Psychology
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Item Impact of COVID-19 on Parent and Child Mental Health in India: A Mixed-methods Longitudinal Study(2023) Havewala, Mazneen Cyrus; Wang, Cixin; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The COVID-19 pandemic has affected individuals around the world. Parents of young children have experienced significant strain as they have attempted to balance their work obligations as well as take care of household duties and attend to the needs of their young children. Several studies have demonstrated the detrimental impacts of COVID-19 on parent and child mental health. However, the majority of studies are quantitative, cross-sectional in nature, and were conducted during the early phases of the pandemic. Moreover, there is limited work on the topic of parent and child mental health within the COVID-19 context among families in India. Thus, the current mixed-methods longitudinal study aimed to fill these gaps in the literature by attempting to examine the impact of COVID-19 on child mental health and parent mental health among families with young children in India. The study also aimed to understand the moderating effects of parenting behaviors with relation to child COVID-19-related stress and child mental health difficulties, and the moderating effects of social support with relation to parent COVID-19-related stress and parent mental health difficulties. One hundred and forty parents of children between the ages of 4 to 8 completed a survey between October 2020 and February 2021 (Time 1), of which 85 parents completed it between May 2021 and July 2021 (Time 2), and 70 completed it between July 2022 and October 2022 (Time 3). Qualitative in-depth individual interviews were conducted with a subset of the sample (n=20) between July 2022 and December 2022 to gain a better understanding of challenges experienced by parents and how the pandemic impacted them and their children in various ways over the course of the pandemic. The findings indicated that the stress caused by changes brought about by the pandemic was related to parent and child mental health in India. Parents in India experienced several challenges that impacted their mental health. Factors contributing to those challenges, and in turn, possibly their mental health are discussed. Parenting behaviors such as parental nurturance and restrictiveness were also related to child mental health and served as moderators of the relation between child COVID-19-related stress and child mental health difficulties; parental nurturance emerged as a protective factor while parental restrictiveness was a possible risk factor. Perceived social support was negatively linked with parent mental health difficulties, and it also served as a buffer in the relation of parent COVID-19-related stress and parent mental health difficulties at Time 1. Qualitative findings also indicated that support from spouse, other family members, friends and co-workers helped parents cope with the challenges associated with the pandemic. In sum, the findings of this study helped identify important risk and protective factors for parent and child mental health within the COVID-19 context in India. The findings have important clinical implications that inform future intervention efforts to support children and families during related stressful events.Item DIRECTIONAL RELATIONS OF CHILD ANXIETY AND PARENTING ACROSS EARLY INTERVENTIONS FOR INHIBITED YOUNG CHILDREN(2022) Novick, Danielle; Chronis-Tuscano, Andrea; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Given the robust evidence-base for the efficacy of cognitive behavioral therapies (CBTs) in reducing youth anxiety disorders, researchers have moved beyond efficacy outcome analysis to better understand how such interventions operate (i.e., mediation). However, the majority of this research has examined mechanisms of change in CBTs targeting anxiety in school-age youth or adolescents, and applying such findings to younger children may be misguided. Grounded in developmental-transactional models, interventions for younger children with or at risk for anxiety tend to target key parenting and child factors implicated in the early emergence and maintenance of anxiety. Nevertheless, the directional and temporal relations among these child and parenting factors in the context of early interventions remain unknown. The current study thus builds on previous studies of CBT for older youth to elucidate mechanisms of change and treatment directionality within two early interventions for young children (N = 151) at risk for anxiety by virtue of behavioral inhibition: The multi-component Turtle Program and the parent-only Cool Little Kids program. Reciprocal relations between parent-reported child anxiety, observed parenting (negative control and positive affect), and parent-reported accommodation of child anxiety were examined across 4 timepoints (pre-, mid-, and post-treatment, and one-year follow-up). Study hypotheses were tested via 1) a traditional cross-lagged panel model (CLPM), 2) a latent curve model with structured residuals (LCM-SR), and 3) a latent change score model (LCS). Results were consistent with the child-to-parent influences found in previous research on CBT for older anxious youth. However, after extending the traditional CLPM to parse within- and between-person effects in the LCM-SR, these results only remained in Turtle. LCS analyses revealed bidirectional effects of changes in parent accommodation and changes in child anxiety during and after the intervention, but only in Turtle. Our findings coincide with developmental-transactional models suggesting that the development of child anxiety may be the result of child-to-parent influences rather than just the reverse, and highlight the importance of targeting parent and child factors simultaneously in early interventions for young inhibited children and their parents.Item PARENTAL DEPRESSIVE SYMPTOMS, CHILD DEPRESSIVE SYMPTOMS, AND PARENTING: RECIPROCAL RELATIONS FROM EARLY CHILDHOOD THROUGH ADOLESCENCE(2022) Chad-Friedman, Emma Leila; Dougherty, Lea R; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Theories on the interactional nature of families suggest that parents and children each impact one another’s moods and behaviors. However, little work has examined reciprocal relations among parental depression, parenting, and child depression across development. We conducted cross-lagged panel models to examine reciprocal relations between parental depression, negative parenting, and child depression from early childhood through adolescence in a community sample of 609 youth. At ages 3, 6, 9, 12, and 15 years old, mothers and fathers completed self-report measures about their own depression and parenting. Child depression was assessed with a developmentally appropriate semi-structured clinical interview at all timepoints. Results demonstrated reciprocal, indirect pathways between maternal and child depression: maternal depression at age 3 led to child depression at age 15 and child depression at age 3 led to greater maternal depression at age 15 via a number of indirect pathways. Moreover, while child depression at age 3 led to greater maternal and paternal negative parenting from ages 3 to 15, this effect was not reciprocal. Pathways between paternal and child depression were not observed. Our findings highlight the importance of examining reciprocal pathways to identify mechanisms in the development of parent and youth depression across childhood.Item Early Adolescent Romantic Experiences: Early Childhood Predictors and Concurrent Associations with Psychopathology(2019) Foster, Chelsey Barrios; Dougherty, Lea R; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Research has demonstrated that early adolescent romantic relationships are prevalent, and initiation of romantic relationships at younger ages bears important implications for youths’ future development. Although earlier dating involvement may increase risk for negative outcomes, the majority of research on teen relationships focuses on older adolescents; a paucity of research explores the phenomenology of preteen romantic relationships. Further, a striking gap exists in the study of how early childhood factors may affect early adolescent romantic relationships. In order to address these gaps, the current study aimed to elucidate the phenomenology and concurrent psychosocial correlates of preteen (age 12) romantic relationships and to delineate early childhood variables that predict involvement in and quality of preteen romantic relationships. In a longitudinal sample of 440 youth, we examined concurrent associations between multiple dimensions of age 12 romantic relationships (dating experiences, risky dating, relationship discord, relationship closeness, sexual experience) and friendship competence, and age 12 psychopathology (anxiety, depression, attention-deficit hyperactivity disorder [ADHD], disruptive behavior disorder [DBD] symptoms) and psychosocial functioning. Given prior research indicating that pubertal status and child sex may also play a role in romantic relationship involvement, we examined these two variables as moderators in concurrent analyses. In addition, we examined how two salient dimensions of early childhood (temperament and parenting, assessed at age 3) predicted romantic relationship outcomes at age 12. Results indicated that more frequent romantic experiences at age 12 were associated with increased psychosocial distress and poorer functioning; however, youth with higher quality romantic relationships evidenced lower levels of psychiatric symptoms and better psychosocial functioning. In addition, the associations between early adolescent romantic relationships and adjustment were complex and were moderated by child sex and pubertal status. Further, dimensions of age 3 childhood temperament and parenting differentially predicted dimensions of early adolescent romantic relationships and friendship competence. Importantly, our findings contribute to a growing body of literature on preteen romantic relationships, and are among the first data to examine early childhood predictors of age 12 romantic relationship outcomes. These findings hold important clinical implications for future early adolescent prevention and intervention programs.Item Developmental pathways from maternal emotion dysregulation to parenting behaviors and adolescent emotion lability: interactive effects of youth ADHD symptoms and sex(2019) Oddo, Lauren Elizabeth; Chronis-Tuscano, Andrea; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)A large literature base convincingly suggests that maternal and child characteristics interact to predict parenting practices and children’s emotional development. However, the independent and interactive effects of parent- and youth-level risk factors on emotion parenting behaviors and adolescent emotion lability over time is largely unknown. Using secondary data analyses of a longitudinal community sample of adolescents and their caregivers (N = 277), the current study examined the extent to which supportive vs. harsh parenting reactions to adolescents’ expressions of negative emotions underlie the longitudinal association between maternal emotion dysregulation and changes in adolescent emotion lability, and whether youth ADHD symptoms and sex impact these processes. Using structural equation modeling, results showed that mothers who reported being more emotionally dysregulated were more likely to endorse engaging in harsh parenting for boys with more ADHD symptoms, relative to mothers of adolescent girls or adolescents with fewer ADHD symptoms. Contrary to hypotheses, no other pathways were statistically significant. These results partially align with a transactional model of parenting wherein parent- and adolescent-level risk factors interact to confer risk for maladaptive parenting. Future work should further attempt to characterize the independent and interactive effects of maternal emotion dysregulation and youth ADHD symptoms on parenting and adolescent outcomes over time.Item Cortisol Reactivity and Observed Parenting among Mothers of Children with and without ADHD(2015) Thomas, Sharon Renee; Chronis-Tuscano, Andrea; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Parenting is a robust predictor of developmental outcomes among children with ADHD. Early parenting predicts the persistence and course of ADHD and comorbid problems above and beyond risk associated with shared genetic effects. Yet, on average, mothers of children with ADHD are less positive and more negative in their parent-child interactions compared to mothers of non-disordered children. Little is known about psychobiological markers which may be associated with individual variations in maternal parenting in families of children with ADHD. Neurobiological models of parenting suggest that maternal cortisol levels following a stressor may be positively associated with hostile and intrusive parenting; however, to date no studies have examined maternal cortisol reactivity and parenting in school-age, or clinical samples of, children. Mothers’ regulation of physiological stress responses may be particularly important for families of children with ADHD, as parenting a child with chronically challenging behaviors represents a persistent environmental stressor. The current study sought to extend the existing literature by providing an empirical examination of the relationship between maternal cortisol reactivity following two laboratory stressors and parenting among mothers of children with and without ADHD. It was hypothesized that child ADHD group would moderate the relationship between cortisol reactivity and self-reported and observed parenting. Greater total cortisol output and greater increase in cortisol during the TSST were associated with decreased positive parenting and increased negative and directive parenting, with the exception of parental involvement, which was associated with increased cortisol output during the TSST. Conversely, cortisol output during the PCI was associated with increased positive parenting, increased parental involvement, and decreased negative parenting. In contrast to the TSST, a greater decrease in cortisol during the PCI indicated more positive parenting and parental involvement. These associations were specific to mothers of children with ADHD, with the exception of maternal directiveness, which was specific to comparison mothers. Findings add to our understanding of physiological processes associated with maternal parenting and contribute to an integrative biological, psychological, and cognitive process model of parenting in families of children with ADHD.Item Parental Responses to Children's Negative Emotions: Relations with Diverse Forms of Prosocial Behavior in Head Start Preschoolers(2015) Gross, Jacquelyn; Cassidy, Jude; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)An important predictor of prosocial behavior in childhood is parental response to child distress (PRD). Often, researchers have investigated the link between PRD and broad indices of prosociality. Recent research, however, suggests children’s prosocial behavior is multidimensional, with few studies finding correlations between specific behaviors. The goal of the present study was to investigate links between PRD and children's specific prosocial behaviors, in addition to examining these links among a rarely studied population. Predominantly African American preschoolers enrolled in Head Start (n=141) responded to an experimenter simulating needs; their helping, sharing, and comforting behaviors were recorded, and mothers reported on their PRD. Contrary to hypotheses, PRD did not predict any prosocial behaviors; also unexpectedly, the specific behaviors were correlated. These findings are inconsistent with previous studies, suggesting the multidimensional nature of prosociality, or the hypothesized role of PRD, may not apply to African American children from low-income families.Item The Interaction Between Parenting and Children’s Cortisol Reactivity at Age Three Predicts Increases in Children’s Internalizing and Externalizing Symptoms at Age Six(2015) Barrios, Chelsey S.; Dougherty, Lea R; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Little is known about the role of stress reactivity in the emergence of psychopathology across early childhood. In this longitudinal study, we tested the hypothesis that child cortisol reactivity at age three moderates associations between early parenting and children’s internalizing and externalizing symptoms from age three to age six. 160 children were assessed at age three and 135 children were reassessed at age six. At age three, we exposed children to stress-inducing laboratory tasks, during which we obtained four salivary cortisol samples, and parental hostility was assessed using an observational parent-child interaction task. At ages three and six, child psychiatric symptoms were assessed using a semi-structured clinical interview with parents. Results indicated that the combination of high child cortisol reactivity and high observed parental hostility at age three was associated with greater concurrent externalizing symptoms at age three and predicted increases in internalizing and externalizing symptoms from age three to age six. Findings highlight that increased stress reactivity, within the context of hostile parenting, plays a role in the emergence of psychopathology from preschool to school entry.Item Cognitive and Physiological Mediators of the Link Between Maternal Attachment and Self-Reported Responses to Child Distress(2013) Brett, Bonnie Erin; Cassidy, Jude A; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Given recent evidence that caregivers' responses to their children's distress are predictive of a host of child outcomes, the goal of the present study was to examine attachment related differences in maternal responses to child distress. In addition, I examined whether the link between maternal attachment and maternal responses to child distress was mediated by maternal negative attribution biases about infant distress and maternal electrodermal reactivity in the context of infant distress. Path analyses revealed that (a) maternal attachment-related anxiety was positively related to maternal distress reactions to child distress, (b) that maternal negative attribution biases were negatively related to supportive maternal responses, and (c) that maternal electrodermal reactivity was positively linked with unsupportive maternal responses. These findings advance the literature on the maternal characteristics associated with supportive and unsupportive maternal responses to child distress.Item PATERNAL ADHD, PARENTING, AND CHILD CONDUCT PROBLEMS: POTENTIAL MECHANISMS.(2012) Mintz, Abigail D.; Chronis-Tuscano, Andrea; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Parental factors, specifically psychopathology and parenting, robustly predict negative developmental outcomes among children with attention-deficit/hyperactivity disorder (ADHD). Indeed, emergent findings have linked maternal ADHD symptoms both with sub-optimal parenting and child conduct problems within families of children with ADHD. Despite considerable research supporting the important and unique contributions of fathers to their children's development, the role of fathers within families of children with ADHD has seldom been examined. In particular, little research has been conducted with regard to paternal ADHD symptoms and parenting, despite clear evidence for an association between maternal ADHD symptoms and maladaptive parenting. The current study examined psychopathology and parenting behavior among a sample of fathers (N=102) and their 5-12 year-old children with previously-diagnosed ADHD. Results indicated that paternal antisocial personality disorder (ASPD) symptoms (rather than ADHD symptoms) were robustly associated with child conduct problems, and paternal negative parenting mediated this relationship. Future research using prospective longitudinal designs should examine multiple forms of psychopathology and parenting behavior among fathers of children with ADHD in order to identify potential risk factors and associated mechanisms for the development of child conduct problems.