Intervening Early With Neglected Children
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Depression, Depression, Psychiatric, Psychiatric, ADHD |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 6 - 8 |
| Updated: | 2/27/2019 |
| Start Date: | March 2005 |
| End Date: | April 2024 |
Intervening Early With Neglected Children: Key Childhood Outcomes
This study will assess early and middle childhood outcomes of an intervention for neglecting
parents that was implemented in the children's infancy. We expect that parents who received
the Attachment and Biobehavioral Catch-up Intervention in infancy will be more nurturing and
will follow children's lead more than parents who received a control intervention, and that
children will show better outcomes in attachment, inhibitory control, emotion regulation, and
peer relations than children of parents who received the control intervention.
parents that was implemented in the children's infancy. We expect that parents who received
the Attachment and Biobehavioral Catch-up Intervention in infancy will be more nurturing and
will follow children's lead more than parents who received a control intervention, and that
children will show better outcomes in attachment, inhibitory control, emotion regulation, and
peer relations than children of parents who received the control intervention.
Children were randomly assigned to receive the ABC intervention or a control intervention
(DEF) in infancy. These two groups, plus a group of low-risk children, will be studied in
early and middle childhood. Of interest will be differences in parent and child outcomes that
result from the intervention.
Hypothesis 1: Neglected children whose parents received the ABC intervention and low-risk
comparison children will show better inhibitory control than neglected children whose parents
received the DEF intervention.
Hypothesis 2: Children in the ABC intervention condition and low-risk comparison children
will show better emotion regulation than children in the DEF condition.
Hypothesis 3: Children in the ABC intervention condition and comparison children will show
less reactive aggression and less hostile attributional bias than children in the DEF
condition.
Hypothesis 4: Children in the ABC condition and comparison children will show more normative
cortisol production than children in the DEF condition.
Although we expect that sustained changes in parenting are critical for sustained changes in
child behaviors, several alternative models will be tested. First, it is possible that when
parents change as a result of the intervention in a child's infancy, there are positive
outcomes for children regardless of whether the changes in parenting are sustained. If this
is the case, early parenting will mediate the effects of the intervention when controlling
for later parenting. Second, if concurrent parenting is what is critical to child
functioning, current parenting will mediate intervention effects on child outcomes when
controlling for early parenting. Third, longitudinal modeling of both parent and child
behaviors allows for analysis of cross-lagged associations using structural equation
modeling. Such modeling can examine concurrent and transactional associations between parent
and child. We can also examine associations between change at behavioral and biological
levels.
Longitudinal modeling will be used to examine models of change in parenting behaviors and how
those influence child outcomes.
(DEF) in infancy. These two groups, plus a group of low-risk children, will be studied in
early and middle childhood. Of interest will be differences in parent and child outcomes that
result from the intervention.
Hypothesis 1: Neglected children whose parents received the ABC intervention and low-risk
comparison children will show better inhibitory control than neglected children whose parents
received the DEF intervention.
Hypothesis 2: Children in the ABC intervention condition and low-risk comparison children
will show better emotion regulation than children in the DEF condition.
Hypothesis 3: Children in the ABC intervention condition and comparison children will show
less reactive aggression and less hostile attributional bias than children in the DEF
condition.
Hypothesis 4: Children in the ABC condition and comparison children will show more normative
cortisol production than children in the DEF condition.
Although we expect that sustained changes in parenting are critical for sustained changes in
child behaviors, several alternative models will be tested. First, it is possible that when
parents change as a result of the intervention in a child's infancy, there are positive
outcomes for children regardless of whether the changes in parenting are sustained. If this
is the case, early parenting will mediate the effects of the intervention when controlling
for later parenting. Second, if concurrent parenting is what is critical to child
functioning, current parenting will mediate intervention effects on child outcomes when
controlling for early parenting. Third, longitudinal modeling of both parent and child
behaviors allows for analysis of cross-lagged associations using structural equation
modeling. Such modeling can examine concurrent and transactional associations between parent
and child. We can also examine associations between change at behavioral and biological
levels.
Longitudinal modeling will be used to examine models of change in parenting behaviors and how
those influence child outcomes.
Inclusion Criteria:
- must have been in earlier randomized clinical trial
Exclusion Criteria:
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