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The current meta-analysis examined the mediating role of sensitive-responsive parenting in the relationship between depression in mothers and internalizing and externalizing behavior in children. A systematic review of the path of maternal sensitive responsiveness to child psychopathology identified eligible studies. Meta-analytic structural equation modelling (MASEM) allowed for the systematic examination of the magnitude of the indirect effect across 68 studies (N = 15,579) for internalizing and 92 studies (N = 26,218) for externalizing psychopathology. The synthesized sample included predominantly White, English-speaking children (age range = 1 to 205 months; Mage = 66 months; 47% female) from Western, industrialized countries. The indirect pathway was small in magnitude and similar for externalizing (b =.02) and internalizing psychopathology (b =.01). Moderator analyses found that the indirect pathway for externalizing problems was stronger when mother-child interactions were observed during naturalistic and free-play tasks rather than structured tasks. Other tested moderators were not significant. [ABSTRACT FROM AUTHOR]

Sensitive caregiving behavior, which involves the ability to notice, interpret, and quickly respond to a child's signals of need and/or interest, is a central determinant of secure child–caregiver attachment. Yet, significant heterogeneity in effect sizes exists across the literature, and sources of heterogeneity have yet to be explained. For all child–caregiver dyads, there was a significant and positive pooled association between caregiver sensitivity and parent–child attachment (r =.25, 95% CI [.22,.28], k = 174, 230 effect sizes, N = 22,914). We also found a positive association between maternal sensitivity and child attachment security (r =.26, 95% CI [.22,.29], k = 159, 202 effect sizes, N = 21,483), which was equivalent in magnitude to paternal sensitivity and child attachment security (r =.21, 95% CI [.14, 27], k = 22, 23 effect sizes, N = 1,626). Maternal sensitivity was also negatively associated with all three classifications of insecure attachment (avoidant: k = 43, r = −.24 [−.34, −.13]; resistant: k = 43, r = −.12 [−.19, −.06]; disorganized: k = 24, r = −.19 [−.27, −.11]). For maternal sensitivity, associations were larger in studies that used the Attachment Q-Sort (vs. the Strange Situation), used the Maternal Behavior Q-Sort (vs. Ainsworth or Emotional Availability Scales), had strong (vs. poor) interrater measurement reliability, had a longer observation of sensitivity, and had less time elapse between assessments. For paternal sensitivity, associations were larger in older (vs. younger) fathers and children. These findings confirm the importance of both maternal and paternal sensitivity for the development of child attachment security and add understanding of the methodological and substantive factors that allow this effect to be observed. Public Significance Statement: The quality of care children receive from caregivers can shape the foundations of a thriving society. Sensitive caregiver behavior involves the ability to notice, interpret, and quickly respond to a child's signals of need and/or interest. Findings from our research suggests that caregivers' sensitive behavior toward their child plays a pivotal role in fostering children's secure attachment. We found that associations were similar for both mothers and fathers. These findings stress the urgency of allocating resources and supports to enhance sensitive caregiver behavior, to in turn promote healthier child–parent relationships. [ABSTRACT FROM AUTHOR]

Two meta-analyses were conducted (N = 10,980 child-father dyads) with 93 studies published between 1983-2020, primarily in North America and Europe, on observed parental sensitivity to children (3-180 months; 48% girls; 14% non-White) in partnered mothers and fathers. The first meta-analysis found higher maternal mean levels of observed sensitivity, with a small effect size (d = -.27). Differences between parents were larger with micro coding and triadic/family assessments. Differences narrowed as a function of publication year and were not significant in European samples. The second meta-analysis identified a moderate correlation between observed maternal and paternal sensitivity (r = .23 after adjusting for probable publication bias). Correlations were larger in Middle Eastern samples and with composite sensitivity scales. [ABSTRACT FROM AUTHOR]

This meta-analysis synthesized the distribution of attachment classifications as coded with the Cassidy-Marvin Preschool Attachment Coding System and the Main-Cassidy Six-Year-Old System. These systems have extended scholars' capacity to measure differences in the developing child-parent attachment relationship, and its sequelae, beyond the infancy period; however, the global distribution of the attachment categories in these systems, and the potential factors influencing this distribution, remain unknown. The meta-analysis included 97 samples (N = 8,186 children; 55% boys), mostly drawn from North American or European populations (89%; M = 76% White). Results indicated that the distribution of child-mother attachment was 53.5% secure, 14.0% avoidant, 11.0% ambivalent, and 21.5% disorganized/controlling. Moderator analyses showed that rates of security were lower, and rates of disorganization were higher, in samples of at-risk families, specifically when children were exposed to maltreatment. Variations in the procedure also moderated the distribution. The discussion calls for greater unity around methodological practices. [ABSTRACT FROM AUTHOR]

Although numerous individual studies have attempted to link child–parent attachment and prosociality, a systematic picture of that relationship requires a meta-analytic approach that considers different dimensions of prosociality and potential moderators. The current meta-analysis examined 41 studies drawn primarily from North America and Europe and published between 1978 to 2020. Child age ranged from 12 to 53 months at the assessment of child–parent attachment and 12 to 108 months at the assessment of prosociality. Across 35 studies (100 effect sizes, N = 4,611), child–mother attachment security and child prosociality were significantly associated (r =.19, 95% CI [.14,.23]). No moderators were identified. Exploratory estimates were also derived for subtypes of child–mother attachment insecurity. Across six studies (eight effect sizes, N = 402), child–father attachment security was significantly associated with prosociality (r =.11, 95% CI [.02,.23]). The magnitude of effect sizes did not differ based on parent gender. The discussion considers areas of growth for attachment and prosociality research. Public Significance Statement: The nature by which we interact with one another—namely how we help and show kindness to others—is critical for a functional and prosperous society. This study examined child–parent attachment as a potential source of influence for the development of prosociality. Across 41 studies and over 4,000 children, we identified that when children form a secure attachment relationship to their mothers and fathers, they are more likely to behave prosocially toward others. [ABSTRACT FROM AUTHOR]

This meta‐analytic study examined the associations between child‐father attachment in early childhood and children's externalizing and internalizing behavior problems. Based on 15 samples (N = 1,304 dyads), the association between child‐father attachment insecurity and externalizing behaviors was significant and moderate in magnitude (r = 0.18, 95% CI: 0.10, 0.27 or d = 0.37, 95% CI: 0.20, 0.55). No moderators of this association were identified. Based on 12 samples (N = 1,073), the association between child‐father attachment insecurity and internalizing behaviors was also significant, albeit smaller in magnitude (r = 0.09, 95% CI: 0.02, 0.15; or d = 0.17, 95% CI: 0.03, 0.31). Between‐study heterogeneity was insufficient to consider moderators. When compared to the effect sizes of prior meta‐analyses on child‐mother attachment and behavior problems, the quality of the attachment relationship with fathers yields a similar magnitude of associations to children's externalizing and internalizing behaviors. Results support the need to consider the role of the attachment network, which notably includes attachment relationships to both fathers and mothers, to understand how attachment relationships contribute to child development. [ABSTRACT FROM AUTHOR]

This systematic review aimed to provide a narrative synthesis of associations between the early childhood (i.e., preschool and early school age) attachment classification systems and internalizing and externalizing symptoms measured from preschool age through adolescence. The review was pre-registered with PROSPERO (#CRD42017073417) and followed PRISMA guidelines. Of the 9,312 records screened, 34 articles comprising 15 samples were included in the review. Findings across studies suggest consistent associations between insecure early childhood attachment and both internalizing and externalizing symptoms during the preschool and school-age/middle childhood periods, with children classified as disorganized/controlling being at heightened risk. There is insufficient evidence to confirm associations with (pre)adolescent externalizing and internalizing symptoms. Future directions for research and clinical implications are discussed. [ABSTRACT FROM AUTHOR]

• Through meta -analyses of 125 studies (N = 9,213 children), this study shows medium-sized associations between child-mother attachment security and child cognition and language. • Additionally, using meta -analytical structural equation modeling, this study shows that both maternal sensitivity and child-mother attachment contribute to child cognitive and language outcomes. • This study helps shed light on the developmental processes by which parenting and early childhood relationships influence cognitive and language development in children. A programmatic set of meta-analyses by Groh et al. (e.g., Groh et al., 2017a) and Madigan et al. (e.g., Madigan et al., 2023) demonstrated that secure child-caregiver attachments are positively associated with children's social and emotional development, with somewhat stronger associations identified in relation to social competence and (lower) externalizing behaviors than for (lower) internalizing symptoms (Groh et al., 2017a). The association of attachment security with children's cognitive and language outcomes, however, is relatively less well established. Moreover, it is unknown whether attachment is associated with these outcomes through direct links, indirect links (i.e., as a mediator of the association between caregiver sensitivity and child cognition and language processes), or both. Empirical tests of these hypotheses have not yet been conducted. The current study had two main objectives: 1) provide a meta-analytic update for the association between attachment security and cognition and language (k = 125 studies [107 samples]; N = 9,213 children; 52.5% boys; 100% mothers; 93% from North America/Europe), and 2) test this association within a larger mediation model that accounts for the roles of sensitivity and attachment through a meta-analytic structural equation model (sensitivity → attachment → cognitive and language outcomes). Results showed that child-mother attachment security was significantly associated with child cognition (r = 0.17, 95% CI [0.14, 0.20]) and language outcomes (r = 0.16, 95% CI [0.12, 0.20]). The MASEM model revealed a small, but significant, indirect effect of sensitivity on cognitive and language outcomes through attachment security. The discussion considers the theoretical and practical implications of these findings. [ABSTRACT FROM AUTHOR]

With the aim of providing an estimate of the association between father and child internalizing symptoms, the present study systematically reviewed and meta-analyzed associations between father and child anxiety and depression symptoms from existing research (mostly from North America and Europe, conducted between 1981 and 2021). Based on 70 samples (158 effect sizes, N = 58,255), the meta-analysis with robust variance estimation identified a positive and significant association between depression in fathers and children (r =.15, 95% CI [.12,.17]). Similarly, a positive and significant association between father and child anxiety was observed (r =.13, 95% CI [.07,.18]) based on 39 samples (72 effect sizes, N = 11,683). The effect sizes for depression and anxiety did not significantly differ from one another or as a function of sample characteristics and methodological moderators. Findings show the importance of fathers in the development of child psychopathology. Directions for future research from a family systems perspective are proposed. Public Significance Statement: Depression and anxiety are prevalent mental health disorders among children and parents. The current meta-analysis examines if depression and anxiety in fathers are associated with the development of such symptoms in children. The results suggest a small-to-moderate association between father and child depression and anxiety. [ABSTRACT FROM AUTHOR]