Early intervention for inhibited young children: a randomized controlled trial comparing the Turtle Program and Cool Little Kids / A. CHRONIS-TUSCANO in Journal of Child Psychology and Psychiatry, 63-3 (March 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-3 (March 2022) . - p.273-281 Titre : Early intervention for inhibited young children: a randomized controlled trial comparing the Turtle Program and Cool Little Kids Type de document : Texte imprimé et/ou numérique Auteurs : A. CHRONIS-TUSCANO, Auteur ; D. R. NOVICK, Auteur ; C. M. DANKO, Auteur ; K. A. SMITH, Auteur ; N. J. WAGNER, Auteur ; C. H. WANG, Auteur ; L. DRUSKIN, Auteur ; L. R. DOUGHERTY, Auteur ; K. H. RUBIN, Auteur Article en page(s) : p.273-281 Langues : Anglais (eng) Mots-clés : Anxiety  parent training  parent-child interaction  parenting  temperament Index. décimale : PER Périodiques Résumé : BACKGROUND: Children classified as behaviorally inhibited (BI) are at risk for social anxiety. Risk for anxiety is moderated by both parental behavior and social-emotional competence. Grounded in developmental-transactional theory, the Turtle Program involves both parent and child treatment components delivered within the peer context. Our pilot work demonstrated beneficial effects of the Turtle Program ('Turtle') over a waitlist control group. Herein, we report results of a rigorous randomized controlled trial (RCT) comparing Turtle to the best available treatment for young children high in BI, Cool Little Kids (CLK). METHODS: One hundred and fifty-one parents and their 3.5- to 5-year-old children selected on the basis of BI were randomly assigned to Turtle or CLK, delivered in group format over 8?weeks. Effects on child anxiety, life interference, BI, and observed parenting were examined at post-treatment and 1-year follow-up. ClinicalTrials.gov registration: NCT02308826. RESULTS: No significant main effect differences were found between Turtle and CLK on child anxiety; children in both programs evidenced significant improvements in BI, anxiety severity, family accommodation, and child impairment. However, Turtle yielded increased observed warm/engaged parenting and decreased observed negative control, compared with CLK. Parental social anxiety moderated effects; parents with higher anxiety demonstrated diminished improvements in child impairment, and parent accommodation in CLK, but not in Turtle. Children of parents with higher anxiety demonstrated more improvements in child BI in Turtle, but not in CLK. CONCLUSIONS: Turtle and CLK are both effective early interventions for young children with BI. Turtle is more effective in improving parenting behaviors associated with the development and maintenance of child anxiety. Turtle also proved to be more effective than CLK for parents with social anxiety. Results suggest that Turtle should be recommended when parents have social anxiety; however, in the absence of parent anxiety, CLK may offer a more efficient treatment model. En ligne : http://dx.doi.org/10.1111/jcpp.13475 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 [article] Early intervention for inhibited young children: a randomized controlled trial comparing the Turtle Program and Cool Little Kids [Texte imprimé et/ou numérique] / A. CHRONIS-TUSCANO, Auteur ; D. R. NOVICK, Auteur ; C. M. DANKO, Auteur ; K. A. SMITH, Auteur ; N. J. WAGNER, Auteur ; C. H. WANG, Auteur ; L. DRUSKIN, Auteur ; L. R. DOUGHERTY, Auteur ; K. H. RUBIN, Auteur . - p.273-281. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-3 (March 2022) . - p.273-281 Mots-clés : Anxiety  parent training  parent-child interaction  parenting  temperament Index. décimale : PER Périodiques Résumé : BACKGROUND: Children classified as behaviorally inhibited (BI) are at risk for social anxiety. Risk for anxiety is moderated by both parental behavior and social-emotional competence. Grounded in developmental-transactional theory, the Turtle Program involves both parent and child treatment components delivered within the peer context. Our pilot work demonstrated beneficial effects of the Turtle Program ('Turtle') over a waitlist control group. Herein, we report results of a rigorous randomized controlled trial (RCT) comparing Turtle to the best available treatment for young children high in BI, Cool Little Kids (CLK). METHODS: One hundred and fifty-one parents and their 3.5- to 5-year-old children selected on the basis of BI were randomly assigned to Turtle or CLK, delivered in group format over 8?weeks. Effects on child anxiety, life interference, BI, and observed parenting were examined at post-treatment and 1-year follow-up. ClinicalTrials.gov registration: NCT02308826. RESULTS: No significant main effect differences were found between Turtle and CLK on child anxiety; children in both programs evidenced significant improvements in BI, anxiety severity, family accommodation, and child impairment. However, Turtle yielded increased observed warm/engaged parenting and decreased observed negative control, compared with CLK. Parental social anxiety moderated effects; parents with higher anxiety demonstrated diminished improvements in child impairment, and parent accommodation in CLK, but not in Turtle. Children of parents with higher anxiety demonstrated more improvements in child BI in Turtle, but not in CLK. CONCLUSIONS: Turtle and CLK are both effective early interventions for young children with BI. Turtle is more effective in improving parenting behaviors associated with the development and maintenance of child anxiety. Turtle also proved to be more effective than CLK for parents with social anxiety. Results suggest that Turtle should be recommended when parents have social anxiety; however, in the absence of parent anxiety, CLK may offer a more efficient treatment model. En ligne : http://dx.doi.org/10.1111/jcpp.13475 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457

Low social affiliation predicts increases in callous-unemotional behaviors in early childhood / S. PERLSTEIN in Journal of Child Psychology and Psychiatry, 63-1 (January 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-1 (January 2022) . - p.109-117 Titre : Low social affiliation predicts increases in callous-unemotional behaviors in early childhood Type de document : Texte imprimé et/ou numérique Auteurs : S. PERLSTEIN, Auteur ; R. WALLER, Auteur ; N. J. WAGNER, Auteur ; Kimberly J. SAUDINO, Auteur Article en page(s) : p.109-117 Langues : Anglais (eng) Mots-clés : Child Behavior  Child, Preschool  Conduct Disorder  Emotions  Empathy  Female  Humans  Longitudinal Studies  Male  Parenting  Reproducibility of Results  Callous-unemotional  conduct problems  parenting  psychopathy  social affiliation Index. décimale : PER Périodiques Résumé : BACKGROUND: Callous-unemotional (CU) behaviors predict risk for aggression and rule-breaking. Low social affiliation (i.e. reduced motivation for and enjoyment of social closeness) is hypothesized to be a phenotypic marker for CU behaviors in early childhood. However, studies need to establish observational methods to objectively assess social affiliation as well as to establish parenting practices that can buffer pathways from low social affiliation to CU behaviors. METHODS: Using data from a longitudinal twin study of 628 children (age 2, 47% females; age 3, 44.9% females), we examined reciprocal associations between observed social affiliation, CU behaviors, and oppositional-defiant behaviors. We tested whether positive parenting moderated associations over time. RESULTS: We established that an observed measure of social affiliation derived from the Bayley's Behavior Rating Scale and Infant Behavior Record showed high inter-rater reliability and expected convergence with parent-reported temperament measures. Lower social affiliation at age 2 uniquely predicted CU behaviors, but not oppositional-defiant behaviors, at age 3. Finally, low social affiliation at age 2 predicted CU behaviors at age 3 specifically among children who experienced low, but not high, levels of parental positivity. CONCLUSIONS: An objective rating scale that is already widely used in pediatric settings reliably indexes low social affiliation and risk for CU behaviors. The dynamic interplay between parenting and low child social affiliation represents an important future target for novel individual- and dyadic-targeted treatments to reduce risk for CU behaviors. En ligne : http://dx.doi.org/10.1111/jcpp.13466 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 [article] Low social affiliation predicts increases in callous-unemotional behaviors in early childhood [Texte imprimé et/ou numérique] / S. PERLSTEIN, Auteur ; R. WALLER, Auteur ; N. J. WAGNER, Auteur ; Kimberly J. SAUDINO, Auteur . - p.109-117. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-1 (January 2022) . - p.109-117 Mots-clés : Child Behavior  Child, Preschool  Conduct Disorder  Emotions  Empathy  Female  Humans  Longitudinal Studies  Male  Parenting  Reproducibility of Results  Callous-unemotional  conduct problems  parenting  psychopathy  social affiliation Index. décimale : PER Périodiques Résumé : BACKGROUND: Callous-unemotional (CU) behaviors predict risk for aggression and rule-breaking. Low social affiliation (i.e. reduced motivation for and enjoyment of social closeness) is hypothesized to be a phenotypic marker for CU behaviors in early childhood. However, studies need to establish observational methods to objectively assess social affiliation as well as to establish parenting practices that can buffer pathways from low social affiliation to CU behaviors. METHODS: Using data from a longitudinal twin study of 628 children (age 2, 47% females; age 3, 44.9% females), we examined reciprocal associations between observed social affiliation, CU behaviors, and oppositional-defiant behaviors. We tested whether positive parenting moderated associations over time. RESULTS: We established that an observed measure of social affiliation derived from the Bayley's Behavior Rating Scale and Infant Behavior Record showed high inter-rater reliability and expected convergence with parent-reported temperament measures. Lower social affiliation at age 2 uniquely predicted CU behaviors, but not oppositional-defiant behaviors, at age 3. Finally, low social affiliation at age 2 predicted CU behaviors at age 3 specifically among children who experienced low, but not high, levels of parental positivity. CONCLUSIONS: An objective rating scale that is already widely used in pediatric settings reliably indexes low social affiliation and risk for CU behaviors. The dynamic interplay between parenting and low child social affiliation represents an important future target for novel individual- and dyadic-targeted treatments to reduce risk for CU behaviors. En ligne : http://dx.doi.org/10.1111/jcpp.13466 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456

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