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Comorbid psychiatric presentations, defined as those who present with more than one mental and/or behavioral health diagnosis at the same time, during adolescence are on the rise. Mindfulness-based interventions can alleviate psychological symptoms and improve emotion regulation in youth. Mindfulness is a multifaceted phenomenon, with five underlying facets (Observing, Describing, Acting with Awareness, Non-Judgment and Non-Reactivity of Inner Experience). Little evidence has documented which facets produce pronounced psychiatric symptom reduction for adolescents. This pilot study examined the efficacy of an online mindfulness-based intervention delivered to adolescents undergoing mental health treatment during COVID-19 to reduce psychiatric outcomes. Fifty-six adolescents (m = 14.5 years, 66.1% female) categorized as moderate-risk (treatment histories of outpatient therapy only) or high-risk (treatment histories with intensive service participation) participated in the 8-session mindfulness-based intervention. Significant reductions in psychiatric symptoms and increases in adaptive coping strategies were observed at post-test, particularly for those at moderate-risk. Multivariate stepwise regression found significant associations between mindfulness facet use and anxiety, depression, and somatic symptoms (R2 ranging from 42.5 to 52.8%). Results indicate preliminary efficacy for an online mindfulness-based intervention for adolescents, particularly those at moderate-risk, due to the introduction of new coping skills, given their history of less intense treatment. Further investigation is warranted to understand which mindfulness facet intervention components produce the most prominent outcomes. Highlights: Preliminary efficacy for an online MBI for adolescents deemed moderate- and high-risk (outpatient only versus outpatient plus intensive care). Significant reduction in psychiatric symptoms and increases in adaptive coping strategies observed at post-test. Pre-test mindfulness facet use explained 42.5–52.8% of the variance in anxiety, depression and somatic symptoms. [ABSTRACT FROM AUTHOR]

Objectives: The current project examines parenting style and common psychological stressors specific to parenting behavior reported among parents of an adolescent with chronic pain. Parents provide crucial pragmatic and emotional supports for adolescents' engagement in healthcare behaviors and may also experience significant emotional distress around caring for adolescents with chronic pain. Families coping with pediatric chronic health conditions often report more negative family dynamics, characterized by simultaneously unresponsive and demanding parenting behaviors, than families with healthy children. Methods: Participating parents completed the "Parents as Coping Coaches (PaCC)," 3-session, group intervention developed to directly support parent individual needs and parenting behavior. Results: Findings suggest that parent participation in the newly developed PaCC intervention was significantly related to reductions in parenting experiences associated with caring for the adolescent and parent-reported authoritarian parenting style. Conclusions: Significant differences seen pre- to post-intervention suggest that parent experiences and parenting behaviors are amenable intervention targets. [ABSTRACT FROM AUTHOR]

Emotion regulation is a complex process that begins in infancy and continues through childhood with parents' support. Early parent-child interactions shape the way children learn emotion management. We took a sociocultural and social learning approach to exploring the specific components of mother-child interactions that are related to mothers' perceptions of her child's regulatory ability and the child's observed emotion regulation. Thirty mothers and their preschool children were recruited from two New England urban areas: one community sample and one head start sample. Dyads engaged in a free play session, children completed an observed compliance task, and mothers completed a set of questionnaires assessing their perceptions of their child's regulation. Regression analyses revealed that maternal behaviors during free play predicted child's observed hostility ( F = 3.137, p < .05) and mothers' perceptions of her child's regulatory ability predicted observed child compliance ( F = 4.990, p < .05). Child behaviors during play significantly predicted child's compliance ( F = 4.722, p < .05) and child's hostility ( F = 9.220, p < .001). Maternal modeling and intentional scaffolding as well as perceptions of her child's regulatory capacity have a powerful impact on her child's observed regulation. Results indicate that it is particularly important for mothers of preschoolers to support autonomy while guiding socially appropriate behavior. Interventions that target improving mothers' negative perceptions of their children, educating on appropriate preschool expectations, and facilitating preschoolers' mature play may help mothers interact with their children in the ways that foster children's autonomous emotion regulation. [ABSTRACT FROM AUTHOR]

Delay of gratification in young children has been linked to long-term behavioral and academic outcomes. This study explored temperament, personality, and child-parent attachment as possible associates of delay ability. The sample consisted of 50 2- and 3-year-old children and their primary caregivers. Two laboratory tasks, the Preschool Strange Situation and the newly created Gift Delay Task, were conducted on separate occasions to assess child-parent attachment and delay of gratification, respectively. Parents and preschool teachers completed child temperament (EASI-III) and personality (California Child Q-Set) questionnaires. Based on the award-oriented behavior in the Gift Delay Task, children were classified into three groups: Delay (20 %), Touch and Go (i.e., approached the gift, but demonstrated some delay ability; 46 %), and Non Delay (34 %). Reports on activity, impulsivity, decision time, negative emotionality, over-control, and affect were found to be associated with delay ability. The association between child-parent attachment and delay was not statistically significant, but an interesting trend emerged. A larger percentage of Non Delayers were rated as Insecure-Ambivalent ('C'), and more Delayers were rated as Securely attached ('B'). Implications for behavioral interventions focused on parental support and scaffolding are discussed. [ABSTRACT FROM AUTHOR]

Delay of gratification in young children has been linked to long-term behavioral and academic outcomes. This study explored parent behavior during a laboratory paradigm as possible associates of delay ability. The sample consisted of 50 two- and three-year-old children and their primary caregivers. A newly created laboratory task, the gift delay task, was conducted to assess delay of gratification. Additionally, parents completed a child temperament (EASI-III) questionnaire. Based on the award-oriented behavior in the gift delay task, children were classified into three groups: delay (20 %), touch and go (i.e., approached the gift, but demonstrated some delay ability; 46 %), and non delay (34 %). Likewise, parents were classified into three groups: non-directive (parents did not initiate any interactions, but may have participated in child-led activity), active (parents initiated interaction with the child no more than 3 times), and very active (parents initiated 4 or more interactions with the child). Significant differences in emotionality and impulsivity were found between the 3 groups of children; additionally, significant differences in delay ability were found based on parent classifications suggesting that there is an optimal level of involvement on part of the parent that helps the child to wait, but beyond this point, involvement may be detrimental to a successful delay outcome. Implications for behavioral interventions focused on parental support and scaffolding are discussed. [ABSTRACT FROM AUTHOR]

Recent estimates of Shaken Baby Syndrome awareness suggest that approximately half of all American adults have not heard of the often devastating risks of shaking an infant. Using a sample of 288 undergraduate students, we developed a measure of attitudes around infant care practices. A total of 264 community participants completed a revised survey. Between-group comparisons, exploratory factor analyses, and internal consistency tests were employed to determine the directionality and reliability of any scale structure present in the data. A five factor structure fits the data reliably, and each of these factors seems to represent a unique dimension. Implications for using this measure clinically and preventatively are discussed. [ABSTRACT FROM AUTHOR]