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Studies suggest that parents’ emotional availability (EA) is associated with children’s wellbeing, including in the case of children with autism. Our study extended prior research by examining the role of parents’ representations in fostering parental EA and by focusing on fathers and on children with autism and severe behavior problems. We expected that parents’ positive representations would be associated with higher EA and compared mothers’ and fathers’ representations and EA. Participants were 79 mothers and 69 fathers (child age range = 61–173 months, 21.95% girls). Representation assessments included the Reaction to Diagnosis Questionnaire, tapping resolution with respect to the child’s diagnosis, and the coherence and positive comments in parents’ Five Minute Speech Samples about the child. Parents’ EA was coded from parent–child play interactions. Controlling for children’s autism symptoms and adaptive functioning, mothers’ resolution with respect to the child’s diagnosis and positive comments (but not coherence) were associated with their EA, and fathers’ coherence (but not positive comments and resolution) was associated with their EA. Mothers expressed more positive comments than fathers, and the resolution and EA scores of mothers and fathers were significantly correlated. Our results highlight the importance of considering both parents’ representations and EA when studying and working with families of children with autism and severe behavior problems. [ABSTRACT FROM AUTHOR]

This study examined the family emotional climate as assessed by Five Minute Speech Samples and the relation with parenting stress and parenting behaviors among parents of children (6–17 years, 64.7% boys) with autism spectrum disorder, cerebral palsy, Down syndrome, and without any known disability (n = 447). The large majority of parents (79%) showed low levels of Expressed Emotion, an indicator of a positive family climate. In all groups, more Emotional Over-involvement, more Criticism and fewer expressions of Warmth were associated with higher levels of parenting stress. Across groups, Emotional Over-involvement was related to more autonomy-supportive parenting, Criticism to more psychologically controlling and overreactive parenting, and Warmth was associated with more responsive and less psychologically controlling and overreactive parenting. [ABSTRACT FROM AUTHOR]

Coping with a child's psychiatric disorder involves various challenges for parents that can result in family burden. One factor related to family burden, which has been examined in previous studies, involves the interaction of the parent with the child diagnosed with the disorder. The current study, expanding on this notion, examined the interactions between parents and two of their children, one with a disorder and one without, by assessing parental expressed emotion (EE). The study also assessed the relations between the interactions with each child, examining whether these two interactions were positively or negatively-related: the "spillover hypothesis" and the "compensation hypothesis," respectively. In addition, the current study examined a mediation model whereby parental competence would mediate the association between parental EE towards each child and perceived family burden. 41 parents, whose children were treated at a mental health center, participated in the study. The Five Minute Speech Sample was administered to the parents to assess parental EE, as well as scales of parental competence and family burden. Results showed positive correlations between parental EE towards the two children (in the relationship and warmth subscales). The mediation model was confirmed only with regard to parental EE (relationship subscale) towards the child with the disorder. These findings support the spillover hypothesis, according to which feelings and cognitions are transferred from one family subsystem to another. Findings also highlight the importance of sense of competence in parenting a child with a psychiatric disorder, as it reduces family burden. Highlights: Parental expressed emotion (EE) towards child with a disorder and healthy child were positively-related. The finding supports the "spillover hypothesis"—transferring emotions from one child to the other. More warmth and less emotional over-involvement towards the healthy child were observed. We found negative association between parents competence and family burden. Parental competence is a key factor in reducing family burden for a child with a disorder. [ABSTRACT FROM AUTHOR]

The Five Minute Speech Sample's (FMSS) measure of parental expressed emotion (EE), defined as criticism (CRIT) and emotional overinvolvement (EOI), has been increasingly used to measure family emotional climate in relation to youth psychopathological development. As CRIT and EOI were defined based on adults, a meta-analysis and systematic review was conducted to analyze the presence and strength of an effect among maternal CRIT and EOI with youth internalizing and externalizing problems. A random effects model was used to analyze the 42 studies on families of youth (aged 1.5 to 19). There was a small, significant relation among maternal CRIT with youth internalizing and externalizing problems and among EOI with youth internalizing problems. EOI was not significantly related to externalizing problems. The current study suggests that the FMSS measure of CRIT is a more robust correlate of youth internalizing and externalizing symptoms than EOI, but EOI does relate to internalizing behaviors. Few moderators emerged, highlighting a continued need to identify factors accounting for heterogeneity. The current results suggest that the FMSS measure of CRIT may be a valuable measure of the family emotional climate in families of youth, but care should be taken when including analyses on EOI. [ABSTRACT FROM AUTHOR]

Family research in the field of ASD has focused on describing the impact of child challenges on parents, usually mothers, and given little attention to the ways in which mothers and fathers reciprocally influence the development of the child with ASD. The current study examined the direction of effects between the emotional quality of the mother-child and father-child relationships and the child's severity of ASD symptoms and emotional and behavioral problems across three time points spanning 2 years. Using parent Five Minute Speech Samples and teacher ratings of the severity of the child's ASD symptoms and emotional and behavioral problems, four cross-lagged structural equation models were employed to test bidirectional effects between parent warmth and criticism and child ASD symptoms and emotional and behavioral problems across three waves of data (approximately 12 months apart) in 159 families who had a child with ASD (initially aged 6 to 13 years). Mothers and fathers had an average age of 39.53 (SD=5.55) and 41.66 years (SD=6.19). Children with ASD were predominately male (86.2%) and white, non-Hispanic (76.7%). Crossed-lagged model results indicated bidirectional effects for both mothers and fathers. Warmth in the mother-child relationship and father-child relationship impacted child functioning at earlier time points. In the opposite direction, child functioning impacted father warmth and mother criticism at later time points. Findings indicate that the emotional quality of the parent-child relationships are bidirectionally related to the symptoms and emotional and behavioral problems of children with ASD. Important implications for supporting families are discussed. [ABSTRACT FROM AUTHOR]

Little research has examined family emotional climate in the context of having a child with autism spectrum disorder (ASD). The goal of the current study was to determine how the emotional quality of family subsystems (parent–child and parent couple relationships, for both mothers and fathers) combine to create various classes of family emotional climate and to identify predictors of class membership in 148 families of children with ASD. The emotional quality of family subsystems was assessed using Five Minute Speech Samples from mothers and fathers. In total, 148 families of children with ASD (86% male) aged 6–13 years were included in analyses. About one-third of parents did not have a college degree and more than two-thirds were of non-Hispanic White origin. Latent class analysis revealed that 43% of the sample was characterized by high levels of warmth and low levels of criticism in both the parent–child and parent couple relationships; 12% of the sample was characterized by low warmth and high criticism in both sets of relationships; and the rest of the sample was divided among three additional classes of emotional climate characterized by different configurations of warmth and criticism across both sets of relationships. Parent level of broader autism phenotype and child emotional and behavioral problems were associated with emotional climate class membership. Implications for interventions are discussed. [ABSTRACT FROM AUTHOR]

Prior research on Expressed Emotion (EE) in parents' Five Minute Speech Samples (FMSS) suggests that parental attitudes that are overprotective or blur boundaries between the parent and child (i.e., the criteria for self-sacrifice/overprotection; SSOP) are related to increases in children's behavior problems. Some theorists contend that parents who demonstrate high levels of SSOP treat their children more insensitively, but others argue that SSOP does not result in insensitive parenting during the early childhood years. To date, there is no evidence that can be brought to bear upon this tension within the field regarding the developmental implications of SSOP in childhood. This longitudinal investigation of 223 child-mother dyads (47.9% female; Mage_W1 = 49.08 months; 56.5% Hispanic/Latina) evaluated whether maternal insensitivity at age 6 mediated the link between mothers' SSOP with respect to their 4-year-old children and children's behavior problems (i.e., internalizing, attention/hyperactivity) at age 8. A path analysis revealed significant indirect pathways from mothers' SSOP during the preschool period to children's increased internalizing and attention/hyperactivity problems at age 8 via elevated maternal insensitivity at age 6. These associations did not differ significantly across groups as a function of child gender, maternal race/ethnicity, single-mother status, or family poverty. FMSS evaluations of SSOP may offer a culturally valid and clinically valuable screening tool to detect parental attitudes that confer elevated risks for insensitive parenting practices and later child adjustment difficulties. [ABSTRACT FROM AUTHOR]

Use of the Five Minute Speech Sample in parenting research has become increasingly widespread in recent years, raising important questions about how it maps onto other more established methods for assessing parent-child dynamics. Given the historical emphasis on direct observation as a gold standard in such assessment, our aim was to examine associations between the Five Minute Speech Sample and direct observational coding of parent-child interactions, and to evaluate the assumption that the Five Minute Speech Sample reflects moment-to-moment exchanges between parents and children. A systematic search of three databases conducted identified 25 relevant studies (total N = 2945 child participants). These studies focused largely on four distinct systems for coding the Five Minute Speech Sample, and reported on distinct developmental periods ranging from infancy (17 months) through to adolescence (17 years). In 20 of 25 studies, the Five Minute Speech Sample was significantly associated with observations of parent-child interactions. These associations were apparent in all age groups examined, yet findings for fathers were somewhat more mixed than mothers. Available evidence suggests that the Five Minute Speech Sample holds strong potential as a brief but richly informative tool for indexing parent-child dynamics-particularly affective dimensions of the parent-child relationship-in both research and clinical contexts. [ABSTRACT FROM AUTHOR]

In many low and middle income countries where autism-related resources are scarce, interventions must rely on family and parents. A 3-month Parent-Child Training Program (PCTP) at Action For Autism, New Delhi, India is aimed at empowering and educating parents, encouraging acceptance of their child, and decreasing parent stress. Forty couples were asked to describe their child with autism using the Five Minute Speech Sample (FMSS), an open-ended narrative method, before and after the program. Parents described a wide range of child behaviors, primarily social and cognitive skills. While all families were of a relatively affluent strata compared to the general Indian population, there were nonetheless significant differences in parents' narratives based on their income levels. Coming into the program, parents with relatively less income focused on their child's immediate and material needs, while higher income parents discussed their parental roles and vision for society. After the PCTP, parents were more likely to reflect on their child beyond comparisons to 'normality,' and beyond the here-and-now. Mothers were more likely than fathers to reflect on themselves and their relationships with their child. Understanding parents' experiences and narratives is essential for the evaluation of interventions such as the PCTP, as Indian parents are incorporated into a growing global network of 'parents of children with autism.' [ABSTRACT FROM AUTHOR]

Evidence suggests that mothers are negative and critical when talking about their children with behaviour problems. However the association with specific types of behaviour problems and the influence of both child and adult psychopathology on these relationships require further clarification. Speech samples were gathered from mothers of 100 school-aged boys and coded using standard Expressed Emotion (EE) categories. Levels of maternal and child psychopathology were ascertained using standardised questionnaires completed by the mother. There were significant and positive correlations between criticism and child ADHD, conduct and emotional symptoms respectively. There were also significant and negative correlations between EOI and child ADHD and conduct problems. The findings of the current study suggest that when considered together EE is driven more by the child rather than by maternal characteristics and these effects are specific to conduct and emotional problems. The implications of the findings are discussed. [ABSTRACT FROM AUTHOR]