Maternal Prenatal Anxiety and Children’s Externalizing and Internalizing Behavioral Problems: The Moderating Roles of Maternal-Child Attachment Security and Child Sex

2019 ◽  
Vol 52 (2) ◽  
pp. 88-99 ◽  
Author(s):  
Elena Ali ◽  
Nicole Letourneau ◽  
Karen Benzies ◽  
Henry Ntanda ◽  
Deborah Dewey ◽  
...  

Background Prenatal anxiety is associated with child behavioral problems. Prenatal anxiety is predictive of postnatal anxiety which can interfere with the security of maternal-child attachment and further raise the risk of child behavior problems. Secure maternal-child attachment is essential for optimal emotional health. Sex influences the type of behavior problem experienced. There is a gap in understanding whether attachment security and the sex of the child can moderate association between prenatal anxiety and children’s behavioral problems. Purpose To examine the association between prenatal anxiety and child behavioral problems and to test the moderating effects of attachment security and child sex on the association between prenatal anxiety and child behavioral problems. Methods Secondary analysis of data from 182 mothers and their children, enrolled in the Alberta Pregnancy Outcomes and Nutrition Study using Hayes' (2013) conditional process modeling. Results Prenatal anxiety was associated with both externalizing ( b = −0.53; standard error ( SE) = 0.20; p = 0.009) and internalizing ( b = −0.32; SE = 0.13; p = 0.01) behaviors only in children with an insecure style of attachment. Child sex did not moderate the association between prenatal anxiety and children's behavioral problems. Conclusions Attachment security moderated the association between prenatal anxiety and children’s externalizing and internalizing behavioral problems.

2015 ◽  
Vol 36 (4) ◽  
pp. 366-387 ◽  
Author(s):  
Nicole Letourneau ◽  
Panagiota Tryphonopoulos ◽  
Gerald Giesbrecht ◽  
Cindy-Lee Dennis ◽  
Sanjit Bhogal ◽  
...  

2017 ◽  
Vol 12 (4) ◽  
pp. 257-270
Author(s):  
Kathryn R. Giuseppone ◽  
Laura E. Brumariu

Purpose Previous literature demonstrated low-to-moderate rates of agreement between children and mothers regarding child anxiety. The purpose of this paper is to evaluate factors related to differences between mother-child dyads who disagreed vs agreed in their reports of child anxiety symptoms. Design/methodology/approach In total, 87 children aged 9-12 years old and their mothers completed questionnaires regarding maternal perceptions of child behavior, maternal separation anxiety about the child’s individuation, and mother-child relationship characteristics. Findings The results showed that mothers in mother-child dyads who disagreed on child anxiety symptoms, compared to those in dyads who agreed on child anxiety symptoms, perceived their children as showing higher affect intensity and behavioral problems. They also expressed greater anxiety about the children’s individuation process, characterized in part by children’s increased autonomy and decline of reliance on them. Further, children in dyads who disagreed, compared to those in dyads who agreed, reported lower mother-child attachment security. Originality/value The results extend the literature by identifying specific factors related to the discrepancy between mothers’ and children’s reports of childhood anxiety in early adolescence. The results highlight the need to consider both mothers’ and children’s views when assessing childhood anxiety. Importantly, the results also indicate that specific factors investigated in this study, including maternal perception of children’s behavioral problems and their affect intensity, maternal anxiety about child individuation, and mother-child attachment security, could be used to inform clinical decisions regarding informant discrepancies.


2021 ◽  
pp. 1-10
Author(s):  
Daniel T. Burley ◽  
Christopher W. Hobson ◽  
Dolapo Adegboye ◽  
Katherine H. Shelton ◽  
Stephanie H.M. van Goozen

Abstract Impaired facial emotion recognition is a transdiagnostic risk factor for a range of psychiatric disorders. Childhood behavioral difficulties and parental emotional environment have been independently associated with impaired emotion recognition; however, no study has examined the contribution of these factors in conjunction. We measured recognition of negative (sad, fear, anger), neutral, and happy facial expressions in 135 children aged 5–7 years referred by their teachers for behavioral problems. Parental emotional environment was assessed for parental expressed emotion (EE) – characterized by negative comments, reduced positive comments, low warmth, and negativity towards their child – using the 5-minute speech sample. Child behavioral problems were measured using the teacher-informant Strengths and Difficulties Questionnaire (SDQ). Child behavioral problems and parental EE were independently associated with impaired recognition of negative facial expressions specifically. An interactive effect revealed that the combination of both factors was associated with the greatest risk for impaired recognition of negative faces, and in particular sad facial expressions. No relationships emerged for the identification of happy facial expressions. This study furthers our understanding of multidimensional processes associated with the development of facial emotion recognition and supports the importance of early interventions that target this domain.


Author(s):  
Rachel Herold ◽  
Rachel Boykan ◽  
Allison Eliscu ◽  
Héctor E. Alcalá ◽  
Maciej L. Goniewicz

Nicotine and cannabis use are common among adolescents and may be associated with behavioral problems, poor academic outcomes and use disorders. The goals of this analysis were the following: (1) Describe the influence of friends’ nicotine and cannabis smoking and vaping on self-reported use. (2) Describe the relationship between friends’ nicotine and cannabis use on participants’ urinary biomarkers of nicotine (cotinine) and cannabis (11-nor-9-carboxy-Δ⁹tetrahydrocannabinol=THC-COOH). This is a secondary analysis of survey and biomarker data collected in adolescents aged 12–21 between April 2017 and April 2018, in Long Island, New York. Bivariate and multivariable analyses were conducted using SPSS 26. A cutoff value of ≥10 ng/mL was used to signify recent usage for urinary cotinine and THC-COOH levels. Over one-third of the 517 surveyed adolescents reported using tobacco and one-third reported using cannabis. A significant relationship between friends’ substance use and self-use was found. For both tobacco and cannabis, over 90% (p < 0.01) of participants with urinary biomarker levels above cutoff had friends who used the respective substance. Friends’ nicotine and friends’ cannabis use were each independently associated with urinary biomarker levels for those substances (for nicotine, beta = 88.29, p = 0.03; for cannabis, beta = 163.58, p = 0.03). Friends’ use of nicotine and cannabis is associated with adolescents’ intake, as well as the physiological exposure to those substances. These findings underscore the importance of including peer influence in the discussion with adolescents about tobacco and cannabis use.


2018 ◽  
Vol 14 (4) ◽  
pp. 268-275
Author(s):  
Arun Sondhi ◽  
Tina Garrett

Purpose Prisoner access to opiate-based analgesics and gabapentinoids is a concern to prisons through illicit trading. The purpose of this paper is to describe patient needs following introduction of nine pilot chronic non-cancer pain (CNCP) clinics for chronic pain in three prisons (two male and one female) in the South of England. The study evaluated the effectiveness of this model and assessed the wider practical implementation issues. Design/methodology/approach Clinical notes were reviewed for 63 consultations, anonymised and recorded for secondary analysis. Findings Alongside CNCP, high levels of substance misuse, physical and mental health histories were noted, especially for female patients. Amitriptyline, pregabalin, gabapentin were the main frontline analgesics prescribed prior to assessment. A total of 41 per cent of patients did not change their medication following the consultation; 25 per cent had their medication increased or reintroduced (greater for women prisoners); with one-third (33 per cent) of patients reducing the prescription of strong opioids and gabapentinoids. Significant differences were noted between male and female patients. Prisoners were amenable to changes in medication to facilitate access to work and other therapeutic interventions. Social implications The prescribing of analgesics has largely been couched in terms of disruption to the prison regime through illicit trading. This study highlights the need to place CNCP within wider contexts of substance misuse, physical and emotional health. There is an opportunity to develop a rehabilitative rather than palliative approach to pain management. Gender specific approaches for female patients should be considered. Originality/value Few studies of CNCP have been conducted within a prison environment.


Author(s):  
Yui Yamaoka ◽  
Aya Isumi ◽  
Satomi Doi ◽  
Manami Ochi ◽  
Takeo Fujiwara

The differential effects of low income and material deprivation—in particular, deprivation related to child educational needs—have not been well examined. This study aimed to examine the effects of low income and life-related and child-related deprivation on child behavioral problems. This study used data from first-grade students who participated in the Adachi Child Health Impact of Living Difficulty (A-CHILD) study in 2015, 2017, and 2019 (N = 12,367) in Japan. Material deprivation was divided into life-related deprivation (i.e., lack of items for a living) and child-related deprivation (i.e., lack of children’s books, etc.), and low income was assessed via annual household income. We assessed child behavioral problems and prosocial behavior using the Strengths and Difficulties Questionnaire. One in ten children belonged to low-income families, 15.4% of children experienced life-related deprivation, and 5.4% of children experienced child-related deprivation. While life- and child-related deprivation had significant adverse effects on behavioral problems, they had no association with prosocial behavior. The effects of low income were mediated by parental psychological distress (45.0% of the total effect) and the number of consulting sources (20.8%) on behavioral problems. The effects of life-related and child-related deprivation were mediated by parental psychological distress (29.2–35.0%) and the number of consulting sources (6.4–6.9%) on behavioral problems. Life-related and child-related deprivation, but not low income, are important for child mental health.


2019 ◽  
Vol 22 (1) ◽  
pp. 51-65 ◽  
Author(s):  
Geoffrey L. Brown ◽  
Martha J. Cox

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