Intervening With Attachment and Biobehavioral Catch-Up to Reduce Behavior Problems Among Children Adopted Internationally: Evidence From a Randomized Controlled Trial

Children who have been adopted internationally often exhibit persistent behavior problems. The current study assessed the efficacy of the Attachment and Biobehavioral Catch-up intervention (ABC; Dozier & Bernard, 2019 ) for reducing behavior problems in 122 children adopted internationally. Behavior problems were measured via parent-report using the Brief Infant Toddler Social Emotional Assessment at a pre-intervention visit and after the intervention when children were between 18 and 36 months. Children’s behavior problems were also observed using the Disruptive Behavior Diagnostic Observation Schedule (DB-DOS) after the intervention when children were 48 and 60 months. Parents who received ABC reported fewer child behavior problems than parents who received the control intervention immediately after the intervention through 1.5 years post-intervention. Additionally, children whose parents received ABC exhibited fewer behavior problems within the parent context of the DB-DOS when they were 48 months old (2 years post-intervention) than children whose parents received the control intervention. There were no significant intervention effects on children’s observed behavior problems within the examiner contexts. These results support the efficacy of ABC in reducing behavior problems among children adopted internationally. Trial registration: ClinicalTrials.gov NCT00816621.

The relations between teacher-child closeness and conflict in preschool and children’s outcomes in kindergarten

This is a preprint of a study that examined the relations between closeness and conflict in the teacher-child relationship in preschool and children’s behavior problems, social skills, and executive function (EF) in kindergarten, and examined if these relations are moderated by parental education. The study also explored associations between teacher-child closeness and conflict and the subscales of children’s behavior problems and social skills. The sample consisted of 126 preschool children (M = 56.70 months, SD = 3.89). Regression analyses revealed that teacher-child conflict was related to poorer social skills in children, specifically lower assertion, lower engagement, and lower cooperation. Additionally, as conflict in the teacher-child relationship increased, EF decreased for children whose parents have a lower level of education. There was also a marginally significant moderator of the relation between teacher-child closeness and behavior problems where high parent education served as a protective factor for low levels of teacher-child closeness. Implications for future research are discussed.

“Because I said so!”: Mothers’ conventional conflict justifications related to resolution and child behavior problems and temperamental reactivity

A common strategy parents use to justify their point of view during parent–child conflict is conventional reasoning, which focuses on child obedience to authority. In this brief report, we examined mothers’ use of conventional justification during mother–child conflict discussions in relation to the resolution reached and children’s behavior problems and temperamental reactivity concurrently and longitudinally. Participants included 190 mothers and their 5- to 7-year-old children. Dyads engaged in a conflict discussion task in the laboratory, which was coded for mothers’ use of conventional justification and the type of resolution reached. Mothers reported on child behavior problems and temperamental reactivity then and 1 year later. Results showed mothers used more conventional reasoning during conflict discussions that resulted in a win/loss resolution compared to a compromise. Mothers’ conventional reasoning was concurrently associated with more child externalizing behaviors and temperamental reactivity at Year 1. Mothers’ conventional reasoning did not relate to changes in child behaviors over time. Findings are discussed in terms of mothers’ conceptions of parental authority and possible directions of effects.

Using Drama Therapy to Enhance Maternal Insightfulness and Reduce Children’s Behavior Problems

Maternal insightfulness or the capacity to see things from the child’s point of view, is considered to be a crucial construct for therapeutic change. In the present study, we aimed to implement the knowledge gleaned from the studies on attachment theory and maternal insightfulness into clinical practice to create an intervention program for mothers of children-at-risk due to inadequate parental care. We used drama therapy to “practice” maternal insightfulness in more “experiential” ways, because the use of creative expressive means may be accessible and effective for the target population of the study and help improve maternal care. We used a manualized 10-week drama therapy-group intervention, focusing on the core concepts of maternal insightfulness: insightfulness, separateness, complexity, and acceptance. We used various dramatic means to explore and experience these components of maternal insightfulness. Forty mothers of children-at-risk took part in eight groups of parental insightfulness drama therapy (PIDT). To evaluate the efficacy of the intervention, we used the Insightfulness Assessment (IA) interview, which produces 10 scales and a final classification of PI and non-PI. The Child Behavior Check List (CBCL) was used to evaluate a change in children’s behavior problems. The assessment took place at three time points: before the intervention (T1), right after the end of the intervention (T2), and 6 months following the intervention (T3). Results at T2 showed a significant improvement compared to T1 in some of the maternal insightfulness scales, but not in the maternal insightfulness categorical classification. At T3, there was a significant change in the classification of the mothers, from non-insightful to positively insightful. At T3, there was also a significant decline in the children’s externalized and general behavioral problems. The results of this study contribute to an evidence-based practice of using drama therapy in the treatment of mothers and children at risk.