The importance of early parenting for later child outcomes: A study with Spanish families with children with disabilities

Children with different disability conditions have varied developmental trajectories, which perhaps influences parent-child interaction. For these and all infants, an optimal home environment that includes good parenting and positive parent-child interactions predicts better developmental outcomes (Spiker et al., 2005). Interventions using a family-centered, parenting-focused approach result in better parenting behavior that contributes to improved early child development (Avellar & Suplee, 2013; Roggman & Cardia, 2016). Information on parent-child interaction patterns is needed to guide intervention in natural contexts of families (Fuligni & Brooks-Gunn, 2013). Parent-child interaction data were collected from 44 mothers and 35 fathers interacting with their children (23 to 47 months) who had a disability and were in one of eight Spanish Early Interventions Centers. Mothers and fathers, separately, auto-recorded 10-minute play sessions at home. Parental interactions were assessed using PICCOLO (Roggman et al., 2013), a standardized measure of parenting. Two independent observers coded the interactions; strong intra-class correlation coefficients were found (.82 to .97 for mothers, .77 to .89 for fathers). The BSID-III scales (Bayley, 2015) assessed children’s development. Mothers scored slightly higher than did fathers. Scores varied by PICCOLO domains but were consistent with other PICCOLO studies of typical developing children (Roggman et al., 2013). Mother and father’s scores correlated indicating that the higher the scores of mothers in any dimension correlated with those of the parents combined. Positive significant Pearson correlations were found between parenting and child’s development with different patterns of father and mother domains predicting better language and cognitive outcomes. Although barriers to optimal parenting need further investigation, PICCOLO can be a useful tool to support optimal parenting.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Parenting behaviors of mothers and fathers of young children with intellectual disability evaluated in a natural context

The aims of this study were to analyze the interactions of mothers and fathers with their children with intellectual disabilities, focusing on certain parental behaviors previously identified as promoting child development, and to explore the relations between parenting and some sociodemographic variables. A sample of 87 pairs of mothers and fathers of the same children were recruited from Early Intervention Centers. The children (58 male and 29 female) were aged 20–47 months. Most of the families (92%) were from the province of Barcelona(Spain), and the remaining 8% were from the other provinces of Catalonia (Spain). Parenting behaviors, divided into four domains (Affection, Responsiveness, Encouragement, and Teaching) were assessed from self-recorded videotapes, in accordance with the validated Spanish version of the PICCOLO (Parenting Interactions with Children: Checklist of Observations Linked to Outcomes). Parents were administered a sociodemographic questionnaire. The results revealed strong similarities between mothers’ and fathers’ parental behaviors. Mothers and fathers were more likely to engage in affectionate behavior than in teaching behavior. Only maternal teaching presented a significant positive relation to the child’s age. With respect to the child’s gender, no differences were observed in mothers’ parenting. Conversely, fathers scored significantly higher in Responsiveness, Encouragement and Teaching (and had higher total parenting scores) when interacting with boys. The severity of the child’s ID had a statistically significant effect only on fathers’ Teaching, which showed lower mean scores in the severe ID group than in the moderate and mild ID groups. Teaching also presented a significant positive relation to mother’s age, but father’s age was not related to any parenting domain (...)This research was supported by a grant from the Spanish Ministry of Economy and Competitiveness and the European Regional Development Fund (Project PSI2015-63627-R). All authors were members of the project teams. We appreciate the financial aid from the University of Barcelona and the University of Malaga for publishing open access. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript

Parenting of Spanish mothers and fathers playing with their children at home.

The aims of this study were to compare the parenting behaviors of mothers and fathers when evaluated in a free play situation at home and to study how these behaviors were related to the sociodemographic variables of the family. The study included 155 mothers and 155 fathers from the same families in Spain. The children (90 boys and 65 girls) were typically developing and were aged between 10 and 47 months old. The parents completed a sociodemographic questionnaire, and parenting behaviors in four domains (Affection, Responsiveness, Encouragement, and Teaching) were assessed from self-recorded videotapes, in accordance with the Spanish version of the PICCOLO. Our results showed both commonalities and differences between the mothers and fathers. The mean scores for the four parenting domains followed a similar pattern in both mothers and fathers: the highest mean score was in the Responsiveness domain, followed by the Affection, Encouragement, and the Teaching domains. Regarding the second aim, no differences were observed in parenting according to the child’s gender and the only domain related to the child’s age was mother’s Teaching. Mothers with a higher educational level scored higher on all parenting domains, except for Responsiveness. Family income was positively related to maternal Affection, Encouragement, and the total PICCOLO score, and to the father’s score in the Teaching domain. This study provides evidence that Spanish mothers and fathers show very similar strengths for promoting children’s development during interactions. These results are relevant to inform social public policies and family programs.This research was supported by a grant from the Spanish Ministry of Economy and Competitiveness and the European Regional Development Fund (Project PSI2015-63627-R). The funding bodies have not imposed any restrictions on free access to or publication of the research data. All authors are part of the team that received the funding. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We appreciate the financial aid from the University of Barcelona and the University of Malaga for publishing in open Access

TDP-43 regulates LC3ylation in neural tissue through ATG4B cryptic splicing inhibition

Amyotrophic lateral sclerosis (ALS) is an adult-onset motor neuron disease with a mean survival time of three years. The 97% of the cases have TDP-43 nuclear depletion and cytoplasmic aggregation in motor neurons. TDP-43 prevents non-conserved cryptic exon splicing in certain genes, maintaining transcript stability, including ATG4B, which is crucial for autophagosome maturation and Microtubule-associated proteins 1A/1B light chain 3B (LC3B) homeostasis. In ALS mice (G93A), Atg4b depletion worsens survival rates and autophagy function. For the first time, we observed an elevation of LC3ylation in the CNS of both ALS patients and atg4b−/− mouse spinal cords. Furthermore, LC3ylation modulates the distribution of ATG3 across membrane compartments. Antisense oligonucleotides (ASOs) targeting cryptic exon restore ATG4B mRNA in TARDBP knockdown cells. We further developed multi-target ASOs targeting TDP-43 binding sequences for a broader effect. Importantly, our ASO based in peptide-PMO conjugates show brain distribution post-IV administration, offering a non-invasive ASO-based treatment avenue for neurodegenerative diseases

Trabajar con las familias en atención temprana

El trabajo con las familias en el ámbito de la atención temprana en nuestro país goza de una larga tradición. No obstante, pueden observarse prácticas profesionales muy diversas que llegan a plantear interrogantes acerca de su importancia, los modelos subyacentes y los roles desempeñados por las familias y los profesionales. Por ello, parece oportuno insistir en la importancia y trascendencia del trabajo con las familias desde una perspectiva orientada al progreso y a la calidad de vida de las familias con algún hijo con dificultades en su desarrollo. A tal fin hemos organizado el presente trabajo en tres apartados que pretenden responder a las siguientes preguntas: por qué, cuál es el contenido y cuáles las consecuencias del trabajo con las familias. El trabajo con las familias en el ámbito de la atención temprana en nuestro país goza de una larga tradición. No obstante, pueden observarse prácticas profesionales muy diversas que llegan a plantear interrogantes acerca de su importancia, los modelos subyacentes y los rolesdesempeñados por las familias y los profesionales. Por ello, parece oportuno insistir en la importancia y trascendencia del trabajo con las familias desde una perspectiva orientada al progreso y a la calidad de vida de las familias con algún hijo con dificultades en su desarrollo. A tal fin hemos organizado el presente trabajo en tres apartados que pretenden responder a las siguientes preguntas: por qué, cuál es el contenido y cuáles las consecuencias del trabajo con las familias

Prediction of early mortality in patients with cancer-associated thrombosis in the RIETE Database.

Proper risk stratification of patients for early mortality after cancer-associated thrombosis may lead to personalized anticoagulation protocols. Therefore, we aimed to derive and validate a scoring system to predict early mortality in this population. To this end, we selected patients with active cancer and thrombosis from the Computerized Registry of Patients with Venous Thromboembolism database. The main outcome was all cause mortality within the month following a thrombotic event. We used a simple random selection to split are data in a derivation and a validation cohort. In the derivation cohort, we used recursive partitioning and binary logistic regression to identify groups at risk and to determine the likelihood of the primary outcome. The risk score was developed based on odds ratios from the final multivariate model, and then tested in the validation cohort. In 10,025 eligible patients, we identified 6 predictors of 30-day mortality: leukocytosis ≥11.5x109/L; platelet count ≤160x109/L, metastasis, recent immobility, initial presentation as pulmonary embolism and Body Mass Index <18.5. The model divided the population into 3 risk categories: low (score 0-3), moderate (score 4-6), and high (score ≥7). The AUC for the overall score was 0.74, and using a cutoff ≥7 points, the model had a negative predictive value of 94.4%, a positive predictive value of 23.1%, a sensitivity of 73.3%, and a specificity of 64.6% in the validation cohort. Our validated risk model may assist physicians in the selection of patients for outpatient management, and perhaps anticoagulant, considering expanding anticoagulation options

Prediction of early mortality in patients with cancer-associated thrombosis in the rIete Database

Background: Proper risk stratification of patients for early mortality after cancer-associated thrombosis may lead to personalized anticoagulation protocols. Therefore, we aimed to derive and validate a scoring system to predict early mortality in this population. To this end, we selected patients with active cancer and thrombosis from the Computerized Registry of Patients with Venous Thromboembolism database.Methods: The main outcome was all cause mortality within the month following a thrombotic event. We used a simple random selection to split arc data in a derivation and a validation cohort. In the derivation cohort, we used recursive partitioning and binary logistic regression to identify groups at risk and to determine the likelihood of the primary outcome. The risk score was developed based on odds ratios from the final multivariate model, and then tested in the validation cohort.Results: In 10,025 eligible patients, we identified 6 predictors of 30-day mortality: leukocytosis >= 11.5x109/L; platelet count <= 160x109/L, metastasis, recent immobility, initial presentation as pulmonary embolism and Body Mass Index <18.5. The model divided the population into 3 risk categories: low (score 0-3), moderate (score 4-6), and high (score >= 7). The AUC for the overall score was 0.74, and using a cutoff >= 7 points, the model had a negative predictive value of 94.4%, a positive predictive value of 23.1%, a sensitivity of 73.3%, and a specificity of 64.6% in the validation cohort.Conclusions: Our validated risk model may assist physicians in the selection of patients for outpatient management, and perhaps anticoagulant, considering expanding anticoagulation options