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Early language weaknesses are associated with increased risk for behavior challenges (Yew & O’Kearney, 2013). Comorbid language and behavior challenges are common, although the directionality and mechanisms underlying this association are unclear (Bichay-Awadalla et al., 2020; Petersen & LeBeau, 2021). In this project we investigate the association between language and problem behavior within the context of early caregiver-child interactions. We examined the degree to which child problem behavior predicts conversational turn-taking with caregivers, controlling for child language. We also compared child participation across interaction contexts, and the degree to which this was shaped by problem behavior. Finally, we evaluated the association between caregiver use of communicative repairs and child language, controlling for problem behavior. To address our research questions, we used parent-report measures of child language and behavior, as well as recorded interactions with caregiver-child dyads (N = 32) between the ages of 16 and 48 months of age. Using linear regression modeling, we found that child problem behavior was negatively associated with conversational turn-taking after adjusting for expressive language. We used negative binomial mixed effect modeling to examine participation, and found that children’s participation was significantly greater during completion of a puzzle and free play compared to book reading. There was no association between language and problem behavior on participation across contexts. We used zero-inflated binomial regression modeling to examine caregiver repair use, and failed to find significant associations with variables of interest. We conclude that problem behavior uniquely shapes the quality of early language interactions, and discuss clinical implications. / Communication Sciences

Research examining emotion regulation has indicated that children's success at home and school is enhanced through adaptive emotion regulation skills (Eisenburg, Spinrad & Morris, 2002). This is particularly true in the areas of social competence and academic functioning (Harris, Robinson, Chang & Burns, 2007). Because the development of emotion regulation skills is supported by the scaffolding of adaptive strategies in children may through parental responsivity to needs (Robinson, Morris, Heller, Scheeringa, Boris, & Smyke, 2009), the current study examined pathways through which quality of parent-child interactions impacted later emotion regulation. The effect of attention regulation on emotion regulation was also considered. Participants in the analysis included families from the longitudinal National Institute of Child Health and Development Study of Early Child Care (NICHD-SECC). Variables in the study were measured from infancy through 3 rd grade. Results indicated that the quality of mother child interactions at 54 months was directly associated with both attention regulation at 1 st grade and emotion regulation at 3 rd grade. Results also suggested the presence of an indirect effect of maternal positive caregiving at 54 months on emotion regulation at 3 rd grade through attention regulation at 1 st grade. Father-child interactions were not found to be directly associated with attention regulation at 1 st grade or emotion regulation at 3 rd grade. The results of this study may be beneficial in supporting school psychologists and other clinicians in targeting specific components of parent-child interactions for intervention to support the development of proactive emotion regulation strategies in children.

Les troubles anxieux figurent parmi les psychopathologies les plus fréquentes chez les enfants. Ils peuvent avoir de graves répercussions sur leur développement et, à long terme, ils tendent à persister ainsi qu’à s’aggraver. L’évitement est un moyen souvent utilisé par les personnes anxieuses, adultes ou enfants, afin de tenter d’échapper à l'objet de leur peur et ainsi faire diminuer leur niveau d’anxiété. Les schémas cognitifs dysfonctionnels reliés à l’anxiété, et à l’origine de l’évitement, se développent tôt chez l’enfant et sont en partie reliés aux interactions parent-enfant. La présente recherche vise à examiner, à l’aide d’une analyse séquentielle des interactions, la dépendance entre les comportements d’anxiété et d’évitement chez les membres de 20 dyades parent-enfant, dont les enfants sont âgés entre 4 et 7 ans. La tâche d’interaction, une histoire à compléter par les membres de la dyade, a la capacité de susciter des émotions anxieuses chez les participants. Les résultats de cette étude ne permettent pas de démontrer une dépendance entre les comportements d’anxiété et d’évitement des parents et ceux des enfants. La discussion présente des éléments de réflexion sur des pistes de recherche à explorer. / Anxiety disorders are common among children. They can have serious consequences on their development, and tend to persist or even get worst over time. Avoidance behaviors are often used by anxious people, including children, to escape the object of their fear and to decrease their anxiety level. Dysfunctionnal anxious cognitions that support avoidance tend to develop early in childhood and are partially related to parent-child interactions. The objective of the present study was to examine sequential dependency between anxious and avoidant behaviours, by means of sequential analysis of parent-child interactions. The sample included 20 parent-child dyads, children being aged between 4 and 7 years. A story-completion task was administered in order to arouse anxious feelings in participants. Results of the present study did not suggest a dependency between anxious and avoidant behaviours among dyads. The discussion proposes avenues for future research to explore.

Parent training programs are widely used to remediate ineffective strategies being used by parents of children with maladaptive behaviors. While there are a multitude of parenting workshops available, it has been estimated that over half have no established effectiveness. The purpose of this study was to advance our knowledge regarding the effects of modeling and role-playing (in an experimentally controlled design), used to supplement the parent workshop called “Winning at Parenting” and enhance development of adaptive parenting skills of participants. This study trained parents in the behavioral techniques of clear communication, differential attention, and time-out procedures via modeling by the instructor, roleplaying with the parents, and instructor feedback to parents. A multiple-baseline design across four participants was used in an experimentally controlled manner to demonstrate the positive effect of modeling and role-playing on the development of these adaptive skills in a parent training program. Two research questions were analyzed. The first considered whether participants would increase their use of adaptive parenting strategies via modeling, role-playing and instructor feedback, within the multiple baseline design. The results clearly showed a mean increase in correct demonstration of each target behavior for each parent only after the treatment condition was introduced, indicating a significant treatment effect. Furthermore, because there was no overlap of data points from baseline to treatment, changes in level were evident, providing a strong case that behavior was changed due to treatment effects. Although trend of the behaviors in baseline varied, data points in the treatment phase for each target behavior for each parent made such a dramatic and immediate jump that they each were indicative of a treatment effect. These findings are consistent with previous research demonstrating that the use of modeling and roleplaying are superior to readings and lecture-style for parent training programs. The second question considered whether or not parent’s ratings of competence, depression, and life stress, as measured on the Parenting Stress Index (PSI), would change as a result of the intervention. Results showed no clear trends in data for the effects of treatment on the PSI scores.

Les troubles anxieux figurent parmi les psychopathologies les plus fréquentes chez les enfants. Ils peuvent avoir de graves répercussions sur leur développement et, à long terme, ils tendent à persister ainsi qu’à s’aggraver. L’évitement est un moyen souvent utilisé par les personnes anxieuses, adultes ou enfants, afin de tenter d’échapper à l'objet de leur peur et ainsi faire diminuer leur niveau d’anxiété. Les schémas cognitifs dysfonctionnels reliés à l’anxiété, et à l’origine de l’évitement, se développent tôt chez l’enfant et sont en partie reliés aux interactions parent-enfant. La présente recherche vise à examiner, à l’aide d’une analyse séquentielle des interactions, la dépendance entre les comportements d’anxiété et d’évitement chez les membres de 20 dyades parent-enfant, dont les enfants sont âgés entre 4 et 7 ans. La tâche d’interaction, une histoire à compléter par les membres de la dyade, a la capacité de susciter des émotions anxieuses chez les participants. Les résultats de cette étude ne permettent pas de démontrer une dépendance entre les comportements d’anxiété et d’évitement des parents et ceux des enfants. La discussion présente des éléments de réflexion sur des pistes de recherche à explorer. / Anxiety disorders are common among children. They can have serious consequences on their development, and tend to persist or even get worst over time. Avoidance behaviors are often used by anxious people, including children, to escape the object of their fear and to decrease their anxiety level. Dysfunctionnal anxious cognitions that support avoidance tend to develop early in childhood and are partially related to parent-child interactions. The objective of the present study was to examine sequential dependency between anxious and avoidant behaviours, by means of sequential analysis of parent-child interactions. The sample included 20 parent-child dyads, children being aged between 4 and 7 years. A story-completion task was administered in order to arouse anxious feelings in participants. Results of the present study did not suggest a dependency between anxious and avoidant behaviours among dyads. The discussion proposes avenues for future research to explore.

L’augmentation du nombre d’enfants avec un trouble du spectre de l’autisme (TSA) accroît les demandes sur le réseau de la santé et des services sociaux du Québec. Les programmes d’accompagnement parental semblent une alternative intéressante pour répondre aux besoins des familles ayant un jeune enfant avec un diagnostic ou une suspicion de TSA. Par contre, peu de chercheurs se sont intéressés à l’expérience des parents qui sont pourtant les acteurs-clés de ce type d’intervention. Cette étude mixte séquentielle explicative vise à évaluer un programme d’accompagnement parental de 12 semaines pour des enfants de 12 à 30 mois avec une suspicion de TSA en considérant autant les effets sur l’enfant que son parent. Méthodologie : Pour le volet quantitatif (essai clinique randomisé croisé), les 19 dyades parent-enfant ont été randomisées dans le groupe Intervention (immédiatement) ou le groupe Liste d’attente qui devait attendre trois mois avant de recevoir l’intervention. Les données collectées via des questionnaires et par observation directe réalisés trois à quatre fois en fonction du groupe de randomisation ont été analysées à l’aide de statistiques descriptives, de comparaisons inter- et intra-groupe. Pour le volet qualitatif (exploratoire), une analyse thématique a été complétée pour le contenu des entrevues semi-dirigées effectuées auprès d’un sous-échantillon de 6 parents. Résultats : Globalement, le programme a été fortement apprécié (score médian = 3,625/4). Plus spécifiquement, le programme met en évidence un effet positif significatif de l’intervention sur l’engagement dyadique (p = 0,012; taille d’effet = 0,51). De plus, les habiletés cognitives (p = 0,010; taille d’effet = 0,57) et motrices (p = 0,071; taille d’effet = 0,38) des enfants se normalisent suite à la participation au programme. La quasi-absence d’effet sur le bien-être parental pourrait être améliorée en offrant davantage de soutien directement aux parents pendant les interventions plutôt que de se concentrer uniquement sur le développement des habiletés nécessaires à la stimulation de leur enfant. Conclusion : L’intervention d’accompagnement parental a eu des effets bénéfiques prometteurs sur la variable proximale (interactions parent-enfant) et, dans une moindre mesure, sur les variables distales (développement de l’enfant, bien-être parental et validité sociale). L’intervention gagnerait toutefois à être bonifiée afin de mieux répondre aux besoins de soutien des parents. / Abstract: The increase in the prevalence of autism spectrum disorder (ASD) puts pressure on the healthcare system. Parent-mediated interventions are an interesting alternative to answer the needs of families having a toddler with a diagnosis or a suspicion of ASD. However, few researchers have looked at parents’ experience during parent-mediated interventions even though parents are the main actors of these interventions. This sequential explanatory mixed study aims to evaluate a 12-week parent-mediated intervention for young children with a suspicion of ASD aged between 12 and 30 months by considering both parents’ and children’s outcomes. Methods: For the quantitative part (crossover randomized controlled trial), the 19 parent-child dyads were randomized either in the Intervention group or the Waitlist group (participants in this group had to wait three months before getting access to the intervention). Data were collected through questionnaires and direct observation three to four times depending on the group allocation. Quantitative data were analyzed using descriptive statistics as well as between and within group comparisons. For the qualitative part (exploratory), semi-directed interviews conducted with a subsample of six participants were analyzed thematically. Results: The program was globally highly appreciated (median score = 3.625/4). Specifically, there was a significant positive effect of the intervention on parent-child dyadic engagement (p = .012; effect size = .51). Furthermore, there was a normalization of children’s cognitive (p = .010; effect size = .57) and motor abilities (p = .071; effect size = .38) after the 12-week program. The near absence of effect on parental well-being could be fixed by targeting specifically parental support rather than focusing on their skills development. Conclusion: The parent-mediated intervention brings promising benefits on the proximal outcome (parent-child interactions) and, to a lesser extent, on distal outcomes (children development, parental well-being and social validity). Still, the intervention should be adapted to better answer parental needs.

Parent-child interactions help set the foundation for a child's development. It is therefore important to investigate the relative efficiency and efficacy of procedures used to train them. One procedure that researchers continue to explore is video modeling. The current study evaluated the effect of a video model that displayed favorable parent-child interactions and a modified model with embedded instructions to determine if the introduction of either of these models would alter parent-child interactions. Both models were presented alone without supplemental guidance. Three families were involved in the study. The results showed no systematic change across families or conditions as a result of video viewing and are discussed within context of the needs of the parent, adequate stimulus control, community to support behavior change, measurement sensitivity, and influence of methodology. This study provided a great baseline for future studies to explore the necessary components to create an effective video model.

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