Abstract
Objective
The aim of this study was to determine the specific aspects of early parenting in
psychosocially at-risk families most strongly related to children’s social-emotional
adaptation to school.
Methods
A cohort study of families (N = 318) identified as at risk for maltreatment of their
newborns was conducted. Quality of early parenting was observed in the home when the
child was 1 year old. Social-emotional adaptation to school was reported by teachers
in first grade. Multivariable models assessed the independent influence of early parenting
variables on social-emotional adaptation.
Results
Early parenting and social-emotional adaptation to school varied greatly across families.
Parental warmth was associated with lower teacher ratings of shyness, concentration
problems, and peer rejection. Parental lack of hostility was associated with decreased
teacher ratings of concentration problems and peer rejection. Parental encouragement
of developmental advance was associated with lower ratings of aggression and peer
rejection. Provision of materials to promote learning and literacy was associated
with lower ratings of concentration problems.
Conclusions
In this sample of families with multiple psychosocial risks for child maltreatment,
specific aspects of early parenting were associated with better social-emotional adaptation
to school in the first grade in theoretically predicted ways. Improving parental knowledge
about positive parenting via anticipatory guidance should be a focus of well-child
visits. Well-child visit-based interventions to improve the quality of early parenting,
especially among at-risk families, should be studied for their impact on parenting
behavior and on children’s successful social-emotional adaptation to school. Primary
care providers should reinforce complementary services, such as home visiting, that
seek to promote positive parenting.
Keywords
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References
- From Neurons to Neighborhoods: The Science of Early Child Development.National Academy Press, Washington, DC2000
- Untangling the links of parental responsiveness to distress and warmth to child outcomes.Child Dev. 2006; 77: 44-58
- The relations of parental warmth and positive expressiveness to children’s empathy-related responding and social functioning: a longitudinal study.Child Dev. 2002; 73: 893-915
- Economic pressure in African American families: a replication and extension of the family stress model.Dev Psychol. 2002; 38: 179-193
- Social class gradients and health in childhood.Ambul Pediatr. 2002; 2: 238-246
Masten AS, Gewirtz AH. Vulnerability and resilience in early child development. In: McCartney K, Phillips DA, eds. Handbook of early childhood development. Malden, Mass: Blackwell Publishing: 2006.
- Introduction: addressing the millennial morbidity—the context of community pediatrics.Pediatrics. 2005; 115: 1121-1123
Bowlby J. Attachment and loss: Vol. 2. Separation. New York, NY: Basic Books; 1973.
Hagan JF Jr, Shaw JS, Duncan P, eds. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 3rd ed. Elk Grove Village, Ill: American Academy of Pediatrics; 2008.
- Child Abuse and Neglect: The Family and the Community.Ballinger Publishing Company, Cambridge, Mass1976
- Randomized trial of a statewide home visiting program to prevent child abuse: impact in reducing parental risk factors.Child Abuse Negl. 2004; 28: 623-643
- Randomized trial of a statewide home visiting program: impact in preventing child abuse and neglect.Child Abuse Negl. 2004; 28: 597-622
- Parenting Stress Index Professional Manual.3rd ed. Pediatric Psychology Press, Charlottesville, Va1995
- Measuring Health: A Guide to Rating Scales and Questionnaires.2nd ed. Oxford University Press, New York, NY1996
- An improved diagnostic evaluation instrument for substance abuse patients: the Addiction Severity Index.J Nerv Ment Dis. 1980; 168: 26-33
- Screening for alcohol problems in primary care: a systematic review.Arch Intern Med. 2004; 160: 1977-1989
- The revised Conflict Tactics Scales (CTS2): development and preliminary psychometric data.J Fam Issues. 1996; 17: 283-316
- The Home Inventory: review and reflections.Adv Child Dev Behav. 1994; 25: 241-288
- The Home Observation for Measurement of the Environment (HOME) Inventory: the derivation of conceptually designed subscales.Parent Sci Pract. 2004; 4: 99-114
- The relation between behavior problems and peer preference in different classroom contexts.Child Dev. 1999; 70: 169-182
- The distal impact of two first grade preventive interventions on conduct problems and disorder in early adolescence.J Emot Behav Disord. 2001; 9: 146-160
Hopkins, W.G. A new view of statistics. Available at: http://www.sportsci.org/resource/stats/logtrans.html. Accessed July 29, 2010.
- Testing equivalence of mediating models of income, parenting, and school readiness for white, black, and Hispanic children in a national sample.Child Dev. 2007; 78: 96-115
- Family processes as pathways from income to young children’s development.Dev Psychol. 2002; 38: 719-734
- The development and dissemination of the Triple P-Positive Parenting Program: a multilevel, evidence-based system of parenting and family support.Prev Sci. 2002; 3: 173-189
- Readiness for Kindergarten: Parent and Teacher Beliefs.National Center for Education Statistics, Washington, DC1995 (Report NCES 93-257)
- Guidance for effective discipline.Pediatrics. 1998; 101: 723-728
- Overview of the content of health supervision for young children: reports from parents and pediatricians.Pediatrics. 2004; 113: 1907-1916
Paradis H, Montes G, Szilagyi P. A national perspective on parents knowledge of child development, its relation to parent-child interaction, and associated parenting characteristics. Presented at: Pediatric Academic Societies, May 4, 2008. Honolulu, Hawaii. 2008.
- Gaps in the evidence for well-child care: a challenge to our profession.Pediatrics. 2004; 114: 1511-1521
- The impact of a clinic-based literacy intervention on language development in inner-city preschool children.Pediatrics. 2001; 107: 130-134
- The contribution of parenting to ethnic and racial gaps in school readiness.Future Child. 2005; 15: 139-168
- Brief approaches to educating patients and parents in primary care.Pediatrics. 1998; 101: E10
- A practice-based intervention to enhance quality of care in the first 3 years of life: the Healthy Steps for Young Children Program.JAMA. 2003; 290: 3081-3091
Article Info
Publication History
Accepted:
June 22,
2010
Received:
January 30,
2009
Identification
Copyright
© 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
