Catherine Ayoub

Correlates and Consequences of Spanking and Verbal Punishment for Low-Income White, African American, and Mexican American Toddlers

This study examined the prevalence, predictors, and outcomes of spanking and verbal punishment in 2,573 low-income White, African American, and Mexican American toddlers at ages 1, 2, and 3. Both spanking and verbal punishment varied by maternal race/ethnicity. Child fussiness at age 1 predicted spanking and verbal punishment at all 3 ages. Cross-lagged path analyses indicated that spanking (but not verbal punishment) at age 1 predicted child aggressive behavior problems at age 2 and lower Bayley mental development scores at age 3. Neither child aggressive behavior problems nor Bayley scores predicted later spanking or verbal punishment. In some instances, maternal race/ethnicity and/or emotional responsiveness moderated the effects of spanking and verbal punishment on child outcomes.

Low-Income Children's School Readiness: Parent Contributions Over the First Five Years

Early development is likely influenced by quality of early parenting and improvements or declines in quality over time. Little is known about how changes in different dimensions of parenting influence child outcomes, nor the relative sizes of associations when considering several aspects simultaneously. These questions are addressed in the Early Head Start Research and Evaluation Project (N = 1273). Assessments occurred when children were 1, 2, 3, and 5 years old. Parent supportiveness (videotaped play interactions), home learning environment (observed), and depressive symptoms and parenting stress (self-report) were assessed. Childrens school readiness at age 5 was assessed via receptive vocabulary, letter–word knowledge, observed emotion regulation, approaches toward learning, and behavior problems. In this low-income sample, early parenting as well as change over time predicted school readiness. Associations mostly followed predictions from the family stress model and cognitive stimulation models; learning environment and maternal supportiveness were most strongly associated with child vocabulary and letter–word knowledge, although supportiveness was also linked with observed emotion regulation, and learning environment early on was also linked with emotion regulation, and early learning environment was also linked with emotion regulation, and early learning environment was also linked with behavior problems and approaches toward learning. Depressive symptoms and parenting stress were more strongly associated with behavior problems, although early parenting stress was also associated with approaches toward learning and emotion regulation.

Maternal and child posttraumatic stress disorder in cases of child maltreatment

The purpose of this study was to examine the rates of posttraumatic stress disorder (PTSD) among a sample of severely maltreated children and their mothers, and to investigate the age of onset of documented maltreatment in these children. The sample consisted of 109 pairs of women and their children who were before a juvenile/family court due to maltreatment of sufficient severity to warrant removal of the child from parental custody. Children were examined using the PTSD Section of the Diagnostic Interview for Children and Adolescents, Revised 6th Version (DICA-6-R). The PTSD Module of the Structured Clinical Interview for DSM-III-R (SCID) was administered to all mothers. Clinical psychiatric interviews were also administered to all children and mothers. From the sample of 109 cases, 15.6% of the mothers met SCID criteria for a current presentation of PTSD, while 36.7% had a past history of PTSD. Of the 109 evaluated children, 35.8% met current DICA criteria for PTSD. Posttraumatic stress disorder is significantly overrepresented in the children of mothers diagnosed with PTSD (p = .001). The average age of maltreatment onset was 46.4 months among the children diagnosed as PTSD, and was 61.3 months in the group of seriously maltreated children who did not develop PTSD (p = .038). The onset of maltreatment is significantly earlier among children whose mothers meet PTSD criteria than among other maltreated children (p = .025). Intergenerational transmission of violence and developmental effects of traumatic experiences upon the young child are discussed.

Predictors of Variation in Maternal Talk to Children: A Longitudinal Study of Low-Income Families

Objective. The goals of this study were (1) to examine the extent of variation in amount and lexical diversity of maternal talk to young children within a sample of low-income families, (2) to determine the patterns of change over time in maternal talk during the early childhood years, and (3) to consider specific predictors of variation in maternal communicative input. Design. Low-income mother - child dyads (n = 108) were videotaped at child ages 14, 24, and 36 months during semistructured play in the home. Videotapes were transcribed and analyzed using the conventions of the Child Language Data Exchange System to determine amount (word tokens) and lexical diversity (word types) of maternal talk to children. Background information collected from mothers at study entry served as predictors of variation in communicative input. Individual growth modeling methods were used to analyze data. Results. Mothers varied greatly in the number of tokens and types produced during interaction. Mothers were found to increase in their total amount of talk and diversity of vocabulary as children aged. In addition to child age, maternal education, language and literacy skills, depression, and age helped explain variation in level of maternal talk, but none of the predictors explained variation in growth. Different combinations of predictors explained variation in tokens versus types. Conclusions. Findings highlight the importance of studying specific predictors of parental talk to children, as even in low-income samples large variation in communicative input is evident.

Parenting Stress of Low-Income Parents of Toddlers and Preschoolers: Psychometric Properties of a Short Form of the Parenting Stress Index

SYNOPSIS Objective. This study examines psychometric properties of 2 scales of the Parenting Stress Index—Short Form (PSI—SF) in a sample of preschool children from low-income families. Design. The factor structure, reliability, and validity of the Parental Distress and Parent—Child Dysfunctional Interaction subscales were assessed for 1122 Early Head Start parents of 15 (n = 959), 25 (n = 899), and 37-month-old (n = 845) children in a multisite study. Confirmatory factor analyses (CFA) compared the fit of 2-factor scales that are recommended by the developer with theoretically derived 5-factor scales. Results. CFA indicated that the 5-factor scales fit the data better than the 2-factor scales. Both 2 and 5-factor scales had high internal consistency, and the pattern of relations between the new scales and validity constructs support their usefulness. Conclusions. The PSI—SF scales can be helpful in clinical applications because the proposed scales clarify relations between parent and child outcomes and specific aspects of stress due to parenting.

In the eyes of the beholder: family and maternal influences on perceptions of adjustment of children with a chronic illness.

Investigation of the adjustment of children with a chronic illness has been complicated by an imprecise definition of adjustment, immense diversity in the kinds of chronic illnesses studied, and multiple instruments and sources of measurement of the childs behavior. In this study we have used a composite construct of adjustment, looked separately at reports from three separate observers of childrens behavior, and limited our investigation to a few discrete types of illnesses. The investigation explores the contribution of selected characteristics of mothers and of families to childrens adjustment as reported by children, their mothers, and their teachers. Family interactions were important to the psychological adjustment of all children (healthy or with a chronic illness and independent of age and socioeconomic status) as reported by all three observers. The mothers self-esteem and reported size of her social network were not associated with childrens adjustment, but the mothers health locus of control beliefs interacted with the childs intelligence to predict childrens adjustment. The pattern of these associations was different for different illness groups and for each of the three observers.

It Takes Time: Impacts of Early Head Start that Lead to Reductions in Maternal Depression Two Years Later

The Early Head Start Research and Evaluation Project, a random-assignment evaluation, found a broad pattern of positive impacts for children and families. However, there were no program impacts on depression or use of mental health services by the time children reached age 3, at the end of the Early Head Start (EHS) program. This paper presents recent findings from the follow-up study in the spring prior to the children entering kindergarten, when a positive program impact emerged for reducing maternal depression. Results show that earlier program impacts on children and parents (when children were 2 and 3 years of age) mediated, or led to, the delayed impact on maternal depression. The combination of the most promising child factors accounted for over 57% of the later impact on depression, while the most promising parent factors accounted for over 35% of the later impact on depression. Implications for EHS programs are discussed.

Cognitive and emotional differences in young maltreated children: A translational application of dynamic skill theory

Through a translational approach, dynamic skill theory enhances the understanding of the variation in the behavioral and cognitive presentations of a high-risk population-maltreated children. Two studies illustrate the application of normative developmental constructs from a dynamic skills perspective to samples of young maltreated and nonmaltreated children. Each study examines the emotional and cognitive development of maltreated children with attention to their developing world view or negativity bias and cognitive skills. Across both studies, maltreated children demonstrate negativity bias when compared to their nonmaltreated counterparts. Cognitive complexity demonstrated by the maltreated children is dependent upon a positive or negative context. Positive problem solving is more difficult for maltreated children when compared to their nonmaltreated counterparts. Differences by maltreatment type, severity, timing of the abuse, and identity of the perpetrator are also delineated, and variation in the resulting developmental trajectories in each case is explored. This translation of dynamic skill theory, as applied to maltreated children, enhances our basic understanding of their functioning, clarifies the nature of their developmental differences, and underscores the need for early intervention.

Psychopathology as adaptive development along distinctive pathways.

Contrary to the standard assumption that psychopathology stems from developmental immaturity (retardation, fixation, regression), people diagnosed with psychopathology typically develop along distinctive pathways in which they build complex, advanced skills. These pathways are based on adaptation to trauma, such as maltreatment, or to problems in affective-cognitive regulation, such as those in autism. They do not fit normative developmental frameworks. Research has characterized several types of distinctive pathways, especially those arising from maltreatment; they are marked by normal developmental complexity but distinctive affective-cognitive organization. In one study sexually abused depressed adolescent girls admitted for treatment in a mental hospital described themselves-in-relationships with age-appropriate, complex developmental levels equal to those of both nonabused depressed girls and other adolescents. At the same time, they showed a powerful negativity bias contrasting with the positivity biases of other girls. Many of them produced dramatic switches in affective-cognitive organization across assessments contrasting with the similar organization showed by other girls. In another study toddlers from maltreating families showed a consistent negativity bias in play and representations of interactions. We show how to portray these distinctive developmental pathways through the example of Hidden Family Violence, in which people dissociate their private violent world from their public, good-citizen world.

Position Paper: Definitional Issues in Munchausen by Proxy

In 1996, a multidisciplinary task force of experts was created to develop working definitions for the constellation of behaviors currently described as Munchausen by proxy (MBP). The aim of the task force was to develop a synthesis of the most current thinking in pediatrics, psychiatry, psychology, child protection, and law and to articulate the current consensus among professionals to facilitate the identification and treatment of this complex clinical problem. The term Munchausen by proxy was first used by Roy Meadow (1977), a British pediatrician, to describe illness-producing behavior reminiscent of adult Munchausen syndrome but using the child as a proxy. Adult Munchausen syndrome, described in 1951 by Asher, is a psychiatric disorder in which an adult intentionally induces or feigns symptoms of physical or psychiatric illness to assume the sick role. MBP was initially described as “the intentional production or feigning of physical or psychological signs or symptoms in another person who is under the individual’s care for the purpose of indirectly assuming the sick role” (American Psychiatric Association, 1994, Diagnostic and Statistical Manual of Mental Disorders, 4th ed. [DSM-IV], p. 475). The fact that Munchausen syndrome and MBP share the same name has resulted in considerable confusion. Although once thought to be quite rare, most experts now believe that MBP is fairly common. Using the results of a careful but conservative British study (McClure, Davis, Meadow, & Sibert, 1996), we estimate that a minimum of 600 new cases of just two forms of MBP (suffocation and nonaccidental poisoning) will present in the United States each year. Given the wide spectrum of pediatric conditions that have been known to be feigned, the problem is far from trivial. Furthermore, experts now agree that MBP