Parent, Teacher and Observational Reports of Emotional and Behavioral Problems in Young Autistic Children

Emotional and behavioral problems (EBPs) frequently occur in young autistic children. Discrepancies between parents and other informants are common but can lead to uncertainty in formulation, diagnosis and care planning. This study aimed to explore child and informant characteristics are associated with reported child EBPs across settings. Participants were 83 4–8-year-old autistic children and their parents and teachers in the Autism Spectrum Treatment and Resilience (ASTAR) study. Questionnaires of child EBPs were completed by parents and teachers, and self-reported parenting stress and wellbeing measures were obtained. An observation of parent–child/researcher-child interaction was also completed. Parents reported more EBPs than teachers and parent-teacher agreement was low, particularly for emotional problems. Greater parenting stress and being verbal was associated with more parent- but not teacher-reported EBPs. More observed behaviors that challenge were displayed by minimally verbal children. More parenting stress could be associated with the presence of more EBPs in the home; alternatively, parenting stress may confound reports. It is essential for assessments of EBPs in autistic children to take a multi-informant approach. Better understanding of the associations between informant characteristics and informant discrepancies of EBPs is needed.

Children’s Internet Use, Self-Reported Life Satisfaction, and Parental Mediation in Europe: An Analysis of the EU Kids Online Dataset

The present research examines how children’s time spent online is associated with their perceived life satisfaction accounting for their age, gender, socio-economic status (SES), emotional problems, country, and family environmental factors. This article is based on the data of the large scale cross-sectional EU Kids Online survey from 16 European countries with nationally representative samples of children aged 9–17 (N = 11,200, Mage = 13.3, SD = 2.36; 50.6% boys, 49.4% girls). The results indicated that the time children spent online appeared to have no considerable negative effect on their self-reported life satisfaction (SRLS). Comparatively, the positive effects of children’s SES and family environment accounted for 43% of the overall 50% of the variance in children’s SRLS scores. Considering that children’s SES alone accounted for 42% of the variance, children’s emotional problems, country of residence, and enabling parental mediation accounted for the remaining 3, 4, and 1% of the variance, respectively. In line with previous studies that urge caution when discussing the negative influence of time spent online on children’s mental health and overall wellbeing, the current findings suggest that social-ecological characteristics and how children use the Internet, need to be examined further.

Behavioral and Emotional Problems of Prisoners’ Children Based on the Children’s Self-Report

The aim of the analyses was to investigate the relations between parental incarceration and the levels of behavioral and emotional problems in children of fathers serving prison sentences, based on the children’s self-report. We tested a criterion group and two control groups. The criterion group consisted of children whose fathers were in prison. The children in control group I were from complete families; the level of problem behaviors in these families and the level of psychological resiliency in these children were similar to the respective levels in the criterion group. Finally, control group II consisted of children whose fathers were not in prison; problem behaviors in their families were basically absent or slight, and their level of resiliency was significantly higher compared to prisoners’ children and control group I. Prisoners’ children exhibited a higher level of emotional and behavioral problems than children from families in which the father was not serving a prison sentence and in which the level of dysfunctions was low. As regards prisoners’ children compared to their peers with a similar level of resiliency and a similar level of problem behavior in the family, statistically significant differences were found only in a few categories of emotional and behavioral problems. Parental incarceration proved to be an additional factor increasing the level of behavioral and emotional problems in children and adolescents—particularly girls—whose fathers were imprisoned.

Diabetes Distress During COVID-19: Three Brief ‘Snapshot’ Surveys of Adults With Diabetes Calling the Australian National Diabetes Services Scheme Helpline

The aim of this study was to take ‘snapshots’ of how people with diabetes are feeling emotionally during the coronavirus disease 2019 (COVID-19) pandemic. Three ‘snapshot’ surveys were conducted during May 2020, August 2020 and April 2021, each over a two-week period. Adults (≥18 years) with diabetes calling the Australian Government’s National Diabetes Services Scheme Helpline (NDSS) were invited to participate. Those who accepted were asked three questions sourced/adapted from the Problem Areas in Diabetes scale. Responses were recorded on a 5-point scale (0=’not a problem’, 4=’serious problem’). Of interest were scores ≥2, indicating this was at least a ‘moderate problem’. The survey was administered by NDSS Helpline staff via telephone. Basic demographic and clinical data were collected. In total, 1,278 surveys were completed over the three ‘snapshots’ (1st N=449; 2nd N=414; 3rd N=415). Participants were aged (median[IQR]) 62[47,72] years, 56% were women, and 57% had type 2 diabetes. At the 3rd ‘snapshot’, 21% had received a COVID-19 vaccine. Our findings show that feeling at least moderately ‘burned out’ by the constant effort needed to manage diabetes is salient, and consistently experienced by adults with diabetes calling the NDSS Helpline at three timepoints during the coronavirus pandemic. Those who participated in the 3rd ‘snapshot’ survey were less likely to report that feeling ‘alone with their diabetes’ or ‘worrying about their diabetes because of the COVID-19 pandemic’ were moderate or serious problems for them. Except for younger adults, findings indicate that the easing of restrictions may mitigate some of the effects of the pandemic on diabetes-specific emotional problems, including feeling ‘burned out’, ‘alone’ with diabetes, and/or worried about diabetes due to COVID-19. Prospective data are needed to improve our understanding of the emotional impact of COVID-19 on people with diabetes and to inform when and how to target support for those who need it most.

Longitudinal Associations between Parental Support and Parental Knowledge on Behavioral and Emotional Problems in Adolescents

When testing longitudinal effects of parenting practices on adolescent adjustment, an integrated consideration of externalizing and internalizing behaviors is a gap in research. This study analyzed how parental support and parental knowledge directly and indirectly influence both antisocial behavior and emotional problems. The sample had 642 adolescents aged 12-15 (mean age = 12.49; 45.4% females) from Spain, who participated in a three-year long study. The results showed longitudinal bidirectional associations between parental support and parental knowledge. Only parental knowledge, however, directly predicted antisocial behavior and emotional problems. Parental support had an indirect effect on outcomes through the mediating effect of parental knowledge. This study has practical implications by indicating that increasing parental knowledge should be the target of educational-prevention programs.

Sibling, Peer, and Cyber Bullying Among Children and Adolescents: Co-occurrence and Implications for Their Adjustment

Bullying across the sibling, peer, and cyber context has consistently been associated with a range of long-term health and well-being consequences for children and adolescents. Although research examining different bullying forms simultaneously in the same study are emerging, it remains unclear to what extend sibling, peer, and cyber bullying co-occur and in what ways they are associated. Moreover, previous work has demonstrated that children and adolescents who experience multiple forms of victimization are at a particular risk of adverse outcomes. However, whether different constellations of co-occurring bullying forms have differential impacts has not yet been investigated sufficiently. The aim of the present study was to examine the frequencies of isolated and co-occurring sibling, peer, and cyber bullying as well as to explore their independent and cumulative relationships with child adjustment. This study was based on a sample of 329 children and adolescents aged between 9 and 15. Bullying experiences across the sibling, peer, and cyber context in the previous 6 months were assessed via self-report. Youth further reported on emotional problems, conduct problems, sleep problems, and academic achievement via an online questionnaire. Sibling, peer, and cyber bullying were uniquely associated with child outcomes. A cumulative relationship between bullying victimization across contexts and emotional problems, conduct problems, and sleep problems could be identified, while bullying perpetration across contexts was only linked to more conduct problems in a cumulative manner. The findings have important practical implications arguing for the adoption of a holistic approach toward bullying in prevention and intervention.

Harsh parental discipline and offspring emotional and behavioural problems: Comparing findings from the random-intercept cross-lagged panel model and the monozygotic twin difference design

Objective. To elucidate associations between parental harsh discipline and child emotional and behavioural problems in monozygotic twins aged 9, 12 and 16 and to compare distinct approaches to causal inference.Method. Child reports of 5,698 identical twins from the Twins Early Development Study (TEDS) were analysed. We tested three types of longitudinal structural equation models: a cross-lagged panel model (CLPM), a random intercept CLPM (RI-CLPM) and a monozygotic twin difference version of the CLPM (MZD-CLPM). Results. Given the study aim to infer causation, interpretation of models focussed primarily on the magnitude and significance of cross-lagged associations. Behavioural problems resulted in harsher parental discipline across all models. In the CLPM, we found bidirectional effects between parental discipline behavioural problems at age 9 and 12. Point estimates of all other associations between parental harsh discipline and child emotional and behavioural problems were in the same direction but magnitude varied across models. In the MZD-CLPM, twin differences in harsh parental discipline at 9 predicted twin differences in emotional problems at 12. In the RI-CLPM, emotional problems at 12 predicted a reduction in harsh parental discipline at 16 within person. Conclusions. Findings can be interpreted as corroborating (but not definite) evidence in favour of a causal effect of child behavioural problems on later experienced harsh parental discipline. Yet, in light of the triangulated methods, results also illustrate divergence in the MZD-CLPM and RI-CLPM outcomes, and underline the importance of a well-defined research question, careful model selection and refining causal conclusions on within-person processes.