Caregiver hope and child outcomes following pediatric weight management programs
Cathleen Odar StoughKatrina M. Poppert CordtsMeredith L. Dreyer GilletteKelsey B. BornerKelsey DeanSarah HamplJames PeughAnn M. Davis
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Abstract:
The current study examined whether caregiver hope was related to child outcomes (change in weight or health behaviors, treatment sessions attended) and caregiver outcomes (weight change, willingness to make behavioral changes) in a culturally diverse sample of 202 youth with overweight and obesity and their families participating in one of three weight management programs for children 2–18 years old. Within this treatment-seeking sample, dispositional caregiver hope did not predict willingness to make behavioral changes, number of treatment sessions attended, or treatment outcomes. These findings suggest specific efforts to foster caregiver hope within such interventions may not improve outcomes and investigation of other, potentially more modifiable caregiver and child factors may be more beneficial.Keywords:
Weight management
The purpose of this study was to examine differences in (a) the amount of affectionate behavior expressed by boys and girls and (b) the types of recipients of boys' and girls' affectionate behavior. Data were collected by conducting naturalistic observations of 76 children (32 males and 44 females) in six daycare centers. The affectionate behaviors observed were smiling, affectionate words, and active and passive affectionate physical contact. The results indicated that children's affectionate behavior was not gender typed as defined by social learning theory. However, there were gender differences related to the recipients of children's affectionate behavior. Children expressed more affection to (a) individual children and teachers than to groups and (b) same-gender peers than to opposite-gender peers. The specific behaviors making important contributions to the overall differences between boys' and girls' expressions of affection to male and female children differed. The results indicate there is a need to include the interpersonal context of the behavior when examining gender differences and to expand theory and research on the role of affection in children's development and relationships.
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Abstract This longitudinal study examined individual differences and correlates of focused attention when toddlers were approximately 18 months old (T1; n =256) and a year later (T2; n =230). Toddlers' attention and negative emotionality were reported by mothers and non‐parental caregivers and rated globally by observers. Toddlers' focused attention also was observed during two mother–child interactions and an independent play task. Measures of maternal emotional support and control were obtained via self‐report and observation. Some contemporaneous relations among indices of toddlers' attention were obtained, particularly for observed measures. Moreover, all measures of attention demonstrated stability across time. Negative emotionality was negatively related to toddlers' observed attention at both ages, whereas maternal praise had positive concurrent associations. Maternal control was negatively related to observed attention at T2 and also predicted longitudinally, but only for children who initially had low or moderate attention. The findings suggest that individual differences in focused attention evidence stability early in life but can be influenced by adult socialization. Copyright © 2008 John Wiley & Sons, Ltd.
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This study drew on prospective, longitudinal data to test the hypothesis that the intergenerational transmission of positive parenting is mediated by competence in subsequent relationships with peers and romantic partners. Interview-based ratings of supportive parenting were completed with a sample of 113 individuals (46% male) followed from birth to age 32. Results indicated that supportive parenting during adulthood was predicted by observed maternal sensitivity during the first 3 years of life, even after controlling for adults' age at first childbirth and adults' socioeconomic status and educational attainment at the time of the second generation parenting assessments. Moreover, the intergenerational association in parenting was mediated by later competence in relationships with peers and romantic partners. In particular, sensitive caregiving in infancy and early childhood predicted teachers' rankings of children's social competence with peers during childhood and adolescence, which in turn forecasted later interview ratings of romantic relationship competence during young adulthood, which in turn predicted supportive parenting in adulthood. Findings are discussed with respect to current theory and research on the intergenerational transmission of parenting.
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This study assesses whether the stresses associated with parenting a child are indirectly related to adolescent self-concept through parenting behaviors. We examined longitudinal associations among mothers' and fathers' parenting stress at age 10, children's perceptions of parenting at age 10, and adolescents' self-concept at age 14 in 120 European American families. Mothers' and fathers' parenting stress was related to children's perceptions of acceptance and psychologically controlling behavior, and psychologically controlling behavior (and lax control for fathers) was related to adolescent self-concept. We further examined which domains of parenting stress and perceived parenting behaviors were associated with adolescents' scholastic competence, social acceptance, physical appearance, and behavioral conduct. Parenting stress was related to specific parenting behaviors, which were, in turn, related to specific domains of self-concept in adolescence. Parenting stress appears to exert its effects on early adolescent self-concept indirectly through perceived parenting behavior.
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Child rearing
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Abstract The present study aimed to determine the potential moderating effects of temperamental traits on the relation between parenting and toddlers' externalizing behaviours. For that purpose, this study examined the interplay between temperament and maternal parenting behaviours in predicting the level as well as the development of toddlers' externalizing behaviours. Participants were 115 boys (wave 1, M =16.9 months; wave 2, M =23.2 months) and their mothers, who were observed in a 13‐min structured play session at home. With regard to the prediction of the level of externalizing behaviours at wave 1, main effects were found for children's temperamental characteristics. In addition, maternal negative control interacted significantly with children's inhibitory control in predicting this level of externalizing behaviours. The findings with regard to the development of externalizing behaviours showed that the effects of maternal negative control and lack of maternal sensitivity were stronger for toddlers with a difficult temperament: maternal negative control and lack of maternal sensitivity were related to an increase in externalizing behaviours for temperamentally difficult children only. These results offer support for the goodness‐of‐fit hypothesis, stressing the idea that the effects of temperament and the social environment depend to a large extent on their interplay. Copyright © 2007 John Wiley & Sons, Ltd.
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Externalization
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The authors examined the relations of maternal supportive parenting to effortful control and internalizing problems (i.e., separation distress, inhibition to novelty), externalizing problems, and social competence when toddlers were 18 months old (n = 256) and a year later (n = 230). Mothers completed the Coping With Toddlers' Negative Emotions Scale, and their sensitivity and warmth were observed. Toddlers' effortful control was measured with a delay task and adults' reports (Early Childhood Behavior Questionnaire). Toddlers' social functioning was assessed with the Infant/Toddler Social and Emotional Assessment. Within each age, children's regulation significantly mediated the relation between supportive parenting and low levels of externalizing problems and separation distress, and high social competence. When using stronger tests of mediation, controlling for stability over time, the authors found only partial evidence for mediation. The findings suggest these relations may be set at an early age.
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Four categories of affectionate behavior were identified in the 23 mothers of Ainsworth's longitudinal sample whose infants were observed in the strange situation at age 12 months. Mothers of babies classified as showing pattern A (anxiously attached and avoidant) in terms of their strange situation behavior were found to emphasize kissing proportionally more than the other mothers, and hugging/cuddling proportionally less. This is congruent with the previous finding that such mothers are averse to close bodily contact. Since mothers of pattern-A babies had also been found to be more rejecting, the findings suggest that rejection does not necessarily imply an absence of affectionate behavior but a different mode of expression.
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Fifty-two preschoolers' (36 to 56 months old) spontaneous responses to their crying peers were naturalistically observed, recorded, and analyzed in 3 child-care programs. Individual differences in age, gender, temperament, social competence, child-care experience, and friendship status were examined to understand how these variables shape children's prosocial behavior with peers. Variations in manner of responding were related to children's temperament, friendship status, and positive interactive style with peers. The results suggest that socioemotional functioning with peers and individual characteristics affect children's responses to a peer's distress
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