Self-report measure of parental reflective functioning: A study of reliability and validity across three samples of varying clinical risk.

The Parental Reflective Functioning Questionnaire (PRFQ) provides an efficient way to measure a parent's capacity to recognize their child's mental states and to understand the relationship between underlying mental states and behavior. To date, limited work evaluates its psychometric properties beyond initial validation studies. Here we examined the reliability and validity of the PRFQ in three samples of varying clinical risk (e.g., community sample, previous mental health diagnosis, substance use disorder diagnosis). Across samples, the majority (e.g., 75%-78%) of mothers identified as White; all mothers were from the USA. We compared the PRFQ to task-based measures of mentalization, the Parent Development Interview (PDI), and measures of the parent-child relationship. The PRFQ was a reliable measure across samples, and it was associated in theoretically consistent ways with task-based measures of mentalization. Parental RF across the PDI and PRFQ were not highly correlated in a sample of mothers with substance use disorders. Existing RF measures may be tapping into a different component of the broader construct of parental reflective functioning (PRF). The PRFQ was further validated by demonstrating relationships with parent-report measures of the parent-child relationship. Taken together, these findings provide additional support for the reliability and validity of the PRFQ.

El Cuestionario del Funcionamiento con Reflexión del Progenitor (PRFQ) aporta una manera eficaz de medir la capacidad del progenitor para reconocer los estados mentales de su niño y comprender la relación entre los estados mentales subyacentes y el comportamiento. A la fecha, un trabajo limitado evalúa sus propiedades sicométricas más allá de los estudios de validación inicial. Aquí examinamos la confiabilidad y validez del PRFQ en tres grupos muestra de riesgo clínico variado (v.g. grupo comunitario, previa diagnosis de salud mental, diagnosis de trastorno por uso de sustancias). A través de los grupos muestra, la mayoría (v.g., 75-78%) de las madres se identifican como blancas; todas las madres eran de los Estados Unidos. Comparamos el PRFQ con medidas de mentalización basadas en tareas, la Entrevista del Desarrollo del Progenitor (PDI), y medidas de la relación progenitor-niño. El PRFQ fue una medida confiable a lo largo de los grupos muestra, y se asoció de maneras teoréticamente consistentes con las medidas de mentalización basadas en tareas. El funcionamiento con reflexión del progenitor a lo largo del PDI y PRFQ no se correlacionaron altamente en un grupo muestra de madres con trastornos de uso de sustancias. Las medidas del funcionamiento con reflexión existentes pudieran sacar provecho de un componente diferente de la más amplia edificación del funcionamiento con reflexión del progenitor. Se validó además el PRFQ por medio de demostrar las relaciones con las medidas auto reportadas por el progenitor de la relación progenitor-niño. Tomados en conjunto, estos resultados aportan un apoyo adicional para la confiabilidad y validez del PRFQ.

Le Questionnaire de Fonctionnement de Réflexion Parental (QFRP) offre une manière efficace de mesurer la capacité d'un parent à reconnaître les états mentaux de leur enfant et de comprendre la relation entre les états mentaux sous-jacents et le comportement. Jusqu'à présent peu d'études ont évalué ses propriétés psychométriques au-delà des études initiales de validation. Nous examinons ici la fiabilité et la validité du QFRP chez trois échantillons de risque clinique varié (soit un échantillon communautaire, un diagnostic de santé mentale précédent, un diagnostic de trouble lié à l'usage d'une substance). Au travers des échantillons la majorité (c'est-à-dire 75-78%) des mères se sont identifiées comme étant blanches et toutes les mères étaient américaines (des USA). Nous avons comparé le QFRP à des mesures de mentalisation faites à partir d'une tâche, à l'Entretien de Développement du Parent (en anglais Parent Development Interview, soit PDI), et à des mesures de la relation parent-enfant. Le QFRP s'est avéré être une mesure fiable au travers des échantillons et était lié de manières théoriquement cohérentes à des mesures de mentalisation (basées sur des tâches). Le FR parental au travers du PDI et le QFRP n'étaient pas fortement liés chez un échantillon de mères avec un trouble lié à l'usage d'une substance. Il est possible que les mesures FR qui existent puisent dans un composant différent de la structure plus large du fonctionnement de réflexion parental, Le QFRP a été en outre validé par la démonstration de la relation entre les mesures rapportées par les parents de la relation parent-enfant. Pris dans l'ensemble ces résultats offrent un soutien supplémentaire pour la fiabilité et la validité du QFRP.

Understanding Children's Emotions: Differences in Mothers With a History of Childhood Maltreatment.

Experiencing maltreatment in childhood can have a lasting impact on how individuals identify and understand emotions in others. Research in this area has not examined parents' understanding of children's emotions, although emotion processing deficits may be one mechanism linking childhood maltreatment to subsequent parenting problems. In a matched case-control design, we test whether mothers with (n = 50) and without (n = 96) childhood maltreatment differ in their understanding of children's emotions on self-report measures and computer-based tasks. Compared to the control group, mothers who experienced maltreatment labeled more children with sad or angry emotions when given limited facial information and made different interpersonal inferences about children they labeled angry. They also reported more subjective difficulty interpreting emotions in unknown children and their own child. Results provide further evidence of emotion processing biases associated with childhood maltreatment. Interventions aimed at improving parental emotion understanding and mentalization may be particularly useful for mothers with a history of childhood maltreatment.

Emotion socialization in mothers who experienced maltreatment: Mentalizing the past may help the present.

Adults who experienced childhood maltreatment (CM) are at increased risk for parenting problems. Mentalization capacity may disrupt intergenerational patterns of problematic parenting among mothers with a CM history. In this study, we examine: (a) parents' use of negative emotion socialization practices as one path of intergenerational transmission of risk in mothers with CM and (b) whether mothers' ability to mentalize about the emotion socialization behaviors of attachment figures diminishes intergenerational similarity in negative emotion socialization practices. Mentalization was operationalized as the frequency of cognitive processing words in mothers' narrative responses to questions about how and why attachment figures responded to their negative emotions during childhood. Participants included 154 mothers with and without a self-reported CM history in a case-control design, matched on child age, gender, maternal education, and race/ethnicity. Mothers with CM recollected more unsupportive responses to their negative emotions during childhood, which in turn predicted using more punishing, ignoring, and magnifying responses toward their own child's negative emotions (i.e., a significant indirect effect). However, greater cognitive processing language when describing the emotional climate of childhood diminished this pathway (i.e., a significant moderated effect). Among mothers who recollected unsupportive responses to emotions from their parents, those whose narratives included more cognitive processing words did not act in similar ways toward their own child whereas those who used fewer cognitive processing words did. These preliminary findings support the growing body of research suggesting that the quality of mentalization can be a protective factor among adults who experienced childhood maltreatment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Maternal Depression and Child Externalizing Behaviors: The Role of Attachment Across Development in Low-income Families.

Early attachment quality may be a lasting source of vulnerability or protection in children's development. In this study, we examine whether attachment quality at age three moderates the impact of subsequent exposure to maternal depression (at age five or nine) on children's externalizing symptoms at age nine. The sample included 1,917 low-income families (mean child age = 9.28; 55.9% African-American, 20.6% White, 20.0% Latina, 3.5% Other) from the Fragile Families and Child Well Being Study. At age three, 23.9% of children were categorized as insecurely attached based on maternal report of their child's attachment behaviors. At age nine, mothers, teachers, and children reported on the child's externalizing behaviors. Mothers also completed measures of maternal depression at child age three, five, and nine. Controlling for age three externalizing (by maternal report) and age three maternal depression as well as various demographic factors, attachment quality interacted with exposure to subsequent maternal depression in predicting externalizing behaviors at age nine. Interaction effects were evident in mother, teacher, and child report of externalizing. Across all three reporters, exposure to maternal depression was associated with greater externalizing behaviors in children who exhibited insecure attachment behaviors at age three. These findings highlight the potential benefit of interventions to improve early parent-child relationships for families at elevated risk because of maternal mental health.

Does your child need therapy? Maternal reflective functioning and perceived need for and use of child mental health treatment.

Interventions to improve reflective functioning (RF) are being delivered to parents of children with mental health needs, yet whether this population differs in RF is unknown. We examine if mothers with varying levels of child mental health (CMH) treatment need and use differ in RF in a community sample of 212 mothers. Participants completed measures of general RF, parental RF, children's symptoms, perceived treatment need, treatment utilization, and perceptions of treatment efficacy at baseline and one year later. Low maternal RF was associated with elevated child symptoms, and a greater perceived need for treatment. Among mothers who believed their child needed services, those with low general RF were less likely to be utilizing services at baseline and in the next year. Mothers with lower parental RF also believed that CMH treatment was less effective. Findings support the use of RF-based interventions with parents identified because of their child's mental health.

A two-way street: Mothers' and adolescent daughters' depression and PTSD symptoms jointly predict dyadic behaviors.

Dyadic interactions may be affected by the mental health of either partner; however, both partners' symptoms are typically not considered simultaneously in observational studies of parent-child relationships. Using the actor-partner interdependence model (APIM), we examine how depression and posttraumatic stress disorder (PTSD) symptoms in mothers and adolescent daughters predict their own and each other's relational behaviors (warmth, hostility, communication) during interactions, and whether partners' relational behaviors predict changes in symptoms 1 month later. Participants include 150 mother (mean age = 41.6) and daughter (mean age = 15.1) dyads from diverse (57% Latina; 23% Black, 20% White), low-income families. Mothers and daughters reported on their symptoms and participated in a videotaped interaction task. A subset completed a follow-up interview 1 month later. For both depression and PTSD, mothers' and daughters' symptoms predicted their own relational behaviors (actor effects). In contrast, partner effects varied by symptom type and family role. Adolescents' depressive symptoms predicted how their mothers acted toward them, beyond maternal symptoms (an additive partner effect); the converse was not true. Mother and daughter PTSD symptoms interactively predicted daughters' relational behaviors (an Actor × Partner interaction), with buffering or exacerbating effects based on dyad symptom similarity. PTSD symptoms had unique effects beyond depression. In longitudinal analysis, mothers' relational behaviors predicted changes in adolescents' depressive symptoms, but adolescent behaviors were unrelated to subsequent maternal symptoms. Findings suggest that depression and PTSD symptoms may affect family relationships differently, and highlight the importance of considering both members' symptoms during interactions. Implications for dyadic interventions are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Seeing through your daughter's eyes: Factors associated with maternal meta-accuracy.

Dyadic meta-accuracy reflects the ability to judge how one is viewed by a relationship partner. Drawing from the attachment literature on parental mentalization, it is tested whether maternal meta-accuracy is associated with (a) mothers' history of maltreatment or maternal absence during her childhood and (b) observed relational behaviors during an interaction task. Participants included 182 low-income mother-daughter dyads (adolescent mean age = 15.1). Mothers were modestly accurate in judging how daughters rated their warmth and hostility. Mothers with histories of maltreatment or maternal absence showed less meta-accuracy, but the nature of their inaccuracies (e.g., self-enhancement) differed. Differences in maternal meta-accuracy were also associated with relationship quality as rated by independent observers. The relevance of meta-accuracy for mentalization-based interventions with families is discussed.