Search

Oral class presentations are regularly assigned to adolescents, but often provoke social anxiety, due to the importance of peer approval and need to appraise oneself as normal. Also, little is known about gender differences in girls’ and boys’ interpersonal cognition and appraisals of anxiety and self in anxiety-provoking speech situations. We examined gender differences in interpersonal cognition and appraisals of anxiety in an imagined class presentation scenario in a normative sample of 687 adolescents, 14-16-years-old, from Southwest Finland. Measures included the Classroom Questionnaire of Social Anxiety and Interpersonal Cognition and the Social Anxiety Scale for Adolescents. T-tests examined gender differences in interpersonal cognition, and chi-square tests examined adolescents’ appraisals of the likelihood of their own presentation anxiety and self as anxious. Girls more frequently reported positive, and less frequently reported negative, responses toward the depicted, anxious peer than boys. Also, a higher percentage of girls predicted that becoming anxious in the situation was likely, and non-acceptance of self as anxious was more frequent among girls. Boys predicted negative overt classmate reactions (e.g., laughing) towards the depicted, anxious peer, and towards themselves more frequently than did girls. Results are discussed in the context of gender-specific development and procedures for reducing adolescent social anxiety. publishedVersion

Relationships are at the heart of well-being. Parental self-efficacy emerges as a powerful construct for understanding parenting and parent–child relationships. However, person-centered approaches that allow identification of different family-specific configurations of mothers’ and fathers’ parental self-efficacy and potential within-family discrepancies remain scarce. Families are more than the sums of their parts, and holistic approaches are needed to deepen our understanding of potential family-level accumulation of relationship well-being and vulnerability. A latent profile analysis of 249 families of preadolescents identified four family profiles of parental self-efficacy: (1) low–low, (2) low–average, (3) high–average, and (4) high–high (a mother’s–a father’s parental self-efficacy within the family). We further applied the Mplus auxiliary function to explore what characterizes mothers’, fathers’, and their preadolescents’ intra- and extra-familial relationships within these profiles. Belonging to the balanced low parental self-efficacy family profile was associated with intra- and extra-familial relationship vulnerability: mothers, fathers, and preadolescents reported the highest social and emotional loneliness, parents perceived their family communication as less open, and preadolescents were evaluated as the least prosocial (in parent, teacher, and peer evaluations) and as the most antisocial (in parent evaluations). Mothers’, fathers’, and preadolescents’ intra- and extra-familial relationship well-being was the strongest in high parental self-efficacy family profiles. Promoting parental self-efficacy can be a promising way to enhance all family members’ relationship well-being. Moreover, as loneliness experiences accumulated in the balanced low parental self-efficacy family profile, efforts to tackle preadolescents’ loneliness should acknowledge the well-being of all family members.

Before COVID-19, the previous pandemic was caused by influenza A(H1N1)pdm09 virus in 2009. Identification of factors behind parental decisions to have their child vaccinated against pandemic influenza could be helpful in planning of other pandemic vaccination programmes. We investigated the association of parental socioeconomic and psychosocial factors with uptake of the pandemic influenza vaccine in children in 2009-2010.This study was conducted within a prospective birth-cohort study (STEPS Study), where children born in 2008-2010 are followed from pregnancy to adulthood. Demographic and socioeconomic factors of parents were collected through questionnaires and vaccination data from electronic registers. Before and after the birth of the child, the mother's and father's individual and relational psychosocial well-being, i.e. depressive symptoms, dissatisfaction with the relationship, experienced social and emotional loneliness, and maternal anxiety during pregnancy, were measured by validated questionnaires (BDI-II, RDAS, PRAQ, and UCLA).Of 1020 children aged 6-20 months at the beginning of pandemic influenza vaccinations, 820 (80%) received and 200 (20%) did not receive the vaccine against influenza A(H1N1)pdm09. All measures of parents' psychosocial well-being were similar between vaccinated and non-vaccinated children. Children of younger mothers had a higher risk of not receiving the influenza A(H1N1)pdm09 vaccine than children of older mothers (OR 2.59, 95% CI 1.52-4.43, for mothers 27.7 years compared to ≥ 33.6 years of age). Children of mothers with lower educational level had an increased risk of not receiving the vaccine (OR 1.46, 95% CI 1.00-2.14).Mother's younger age and lower education level were associated with an increased risk for the child not to receive the 2009 pandemic influenza vaccine, but individual or relational psychosocial well-being of parents was not associated with children's vaccination. Our findings suggest that young and poorly educated mothers should receive targeted support in order to promote children's vaccinations during a pandemic.

Parental self-efficacy (PSE), a measure of the subjective competence in the parental role, has been linked with child well-being and health. Research on the influence of PSE on child eating habits is scarce, and the few studies have concentrated on certain food groups, such as vegetables or fruits, and have mostly included only maternal PSE. Thus, the aim of this study was to explore the associations between PSE (separately for mothers and fathers and as a total family-level score) and child diet quality in a cross-sectional and longitudinal study setting. PSE was measured at child ages of 1.5 and 5 years, and diet quality was measured at ages 2 and 5. Participants are from the Steps to Healthy Development (STEPS) Study (n = 270−883). We found that maternal PSE and family level PSE score were associated with child diet quality. Paternal PSE was not, but the dimension Routines was associated with child diet quality. PSE was similarly associated with child diet quality at both age points. Our results suggest that PSE is an important construct in the development of healthy dietary habits in children, and supporting parenting programs aimed at higher PSE could promote healthy diet quality in children.

Aims: Loneliness is an important public health challenge for all ages. This study reports time trends of loneliness among adolescents over a 12-year period and analyses the strength of the associations between loneliness, health complaints, and medicine use. Methods: Data were derived from the cross-sectional Finnish Health Behaviour in School-aged Children study conducted in 2006, 2010, 2014, and 2018. The study population is based on a random sample of schools with 20,444 participants aged 11–15 years. The trends were analysed with a Mantel–Haenszel test, and the strength of the associations was evaluated by mixed-effects logistic and linear regressions. Results: An increasing prevalence in frequent loneliness (2006: 11%; 2018: 15%) was evident over the 12-year study period, especially in girls and 15-year-olds. Among all adolescents, loneliness was associated with a higher risk of recurrent health complaints and medicine use to treat the corresponding health issues, especially nervousness (odds ratio 5.8) and sleeping difficulties (odds ratio 7.6). Conclusions: Adolescence is a period of higher risk of frequent loneliness and associated health complaints. In this study, loneliness was common among adolescence and an increasing trend of loneliness was observed between 2006 and 2018. Also, psychosomatic health complaints and medicine use were strongly associated with loneliness. Persistent loneliness is a significant health risk and failure to resolve loneliness before entering adulthood may imply significant concerns for future well-being.

The association between child temperament characteristics and total diurnal saliva cortisol in 84 children (M = 2.3 years, SD = 0.6) attending out‐of‐home, center‐based child care and 79 children (M = 2.0 years, SD = 0.5) attending at‐home parental care was examined. Saliva samples were collected during two consecutive days, that is, Sunday and Monday, with four samples taken per day. While children higher in surgency had higher total diurnal cortisol production, we did not find evidence that temperament moderated the associations between child‐care context and total diurnal cortisol. Negative affectivity and effortful control were not related to cortisol output. Our findings suggest that temperamental surgency may be associated with higher total cortisol production in early childhood across child‐care settings. [ABSTRACT FROM AUTHOR]

Background The bidirectional relationship between health behavior and subjective well-being has previously been studied sparsely, and mainly for individual health behaviors and regression models. In the present study, we deepen this knowledge focusing on the four principal health behaviors and using structural equation modeling with selected covariates. Methods The follow-up data (n = 11,804) was derived from a population-based random sample of working-age Finns from two waves (2003 and 2012) of the Health and Social Support (HeSSup) postal survey. Structural equation modeling was used to study the cross-sectional, cross-lagged, and longitudinal relationships between the four principal health behaviors and subjective well-being at baseline and after the nine-year follow-up adjusted for age, gender, education, and self-reported diseases. The included health behaviors were physical activity, dietary habits, alcohol consumption, and smoking status. Subjective well-being was measured through four items comprising happiness, interest, and ease in life, and perceived loneliness. Results Bidirectionally, only health behavior in 2003 predicted subjective well-being in 2012, whereas subjective well-being in 2003 did not predict health behavior in 2012. In addition, the cross-sectional interactions in 2003 and in 2012 between health behavior and subjective well-being were statistically significant. The baseline levels predicted their respective followup levels, the effect being stronger in health behavior than in subjective well-being. Conclusion The four principal health behaviors together predict subsequent subjective well-being after an extensive follow-up. Although not particularly strong, the results could still be used for motivation for health behavior change, because of the beneficial effects of health behavior on subjective well-being. CC BY 4.0© 2021 Stenlund et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.sade.stenlund@utu.fi

Previous research suggests that attending non-parental out-of-home childcare is associated with elevated cortisol levels for some children. We aimed to compare diurnal saliva cortisol levels between children having out-of-home, center-based childcare or those having at-home, guardian-supervised childcare in Finland. A total of 213 children, aged 2.1 years (SD = 0.6), were drawn from the ongoing Finnish birth cohort study. Saliva samples were collected over 2 consecutive days (Sunday and Monday), with four samples drawn during each day: 30 min after waking up in the morning, at 10 am, between 2 and 3 pm, and in the evening before sleep. These results suggest that the shapes of the diurnal cortisol profiles were similar in both childcare groups following a typical circadian rhythm. However, the overall cortisol levels were on average 30% higher (95% CI: [9%, 54%], p = .004) with the at-home childcare in comparison with the out-of-home childcare group. Furthermore, a slight increase in the diurnal cortisol pattern was noticed in both groups and in both measurement days during the afternoon. This increase was 27% higher ([2%, 57%], p = .031) in the out-of-home childcare group during the out-of-home childcare day in comparison with the at-home childcare day. The elevated afternoon cortisol levels were partly explained by the afternoon naps, but there were probably other factors as well producing the cortisol rise during the afternoon hours. Further research is needed to define how a child’s individual characteristic as well as their environmental factors associate with cortisol secretion patterns in different caregiving contexts.

Background Prior work has examined the links between pre- and postnatal maternal distress and infant negative affectivity; however, there is little understanding about how the continuity of infant exposure to pre- and postnatal maternal distress relates to infant development. This study investigated the continuity of maternal pre- and postnatal depressive and anxiety symptoms and their relations with infant fear among 391 mother-infant dyads. An additional aim was to consider infant sex as a moderating factor. Methods Maternal anxiety and depressive symptoms were measured during gestational weeks 14, 24 and 34 and 3 and 6 months postpartum. Subsequently, infant fear was measured using mother reports (IBQ-R) at 6 months and in a laboratory setting (Lab-TAB Masks episode) at 8 months. Using growth mixture modeling, a three-class model describing the course of maternal symptoms across pregnancy and the early postnatal period was identified, consisting of mothers with “Consistently Low Distress”, “Prenatal-Only Distress”, and “Consistently High Distress”. Results Infant girls exposed to prenatal-only maternal distress were higher in observed fear than infant boys exposed to prenatal-only distress. Infant girls exposed to consistently high distress also showed lower observed fear than their counterparts exposed to prenatal-only maternal distress. Limitations The main limitation of the study is the relatively small group size within the Consistently High subgroup. Conclusions The findings suggest that girls might be particularly sensitive to maternal distress, and that prenatal-only and continuous distress exposure are differentially related to female infant fear.

Objectives Loneliness and social isolation both increase mortality and are likely to affect health via several pathways. However, information on the potential pathways remains scarce. We investigated the associations between loneliness, social isolation, and mortality, and possible mechanisms underlying these connections. Methods The analyzed data comprised a prospective population-based cohort of Finnish men (42–61 years at baseline, n = 2588) who were followed up for an average of 23.2 years. Mortality data were obtained from the national population register in 2012. Cox proportional hazards analysis with adjustments for possible confounding factors was used to examine the associations between loneliness and social isolation at baseline and all-cause, injury, cancer, and cardiovascular disease (CVD) mortality. Mediation analysis was conducted to investigate the mechanisms underlying the associations of loneliness and social isolation with mortality. Results Loneliness predicted all-cause mortality, even after adjustments for all covariates. Loneliness predicted cancer mortality, except after adjustments for lifestyle variables or Human Population Laboratory (HPL) depression scores, and also predicted CVD mortality, except after adjustments for HPL depression scores. Social isolation predicted all-cause mortality and injury mortality. The effect of social isolation on all-cause mortality was mediated by loneliness and HPL depression scores. Conclusions Our findings suggest that both loneliness and social isolation increase the risk of all-cause mortality, while they have differing effects on different causes of death. Loneliness and depressive symptoms may mediate the effect of social isolation on increased mortality.

AIM Prematurity has been shown to affect social competence in children and adults. Our aim was to evaluate profiles of self-reported social behaviours and loneliness in preterm- and term-born adolescents. METHODS Preterm (≤1500 g and, or

Purpose of the article There is growing interest in loneliness and its various adverse effects on mental and physical health. While depression is one of the adverse health effects associated with loneliness, there have been some limitations in previous studies: 1) Research has mostly been carried out either in depressed patient samples or in general population samples with depressive symptoms as an outcome, 2) the follow-up times have been rather short, and 3) the mechanisms through which loneliness associates with depression are still unclear. Materials and methods We examined the association between loneliness and incident depression and possible mechanisms underlying this association in a population-based sample of middle-aged men (N = 2339; mean age 53; mean follow-up time 23.5 years). The association between loneliness and depression was explored with Cox proportional hazard analysis, and mediation analyses were performed with the PROCESS macro for SPSS. We used 13 health and lifestyle-related variables as covariates for adjustments in multivariate models and as mediators in simple mediation models. Results Those with depression as an outcome (n = 99) had significantly higher loneliness scale scores at baseline, and baseline loneliness was associated with depression, despite adjustments for potential confounding factors. No mediating factors were observed. Conclusions There was a strong direct association between loneliness and the incidence of depression. Based on our results, we encourage future researchers to look for possible mediators in wider range of variables.

Introduction An association between a history of induced abortion and psychological well-being post-abortion has been demonstrated in recently published studies, which is contrary to the findings of existing known high-quality studies. Material and methods An evaluation was conducted to determine whether a history of abortion affected the psychological well-being and parental self-efficacy of first-time mothers and their partners; this assessment was performed when the child was aged 18 months. Questionnaires were administered to 492 first-time mothers, 37 of whom had a history of abortion, and their partners (n = 436). Women with previous miscarriages, ectopic pregnancies, and deliveries were excluded. The women were allocated to an abortion group or a comparison group, depending on each woman's abortion history obtained from medical birth registry data. Psychological well-being, which encompassed social and emotional loneliness, marital satisfaction, social phobia, and depression, was evaluated as a predictor of maternal and paternal self-efficacy within the two groups. The analysis was conducted using multi-group structural equation modeling. Results Induced abortion was not predictive of maternal or paternal well-being or parental self-efficacy. Overall, maternal and paternal psychological well-being was predictive of parental self-efficacy when an assessment was performed, regardless of an abortion history. After testing the invariance of multi-group models, psychological well-being was similarly found to predict parental self-efficacy in both the abortion history and comparison groups. Conclusions These findings suggest that the psychological well-being of parents is an important predictor of maternal and paternal self-efficacy during toddlerhood. Abortion history was not demonstrated to negatively impact the psychological well-being of parents with respect to their capacity for parental self-efficacy.

Objective To identify subgroups of women who differ with respect to self-evaluated stress, hostility, optimism and sense of coherence, and to identify differences, if any, in whether these subgroups use or do not use hormone replacement therapy (HT). Study design and methods This time-trend study is based on the Finnish national HeSSup study, in which nationwide cohorts of Finnish women aged 52–56 years randomly selected in 2000 (n = 1321) and in 2010 (n = 1389) responded to postal questionnaires related to four psychological behavior patterns. Main outcome measures Relationships between psychological behavior patterns (stress, hostility, optimism and sense of coherence) and how menopausal symptoms are experienced and how this relates to the use of HT. Results The proportion of HT users was higher among those with more stress and hostility and less optimism and sense of coherence than among those low in stress and hostility and high in optimism and sense of coherence. Conclusions Differences in psychological behavior patterns influence the perception of menopausal symptoms and the use of HT. When the treatment of women at menopause is planned, psychological behavior patterns should be considered, as these reflect the ability to cope with menopausal symptoms.

We examined the perceptual discrepancy profiles between self- and peers, and self- and teacher evaluations of adolescents' social competence (SC) and the interrelations of these profiles with self-reported depressive symptoms. The participants were 390 Finnish lower secondary school pupils. Latent profile analysis revealed five classes of discrepancy profiles; adolescents with congruent perceptions, quite congruent perceptions, and positively discrepant perceptions of SC reported lower scores of depressive symptoms, whereas those with negatively and extremely positively discrepant perceptions of SC reported the highest scores of depressive symptoms. The larger the discrepancy between self- and others' evaluations of SC were, the more depressive symptoms were reported. The results indicate that interventions designed to mitigate depression need to be tailored to individual needs.

Background The present study examines discrepancies between self- and adult-perceptions of social competence in children with attention deficit-hyperactivity disorder (ADHD), autism spectrum disorders (ASD) and possible co-morbid disruptive behaviour disorders (DBD). Method Self-reported questionnaires were collected from multiple informants at the baseline of a multi-systemic family intervention programme for children (aged 5–12) with ADHD, ASD and possible co-morbid DBD. In total, out of the 154 families eligible for the study, information was received concerning children from 124 families (children n = 121; mothers n = 117; fathers n = 86; teachers n = 97). In addition to this, a comparison community sample of 318 school-aged children (approximately 10 years old) was utilized to examine the perceptions of children's social competence across intervention and population groups in more detail. Results Children's self-perceptions in the prosocial dimension of social competence (i.e. cooperating skills, empathy) did not differ between the intervention and comparison groups. Interestingly, the children in the intervention sample expressed more impulsivity and disruptiveness – the antisocial dimension of social competence – when compared with the children in the comparison sample. Adult ratings demonstrated that mothers, fathers and teachers reported decreased prosocial behaviour and increased antisocial behaviour across overall dimensions and sub-dimensions when compared with adults' ratings of elementary school children. Informant discrepancies between self-ratings and adult ratings across intervention groups yielded significant effect sizes (eta-squared) across all domains of social competence ranging from .09 to .25. Conclusion Children's positive self-ratings of social competence relative to adult ratings increased within intervention sample when compared with population sample. The intervention sample children appeared to acknowledge their social competence deficits, yet self-perceptions were inflated relative to adult ratings when focusing on peer relationship difficulties, particularly, aggression to peers.

Marital distress, parental depression, and weak quality of parental representations are all known risk factors for parent-child relationships. However, the relation between marital distress, depressive symptoms, and parents' prenatal representation is uncertain, especially regarding fathers. The present study aimed to explore how mothers' and fathers' prenatal experience of marital distress and depressive symptoms affects the organization of their prenatal representations in late pregnancy. Participants were 153 pregnant couples from a Finnish follow-up study called "Steps to the Healthy Development and Well-being of Children" (H. Lagstrom et al., ). Marital distress (Revised Dyadic Adjustment Scale; D.M. Busby, C. Christensen, D. Crane, & J. Larson, 1995) and depressive symptoms (Edinburgh Postnatal Depression Scale) were assessed at 20 gestational weeks, and prenatal representations (Working Model of the Child Interview; D. Benoit, K.C.H. Parker, & C.H. Zeanah, 1997; C.H. Zeanah, D. Benoit, M. Barton, & L. Hirshberg, 1996) were assessed between 29 and 32 gestational weeks. The mothers' risks of distorted representations increased significantly when they had at least minor depressive symptoms. Marital distress was associated with the fathers' prenatal representations, although the association was weak; fathers within the marital distress group had less balanced representations. Coexisting marital distress and depressive symptoms were only associated with the mothers' representations; lack of marital distress and depressive symptoms increased the likelihood for mothers to have balanced representations. The results imply that marital distress and depressive symptoms are differently related to the organizations of mothers' and fathers' prenatal representations.

Parental (or parenting) self-efficacy (PSE) has been described as parents' self-referent estimations of their competence in the parental role and as parents' perceptions of their ability to positively influence the behaviors and development of their children (Coleman & Karraker, 1998; Junttila, 2010; Teti & Gelfand, 1991). The expectations of the role of parenting are assumed to be strongly linked with the cultural and family contexts and may therefore be difficult or even impossible to study using measurements developed among other cultural contexts. In this study, we aimed to frame issues related to the measurement of PSE, the developmental pathways of PSE, and individual as well as interparental variables related to PSE. In sum, we focused on measurement validity and reliability, long-term stability, interparental differences, and psychosocial problems related to the PSE of Finnish mothers' and fathers' of toddlers.As Ardelt and Eccles (2001) noted, PSE involves the beliefs parents embrace to influence their children's behaviors and the environment to support their children's development. During toddlerhood and early childhood, these beliefs may include, for example, the parents' sense of competence in supporting the child's emotional needs, promoting structure and discipline through daily routines, and providing opportunities to learn new things. Based on de Montigny and Lacharite's (2005) content analysis of research on perceived parental efficacy, there are four contributors to this phenomenon: "positive enactive mastery experiences, vicarious experiences, verbal persuasion, and an appropriate physiological and affective state" (p. 387). They defined perceived parental efficacy as the "beliefs or judgments a parent holds of their capabilities to organize and execute a set of tasks related to parenting a child" (de Montigny & Lacharite, 2005, p. 387).Research has shown that PSE is a major determinant of competent and influential parenting behaviors and therefore an important element in children's well-being and healthy development (e.g., Sevigny & Loutzenhiser, 2009). Based on a number of previous studies, PSE has an important mediational role in linking distinct parental personal factors, as well as behavioral, coparental, child, and situational factors (Biehle & Mickelson, 2011; Teti & Gelfand, 1991); for example, Junttila, Vauras, and Laakkonen (2007) found PSE to be a mediator between parents' loneliness and their child's social and academic competence in the school environment. Parents with higher PSE are more likely to use adequate parenting strategies, which in turn increase the likelihood that their children will succeed in social, academic, and interpersonal domains (Junttila et al., 2007). Associations between higher levels of PSE and better adjustment and compliance, greater enthusiasm, and low avoidance and negativity among toddlers have also been reported (Coleman & Karraker, 2003).Studies have shown that low PSE seems to be correlated with parental depression, anxiety, defensive and controlling parental strategies, high levels of parental stress, passive coping and feelings of helplessness in the parenting role, and the use of punitive disciplinary techniques (Jones & Prinz, 2005; Salonen et al., 2009; Wernand, Kunseler, Oosterman, Beekman, & Schuengel, 2014). Most of these results were derived from cross-sectional studies. Among studies that have adapted longitudinal data, Wernand et al. (2014) found that during the course of pregnancy, depression, anxiety, and PSE were strongly linked, but only anxiety symptoms predicted later PSE. Jones and Prinz (2005) stated that it was unclear whether PSE functioned consistently as an antecedent or contributor to parental depression, as a consequence of parental depression, or in a transactional relationship with parental depression.Biehle and Michelson (2011) reported an interesting coparent effect of PSE and depression. …

The subjective nature of loneliness poses challenges for valid and reliable assessment methods - what should we ask when we want to evaluate one´s loneliness? Therefore, this study aimed to compare loneliness assessed by different indicators: frequency of loneliness over the last year, number of good friends, satisfaction with existing social relationships, and the short version of the UCLA Loneliness Scale. These indicators were used to study the gender and age-related differences between lonely and non-lonely adults and as predictors for the self-reported consequences of loneliness. The sample consisted of 17,258 Finnish adults aged 30 to 60 years. Based on our results, the number of good friends had less power as an indicator for the self-reported negative consequences of loneliness than did the other indicators (i.e., satisfaction with existing personal relationships and resultant [based on confirmatory factor analysis] social and emotional loneliness factors of the UCLA Loneliness Scale). The importance of identifying loneliness in the prevention of psychosocial and economic issues, substance abuse and eating disorders, and negative consequences on health is discussed. More broadly, based on our results, we find that there is a legitimate reason to consider loneliness as a form of social inequality.

The aim of the study was to assess whether a parent's psychological well-being and/or self-efficacy relate to interaction within the family. This study is part of a Finnish follow-up study called Steps to the Healthy Development and Well-Being of Children (STEPS;). The study group included 120 families. Mother's and father's social anxiety and depression were assessed during pregnancy and at 18 months of the child's age using self-report questionnaires; the mother's and father's self-efficacy were assessed at 18 months using a parental self-efficacy scale validated within the STEPS study. Mother-father-child triadic interaction was studied at 18 months within a Lausanne Triadic Play setting. Results showed that maternal symptoms of depression during pregnancy and maternal social anxiety at 18 months were related to triadic interaction within the family. There was no relation between father's psychological well-being and triadic interaction within the family. Father's self-efficacy in teaching tasks and the Mother's self-efficacy in emotional support were associated with family interaction. The findings suggest that maternal psychological well-being and self-efficacy in emotional support may be important components of family triadic interaction whereas paternal self-efficacy in teaching tasks seems to support family coordination in triadic interaction.

Human milk (HM) contains a wide array of non-nutritive bioactive elements, including glucocorticoid hormones (glucocorticoid; cortisol and cortisone). The relationship between milk-borne glucocorticoids, measures of maternal health and patterns of breast-feeding is not yet established. This study was conducted to determine the influence of maternal and infant related biological and socio-demographic factors on the levels of glucocorticoids hormones in HM.Samples were obtained from lactating mothers (n = 656) participating in the Finnish cohort the STEPS study (Steps to the Healthy Development and Well-being of Children) when the infants were 11.29 (±2.6) weeks of age. Glucocorticoids (both cortisol and cortisone) concentrations were measured using liquid chromatography-tandem mass spectrometry (LC-MS/MS). Maternal demographics, biological and social factors were obtained using hospital records and self-reported diaries and questionnaires.The majority of women reported that they were exclusively breastfeeding at the time of sample donation (51.2%). For all collected samples, cortisone (9.55 ± 3.44 ng/ml) was the predominant hormone and cortisol (7.39 ± 5.97 ng/ml) was present in all samples. Strong and positive correlation was found between cortisol and cortisone (r = 0.60, p=0.0001). Cortisone was statistically different between overweight, normal and underweight women (p = 0.01) for cortisol no difference was seen (p = 0.96). Whilst, preterm birth (born before 37 week gestation) was positively associated with both cortisol (p = 0.04) and cortisone (p = 0.01). There was also a significant but weaker negative relationship between mothers educational status and cortisol (p = 0.05) and no effect was seen for cortisone (p = 0.82). Interestingly, no significant differences was found in glucocorticoid concentrations between exclusive and partial breastfeeding women.HM contains glucocorticoids hormones. The concentrations are influenced by the varying maternal factors including maternal weight, preterm birth and maternal educational status, suggesting the possible role of maternal biological and social influences on milk hormonal composition. Interestingly, there was no influence of feeding patterns on HM glucocorticoids. Further analysis is required to fully explore the relationship with measures of maternal stress, including mother's glucocorticoid status.

Background Loneliness in childhood has a wide range of negative consequences for well-being and mental health later in life. This study reports time-trends in children's loneliness and the association between children's loneliness and psychiatric symptoms over a 24-year period. Methods Information on 3,749 eight-year-old Finnish-speaking children born in 1981, 1991, 1997, and 2004 was gathered at four time points from the area covered by Turku University Hospital in southwest Finland. The actual numbers of participants at these time points were 986 (1989), 891 (1999), 930 (2005), and 942 (2013), with participation rates of 86%–95%. The study design and methods were similar at every time point. Information on children's loneliness and friendships was obtained from the children and also parents and teachers evaluated how many friends children had and their psychiatric symptoms. Results Approximately 20% of the children reported loneliness at each time point, 5% always felt lonely, and 25% wished they had more friends. Conduct and emotional problems, and hyperactivity were independently associated with loneliness in the multiple-regression analysis. The strength of these associations remained at similar levels over the 24-year study period. Living in a nonnuclear family, parents with a lower level of vocational education, and negative life events among the girls in the study were all associated with loneliness. Conclusions Loneliness was a common phenomenon in childhood, and no notable changes were found during the 24-year study period. Psychiatric symptoms were strongly associated with loneliness. It is important to pay attention to children's loneliness and make it an integral part of school health care. Further epidemiological research is needed.

The psychological effects of abortion have been much discussed lately, with recently published studies indicating that induced abortion (IA) may, contrary to the general consensus, be contributing to psychological symptoms post-abortion. Using a cohort of first-time mothers, we assessed the likelihood of them experiencing psychological ill-being at the midpoint of their pregnancy, depending on their IA history. We also examined the psychological symptoms of their partners, the hypothesis being that ill-being in IA-experienced mothers might reflect onto their partners. Altogether 680 future first-time mothers (9.8% of whom had an IA history) and their partners were selected. Most mothers attended their 16 check-ups at maternity health clinics (MHC), where the family's physical and emotional well-being were checked. Several internationally validated questionnaires, which gauged psychological ill-being, were filled in at the 20th week of pregnancy. There were no significant differences between the study and the control group in terms of psychological ill-being during the pregnancy. The contribution of prior IA to psychological ill-being during the next pregnancy seems to be minimal. The availability of IA procedures, intensive MHC services in Finland, as well as this society's neutral attitude towards IA, may be among the reasons why the results are so positive for mothers who have previously undergone one or more IAs.

Background The interrelation between mothers' parental self-efficacy (PSE) and their school-aged children's well-being has been repeatedly proved. The lack of research in this area situates mainly on the absence of fathers, non-existent family-level studies, the paucity of independent evaluators, and the use of global PSE estimates. Aims We aimed to qualitatively identify different subgroups of mothers, fathers, and couples based on their PSE factors. Furthermore, we aimed to study the interrelations between these PSE subgroups and children's school-related social competence evaluated by the children themselves as well as by their peers, teachers, and parents. Sample Sample (n = 981; girls n = 467; boys n = 514) consisted of fourth-grade (mean age, 10 years old) children, their teachers, peers, and parents (mothers n = 876; fathers n = 696). Methods Latent profile analysis was used to identify parents with similar patterns of PSE. The data of mothers and fathers were modelled separately and as a family-level combination. Interrelations between PSE subgroups and children's multisource-evaluated social competence were analysed with group comparisons. Results Separate subgroups of mothers, fathers, and couples were identified and labelled based on their PSE profiles. Subgroups were found to differ among mothers' age and education and children's academic skills. Most of the interrelations between PSE subgroups and children's social competence were statistically significant in a sense that children of parents with strong PSE were evaluated as more prosocial and less antisocial than others. Conclusion Despite new perspectives on parents' PSE estimates and use of behaviour evaluators outside the family system, the interrelation between positive PSE and children's social competence and learning remains strong.

This study examines the relationship between social competence and psychological well-being of adolescents. The role of academic learning disabilities with social competence and psychological well-being was also studied. The sample (n = 412; 207 girls and 205 boys), one complete age group (mean age 15.5 years), was followed from last year of comprehensive school to their first, second and third year of secondary education in a Finnish city. Psychological well-being is related to increased cooperation skills and decreased levels of impulsivity and disruptiveness. Furthermore, cooperation skills predict the third year psychological well-being, when the strong influence of psychological well-being in the first year was controlled for. Academic learning disabilities (reading and mathematical difficulties) were related neither with psychological well-being nor social competence.

The aim of this study was to examine the existence of the intergenerational transmission of loneliness between parents and children, including an examination of its stability and of gender differences. The study consisted of an evaluation of loneliness in mothers (n= 834), fathers (n= 661) and their 10-year-old children (n= 981). Parent's self-reported loneliness was measured once, and their children's social and emotional loneliness were assessed at three time-points. The stability analysis indicated average stability in children's loneliness, especially their social loneliness. Boys were found to experience more emotional loneliness than girls. Structural equation modeling indicated no direct relationship between mothers'/fathers' loneliness and their children's loneliness. However, mothers' and fathers' loneliness reduced their daughters' peer-evaluated cooperating skills, which consequently predicted higher levels of both social and emotional loneliness.

This study explored the parenting self-efficacy of the parents of 18-month-old children in the context of Finnish maternity and child health clinics. This parenting self-efficacy was observed in relation with the relational continuity of care and parents' experienced loneliness and depressive symptoms. The relational continuity of care was provided by a public health nurse in maternity and child health clinics. The participating parents were drawn from the STEPS study that is being carried out by the Institute for Child and Youth Research at the University of Turku. The results showed that relational continuity of care provided by the same public health nurse in the maternity and child health clinics was associated with mothers' higher emotional loneliness and with lower scores on three dimensions of parents' parenting self-efficacy. Loneliness and depressive symptoms negatively influenced parents' parenting self-efficacy - however, in the case where the family had experienced relational continuity of care, the parents' higher levels of depressive symptoms had not weakened their parenting self-efficacy beliefs. These results are discussed in terms of organizing maternity and child health clinic services.

A latent variable structural model was constructed to test the relations among mothers’ and fathers’ parenting self-efficacy (PSE), their loneliness, and their child’s peer-evaluated social competence, self-evaluated loneliness, teacher-evaluated motivational orientation, and academic skills. In order to do this, first the Self-Efficacy for Parenting Tasks Index (Coleman & Karraker, 2000) was applied to a sample of mothers (n=876) and fathers (n=696) to test the relevance of these parenting task categories to Finnish mothers and fathers. The results of the latent variable structural model indicated a strong relationship between both mothers’ and fathers’ loneliness and their PSE, consisting of Nurturance, Discipline, Recreation, and Participation factors. Moreover, there was a modest relationship between parents’ PSE and their child’s social competence and consequently between social competence and child’s loneliness. The relationship between PSE and child’s academic achievement were mediated via child’s social competence.

Introduction This study explored the effects of mothers' and fathers' prenatal and postnatal depressive symptoms and marital distress on breastfeeding initiation and exclusive breastfeeding (EBF) duration. Material and methods This was a prospective follow-up of a cohort sample of 873 families participating to an intensive follow-up cohort of longitudinal Steps to the Healthy Development and Well-being of Children study (The STEPS study) in Southwestern Finland. The depressive symptoms were evaluated by The Edinburgh Postpartum Depression Scale and marital distress by the Revised Dyadic Adjustment Scale at 20th gestational week and at 4 months postpartum. EBF was self-reported real-time and defined as an infant receiving no food or drink other than mother's breast milk since birth, except occasionally water. Results Neither parents' prenatal depressive symptoms predicted breastfeeding initiation or EBF duration. The mothers' prenatal depressive symptoms, in turn, predicted their postnatal depressive symptoms, which were associated with shorter duration of EBF. The EBF duration was shortest amongst the mothers who had depressive symptoms both pre- and postnatally compared to mothers who had depressive symptoms only in either time point alone (M = 1.54, 2.06 and 2.04 months, respectively). Higher prenatal maternal marital distress was associated with longer EBF duration. Conclusions The findings suggest that the continuity of maternal depressive symptoms throughout the perinatal period has adverse effect on EBF duration. Identification and treatment of mothers' depressive symptoms already during the prenatal period may improve breastfeeding practices. The finding of mothers' marital distress having positive impact on breastfeeding practices requires further investigation.

Marital distress, parental depression, and weak quality of parental representations are all known risk factors for parent-child relationships. However, the relation between marital distress, depressive symptoms, and parents' prenatal representation is uncertain, especially regarding fathers. The present study aimed to explore how mothers' and fathers' prenatal experience of marital distress and depressive symptoms affects the organization of their prenatal representations in late pregnancy. Participants were 153 pregnant couples from a Finnish follow-up study called "Steps to the Healthy Development and Well-being of Children" (H. Lagström et al., ). Marital distress (Revised Dyadic Adjustment Scale; D.M. Busby, C. Christensen, D. Crane,J. Larson, 1995) and depressive symptoms (Edinburgh Postnatal Depression Scale) were assessed at 20 gestational weeks, and prenatal representations (Working Model of the Child Interview; D. Benoit, K.C.H. Parker,C.H. Zeanah, 1997; C.H. Zeanah, D. Benoit, M. Barton,L. Hirshberg, 1996) were assessed between 29 and 32 gestational weeks. The mothers' risks of distorted representations increased significantly when they had at least minor depressive symptoms. Marital distress was associated with the fathers' prenatal representations, although the association was weak; fathers within the marital distress group had less balanced representations. Coexisting marital distress and depressive symptoms were only associated with the mothers' representations; lack of marital distress and depressive symptoms increased the likelihood for mothers to have balanced representations. The results imply that marital distress and depressive symptoms are differently related to the organizations of mothers' and fathers' prenatal representations.

Contains fulltext : 56709.pdf (Publisher’s version ) (Closed access) The Multisource Assessment of Social Competence Scale was developed, based on the School Social Behavior Scale and examined to test the factor pattern and the consistency of the ratings of self, peers, teachers, and parents. The findings of the confirmatory factor analysis supported a four-factor solution consistent with two main dimensions (prosocial and antisocial), each divided into two subdimensions (cooperating skills, empathy, impulsivity, and disruptiveness). The resultant model was cross-validated with a new sample. The fit indexes implied that the factor patterns were invariant for the two samples. The correlations between the four social agents were statistically significant, albeit quite low, indicating that the different sources tend to provide divergent pictures of a child's social competence. Statistically significant differences in social competence were found between educational settings and between genders.

Background An association between maternal prenatal stress and increased rates of respiratory tract infections in the offspring has been described earlier. Data regarding the father’s role is lacking. In this study our aim was to evaluate, whether mothers’ and fathers’ depressive symptoms and loneliness during pregnancy predict higher rates of respiratory tract infections in the offspring. Methods In this longitudinal cohort study we gathered information on parental psychological risk during gestational week 20 using the BDI-II and UCLA loneliness scale questionnaires for the parents of 929 children. Loneliness was divided into social and emotional components, the former describing patterns of social isolation and the latter a perceived lack of intimate attachments. Episodes of acute otitis media, physician visits due to respiratory tract infections, and antibiotic consumption relating to respiratory tract infections were documented in the infants, excluding twins, from birth until 10 months of age using study diaries. Analyses were carried out by structural equation modeling, which provides dynamic estimates of covariances. Results Maternal depressive symptoms during pregnancy predicted higher rates of acute otitis media in the infant and maternal emotional loneliness predicted higher rates of physician visits. Acute otitis media, physician visits and antibiotic consumption in the infant were slightly less frequent for families who reported social loneliness in the father or mother. Associations remained when taking into account confounders. Conclusions Maternal prenatal depression and emotional loneliness predicted a higher burden of respiratory tract infections in the offspring. The protective influence of parental social loneliness on the burden of respiratory tract infections in infants was not in line with our study hypothesis, but could be explained by reduced use of healthcare services in these socially isolated families.

Our aim was to study the inter-correlations and developmental pathways of mothers' and fathers' social and emotional loneliness during pregnancy (20th pregnancy week), infancy (child aged 8 months), and early childhood (child aged 18 months). Moreover, we aimed to study whether mothers and fathers who have different developmental profiles (identified by latent growth curve mixture models) differ in their experiences of marital dissatisfaction (RDAS), social phobia (SPIN) and depression (BDI) during pregnancy. Both mothers' social and emotional loneliness and fathers' social and emotional loneliness were highly stable, and within individuals these loneliness factors were strongly correlated. However, the correlations between mothers' loneliness experiences and fathers' loneliness experiences were weaker than expected. Separate latent growth curve groups were identified, which differed in feelings of marital dissatisfaction, social phobia, and depression. These groupings revealed that the higher the loneliness was, the more the parents experience these other psychosocial problems.

The aim of this study was to investigate symptoms of social anxiety and the psychometric properties of the Social Anxiety Scale for Adolescents (SAS-A) among Finnish adolescents, 13–16 years of age. Study 1 (n = 867) examined the distribution of SAS-A scores according to gender and age, and the internal consistency and factor structure of the SAS-A. In a subsample (n = 563; Study 2) concurrent and discriminant validity of the SAS-A were examined relative to the Social Phobia Inventory and the Beck Depression Inventory. Test–retest stability was examined over a 30-month period by repeated measures every 6 months in another subsample (n = 377; Study 3). Results mostly revealed no gender differences in social anxiety, except that boys reported more general social avoidance and distress than girls. Older adolescents (14–16-year-olds) reported higher social anxiety than younger adolescents (12–13-year-olds). Internal consistency for the SAS-A was acceptable for both genders and for all three SAS-A subscales. Confirmatory factor analysis replicated the original 18-item three-factor structure of the SAS-A, accounting for 61% of the variance between items. Evidence for concurrent and discriminant validity was found. Test–retest stability over 6 months was satisfactory. Results support the reliability and validity of the Finnish adaptation of the SAS-A, and further indicate that gender differences in adolescents’ social anxiety may vary across Western countries.

Journal for educational research online 4 (2012) 1, S. 73-98, The aim is to present the psychometric properties of a multisource scale measuring children’s and adolescents’ self-, peer-, and teacher-evaluated social competence and, further, to study whether these evaluations predict later psychosocial ill-being consisting of loneliness, social anxiety, and social phobia. Sample 1 consisted of 318 Finnish elementary school children, who in the beginning were fourth graders (approximately 10 years old). Sample 2 consisted of 191 adolescents who in the beginning were seventh graders (approximately 13 years old) in lower secondary school. The self, peer and teacher ratings of the participants’ social competence were collected in the fourth and seventh grades. Further, their loneliness, social anxiety, and social phobia were evaluated a year later, i.e., in the fifth and eighth grades. The factor structure of the scales was validated with separate CFA models and the consistency between the raters evaluated with Pearson correlations. Based on the results of structural equation modeling, children’s negative self-images of their pro- and antisocial behaviour during fourth grade predicted higher levels of loneliness and social anxiety during fifth grade. On the other hand, for lower secondary school adolescents, the peer and teacher ratings of adolescents’ social competence during the seventh grade predicted loneliness, social anxiety, and social phobia during eighth grade. The importance of recognizing the early signs of possible problems in children’s and adolescents’ socio-emotional well-being, before the onset of more sever psychosocial problems, is discussed. (DIPF/Orig.), Ziel dieses Beitrags ist die Darstellung von psychometrischen Eigenschaften einer Skala zur mehrperspektivischen Messung sozialer Kompetenz von Kindern und Jugendlichen, die von deren Lehrern und Peers sowie von den Teilnehmern selbst beurteilt wurde. Ein weiteres Ziel des Beitrags ist die Untersuchung, ob diese Beurteilungen späteres psychosoziales Unwohlsein (Einsamkeit, soziale Ängstlichkeit und soziale Phobie) vorhersagen können. Stichprobe 1 bestand aus 318 finnischen Viertklässlern (etwa 10 Jahre alt) und Stichprobe 2 aus 191 finnischen Schülern der Sekundarstufe I (Jahrgangsstufe 7, etwa 13 Jahre alt). Die Selbst-, Peer- und Lehrerbeurteilungen der sozialen Kompetenz der Teilnehmer wurden in der vierten bzw. siebten Jahrgangsstufe erhoben. Einsamkeit, soziale Ängstlichkeit und soziale Phobie wurden ein Jahr später erhoben (in der fünften bzw. achten Jahrgangsstufe). Die Faktorstruktur der Skalen wurde mit separaten Modellen der konfirmatorischen Faktorenanalyse validiert und Pearson-Korrelationen zur Beurteilung der Konsistenz zwischen den Einschätzungen der „Rater“ berechnet. Ergebnisse von Strukturgleichungsmodellierungen zeigen, dass die negativen Selbstwahrnehmungen der Grundschüler hinsichtlich ihres pro- und antisozialen Verhaltens in Jahrgangsstufe 4 einen höheren Grad an Einsamkeit und sozialer Ängstlichkeit in Jahrgangsstufe 5 vorhersagen. Demgegenüber zeigen die Analysen für die Sekundarschüler, dass die Beurteilungen durch Peers und Lehrer in Jahrgangsstufe 7 Einsamkeit, soziale Ängstlichkeit und soziale Phobien in Jahrgangsstufe 8 vorhersagen. Abschließend wird die Bedeutung des Erkennens von Anzeichen möglicher Probleme hinsichtlich des sozio-emotionalen Wohlbefindens von Kindern und Jugendlichen zu einem frühen Zeitpunkt – noch bevor schwerwiegendere psychosoziale Probleme einsetzen - diskutiert. (DIPF/Orig.)