Associations Between the Cause of Loved One's Death, Mourner's Psychological Distress and Ongoing Relationship With the Deceased, and Mourner's Posttraumatic Growth.

The current study focused on the associations between the cause of a loved one's death, mourner's emotional distress, mourner's ongoing relationship with the deceased, and posttraumatic growth (PTG). The sample comprised 91 Israeli mourners following death due to traffic accident, military service, or prolonged illness. Participants completed questionnaires assessing psychological distress, ongoing relationship with the deceased, and PTG. Findings showed that in traffic-accident deaths, mourners reported higher psychological distress and preoccupation with the deceased compared to that reported by the other mourner groups. Moreover, psychological distress mediated the association between the cause of death and PTG. The findings emphasize the differences between the mourner groups.

COVID-19, child's behavior problems, and mother's anxiety and mentalization: A mediated moderation model.

We examined the direct and indirect links between COVID-19, maternal anxiety symptoms, and child behavior problems as well as the mediation-moderation links of mothers' anxiety symptoms and mentalization skills with the prediction of child behavior problems. A sample of 140 Israeli mothers with preschool children comprised the study's two groups: A COVID-19 group (n = 53), recruited shortly after the pandemic outbreak, and a pre-COVID-19 group (n = 87), recruited prior to the pandemic. Mothers completed online questionnaires regarding their own anxiety symptoms (BSI anxiety subscale) and their children's internalizing and externalizing behaviors (CBCL). Maternal mentalization was assessed via the mind-mindedness representational procedure. Findings showed that mothers in the COVID-19 group experienced more anxiety symptoms and perceived their children as having more externalizing and internalizing behaviors compared to mothers in the pre-COVID-19 group. Mothers' anxiety symptoms mediated the effect of the pandemic on children's behaviors so that the higher the mothers' anxiety, the more externalizing and internalizing behaviors among the children. Mothers' mentalization moderated the association between the pandemic and the children's externalizing behaviors. Specifically, when mothers showed higher mentalization skills (higher mind-mindedness), the indirect effect of anxiety on the link between COVID-19 and children's externalizing behaviors was weaker compared to when mothers showed lower mentalization skills (lower mind-mindedness). The implications of these findings for preventive and treatment interventions that aim to reduce maternal anxiety and enhance mentalization skills to prevent children's behavior problems in the context of COVID-19 are discussed.

Links between mothers' ACEs, their psychopathology and parenting, and their children's behavior problems-A mediation model.

Introduction: Children of mothers with a history of adverse childhoods are at greater risk of behavior problems. However, the mechanisms through which a mother's early adverse experiences (ACEs) are transmitted to her children need further study. Our goal was to examine a conceptual mediational model linking mothers' ACEs, maternal psychopathology symptoms, and parenting behaviors with children's internalizing and externalizing behaviors sequentially. Methods: A sample of 153 Israeli mothers of children ages 3-12 (52% girls) participated in the study, and most of the mothers (94.7%) were cohabiting with a spouse. Mothers completed online questionnaires about their early adverse experiences, psychopathology symptoms, parenting behavior, and their children's internalizing and externalizing behavior. Results: Results showed that mothers with higher ACE scores reported more maternal psychopathology symptoms and more internalizing behavior in their children. The mother's psychopathology in and of itself mediated the link between her ACEs and her child's internalizing and externalizing behavior. Moreover, an indirect sequential path emerged linking ACEs with the mother's psychopathology symptoms, which, in return, were linked with hostile parenting. Hostile parenting, in turn, was linked with children's internalizing and externalizing behavior. Discussion: These findings highlight the complicated and intertwined ways in which adverse experiences early in the mother's life might put her child's wellbeing at risk. The findings suggest that ACEs are linked to maternal affect dysregulation, which interferes with parenting, increasing the risk of behavior problems in children. The findings underscore the need to assess mothers' adverse history, psychological distress, and parenting behavior, and provide treatments that can reduce the intergenerational transmission of early adverse experiences.

Mediation-Moderation Links Between Mothers' ACEs, Mothers' and Children's Psychopathology Symptoms, and Maternal Mentalization During COVID-19.

Research has suggested adverse childhood experiences (ACEs) as a transdiagnostic risk factor for a variety of affective disorders. They are also linked with a parent's tendency toward affect dysregulation and hyperarousal, which may interfere with parenting and children's wellbeing. On the other hand, maternal mentalization can serve as a moderating factor that can help parents regulate their arousal, shielding children during adverse circumstances. We studied the mediated links between ACEs and mothers' and children's psychopathology symptoms during COVID-19 to determine whether maternal mentalization and the child's age moderate these links. Using results from 152 Israeli mothers of children aged 3-12 years recruited during the month-long lockdown in Israel, we documented that the mothers' ACEs were linked with increased risk of depressive and anxiety symptoms and with children's internalizing and externalizing behaviors. Moreover, as hypothesized, the mothers' symptoms of depression and anxiety mediated the links between their ACEs and their children's internalizing behaviors. In addition, the mothers' mentalization skills and, in the case of their depressive symptoms, their child's age, moderated these indirect links. For mothers of young children (3-6 years old) with higher mentalization levels, the link between the mothers' ACEs and the children's behavior problems was weaker compared to mothers with low mentalization levels. For mothers of older children (6-12 years old), and only in the case of maternal depressive symptoms, higher levels of maternal mentalization were linked with more internalizing behaviors. We discuss the potential clinical implications of the findings.

Mediation of Mothers' Anxiety and Parenting in Children's Behavior Problems during COVID-19.

The outbreak of COVID-19 is affecting the lives of millions of families around the world. The current study was carried out in Israel, following the pandemic's initial outbreak and during the resulting enforced quarantine, confining parents and children to their homes. A sample of 141 Israeli mothers with at least one child between the ages of 3 and 12 (M = 6.92, SD = 2.55) participated as volunteers. About half the sample (50.7%) consisted of girls. Most mothers were cohabiting with a spouse (93%). Mothers completed online questionnaires about their perceptions about the health and economic threats of COVID-19, availability of social support, their anxiety symptoms, hostile/coercive and supportive/engaged parenting behavior, and their children's behavior problems. Results showed expected significant associations between the mothers' reports about having little social support, their anxiety symptoms, hostile/coercive and supportive/engaged parenting behavior, and children's externalizing problems. Likewise, expected significant associations were found between mothers' perceptions about the health and economic threats of COVID-19, their anxiety symptoms, hostile/coercive parenting behavior, and children's internalizing and externalizing problems. Importantly, maternal anxiety and hostile/coercive parenting behavior mediated the associations between lack of support, negative perceptions about the health and economic threats of COVID-19, and children's behavior problems. These findings stress the importance of mothers' mental health and parenting behaviors for children's socioemotional adaptation in the context of COVID-19. Implications of the findings for family interventions intended to help parents and children at this time are suggested.

Mediating and moderating links between coparenting, parental mentalization, parents' anxiety, and children's behavior problems.

The goal of this study is to integrate family systems theory, reflected in the construct of coparenting, with the attachment theory's concept of mentalization and how they are linked with children's behavior problems. We investigate the direct, indirect, and moderating links between mothers' and fathers' perceived coparenting, parental mentalization, and children's externalizing and internalizing behavior in the context of parents' general anxiety. Our sample consists of 78 cohabiting, heterosexual Israeli couples and their 3- to 5-year-old children. Both parents independently completed self-report questionnaires regarding their general anxiety, coparenting experiences and children's externalizing and internalizing behavior and were individually interviewed to assess their mind-mindedness. Actor-partner interdependent model extended for mediation analysis (APIMeM) revealed a direct actor and partner effect of parents' general anxiety on perceived coparenting and on the child's externalizing and internalizing behavior, and an indirect actor effect via coparenting, in the case of the child's externalizing behavior. In all models tested, the links were similar for mothers and fathers. Regression analysis with a PROCESS macro showed that maternal mind-mindedness, but not paternal mind-mindedness, moderated the direct link between parents' general anxiety and the child's externalizing behavior. Findings demonstrate the significant impact of fathers' and mothers' anxiety on the family system and on children in particular. We discuss the importance of coparenting as an executive subsystem in the family and of maternal mentalization as a buffer against the negative impact of parents' general anxiety on the child and suggest their potential contribution for prevention and treatment interventions. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The Contribution of Group Supervision Processes to the Formation of Professional Identity among Novice Psychotherapists.

Group supervision is a commonly employed method in graduate psychology training. The present study examines the role of group processes in the formation of professional identity among 129 Israeli graduate students following the conclusion of their supervision process. The following three identity statuses were identified: achievement, diffusion, and moratorium. Working alliance and group engagement were significantly higher for achievement students and differentiated between achievement and moratorium students. Cohesion was significantly lower for moratorium students than for students at each of the other two identity statuses. All differences were maintained when controlling for anxiety. Finally, working alliance was found to be the dominant process in predicting committed professional identity status. The findings stress the links between group processes in group supervision and a committed professional identity.