scholarly journals Can parent-infant observation predict later childhood psychopathology: a systematic review

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S39-S40
Author(s):  
Elena McAndie ◽  
Lucy Thompson ◽  
Philip Wilson
Keyword(s):  
Systematic Review ◽  
At Risk ◽  
Early Intervention ◽  
Cochrane Library ◽  
Childhood Psychopathology ◽  
Community Based ◽  
Oppositional Defiant ◽  
Child Interaction ◽  
Parent Child Interaction ◽  
Parent Child

AimsDifficulties in parent-child interaction are easily observed and are a potential target for early intervention. This study aimed to assess the utility of observation of parent-child interaction in the first year of life in identifying children at risk of developing later psychopathology, using a rigorous systematic review method.MethodEMBASE, CINAHL, PsycINFO, MIDIRS, MEDLINE and Cochrane Library databases were searched using MeSH terms and keywords, and reference lists screened. Two authors independently reviewed papers for inclusion and completed data extraction. All peer reviewed papers studying the association between an independent observation of parent-child interaction and later childhood psychopathology in community-based samples were included. Studies based on ‘high risk’ samples (studies exclusively examining cohorts with a sibling or parent with a mental illness or studies of low birth weight or premature infants and those with other physical comorbidities) were excluded. Results were synthesised qualitatively due to high heterogeneity.Result18,226 papers were identified, nine were included in this study. Childhood psychopathology was associated with fewer positive parent-infant interactions, lower parent vocalisation frequency and lower levels of adult speech and activity. Maternal sensitivity was inversely related to separation anxiety and oppositional defiant/conduct disorders were associated with lower shared look rates. Disruptive behaviour disorders were associated with higher frequency of child vocalisation. Pervasive developmental disorders were associated with ‘abnormal’ maternal infant interactions, as assessed by community health nurses using a standardised measure.ConclusionIncluded studies reported small samples, and several of these samples overlapped. Some studies were of poor quality, but were included due to a paucity of available data. The findings may therefore have limited generalisability. Difficulties in parent-child interaction are easily observed and assessments could be made by non-specialists such as health visitors or general practitioners. Such difficulties may be an early indicator of later childhood psychopathology. Childhood psychiatric diagnoses (with the exception of Autistic Spectrum Disorders) appear associated with level of maternal activity (vocalisation, physical activity, positive parenting and shared attention). Assessments may identify at-risk families for early intervention, but further work is required to develop and validate reliable methods for risk stratification in community-based practice.

scholarly journals Assessing Parent Behaviours in Parent–Child Interactions with Deaf and Hard of Hearing Infants Aged 0–3 Years: A Systematic Review

2021 ◽  
Vol 10 (15) ◽  
pp. 3345
Author(s):  
Martina Curtin ◽  
Evelien Dirks ◽  
Madeline Cruice ◽  
Rosalind Herman ◽  
Lauren Newman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Assessment Tool ◽  
Child Language ◽  
Evidence Base ◽  
Deaf Children ◽  
Clinical Tool ◽  
Coding Systems ◽  
Child Interaction ◽  
Parent Child Interaction ◽  
Parent Child

Background: Despite early identification and advancements in cochlear implant and hearing aid technology, delays in language skills in deaf children continue to exist. Good-quality parent–child interaction (PCI) is a key predictor for the successful development of deaf children’s signed and/or spoken language. Though professionals have standard assessments to monitor child language, a clinical tool to observe the quality of parental interaction is yet to be developed. Aims and methods: This systematic review with narrative synthesis aims to uncover which parent behaviours are assessed in PCI studies with deaf infants aged 0–3 years, how these behaviours are assessed, and which are correlated with higher scores in child language. Results: Sixty-one papers were included, spanning 40 years of research. Research included in the review assessed parents’ skills in gaining attention, joint engagement, emotional sensitivity, and language input. PCI was mostly assessed using coding systems and frame-by-frame video analysis. Some of the parent behaviours mentioned previously are associated with more words produced by deaf children. Conclusion: The results of the review provide the evidence base required to develop the content of a future clinical assessment tool for parent–child interaction in deafness.

Commentary

2013 ◽  
pp. 17-21 ◽  
Author(s):  
Patrick C. Friman ◽  
Stacy Shaw
Keyword(s):  
The Other ◽  
Complex Case ◽  
Parent Child Interaction Therapy ◽  
Oppositional Defiant ◽  
Child Interaction ◽  
Other Hand ◽  
Reactive Attachment ◽  
Parent Child Interaction ◽  
The One ◽  
Parent Child

There is much to admire in this report of an adaptation of parent-child interaction therapy (PCIT) used to treat a uniquely complex case involving comorbid reactive attachment and oppositional defiant disorders. One the one hand, the paper reflects the remarkable potency and flexibility of PCIT. On the other hand, it reflects the clinical acumen and interpersonal dexterity of the clinicians who reported the case. We will discuss both of these aspects below....

scholarly journals Parent mediated intervention programmes for children and adolescents with neurodevelopmental disorders in South Asia: A systematic review

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247432
Author(s):  
Kamrun Nahar Koly ◽  
Susanne P. Martin-Herz ◽  
Md. Saimul Islam ◽  
Nusrat Sharmin ◽  
Hannah Blencowe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
South Asia ◽  
Neurodevelopmental Disorders ◽  
Autism Spectrum ◽  
Learning Ability ◽  
Child Interaction ◽  
Parent Child Interaction ◽  
The Impact ◽  
Parent Child

Objective Parent-mediated programmes have been found to be cost effective for addressing the needs of the children and adolescents with Neurodevelopmental Disorders (NDD) in high-income countries. We explored the impact of parent-mediated intervention programmes in South Asia, where the burden of NDD is high. Methods A systematic review was conducted using the following databases; PUBMED, MEDLINE, PsycINFO, Google Scholar and Web of Science. Predefined MeSH terms were used, and articles were included if published prior to January 2020. Two independent researchers screened the articles and reviewed data. Outcomes measures The review included studies that targeted children and adolescents between 1 and 18 years of age diagnosed with any of four specific NDDs that are commonly reported in South Asia; Autism Spectrum Disorder (ASD), Intellectual Disability (ID), Attention Deficit Hyperactivity Disorder (ADHD) and Cerebral Palsy (CP). Studies that reported on parent or child outcomes, parent-child interaction, parent knowledge of NDDs, or child activities of daily living were included for full text review. Results A total of 1585 research articles were retrieved and 23 studies met inclusion criteria, including 9 Randomized Controlled Trials and 14 pre-post intervention studies. Of these, seventeen studies reported effectiveness, and six studies reported feasibility and acceptability of the parent-mediated interventions. Three studies demonstrated improved parent-child interaction, three studies demonstrated improved child communication initiations, five studies reported improved social and communication skills in children, four studies demonstrated improved parental knowledge about how to teach their children, and four studies reported improved motor and cognitive skills, social skills, language development, learning ability, or academic performance in children. Conclusion This systematic review of 23 studies demonstrated improvements in parent and child skills following parent-mediated intervention in South Asia. Additional evaluations of locally customized parent-mediated programmes are needed to support development of feasible interventions for South Asian countries.

Parent–Child Interaction Synchrony for Infants At-Risk for Autism Spectrum Disorder

2018 ◽  
Vol 48 (10) ◽  
pp. 3562-3572 ◽  
Author(s):  
Amanda Mossman Steiner ◽  
Grace W. Gengoux ◽  
Amanda Smith ◽  
Katarzyna Chawarska
Keyword(s):  
Autism Spectrum Disorder ◽  
At Risk ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Child Interaction ◽  
Parent Child Interaction ◽  
Parent Child

Tailoring Parent-Child Interaction Therapy for Oppositional Defiant Disorder in a Case of Child Maltreatment

2013 ◽  
pp. 3-16 ◽  
Author(s):  
Amanda M. N’zi ◽  
Sheila M. Eyberg
Keyword(s):  
Child Maltreatment ◽  
Oppositional Defiant Disorder ◽  
Case Formulation ◽  
Parent Child Interaction Therapy ◽  
Oppositional Defiant ◽  
Child Interaction ◽  
Model Review ◽  
Parent Child Interaction ◽  
Parent Child

Chapter 1 discusses a case of child maltreatment and Oppositional Defiant Disorder, and how Parent-Child Interaction Therapy (PCIT) can be tailored to such a case. It includes various aspects and stages of the treatment, including information about the case referral, key principles, assessment strategy, epidemiological and contextual considerations, case formulation, selecting an intervention model, review of the general therapy process, and information about tailoring the PCIT on a case-by-case basis.

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