Predictors of treatment attrition and treatment length in Parent‐Child Interaction Therapy in Taiwanese families

Parent–Child Interaction Therapy (PCIT) has been used successfully in the United States and in other countries around the world, but its use in Asian countries has been more limited. The present study is the first of its kind to examine the predictors of treatment attrition and length in a sample of Taiwanese caregivers and their children. It is also the first to examine PCIT outcomes in Taiwanese families. Maladaptive personality characteristics of the caregiver were the best predictor of attrition, followed by single-parent, removal of the child from the home, and lower levels of caregiver education. Treatment length was predicted by child minority status and parent–child interactions (i.e., parent commands and negative parent talk). In terms of outcomes, statistically significant treatment changes were noted for all treatment outcome variables at post-treatment and at 3-month follow-up. These findings suggest that PCIT is a promising intervention for this population. The predictors of treatment attrition and length can be used when Taiwanese caregiver–child dyads present for services so that additional assistance can be provided prior to or during treatment to increase adherence to the recommended number of treatment sessions for maximal impact. Future studies may replicate the present study with a larger clinical sample to examine the long-term effects of PCIT and to include a no-treatment control condition to afford a more robust empirical evaluation.     

Conflict in Divorcing and Continuously Married Families: A Study of Marital,Parent–Child and Sibling Relationships

ABSTRACT

Family members in both separated or divorcing and married families completed a range of questionnaires about the conflict in 3 relationships—couple, parent–child, and sibling—across 2 phases of the study approximately 12 months apart. In addition, the adolescents completed measures of adjustment: self esteem, depression, and anxiety. Adolescents in a subset of the divorcing families were interviewed about the conflict in their families across the 2 phases (107 at Phase 1 and 35 at Phase 2). Analyses showed that conflict was higher in the separated or divorcing families across all 3 relationships, and that the highest levels of conflict occurred for the high-conflict divorcing families. Qualitative data from interviews illustrated the nature of the conflict that was occurring.     

The Examination of Emotional Facial Expressions Within Parent–Child and Sibling Interactive Contexts: A Systematic Review

This work constitutes a systematic review of the empirical literature about emotional facial expressions displayed in the context of family interaction. Searches of electronic databases from January 1990 until December 2016 generated close to 4400 articles, of which only 26 met the inclusion criteria. Evidence indicate that affective expressions were mostly examined through laboratory and naturalistic observations, within a wide range of interactive contexts in which mother–child dyads significantly outnumbered father–child dyads. Moreover, dyadic partners were found to match each others’ displays and positive and neutral facial expressions proving more frequent than negative facial expressions. Finally, researchers observed some developmental and gender differences regarding the frequency, intensity, and category of emotional displays and identified certain links among facial expression behavior, family relations, personal adjustment, and peer-related social competence.     

Adoptive and Nonadoptive Mother–Child Behavioral Interaction: A Comparative Study at 4 Years of Age

Comparable samples of low-risk adopted and non-adopted children and mothers were observed during three tasks at age 4 years. Quality of mother–child interactions, child level of functioning in four domains, and maternal parenting satisfaction and social support were assessed. Adopted children were as competent as non-adopted children on measures of developmental functioning. Both groups of mothers expressed high satisfaction and support as parents. However, ratings of child, maternal, and dyadic behavior when interacting were all lower for adoptive dyads than for non-adoptive dyads, and adoptive dyads with boys accounted for the maternal and dyadic group differences.     

Parent–Child Conflict and Suicide Rumination in College Students: The Mediating Roles of Depressive Symptoms and Anxiety Sensitivity

Abstract

Objective: Parent–child conflict, depressive symptoms, and anxiety sensitivity have each been identified as risk factors for suicide ideation in college students. This study examined the relations among these risk factors and suicide rumination utilizing transition theory to guide the hypothesized relations. Participants: Undergraduate college students participated in this study in the spring of 2012 (January to May). Methods: Participants completed self-report measures of parent–child conflict, depressive symptoms, anxiety sensitivity, and suicide rumination, among other measures. Hypothesized pathways and mediation were tested using path analysis. Results: Suicide rumination was positively and uniquely predicted by depressive symptoms, anxiety sensitivity, and parent–child conflict. The relation between parent–child conflict and suicide rumination was, in part, accounted for by depressive symptoms and anxiety sensitivity. Conclusions: Results suggest that it would be advisable for clinicians to assess for students’ conflicts with their parents in conjunction with their levels of depression and anxiety when assessing for suicide risk.     

21st Century Parent–Child Sex Communication in the United States: A Process Review

Parent–child sex communication results in the transmission of family expectations, societal values, and role modeling of sexual health risk-reduction strategies. Parent–child sex communication’s potential to curb negative sexual health outcomes has sustained a multidisciplinary effort to better understand the process and its impact on the development of healthy sexual attitudes and behaviors among adolescents. This review advances what is known about the process of sex communication in the United States by reviewing studies published from 2003 to 2015. We used the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, SocINDEX, and PubMed, and the key terms “parent child” AND “sex education” for the initial query; we included 116 original articles for analysis. Our review underscores long-established factors that prevent parents from effectively broaching and sustaining talks about sex with their children and has also identified emerging concerns unique to today’s parenting landscape. Parental factors salient to sex communication are established long before individuals become parents and are acted upon by influences beyond the home. Child-focused communication factors likewise describe a maturing audience that is far from captive. The identification of both enduring and emerging factors that affect how sex communication occurs will inform subsequent work that will result in more positive sexual health outcomes for adolescents.     

Parent Marital Quality and the Parent–Adolescent Relationship: Effects on Adolescent and Young Adult Health Outcomes

Although a number of studies examined the implications of marital disruption for adolescent well-being, few studied the implications of marital relationship quality on health outcomes for children in married-couple families. The present study examines how parent marital quality among intact families interacts with the quality of parent–adolescent relationships to predict physical health, mental health, and substance use in middle adolescence and early adulthood. The study uses data from the NLSY97 cohort, a nationally representative sample of adolescents who are being followed into adulthood. Predictors include the quality of the parent marital relationship, the quality of the parent–adolescent relationship, marital structure, and a number of contextual covariates and control variables. Combined parent marital quality and parent–adolescent relationship groups were developed using latent class analyses and were used to predict positive and negative health behaviors during the teen and early adult years. Results indicate that adolescents in families experiencing poor marital quality fared worse on physical health, mental health, and substance use outcomes. In addition, adolescents who reported poor relationships with at least one of their parents fared worse on outcomes. Adolescents whose parents have low-quality relationships and also have poor parent–adolescent relationships tended to fare least well across health measures. Adolescents whose parents have a high-quality relationship and who have a good parent–adolescent relationship with both parents consistently had the best outcomes. Overall, poor relationships consistently undermine mental health, physical health, and substance use. Family religious activities also consistently predict better health outcomes.     

Parent–Child Positive Touch: Gender,Age, and Task Differences

This study examined gender, age, and task differences in positive touch and physical proximity during mother–child and father–child conversations. Sixty-five Spanish mothers and fathers and their 4- (M = 53.50 months, SD = 3.54) and 6-year-old (M = 77.07 months, SD = 3.94) children participated in this study. Positive touch was examined during a play-related storytelling task and a reminiscence task (conversation about past emotions). Fathers touched their children positively more frequently during the play-related storytelling task than did mothers. Both mothers and fathers were in closer proximity to their 6-year-olds than their 4-year-olds. Mothers and fathers touched their children positively more frequently when reminiscing than when playing. Finally, 6-year-olds remained closer to their parents than did 4-year-olds. Implications of these findings for future research on children’s socioemotional development are discussed.     

Parent–Child Communicational Characteristics: A Comparison Study between Subjects from Post-Divorce and Intact Nuclear Families

ABSTRACT

The occurrence of divorce seems to have impact on parent–child communication, with subsequent implications on the children well-being and development. The present study aims to analyze the influence that divorce has on parent–child communication comparing 102 participants from post-divorced families and 100 participants from intact nuclear families. Measures consisted of a sociodemographic questionnaire and Perception Scale of Parenting Communication. Despite literature indicators, the main findings reveal the absence of significant statistical differences between both family structures, concerning to parent–child communication. Overall, it was registered some statistically significant differences concerning to specific divorce variables. These findings demystifying the idea that post-divorce families establish less positive communication patterns when compared with intact nuclear families.     

Changing Relationships through Interactions: Preliminary Accounts of Parent–Child Interactions after Undertaking Individual Parent Training

Parent and child interaction training has been increasingly investigated over recent years. However, the mechanisms of change within individual training programmes are not well understood. To explore the factors that can facilitate or inhibit meaningful changes in interactions and ultimately relationships, the current study employed semi-structured interviews to obtain first person accounts from parents who had undertaken an individualised parent-training programme. Three participants provided accounts of the training programme and their perceived impact upon interactions with their children were analysed using inductive thematic analysis. The analysis resulted in three themes, which illustrate how participants adjusted their interactional style with their child to varying degrees through enhanced personal awareness, increased understanding of their child’s emotional and interactional needs, and accepting the reciprocity of interactional accountability. Changes in interactional style enabled participants to alter their perceptions of their own behaviours, their child’s behaviours, and how they influenced one another through interactions. Recommendations for future research and therapeutic practice are discussed in the context of the findings and the existing evidence base.     

Views on Parent–Child Connectedness Among English- and Spanish-Speaking Parents of High-Risk Youth

This study highlights findings from focus groups on parent–child connectedness conducted with English- and Spanish-speaking parents of high-risk youth in the southern United States. The primary aim of the study was to extend research on parent–child connectedness, a broad protective factor for adolescent risk behavior. In addition to describing strategies and obstacles for enhancing closeness between parents and children, parents in Spanish-speaking focus groups also raised issues related to immigration, acculturation, and bicultural stress. Findings provide valuable insights for practitioners and policymakers seeking to improve parent–child connectedness and reduce adolescent risk behavior, with special insight about Mexican-origin, Spanish-speaking families.     

Parent–Child Relationships in the Twilight Saga: Implications for Family Life Education

One source of cultural messages for adolescents is the novel. According to Reader Response Theory, readers interact with the text to construct meaning. This process makes novels an effective tool for facilitating parent–child communication. The current qualitative study examined the parent–child relationships portrayed in The Twilight Saga. Five themes emerged through inductive analyses. This article includes a comparison of the themes in the novels with the literature on parent–adolescent relationships. We also offer suggestions to family life educators regarding how to use the novels with parents and teens to facilitate communication about parent–child relationships.     

Capturing touch in parent–infant interaction: A comparison of methods

Naturally occurring high levels of caregiver touch promote offspring development in many animal species. Yet, caregiver touch remains a relatively understudied topic in human development, possibly due to challenges of measuring this means of interaction. While parental reports (e.g., questionnaires, diaries) are easy to collect, they may be subject to biases and memory limitations. In contrast, observing touch in a short session of parent–child interaction in the lab may not be representative of touch interaction in daily life. In the present study, we compared parent reports (one-off questionnaires and diary) and observation-based methods in a sample of German 6- to 13-month-olds and their primary caregivers (n = 71). In an attempt to characterize touching behaviors across a broad range of contexts, we measured touch both during play and while the parent was engaged in another activity. We found that context affected both the quantity and types of touch used in interaction. Parent-reported touch was moderately associated with touch observed in parent–child interactions and more strongly with touch used during play. We conclude that brief one-off questionnaires are a good indicator of touch in parent–child interaction, yet they may be biased toward representing particular daily activities and particular types of touch.     

Social Support Expectations and Strategic Ambiguity in Parent–Young Adult Child Divorce-Related Stressor Conversations

With communication privacy management and the divorce disclosure model as guiding frameworks, this study identified the stressors postdivorce families discussed as they mature, elucidated the types of social support parents and young adult children expected regarding divorce-related stress, and tested whether motivational and contextual factors prompted parents' use of strategic ambiguity while discussing stressors. By examining parent–child divorce-related stressor conversations in a controlled lab setting, results indicated that a decade after parental divorce, families continued to manage a variety of stressors. Additionally, parents and young adults had strong expectations for nurturant, informational, and tangible support from one another. Yet, social support expectations did not affect parents' self-reported use of strategic ambiguity nor children's perceptions of parents' communication.     

Parent Marital Quality and the Parent–Adolescent Relationship: Profiles of Relationship Quality

Rigorous studies repeatedly have demonstrated the negative effects of parental divorce on outcomes for families. However, very few studies have examined the quality of the marital relationship within intact families or how the quality of the marital relationship interacts with the quality of the parent–adolescent relationship. The present study examines how aspects of parent marital quality, such as marital support and conflict between the couple, existed within married families and examines how patterns of mother–adolescent and father–adolescent relationships quality varied longitudinally from 1997 to 1999. The study uses data from the NLSY97 cohort, a nationally representative sample of adolescents who are being followed into adulthood. Four profiles of parent marital quality were developed using latent class analyses. Four growth profiles for the mother–adolescent relationship and for the father–adolescent relationship were created using latent growth class analysis in Mplus. To examine how the parent marital quality profiles and the parent–adolescent relationship quality interact, we examined how they overlapped. Six distinct groups were evident from this examination: (1) high marital quality and good relationships with both parents, (2) high marital quality and a good relationship with only one parent, (3) high support and high conflict marital quality and a good relationship with at least one parent, (4) low marital quality and a good relationship with at least one parent, (5) high marital quality and bad relationships with both parents, and (6) low marital quality and bad relationships with both parents.     

Associations Between Shared Musical Engagement and Parent–Child Relational Quality: The Mediating Roles of Interpersonal Coordination and Empathy

Parent–child musical engagement in childhood and adolescence was assessed as a predictor of relational quality in emerging adulthood. From a perspective grounded in the communicative dynamics of musical engagement, this effect was hypothesized to be mediated by perceptions of interpersonal coordination and empathy between parent and child. Support was found for such mediated effects, particularly with coordination as a mediator. Results persisted when controlling for other forms of positive parent–child activity, thus illustrating the specific relational power of musical engagement, and more generally the importance of attending to what parents and children are doing when they interact.     

Building an Evidence-Driven Child Welfare Workforce: A University–Agency Partnership

The federal government increasingly expects child welfare systems to be more responsive to the needs of their local populations, connect strategies to results, and use continuous quality improvement (CQI) to accomplish these goals. A method for improving decision making, CQI relies on an inflow of high-quality data, up-to-date research evidence, and a robust organizational structure and climate that supports the deliberate use of evidence for decision making. This article describes an effort to build and support these essential system components through one public-private child welfare agency–university partnership.     

Child Abuse: The smothering of an issue—A British perspective

Although firmly established as a major social issue, child abuse still tends to be studied from too narrow a perspective in Britain. It is contended that the existence of a dominant persective for studying welfare issues (the Social Administration approach) has played an important part in ensuring that child abuse be equated solely with the ill-treatment of children within the home. Despite the fact that the “societal” abuse of children has been well documented, there have been few attempts to extend the boundaries of the child abuse debate. An effective challenge to the social administration approach to welfare is deemed necessary if a broader picture of child abuse in British society is to emerge.     

Do Parent Preferences for Child Conduct Problem Interventions Impact Parenting Outcomes? A Pilot Study in Community Children's Mental Health Settings

A pilot, doubly randomized preference trial was conducted to investigate the impact of providing parents preferences on parenting outcomes. Families with children having conduct problems were randomly assigned to a choice group in which they received their preferred treatment among the four intervention options or a no‐choice group in which they were randomized assigned to one of the four options. Results of mixed‐effects models showed that parents in the choice group who selected Parent Management Training‐Oregon Model (PMTO) had better parenting outcomes over time compared to parents in the choice group who selected child therapy. It highlights the importance of incorporating parent preferences in the delivery of evidence‐based treatments.