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Parents have experienced considerable challenges and stress during the COVID‐19 pandemic, which may impact their well‐being. This meta‐analysis sought to identify: (1) the prevalence of depression and anxiety in parents of young children (

The Atypical Maternal Behavior Instrument for Assessment and Classification—Brief (AMBIANCE‐Brief) was developed to provide a clinically useful and psychometrically sound assessment of disrupted parenting behavior for community practitioners. With prior evidence of this tool's reliability and validity in laboratory settings, this study aimed to determine whether providers from family service agencies could become reliable in the use of the level of disrupted communication following a brief training. Providers (N = 46) from three agency sites participated in a 2‐day AMBIANCE‐Brief training and, at the end of the training, coded eight videotaped mother–child interactions. Novice participant coding was compared to expert consensus ratings using intraclass correlations. On average, participants' interrater agreement was good (ICCmean =.84, SD = 0.10), with 89% meeting the reliability standards of ICC ≥.70. In response to queries, 100% of participants indicated that they would recommend the AMBIANCE‐Brief training to their colleagues, 85% reported that the AMBIANCE‐Brief measure would be useful or very useful for their clinical practice, and 56% of participant clinicians believed that parents would find the measure acceptable or very acceptable for integration into intervention or support planning. Altogether, these findings speak to the feasibility of using the AMBIANCE‐Brief in community settings. Future studies are needed in diverse clinical and community contexts to evaluate whether use of this assessment tool can inform more targeted interventions tailored to the specific needs of families. [ABSTRACT FROM AUTHOR]

It has long been claimed that "maltreatment begets maltreatment," that is, a parent's history of maltreatment increases the risk that his or her child will also suffer maltreatment. However, significant methodological concerns have been raised regarding evidence supporting this assertion, with some arguing that the association weakens in samples with higher methodological rigor. In the current study, the intergenerational transmission of maltreatment hypothesis is examined in 142 studies (149 samples; 227,918 dyads) that underwent a methodological quality review, as well as data extraction on a number of potential moderator variables. Results reveal a modest association of intergenerational maltreatment (k = 80; d = 0.45, 95% confidence interval; CI [0.37, 0.54]). Support for the intergenerational transmission of specific maltreatment types was also observed (neglect: k = 13, d = 0.24, 95% CI [0.11, 0.37]; physical abuse: k = 61, d = 0.41, 95% CI [0.33, 0.49]; emotional abuse: k = 18, d = 0.57, 95% CI [0.43, 0.71]; sexual abuse: k = 18, d = 0.39, 95% CI [0.24, 0.55]). Methodological quality only emerged as a significant moderator of the intergenerational transmission of physical abuse, with a weakening of effect sizes as methodological rigor increased. Evidence from this meta-analysis confirms the cycle of maltreatment hypothesis, although effect sizes were modest. Future research should focus on deepening understanding of mechanisms of transmission, as well as identifying protective factors that can effectively break the cycle of maltreatment. [ABSTRACT FROM AUTHOR]

The displacement hypothesis1 states that screen media use I displaces i learning opportunities for children to practise developmental skills (eg, talking, walking, drawing), as well as caregiver interactions and other enriching offline activities (eg, reading), which in turn leads to delays in developmental skill acquisition. Mean reading and parent-child interaction scores were 3.92 (SD = 0.29) and 21.77 (SD = 2.07) at 24 months and 2.60 (SD = 0.93) and 22.32 (SD = 1.80) at 36 months, respectively. A linear regression revealed that higher levels of screen use at 24-months of age were significantly associated with lower levels of reading at 36 months of age ( I i , -0.10; 95% CI: -0.16, -0.05). [Extracted from the article]

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]

Objective: There is a dearth of Canadian-based literature on children referred to treatment services following maltreatment exposure. In order to inform assessment, intervention, and program development to improve outcomes, insight into the demographics and mental health needs of this population is required., Methods: A retrospective file review of 176 children and youth who were referred for assessment and treatment at a mental health partner agency within a Canadian Child Advocacy Centre was conducted from January 2016 to June 2017. A standardized protocol was developed to extract data on family and child demographic characteristics, type of maltreatment, other adversity exposure, presenting concerns of the child, and mental health service utilization., Results: The majority of children were female (66.5%), 4.5% were 0 to <5 years, 66.5% were 5 to <13 years, and 29.0% were 13 to <18 years of age. More than half of the children (53.4%) had multiple forms of maltreatment, with 67% exposed to sexual abuse. Exposure to other forms of adversity was also common, including domestic violence (53.4%) and parental mental health difficulties (52.3%). Most children had more than five presenting concerns at the time of referral, and most went on to receive intervention services. Sixty-nine percent of families had not previously received child mental health treatment, although 41.5% had prior child welfare involvement. Thirty percent of families ended treatment prematurely., Conclusions: The current study illustrates the complex profile and mental health needs of children referred for treatment following maltreatment exposure. Results may have implications for clinical care improvement that support maltreated children., Competing Interests: Conflicts of interest No conflict of interest to declare., (Copyright © 2021 Canadian Academy of Child and Adolescent Psychiatry.)