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1.
BackgroundLong-term follow-up studies of interventions for children exposed to intimate partner violence are few, and the sustainability of their outcomes often remains unexplored and uncertain. Current research including follow-up assessment suggests that treatment gains may be maintained or continue post termination. In addition some children may show increased levels of symptoms.ObjectiveThe present effectiveness study investigated the long-term outcomes of two established group interventions for children exposed to intimate partner violence and their non-offending parent.Participants and SettingThe study included 50 children, 24 girls and 26 boys, aged 4 to 13 years attending a psychotherapeutic child and adolescent mental health service intervention and a psychoeducative community-based intervention.MethodsBackground information, child and parental mental health problems, trauma symptoms, and exposure to violence were assessed pre- and post treatment and at 6 and 12 months’ follow-up.ResultsSustained treatment gains and late improvements in children’s internalizing and externalizing symptoms and in symptoms of traumatic stress were recorded from post treatment to the follow-up assessments (p = .004– .044; d = 0.29–0.67). No significant increase in symptoms was reported. Additionally, very little continued or renewed child exposure to violence was reported.ConclusionsThe results of the study indicate that the children did benefit from the two interventions studied and that the outcomes of reduced child symptoms and protection from exposure to violence were sustainable. Children with severe trauma symptoms benefited the most, though maternal psychological problems may for some have hindered recovery. Clinical implications are discussed.  相似文献   

2.
Mothers living with HIV (MLH) must navigate disclosing their serostatus to their children, but the longitudinal impact on families remains unknown. This study examined HIV disclosure, parenting, parenting stress, and child adjustment among 174 MLH-child dyads (aged 6–14; 35% Latinx; 57% Black/African American). Quantitative data were collected over four waves spanning 15 months. Qualitative data were collected with 14 families in which disclosure had occurred. Latent change score modeling revealed that disclosure led to improvements in parenting stress, communication, and relationship quality. Disclosure did not predict child adjustment. Qualitative themes contextualized these findings, revealing stability and improvements in family functioning. MLH should be supported in disclosing their serostatus to their children to minimize parenting stress and bolster parenting skills.  相似文献   

3.
The consequences of prenatal maternal stress for development were examined in 125 full-term infants at 3, 6, and 12 months of age. Maternal cortisol and psychological state were evaluated 5 times during pregnancy. Exposure to elevated concentrations of cortisol early in gestation was associated with a slower rate of development over the 1st year and lower mental development scores at 12 months. Elevated levels of maternal cortisol late in gestation, however, were associated with accelerated cognitive development and higher scores at 12 months. Elevated levels of maternal pregnancy-specific anxiety early in pregnancy were independently associated with lower 12-month mental development scores. These data suggest that maternal cortisol and pregnancy-specific anxiety have programming influences on the developing fetus.  相似文献   

4.
Activity preferences of 29 preschool children were recorded over a 2-week period while children were engaged in self-selected activities. Subsequently a microcomputer was introduced into the classroom, and the children were given 3 weeks to accustom themselves to this new activity area. Another 2-week observation period followed, during which activity preferences were again recorded, this time including the computer as an activity choice. Analyses indicate that involvement in art activity decreased during the second observation, and that the same children who decreased this activity also switched to involvement with the computer. No sex or age difference in computer use was found, and the computer did not appear to affect socialization. The need for further study of the impact of the computer in preschool settings is discussed.  相似文献   

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Longitudinal data were obtained from 157 children aged 3 years 3 months to 5 years 6 months at Time 1. At Time 2 these children had aged an average of 12 months. Theory of mind (ToM) and executive functioning (EF) were measured at both time points. Results suggest that Time 1 ToM scores predict Time 2 EF scores. Detailed examination of sibling influences suggests that benefits—in terms of advanced ToM development—accrue to children with siblings versus without, and to those with a larger number of child‐aged siblings. Any advance in either area (ToM or EF) is likely to benefit the other, and early sibling interaction appears to act as a catalyst.  相似文献   

7.
The present study compared two ways of measuring rough-and-tumble play (R&T) and examined three precursors to this play. Early parental socializing influences (particularly from fathers), "boy" sex-typed play preferences, and activity level were all hypothesized to be associated with later R&T. Objective measures of R&T at nursery school were moderately correlated with ratings of such play by parents and teachers at first grade. Arousal during play at 45 months and extent of R&T at 18 months by fathers, but not mothers, were found to correlate significantly with ratings of R&T at first grade. "Boy" sex-typed play was also significantly associated with first grade R&T. These correlations were similar for both boys and girls. There were no correlates with nursery school R&T that were similar for both sexes. Activity levels were not consistently associated with later R&T behaviors. Implications and limitations of these findings are discussed.  相似文献   

8.
Twenty‐two primary school children, aged 6–12 years, who were experiencing significant reading difficulties, were allocated to one of two parent‐instruction treatment conditions according to the parent’s preference. The treatments were based upon learning‐theory principles, and were aimed at teaching the parents optimal ways of helping their child learn to read. One condition involved the parent and child being seen individually by the therapist twice a week over five weeks. The other condition involved the parents meeting as a group for three weekly sessions, and then as a group with their children for the final two sessions. The same learning‐theory principles were taught in both treatment conditions. Seven children who were awaiting treatment provided waiting‐list control data over a five‐week period. Outcome measures of the children’s reading level and reading self‐concept, and the parents’ stress levels during reading‐time showed significant improvements for those in the individual treatment condition, and this improvement was maintained at a follow‐up after two months. While there were some gains for those in the group treatment condition, these were not maintained by the two‐month follow‐up.  相似文献   

9.
The aim of this report was to investigate the prospective links between infant sleep regulation and subsequent executive functioning (EF). The authors assessed sleep regulation through a parent sleep diary when children were 12 and 18 months old (N = 60). Child EF was assessed at 18 and 26 months of age. Higher proportions of total sleep occurring at night time, at both 12 and 18 months, were related to better performance on executive tasks, especially those involving a strong impulse control component. Most relations held above family socioeconomic status, prior mental development and concurrent verbal ability. These findings add to previous results with school-age children in suggesting that sleep favors the development of higher order cognitive functions requiring prefrontal cortex involvement.  相似文献   

10.
Visual fixation in infants from 6 months to 2 years of age was examined for its fit to the theory of "attentional inertia." A children's movie ("Sesame Street" movie, "Follow that Bird") or an extended audiovisual stimulus (computer-generated patterns) was presented to 40 children for a minimum of 20 min while fixation was videotaped and heart rate (HR) was recorded. Consistent with attentional inertia theory, fixations toward the stimuli had a lognormal distribution, HR decreased over the course of a look, and HR returned to prestimulus levels immediately before look offset. Older children (18 months, 24 months) showed a distinction in the parameters describing the lognormal distribution for the "Sesame Street" movie and the audiovisual patterns, whereas younger children (6 months, 12 months) responded similarly to the two stimulus types. Fixation patterns of children in this age range suggest attention increases over the course of a look, and parameters consistent with attentional inertia theory differentially develop in this age range.  相似文献   

11.
The present study examined the processes through which recurrent episodes of otitis media influence children's attachment security. The model guiding the research suggests that mothers of children who experience recurrent episodes of otitis media have higher levels of parenting stress, which can have a direct negative effect on attachment security. As well, an increase in parenting stress may be indirectly related to attachment security by decreasing maternal sensitivity, a known precursor of attachment security. A structured telephone illness interview was conducted with mothers of 161 children every 2 weeks for 6 months to determine the number of episodes of otitis media children experienced. At the end of this period, parenting stress, attachment security, and maternal sensitivity were assessed. Recurrent episodes of otitis media did negatively affect attachment security by increasing mothers' perceptions of their children as behaving more negatively. Parenting stress was not related to maternal sensitivity; however, maternal sensitivity did predict attachment security.  相似文献   

12.
Along with early detection, early intervention (EI) is critical for children identified with hearing loss. Evidence indicates that many children with sensorineural hearing loss experience improved language abilities if EI services were initiated at an "early" age. The present study's objectives were to determine the impact of a state EI program on language over time of children with permanent hearing loss and evaluate the association of EI enrollment by age 6 months with early language skill development. Young children in a state EI program were included in this longitudinal study. Results indicate that children enrolled prior to age 6 months were more likely to have age-appropriate language skills at baseline than children enrolled at or after 6 months, and maintained age-appropriate skills over time. Children enrolled at or after 6 months had lower baseline skills but made significant language progress, irrespective of hearing loss severity.  相似文献   

13.
The emerging reading and spelling abilities of 24 deaf and 23 hearing beginning readers were followed over 2 years. The deaf children varied in their language backgrounds and preferred mode of communication. All children were given a range of literacy, cognitive and language-based tasks every 12 months. Deaf and hearing children made similar progress in literacy in the beginning stages of reading development and then their trajectories began to diverge. The longitudinal correlates of beginning reading in the deaf children were earlier vocabulary, letter-sound knowledge, and speechreading. Earlier phonological awareness was not a longitudinal correlate of reading ability once earlier reading levels were controlled. Only letter name knowledge was longitudinally related to spelling ability. Speechreading was also a strong longitudinal correlate of reading and spelling in the hearing children. The findings suggested that deaf and hearing children utilize slightly different reading strategies over the first 2 years of schooling.  相似文献   

14.
Among children with significant developmental delays or with biomedical risk factors for developing delays, those who were in nonmaternal child care (n=80) did not differ from children staying at home with their mothers (n=73) on mental, motor, or adaptive functioning; behavior problems; or attachment security at 30 months of age. An ecological model then was used to predict outcomes for children who had been observed in child care. After accounting for selection effects, child characteristics at 12 months of age, and quality of home caregiving, none of the child-care variables (age of entry, hours, quality) predicted mental or motor development or attachment security among children in nonmaternal care. Older age of entry into child care predicted greater behavioral organization during testing. Higher observed quality of caregiving in child care predicted better adaptive behavior. Additionally, quality of home caregiving predicted mental development, behavioral organization, and secure attachment to mother.  相似文献   

15.
The behavioural and emotional development of children with ADHD visiting day treatment centres after school hours is described and the childrearing factors that govern positive development explored. Test scores on the Child behaviour checklist (CBCL) and ADHD behavioural symptoms rating scale were obtained over a period of nine months, in a sample of 86 children with ADHD, and related to the activities of the professional care‐givers. Behavioural control mixed with affectionate and emotional support reduced the ADHD symptoms at the follow‐up. According to the CBCL measures, the overall emotional and behavioural problems of the children did not improve. This suggests that prolongation of the day treatment is still required after nine months.  相似文献   

16.
Although several studies have now examined the relations between mother-child and sibling interaction, the role of fathers in the development of sibling relationships is noticeably absent. The present study included assessments of both mother-child and father-child interaction in order to examine the correlates of sibling conflict and cooperation. Home observations of parent-child and sibling interaction and reports of differential parental treatment were obtained for 30 families with 2 preschool children when the firstborns were approximately 6 years old. Earlier assessments of infant-mother and infant-father attachments when firstborns were 12 and 13 months old, respectively, were also available, as were prior laboratory assessments of mothering and fathering when the oldest child was 3 years of age. Results suggested that sibling conflict and aggression were related to high levels of conflict between the mother and the 2 children at 6 years, intrusive and overcontrolling mothering at 3 years, and an insecure infant-mother attachment. Facilitative and affectionate fathering, on the other hand, was associated with prosocial sibling interaction. Early relationship experiences between parents and their firstborn children had an enduring effect on the quality of sibling relationships and interacted with differential parental treatment in predicting sibling relationship outcomes.  相似文献   

17.
The effect of maternal nutritional supplementation during pregnancy and lactation on the mental and motor development of infants was studied in a rural population in Taiwan. Women were randomly assigned to 2 treatment groups: 1 received a high-calorie and protein supplement ("supplement" group); the other received a placebo ("control" group). Infants received no direct supplementation. At approximately 8 months of age, the mental and motor development of the infants was assessed using a research to maternal supplementation in either scale, nor were the mental scale scores of infants of supplement mothers significantly higher than infants of control mothers. However, the motor scores of supplement infants were higher than those of control infants, which is consistent with the findings of 2 other large-scale nutritional supplementation studies.  相似文献   

18.
This study was designed to assess the impact of taking a high quality picture book home from school daily on the at-home reading behaviors of young children and/or family members from middle and low SES backgrounds. Eighty children representing two study groups (treatment & no-treatment comparison) and two socioeconomic groups (Head Start & middle-class) composed the study sample. Treatment children selected picture books at school daily to take home over a 12-week period. Child and family picture book reading behaviors were assessed by weekly random telephone surveys. Findings indicate that taking a picture book home daily more than doubled the number of books read at home for both middle-class and Head Start treatment children over their no-treatment comparison counterparts and significantly increased the amount of time Head Start treatment children were involved in reading each day. The practicality of making high quality picture books available for preschool children to take home and the implications of increased at-home reading behaviors are discussed.  相似文献   

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20.
This paper describes the characteristics of thriving and failure to thrive (FTT) children and their mothers and examines the effect of short-term lay health visitor intervention in cases of nonorganic failure to thrive (NO FTT). Twenty-five FTT children and mothers received lay health visitor (LHV) intervention in addition to other community and medical treatment; 25 other FTT children and mothers did not receive the LHV intervention but did receive all other medical and community treatment. Twenty-five thriving children and mothers were matched with the FTT children and mothers in the LHV group on the child's age at intake, sex, birth weight, and the mother's age, ethnicity, and number of living children. At initial assessment, the FTT and thriving groups were found to be comparable on demographic factors, infant birth weight percentiles, apgar scores, complications of pregnancy or delivery, and separations in the newborn period. There were more premature births in the LHV group although the proportion of premature births for the FTT and thriving groups overall were similar. A majority of mothers in the FTT groups had negative memories of childhood in contrast to more positive memories in the thriving group. At initial assessment, the majority of thriving children were developmentally normal and had increased from their birth weight percentiles whereas all of the FTT children had decreased from their birthweight percentiles and over half were developmentally delayed. There were clear differences in mother-child interaction patterns in the thriving and FTT groups. Three patterns of interaction were identified in the FTT group: benign neglect, incoordination, and overt hostility. Intervention had no measurable effect on the child's weight, development, or interaction patterns. Only 8 of 37 FTT children reevaluated 6 months later showed "catch up" growth and only 7 had improved in developmental score category. Patterns of interaction were found to persist over the 6 months in all cases. One to three year follow-up of 44 families emphasized the severity of the condition and the need for differentiation of the severity of the disturbance in the mother-child relationship and for more intensive intervention than was available in this study. Of these 44 cases, 2 children had died, 5 had been physically abused or further neglected, and 10 were in alternative care arrangements.  相似文献   

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