation, relative to nonmaltreated preschoolers. Findings from the current study highlight the complex nature of stress-related epigenetic processes during early development.


Assuntos
Maus-Tratos Infantis , Desenvolvimento Infantil/fisiologia , Metilação de DNA , Receptores de Glucocorticoides/genética , Pré-Escolar , Éxons , Feminino , Humanos , Sistema Hipotálamo-Hipofisário/metabolismo , Masculino , Sistema Hipófise-Suprarrenal/metabolismo , Receptores de Glucocorticoides/metabolismo
19.
Dev Psychopathol ; 29(5): 1627-1634, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29162173

RESUMO

FK506 binding protein 5 (FKBP5) alters stress response system functioning, and childhood maltreatment is associated with methylation of the FKBP5 gene. Yet it is unknown if maltreatment contributes to change in FKBP5 methylation over time. The current study draws upon a sample of 231 preschoolers, including 123 with child welfare documentation of moderate to severe maltreatment in the past 6 months, to understand if maltreatment contributes to change in FKBP5 methylation over a 6-month period. Review of child protection records and semistructured interviews in the home were used to assess maltreatment and exposure to other contextual stressors, as well as service utilization. Methylation of FKBP5 at two CpG sites in intron 7 was measured from saliva DNA at the time of initial study enrollment, and 6 months following enrollment. Child maltreatment was associated with change in FKBP5 methylation over time, but only when children were exposed to high levels of other contextual stressors. Service utilization was associated with increases in methylation over time, but only among children with the FKPB5 rs1360780 protective CC genotype. Methylation of FKBP5 is sensitive to stress exposure and may be a mechanism linking early adversity to long-term health and developmental outcomes.


Assuntos
Maus-Tratos Infantis , Metilação de DNA , Proteínas de Ligação a Tacrolimo/genética , Pré-Escolar , Feminino , Genótipo , Humanos , Íntrons , Masculino
20.
J Appl Dev Psychol ; 44: 28-38, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27795603

RESUMO

In the present study we propose a model linking parental perceptions of technology to technology-related parenting strategies to youth screen time, and, finally, to internalizing and externalizing problem behaviors. Participants were 615 parents drawn from three community samples of families with children across three developmental stages: young childhood, middle childhood, and adolescence. The model was tested at each stage with the strongest support emerging in the young childhood sample. One component of parental perceptions of technology, perceived efficacy, was related to technology-related parenting strategies across developmental stages. However, the association of these strategies to child screen time and, in turn, problem behaviors, diminished as children increased in age. Implications for intervention are considered.

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