Child Temperament and Child-care Support are Related to Better Mother-child Relationship Quality

The current study identifies associates of mother-first-born-child relationship quality of an important period that is when expecting a second child. Based on Belsky’s determinants of parenting model (Belsky, 1984), we suggested three domains to relate to mother-child relationship quality, maternal personal resources (well-being, effortful control), child characteristics (temperament, behaviour problems) and contextual factors (household chaos, child-care support, marital satisfaction). Forty-five mothers (Mage= 34.78 years; SDage = 3.86 years) and their typically developing first-born children (Mchild age=32.26 months; SDage = 6.27) were visited at home in the south of England, Sussex, UK, where mothers completed questionnaires and mother-child interactions were videotaped. Results demonstrated that easier child temperament, better maternal well-being, less household chaos and more child-care support were related to more positive mother-child relationship quality. Together the variables explained 23% of the variance in relationship quality.  The child’s easy temperament, chaos and child-care support provided unique variance in explaining the mother-child relationship. These results contribute to the literature on expecting a second child and yield several implications. The findings also provide guidance for future intervention programs. In order to improve the mother-child relationship quality, child executive functioning may be a fruitful target for intervention, as well as increased support for child-care and decreased household chaos.  O presente estudo tem como objetivo identificar associações da qualidade do relacionamento mãe-primogénito durante o importante período de espera do segundo filho. Com base nos determinantes do modelo parental de Belsky (Belsky, 1984), sugerimos três domínios para caraterizar a qualidade do relacionamento mãe-filho: recursos pessoais maternos (bem-estar, esforço de controlo), características da criança (temperamento, problemas de comportamento) e fatores contextuais (caos doméstico, apoio ao cuidado dos filhos, satisfação conjugal). Quarenta e cinco mães (Midade= 34,78 anos; SDidade = 3,86 anos) e os seus filhos primogénitos com desenvolvimento típico (Midade da criança=32,26 meses; SDidade=6,27) foram visitados em casa no sul da Inglaterra, Sussex, Reino Unido, onde as mães preencheram questionários e as interações mãe-filho foram gravadas em vídeo. Os resultados mostraram que o temperamento mais fácil da criança, melhor bem-estar materno, menos caos doméstico e mais apoio no cuidado da criança estavam relacionados a uma qualidade mais positiva do relacionamento mãe-filho. No seu conjunto, as variáveis explicaram 23% da variação na qualidade do relacionamento. O temperamento fácil da criança, o caos e o apoio aos cuidados infantis forneceram variações únicas na explicação do relacionamento mãe-filho. Esses resultados contribuem para a literatura sobre a expectativa de um segundo filho e geram várias implicações. Os resultados também fornecem orientação para futuros programas de intervenção. A fim de melhorar a qualidade do relacionamento mãe-filho, as competências da função executiva da criança podem ser um alvo frutífero para a intervenção, bem como o aumento do apoio aos cuidados infantis e a diminuição do caos doméstico

Child behavior and sibling relationship quality: a cross-lagged analysis

Bidirectional associations between sibling relationships and children’s problem behaviors are robust, and links with prosocial behavior have also been reported. Using cross-lagged models, we were able to conservatively test temporal directions of links between positive and negative aspects of sibling relationships and children’s prosocial behavior and conduct problems across a 3-year time span in middle childhood. The Avon Longitudinal Study of Parents and Children (ALSPAC; http://www.bristol.ac.uk/alspac/researchers/data-access/data-dictionary/) is an ongoing population-based study designed to investigate the effects of a wide range of factors on children’s health and development. For the purposes of the current analyses, we included 2,043 ALSPAC families who had just 1 older sibling as well as the target child, with an age gap of no more than 5 years. Mothers reported about the quality of the sibling relationship and both children’s prosocial behavior and conduct problems when the target child was 4 years of age and again when the target child was 7 years old. Confirming our hypothesis, individual child behavior was predictive of sibling relationship quality, and sibling relationship quality was predictive of later child behavior, providing robust evidence of bidirectionality for both prosocial behavior and conduct problems. It would be consistent to expect that an improvement in either sibling relationship quality or individual children’s behavior could have a positive spill over effect. We also found evidence of older sibling dominance in the domain of prosocial behavior and the positive aspects of sibling interaction

Mother-child positivity and negativity: family-wide and child-specific main effects and interactions predict child adjustment

Links between positive and negative aspects of the parent-child relationship and child adjustment are undisputed. Scholars recognize the importance of parental differential treatment (PDT) of siblings, yet, less is known about PDT in the context of the shared (family-wide) parent-child relationship climate, or about the extent to which positivity may buffer children’s adjustment from negativity. Controlling for behavioral stability, we examined the potential for positive and negative parent-child processes to interact across and between child-specific and family-wide levels in the prediction of children’s adjustment. Specifically, in a sample of 2,039 United Kingdom families, we used multilevel models to examine child-specific and family-wide mother-child relationships (at 4 years)—including interactive processes—in the prediction of prosocial behavior and conduct problems (at 7 years). The majority of variance in children’s adjustment resided within-families: siblings were strikingly different. Accounting for behavioral stability, family-wide negativity and negative PDT associated with both prosociality and conduct problems. More important, we demonstrated interactions between, (a) family-wide negativity and negative PDT for conduct problems, as well as, (b) positive and negative PDT in the prediction of both prosocial behavior and conduct problems. Results suggest negative PDT associates with increased conduct problems over time, even when the overall family climate is low in negativity. They also indicate a buffering role of positive PDT on the deleterious effects of negative PDT for children’s adjustment. Implications for both research and practice are discussed, including the importance of information gained by considering more than one child in the family

Family research just got harder… and more important

Bonamy Oliver and Alison Pike on the need for study, how pandemic measures have affected it, and a possible solution

Co-parenting and marital satisfaction predict maternal internalizing problems when expecting a second child

Purpose Internalizing problems during and after pregnancy are important for parenting and child outcomes. The study aimed to understand correlates (i.e., marital satisfaction, co-parenting) of maternal internalizing problems during pregnancy with a second child. Method We investigated levels of depression, anxiety, and stress symptoms of mothers in the third trimester of pregnancy with their second children. Fifty-one mothers and their firstborn children were visited in their homes and mothers completed questionnaires. Results Results showed that co-parenting and marital satisfaction were related to internalizing outcomes. More specifically, co-parenting predicted depression  and stress  when controlling for marital satisfaction, whereas marital satisfaction predicted anxiety over co-parenting. Conclusion The findings highlight the importance of studying prenatal internalizing problems differentially and can inform future intervention studies to prevent poor psychological outcomes

Household chaos and child behavior problems predict maternal well-being

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The ORACLE Children Study:educational outcomes at 11 years of age following antenatal prescription of erythromycin or co-amoxiclav

BACKGROUND: Antibiotics used for women in spontaneous preterm labour without overt infection, in contrast to those with preterm rupture of membranes, are associated with altered functional outcomes in their children. METHODS: From the National Pupil Database, we used Key Stage 2 scores, national test scores in school year 6 at 11 years of age, to explore the hypothesis that erythromycin and co-amoxiclav were associated with poorer educational outcomes within the ORACLE Children Study. RESULTS: Anonymised scores for 97% of surviving children born to mothers recruited to ORACLE and resident in England were analysed against treatment group adjusting for key available socio-demographic potential confounders. No association with crude or with adjusted scores for English, mathematics or science was observed by maternal antibiotic group in either women with preterm rupture of membranes or spontaneous preterm labour with intact membranes. While the proportion receiving special educational needs was similar in each group (range 31.6–34.4%), it was higher than the national rate of 19%. CONCLUSIONS: Despite evidence that antibiotics are associated with increased functional impairment at 7 years, educational test scores and special needs at 11 years of age show no differences between trial groups. TRIAL REGISTRATION NUMBER: ISCRT Number 52995660 (original ORACLE trial number)

‘Look after me too’: a qualitative exploration of the transition into adoptive motherhood

This qualitative retrospective recall study utilised nine in-depth, semi-structured interviews with adoptive mothers involved with an online support group often used by adoptive parents facing difficulties. The aim was to explore their transition to adoptive motherhood. The study was unusual because it covered a lengthy period, from pre-adoption and the motivation to adopt to 12 months post child placement and used Reflexive Thematic Analysis to analyse the data. Findings include the mothers’ sense of misaligned expectation, uncertainty, powerlessness, isolation, and emotional and physical fatigue. The most prominent findings centred on the high level of mental health issues reported by the mothers which included post-adoption depression, anxiety and trauma. New insights are discussed along with implications for future research and practice, along with the limitations of the study

The effect of a monetary incentive on return of a postal health and development questionnaire: a randomised trial [ISRCTN53994660]

BACKGROUND: Postal questionnaires are widely used to collect data in healthcare research but a poor response rate may reduce the validity and reliability of results. There was a lack of evidence available relating to use of a monetary incentive to improve the response rate in the healthcare setting. METHODS: The MRC ORACLE Children Study is assessing the health and development of nearly 9000 seven year old children whose mothers' joined the MRC ORACLE Trial. We carried out a randomised controlled trial of inclusion of monetary incentive (five pound voucher redeemable at many high street stores) with the reminder questionnaire to parents. This trial took place between April 2002 and November 2003. When the parents were sent the reminder questionnaire about their child's health and development they were randomly assigned by concealed computer-generated allocation stratified by week of birthday to receive a five pound voucher or no incentive. The population were 722 non-responders to the initial mailing of a 12-page questionnaire. Main outcome measures: Difference in response rate between the two groups. RESULTS: Inclusion of the voucher with the reminder questionnaire resulted in a 11.7%(95% CI 4.7% to 18.6%) improvement in the response rate between the two groups. CONCLUSION: This improvement in response rate and hence the validity and reliability of results obtained appears to be justified ethically and financially

The role of adult attachment style, birth intervention and support in posttraumatic stress after childbirth: A prospective study

Background There is converging evidence that between 1% and 3% of women develop posttraumatic stress disorder (PTSD) after childbirth. Various vulnerability and risk factors have been identified, including mode of birth and support during birth. However, little research has looked at the role of adult attachment style in how women respond to events during birth. This study prospectively examined the interaction between attachment style, mode of birth, and support in determining PTSD symptoms after birth. Method A longitudinal study of women (n=57) from the last trimester of pregnancy to three months postpartum. Women completed questionnaire measures of attachment style in pregnancy and measures of PTSD, support during birth, and mode of birth at three months postpartum. Results Avoidant attachment style, operative birth (assisted vaginal or caesarean section) and poor support during birth were all significantly correlated with postnatal PTSD symptoms. Regression analyses showed that avoidant attachment style moderated the relationship between operative birth and PTSD symptoms, where women with avoidant attachment style who had operative deliveries were most at risk of PTSD symptoms. Limitations The study was limited to white European, cohabiting, primiparous women. Future research is needed to see if these findings are replicated in larger samples and different sociodemographic groups. Conclusions This study suggests avoidant attachment style may be a vulnerability factor for postpartum PTSD, particularly for women who have operative births. If replicated, clinical implications include the potential to screen for attachment style during pregnancy and tailor care during birth accordingly