The effectiveness and cost-effectiveness of Acceptance and Commitment Therapy as a transdiagnostic intervention for transitional-age youth: study protocol of a randomized controlled trial.

BACKGROUND: Although the prevalence of psychological problems in transitional-age youth (i.e., youth aged 15 to 25; TAY) is high, TAY are much less likely to receive age-appropriate treatments for their psychological problems compared to younger adolescents or older adults. Hence, effective interventions for TAY seem warranted. ACT your way is a transdiagnostic treatment, specifically developed for TAY, based on the principles of Acceptance and Commitment Therapy (ACT). ACT your way is not directed primarily at symptom reduction, but mainly aims to change the underlying mechanism of psychopathology, namely increasing TAY's psychological flexibility. Meta-analyses show that ACT is an effective treatment for adults with diverse types of psychopathology. Less is known about the effectiveness of ACT for TAY. Therefore, the goal of this study is to examine the effectiveness and cost-effectiveness of ACT your way. In addition, we will investigate for whom and under what circumstances (i.e., moderators) and how (i.e., mediators) the intervention is (most) effective. METHOD: The study is designed as a multi-centre, randomized controlled trial. In total, 140 TAY diagnosed with any psychological disorder will be randomly assigned to either the ACT your way or treatment as usual (TAU) condition. In total, six assessments will be conducted: at baseline, after 3, 6 and 9 sessions, at post-intervention and at 6-month follow-up, using multiple informants (TAY, parents/caregivers, therapists). Assessments will include diagnostic interviews and questionnaires. The primary outcomes are psychological flexibility and number of DSM-5 diagnoses; the secondary outcomes are the presence of the primary DSM-5 diagnosis, psychopathology, personality problems, global, individual and societal functioning, quality of life, stress, treatment satisfaction, treatment drop-out and therapeutic alliance. We will also assess costs and various moderators (i.e., demographic characteristics, type and severity of problems, psychopathology of parents/caregivers, treatment expectancy and previous treatments) and mediators (i.e., psychological flexibility, emotion regulation, self-compassion, autonomy, perfectionism, self-esteem and group cohesion). DISCUSSION: To our knowledge, this is the first study investigating the (cost-)effectiveness of ACT compared to TAU in clinically referred TAY with various types of psychopathology, using a rigorous design. TRIAL REGISTRATION: The research project is registered in the Dutch Trial Register (Trial NL9642).

The effectiveness of blended versus regular Forensic Outpatient Systemic Therapy in the treatment of juvenile antisocial behavior: a study protocol of a randomized controlled trial.

BACKGROUND: Antisocial behavior during adolescence can have long-lasting negative effects and leads to high societal costs. Forensic Outpatient Systemic Therapy (Forensische Ambulante Systeem Therapie; FAST) is a promising treatment for juveniles aged 12-21 showing severe antisocial behavior. The intensity, content and duration of FAST can be adjusted to the needs of the juvenile and their caregiver(s), which is considered crucial for effective treatment. Next to the regular version of FAST (FASTr), a blended version (FASTb) in which face-to-face contacts are replaced by minimally 50% online contacts over the duration of intervention was developed during the Covid-19 pandemic. The current study will investigate whether FASTb is equally effective as FASTr, and through which mechanisms of change, for whom, and under which conditions FASTr and FASTb work. METHODS: A randomized controlled trial (RCT) will be carried out. Participants (N = 200) will be randomly assigned to FASTb (n = 100) or FASTr (n = 100). Data collection will consist of self-report questionnaires and case file analysis, and include a pre-test at the start of the intervention, a post-test immediately after the intervention, and a six month follow-up. Mechanisms of change will be investigated using monthly questionnaires of key variables during treatment. Official recidivism data will be collected at two-year follow-up. DISCUSSION: This study aims to improve the effectiveness and quality of forensic mental health care for juveniles with antisocial behavior by studying the effectiveness of blended care, which has not been studied before in treatment of externalizing behavior. If found to be at least as effective as face-to-face treatment, blended treatment can help meet the urgent need for more flexible and efficient interventions in this field. In addition, the proposed study aims to unravel what works for whom, knowledge urgently needed in mental health care for juveniles with severe antisocial behavior. TRIAL REGISTRATION: This trial was registered at ClinicalTrials.gov on 07/11/2022, registration number NCT05606978.

Towards a more comprehensive understanding of PTSD and parenting.

BACKGROUND: The impact of post-traumatic stress disorder (PTSD) on parenting and the parent-child relationship has been well-documented in the scientific literature. However, some conceptual and methodological challenges within this research field remain. PROCEDURE: We reflect on a number of challenges that we identified while examining the literature in preparation of an individual participant data meta-analysis on the relationships between PTSD and parenting. FINDINGS: We address 1) the presence of 'trauma-islands'; 2) the need for transdiagnostic theoretical frameworks for mechanisms between PTSD and parenting; 3) the lack of developmental perspectives; 4) the overuse of self-reported retrospective measures; 5) the need to study more diverse samples and cultural contexts; and 6) the lack of research on resilience and post-traumatic growth in parenting. Based on these reflections, we offer suggestions on strategies for responding to these challenges through: 1) welcoming open science; 2) working towards shared theoretical frameworks; 3) doing more longitudinal research 4) expanding the methodological palette; 5) centering lived experience; and 6) taking systemic inequality into account. CONCLUSION: With this commentary, we aim to open a discussion on next steps towards a more comprehensive understanding of the association between PTSD and parenting, and inspire collaborative research.

Self-regulation and frontal EEG alpha activity during infancy and early childhood: A multilevel meta-analysis.

Integrating behavioral and neurophysiological measures has created new and advanced ways to understand the development of self-regulation. Electroencephalography (EEG) has been used to examine how self-regulatory processes are related to frontal alpha power during infancy and early childhood. However, findings across previous studies have been inconsistent. To address this issue, the current meta-analysis synthesized all prior literature examining associations between individual differences in self-regulation and frontal EEG alpha power (baseline and/or task). In total, 23 studies consisting of 1275 participants between 1 month and 6 years of age were included, which yielded 149 effect sizes. Findings of the three-level meta-analytic model demonstrated a non-significant overall association between self-regulation and frontal alpha power. Yet, significant moderating effects were found for self-regulation construct (emotion regulation, effortful control, executive function), self-regulation measurement (behavioral task, computer assessment, lab observation, questionnaire), and children's mean age. Self-regulation was only significantly correlated with frontal alpha power when studies focused on the executive functioning construct. Moreover, the use of behavioral tasks or questionnaires and a higher mean age of the children resulted in small but significant effect size estimates. Higher frontal alpha power values were related to higher order top-down mechanisms of self-regulation, indicating that these mechanisms might become stronger when the frontal cortex is sufficiently developed. The findings of the current meta-analysis highlight the importance of longitudinal analyses and multimethod approaches in future work to reach a more comprehensive understanding of the role of frontal EEG alpha activity in the etiology of individual differences in early self-regulation. RESEARCH HIGHLIGHTS: The first meta-analysis of individual differences in self-regulation and frontal EEG alpha power during infancy and early childhood demonstrated a non-significant overall association. Moderation analyses revealed that variations in frontal alpha power were significantly associated with executive function, but not with effortful control and emotion regulation. Frontal alpha power was related to variations in self-regulation when measured by behavioral tasks and questionnaires, but not via computer assessments and lab observations. The association between individual differences in self-regulation and frontal alpha power becomes significantly stronger with age.

Sexual Double Standards: Contributions of Sexual Socialization by Parents, Peers, and the Media.

(Hetero)sexual double standards (SDS) entail that different sexual behaviors are appropriate for men and women. There is large variation in whether people endorse SDS in their expectations about the sexual behavior of women and men (i.e., SDS-norms). To explain these individual differences, we examined associations between SDS-norms of Dutch adolescents (aged 16-20 years, N = 566) and what parents, peers, and the media teach adolescents about appropriate sexual behavior of boys and girls (i.e., SDS-socialization). Adolescents completed an online survey at school. Regarding SDS-socialization, more traditional SDS-norms conveyed by the media and peers, but not of parents, and less perceived sexual activity of female peers, were associated with more traditional SDS-norms. Only for boys, exposure to sexy girls/women on social media and sexual music videos of female artists were associated with more traditional SDS-norms. Thus, SDS-socialization by peers and the media and opposite gender models (for boys) are important in light of adolescents' SDS-norms.

Parallel Changes in Positive Youth Development and Self-awareness: the Role of Emotional Self-regulation, Self-esteem, and Self-reflection.

The aim of the present study was to examine whether early adolescents' positive development (i.e., resilience and psychological wellbeing) could be enhanced by stimulating three dimensions of self-awareness: emotional self-regulation, self-esteem, and self-reflection. An experimental field study (randomized controlled trial) was conducted. Seventh grade students (N = 1299; Mage = 12.38; 54% boys) completed multiple assessments at the beginning, during, and immediately after the intervention or at parallel time points for students in the control condition. Changes in the assessed constructs were examined with parallel process latent growth curve models. The results showed that increases in emotional self-regulation and self-esteem were related to concurrent increases in both resilience and psychological wellbeing. Changes in self-reflection were, however, not related to changes in these outcomes. The trajectories of change and parallel processes were similar in the intervention and control condition. These findings suggest that interventions aiming to stimulate positive youth development might be optimized by also focusing on youth's self-awareness, though more knowledge about how self-awareness can be stimulated best is needed. This trial was registered in the Dutch Trial Register, number NL6371 (old number: NTR6554), on July 3, 2017.

Explaining Heterogeneity of Daily Conflict Spillover in the Family: The Role of Dyadic Marital Conflict Patterns.

In this multi-informant, longitudinal, daily diary study, we investigated whether long-term dyadic patterns of marital conflict resolution explain the heterogeneity in short-term day-to-day cross-lagged associations between marital conflict intensity and mother-adolescent conflict intensity. The sample consisted of 419 adolescents (44.6% girls, Mage = 13.02, SD = 0.44, at T1; Mage = 17.02, SD = 0.44, at T5), their mothers (N = 419, Mage = 44.48, SD = 4.17, at T1), and their fathers (N = 419, Mage = 46.76, SD = 4.99, at T1). Mothers and fathers reported on their marital conflict resolution strategies annually across 5 years. Mother-father daily conflict intensity (mother-reported) and mother-adolescent daily conflict intensity (mother- and adolescent-reported) were assessed for 75 days across 5 years. We hypothesized that long-term marital conflict resolution patterns would moderate the short-term daily dynamics of conflict between the marital and the mother-adolescent dyads. Latent Class Growth Analysis revealed four types of families based on long-term dyadic marital conflict resolution, including families where mostly constructive or mostly destructive conflict resolution was used. Dynamic Structural Equation Modeling was used to investigate the daily levels and short-term daily dynamics of conflict, revealing that for most families there were no day-to-day lagged associations between marital conflict and mother-adolescent conflict. Results showed that long-term conflict resolution patterns did not moderate the short-term dynamics of daily conflict. However, differences among long-term marital conflict resolution patterns were found in the levels of daily conflict, such that in families with long-term destructive conflict resolution patterns, daily conflict intensity was higher.

En este estudio de informantes múltiples, longitudinal y de registro diario, investigamos si los patrones diádicos de resolución de conflictos conyugales a largo plazo explican la heterogeneidad en las asociaciones diarias de retardo cruzado a corto plazo entre la intensidad del conflicto conyugal y la intensidad del conflicto entre las madres y los adolescentes. La muestra estuvo integrada por 419 adolescentes (el 44.6 % niñas, edad promedio = 13.02, desviación típica = 0.44, en la T1; edad promedio = 17.02, desviación típica= 0.44, en la T5), sus madres (número = 419, edad promedio = 44.48, desviación típica = 4.17, en la T1), y sus padres (número = 419, edad promedio= 46.76, desviación típica = 4.99, en la T1). Las madres y los padres informaron sus estrategias de resolución de conflictos conyugales anualmente durante cinco años. Se evaluaron la intensidad del conflicto diario entre la madre y el padre (informado por la madre) y la intensidad del conflicto diario entre la madre y el adolescente (informado por la madre y el adolescente) durante 75 días a lo largo de cinco años. Planteamos la hipótesis de que los patrones de resolución de conflicto conyugal a largo plazo moderarían la dinámica diaria de conflicto a corto plazo entre la díada conyugal y la díada madre-adolescente. El análisis de crecimiento de clases latentes reveló cuatro tipos de familias sobre la base de la resolución de conflictos conyugales diádicos a largo plazo, incluidas las familias donde se usó la resolución de conflictos principalmente constructiva o principalmente destructiva. Se utilizó el modelo de ecuaciones estructurales dinámicas para investigar los niveles diarios y la dinámica diaria de conflicto a corto plazo, el cual reveló que para la mayoría de las familias no hubo asociaciones diarias retardadas entre el conflicto conyugal y el conflicto entre madres y adolescentes. Los resultados indicaron que los patrones de resolución de conflictos a largo plazo no moderaron la dinámica a corto plazo del conflicto diario. Sin embargo, se encontraron diferencias entre los patrones de resolución de conflictos conyugales a largo plazo en los niveles de conflicto diario, de modo que, en las familias con patrones de resolución de conflictos destructivos a largo plazo, la intensidad del conflicto diario fue mayor.

Inhibitory Control Across the Preschool Years: Developmental Changes and Associations with Parenting.

The normative developmental course of inhibitory control between 2.5 and 6.5 years, and associations with maternal and paternal sensitivity and intrusiveness were tested. The sample consisted of 383 children (52.5% boys). During four annual waves, mothers and fathers reported on their children's inhibitory control using the Children's Behavior Questionnaire. During the first wave, mothers' and fathers' sensitivity and intrusiveness were observed and coded with the Emotional Availability Scales. Inhibitory control exhibited partial scalar invariance over time, and increased in a decelerating rate. For both mothers and fathers, higher levels of sensitivity were associated with a higher initial level of children's inhibitory control, whereas higher levels of intrusiveness predicted a slower increase in children's inhibitory control.

Cool and hot effortful control moderate how parenting predicts child internalization in Chinese families.

Internalization of external rules is a behavioral manifestation of moral development during childhood, and its development has come to be understood from the view of a complex parenting-by-temperament process. To examine this developmental process, the current research investigated how maternal parenting behaviors and child effortful control foretell internalization throughout early to middle childhood with two longitudinal samples of Chinese mother-child dyads. In Study 1 (N = 226), maternal respect for autonomy and negative control during free plays at 15 months of age were observed. At 25 months, child cool and hot effortful control were measured with a Stroop-like categorization task and an externally imposed delay task. At 37 months, observed internalization of maternal rules was assessed. Results showed that for toddlers with high levels of cool effortful control, maternal respect for autonomy positively predicted later internalization. In Study 2 (N = 88), maternal respect for autonomy and negative control during free plays at 38 months of age were coded. At 60 months, child cool and hot effortful control were measured with a Stroop-like inhibition task and a delay-of-gratification task. Observed internalization of maternal and experimenter rules and mother-reported internalization in everyday life were assessed at 60 and 84 months. Results showed that for children low on either cool or hot effortful control, maternal respect for autonomy negatively predicted later internalization during childhood. Together, the current findings support an age-relevant goodness-of-fit model for internalization development in Chinese children throughout the first 7 years of life.

Exploring emotional face processing in 5-month-olds: The relation with quality of parent-child interaction and spatial frequencies.

It is unclear whether infants differentially process emotional faces in the brain at 5 months of age. Contradictory findings of previous research indicate that additional factors play a role in this process. The current study investigated whether five-month-old infants show differential brain activity between emotional faces. Furthermore, we explored the relation between emotional face processing and (I) stimulus characteristics, specifically the spatial frequency content, and (II) parent, child, and dyadic qualities of interaction characteristics. Face-sensitive components (i.e., N290, P400, Nc) in response to neutral and fearful faces that contained only lower or higher spatial frequencies were assessed. Quality of parent-child interaction was assessed with the Manchester Assessment of Caregiver Infant Interaction (MACI). The results show that, as a full group, none of the components differed between emotional expressions. However, when splitting the group based on median MACI scores, infants who showed high quality of interaction (i.e., more attentiveness to caregiver, positive and negative affect, and liveliness) processed emotions differently, whereas infants who showed low quality did not. These results indicate that a sub-group of infants show differential emotional face processing at 5 months of age, which seem to relate to quality of their behavior during the parent-child interaction.

The Role of Classmates' Modeling and Reinforcement in Adolescents' Perceived Classroom Peer Context.

Experiences with classmates can affect adolescents' academic, emotional, and social development. The aim was to examine whether changes in classmates' modeling and reinforcement, induced by an intervention, affected changes in adolescents' perceived classroom peer context and whether these associations were moderated by dyadic mutuality. Questionnaires and observations were used in a sample of 7th Grade students (N = 152; Mage = 12.37; 53.8% boys). Generally, changes in classmates' modeling and reinforcement were unrelated to adolescents' perceived classroom peer context, except for classmates' prosocial modeling. Increases in prosocial modeling were related to decreases in victimization, especially for dyads with high levels of mutuality. The results suggest that classmates' prosocial modeling may be more important for the perceived classroom peer context than classmates' deviant modeling.

He is a Stud, She is a Slut! A Meta-Analysis on the Continued Existence of Sexual Double Standards.

(Hetero)sexual double standards (SDS) entail that different sexual behaviors are appropriate for men and women. This meta-analysis (k = 99; N = 123,343) tested predictions of evolutionary and biosocial theories regarding the existence of SDS in social cognitions. Databases were searched for studies examining attitudes or stereotypes regarding the sexual behaviors of men versus women. Studies assessing differences in evaluations, or expectations, of men's and women's sexual behavior yielded evidence for traditional SDS (d = 0.25). For men, frequent sexual activity was more expected, and evaluated more positively, than for women. Studies using Likert-type-scale questionnaires did not yield evidence of SDS (combined M = -0.09). Effects were moderated by level of gender equality in the country in which the study was conducted, SDS-operationalization (attitudes vs. stereotypes), questionnaire type, and sexual behavior type. Results are consistent with a hybrid model incorporating both evolutionary and sociocultural factors contributing to SDS.

Study protocol: randomized controlled trial of manualized components in home visitation to reduce mothers' risk for child maltreatment.

BACKGROUND: This study tests whether home visitation to prevent child maltreatment can be improved by adding manualized program components, targeting four key risk factors for child maltreatment: low parental self-efficacy, high levels of perceived stress, parental anger, and post-traumatic stress symptoms. Home visitation is widely implemented, but effects on child maltreatment risk tend to be modest at best. Home visitation tends to be rather flexible (i.e., professionals decide how to support each family). We will test whether adding manualized program components increases program effectiveness, by ensuring that key risk factors are addressed, while maintaining flexibility. In addition, we will test whether any component effects on reduced child maltreatment risk can be explained (i.e., is mediated) by ameliorated risk factors. Lastly, we will test whether the components are more effective for some mothers (e.g., those at highest child maltreatment risk) than for others. METHODS: We will conduct a randomized controlled trial among 398 mothers enrolled in a Dutch home visiting program targeting families at risk for child maltreatment. Mothers in the experimental group will receive the manualized components in two consecutive home visits, while mothers in the control group will receive regular home visits (care as usual). Mothers will fill out questionnaires at four time points: before and after each of the two home visits. Outcome variables include the four targeted risk factors parental self-efficacy, perceived stress, parental anger, and (recognition of) post-traumatic stress symptoms, as well as parenting practices (e.g., rejection and affection), and risk for child maltreatment. DISCUSSION: This study aims to determine whether adding manualized program components to a flexible home visiting program increases program effectiveness on risk for child maltreatment. In addition, our test of whether the effects of the components on risk for child maltreatment is explained (i.e., mediated) by amelioration of the targeted risk factors, may contribute to our understanding of the role of these risk factors in child maltreatment. Our tests of which mothers benefit most from adding the components may help move the field towards evidence-based personalized family support. TRIAL REGISTRATION: This trial has been retrospectively registered in the Netherlands Trial Register (NL8005).

General Psychopathology and Dysregulation Profile in a Longitudinal Community Sample: Stability, Antecedents and Outcomes.

The general factor of psychopathology (GP, or p factor) and the Dysregulation Profile (DP) are two conceptually similar, but independently developed approaches to understand psychopathology. GP and DP models and their stability, antecedents and outcomes are studied in a longitudinal sample of 1073 children (49.8% female). GP and DP models were estimated at ages 8 and 14 years using the parent-reported Child Behavior Checklist (CBCL) and Youth Self Report (YSR). Early childhood antecedents and adolescent outcomes were derived using a multi-method multi-informant approach. Results showed that the general GP and DP had similar key symptoms and were similarly related to early-childhood antecedents (e.g., lower effortful control, higher maternal depression) and adolescent outcomes (e.g., reduced academic functioning, poorer mental health). This study demonstrates that GP and DP are highly similar constructs in middle childhood and adolescence, both describing a general vulnerability for psychopathology with (emotional) dysregulation at its core. Scientific integration of these approaches could lead to a better understanding of the structure, antecedents and outcomes of psychopathology.

Parent-Adolescent Conflict across Adolescence: Trajectories of Informant Discrepancies and Associations with Personality Types.

Parent-adolescent conflict can be intense, yet parents and adolescents do not always agree on the intensity of conflict. Conflict intensity tends to change during adolescence and is thought to be an indicator of how the parent-adolescent relationship transforms. However, parents and adolescents might differently perceive change in conflict intensity, resulting in changing discrepancies in conflict intensity throughout adolescence. Also, personality characteristics of parents and adolescents might affect the extent to which there are discrepancies in perceptions of conflict intensity. This multi-informant longitudinal study investigated a) the trajectories of parent-adolescent conflict intensity, b) the trajectories of informant discrepancies, and c) the prediction of these trajectories by parental and adolescent personality. Dutch adolescents (N = 497, 43.1% female, Mage = 13.03 at T1), their mothers, and their fathers reported on parent-adolescent conflict intensity and personality for six years. Latent Growth Curve Modeling and Latent Congruence Modeling revealed curvilinear changes in conflict intensity, as well as in discrepancies thereof. Two cycles of discrepancies emerged. First, in early-to-middle-adolescence discrepancies in perceptions of parents and adolescents increased, reflecting that adolescents' perceived conflict intensity increased. Second, in middle-to-late-adolescence, father-adolescent discrepancies increased further, reflecting that fathers' perceptions of conflict decreased. Resilient adolescents, mothers, and fathers reported lower levels of conflict intensity than Undercontrollers and Overcontrollers, but personality was not associated with the rate of change in conflict intensity. Finally, undercontrolling fathers and overcontrolling adolescents showed higher father-adolescent discrepancies. This study showed that parents and adolescents differentially perceive conflict intensity and that in the adolescent-father relationship, the extent of the differences depends on adolescent and father personality.

Linking emotional reactivity "for better and for worse" to differential susceptibility to parenting among kindergartners.

This study used a combination of microlevel observation data and longitudinal questionnaire data to study the relationship between differential reactivity and differential susceptibility, guided by three questions: (a) Does a subset of children exist that is both more likely to respond with increasingly negative emotions to increasingly negative emotions of mothers and with increasingly positive emotions to increasingly positive emotions of mothers ("emotional reactivity")? (b) Is emotional reactivity associated with temperament markers and rearing environment? (c) Are children who show high emotional reactivity "for better and for worse" also more susceptible to parenting predicting child behavior across a year? A total of 144 Dutch children (45.3% girls) aged four to six participated. Latent profile analyses revealed a group of average reactive children (87%) and a group that was emotionally reactive "for better and for worse" (13%). Highly reactive children scored higher on surgency and received lower levels of negative parenting. Finally, associations of negative and positive parenting with externalizing and prosocial behavior were similar (and nonsignificant) for highly reactive children and average reactive children. The findings suggest that children who are emotionally reactive "for better and for worse" within parent-child interactions are not necessarily more susceptible to parenting on a developmental time scale.

Individual differences in visual attention and self-regulation: A multimethod longitudinal study from infancy to toddlerhood.

Given the importance of self-regulation for a broad range of developmental outcomes, identifying reliable precursors of self-regulation early in development is important for early prevention of developmental problems. The aim of this study was to examine whether three visual attention measures (fixation duration, variation in fixation duration, and disengagement) in infancy (9.10-11.43 months of age) predicted effortful control and compliance in toddlerhood (26.71-31.80 months). The sample consisted of 74 children (50% boys). In infancy, two eye-tracking tasks were conducted: a visual search task to assess fixation duration and variation in fixation duration (n = 58) and the gap-overlap task to assess disengagement (n = 49). In toddlerhood, children's effortful control (n = 65) and compliance (n = 65) were assessed by parent reports and observed during a delay of gratification task and a cleanup session together with the parents, respectively. Using full information maximum likelihood to account for missing data, multiple regression analyses revealed that, when all three measures of visual attention were taken into account, longer fixations and less variation in fixation duration in infancy predicted better effortful control. Disengagement did not predict effortful control. Compliance in toddlerhood was not predicted by any of the visual attention measures. These findings may indicate that visual attentional measures in infancy predict relatively independent forms of self-regulation in toddlerhood. Future studies are necessary to elucidate the mechanisms that underlie the association between (variation in) fixation duration in infancy and effortful control in toddlerhood.

Coming Closer in Adolescence: Convergence in Mother, Father, and Adolescent Reports of Parenting.

Parent-child relationships change during adolescence. Furthermore, parents and adolescents perceive parenting differently. We examined the changes in perceptions of parental practices in fathers, mothers, and adolescents during adolescence. Furthermore, we investigated if fathers', mothers', and adolescents' perceptions converge during adolescence. Following 497 families across six waves (ages 13-18), we investigated the development of parental support and behavioral control using mother and father self-reports, and adolescent reports for mothers and fathers. We found curvilinear decrease for support and control. Parent-adolescent convergence emerged over the 6 years: those with higher intercepts had a steeper decrease, whereas correlations among parent and adolescent reports increased. This multi-informant study sheds light on the development of parent-adolescent convergence on perceptions of parenting.

Normative development of the Child Behavior Checklist Dysregulation Profile from early childhood to adolescence: Associations with personality pathology.

The Dysregulation Profile (DP) is a broad indicator of concurrent affective, behavioral, and cognitive dysregulation, often measured with the anxious/depressed, aggressive behavior, and attention problems syndrome scales of the Child Behavior Checklist. Despite an expanding body of research on the DP, knowledge of the normative developmental course of the DP from early childhood to adolescence is lacking. Furthermore, although we know that the DP longitudinally predicts personality pathology, no research yet has examined whether next to the DP in early childhood, the rate of change of the DP across development predicts personality pathology. Therefore, using cohort-sequential latent growth modeling in a population-based sample (N = 668), we examined the normative developmental course of mother-reported DP from ages 4 to 17 years and its associations with a wide range of adolescent-reported personality pathology dimensions 3 years later. The results showed that the DP follows a nonlinear developmental course with a peak in early adolescence. The initial level of the DP at age 4 and, to a lesser extent, the rate of change in the DP predicted a range of personality pathology dimensions in late adolescence. The findings suggest that the DP is a broad developmental precursor of personality pathology in late adolescence.

Cost-effectiveness of Family Group Conferencing in child welfare: a controlled study.

BACKGROUND: This study aimed to examine the short- and long term (cost-) effectiveness of Family Group Conferencing (FGC) compared to care as usual (CAU) in terms of improved child safety, empowerment and social support. METHODS: A subgroup of a larger randomized controlled trial, comprising 69 families in child welfare (experimental group: n = 46; control group: n = 23), was included. RESULTS: No additional effects of FGC on child safety, social support and only short-term positive effects on empowerment were found. There were no differences in costs between FGC and CAU. The chance for FGC to be cost-effective was small. For families who refused FGC, the FGC approach was more cost-effective than CAU, whereas it was less cost-effective for families that prepared or completed FGC. CONCLUSIONS: Overall, FGC is not (cost-)effective in improving child safety, empowerment and social support, but cost-effectiveness varies at different levels of FGC-completion. TRIAL REGISTRATION: Dutch Trial Register number NTR4320 . Registered 17 December 2013.