Helplessness in children of depressed and nondepressed mothers.

Helpless behaviors in 5- to 7-year-old children of depressed and nondepressed mothers were assessed through direct observation, interviews, and teacher ratings. The affective tone the mothers set in a joint puzzle task and their tendency to encourage mastery or become intrusive when their children became frustrated at the task were also assessed. Although depressed mothers set a more negative affective tone than nondepressed mothers during solvable puzzles, there were few significant differences between the 2 groups of mothers and children. Still, mothers who were more negative and hostile and less able to encourage mastery in their children had children who exhibited more helpless behaviors in the puzzle task, who were less likely to endorse active problem-solving approaches to frustrating situations, and whose teachers rated the children as less competent and more prone to helpless behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression and maltreatment as predictors of social competence and social problem-solving skills in school-age children

Childhood depression and child maltreatment have been shown to be important predictors of childhood adjustment problems, including difficulties in the spheres of home, school, and peer relationships. In this study, depression and maltreatment were used to predict social competence and social problem-solving skills, as rated by self, parent, and teacher. The total sample contained 68 children (35 girls, 33 boys), most of whom were at high-risk either due to poverty, physical abuse and neglect (as determined by substantiated Protective Services reports), or exposure to negative life events. Hierarchical multivariate regression analyses were used to identify the contribution of depression and maltreatment to social competence and social problem-solving skills. Depression predicted parents' and teachers' ratings of social competence and parents' ratings of peer rejection. Additionally, depression predicted children's ratings of social competence and both measures of social problem-solving skills. Maltreatment predicted parents' and teachers' ratings of social competence. Gender predicted teachers' ratings of peer rejection and social competence. An additive effect of depression and maltreatment was found such that children who are depressed and maltreated have the lowest social competence as rated by parents and teachers. These children are, therefore, doubly at risk for problems in future relationships.     

Using Problem-Solving Skills Training to Reduce Negative Affectivity in Mothers of Children With Newly Diagnosed Cancer: Report of a Multisite Randomized Trial.

Mothers of children with cancer experience significant distress associated with their children's diagnosis and treatment. The efficacy of problem-solving skills training (PSST), a cognitive-behavioral intervention based on problem-solving therapy, was assessed among 430 English- and Spanish-speaking mothers of recently diagnosed patients. Participants were randomized to usual psychosocial care (UPC; n = 213) or UPC plus 8 sessions of PSST (PSST; n = 217). Compared with UPC mothers, PSST mothers reported significantly enhanced problem-solving skills and significantly decreased negative affectivity. Although effects were largest immediately after PSST, several differences in problem-solving skills and distress levels persisted to the 3-month follow-up. In general, efficacy for Spanish-speaking mothers exceeded that for English-speaking mothers. Findings also suggest young, single mothers profit most from PSST. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mothers' supervision of their children's peer play: Relations with beliefs, perceptions, and knowledge.

Mothers (N?=?76) of 3- to 5-year-old children completed questionnaires assessing beliefs in the importance and modifiability (vs. innateness) of children's peer relationship skills, perceptions of their children's social competence with peers, and strategies they would use in response to children's peer interaction problems. A subsample of mothers (n?=?34) was observed supervising the play of their own children and a peer. Maternal perceptions of children's competence were negatively associated with the extent of mothers' involvement in children's play, whereas the quality of supervision was predicted by knowledge of socialization strategies and the interaction of beliefs and knowledge. Beliefs appeared to moderate the effects of maternal knowledge on mothers' behavior in that knowledge was associated with the quality of supervision only when mothers believed social skills were important and modifiable. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social adequacy of parents and children.

Proposes that inadequate skills for dealing with others are an important aspect of pathology and are imparted to the child by socially inadequate parents. Testing involved identifying 2 groups of male undergraduates: one high in social skills and one with a lesser degree of social competence. The mothers of the Ss were interviewed and rated for social competence. As predicted, socially skilled offspring had socially skilled mothers, while less skilled offspring had mothers low in interpersonal competence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childspacing intervals and abortion among blacks and whites: a brief report

Although physical, psychological, and social problems for children born to women denied abortion have been identified, little attention has been paid to the role that close childspacing might play in contributing to those problems. Small childspacing intervals (less than two years) have been linked to numerous physical, psychological, and social problems for mother and child. Using secondary analysis, this study examines the characteristics of 596 mothers who sought abortions in 1987 by race and age. Nearly 25% of these mothers had at least one child under two years of age. Abortion patients with such young children were more likely to be Black and have low incomes than abortion patients with older children. More than half of the mothers studied had more than two children. The findings suggest that a substantial number of children born to women denied access to abortion would be closely spaced, with the resulting adverse health consequences falling more heavily on subpopulations of abortion patients already at higher risk for negative perinatal and neonatal outcomes.     

Dimensions of marital conflict and children's social problem-solving skills.

Marital conflict has been shown to be negatively associated with child functioning. This study examined the relationships of negative and positive aspects of marital conflict and frequency of conflict with children's social problem-solving skills, as measured by effectiveness of alternative solutions. Mothers, fathers, and children reported on marital conflict. Mothers' higher negative conflict characteristics, in the context of greater frequency of conflict, and less frequent positive conflict characteristics, in the context of lower frequency of conflict, were significantly associated with their children's less effective social problem-solving solutions. For fathers, none of the negative but one of the positive conflict characteristics was significantly associated with their children's more effective social problem-solving solutions, regardless of the frequency of marital conflict. Children's perceptions of their parents' conflict were not significant predictors of their social problem-solving skills. Findings are interpreted in the framework of children's modeling aggressive conflict. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A social-behavioral analysis of skill deficits in delinquent and nondelinquent adolescent boys.

Developed a measure consisting of 44 behavioral role-playing and problem-solving items, the Adolescent Problems Inventory (API), along with an item-specific criterion-referenced raters' manual, to identify strengths and weaknesses in the personal and interpersonal skills repertoires of adolescent boys. In an initial validation study, the API responses of institutionalized delinquent boys were rated as less competent than the responses of either of 2 nondelinquent groups of teenage boys ("good citizens" and "leaders") from a public high school. There were 20 14.1–27.9 yr old Ss in each group. Analyses of the inventory's characteristics showed it to be reliable, to be composed of items with little or no cluster structure, and to have extraordinary discriminant power. Two other validation studies compared the API responses of 15 14–27 yr old institutionalized delinquent boys who had frequent behavioral problems within the institution with 15 institutionalized delinquent boys who had few acting-out problems, and group differences between 40 16–27 yr old delinquents and 40 carefully matched nondelinquents. The type of directions given and test format significantly affected performance. It is suggested that researchers using a social skills conceptualization of personality do more thorough assessment studies of behavior pathologies before embarking on the development of large-scale social skills training programs. (12 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of a computer-facilitated interactive social skills training program for boys with attention deficit hyperactivity disorder.

Children with attention deficit hyperactivity disorder (ADHD) are at significant risk for a variety of comorbid conditions, including social skills deficits. Although interventions addressing various aspects of social difficulties with these children have been developed, few researchers have integrated new technology with existing social skills intervention literature and investigated such approaches empirically. The purpose of this study was to investigate the effectiveness of a computer-mediated social skills training program for children diagnosed with ADHD. The program presented specific social skill sequences to four children with ADHD in a variety of computer-facilitated formats with video peer modeling, social problem-solving, and reinforcement components. Participants' abilities to demonstrate specific social problem-solving skills effectively in a behavioral analogue environment were evaluated. The study used a multiple-probe variation of the multiple-baseline design (MBD) across participants. All participants demonstrated improvements in ability to demonstrate effective social problem-solving skills in analogue role-play assessments with live peers. Follow-up data at 3 and 6 week intervals indicated that participants maintained their gains over time. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Hope and social support as resilience factors against psychological distress of mothers who care for children with chronic physical conditions.

On the basis of the multivariate conceptual model proposed by J. L. Wallander et al (1989), perceptions of hope and social support were hypothesized to serve as resilience factors against distress in mothers of children with chronic physical conditions. Relationships among these variables were tested. Ss were 111 mothers of 5 to 18-yr-old children who had cerebral palsy, spina bifida, or insulin-dependent diabetes mellitus. Tests used included the Hope Scale, Social Support Questionnaire-6, Brief Symptom Inventory, and Parents of Children With Disabilities Inventory. There were no differences in distress among mothers raising children with different conditions. Both hope and social support were associated negatively and uniquely with distress in these mothers. Perceptions of hope moderated the relationship between disability-related stress and maladjustment, suggesting a buffering effect when stress is high. However, hope did not appear to be a mediator of the relationship between social support and distress. These findings enhance our conceptual understanding of distress in maternal caregivers of children with a chronic physical condition. They also support improving sense of hope as is done in some problem-solving training programs to enhance coping in distressed individuals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

1988 National Maternal and Infant Health Survey: methods and response characteristics

OBJECTIVES: The 1988 National Maternal and Infant Health Survey (NMIHS) was conducted by the National Center for Health Statistics to study factors related to poor pregnancy outcome, such as adequacy of prenatal care; inadequate and excessive weight gain during pregnancy; maternal smoking, drinking, and drug use; and pregnancy and delivery complications. METHODS: The NMIHS is a nationally representative sample of 11,000 women who had live births, 4,000 who had late fetal deaths, and 6,000 who had infant deaths in 1988. Questionnaires were mailed to mothers based on information from certificates of live birth, reports of fetal death, and certificates of infant death. Information supplied by the mother, prenatal care providers, and hospitals of delivery was linked with the vital records to expand knowledge of maternal and infant health in the United States. RESULTS: The response rates in all three components of the NMIHS differed according to the mothers' characteristics. Mothers were more likely to respond if they were 20-39 years of age, were white, were married, had fewer than four children, entered prenatal care early, had more prenatal visits, had more years of education, or resided in the Midwest Region. The percent of respondents was lower for teenage mothers, mothers of races other than white, and mothers with four or more children, little prenatal care, or fewer years of education. Mothers whose infants weighed less than 2,500 grams were less likely to respond in the live-birth and infant-death components than mothers whose infants weighed 2,500 grams or more. CONCLUSIONS: The NMIHS will provide an invaluable tool for researchers and practitioners seeking solutions to perinatal and obstetric problems.     

Children's interpersonal influence with mothers and peers.

Interpersonal influence attempts toward mothers and peers were examined in 75 5-yr-olds. Consistent with a Piagetian view, children were less often immediately successful in their mother-directed attempts than in their peer-directed attempts. However, they were more often able to negotiate a compromise with mothers than with peers. This indicates that interaction with mothers may be more conducive to the development of social competence than interaction with peers. Linkages between both contexts were identified. Children who used abrasive strategies with mothers were aggressive and unsuccessful with peers. Mothers' influence strategies, assessed when children were toddlers and at age 5, predicted children's influence styles with peers: Children whose mothers often used negative control were aggressive and unsuccessful; those whose mothers used polite guidance were rarely inarticulate or coercive; and those whose mothers often issued unclear commands were less successful and less prosocial with their peers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuropsychological Status and Social Problem Solving in Children With Congenital or Acquired Brain Dysfunction.

Objective: To describe the associations between neuropsychological variables and social problem-solving skills in children with congenital versus acquired brain dysfunction. Participants: Twenty-two children and adolescents with cerebral palsy or myelomeningocele (developmental condition, or DC) and 22 with history of traumatic brain injury (TBI), ages 7-12 years, IQ>70. Measures: Social Problem-Solving Measure (SPSM), Video Cues and Consequences (VCC), and brief motor-free neuropsychological assessment. Results: The DC group generated significantly fewer solutions to hypothetical problematic social scenarios than the TBI group, but differences in the relative frequencies of solution types were minimal. The pattern of associations between neuropsychological and social problem-solving variables differed between groups. Conclusions: Neuropsychological status may contribute to development and expression of aspects of social skills, but there may be subtle differences in the nature of that contribution in children with congenital versus acquired brain lesions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health problems of homeless children and families: longitudinal study

OBJECTIVE: To establish the mental health needs of homeless children and families before and after rehousing. DESIGN: Cross sectional, longitudinal study. SETTING: City of Birmingham. SUBJECTS: 58 rehoused families with 103 children aged 2-16 years and 21 comparison families of low socioeconomic status in stable housing, with 54 children. MAIN OUTCOME MEASURES: Children's mental health problems and level of communication; mothers' mental health problems and social support one year after rehousing. RESULTS: Mental health problems remained significantly higher in rehoused mothers and their children than in the comparison group (mothers 26% v 5%, P = 0.04; children 39% v 11%, P = 0.0003). Homeless mothers continued to have significantly less social support at follow up. Mothers with a history of abuse and poor social integration were more likely to have children with persistent mental health problems. CONCLUSIONS: Homeless families have a high level of complex needs that cannot be met by conventional health services and arrangements. Local strategies for rapid rehousing into permanent accommodation, effective social support and health care for parents and children, and protection from violence and intimidation should be developed and implemented.     

Developmental changes in regulation of the Na+, K(+)-ATPase alpha 3 isoform by thyroid hormone in ferret heart

Examined how and what children think under conditions of automatic and controlled processing within the context of social problem solving. In a condition that elicited automatic processing, hyperactive-aggressive children did not differ in being able to identify the components of a problem or in the number of solutions generated to solve a problem, but were more aggressive in the types of solutions generated, as compared to nonhyperactive-nonaggressive children. Furthermore, in a condition eliciting controlled processing, hyperactive-aggressive children did not differ in identifying problem components, generating solutions, or in anticipating outcomes for solutions, but were less able to anticipate consequences, and were more aggressive in choosing a best solution to solve a problem, as compared to nonhyperactive-nonaggressive children. The study demonstrated a relation between problem-solving codes that discriminated between groups, and overall child adjustment. Implications for social problem-solving interventions are discussed.     

Positive parenting, family cohesion, and child social competence among immigrant Latino families.

The relation between positive parenting, family cohesion, and child social competence was examined among Latino families (predominantly from Mexico) who were recent immigrants to the United States. A mixed method study was conducted, including both pre- and post-test self-reported surveys (9-month interval) and qualitative data from focus groups. A total of 282 parents and 282 children (ages 9–12) participated in the survey study. Results at post-test follow-up indicated that family cohesion predicted improvements in child social problem-solving skills and social self-efficacy, and positive parenting predicted improvements in child social self-efficacy. A total of 12 mothers participated in the focus group study that was designed to explore barriers to positive parenting and family cohesion in this population. Results from focus groups revealed four major themes impacting parenting and family cohesion: (a) acculturation differences between parents and children and the resulting power imbalance; (b) difficulty getting involved in their child's education; (c) loss of extended family; and (d) discrimination against immigrants and legal status. The implications for family support programs for immigrant Latino families and their children are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social problem solving in suicidal adolescents.

Whether adolescent suicide attempters would have deficits in interpersonal problem solving and the relation between social problem solving, suicide intent, and medical lethality were evaluated. Compared with psychiatric and normal controls, adolescents who attempted suicide exhibited poorer social problem-solving abilities, particularly in terms of problem orientation. Specifically, suicide attempters brought more maladaptive cognitive-emotional-behavioral response sets to problematic situations than did psychiatric and normal controls. Both suicide attempters and psychiatric controls had similar deficits in problem-solving skills (e.g., generation of alternatives, decision making, and solution implementation) compared with nonhospitalized peers. Social problem solving was not found to be correlated with suicide lethality or intent. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlates of social problem solving during the first year after traumatic brain injury in children.

Effects of pediatric traumatic brain injury (TBI) on social problem-solving were examined in a longitudinal study of 103 children with moderate-to-severe TBI (n = 52) or orthopedic injury (OI; n = 51) using the Interpersonal Negotiation Strategies task (INS). Children solved age-appropriate hypothetical social conflicts, with responses for four problem-solving steps scored by developmental level. The OI group performed better than the TBI group, but rate of change in performance over time did not differ between groups, suggesting improvement in children with TBI was not due to recovery from injury. Strong relations between INS performance and memory and language skills emerged, but emotional processing was only weakly related to INS performance. Frontal focal lesions influenced INS performance in younger (but not older) children with TBI. Diffusion tensor imaging (DTI), revealed strong relationships between the INS and increased apparent diffusion coefficient (ADC) measures indexing connectivity in the dorsolateral and cingulate regions in both TBI and OI groups, and in the temporal and parietal regions in the TBI group. These findings inform studies of social problem-solving skills during the first year post TBI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychiatric and psychological morbidity as a function of adaptive disability in preschool children with aggressive and hyperactive-impulsive-inattentive behavior

Children with high levels of aggressive-hyperactive-impulsive-inattentive behavior (AHII; n = 154) were subdivided into those with (n = 38) and without (n = 116) adaptive disability (+AD/-AD) defined as a discrepancy between expected versus actual adaptive functioning. They were compared to each other and a control group of 47 normal children. Both AHII groups were more likely to have attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder, and conduct disorder than control children; more symptoms of general psychopathology; greater social skills deficits; more parental problems; and lower levels of academic achievement skills. Compared to AHII - AD children, AHII + AD children had (1) more conduct disorder; (2) greater inattention and aggression symptoms; (3) more social problems, less academic competence, and poorer self-control at school; (4) more severe and pervasive behavior problems across multiple home and school settings; and (5) parents with poorer child management practices. Thus, adaptive disability has utility as a marker for more severe and pervasive impairments in AHII children.