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This study explored the prospective use of the Ages and Stages Questionnaires-3 in follow-up after cardiac surgery.
Materials and Method:
For children undergoing cardiac surgery at 5 United Kingdom centres, the Ages and Stages Questionnaires-3 were administered 6 months and 2 years later, with an outcome based on pre-defined cut-points: Red = 1 or more domain scores >2 standard deviations below the normative mean, Amber = 1 or more domain scores 1–2 standard deviations below the normal range based on the manual, Green = scores within the normal range based on the manual.
Results:
From a cohort of 554 children <60 months old at surgery, 306 participated in the postoperative assessment: 117 (38.3%) were scored as Green, 57 (18.6%) as Amber, and 132 (43.1%) as Red. Children aged 6 months at first assessment (neonatal surgery) were likely to score Red (113/124, 85.6%) compared to older age groups (n = 32/182, 17.6%). Considering risk factors of congenital heart complexity, univentricular status, congenital comorbidity, and child age in a logistic regression model for the outcome of Ages and Stages score Red, only younger age was significant (p < 0.001). 87 children had surgery in infancy and were reassessed as toddlers. Of these, 43 (49.2%) improved, 30 (34.5%) stayed the same, and 13 (16.1%) worsened. Improved scores were predominantly in those who had a first assessment at 6 months old.
Discussion:
The Ages and Stages Questionnaires results are most challenging to interpret in young babies of 6 months old who are affected by complex CHD.
The way networks grow and change over time is called network evolution. Numerous off-the-shelf algorithms have been developed to study network evolution. These can give us insight into the way systems grow and change over time. However, what off-the-shelf algorithms often lack are knowledge of the behavioral details surrounding a specific problem. Here we will develop a simple case that we will revisit over the next few chapters: How do children learn words from exposure to a sea of language? One possibility is that the words children learn first influence the words they learn next. Another possibility is that the structure of language itself facilitates the learning of some words over others. Indeed, we know that adults speak differently to children in ways that facilitate language learning, with semantically informative words tending to appear more often around words that children learn earliest. This invites the question: To what extent does the semantic structure of language predict word learning? This chapter will provide a general framework for building and competing models against one another with a specific application to the network evolution of child vocabularies.
This chapter begins by distinguishing among prevention, intervention, and promotion efforts, giving particular attention to how these processes operate in the context of schools. One example of a school-based, evidence-based practice – City Connects – is used to illustrate how prevention, promotion, and intervention can be operationalized in the contexts of schools and their local communities. As a clinical/public health model, City Connects is responsive to every child in the school, without an exclusive focus on either the subset of students who are in severe crisis or those who are highest performing. The authors argue that prevention-in-action requires working across polarities, such as intervening at both the individual and group levels, targeting challenges while fostering strengths and interests, and promoting healthy development while simultaneously intervening in existing difficulties. The chapter concludes with a summary of challenges and possibilities in implementing high-quality prevention and promotion approaches, such as developing a theory of change based on developmental science that includes measurable outcomes.
The field of developmental psychopathology has grown broadly. Here, I draw upon lessons learned from Dante Cicchetti to highlight areas that show promise for continued disciplinary advancement. These include attention to equifinality and multifinality in the conceptualization of initial study designs, and more emphasis on specificity in accounting for developmental change. A shift from reliance on external events and towards greater diversity of research approaches will allow researchers to devote attention to the variety of ways that individuals come to understand and then respond to their own life experiences. The field of developmental psychopathology holds tremendous promise for advancing basic science about human development that can be applied to create interventions that improve the well-being of individuals and address significant societal issues.
This chapter introduces my research questions, framework, and main findings. It begins with two striking vignettes to engage the readers and outline the significance of the two basic questions that motivate this book and intersect at children's social cognition: How do humans learn morality? How do we make sense of fieldnotes? The chapter situates the book in intellectual history, including the Wolfs’ original research, its connections to the Six Cultures Study, and its legacies. It then presents a new framework of cognitive anthropology distinctive from the behaviorist paradigm that motivated the original research. I situate the book in three broad streams of discussions: (1) theoretical conversations between anthropology and psychology on morality; (2) cross-cultural research on childhood learning; (3) studies of Chinese kinship, families, and childhood. I explain why it is important to study children to understand morality, human relatedness, and cultural transmission. I also make the case for reanalyzing historical fieldnotes. I then lay out a methodology that incorporates computational approaches into ethnography, summarize my main arguments, and outline the book structure.
Drooling or saliva spillage has been explored widely among children with neurodevelopmental conditions. Yet, the approach to drooling in an otherwise developmentally normal child remains unexplored, as it is regarded as self-limiting. Nonetheless, drooling beyond age 4 in the awake stage should raise concern.
Methods
This narrative review aims to shed light on drooling in developmentally normal children, also known as ‘healthy droolers’, and the available evidence on its management.
Results
Most notable factors causing saliva spillage include poor oral-motor control and impaired oral sensation. Delayed saliva acquisition may be an early indicator of developmental or intellectual delay. Drooling impairs both the children's and parents' overall quality of life significantly.
Conclusion
Healthy droolers can be managed by simple behavioural therapy and reassurance.
How do we become moral persons? What about children's active learning in contrast to parenting? What can children teach us about knowledge-making more broadly? Answer these questions by delving into the groundbreaking ethnographic fieldwork conducted by anthropologists Arthur and Margery Wolf in a martial law era Taiwanese village (1958-60), marking the first-ever study of ethnic Han children. Jing Xu skillfully reinterprets the Wolfs' extensive fieldnotes, employing a unique blend of humanistic interpretation, natural language processing, and machine-learning techniques. Through a lens of social cognition, this book unravels the complexities of children's moral growth, exposing instances of disobedience, negotiation, and peer dynamics. Writing through and about fieldnotes, the author connects the two themes, learning morality and making ethnography, in light of social cognition, and invites all of us to take children seriously. This book is ideal for graduate and undergraduate students of anthropology and educational studies.
Neuropsychological assessment of preschool children is essential for early detection of delays and referral for intervention prior to school entry. This is especially pertinent in low- and middle-income countries (LMICs), which are disproportionately impacted by micronutrient deficiencies and teratogenic exposures. The Grenada Learning and Memory Scale (GLAMS) was created for use in limited resource settings and includes a shopping list and face-name association test. Here, we present psychometric and normative data for the GLAMS in a Grenadian preschool sample.
Methods:
Typically developing children between 36 and 72 months of age, primarily English speaking, were recruited from public preschools in Grenada. Trained Early Childhood Assessors administered the GLAMS and NEPSY-II in schools, homes, and clinics. GLAMS score distributions, reliability, and convergent/divergent validity against NEPSY-II were evaluated.
Results:
The sample consisted of 400 children (190 males, 210 females). GLAMS internal consistency, inter-rater agreement, and test-retest reliability were acceptable. Principal components analysis revealed two latent factors, aligned with expected verbal/visual memory constructs. A female advantage was observed in verbal memory. Moderate age effects were observed on list learning/recall and small age effects on face-name learning/recall. All GLAMS subtests were correlated with NEPSY-II Sentence Repetition, supporting convergent validity with a measure of verbal working memory.
Conclusions:
The GLAMS is a psychometrically sound measure of learning and memory in Grenadian preschool children. Further adaptation and scale-up to global LMICs are recommended.
In this chapter, we reflect on how different disciplines have conceptualised ‘early life’ with particular insights from evolutionary, social, and medical anthropology to challenge and further expand the narrow framing of a Developmental Origins of Health and Disease (DOHaD) focus and to show the scope of a biosocial perspective. First, we introduce how childhood and early life have been studied in anthropology, followed by a discussion on how early life has been conceptualised in public health, lifecourse, and development research. We then discuss how concepts of early life may impact caregiving practice and childhood environments, which in turn impacts research on early life itself, with longitudinal birth cohort studies as an example. We highlight the need for critical and reflective thinking about the ways in which we do biosocial research, and the impact it has on our understanding of the DOHaD. We suggest that a reflexively engaged biosocial anthropological dialogue around research on early life broadens the scope of cross-disciplinary work, engages with the complex and dynamic process of childhood development, and contributes to a more nuanced framework of early life for DOHaD-informed research and health practice.
This chapter describes the principles of the lifecourse perspective and its potential for examining the origins of health and disease (DOHaD). DOHaD research, framed by a lifecourse perspective, accounts for how experiences ’get under the skin’ by influencing biological functions during developmental windows of opportunity, transforming lifecourse trajectories, and affecting intergenerational health patterns. We go on to investigate how exposures and experiences influence different individuals in different ways, with some more vulnerable or susceptible to risk than others, resulting in significant variability in developmental outcomes. Yet, even when taking differential susceptibility into account, there are cross-cutting themes in research focusing on a wide range of disease outcomes in adulthood. These include socio-economic disadvantage and early adverse experiences, which result in a generalised susceptibility to risk. We conclude with a discussion on the limitations of current work in this field, and future directions and priorities for research, including more integrated, multidisciplinary approaches and longitudinal research designs, as well as more sophisticated statistical methods of analysis that move beyond correlational methods and simple causal models.
High-risk pregnancies elevate maternal stress, impacting offspring neurodevelopment and behavior. This study, involving 112 participants, aimed to compare perceived stress, neurodevelopment, and behavior in high-risk and low-risk pregnancies. Two groups, high-risk and low-risk, were assessed during pregnancy for stress using hair cortisol and psychological analysis. At 24 months post-birth, their children’s neurodevelopment and behavior were evaluated. Results revealed higher perceived stress and pregnancy-related concerns in high-risk pregnancies, contrasting with low-risk pregnancies. Offspring from high-risk pregnancies displayed elevated internalizing behavior scores, while low-risk pregnancies showed higher externalizing behavior scores. Additionally, women in low-risk pregnancies exhibited increased cortisol concentrations 24 months post-delivery. These findings underscore the necessity for early stress detection and prevention programs during pregnancy, particularly in high-risk cases, to enhance maternal and infant health.
This study was conducted to evaluate the autism knowledge level and awareness of individuals over the age of 18 who applied to immigrant health centers in Istanbul, Gaziantep and Kilis, where the Syrian immigrant population is dense. This cross-sectional study was conducted between December 2022 and April 2023 in 896 immigrants. The sample of the research consists of immigrants residing in Türkiye and who applied to the immigrant health centers in Istanbul, Gaziantep and Kilis for any reason at the time of the research. A questionnaire consisting of three parts was applied to the immigrant people face-to-face. While 38.4% of the participants were female, 61.6% were male. The mean age of the participants is 34.63 ± 10.74. It was determined that people’s place of residence, whether they have children, marital status and income status have significant effects on autism knowledge levels (p < 0.001). Since the importance of early diagnosis in autism is known, it is of great importance for people to have knowledge and awareness on this issue. This study will investigate the awareness of the immigrant population, who are faced with traumatic events such as war and migration, and will shed light on future intervention studies.
Emotions and emotion regulation constitute essential constituents of parenting. This chapter assesses central features of parenting through the lens of emotions and emotion regulation. Substantive topics include relations between emotions and emotion regulation in parenting, principles of parenting and emotion regulation, parenting direct and indirect effects in emotion regulation, determinants of emotion regulation in parents (and children), and supports for parent and child emotion regulation.
The introductory chapter provides a general overview of the five pivotal topics of the science of the cultural mind. The first topic is that of mediated learning. Human learning is rarely direct; it is often mediated by other human beings, by symbolic tools, and by socioculturally constructed activities. The second topic focuses on mediation provided by symbolic tools. These tools are specific for different cultures and subcultures and impact the development of cognitive and learning abilities. The third topic concerns the so-called leading activities. It is argued that child development can be viewed as a sequence of periods each of which is associated with a different socioculturally constructed predominant activity. The fourth topic is on learning potential. While the typical intelligence or achievement tests evaluate what children can do at a given moment, the learning potential tests help us to understand what children will be capable of doing tomorrow if the appropriate help is given to them. The last topic is cognitive education. For future-oriented education, it is essential to include the development of thinking skills in the regular school curriculum.
Maternal perinatal depression (PND) and partnership problems have been identified to influence the development of later child adjustment difficulties. However, PND and partnership problems are closely linked which makes it difficult to draw conclusions about the exact transmission pathways. The aim of the present study was to investigate to what extent PND symptoms and partnership problems influence each other longitudinally and to examine the influence of their trajectories on child adjustment difficulties at the age of three. Analyses were based on publicly available data from the German family panel “pairfam”. N = 354 mothers were surveyed on depressive symptoms and partnership problems annually from pregnancy (T0) until child age three (T4). Child adjustment difficulties were assessed at age three. Results of latent change score modeling showed that partnership problems predicted change in PND symptoms at T0 and T3 while PND symptoms did not predict change in partnership problems. Child adjustment difficulties at age three were predicted by PND symptoms, but not by partnership problems. Partnership problems predicted externalizing, but not internalizing symptoms. Results underline the effects of family factors for the development of child adjustment difficulties and emphasize the importance of early interventions from pregnancy onwards
Perinatal maternal depression may affect fetal neurodevelopment directly or indirectly via exposures such as smoking, alcohol, or antidepressant use. The relative contribution of these risk factors on child executive function (EF) has not been explored systematically.
Methods
A prospective pregnancy cohort of 197 women and their children was studied to determine whether maternal depression diagnosis and the trajectory of maternal depressive symptoms (MDSs) from early pregnancy to 12 months postpartum predicts child EF at age 4 (measured using the preschool age psychiatric assessment, NEPSY-II, and Shape School task) using latent growth curve modeling. Indirect effects of smoking, alcohol, and antidepressant use were also formally tested.
Results
Increasing maternal perinatal depressive symptoms over time predicted more inattentive symptoms, poorer switching, and motor inhibition, but not cognitive inhibition. When adjusted for multiple comparison, and after accounting for maternal cognition and education, the association with child inattentive symptoms remained significant. However, diagnosed depression did not predict child EF outcomes. Prenatal exposure to smoking, alcohol, and antidepressants also did not mediate pathways from depressive symptoms to EF outcomes. Our findings were limited by sample size and statistical power to detect outcome effects of smaller effect size.
Conclusions
This study suggests that increasing MDSs over the perinatal period is associated with poorer EF outcomes in children at age 4 – independent of prenatal smoking, drinking, or antidepressant use. Depressive chronicity, severity, and postpartum influences may play crucial roles in determining childhood outcomes of EF.
Parenting stress and child psychopathology are closely linked in parent-child dyads, but how the bidirectional association varies across childhood and adolescence, and shifts depending on maternal affection are not well understood. Guided by the transactional model of development, this longitudinal, prospective study examined the bidirectional relations between parenting stress and child internalizing and externalizing problems and investigated the moderating role of maternal affection from childhood to adolescence. Participants were from the Future of Families and Child Wellbeing Study, a diverse, nationally representative sample of 2,143 caregiving mothers who completed assessments at children ages 5, 9, and 15. Using cross-lagged panel modeling, we found bidirectional effects between parenting stress and child internalizing and externalizing problems. However, additional multigroup analyses showed that bidirectional associations depend on the levels of maternal affection. In the high maternal affection group, parenting stress at age 5 predicted higher internalizing and externalizing problems at age 9, and reverse child-to-parent paths were found from age 9 to age 15. In contrast, only one cross-lagged path was found in the low maternal affection group. Findings suggest that maternal affection can heighten the transactional associations between parenting stress and child psychopathology.
In this concluding chapter, we give a brief overview of the key themes in the book, emphasizing the importance of care in the relational pedagogy we have been discussing. We argue that practitioners should take children seriously by seeking their perspectives and identifying what matters for them while building common knowledge with them and working relationally to help take forward their social situations of development. But our primary purpose here is to look forward and consider the implications of the subtle skilled work we are advocating for practitioners. Care alone is insufficient. Practitioners who work with children and families need knowledge of child and adolescent development; subject matter knowledge in schools, and for other caring professionals their core professional knowledge, such as legal responsibilities for social workers; and knowledge of pedagogy. The professional interactions with children, families and other practitioners in a relational pedagogy are reciprocal, involving ongoing mutual engagement, where power differences are played down, and professional agency is crucial. Much therefore depends on how institutional leaders mediate government policies: Creating and supporting agentic responsive practitioners is a leadership responsibility. Questions of values therefore crucially underpin the ideas shared in this book.
This chapter focuses on relational practices of care to nurture prosociality in children and adolescents. We begin by introducing care as an ethical stance toward another that requires attention and commitment to another, as well as sensitivity to the developmental needs and uniqueness of every child. We then outline the practices of relational care, and how they matter for efforts aimed at nurturing children and adolescents’ prosocial orientations. It is argued how recognition of and careful attention to children and adolescents and their ethical development can move humanity forward, and how true commitment to others and an ethical self can contribute to the flourishing of all children. We present examples of nurturing care, including community-based and organizational initiatives as well as existing research-based psychological programs, and we discuss implications for policy. We conclude by outlining next steps for a future agenda of transforming nurturing care for all children and adolescents.
This chapter provides an introduction to the topic of this handbook: prosociality and its development across the first two decades of life, as well as causes, correlates, and consequences across the lifespan. We begin by providing conceptualizations of prosociality and derive an understanding of what prosociality is, and how it is different from related constructs. We then describe core theoretical accounts on prosocial development. Selected historical attempts to understand prosociality in humans are reviewed, along with historical turning points in early theorizing on prosocial development. Last, a brief summary of select mechanisms underlying the development of prosociality is presented.