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1.
Dev Psychopathol ; 34(1): 307-319, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-33070805

RESUMEN

The Adult Attachment Interview (AAI) is a widely used measure in developmental science that assesses adults' current states of mind regarding early attachment-related experiences with their primary caregivers. The standard system for coding the AAI recommends classifying individuals categorically as having an autonomous, dismissing, preoccupied, or unresolved attachment state of mind. However, previous factor and taxometric analyses suggest that: (a) adults' attachment states of mind are captured by two weakly correlated factors reflecting adults' dismissing and preoccupied states of mind and (b) individual differences on these factors are continuously rather than categorically distributed. The current study revisited these suggestions about the latent structure of AAI scales by leveraging individual participant data from 40 studies (N = 3,218), with a particular focus on the controversial observation from prior factor analytic work that indicators of preoccupied states of mind and indicators of unresolved states of mind about loss and trauma loaded on a common factor. Confirmatory factor analyses indicated that: (a) a 2-factor model with weakly correlated dismissing and preoccupied factors and (b) a 3-factor model that further distinguished unresolved from preoccupied states of mind were both compatible with the data. The preoccupied and unresolved factors in the 3-factor model were highly correlated. Taxometric analyses suggested that individual differences in dismissing, preoccupied, and unresolved states of mind were more consistent with a continuous than a categorical model. The importance of additional tests of predictive validity of the various models is emphasized.


Asunto(s)
Individualidad , Apego a Objetos , Adulto , Humanos , Entrevista Psicológica
2.
Child Dev ; 89(6): 2023-2037, 2018 11.
Artículo en Inglés | MEDLINE | ID: mdl-29740805

RESUMEN

Parents' attachment representations and child-parent attachment have been shown to be associated, but these associations vary across populations (Verhage et al., 2016). The current study examined whether ecological factors may explain variability in the strength of intergenerational transmission of attachment, using individual participant data (IPD) meta-analysis. Analyses on 4,396 parent-child dyads (58 studies, child age 11-96 months) revealed a combined effect size of r = .29. IPD meta-analyses revealed that effect sizes for the transmission of autonomous-secure representations to secure attachments were weaker under risk conditions and weaker in adolescent parent-child dyads, whereas transmission was stronger for older children. Findings support the ecological constraints hypothesis on attachment transmission. Implications for attachment theory and the use of IPD meta-analysis are discussed.


Asunto(s)
Apego a Objetos , Relaciones Padres-Hijo , Adolescente , Factores de Edad , Niño , Preescolar , Escolaridad , Femenino , Humanos , Masculino , Responsabilidad Parental , Padres/psicología , Factores Sexuales
3.
Attach Hum Dev ; 18(2): 176-87, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26754258

RESUMEN

This investigation examined the structure of reflective functioning (RF) - an understanding of the links between mental states and behaviors - and adult attachment scales. Both RF and traditional adult attachment scales were coded based on 194 prebirth Adult Attachment Interviews (AAI). Correlational and factor analyses indicated considerable overlap between RF and traditional AAI coding. Exploratory factor analyses of RF and AAI state-of-mind scales indicated that RF loaded, along with coherence of mind, on the primary factor distinguishing between individuals categorized as secure and dismissing. These findings indicate substantial overlap between RF and AAI scales; however, the magnitude of the correlations between these scales indicates that they are not redundant.


Asunto(s)
Apego a Objetos , Teoría de la Mente , Adulto , Análisis de Varianza , Análisis Factorial , Femenino , Humanos , Entrevista Psicológica , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Adulto Joven
4.
Dev Psychol ; 2024 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-38358672

RESUMEN

A growing body of research suggests that, compared with single parent-child attachment relationships, child developmental outcomes may be better understood by examining the configurations of child-mother and child-father attachment relationships (i.e., attachment networks). Moreover, some studies have demonstrated an above-chance level chance of concordance between the quality of child-mother and child-father attachment relationships, and child temperament has been offered as a plausible explanation for such concordance. To assess whether temperament plays a role in the development of different attachment network configurations, in this preregistered individual participant data meta-analysis we tested the degree to which the temperament dimension of negative emotionality predicts the number of secure, insecure-avoidant, insecure-resistant, and disorganized attachment relationships a child has with mother and father. Data included in the linear mixed effects analyses were collected from seven studies sampling 872 children (49% female; 83% White). Negative emotionality significantly predicted the number of secure (d = -0.12) and insecure-resistant (d = 0.11), but not insecure-avoidant (d = 0.04) or disorganized (d = 0.08) attachment relationships. Nonpreregistered exploratory analyses indicated higher negative emotionality in children with insecure-resistant attachment relationships with both parents compared to those with one or none (d = 0.19), suggesting that temperament plays a small yet significant role in child-mother/child-father insecure-resistant attachment relationships concordance. Taken together, results from this study prompt a more in-depth examination of the mechanism underlying the small yet significantly higher chance that children with increased negative emotionality have for developing multiple insecure-resistant attachment relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

5.
J Fam Psychol ; 22(3): 389-98, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18540767

RESUMEN

The present study examined the role of maternal gatekeeping behavior in relation to fathers' relative involvement and competence in child care in 97 families with infant children. Parents' beliefs about fathers' roles were assessed prior to their infant's birth. Parents' perceptions of maternal gatekeeping behavior (encouragement and criticism) and coparenting relationship quality were assessed at 3.5 months postpartum. The authors assessed fathers' relative involvement and competence in child care using a combination of parent report and observational measures. Results suggest that even after accounting for parents' beliefs about the paternal role and the overall quality of the coparenting relationship, greater maternal encouragement was associated with higher parent-reported relative father involvement. Moreover, maternal encouragement mediated the association between coparenting quality and reported relative father involvement. With respect to fathers' observed behavior, fathers' beliefs and parents' perceptions of coparenting relationship quality were relevant only when mothers engaged in low levels of criticism and high levels of encouragement, respectively. These findings are consistent with the notion that mothers may shape father involvement through their roles as "gatekeepers."


Asunto(s)
Familia/psicología , Conducta Materna/psicología , Responsabilidad Parental/psicología , Conducta Paterna , Adulto , Conducta Cooperativa , Cultura , Relaciones Padre-Hijo , Femenino , Humanos , Lactante , Estudios Longitudinales , Masculino , Embarazo , Encuestas y Cuestionarios
6.
J Fam Psychol ; 32(8): 1015-1024, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30299135

RESUMEN

This study examined associations between father involvement and father-child attachment security, and whether those associations differed as a function of timing (workday and nonworkday) and/or type (accessibility, caregiving, and play) of involvement. Eighty father-child dyads participated when children were approximately 3 years old. Fathers completed a time diary interview assessing the various forms of involvement, and attachment was assessed using the Attachment Q-Set (Waters, 1995) following 90 min of father-child observation in the home. On nonworkdays, father involvement in play predicted greater attachment security and involvement in caregiving was marginally associated with greater attachment security. On workdays, father involvement in caregiving was related to greater attachment security, whereas father involvement in play was related to less attachment security. Results were independent of observed paternal sensitivity and relevant demographic covariates. Findings highlight the differential impact of father involvement for the father-child attachment relationship depending on when involvement occurs and what types of activities fathers engage in. (PsycINFO Database Record (c) 2018 APA, all rights reserved).


Asunto(s)
Relaciones Padre-Hijo , Apego a Objetos , Responsabilidad Parental/psicología , Cuidado del Niño/psicología , Preescolar , Ajuste Emocional , Femenino , Humanos , Masculino , Juego e Implementos de Juego , Autoimagen , Factores de Tiempo
7.
J Fluency Disord ; 32(3): 197-217, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17825669

RESUMEN

UNLABELLED: This paper is the second in a series of two articles exploring subtypes of stuttering, and it addresses the question of whether and how language ability and temperament variables may be relevant to the study of subtypes within the larger population of children who stutter. Despite observations of varied profiles among young children who stutter, efforts to identify and characterize subtypes of stuttering have had limited influence on theoretical or clinical understanding of the disorder. This manuscript briefly highlights research on language and temperament in young children who stutter, and considers whether the results can provide guidance for efforts to more effectively investigate and elucidate subtypes in childhood stuttering. Issues from the literature that appear relevant to research on stuttering subtypes include: (a) the question of whether stuttering is best characterized as categorical or continuous; (b) interpretation of individual differences in skills and profiles; and (c) the fact that, during the preschool years, the interaction among domains such as language and temperament are changing very rapidly, resulting in large differences in developmental profiles within relatively brief chronological age periods. EDUCATIONAL OBJECTIVES: The reader will be able to: (1) discuss possible associations of language ability and temperament to the development of stuttering in young children; (2) summarize the subtyping research from the literature on language ability and temperament in young children; (3) generate directions for future research of stuttering subtypes drawn from the literature related to language ability and temperament in young children.


Asunto(s)
Trastornos del Desarrollo del Lenguaje/clasificación , Tartamudeo/clasificación , Temperamento , Aptitud , Niño , Preescolar , Humanos , Individualidad , Trastornos del Desarrollo del Lenguaje/psicología , Investigación , Medición de la Producción del Habla/clasificación , Tartamudeo/psicología
8.
Infant Ment Health J ; 27(5): 466-493, 2006 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28640397

RESUMEN

In the present study (1) intervention effects on children's preschool behavior problems were evaluated in a high risk sample with an overrepresentation of insecure adult attachment representations in 77 first-time mothers, and (2) predictors and correlates of child problem behavior were examined. Early short-term video-feedback intervention to promote positive parenting (VIPP) focusing on maternal sensitivity and implemented in the baby's first year of life significantly protected children from developing clinical Total Problems at preschool age. Also, compared with the control group, fewer VIPP children scored in the clinical range for Externalizing Problems. No intervention effects on Internalizing clinical problem behavior were found. The VIPP effects on Externalizing and Total clinical Problems were not mediated by VIPP effects on sensitivity and infant attachment or moderated by mother or child variables. Maternal satisfaction with perceived support appeared to be associated with less children's Internalizing, Externalizing, and Total Problems. More research is needed to find the mechanisms triggered by VIPP, but the outcomes could be considered as promising first steps in the prevention of disturbing, externalizing behavior problems in young children.

9.
Infant Behav Dev ; 44: 77-85, 2016 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27322679

RESUMEN

The current study examined whether autobiographical memories from parents' own childhoods, prebirth expectations, and personality traits contributed to their perceptions of their infants' temperament. It also investigated whether mothers and fathers differed in the extent to which these three sources of subjectivity predicted their perceptions. During the third trimester of pregnancy, expectant mothers and fathers in 96 families completed assessments of their personality traits and expectations for their children's temperament, as well as provided characteristic memories of their relationships with their own caregivers as children. Memories were then coded for themes of growth versus safety and compared to parents' ratings of perceived child temperament 15 months later. Analyses revealed that, for both parents, prebirth expectations predicted perceptions of positive temperament behaviors. Moreover, fathers who described childhoods characterized by exploration and opportunities for growth also perceived their children as displaying more positive temperamental behaviors, whereas those who described greater safety focus in memories and who had higher levels of negative affectivity reported more negative temperamental behaviors. These findings suggest that mothers' and fathers' perceptions of their children are differently related to psychological variables, including autobiographical memories. In turn, it is possible that these subjective perceptions may affect the parenting environment.


Asunto(s)
Memoria Episódica , Relaciones Padres-Hijo , Padres/psicología , Percepción , Temperamento , Adulto , Femenino , Humanos , Lactante , Estudios Longitudinales , Masculino , Responsabilidad Parental/psicología , Factores Sexuales
10.
Child Welfare ; 84(4): 459-81, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16117259

RESUMEN

Mothers of young children recently placed in foster care participated in an intervention to enhance parent-child interaction during visits. The mothers all reported substantial loss and trauma histories. Immediately prior to the visits, the mothers were coached on strategies for separating from their children at the visit's end. The mothers displayed more behavioral strategies for supporting their children when the visit was over, but were less engaged with their children during the leave-taking sequence and displayed fewer ways of maintaining the child's involvement in mother-child interaction during leave-taking than those in a comparison group. This article discusses consideration of parents' trauma history in designing interventions to enhance parent-child interaction.


Asunto(s)
Protección a la Infancia , Cuidados en el Hogar de Adopción/psicología , Relaciones Madre-Hijo , Madres/psicología , Adolescente , Adulto , Ansiedad de Separación , Niño , Preescolar , Emociones , Femenino , Humanos , Illinois , Lactante , Entrevistas como Asunto , Madres/educación , Servicio Social/organización & administración , Grabación de Cinta de Video
11.
J Fam Psychol ; 18(1): 194-207, 2004 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-14992621

RESUMEN

This study examined the associations between coparenting and marital behavior from infancy to the preschool years. Coparenting and marital behavior were assessed in 46 families during observations of family play and marital discussions at 6 months and 3 years. Both coparenting and marital behavior showed moderate stability from 6 months to 3 years. In addition, coparenting and marital behavior were more consistently associated at 3 years than at 6 months. When the predictive capabilities of early coparenting and marital behavior for later coparenting and marital behavior were considered, early coparenting predicted later marital behavior but not vice versa. This study highlights the importance of early coparenting behavior, especially undermining coparenting behavior, for understanding both subsequent coparenting behavior and subsequent marital behavior.


Asunto(s)
Conducta Cooperativa , Matrimonio/psicología , Responsabilidad Parental , Preescolar , Femenino , Humanos , Lactante , Masculino , Relaciones Padres-Hijo , Encuestas y Cuestionarios
12.
Infancy ; 3(2): 153-174, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33451203

RESUMEN

This study examined 12- and 13-month-old infants' behavioral strategies for emotion regulation, emotional expressions, regulatory styles, and attachment quality with fathers and mothers. Eighty-five infants participated in the Strange Situation procedure to assess attachment quality with mothers and fathers. Infants' behavioral strategies for emotion regulation were examined with each parent during a competing demands task. Emotion regulation styles were meaningfully related to infant-father attachment quality. Although expressions of distress and positive affect were not consistent across mothers and fathers, there was consistency in infant strategy use, emotion regulation style, and attachment quality with mothers and fathers. Furthermore, infants who were securely attached to both parents showed greater consistency in parent-oriented strategies than infants who were insecurely attached to one or both parents. Limitations of this study include the constrained laboratory setting, potential carryover effects, and a homogeneous, middle-class sample.

13.
Child Welfare ; 81(2): 173-202, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12014465

RESUMEN

Mothers of children recently placed in foster care, foster mothers, and child welfare workers participated in semistructured, clinical interviews focusing on the challenges of parent visitation with young children. Mothers described their feelings of grief, trauma, and rage about the forced separation from their children and stressed the importance of emotional expression and communication during visits. Child welfare workers described the complexities of supporting emotionally close parent-child interactions while monitoring and assessing parental behavior during visits. Foster mothers described the importance of preparing children for visits and the difficulties of supporting the children afterward. Implications of understanding mothers', foster mothers', and child welfare workers' perspectives on enhancing the quality of visits with young children are discussed.


Asunto(s)
Protección a la Infancia , Cuidados en el Hogar de Adopción , Relaciones Madre-Hijo , Calidad de la Atención de Salud , Servicio Social , Adolescente , Adulto , Preescolar , Emociones , Femenino , Cuidados en el Hogar de Adopción/psicología , Humanos , Relaciones Interpersonales , Medio Oeste de Estados Unidos , Madres/psicología
14.
Infant Behav Dev ; 36(2): 210-22, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23454422

RESUMEN

This investigation explored how parent personality and infant temperament were associated with the development and stability of coparenting over the first 3 years of life. We examined the stability of supportive and undermining coparenting from 13 months to 3 years and whether infant difficult temperament moderated the stability of coparenting. We also examined how two dimensions of parent personality, communion and negative emotionality, were directly associated with coparenting quality and how these personality variables interacted with infant difficult temperament in predicting subsequent coparenting quality. Both supportive and undermining coparenting demonstrated moderate stability; however, stability in undermining coparenting was present only for families with less difficult infants. Fathers' communion and negative emotionality were associated with higher and lower coparenting quality, respectively, but only for families with an infant with a more challenging temperament. Mothers' negative emotionality was associated with higher coparenting quality. The results of this study suggest that parents' and children's characteristics are associated in direct and interactive ways with the development of the coparenting relationship across the first few years of a child's life.


Asunto(s)
Responsabilidad Parental/psicología , Padres/psicología , Personalidad/fisiología , Temperamento/fisiología , Adulto , Anciano , Envejecimiento/psicología , Desarrollo Infantil , Preescolar , Interpretación Estadística de Datos , Emociones/fisiología , Etnicidad , Familia/psicología , Padre/psicología , Femenino , Humanos , Lactante , Conducta del Lactante , Masculino , Persona de Mediana Edad , Madres/psicología , Análisis de Regresión , Encuestas y Cuestionarios , Adulto Joven
15.
J Fam Psychol ; 26(3): 421-30, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22468691

RESUMEN

To reach a greater understanding of the early father-child attachment relationship, this study examined concurrent and longitudinal associations among father involvement, paternal sensitivity, and father-child attachment security at 13 months and 3 years of age. Analyses revealed few associations among these variables at 13 months of age, but involvement and sensitivity independently predicted father-child attachment security at age 3. Moreover, sensitivity moderated the association between involvement and attachment security at 3 years. Specifically, involvement was unrelated to attachment security when fathers were highly sensitive, but positively related to attachment security when fathers were relatively less sensitive. Father involvement was also moderately stable across the two time points, but paternal sensitivity was not. Furthermore, there was significant stability in father-child attachment security from 13 months to 3 years. Secure attachment at 13 months also predicted greater levels of paternal sensitivity at 3 years, with sensitivity at age 3 mediating the association between 13 month and 3 year attachment security. In sum, a secure father-child attachment relationship (a) was related to both quantity and quality of fathering behavior, (b) remained relatively stable across early childhood, and (c) predicted increased paternal sensitivity over time. These findings further our understanding of the correlates of early father-child attachment, and underscore the need to consider multiple domains of fathers' parenting and reciprocal relations between fathering behavior and father-child attachment security.


Asunto(s)
Desarrollo Infantil/fisiología , Relaciones Padre-Hijo , Padre/psicología , Apego a Objetos , Responsabilidad Parental/psicología , Adulto , Preescolar , Femenino , Humanos , Lactante , Estudios Longitudinales , Masculino , Observación , Pruebas Psicológicas , Encuestas y Cuestionarios
16.
Early Child Dev Care ; 180(1-2): 121-137, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-25983376

RESUMEN

This study examined associations between supportive coparenting and infant-mother and infant-father attachment security. Observed and parent-reported coparenting, and observed maternal and paternal sensitivity were assessed in a sample of 68 families with 3.5-month-old infants. Infant-mother and infant-father attachment security were assessed in the Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978) at 12 and 13 months of age, respectively. Observed and reported supportive coparenting were associated with greater attachment security in the infant-father, but not the infant-mother, attachment relationship. The link between observed coparenting and infant-father attachment remained after accounting for paternal sensitivity. Furthermore, child gender moderated some associations between coparenting and infant-parent attachment security. Among families with boys, observed and reported supportive coparenting was related to greater infant-mother and infant-father attachment security, respectively. Coparenting was unrelated to infant-mother or infant-father attachment security among families with girls. Results highlight a possible link between the coparental and father-child relationships and the need to consider both parent and child gender when examining associations between family functioning and attachment.

17.
Infant Behav Dev ; 33(4): 442-52, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20510458

RESUMEN

The current investigation examined the differential susceptibility of parents to the effects of marital quality on changes in parenting. We predicted that parents who were high on the personality constructs Negative Affect and Constraint would be more susceptible to the effects of marital quality on their level of sensitivity. Sensitivity was assessed at 3.5 and 13 months for both mothers and fathers during a triadic interaction. Consistent with the differential susceptibility theory, results suggested that when mothers were high on Negative Affect and when fathers were high on Constraint, their marital quality was associated with changes in sensitivity. This investigation suggests that personality factors may create "vulnerabilities" in parents that make them differentially susceptible to the effects of the family environment on parenting.


Asunto(s)
Relaciones Familiares , Relaciones Interpersonales , Matrimonio/psicología , Relaciones Padres-Hijo , Responsabilidad Parental/psicología , Satisfacción Personal , Adulto , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Periodo Posparto , Valor Predictivo de las Pruebas , Factores de Tiempo , Adulto Joven
18.
J Fam Psychol ; 23(6): 828-38, 2009 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20001141

RESUMEN

The present research examined parental beliefs about the importance of the paternal caregiving role, mothers' and fathers' reports of infant temperament, and observed marital quality as predictors of infant-mother and infant-father attachment security, over and above the effects of parental sensitivity. Infants' attachment security to mothers and fathers were observed in the Strange Situation at 12 and 13 months, respectively (N = 62 two-parent families). Hierarchical regression models revealed that mothers who viewed the paternal caregiving role as important were less likely to have securely attached infants, but only when infant fussiness was high. In addition, fathers who viewed the paternal caregiving role as important were more likely to have securely attached infants, but only when infants' fussiness or marital quality was high.


Asunto(s)
Cultura , Relaciones Padre-Hijo , Matrimonio/psicología , Relaciones Madre-Hijo , Apego a Objetos , Padres/psicología , Temperamento , Adulto , Desarrollo Infantil , Femenino , Humanos , Técnicas In Vitro , Lactante , Masculino , Responsabilidad Parental
19.
Artículo en Inglés | MEDLINE | ID: mdl-25983365

RESUMEN

This study explored how children's self-concepts were related to child temperament, dyadic parenting behavior, and triadic family interaction. At age 3, child temperament, mothers' and fathers' parenting behavior, and triadic (mother, father, and child) family interaction were observed in the homes of fifty families. At age 4, children's self-concepts were assessed using the Children's Self-View Questionnaire (Eder, 1990). Analyses revealed that temperamental proneness-to-distress and triadic family interaction made independent contributions to children's self-reported Timidity and Agreeableness. In contrast, dyadic parenting behavior moderated the associations between child temperament and children's self-reported Timidity and Agreeableness, such that temperament was only associated with children's self-concepts when mothers and fathers engaged in particular parenting behaviors. Results suggest both direct and interactive influences of family dynamics and child characteristics on children's self-concept development.

20.
Parent Sci Pract ; 9(1-2): 143-159, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-25983664

RESUMEN

OBJECTIVE: The current study investigated the role of infant temperament in stability and change in coparenting behavior across the infant's first year. Specifically, bidirectional relations between infant temperament and coparenting were examined and temperament was further considered as a moderator of longitudinal stability in coparenting behavior. DESIGN: Fifty-six two-parent families were recruited to participate during their third trimester of pregnancy. Coparenting behavior was assessed in families' homes when infants were age 3.5 months and in a laboratory setting at 13 months postpartum. Mothers and fathers also reported on their infant's temperamental difficulty at 3.5 and 13 months. RESULTS: Evidence for bidirectional relations between infant temperament and coparenting was obtained. Early infant difficulty, as reported by fathers, was associated with a decrease in supportive coparenting behavior across time; conversely, early supportive coparenting behavior was associated with a decrease in infant difficulty. Moreover, infant difficult temperament moderated stability in undermining coparenting behavior, such that undermining behavior at 3.5 months predicted undermining behavior at 13 months only when infants had less difficult temperaments. CONCLUSIONS: These findings suggest that infants may play a role in the early course of the family processes that shape their development. With respect to practice, these results suggest that early intervention in the coparenting subsystem is essential for families, particularly those with temperamentally difficult infants.

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