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Descriptors:
Rating Scales; Parent Child Relationship; Foreign Countries; Infants; Fathers; Predictor Variables; Behavior Problems; Parent Role; Mother Attitudes; At Risk Persons; Prevention; Intervention

Abstract:
Background: Factors related to parents and parenting capacities are important predictors of the development of behavioural problems in children. Recently, there has been an increasing research focus in this field on the earliest years of life, however, relatively few studies have addressed the role of fathers, despite this appearing to be particularly pertinent to child behavioural development. This study aimed to examine whether father-infant interactions at age 3 months independently predicted child behavioural problems at 1 year of age. Method: A sample of 192 families was recruited from two maternity units in the United Kingdom. Father-infant interactions were assessed in the family home and coded using the Global Rating Scales. Child behaviour problems were assessed by maternal report. Hierarchical and logistic regression analyses were used to examine associations between father-infant interaction and the development of behavioural problems. Results: Disengaged and remote interactions between fathers and their infants were found to predict externalising behavioural problems at the age of 1 year. The children of the most disengaged fathers had an increased risk of developing early externalising behavioural problems [disengaged (nonintrusive) interactions--adjusted Odds Ratio 5.33 (95% Confidence Interval; 1.39, 20.40): remote interactions adj. OR 3.32 (0.92, 12.05)] Conclusions: Disengaged interactions of fathers with their infants, as early as the third month of life, predict early behavioural problems in children. These interactions may be critical factors to address, from a very early age in the child's life, and offer a potential opportunity for preventive intervention. (Contains 5 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Foster Care; Attention Deficit Disorders; Executive Function; Disadvantaged Environment; At Risk Persons; Children; Correlation; Residential Institutions; Brain Hemisphere Functions; Diagnostic Tests; Task Analysis; Adoption; Inhibition; Attention Control

Abstract:
Background: Children reared in deprived environments, such as institutions for the care of orphaned or abandoned children, are at increased risk for attention and behavior regulation difficulties. This study examined the neurobehavioral correlates of executive attention in post institutionalized (PI) children. Methods: The performance and event-related potentials (ERPs) of 10- and 11-year-old internationally adopted PI children on two executive attention tasks, Go/No-go and Flanker, were compared with two groups: children internationally adopted early from foster care (PF) and nonadopted children (NA). Results: Behavioral measures suggested problems with sustained attention, with PIs performing more poorly on Go trials and not on No-go trials of the Go/No-go and made more errors on both congruent and incongruent trials on the Flanker. ERPs suggested differences in inhibitory control and error monitoring, as PIs had smaller N2 amplitude on Go/No-go and smaller error-related negativity on Flanker. Conclusions: This pattern of results raises questions regarding the nature of attention difficulties for PI children. The behavioral errors are not specific to executive attention and instead likely reflect difficulties in overall sustained attention. The ERP results are consistent with neural activity related to deficits in inhibitory control (N2) and error monitoring (error-related negativity). Questions emerge regarding the similarity of attention regulatory difficulties in PIs to those experienced by non-PI children with ADHD. (Contains 2 tables and 3 figures.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Sexuality; Residential Care; Dating (Social); Focus Groups; Adolescents; Feedback (Response); At Risk Persons; Trust (Psychology); Gender Differences

Abstract:
Minimal attention has been focused on difficulties for youth in residential care regarding building healthy dating relationships, despite the significant risks to this group of adolescents. This study provided a unique opportunity to conduct focus groups with youth in residential care on issues surrounding dating relationships. The majority of youth feedback centered on the themes of desiring support developing relationship boundaries, establishing trust in relationships, understanding the consequences of sexual activity, and having real world examples regarding dating relationships. The data were examined for differences between the genders and recommendations for next steps provided. (Contains 2 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Resilience (Psychology); Depression (Psychology); Foreign Countries; Family Violence; Cross Cultural Studies; Questionnaires; At Risk Persons; Individual Characteristics; Adolescents; Aggression; Gender Differences; Experience; Socioeconomic Status; Predictor Variables; Parenting Styles; Verbal Communication; Teacher Influence; Parent Influence; Substance Abuse; Peer Relationship; Grade 8

Abstract:
Questionnaire data from a cross-sectional study of a randomly selected sample of 5,149 middle-school students from four EU countries (Austria, Germany, Slovenia, and Spain) were used to explore the effects of family violence burden level, structural and procedural risk and protective factors, and personal characteristics on adolescents who are resilient to depression and aggression despite being exposed to domestic violence. Using logistic regression to identify resilience characteristics, our results indicate that structural risks like one's sex, migration experience, and socioeconomic status were not predictive of either family violence burden levels or resilience. Rather, nonresilience to family violence is derived from a combination of negative experiences with high levels of family violence in conjunction with inconsistent parenting, verbally aggressive teachers, alcohol and drug misuse and experiences of indirect aggression with peers. Overall, negative factors outweigh positive factors and play a greater role in determining the resilience level that a young person achieves. (Contains 7 tables and 2 notes.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Content Analysis; Early Intervention; Mothers; Infants; Parent Child Relationship; Interaction; Interviews; Parent Attitudes; Program Effectiveness; Mental Disorders; Knowledge Level; Emotional Development; Child Rearing; Foreign Countries; At Risk Persons

Abstract:
Studies focusing on mothers' own reports of their experience with intervention programmes are rare, so very little has been known about their evaluations of the programmes and what they have learned. The aim of the present study was to use interviews to evaluate these aspects of an intervention programme. The interviews were designed to capture the mothers' memories and thoughts about their experiences and to learn about the knowledge they acquired in a short-term intervention programme. Forty-six mothers identified as being at psychosocial risk were interviewed. The interview materials were analysed using qualitative content analysis. Two categories were identified: emotional context, and knowledge. The material assigned to the second category was further divided into three sub-categories. The study results point to the equal importance of actual knowledge and to the emotional dimension. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Child Abuse; Child Care; Medical Services; Mothers; Mental Disorders; Clinical Diagnosis; Chronic Illness; Symptoms (Individual Disorders); At Risk Persons; Fathers; Parent Child Relationship; Health Services

Abstract:
Although child maltreatment due to abuse or neglect is pervasive within our society, less is known about fabricated or induced illness by carers (FII), which is considered to be a rare form of child abuse. FII occurs when a caregiver (in 93% of cases, the mother) misrepresents the child as ill either by fabricating, or much more rarely, producing symptoms and then presenting the child for medical care, disclaiming knowledge of the cause of the problem. The growing body of literature on FII reflects the lack of clarity amongst professionals as to what constitutes FII, the difficulties involved in diagnosis, and the lack of research into psychotherapeutic intervention with perpetrators. This lack of clarity further complicates the identification, management and treatment of children suffering from FII and may result in many cases going undetected, with potentially life-threatening consequences for children. It has been suggested that there is a national under-reporting of fabricated or induced illness. In practice these cases are encountered more frequently due to the chronic nature of the presentations, the large number of professionals who may be involved and the broad spectrum including milder cases that may not all require a formal child protection response. Diagnosis of fabricated disease can be especially difficult, because the reported signs and symptoms cannot be confirmed (when they are being exaggerated or imagined) or may be inconsistent (when they are induced or fabricated). This paper highlights and discusses the controversies and complexities of this condition, the risks to the child and how it affects children; the paucity of systematic research regarding what motivates mothers to harm their children by means of illness falsification; how the condition should be managed and treated for both mother and child; and implications for policy and practice. (Contains 1 table and 1 note.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Child Abuse; Adolescents; Parent Child Relationship; Depression (Psychology); Juvenile Justice; Young Adults; Mothers; Fathers; Affective Behavior; At Risk Persons; Correlation; Symptoms (Individual Disorders); Longitudinal Studies; Developmental Stages; Skill Development; Gender Differences; Role

Abstract:
Objective: Current research has established that depression is a common outcome of child abuse. The current study extends previous research by examining the relationship between parental emotional and physical abuse and adolescents' depressive symptoms using a prospective longitudinal design. We anticipated that this relationship would be mediated through problems in affect regulation, consistent with the view that the presence of abuse in the parent-child relationship would derail the development of adaptive affect regulation. Finally, we further examined gender-linked transmission of risk by considering both the gender of the parent perpetrating abuse and the gender of the adolescent. Methods: A sample of high-risk youth (N = 179; 46% female) from juvenile justice and clinical settings completed assessments regarding maternal and paternal physical and emotional abuse, affect dysregulation and depressive symptoms during three time points over the course of five years. Results: The relationship between maternal abuse and depressive symptoms was partially mediated through affect dysregulation at Time 1 and fully mediated at Time 2. In addition, adolescents' reports of maternal abuse at Time 1 predicted their depressive symptoms in early adulthood even after accounting for the partial mediating role of affect dysregulation at each of the three timepoints of the study. It was also found that paternal abuse was related to depressive symptoms through an indirect relationship with affect dysregulation for males, but not females. Conclusion: These findings suggest that adolescence may be a sensitive developmental period wherein abuse experiences have profound direct and mediated influences on the risk for later depression. Adolescents or young adults who have experienced abuse may benefit from interventions designed to build affect regulation skills. (Contains 2 tables and 1 figure.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Mental Retardation; Children; Adolescents; At Risk Persons; Evaluation Methods; Child Abuse; Intelligence; Measures (Individuals); Predictive Validity; Sexual Abuse; Sexuality; Interpersonal Relationship; Symptoms (Individual Disorders); Violence; Victims; Crime

Abstract:
The study explored the predictive validity of "Multiplex Empirically Guided Inventory of Ecological Aggregates for Assessing Sexually Abusive Children and Adolescents (Ages 4 to 19)" ("MEGA"[eighth note]; Miccio-Fonseca, 2006b), a comprehensive developmentally sensitive risk assessment outcome tool. "MEGA"[eighth note] assesses risk for coarse sexual improprieties and/or sexually abusive behavior in male and female youth ages 4 to 19 years (adjudicated and nonadjudicated), including youth with low (i.e., borderline) intellectual functioning. "MEGA"[eighth note] has 4 distinct risk scales with robust internal consistency reliability on cross-validation: "Risk Scale (0.81)", "Protective Scale (0.78)", "Estrangement Scale (0.79)", and "Persistent Sexual Deviancy Scale (0.74)". Sexual recidivism in cross-validation (N = 1,056) was 8.4%, defined as sexually related probation or parole violation (formal or informal). ROC analysis for Risk Scale demonstrated "MEGA"[eighth note] has good predictive validity (AUC = 0.71, 95% CI of 0.62-0.80, p less than 0.001). Youth with low intellectual functioning scored significantly higher on the "Risk Scale" and "Persistent Sexual Deviancy Scale", highlighting the importance of accurately assessing these youth. (Contains 3 figures and 2 footnotes.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Adolescents; Altruism; Personality Traits; Child Caregivers; Boarding Schools; Fatigue (Biology); Burnout; Foreign Countries; Residential Care; At Risk Persons; Comparative Analysis; Correlation; Attachment Behavior; Spiritual Development; Measures (Individuals); Prediction; Mental Health Workers; Labor Turnover; Recruitment

Abstract:
This study assessed compassion fatigue (CF) and compassion satisfaction (CS) among Israeli residential child-care workers (RCWs) working in residential treatment facilities for children and youth at risk (N = 147) as compared to educational boarding schools workers (BSWs; N = 74). Furthermore, we assessed the relationship of potential personality-related buffers of attachment orientations, spirituality, and sense of coherence to CF and CS among these workers via self-report measures. Results show significant differences between RCWs and BSWs in CS but no significant differences in CF. Importantly, differential patterns of variables were found to predict the CF dimensions and CS. These findings suggest that both RCWs and BCWs are at risk for CF. In order to improve the resilience and reduce the turnover of RCWs and BSWs in their work, personality resources should be taken into account in the process of recruitment and training. (Contains 4 tables.) Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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Descriptors:
Females; Coping; Males; Neighborhoods; Low Income; Urban Youth; Adolescents; African Americans; Disadvantaged; At Risk Persons; Behavior Problems; Stress Variables; Symptoms (Individual Disorders); Violence; Poverty; Gender Differences

Abstract:
African American youth residing in low income urban neighborhoods are at increased risk of experiencing negative life events in multiple domains, increasing their risk for internalizing and externalizing behaviors. However, little is known about youth's differential responses to life event stress, or protective processes and coping strategies for urban African American youth exposed to adverse life events. Thus, the present study examined whether variability in predominantly low income, urban African American youth's responses to life event stress are accounted for by the type of life event experienced or the type of coping strategies used. Participants were a community sample of 353 urban African American youth (52.8% girls; age range 8-12 years) who participated in the Multiple Opportunities to Reach Excellence (MORE) Project. Youth reported about their experiences with adverse life events, coping strategies, and internalizing and externalizing symptoms. Results indicated that violent life events were uniquely associated with externalizing behavior, while discrimination and economic stress were uniquely associated with internalizing behavior. The utility of coping strategies varied by gender, such that avoiding problems was protective for girls who experienced violent life events, but not for boys. For boys, exposure to violence was significantly positively associated with externalizing symptoms regardless of the amount of avoiding problems coping used. Findings suggest that interventions to develop coping strategies may need to be gender-specific as well as tailored for the types of stressors common for low income urban youth. Note:The following two links are not-applicable for text-based browsers or screen-reading software. Show Hide Full Abstract

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