Search Results (505)

Background/Objectives: Perfectionism is a personality trait characterised by the setting of extremely high and unrealistic personal standards, accompanied by critical self-evaluations. The literature indicates that perfectionism may develop as a learned behaviour, shaped by parent–child interactions, highlighting the influence of parental, individual and environmental factors. This quantitative study examines how parental perfectionism/practices and child temperament contribute to early perfectionism. Methods: The sample comprised 32 first-grade children (9 girls) from Faro district, aged between five and seven, and their parental figures. Parental perfectionism was assessed using self-report questionnaires, while children’s characteristics were evaluated through a combination of parent-report measures, direct observation, and interview-based methods. Results: Children self-rated higher perfectionism than parents attributed, with modest cross-informant agreement for socially prescribed and negligible agreement for Self-Oriented Perfectionism. Direct parent–child associations were small and method-dependent. Coercive/intrusive parenting corresponded to higher child Socially Prescribed Perfectionism, with convergence between observed intrusiveness and self-reported coercive practices. Temperament showed modest, patterned covariation with parenting and child perfectionism. Notably, Effortful Control attenuated the association between parental and child Socially Prescribed Perfectionism, whereas Surgency/Extraversion and Negative Affect did not; no temperament dimension moderated Self-Oriented Perfectionism. Conclusions: Findings indicate a complex interplay between dispositional and environmental factors in early childhood and underscore the value of multi-informant, multi-method assessment. As a pilot study, these findings provide initial insights into the intergenerational transmission of perfectionism in small children and serve as a basis for generating hypotheses and guiding future research, emphasising longitudinal designs and diverse samples to strengthen validity and clarify intergenerational processes. Full article

Background/Objectives: Disorders of gut–brain interaction (DGBI) include a spectrum of disorders with chronic/recurrent gastrointestinal symptoms, caused by dysregulation of microbiota–gut–brain interaction. Early-life events have been suggested as the main factors influencing the microbiota–gut–brain axis. We aimed to evaluate the prevalence of DGBI in 3-year-old children and its relationship with early-life events. Methods: The parents of children aged 3 years, who had been followed up in a well-baby clinic since they were 2 months old, were asked about any GI symptoms their child had experienced during the check-up visits between September 2023 and June 2024. The final diagnosis of DGBI was based on ROME IV criteria. Demographic data, including early-life factors, were collected. Results: Overall, 568 children (48.6% boys) were included, of whom 139 (24.5%) had symptoms consistent with at least one DGBI diagnosis. The most prevalent DGBI was functional constipation (20.4%), followed by colic (4.6%), infant regurgitation (2.8%), and dyschezia (1.6%). Approximately 48% of the children were breastfed for ≥6 months, and 21% were exposed to ≥1 antibiotic/antiviral drugs in the first year of life. DGBI prevalence was significantly higher in girls than in boys (28.1% vs. 20.7%; p = 0.041). Exclusive breastfeeding was the most significant protective factor against DGBI, particularly if performed for ≥3 months. Conclusions: Sex was the most significant factor affecting DGBI prevalence in children aged ≤3 years; breastfeeding offers the most effective protection against DGBI development. Full article

Background: Inter-brain synchrony (IBS)—the temporal alignment of neural activity between individuals during social interactions—has emerged as a key construct in social neuroscience, reflecting shared attention, emotional attunement, and coordinated behavior. Enabled by hyperscanning techniques, IBS has been observed across a range of dyadic contexts, including cooperation, empathy, and communication. This systematic review synthesizes recent empirical findings on inter-brain synchrony (IBS)—the temporal alignment of neural activity between individuals—across psychological and neurodevelopmental conditions, including stress, anxiety, depression, and autism spectrum disorder (ASD). Methods: Drawing on 30 studies employing hyperscanning methodologies (EEG, fNIRS, fMRI), we examined how IBS patterns vary by clinical condition, dyad type, and brain region. Results: Findings indicate that IBS is generally reduced in anxiety, depression, and ASD, particularly in key social brain regions such as the dorsolateral and medial prefrontal cortices (dlPFC, mPFC, vmPFC), temporoparietal junction (TPJ), and inferior frontal gyrus (IFG), suggesting impaired emotional resonance and social cognition. In contrast, stress elicited both increases and decreases in IBS, modulated by context, emotional proximity, and cooperative strategies. Parent–child, therapist–client, and romantic dyads exhibited distinct synchrony profiles, with gender and relational dynamics further shaping neural coupling. Conclusions: Collectively, the findings support IBS as a potentially dynamic, condition-sensitive, and contextually modulated neurophysiological indicator of interpersonal functioning, with implications for diagnostics, intervention design, and the advancement of social neuroscience in clinical settings. Full article

Background/Objectives: Parents of autistic children often face behavioral and participation challenges of their children, leading them to make accommodations to maintain a stable daily family routine. These family accommodations (FA) involve adapting family routines, actively engaging with the child’s support needs and symptoms, and avoiding specific situations. Methods: This open-label, mixed-methods study investigated the impact of CBD-rich cannabis treatment on FA. In the quantitative phase, analyses included 44 parents (from 87 initially recruited) who had complete FAS-RRB data at baseline, 3 months, and 6 months. In the following qualitative phase, 15 parents from the full sample participated in semi-structured interviews. Results: Quantitative results showed reductions in FA frequency and parental distress at 3 and 6 months. Qualitative findings revealed positive changes in family routines, enhanced well-being, and improved parental engagement in meaningful activities and social interactions. Conclusions: This study provides preliminary evidence that CBD-rich cannabis treatment may reduce family accommodation (FA) and parental distress, while improving family routines and well-being. However, given the open-label design and observed adverse events and withdrawals, the findings should be interpreted with caution. Full article

Background: Preschool bedroom television placement represents an established risk factor for negative psychological and behavioral outcomes in adolescence. Girls and boys have different risk factors for developmental psychopathology. It is unclear if childhood sport participation can act as a protective factor for the potential maladaptive behaviors associated with having a bedroom television in early childhood. Methods: This study aims to evaluate the impact of having a bedroom television in early childhood on later externalizing behaviors while examining the potential beneficial role of extracurricular sport participation in middle childhood using the Quebec Longitudinal Study of Child Development (Canada). We examine subsequent teacher-reported psycho-social outcomes by the end of sixth grade. Linear regression is used to examine the interaction between child-reported bedroom television placement (age 4 years) and parent-reported childhood sport participation trajectories (ages 6 to 10 years) in predicting behavioral outcomes at age 12 years. Results: For boys, extracurricular sport amplified the relationship between having a preschool bedroom television and subsequent physical aggression (b = 0.95, SE = 0.32, p < 0.001) and ADHD symptoms (b = 0.59, SE = 0.30, p ≤ 0.05), beyond individual and family characteristics. No interaction results were found for girls; however, consistent sport participation between ages 6 and 10 years resulted in a decrease in ADHD symptoms in girls (b = −0.329, SE = 0.102, p ≤ 0.001). Conclusion: Unexpectedly, for boys exposed to early bedroom television, consistently participating in extracurricular sport in childhood exacerbated long-term behavioral risks. Social unpreparedness from bedroom television placement countered the intended benefits of sport. This private access to screens might influence sedentary, unsupervised, isolated activity that increases the chances of viewing violence and reduces opportunities for social interaction. Full article

In Hong Kong, the interaction between traditional values and modern influences creates a unique cultural landscape that influences family dynamics, intergenerational communication, and adolescent mental health. This study aimed to fill critical research gaps by exploring the relationship between authoritative and authoritarian parenting styles within this hybrid cultural context. Parenting style scores were based on the PSDQ-26 questionnaires completed by both parents of 2325 students. These students also provided demographic data used in the analysis (1013 girls, M_age = 13.35, SD = 1.22). The data analysis examined the correlations between parenting styles and variations across gender and age groups. Contrary to patterns observed in Western contexts, the results indicated no significant correlation between authoritative and authoritarian parenting styles (r = 0.02, p > 0.05), suggesting a complex coexistence influenced by Hong Kong’s hybrid sociocultural context. Notably, the study revealed gender-based differences: boys’ parents reported higher levels of democratic participation and reasoning, reflecting authoritative parenting, while also showing greater use of physical coercion and punitive discipline, indicative of authoritarian parenting. Authoritative parenting, but not authoritarian parenting, showed a decline as children matured. By investigating these dynamics, the study not only addresses a significant gap in the literature but also enhances the understanding of how cultural and developmental factors shape parenting practices. These insights are crucial for developing culturally adapted parenting education materials and informing interventions that support child development in diverse cultural settings. Full article

The mother’s love is vital for adolescent development, yet there is a lack of specific tools to measure its psychological absence. This study aimed to develop the Mother-Love Absence Scale (MLAS) by revising the Father-Love Absence Scale (FLAS) and verify its reliability and validity among adolescents. Study 1 included 2700 junior and senior high school adolescents. The junior and senior high school samples were each randomly split into two subsamples. One subsample was used for Exploratory Factor Analysis (EFA), while the other was used for Confirmatory Factor Analysis (CFA), internal consistency reliability tests, and cross-gender measurement invariance tests. The results indicated that the factor structure of the MLAS was consistent with that of the FLAS, both comprising four factors: emotional absence, cognitive absence, behavioral absence, and volitional absence. Furthermore, multi-group confirmatory factor analysis verified the gender invariance of the scale. In Study 2, 193 adolescents were surveyed to conduct a CFA and a criterion-related validity analysis. The results of the CFA again demonstrated a good model fit for the four-factor structure. The criterion-related validity analysis indicated that the mother-love absence was negatively connected with parent–child interaction and positively correlated with parental phubbing. Therefore, the revised MLAS has well reliability and validity and can be a reliable instrument for measuring mother-love absence in adolescents. Full article

Background: Supported infant-directed singing (IDS) for parents and their preterm infants has proven beneficial for parents and preterm infants’ health and relationship building. Studying parent–infant contingent interactions through behavioral observations is an established method for assessing the quality of interactions. Very few studies have measured contingency between parent and preterm infants in the neonatal period during supported IDS. Methods: We conducted a feasibility study to assess the possibility of analyzing parent–very preterm infant dyads’ contingency during supported IDS in the NICU. We recruited four mother–infant dyads and video-recorded a single music therapy (MT) session before their discharge from the hospital. Two independent researchers coded three selected segments (beginning, middle, and end) from each video, according to adapted behavioral scales with inter-rater agreement analysis. Contingency between infant and maternal behaviors was analyzed. Results: Twelve video segments were coded. High inter-rater agreements (Cohen’s kappa) were found for infant eye-opening (0.93), hand positions (0.79), and head orientation (0.94), as well as maternal head orientation (0.95) and vocalizations (0.95). During supported IDS, increased infant head orientation toward the mother, eyes closed, as well as maternal head orientation toward the infant (all p < 0.001), were recorded compared to no IDS. Direction of the maternal head toward her infant was contingent on the infant’s closed eyes, extended hands, and head not toward mother. Conclusions: This feasibility study demonstrates contingency between mothers and their preterm infants’ specific behaviors during IDS. These interactions can be analyzed through video segments with high inter-rater agreement. The method described might help in evaluating other modalities that might be related to contingency. Recent advances in AI can make this tool easier to accomplish, with further studies to evaluate the importance of contingency for child development. The findings suggest that supported IDS influences infant attention and regulation. Full article

Background/Objectives: Pet therapy, also known as Animal-Assisted Therapy (AAT), is increasingly recognized for its potential to support pediatric patients and their families in the hospital setting. This study explores the perceptions of parents of pediatric surgical patients regarding the use of pet therapy during hospitalization. Methods: A qualitative study was conducted using Interpretative Phenomenological Analysis (IPA). Semi-structured interviews were conducted with parents of children admitted for surgery procedures. The interviews were transcribed, read thoroughly, and analyzed. Thematic analysis was employed to identify recurring themes related to the emotional, relational, and organizational aspects of pet therapy. Results: Twenty mothers were interviewed and five main themes emerged: (1) general perception of pet therapy (valuable tool to reduce children’s anxiety and provide emotional support); (2) parental expectations about benefits for their children (positive interactions between children, parents and caregivers); (3) expected behavioral impact on the child (animals were viewed as mediators of relational bonding, especially in stressful moments); (4) emotional repercussions on caregivers (parental well-being improved when children appeared calmer during sessions); and (5) preferences regarding animals and organizational aspects (most parents preferred dogs for their empathic and communicative nature, while horses were appreciated but considered impractical in a hospital setting). In addition, the presence of structured AAT programs also positively influenced parents’ perception of the quality of care. Nurses played a crucial role in supporting the implementation of AAT and family involvement, aligning with the Family-Centered Care model. Conclusions: This study found that parents view AAT as a valuable intervention that reduces anxiety and supports emotional well-being in hospitalized children. Nurses play a vital role in integrating AAT within Family-Centered Care to enhance the pediatric hospital experience. Full article

Background/Objectives: Preterm infants without neurological damage are at greater risk of developing specific difficulties due to the unpredictable effects of the interaction between biological immaturity and characteristics of physical and social environment. This paper discusses the potential advantages and limitations of placing premature infants in daycare in the first three years. Methods: In light of the scientific literature, the article discuss-es the topic through a critical comparison of studies on the developmental outcomes of preterm infants, on the characteristics of nurseries and on the role of educators. Results: Nursery placement must be evaluated in an integrated and multifactorial perspective, taking into account the specific vulnerabilities of each individual preterm child and the characteristics of the nursery. The role of educators is to structure a quality educational environment that meets the specific needs of each individual preterm child, in close collaboration with parents and specialists. Conclusion: This article provides suggestions to parents, educators, and specialists for the assessment and intervention with preterm children without neurological impairment in the educational setting, with a multidisciplinary view to prevention and early intervention. Full article

Background: Child Development Accounts (CDAs) were introduced in the 1990s as a long-term asset-building policy aimed at supporting families in accumulating assets to achieve life goals for their children, including higher education, homeownership, and long-term economic security. Beyond their financial benefits, CDAs have been theorized to strengthen family relationships and improve children’s well-being by fostering a future-oriented mindset and increasing parental involvement in educational activities. Objective: This study investigates the impact of CDAs on parent–child educational engagement and children’s sense of hope for the future, contributing to the growing body of research on the multidimensional benefits of asset-based policies for children’s development. Methods: Data were drawn from the third wave of the SEED for Oklahoma Kids (SEED OK) study, a rigorous, longitudinal, randomized policy experiment in the United States. The analytic sample comprised 1425 families. Dependent variables were parent–child educational engagement and children’s hope. The independent variable was participation in the SEED OK CDA policy experiment. Baseline sociodemographic variables related to children, mothers, and households were controlled for in the analysis. Multivariate linear regressions and path analysis techniques were employed to assess direct and indirect effects. Results: Participation in CDAs was found to improve parent–child educational interactions and enhance children’s hope significantly in the pre-COVID-19 sample. The study’s rigorous design and consistent implementation allowed for establishing causal relationships and long-term developmental benefits. Conclusions: CDAs offer not only financial advantages but also contribute meaningfully to strengthening family dynamics and promoting positive psychosocial outcomes for children, supporting their inclusion in comprehensive social policy frameworks. Full article

Recent years have witnessed a concerning rise in early-onset eating disorders (EDs), prompting a re-evaluation of their etiology, diagnosis, and treatment within pediatric populations. This perspective article synthesizes emerging evidence on the multifactorial origins of EDs in children, emphasizing a biopsychosocial framework that integrates genetic, epigenetic, psychological, and environmental factors. While early manifestations often diverge from adolescent or adult profiles—marked by somatic complaints, selective eating, and ritualistic behaviors—the disorders significantly interfere with developmental milestones. The COVID-19 pandemic has further exacerbated vulnerabilities, acting as a catalyst for disordered eating behaviors through increased familial stress, isolation, and disrupted routines. Central to this framework is the role of parental psychopathology and parent–child feeding interactions, which profoundly shape children’s emotional regulation and attachment patterns. Recent studies also underscore genetic susceptibilities—especially variants in the DRD4 and DAT1 genes—and epigenetic modifications that may mediate the transmission of risk across generations. The article reviews evidence from observational and genomic studies, highlighting how altered gene expression linked to early environmental stress contributes to the heterogeneity of EDs. Finally, it evaluates prevention and intervention strategies, including family-based treatments, digital health tools, and school-based programs. These strategies are essential for timely detection, individualized care, and reducing long-term impairment. Overall, the paper advocates for a nuanced understanding of EDs in children—recognizing their complex origins and developmental implications—to inform clinical practice, public health policy, and future research in pediatric mental health. Full article

The absence of parental presence has a direct impact on the emotional stability and social routines of children, especially during extended periods of separation from their family environment, as in the case of daycare centers, hospitals, or when they remain alone at home. At the same time, the technology currently available to provide emotional support in these contexts remains limited. In response to the growing need for emotional support and companionship in child care, this project proposes the development of a multi-platform software architecture based on artificial intelligence (AI), designed to be integrated into humanoid robots that assist children between the ages of 6 and 14. The system enables daily verbal and non-verbal interactions intended to foster a sense of presence and personalized connection through conversations, games, and empathetic gestures. Built on the Robot Operating System (ROS), the software incorporates modular components for voice command processing, real-time facial expression generation, and joint movement control. These modules allow the robot to hold natural conversations, display dynamic facial expressions on its LCD (Liquid Crystal Display) screen, and synchronize gestures with spoken responses. Additionally, a graphical interface enhances the coherence between dialogue and movement, thereby improving the quality of human–robot interaction. Initial evaluations conducted in controlled environments assessed the system’s fluency, responsiveness, and expressive behavior. Subsequently, it was implemented in a pediatric hospital in Guayaquil, Ecuador, where it accompanied children during their recovery. It was observed that this type of artificial intelligence-based software, can significantly enhance the experience of children, opening promising opportunities for its application in clinical, educational, recreational, and other child-centered settings. Full article

Refugee mothers are at heightened risk of developing negative family dynamics due to traumatic experiences and unstable living conditions, often impacting their children in lasting ways. This partially mixed, explanatory mixed-methods pilot study examines the potential of Drama Therapy as a psychosocial intervention to reduce harmful parenting behaviors and strengthen parent–child relationships. The study engaged 20 refugee mothers who participated in a three-session intervention based on Emunah’s five-phase model. Data collection included pre-intervention demographic information, two standardized psychological scales—The Child–Parent Relationship Scale and the Parent Anger Scale—and post-intervention focus group discussions. The findings indicate that the Drama Therapy Intervention (DTI) helped reduce parental anger and improve emotional regulation, leading to more positive interactions with children and decreased conflict within the family. Focus group insights revealed that the mothers’ ongoing and past traumas significantly shaped their emotional responses and parenting styles. This pilot study highlights the importance of addressing maternal mental health in post-displacement contexts. Although one cannot draw causal inferences of efficacy in the absence of a control group, the findings provide preliminary evidence that Drama Therapy can be an effective tool for reducing parental maltreatment and improving family relationships among refugee populations. Full article

Background: Assistance dogs can support children with autism by improving emotional regulation and social functioning, but access is limited. The Family Dog Service was developed to help families of autistic children gain similar benefits through companion dogs. It offers tailored support for selecting, training, and integrating a dog into the home. This study explored parent perspectives on the service and perceived impacts of companion dogs. Methods: A cross-sectional online survey was conducted among UK residents who attended Family Dog Service workshops. The survey included demographic data, mental health and wellbeing measures, and questions about human–animal interactions. Quantitative data were analysed descriptively; qualitative responses underwent thematic analysis. Results: Of 118 participants, 101 (85.6%) owned a dog, while 17 (14.4%) were considering acquisition. Most owners reported improvements in their child’s mood (75.2%; n = 76) and reduced anxiety-related behaviours (70.3%, n = 71) following dog acquisition. Nearly half (49.5%, n = 50) rated the child–dog relationship as ‘very’ or ‘extremely’ positive within the first month, increasing to 86.1% (n = 87) by the time of data collection. Families also reported enhanced dynamics and reduced caregiver stress. Despite some challenges, the service was valued for its autism-specific guidance and ongoing support. Conclusions: The Family Dog Service may offer a practical, accessible alternative to assistance dogs, supporting autistic children’s wellbeing and strengthening family relationships through positive interactions between children and their dogs. Full article