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The way children experience a medical visit lays the groundwork for their health education and fosters trust and comfort in healthcare relationships. This study employed a retrospective and narrative-based design to analyze how children perceived their experiences of visits to their doctor, how they describe their emotions, and how they portray the different relationships within the doctor-caregiver-patient triad. Three hundred fifty students (50.75% female, 8–13 years, Mage = 10.5, SD = 5.93, 77.95% from primary school) completed a booklet comprising different narrative activities. The booklet underwent quantitative content analysis according to gender and school level. Children reported that the doctors primarily addressed their caregivers when asking for and delivering health-related information, while their role was mostly passive. Meeting with friendly doctors and being in a welcoming environment were associated with a positive medical experience, while negative emotions and encounters with unsympathetic practitioners contributed to negative experiences. Most respondents wanted to talk privately with their doctors at their next visit. Some examples and practices are discussed to enable healthcare practitioners to create an environment where children are heard and valued, and their involvement during consultation processes is enhanced. [ABSTRACT FROM AUTHOR]

Children with high Callous-Unemotional (CU) traits show deficits in recognizing and processing facial expressions. Alterations in emotion recognition have been linked to a higher synaptic concentration of monoaminergic neurotransmitters. The current study investigated the relationship between the MAOA-Low-activity alleles and the ability to recognize and process facial expressions in 97 male children (8–12 years old) diagnosed with disruptive behavior disorder. Participants completed a computerized emotion-recognition task while an eye-tracking system recorded the number (Fixation Count, FC) and length (Fixation Duration, FD) of fixations to the eye region of the emotional stimuli. Children with high CU traits exhibited lower scores in recognition of sadness and anger, and lower FC and FD for sadness and fear than children with low CU traits. Children carrying the MAOA-Low-activity alleles displayed lower FD for sadness, and FD and FC for fear than those carrying the MAOA-High-activity alleles. These genetic effects appeared even stronger in children with CU traits. Moderation analysis revealed that CU traits were associated with lower FC and FD for fear, and lower FD for sadness, probably due to the MAOA-Low-activity alleles. Our findings, although to be replicated, suggest MAOA-Low-activity alleles as potential genetic biomarkers to identify CU children in need of training focused on emotion processing. [ABSTRACT FROM AUTHOR]

Parent‐centered emotion socialization beliefs that children should manage their emotions on their own without parent support may seem convenient for parents but may actually relate to greater parenting stress if this approach is incompatible with children's developmental needs. We explored relations between mothers' and fathers' parent‐centered autonomy beliefs about children's emotions and their parenting stress, controlling for child behavior problems and parent education. We also examined whether these associations varied depending on child age. Participants included 142 mothers and 60 paired fathers with a 5‐ to 8‐year‐old child who completed survey measures on parenting and child behavior. The sample was primarily White (59%) or Hispanic (20%) and low (44%) to middle income (47%). Path analyses revealed significant actor effects, such that mothers and fathers who endorsed more parent‐centered emotion socialization beliefs reported greater parenting stress. Partner effects showed that mothers also reported greater parenting stress when their partners endorsed more parent‐centered emotion socialization beliefs. Child age did not moderate these associations. Findings are discussed in terms of developmentally appropriate parenting expectations, gender roles for family emotion work, and practical implications. [ABSTRACT FROM AUTHOR]

Exposure to high levels of stress during pregnancy is a known risk factor for a wide range of offspring outcomes, but little is known about the biopsychosocial factors underlying resilience and recovery from stress during pregnancy. The current study investigated associations between emotional and instrumental support during pregnancy and resilience to stress during pregnancy, including perceived resilience (belief in ability to "bounce back" from adversity) and physiological resilience (ability to physiologically recover quickly after an acute stressor). We further tested whether support and resilience during pregnancy predicted offspring internalizing and externalizing behaviors. Participants included 130 pregnant women (ages 26–28 years; 58% Black, 27% White, 15% Multiracial; 28% receiving public assistance) from a population-based longitudinal study. During pregnancy, participants reported on emotional and instrumental support, current life stressors, and perceived resilience to stress. In addition, heart rate variability was recorded continuously before, during, and after a controlled stress test to measure physiological recovery from stressors. When offspring were 2–3 years of age, mothers reported on children's internalizing and externalizing problems. Results from moderated mediation analyses indicated that emotional, but not instrumental, support was associated with perceived resilience during pregnancy, which predicted lower internalizing and externalizing problems in offspring. Emotional support also predicted greater physiological recovery during pregnancy, but only for individuals reporting multiple life stressors. Findings suggest that emotional support may influence psychological and physiological responses to stress during pregnancy, with implications for offspring emotional and behavioral health. Clinical implications of these results and directions for future research are discussed. Public Significance Statement: This study investigated the role of emotional and instrumental support in promoting resilience to stress during pregnancy. Findings suggest that emotional support may positively influence a person's ability to "bounce back" and recover from life stressors during pregnancy, which may have protective effects for children's early emotional and behavioral development. These results highlight the importance of providing accessible care and emotional support to pregnant people to help mitigate the intergenerational effects of stress and promote positive outcomes for parents and their children. [ABSTRACT FROM AUTHOR]

The communication of emotion is dynamic and occurs across multiple channels, such as facial expression and tone of voice. When cues are in conflict, interpreting emotion can become challenging. Here, we examined the effects of incongruent emotional cues on toddlers' interpretation of emotions. We presented 33 children (22–26 months, Mage = 23.8 months, 15 female) with side‐by‐side images of faces along with sentences spoken in a tone of voice that conflicted with semantic content. One of the two faces matched the emotional tone of the audio, whereas the other matched the semantic content. For both congruent and incongruent trials, toddlers showed no overall looking preference to either type of face stimuli. However, during the second exposure to the sentences of incongruent trials, older children tended to look longer to the face matching semantic content when listening to happy vs. angry content. Results inform our understanding of the early development of complex emotion understanding. [ABSTRACT FROM AUTHOR]

A growing body of research reveals a connection between maternal incarceration and various child development outcomes. Even so, little is known about how the timing of maternal incarceration may shape the social–emotional development of young children and the role of maternal mental health in mediating this association. Using a sample of 1097 mothers (18–52 years old, 47.6% white) and children (aged 12–48 months) receiving home visiting services in Wisconsin, this study examined the intergenerational effect of incarceration before a child's birth on child social–emotional development, and whether this association was mediated by maternal mental health. While incarceration prior to a child's birth was not directly associated with child social–emotional outcomes, path analysis revealed an indirect association between mother's incarceration prior to a child's birth and child social–emotional problems through maternal mental health problems. Findings suggest that formerly incarcerated mothers may experience long-lasting mental health concerns that can undermine child social–emotional development. To optimize outcomes, practitioners may consider services that address the mental health, social support, and instrumental needs of mothers and children who have been impacted by mass incarceration. [ABSTRACT FROM AUTHOR]

Many children with developmental language disorder (DLD) have emotion recognition and regulation difficulties, but there are currently no known interventions enhancing emotional awareness in this population. This study explores the impact of parents' perspectives regarding children with DLD emotional understanding through a parent-led online emotion recognition (ER) intervention. Ten parents of children with DLD aged 6–11 participated in the study. A nonconcurrent multiple baseline design was employed, allowing for a rigorous analysis of changes in parental beliefs over time. Weekly data were collected through the Parents' Beliefs About Children's Emotions Questionnaire. Interviews were also conducted to gain deeper insights into parents' perceptions regarding the ER skills of their children. Results indicated that parents' beliefs about the need for guiding and supporting their child's ER skills increased over the intervention. Interviews also supported this, and three main themes were generated. The intervention program increased parents' awareness of (a) the importance of ER for children with DLD, (b) emotion-focused communication and engagement with their child, and (c) the integration of emotions into daily life. This study is the first known study that explores parents' beliefs about children with DLD ER skills, highlighting the importance of supporting parents through accessible interventions. [ABSTRACT FROM AUTHOR]

Background: Healthy siblings of children with life-limiting conditions often experience emotional and behavioural struggles over the course of the ill child's condition(s). Resources to support these siblings are limited due to a lack of understanding about their needs. Therefore, this study was designed to characterize the emotional and behavioural trajectories among siblings of children with progressive, life-limiting genetic, metabolic, or neurological conditions over a 12-month observation period. Methods: Seventy siblings were recruited from a large-survey based study (Charting the Territory) that examined the bio-psychosocial health outcomes of parents and siblings. Linear mixed effect models were used to assess the association between siblings' emotions and behaviour trajectories and selected demographic variables. Siblings' emotions and behaviour were measured with Child Behaviour Checklist (CBCL). Results: Siblings' mean age was 11.2 years at baseline and Internalizing, Externalizing, and Total Behaviour Problems mean scores were within normal ranges across time. However, 7–25% of siblings had scores within the clinical range. Brothers had higher levels of Internalizing Problems than sisters, whereas sisters had higher levels of Externalizing Problems than brothers. When treatment was first sought for the ill child less than a year prior to study participation, siblings had higher levels of Internalizing and Externalizing Problems compared with siblings who participated more than one year after treatment was sought. Conclusion: Healthy siblings experience emotional and behavioural problems early in the child's disease trajectory. Although these problems improve with time, our findings show that brothers and sisters experience different types of challenges. Therefore, timely support for siblings is important as they navigate through the uncertainties and challenges. [ABSTRACT FROM AUTHOR]

Recent changes to diagnostic criteria for serious conduct problems in children and adolescents have included the presence of elevated callous-unemotional traits to define etiologically and clinically important subgroups of youth with a conduct problem diagnosis. The Clinical Assessment of Prosocial Emotions (CAPE) is an intensive assessment of the symptoms of this limited prosocial emotions specifier that uses a structured professional judgment method of scoring, which may make it useful in clinical settings when diagnoses may require more information than that provided by behavior rating scales. The present study adds to the limited tests of the CAPE's reliability and validity, using a sample of clinic-referred children ages 6–17 years of age, who were all administered the CAPE by trained clinicians. The mean age of the sample was 10.13 years (SD = 2.64); 54% of the sample identified as male and 46% identified as female; and 67% of participants identified as White, 29% identified as Black, and 52% identified as another race/ethnicity (i.e., Asian, Hispanic/Latinx, or other). The findings indicated that CAPE scores demonstrated strong interrater reliability. The scores also were associated with measures of conduct problems and aggression, even when controlling for behavior ratings of callous-unemotional traits. Further, when children with conduct problem diagnoses were divided into groups based on the presence of the limited prosocial emotions specifier from the CAPE, the subgroup with the specifier showed more severe conduct problems and aggression. The results support cautious clinical use of the CAPE, its further development and testing, and research into ways to make its use feasible in many clinical settings. Public Significance Statement: This study tests the reliability and validity of the Clinical Assessment of Prosocial Emotions, a comprehensive diagnostic assessment of the limited prosocial emotions specifier for conduct disorder. The authors found that the Clinical Assessment of Prosocial Emotions is a reliable and valid tool that adds valuable information not captured in other measures of limited prosocial emotions. [ABSTRACT FROM AUTHOR]

Purpose: Foster care children are a highly vulnerable population and their experiences in care are considered crucial to their developmental and psychosocial wellbeing. Placement instability has been considered a possible risk factor for developmental difficulties due to its impact on the development of a reparative attachment relationship and sense of relational permanence. The current review synthesises the literature regarding the impact of placement instability on behavioural and mental health outcomes in foster care children. Three major databases and grey literature sources were searched for all relevant quantitative research published by July 2019. Titles and abstracts of 2419 articles were screened following searches, with full texts obtained for 51 studies and 14 included in the final review. All were subject to quality assessment by two independent reviewers. Results indicated that placement instability was a consistent predictor of externalising behaviour in children, although some evidence was counter-indicative in this regard. There was also evidence to suggest a relationship with internalising behaviours, and mental health difficulties, in particular PTSD symptoms. Methodological quality and design varied between studies which limited direct comparisons. Most notably, there was a lack of consensus on how to quantify and measure placement instability and many studies failed to control for potentially confounding care-related variables. The review highlights that instability seems to result in negative psychological outcomes, although the extent of this relationship remains unclear. The review's findings are discussed with reference to research and clinical implications. [ABSTRACT FROM AUTHOR]

In light of ongoing global military conflicts, including the Israel-Hamas war and the Russia-Ukraine war, it is imperative to study the effects of parental military service and deployment on the health and well-being of children within military families. Emerging evidence suggests that children with a parent in service appear to face unique developmental challenges associated with the military lifestyle, which differ from those experienced by civilian children. However, there is currently limited systematic research that compares the developmental outcomes of children with serving parents to their civilian peers. Therefore, the aim of this review is to synthesize existing literature on the behavioral, social, emotional, and educational functioning of children with currently serving parents in defense forces, in comparison to their civilian counterparts. This rapid systematic review was conducted in accordance with the Joanna Briggs Institute methodology framework, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and Cochrane Rapid Review methodological recommendations The following databases were searched: Medline, PsycINFO, CINAHL, and Cochrane Central Register of Controlled Trials. Relevant online databases were searched from February 2012 to 2022 to examine the contemporary literature. Fourteen identified published quantitative studies were identified. No qualitative studies were found, and no study reported on academic outcomes. Despite considerable sample heterogeneity across studies, military children of all ages appear to be a particularly vulnerable population. Findings suggest that children in military families experience substantially higher risk for negative psychological, social, and behavioral health outcomes than their civilian counterparts, with parental deployment increasing risk across all developmental stages (i.e., early, middle, and late childhood). Among these age groups, adolescents of currently serving members showed highest risk, particularly concerning suicidal ideation and suicidal behaviors. Implications are discussed in terms of early detection, preventative interventions, and support services for families and children with a serving parent. PROSPERO registration: CRD42022313999. Highlights: Children in families with a serving parent are more likely to experience behavioral and psychosocial concerns than children in civilian families. These adverse outcomes persist across early, middle, and late childhood. Children of deployed military parents of all ages experienced higher rates of internalizing and externalizing presentations relative to their civilian and non-deployed military peers. Adolescent offspring of currently serving military members showed highest psychosocial risk compared to children in early and middle childhood, including suicidal ideation and suicidal behaviors. There is a lack of evidence comparing the educational outcomes of military and civilian children at all childhood developmental epochs. [ABSTRACT FROM AUTHOR]

General-population research on child development in low- and middle-income countries is needed to explore and contextualize caregiver factors. This study evaluates caregiver parenting stress and child social-emotional and motor development among preschool-aged children (42–72 months) among 1222 caregiver-child pairs in São Paulo, Brazil. We investigated associations between parenting stress and child social-emotional development (measured via the Ages and Stages Questionnaire: Social Emotional, Second Edition [ASQ:SE-2]) and motor development (measured via the Motor Development Scale [MDS]), examining potential effect modification of these relationships by parenting social support. Data were analyzed using ordinary least squares regression with inverse probability weights to account for sampling design. Higher parenting stress was associated with delayed child development, indicated by a positive relationship with ASQ:SE-2 scores (higher scores indicating delayed social-emotional development), and a negative relationship with MDS scores (lower scores indicating delayed motor development). Caregiver social support acted as an effect modifier on the relationship between parenting stress and social-emotional development, strengthening the deleterious effect of parenting stress among caregivers with low social support. These results provide insight regarding modifiable caregiver-level factors that may be leveraged to improve child social-emotional development. Future research is needed to elucidate causal mechanisms and clarify relationships between caregiver factors and child motor development. Highlights: There is a paucity of data on how caregiver factors may shape child development in settings beyond Europe and North America. We used data from a population-based study in urban Brazil to explore relationships between caregiver parenting stress and child development. Secondarily, we tested whether caregiver social support acted as an effect modifier in these relationships. Parenting stress was associated with delays in both social-emotional and motor development. These findings contribute to the evidence base and point to the need for further, longitudinal research. [ABSTRACT FROM AUTHOR]

Copyright of Portuguese Journal of Mental Health Nursing / Revista Portuguesa de Enfermagem de Saúde Mental is the property of Portuguese Society of Mental Health Nursing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The progress of developmental research demands reliable measurement techniques, yet inconsistency persist across laboratories, subfields, and settings. To address this, the NIH Toolbox for Neurological and Behavioral Function (NIHTB)® has been extended to create a universal assessment for developmental and pediatric communities: The NIH Infant and Toddler ("Baby") Toolbox. Currently undergoing norming in a sample of 2550 children demographically representative of the 2020 U.S. census, the Baby Toolbox is slated for release in late 2024. This paper introduces the Baby Toolbox, details its objectives, development, and technological innovations, describes plans for reliability and norming, and invites researchers to consider the Baby Toolbox in the future studies. Ultimately, this initiative stands to enhance cross‐study comparability and advance comprehensive developmental evaluation. [ABSTRACT FROM AUTHOR]

We investigated whether child temperament (negative emotionality, 5 months) moderated the association between maternal stimulation (5 months–2½ years) and academic readiness and achievement (vocabulary, mathematics, and reading). We applied structural equation modeling to the data from the Quebec Longitudinal Study of Child Development (N = 1121–1448; mostly Whites; 47% girls). Compared to children with low negative emotionality, those with high negative emotionality had higher levels of academic readiness (6 years) and mathematics achievement (7 years) when exposed to high levels of maternal stimulation (β = 3.17, p <.01 and β = 2.91, p <.01, respectively). The results support the differential susceptibility model whereby highly emotionally negative children were more susceptible to the influences of low and high levels of maternal stimulation in academic readiness and mathematics achievement's developments. [ABSTRACT FROM AUTHOR]

Children recognise the praiseworthiness of others' moral actions from quite a young age. The work we propose here focuses on whether and how children's judgements of moral praiseworthiness may be affected by cost incurred by the agents. Recent work has revealed developmental changes in how children consider physical and psychological costs in their judgements of moral praiseworthiness. However, this question has only been examined among US children, and little is known about how much the findings can be generalised across cultures. In this article, we examine the consideration of different types of costs (psychological, physical) in moral evaluation by children in China, and compare to the US data. We choose to study children in China not only because it is a non‐WEIRD culture, but also because recent work has suggested that there are cultural differences between the US and China in terms of how children conceptualise desire inhibition and self‐control. This research will have implications for research on children's moral cognition across cultures. [ABSTRACT FROM AUTHOR]

Time pressures make brevity important for parent self-report measures, yet evidence highlights the multi-faceted nature of parenting and contextual influences. To straddle these competing goals, we developed a brief (23-item) yet broad Index of Parental Activities, Context, and Experiences (I-PACE) aimed at parents of toddlers and pre-schoolers. In two studies we assessed the validity and reliability of the I-PACE. Study 1 involved 870 caregivers (95% female, 75% with degrees, 90% White British) and examined I-PACE ratings alongside; (a) ratings of children's social-emotional skills and behavior problems; and (b) child age and parental depressive symptoms, to assess its sensitivity to contrasts in child development and parental experience. Study 2 included 191 families with 14-month-olds, for whom 188 mothers and 178 fathers completed the I-PACE and an index of life satisfaction. Supporting the replicability of findings from the I-PACE, both studies showed the same differentiated 5-factor structure (i.e., parental experiences, parenting activities, home environment quality, neighborhood environment quality and childcare environment quality). Supporting the I-PACE's validity, Study 1 showed that all 5 factors were independently related to both children's social-emotional skills and behavior problems, with predicted associations with child age and parental depressive symptoms. Supporting the I-PACE's inter-rater reliability, within-couple associations were significant for parenting activities, home environment, neighborhood quality and childcare quality. Together, these findings indicate that the I-PACE offers a broad yet brief index of early parenting with good psychometric properties and we discuss promising avenues for future research. Highlights: The new Index of Parental Activities Context and Experiences (I-PACE) showed promising psychometric properties. The I-PACE measure captures the multi-faceted nature of parenting. I-PACE subscales were associated with both child social and emotional skills and behavioural problems. Mother and father reports on the I-PACE are equivalent. [ABSTRACT FROM AUTHOR]

Research has indicated that youths with CU traits are fearless, and this fearlessness plays a bidirectional role in both the development of CU traits and engagement in aggressive behavior. However, research specifically testing the role of fear in the association between CU traits and aggression is scarce. The goal of the current study was to test if fear reactivity, both conscious (self-report) and automatic (skin conductance reactivity; SCR), moderated the association between CU traits and aggression subtypes (reactive and proactive aggression). Participants included 161 adolescents (Mage = 15 years) diagnosed with conduct disorder. CU traits were assessed using the self-report Inventory of Callous–Unemotional Traits. Conscious and automatic fear reactivity were measured during a virtual reality rollercoaster using the Self-Assessment Manikin and skin conductance reactivity (SCR), respectively. Hierarchical regressions found that high fear reactivity on SCR moderated the link between CU traits and reactive aggression, while feeling more excited during fear induction moderated the link between CU traits and proactive aggression. Overall, a possible explanation of our divergent findings between conscious and automatic fear may be the difference between the instinctual biological response to threat versus the cognitive and emotional appraisal and experience of threat. Implications for intervention strategies targeting emotional recognition and regulation in reducing aggression in CD populations are discussed. [ABSTRACT FROM AUTHOR]

This retrospective study sought to determine (a) whether physical proximity to interparental conflict in childhood moderates the link between frequency of exposure to interparental conflict and subsequent levels of resilience in adulthood and (b) whether retrospective perceptions of parent–child relations and insecurity mediate the link between interparental conflict and resilient development. A total of 963 French students aged 18–25 years were assessed. Our study showed that the children's physical proximity to interparental conflict is a major long-term risk factor for their subsequent development and their retrospective perceptions of parent–child relations. [ABSTRACT FROM AUTHOR]

Objectives: To examine the impact of displacement experiences on 0- to 6-year-old children's social-emotional and cognitive development, as well as influencing factors on reported outcomes. Study design: We systematically searched MEDline, Psyndex, Cochrane Library, Web of Science, Elsevier, TandF, Oxford Journal of Refugee Studies, Journal of Immigrant & Refugee Studies, and Canada's Journal on Refugees for existing literature regarding social-emotional and cognitive outcomes in children directly exposed to forced displacement due to political violence. Results were synthesized in the discussion and displayed using harvest plots. Results: Our search generated 9,791 articles of which 32 were selected for review and evaluation according to NICE criteria. Included studies provided results for 6,878 forcibly displaced children. Measured outcomes were diverse and included areas such as peer relations, prosocial behavior, family functioning, play, intelligence, learning performance, and language development. Repeated exposure to adverse experiences, separation from parents, parental distress, as well as duration and quality of resettlement in the host country were reported as influencing factors in the reviewed studies. Conclusion: As protective factors like secure and stable living conditions help to promote children's development, we call for policies that enhance participation in the welcoming society for refugee families. Early integration with low-threshold access to health and educational facilities can help to mitigate the wide-ranging negative consequences of forced displacement on young children's development. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to examine patterns of mother–father coparenting relationship quality and their associations with child empathy, emotional insecurity, and behavior problems in families with low income. Background: Given the growing number of nonmarital births and the high risk of relationship dissolution among cohabiting couples living with low income, it is important to examine the coparenting relationships among racially diverse unmarried couples from low‐income contexts. To date, little research has assessed patterns of coparenting relationships and their associations with child socioemotional outcomes among this population. Methods: Participants were 4,266 unmarried couples and their preschool‐aged children from the Building Strong Families study. Latent profile analysis (LPA) was conducted. Results: LPA of survey data from mothers and fathers revealed four coparenting patterns: Profile 1: low quality, more negative maternal coparenting perceptions (7.2%); Profile 2: moderate‐high quality, high congruence, slightly more negative paternal coparenting perceptions (25.2%); Profile 3: low congruence, severely more negative maternal coparenting perceptions (11.8%); and Profile 4: mutual high‐quality coparenting (55.8%). Conclusion: Children of parents with the mutual high‐quality coparenting profile had the most positive outcomes according to maternal reports of child socioemotional development. Highly congruent and positive perceptions of the other parent as a coparent were found to be significant promotive factors for positive child socioemotional development. Implications: Family strengthening policies and programs for unmarried couples with low income should target and support the development of mutually satisfying, high‐quality coparenting relationships, with the ultimate goal to improve developmental outcomes for young children in such families. [ABSTRACT FROM AUTHOR]

The present study employed two key dynamic indicators (i.e., inertia and instability) to the psychophysiological research of child emotion regulation (ER) and examined whether respiratory sinus arrhythmia (RSA) dynamics were associated with child ER during a stress task. Eighty‐nine Chinese school‐age children (Mage = 8.77 years, SD = 1.80 years; 46.1% girls) and their primary caregivers participated in the study. After controlling for RSA static reactivity, multiple regression analyses indicated that lower RSA inertia was related to fewer in‐task negative emotions rated by children and their caregivers, and higher RSA instability was associated with better child trait ER. This study introduces physiological indicators of the dynamic aspects of parasympathetic activity to the study of child ER. [ABSTRACT FROM AUTHOR]

This study examined different sources of emotion socialization. Children (N = 256, 115 girls, 129 boys, 12 child gender not reported) and parents (62% White, 9% Black, 19% Hispanic, 3% Asian American, and 7% "Other") were recruited from Denver, Colorado. In waves 1 (Mage = 2.45 years, SD = 0.26) and 2 (Mage = 3.51 years, SD = 0.26), parents and children discussed wordless images of children experiencing an emotion (e.g., sad after dropping ice cream). Children's emotion knowledge was assessed at waves 2 and 3 (Mage = 4.48 years, SD = 0.26). Structural equation modeling found concurrent and prospective relations between parents' questions, parents' emotion talk, children's emotion talk, and children's emotion knowledge, highlighting the multidimensional nature of early emotion socialization. [ABSTRACT FROM AUTHOR]

This study evaluated the interrater reliability, convergent and divergent validity, incremental validity, and clinical prognostic utility of the Clinical Assessment of Prosocial Emotions (CAPE; Frick, 2013) for assessing limited prosocial emotions (LPE). Participants were 232 young children (Mage = 3.94 years, SD = 1.46, range = 2–8; 74.6% boys) clinic-referred for conduct problems. We scored the CAPE using binary and dimensional scoring approaches and measured outcomes using parent-report and child laboratory measures. CAPE LPE symptom ratings had good interrater reliability. Children diagnosed with pretreatment LPE had more severe externalizing problems and lower empathy than children without LPE but did not differ in emotion recognition accuracy or anxiety. Dimensional CAPE symptom sum scores were associated with criterion variable scores in expected ways and offered incremental validity beyond scores on the parent-report Inventory of Callous-Unemotional Traits for predicting conduct problem severity, aggression, empathy deficits, and global emotion recognition accuracy. Among children who completed parent management training (n = 44), those diagnosed with LPE ended treatment with more severe aggressive behavior than those without LPE. Overall, children diagnosed with CAPE LPE have severe externalizing problems and achieve reduced benefits from standard parent management training, supporting the need for tailored and intensive interventions to maximize treatment outcomes. Public Significance Statement: Limited prosocial emotions (LPE) diagnosed using the Clinical Assessment of Prosocial Emotions (CAPE) identifies young clinic-referred children between 2 and 8 years old with more severe externalizing problems that do not normalize with traditional forms of parent management training, supporting the need for tailored and intensive interventions to maximize outcomes. [ABSTRACT FROM AUTHOR]

A considerable body of literature takes a deficit perspective and shows that children who experience a parental separation have more disadvantages than children who live in a two-biological-parent family. This article argues that not all children respond identically to their parents' separation, and examines whether there are heterogeneous effects based on parent-child relationship quality. We expect that having a good relationship with the resident parent can buffer the potentially negative effects of parental separation on a child's well-being. Using longitudinal data from waves 2 to 13 (2009/2010 – 2020/2021) of the German Family Panel pairfam, we estimate fixed-effects models based on a sample of 2,057 children aged 7 to 15, 99 of whom experienced the separation of their parents. We find that children who had a high level of conflict with the resident parent had significantly more emotional problems after parental separation, whereas children who had few conflicts with the resident parent had significantly fewer emotional problems after separation. Similarly, we find that only children in a parent-child dyad with a low level of intimate disclosure had more behavioral problems after parental separation than before. [ABSTRACT FROM AUTHOR]

This longitudinal study investigated the pathways from childhood socioemotional characteristics and cognitive skills to health behaviours in midlife. Methods: Participants in the Jyväskylä Longitudinal Study of Personality and Social Development (JYLS) were followed from age 8 (n = 369) to age 50 (n = 271). Outcomes included physical activity, smoking, alcohol consumption and body mass index (BMI) assessed at ages 36, 42 and 50. Predictors were socioemotional characteristics (behavioural activity, negative emotionality, and well-controlled behaviour) and parents' occupational status collected at age 8, cognitive skills (school success at age 14 and the highest education at age 27) and adulthood personality traits (extraversion, neuroticism and conscientiousness). Longitudinal path modelling was used for analyses. Results: Well-controlled behaviour and extraversion predicted physical activity in women. Behavioural activity predicted alcohol consumption in women and smoking in men. Negative emotionality was not directly connected to health behaviours. Adulthood neuroticism was associated with smoking in men and with alcohol-related problems in both men and women. There were some indirect paths from childhood socioemotional characteristics to midlife health behaviours through cognitive skills. None of the study variables predicted midlife BMI. Conclusions: Childhood socioemotional characteristics have some predictive value on midlife health behaviours, both directly and through cognitive skills. Supplemental data for this article is available online at https://doi.org/10.1080/08870446.2022.2041639. [ABSTRACT FROM AUTHOR]

Natural disasters, including earthquakes, can have a traumatic impact on children's psychological wellbeing and development. The efficacy of interventions aimed at enhancing children's socio‐emotional learning has been documented in the literature. At the same time, these techniques are the key for training children for possible future disasters by enhancing their knowledge about behavioural preparedness and emotional competence. However, research on evidence‐based training programs on earthquakes combining digital and traditional activities is scarce. We tested the efficacy of a 10‐unit training program for primary school children, developed within the Emotional Prevention and Earthquakes in Primary School (PrEmT) project. The program aimed at increasing knowledge of and metacognition about earthquakes, safety behaviours, emotions, and coping strategies, through digital (using the web‐application HEMOT®, Helmet for EMOTions, developed ad‐hoc) and traditional activities (completing paper‐and‐pencil tasks). The participants were 548 second and fourth‐graders from Italian schools. They were divided into an experimental group (participating in the training program) and a control group. Both groups participated in pretests and posttests to evaluate changes in their knowledge of training‐related contents. For ethical reasons, we also measured children's wellbeing. Generalized linear mixed models indicated an improvement in the experimental group's knowledge and metacognition about earthquakes, safety behaviours, emotions, and coping strategies after the training program, compared to the control group. Children's general wellbeing did not deteriorate during participation in the project. The results documented the efficacy of the evidence‐based training program developed within the PrEmT project. The program provides a preventive method for enhancing earthquake‐related resilience that could be generalized to other kinds of disasters. [ABSTRACT FROM AUTHOR]

Protective parenting behaviors (e.g., overinvolvement) and symptoms of anxiety have been independently linked to poor peer relationships in youth. However, it is likely that the relationship between these factors is more complex. We hypothesized that child anxiety would be inversely associated with peer relationships and that this relationship would be stronger in the context of high parental overinvolvement. Data were collected from 92 parents, and a simple moderation analysis was conducted, controlling for youth externalizing symptoms. Externalizing symptoms significantly influenced the overall model; however, no other variables were significantly related to peer relationships. Conclusions, limitations, and future directions are discussed. [ABSTRACT FROM AUTHOR]

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Emotional and behavioural self‐regulation emerges during infancy and toddlerhood and is heavily influenced by parenting. Parents facilitate toddlers' behavioural regulation (e.g., compliance) by using appropriate control with warmth and managing children's emotional reactivity during situational demands. In contrast, power assertive discipline may strain children's regulatory skills, for example by evoking toddlers' negative affect. However, we have more to learn about how discipline relates to toddlers' self‐regulation in the moment and whether concurrent displays of parental warmth may moderate these relations. Mother–toddler dyads (N = 74, Mage = 13.30 months) from low‐to‐middle income Turkish families participated in a 3‐min laboratory task, in which toddlers needed to delay playing with an attractive toy. Maternal discipline, warmth, toddler's emotional reactivity, and noncompliance were coded from observations. Results showed that higher power assertive discipline was associated with more frequent emotional reactivity in toddlers whose mothers' showed warmth during the <84% of the task duration. Maternal warmth was negatively associated with child noncompliance, but warmth did not interact with power assertive discipline in relation to noncompliance. Results suggest that observed power assertive discipline is meaningfully related to toddlers' emotional reactivity and higher levels of expressed maternal warmth attenuates these relations. [ABSTRACT FROM AUTHOR]

Few studies have investigated the relationship between parents' beliefs about children's emotions and children's social skills. Fewer studies have addressed this association and its underlying mechanisms while obtaining data from both parents. In this context, the present study explores the mediating role of parents' emotion regulation in the association between parents' beliefs about children's emotions and children's social skills. The participants were 90 parental dyads (N = 180) with typically developing preschool children. They completed self-report scales regarding parents' beliefs about their children's emotions, parents' emotion regulation, and children's social skills. The data were analyzed using the common fate mediation model (CFM with mediation). The results indicate that only parents' cognitive reappraisal mediates the relationship between their emotion-related beliefs and their children's social skills. Specifically, parental beliefs about "children's anger is valuable" and "children use their emotions to manipulate others" are directly and negatively associated with children's social skills, and indirectly through the parents' cognitive reappraisal. Future intervention programs should focus on restructuring parents' beliefs and their ability to regulate emotions. [ABSTRACT FROM AUTHOR]

Self‐conscious emotions arise from evaluating the self through the eyes of others. Given that children with autistic traits may experience difficulties with understanding others' minds, they might show less attuned self‐conscious emotions. Two‐to‐five‐year‐old children's (N = 98, Mage = 48.54 months, 50% girls, 92% White) self‐conscious emotions (guilt, embarrassment, and shame‐like avoidance) were observed after children "broke" the experimenter's favorite toy. Data were collected from March 2018 till June 2019. Children with more autistic traits showed less theory of mind (ToM), and more shame‐like avoidance, but associations were not mediated by ToM. This provides initial evidence that children with more autistic traits may show disturbances in some but not all self‐conscious emotions, which could hinder their social functioning. [ABSTRACT FROM AUTHOR]

This study investigated emotion transmission among peers during middle childhood. Participants included 202 children (111 males; race: 58% African American, 20% European American, 16% Mixed race, 1% Asian American, and 5% Other; ethnicity: 23% Latino(a) and 77% Not Latino(a); Mincome = $42,183, SDincome = $43,889; Mage = 9.49; English‐speaking; from urban and suburban areas of a mid‐Atlantic state in the United States). Groups of four same‐sex children interacted in round‐robin dyads in 5‐min tasks during 2015–2017. Emotions (happy, sad, angry, anxious, and neutral) were coded and represented as percentages of 30‐s intervals. Analyses assessed whether children's emotion expression in one interval predicted change in partners' emotion expression in the next interval. Findings suggested: (a) escalation of positive and negative emotion [children's positive (negative) emotion predicts an increase in partners' positive (negative) emotion], and (b) de‐escalation of positive and negative emotion (children's neutral emotion predicts a decrease in partners' positive or negative emotion). Importantly, de‐escalation involved children's display of neutral emotion and not oppositely valenced emotion. [ABSTRACT FROM AUTHOR]

Linking classroom quality to separate domains of child development might neglect the transactional interactions across developmental domains. This research utilized latent profiles across academic and social–emotional development to explore which aspects of classroom quality can predict children's profiles at the classroom level. Data were drawn from 96 preschool classrooms and 547 children (3–5 years old) in China in 2020. Multilevel latent profile analysis identified three profiles (entitled low‐, average‐ and high‐level development at the individual level), and two classes (entitled average and below‐, average and above) at the classroom level. Multinominal logistic regression analyses revealed that instructional quality in math, science, and diversity, and the interactional quality in supporting children's learning and critical thinking, predicted children's profiles. [ABSTRACT FROM AUTHOR]

Human body postures provide perceptual cues that can be used to discriminate and recognize emotions. It was previously found that 7‐months‐olds' fixation patterns discriminated fear from other emotion body expressions but it is not clear whether they also process the emotional content of those expressions. The emotional content of visual stimuli can increase arousal level resulting in pupil dilations. To provide evidence that infants also process the emotional content of expressions, we analyzed variations in pupil in response to emotion stimuli. Forty‐eight 7‐months‐old infants viewed adult body postures expressing anger, fear, happiness and neutral expressions, while their pupil size was measured. There was a significant emotion effect between 1040 and 1640 ms after image onset, when fear elicited larger pupil dilations than neutral expressions. A similar trend was found for anger expressions. Our results suggest that infants have increased arousal to negative‐valence body expressions. Thus, in combination with previous fixation results, the pupil data show that infants as young as 7‐months can perceptually discriminate static body expressions and process the emotional content of those expressions. The results extend information about infant processing of emotion expressions conveyed through other means (e.g., faces). [ABSTRACT FROM AUTHOR]

Play has important developmental benefits for young children that may be hindered or helped by their own emotional experience during play with others, such as parents, siblings, or peers. Our goal was to explore and examine the intersection of social interaction during play with temperament (i.e., social inhibition and negative emotionality) and age in connection with changes in emotional experience. Participants included 57 families with a child aged 3–5 years (46% female, M = 4.02 years, SD = 0.90) observed over 5 min using Ecological Momentary Assessment techniques. Results indicated that, in general, playing with parents and peers was linked to increases in positive emotions during play. Particularly when play partners were parents or peers, results demonstrated that positive emotions were moderated by social inhibition. Further, older children tended to display more negative emotion when not playing with a parent or a peer. The results of this study suggest that emotional experiences, particularly in the context of temperament and age, depend on the child's play partner. Highlights: Play partners can influence the emotional experience for children. Our study found that when children played with a parent or a peer, there was a significant increase in the child's positive emotion the following minute. However, unlike positive emotion, there was no significant relationship between who the child played with and the child's experience of negative emotions. Socially inhibited children experienced more positive emotions when playing with siblings, while non-socially inhibited children experienced significantly more positive emotions when playing with peers. [ABSTRACT FROM AUTHOR]

In this study, we adopted parenting styles as a multidimensional and latent construct that includes different aspects of parenting, rather than solely focusing on a single parenting style. In a Web-based survey with 1203 Greek parents, we identified parenting styles and their SDQ reports on their children. According to our results by Latent Profile Analysis, we must use a more complex approach concerning parenting styles. We identified a "Highly Authoritative style" profile with high levels of authoritative, low levels of authoritarian and middle levels of permissive parenting styles. We additionally identified a profile called "Relaxed Authoritative style", with still high but lower levels of authoritative style, low but slightly heightened levels of authoritarian style, and middle levels of permissive style. A further profile, named "Permissive Focused Authoritative style", had a mix of high levels of authoritative, moderate levels of permissive, and elevated levels of authoritarian parenting styles. Finally, in a profile named "Inconsistent Parenting style", we identified parents with a blend of still high, but the lowest of all four levels of authoritative and highest levels of permissive and authoritarian parenting styles. When combining the four identified parenting patterns with the SDQ results, we identified the "highly authoritative parenting style" profile to be the least connected to internalizing or externalizing problems of the respective children. [ABSTRACT FROM AUTHOR]

Children grow up in homes where varying environmental and socioeconomic contexts have a bearing on their emotional and behavioral health (EBH). This study used data from a representative sample of the child supplement of the US National Health Information Survey (NHIS) and applied the social determinants of health (SDoH) framework to explore factors associated with child EBH. We conducted a path analysis of the child's EBH measured by the strengths and difficulties questionnaire (SDQ) from their macro and socioeconomic contexts, e.g., policy, household, and other health system risk factors. For children in the sample, aged 4 to 17 years old (n = 9205), most path relationships to child SDQ scores were statistically significant. The total effects from a child's visit to a mental health specialist (0.28) and child's age (0.22) had the highest coefficients to child SDQ scores. A modified model showed a better fit with X2 (4) = 22.124, RMSEA = 0.021, and 90% CI [0.013–0.03], CFI = 0.98. Findings indicate that child factors such as being older, the use of mental healthcare services, and family socioeconomic status were significantly associated with EBH, calling attention to the need for more responsive policy and behavioral health interventions that address household/familial and child-level factors, critical determinants of child wellbeing. [ABSTRACT FROM AUTHOR]

Background. Children with cancer are subjected to aggressive tests and treatments that can affect their emotional states. Studies available in the academic literature analyse the effect of music therapy on the emotions of these patients are scarce. Objectives. The objective of this study was to explore and transform the emotional responses that may arise with the application of music therapy (MT) in children with oncological pathology. Methods. The methodology of this study was based on the participatory action research approach. Semistructured interviews were conducted with 27 children with cancer who participated in 65MT sessions. Interviews were also conducted with their families. Results. We conducted a thematic analysis using MAXQDA software. Three main categories emerged from this process as follows: (1) expression: children with cancer stated that MT made it easier for them to express their emotions, with indirect benefits to families; (2) participation: patients showed interest in the sessions; and (3) experiences: MT was valued and created a positive environment. The results of this research demonstrate the positive transformative power MT had on children with cancer in terms of their emotions. Conclusions. Positive results were achieved through MT that encouraged the expression of emotions by children with cancer and favoured and improved their moods. In addition, it also encouraged social interactions in the hospital and helped the children to better cope with their illness through self-awareness. Their families also benefited. Therefore, we encourage healthcare professionals to support the use of MT in paediatric oncology settings. [ABSTRACT FROM AUTHOR]

Background: It is unknown how the patterns of negative and positive attentional biases in children predict fear of COVID-19, anxiety symptoms, and depression symptoms during the COVID-19 pandemic. The study identified profiles of negative and positive attentional biases in children and examined their association with emotional symptoms during the COVID-19 pandemic. Method: 264 children (girls: 53.8% and boys: 46.2%) of 9–10 years born in Hong Kong or mainland China from a primary school in Shenzhen, People's Republic of China were involved in a two-wave longitudinal study. Children completed the COVID-19 Fear Scale, the Revised Child Anxiety and Depression Scale, and the Attention to Positive and Negative Information Scale to measure fear of COVID-19, anxiety and depression symptoms, and negative and positive attentional biases in classrooms. After six months, they completed the second assessment of fear of COVID-19, anxiety symptoms, and depression symptoms in classrooms. Latent profile analysis was conducted to reveal distinct profiles of attentional biases in children. A series of repeated MANOVA was performed to examine the association of profiles of attentional biases to fear of COVID-19, anxiety symptoms, and depression symptoms across 6 months. Results: Three profiles of negative and positive attentional biases were revealed in children. Children with a "moderate positive and high negative attentional biases" profile had significantly higher fear of the COVID-19 pandemic, anxiety symptoms, and depression symptoms than children with a "high positive and moderate negative attentional biases" profile. Children with a "low positive and negative attentional biases" profile were not significantly different in fear of COVID-19, anxiety symptoms, and depression symptoms than those with the other two profiles. Conclusions: Patterns of negative and positive attentional biases were related to emotional symptoms during the COVID-19 pandemic. It might be important to consider children's overall patterns of negative and positive attentional biases to identify children at risk of higher emotional symptoms. [ABSTRACT FROM AUTHOR]

A growing body of research indicates that children of formerly deployed soldiers are at risk of experiencing negative outcomes, but studies are lacking in terms of the exploration of children's emotions from their own perspective. This article is based on qualitative interviews with 26 children (age 7–20) from 19 Danish families with formerly deployed fathers. The children's emotions are complex and ambiguous. While deployment leads to a distanced relationship between children and their fathers, following it, some form a close relationship following deployment. However, other children become responsible for maintaining their relationship with their father, altering the generational order. [ABSTRACT FROM AUTHOR]

Background: Although autism and callous‐unemotional (CU) traits are distinct conditions, both are associated with difficulties in emotion recognition. However, it is unknown whether the emotion recognition difficulties characteristic of autism and CU traits are driven by comparable underpinning mechanisms. Methods: We tested whether cueing to the eyes improved emotion recognition in relation to autistic and CU traits in a heterogeneous sample of children enhanced for social, emotional and behavioural difficulties. Participants were 171 (n = 75 male) children aged 10–16 years with and without a diagnosis of autism (n = 99 autistic), who completed assessments of emotion recognition with and without cueing to the eyes. Parents completed the assessment of autistic and CU traits. Results: Associations between autistic and CU traits and emotion recognition accuracy were dependent upon gaze cueing. CU traits were associated with an overall decrease in emotion recognition in the uncued condition, but better fear recognition when cued to the eyes. Conversely, autistic traits were associated with decreased emotion recognition in the cued condition only, and no interactions between autistic traits and emotion were found. Conclusions: The differential effect of cueing to the eyes in autistic and CU traits suggests different mechanisms underpin emotion recognition abilities. Results suggest interventions designed to promote looking to the eyes may be beneficial for children with CU traits, but not for children with autistic characteristics. Future developmental studies of autism and CU characteristics are required to better understand how different pathways lead to overlapping socio‐cognitive profiles. [ABSTRACT FROM AUTHOR]

In a growing body of literature, poor sleep quality has been associated with externalizing problems. In adults, anxiety was found to mediate the relationship, and callous-unemotional (CU) traits were found to moderate it. We sought to examine these relationships in a child population. We examined these relationships in 239 clinic-referred youth (age 6–17) in Singapore with externalizing behavior problems. Parent- but not child-rated sleep problems were associated with increased parent-rated externalizing problems. This association was partially mediated by anxiety. Unlike in adults, CU traits did not moderate the relationship. Sleep problems were associated with externalizing problems regardless of the level of CU traits. It is possible externalizing behaviors may lead children to internalize experiences, leading to anxiety about their behaviors. Another possibility is externalizing behaviors may lead to more stressful life experiences due to negative reactions children with externalizing behaviors receive from parents, teachers, or peers. Regardless, the partial mediation found indicates anxiety may be an important factor to consider in future interventions focused on improving sleep as a means to reduce externalizing problems. [ABSTRACT FROM AUTHOR]

Background: Theories of the intergenerational transmission of depression emphasize alterations in emotion processing among offspring of depressed mothers as a key risk mechanism, raising questions about biological processes contributing to these alterations. The objective of this systematic annual research review was to examine and integrate studies of the associations between maternal depression diagnoses and offspring's emotion processing from birth through adolescence across biological measures including autonomic psychophysiology, electroencephalography (EEG), magnetoencephalography (MEG), event‐related potentials (ERP), and structural and functional magnetic resonance imaging (MRI). Methods: The review was conducted in accordance with the PRISMA 2020 standards. A systematic search was conducted in PsycInfo and PubMed in 2022 for studies that included, 1) mothers with and without DSM‐defined depressive disorders assessed via a clinical or diagnostic interview, and 2) measures of offspring emotion processing assessed at the psychophysiological or neural level between birth and 18 years of age. Results: Findings from 64 studies indicated that young offspring of mothers with depression histories exhibit heightened corticolimbic activation to negative emotional stimuli, reduced left frontal brain activation, and reduced ERP and mesocorticolimbic responses to reward cues compared to offspring of never‐depressed mothers. Further, activation of resting‐state networks involved in affective processing differentiate offspring of depressed relative to nondepressed mothers. Some of these alterations were only apparent among youth of depressed mothers exposed to negative environmental contexts or exhibiting current emotional problems. Further, some of these patterns were observable in infancy, reflecting very early emerging vulnerabilities. Conclusions: This systematic review provides evidence that maternal depression is associated with alterations in emotion processing across several biological units of analysis in offspring. We present a preliminary conceptual model of the role of deficient emotion processing in pathways from maternal depression to offspring psychopathology and discuss future research avenues addressing limitations of the existing research and clinical implications. Read the Commentary on this article at doi: 10.1111/jcpp.13769. [ABSTRACT FROM AUTHOR]

The quantity and quality of environmental stimuli and contexts are crucial for children's development. Following the outbreak of SARS-CoV-2 (COVID-19), restrictive measures have been implemented, constraining children's social lives and changing their daily routines. To date, there is a lack of research assessing the long-lasting impacts that these changes have had on children's language and emotional–behavioral development. In a large sample of preschoolers (N = 677), we investigated (a) the long-lasting effects of changes in family and social life and in daily activities over the first Italian nationwide COVID-19-pandemic-related lockdown upon children's linguistic and emotional–behavioral profiles and (b) how children's demographic variables and lifelong family characteristics moderated these associations within a multiple-moderator framework. Our findings showed a relationship between the time spent watching TV/playing video games and affective problems that was moderated by the number of siblings. Our findings showed that children who could be at high risk in more normal circumstances, such as only children, have been particularly harmed. Therefore, assessing the long-term effects of lockdown-related measures and how these could have been moderated by potential risk/protective factors added significant information to the existing literature. [ABSTRACT FROM AUTHOR]

The current study took a person‐centered approach to examine the heterogeneity of changes in children's emotions and persistence during a goal‐blocking task and examined how different profiles of emotions and persistence related to children's self‐regulation. Children's anger, sadness, and persistence were rated in a goal‐blocking task in toddlerhood (T1; N = 140, 72 boys, Mage = 2.67 years, 90.7% White) and preschool (T2). Children's self‐regulation, specifically sustained attention and engagement, was assessed at T1, T2, and early school‐age (T3) from 2005 to 2012. Growth mixture modeling revealed two classes of children at T1 and three classes at T2 with different patterns of anger, sadness, and persistence. Children's classification at T2, but not T1, significantly predicted their sustained attention and engagement both concurrently and longitudinally. [ABSTRACT FROM AUTHOR]