Nurturing and educating children prenatally exposed to alcohol: The role of the counsellor

Previous studies are summarized on the incidence and nature of alcohol-related defects, as such defects relate to health, motor and speech development, behaviour, intelligence and school achievement.In the present study, thirty-four children were located. Their caregivers and social workers provided background information on the children, who were assessed on the Wechsler Scales. Discussion centres on the need to provide long-term support services to these children, their caregivers and their schools. The role of counsellors in such support systems is central.Department of Educational Psychology, University of Alberta     

Students prenatally exposed to drugs and alcohol: A survey of school personnel preparation

Abstract

The authors surveyed university faculty regarding preparation of general educators, special educators, and speech‐language pathologists to work with students prenatally exposed to drugs and alcohol. The results confirm that, in general, teacher education and speech‐language pathology programs provide limited information on these students to either preservice or inservice teachers and speech‐language pathologists. The authors also compared the responses of the three groups of faculty and the responses of faculty within their specialization areas. Significant differences were found among the three groups and within the general education faculty group, differences that have significant implications for teacher and speech‐language pathologist preparation programs.     

Attachment in deaf mothers and their children

In attachment research, there has been a growing interest in how adults conceptualize their relationships with their own parents as well as in the transmission of attachment status from parent to child and the variables that influence that transmission. The primary goal of the present study was to examine the transmission of attachment from deaf mother to child. Adult Attachment Interviews were collected on 32 deaf women and Strange Situation Procedure data were obtained from their children. While the distribution of deaf mother attachment classifications was similar to that found with hearing samples, the concordance between mother and child in terms of attachment status was lower than in hearing samples. Having a deaf parent did not affect a deaf adult's attachment status. Post hoc analyses suggested a trend towards a dismissing stance in attachment relationships. Results are discussed in terms of variables affecting attachment status as well as the transmission of attachment.     

Multidimensional resilience in urban children exposed to community violence

The extent to which parent, school, and peer support differentially affected multiple domains of resilience was examined among 2,600 sixth, eighth, and tenth graders from an urban public school system who took part in a comprehensive survey of high-risk and adaptive behaviors. Structural equation modeling was used to specify the relation among seven domains of resilience and parent, school, and peer support among children who had been victimized by community violence, those who had witnessed such violence, and a no-exposure control group. Results upheld the validity of a multidimensional conceptualization of childhood resilience, and indicated that although both parent and school support factors were significantly positively associated with resilience in children who had been exposed to community violence, peer support was negatively associated with resilience in the domains of substance abuse and school misconduct/ delinquency. These results were most robust among victimized children, followed by children who had witnessed violence. Implications for social policy and community violence research are discussed.     

Attachment in institutionalized children: A review and meta-analysis

In this article we review the literature on attachment patterns in institutionalized children and then perform a meta-analysis on data from 10 attachment studies involving 399 children in institutional settings. We computed the overall attachment distribution of secure, insecure, and disorganized rates and explored the effect of a set of moderating variables (i.e., country of institutionalization, attachment assessment procedure, age at entry, and age at assessment). To overcome bias related to the small number of studies, we conducted both classical and Bayesian meta-analysis and obtained comparable results. Distribution of children's attachment patterns was: 18% secure, 28% insecure, and 54% disorganized/cannot classify. Compared to their family-reared peers, children living in an institution were found to be at greater risk for insecure and disorganized attachment, with a similar medium effect size for both distributions (d = 0.77 and d = 0.76, respectively). The following moderating variables were associated with insecure attachment: representational assessment procedures (d = 0.63) and Eastern European countries of origin (d = 1.13). Moderators for disorganized attachment were: Eastern European countries of origin (d = 1.12), age at institution entry before the first birthday (d = 0.93), and age at assessment under three years of age (d = 0.91). Implications for child development and policies are discussed.     

Animal cruelty by children exposed to domestic violence

OBJECTIVE: The first objective of this study was to determine if children exposed to domestic violence were significantly more likely to be cruel to animals than children not exposed to violence. The second was to determine if there were significant age and gender differences between children who were and were not cruel to animals. METHOD: A community sample of 47 mothers with two children and a history of domestic violence were compared to a matched sample of 45 mothers with two children who did not have such a history. RESULTS: Children exposed to domestic violence were significantly more likely to have been cruel to animals than children not exposed to violence. The age and gender of children who were cruel to animals did not differ from children who were not cruel to animals. However, exposed children cruel to animals were significantly older than non-exposed children cruel to animals. CONCLUSION: Animal cruelty by children is correlated with exposure to domestic violence.     

Trajectories of traumatic stress reactions in children exposed to intimate partner violence

BackgroundUnderstanding different longitudinal patterns of traumatic stress reactions in children exposed to intimate partner violence (IPV) can promote early identification of at-risk children.ObjectiveOur study aims to explore trajectories of traumatic stress reactions following childhood IPV exposure, and their relation with parental traumatic stress and child emotional security in the interparental subsystem.Participants and SettingThe sample comprised 303 children (age 3–10, M = 6.20) from families referred to institutions for IPV. Data were collected at home.MethodsThree waves of parent-reported questionnaire data were analyzed using latent class growth analysis and linear regression.ResultsFive trajectories were identified: ‘resilient’, ‘moderate stable’, ‘struggling’, ‘improving’, and ‘elevated adjusting’. Only the ‘struggling’ trajectory had dysfunctional symptom levels at the final wave. Higher parental traumatic stress predicted ‘improving’ trajectory membership (β = 0.17, p = .033), whereas lower parental traumatic stress (β = −0.20, p = .003) and child emotional insecurity (β = −0.45, p = < .001) predicted ‘resilient’ trajectory membership. Higher child emotional insecurity predicted membership in trajectories with higher initial traumatic stress (improving: β = 0.26, p < .001; struggling: β = 0.31, p < .001; elevated adjusting: β = 0.27, p < .001). Child emotional security did not buffer the effect of parental traumatic stress on likelihood of dysfunctional trajectory membership (β = 0.04, p =.380).ConclusionsChildren exposed to IPV show different trajectories of traumatic stress reactions, partly corresponding to trajectories identified in other populations. Child emotional security and parental traumatic stress predict trajectory membership.     

Organization of attack and other behaviors of White King pigeons exposed to intermittent water presentations

Six water-deprived pigeons were exposed to a fixed-time 90-sec water schedule with and without a conspecific target available. Target contacts and the pigeon’s location in the test chamber during the interreinforcement interval were recorded, and the results were compared with those previously obtained with food reinforcement. Prior to target introduction, water-reinforced birds spent more total time in the front near the reinforcer dispenser and less in the rear than food-reinforced birds and, unlike food-reinforced birds, exhibited postreinforcement drinking-like behaviors near the reinforcer dispenser before moving away from that area. With the target available, the level, topography, and duration of target-directed biting pecks were comparable for food- and water-reinforced pigeons. In contrast, the temporal organization of target pecks reflected the different temporal and spatial organizations of behavior prior to target introduction. For both food- and water-reinforced birds, the time between reinforcers at which a bird was spatially situated halfway between the front and rear of the chamber prior to target presentation was positively correlated with the time at which maximum target contact subsequently occurred.     

Attachment Quality in Very Low-Birthweight Premature Infants in Relation to Maternal Attachment Representations and Neurological Development

Objective. To study the development of attachment in very low-birthweight preterm infants with respect to neurological development and maternal attachment representations. Design. Emotional development in a high-risk sample (N = 79) of very low-birthweight preterm infants (≤ 1,500 g) is reported. The quality of attachment in preterm infants was classified using the Strange Situation Procedure at 14 postnatal months (corrected for prematurity) and was associated with maternal attachment representation assessed with the Adult Attachment Interview at 6 postnatal months. Neurological development at 14 months was taken into account. Results. The distribution of the quality of attachment in preterm infants (60.3% secure, 23.5% insecure - avoidant, 2.9% insecure - ambivalent, 10.3% insecure - disorganized, and 2.9% not classifiable) was comparable with results of studies of term infants. There was no correspondence between maternal representations of attachment and infant quality of attachment. However, neurologically impaired infants were more often insecurely than securely attached. Conclusions. Very low-birthweight preterm infants more often develop an insecure quality of attachment if their neurological outcome is impaired. Therefore, minimizing risk factors for the development of neurological deficits may have a preventive effect both on the somatic and on the emotional development of high-risk infants.     

Effects of family violence on psychopathology symptoms in children previously exposed to maltreatment

Although many studies suggest that family violence is associated with child psychopathology, multiple features of the home environment might account for this association, such as poverty and caregiver psychopathology. Studies are needed examining how change in psychopathology symptoms is affected by home violence, controlling for children's own developmental symptom histories and other predictors of psychopathology. This study used latent difference score structural equation modeling to test if witnessing home violence and/or experiencing harsh physical discipline predicted changes in psychopathology symptoms among 2,925 youth aged 5-16 years previously exposed to violence. Results demonstrated that harsh physical discipline predicted child-specific changes in externalizing symptoms, whereas witnessing violence predicted child-specific changes in internalizing symptoms across time. Implications for research and policy are discussed.     

Attention biases and social-emotional development in preschool-aged children who have been exposed to domestic violence

BackgroundSchool-aged children and adolescents exposed to domestic violence (DV) disproportionality attend to threatening and sad cues in their environment. This bias in attention has been found to predict elevations in symptoms of psychopathology. Studies have yet to explore attention biases using eyetracking technology in preschool-aged children with DV exposure.ObjectiveThis study investigated whether preschool-aged children exposed to DV show vigilance to angry and sad faces versus happy faces and a target non-face stimulus relative to non-exposed children, and whether such vigilance relates to child social-emotional development.Participants and settingPreschool-aged children were recruited from a large, diverse, urban community. DV-exposed children were recruited from a dyadic, mother-child treatment group specifically designed for, and restricted to, mothers who have experienced domestic violence (DV-exposed group, n = 23). Children with no prior exposure to DV and their mothers were recruited within the same community (non-exposed group, n = 32).MethodsChildren completed an eye-tracking task to assess their attention to face stimuli and mothers rated their children's social-emotional development. Total duration of fixations were analyzed.ResultsResults showed that DV-exposed children have a significantly stronger attention bias away from sad faces (p = 0.03; d = 0.62) and neutral faces (p = 0.02; d = 0.70) relative to non-exposed children, and this attention bias away from sad and neutral faces is associated with child social-emotional problems. Contrary to our hypothesis, no bias towards anger was found for DV-exposed versus non-exposed children.ConclusionsThis study contributes to growing evidence that young children's negative attention biases influence functioning and have important implications for children's well-being and development.     

Characteristics predicting children's responses to sexual encounters with other children

The replies to a survey of more than 1,000 undergraduates concerning childhood sexual encounters are reported. Linear structural equation modeling is employed to analyze which characteristics of the sexual encounters with other children were associated with more positive or negative responses by subjects. Approximately 42% of the subjects reported a childhood sexual encounter with another child. Most encounters involved sexual kissing or exposing of genitalia, and they generally occurred with a friend. High levels of coercion from the other child to gain the subject's cooperation, homosexual encounters, and encounters with those other than friends predicted a more negative response. The type of sexual activity was not associated with response. Subjects who experienced a high level of coercion from another child reacted to their sexual encounter similarly to other subjects who had a sexual encounter with an adult, while those who experienced low levels of coercion rated their encounter with a child more positively.     

Outcomes of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence

Witnessing violence toward a caregiver during childhood is associated with negative impact on children’s health and development, and there is a need for effective interventions for children exposed to intimate partner violence in clinical as well as in community settings. The current effectiveness study investigated symptom reduction after participation in two established group interventions (one community-based psychoeducative intervention; one psychotherapeutic treatment intervention) for children exposed to intimate partner violence and for their non-offending parent. The study included 50 children—24 girls and 26 boys—aged 4–13 years and their mothers. Child and maternal mental health problems and trauma symptoms were assessed pre- and post-treatment. The results indicate that although children showed benefits from both interventions, symptom reduction was larger in the psychotherapeutic intervention, and children with initially high levels of trauma symptoms benefited the most. Despite these improvements, a majority of the children’s mothers still reported child trauma symptoms at clinical levels post-treatment. Both interventions substantially reduced maternal post-traumatic stress. The results indicate a need for routine follow-up of children’s symptoms after interventions.     

Modelling life satisfaction and adjustment to trauma in children exposed to ongoing military violence: An exploratory study in Palestine

Exposure to war and ongoing political violence increases mental health risks among children, especially in terms of posttraumatic stress disorder (PTSD), and depressive or somatic symptoms. However, an exclusive focus on negative functioning can lead to underestimating the coping abilities and natural potential for adjusting to trauma of war-affected children at different developmental phases. Using structural equation modelling, we tested the extent to which data gathered in a predominantly nonclinical sample of Palestinian children (N = 1276) living in refugee camps supported a conceptual model in which the relationship between subjective wellbeing and the effects of trauma is mainly top-down in direction. The cross-sectional design adopted showed that feelings of life satisfaction contributed to better affect balance in children (aged 6–11 years), which in turn, mitigated the impact of traumatic events. These findings point up the importance of dimensions of subjective well-being in children involved in traumatic events and may inspire intervention and treatment focused on the ability to activate positive emotions as a crucial resource for dealing with traumatic reactions.     

Promoting resilience and wellbeing in children exposed to intimate partner violence: A qualitative study with mothers

BackgroundChildren exposed to intimate partner violence (IPV) are at increased risk of disruptions to their health and development. Few studies have explored mothers’ perceptions of what helps their children cope throughout this experience.ObjectiveThe aim of the study was to explore mothers’ perceptions of their children’s resilience and coping following IPV exposure, and the strategies they have used to support their children and promote resilience.MethodsIn depth semi-structured interviews were conducted with nine women from the Maternal Health Study (MHS), a prospective study of women during pregnancy and following the birth of their first child. All women involved in the qualitative interviews reported experiencing IPV during their involvement in the MHS. Transcribed interviews were analysed using interpretative phenomenological analysis which has a focus on how individuals make meaning of their experience.ResultsWomen discussed parenting strategies such as role modelling, stable and consistent parenting, and talking with their children about healthy relationships to promote their children’s resilience. Mothers also spoke about the ways they tried to reduce their child’s direct exposure to IPV, as well as reflecting on the difficulty of attending to their child emotionally when they were experiencing distress.ConclusionsThis study highlights that there are many strategies used by mothers who experience IPV to promote resilience and wellbeing in their children. Understanding what mothers see as useful for their children is essential in providing appropriate services to families following experiences of family violence.