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- Development of the virtual-VIPP and a systematic review of online support for families during the COVID-19 pandemicPublication . Van IJzendoorn, Marinus; Stevens, Eloise; Bakermans-Kranenburg, MarianDuring the COVID-19 pandemic lockdowns made it impossible for parenting coaches to reach the families without digital means of communication. Several studies were initiated to transform existing parenting interventions into hybrid or fully online versions and to examine their feasibility, acceptability and efficacy. We present one such transformation in detail, the Virtual-VIPP which is based on Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD). Furthermore, we report a systematic review of 17 published trials with online versions of parenting programs. Overall, online parenting interventions seem feasible to implement, are well-received by most families, and to show equivalent effects to face-to-face approaches. Careful preparation of technicalities and monitoring of fidelity are prerequisites. Advantages of online parenting interventions are their potentially broader reach, more detailed process documentation, and better cost-utility balance. We expect that online parenting interventions are here to stay, but their efficacy needs to be rigorously tested.
- Innovations in attachment-based interventions in pandemic times: Feasibility of online attachment-based interventionsPublication . Van IJzendoorn, Marinus; Bakermans-Kranenburg, Marian
- Maternal cognitive functioning and psychopathology predict quality of parent-child relationship in the context of substance use disorder: A 15-month longitudinal studyPublication . PORRECA, ALESSIO; DE CARLI, PIETRO; Filippi, Bianca; Bakermans-Kranenburg, Marian; van IJzendoorn, Marinus; SIMONELLI, ALESSANDRAThis longitudinal study aimed to investigate the role of maternal cognitive functioning and psychopathology in parent-child relationship quality during residential treatment for mothers with Substance Use Disorder (SUD), in order to identify factors that may enhance or limit intervention effects. We assessed cognitive functioning (Esame Neuropsicologico Breve-2 [ENB-2]) and psychopathology (Symptom Checklist-90 Revised [SCL-90-R]) in 60 mothers diagnosed with SUD (Mage = 30.13 yrs; SD = 6.79) at treatment admission. Parent-child relationship quality was measured during free-play interactions using the Emotional Availability Scales every three months from admission (Child Mage = 17.17m; SD = 23.60) to the 15th month of the residential treatment. A main effect of maternal psychopathology and an interaction effect of time and cognitive functioning were found. More maternal psychopathology predicted lower mother-child relationship quality. Mothers with higher cognitive functioning presented a better treatment trajectory, with an increase in mother-child relationship quality, whereas mothers with lower cognitive functioning showed a decrease in relationship quality after initial improvement. These findings suggest that maternal psychopathology and cognitive functioning may influence the treatment of parent-child relationships in the context of SUD, although causality is not yet established. Implications for assessment and intervention are discussed.
- Facing ostracism: Micro-coding facial expressions in the Cyberball social exclusion paradigmPublication . Mulder, Riaan; Bakermans-Kranenburg, Marian; Veenstra, Johan; Tiemeier, Henning; Van IJzendoorn, MarinusBackground Social exclusion is often measured with the Cyberball paradigm, a computerized ball-tossing game. Most Cyberball studies, however, used self-report questionnaires, leaving the data vulnerable to reporter bias, and associations with individual characteristics have been inconsistent. Methods In this large-scale observational study, we video-recorded 4,813 10-year-old children during Cyberball and developed a real-time micro-coding method measuring facial expressions of anger, sadness and contempt, in a multiethnic population-based sample. We estimated associations between facial expressions and self-reported negative feelings, explored associations of child characteristics such as sex and parental national origin with observed and selfreported feelings during social exclusion, and tested associations of observed and self-reported feelings during social exclusion with behavior problems at age 14. Results Facial expressions of sadness and anger were associated with self-reported negative feelings during the game, but not with such feelings after the game. Further, girls reported to have had less negative feelings during the game than boys, but no such sex-differences were found in total observed emotions. Likewise, children with parents of Moroccan origin reported less negative feelings during the game than Dutch children, but their facial expressions did not indicate that they were differently affected. Last, observed emotions related negatively to later internalizing problems, whereas self-report on negative feelings during the game related positively to later internalizing and externalizing problems. Conclusions We show that facial expressions are associated with self-reported negative feelings during social exclusion, discuss that reporter-bias might be minimized using facial expressions, and find divergent associations of observed facial expressions and self-reported negative feelings with later internalizing problems.
- The polygenic and reactive nature of observed parentingPublication . Runze, Jana; Bakermans-Kranenburg, Marian; Cecil, Charlotte A M; van IJzendoorn, Marinus; Pappa, IreneIn Wertz et al. (2019), parents' polygenic scores of educational attainment (PGS-EA) predicted parental sensitive responses to the child's needs for support, as observed in a dyadic task (i.e., observed sensitivity). We aimed to replicate and expand these findings by combining longitudinal data, child genotype data and several polygenic scores in the Generation R Study. Mother–child dyads participated in two developmental periods, toddlerhood (14 months old; n = 648) and early childhood (3–4 years old, n = 613). Higher maternal PGS-EA scores predicted higher observed sensitivity in toddlerhood (b = 0.12, 95% CI 0.03, 0.20) and early childhood (b = 0.16, 95% CI 0.08, 0.24). Child PGS-EA was significantly associated with maternal sensitivity in early childhood (b = 0.11, 95% CI 0.02, 0.21), and the effect of maternal PGS-EA was no longer significant when correcting for child PGS-EA. A latent factor of PGSs based on educational attainment, intelligence (IQ) and income showed similar results. These polygenic scores might be associated with maternal cognitive and behavioral skills that help shape parenting. Maternal PGSs predicted observed sensitivity over and above the maternal phenotypes, showing an additional role for PGSs in parenting research. In conclusion, we replicated the central finding of Wertz et al. (2019) that parental PGS-EA partially explains parental sensitivity. Our findings may be consistent with evocative gene–environment correlation (rGE), emphasizing the dynamic nature of parenting behavior across time, although further research using family trios is needed to adequately test this hypothesis.
- Couples’ empathy and sensitive responsiveness to a crying baby simulatorPublication . Kazmierczak, Maria; Pawlicka, Paulina; Anikiej-Wiczenbach, Paulina; Łada-Maśko, Ariadna; Van IJzendoorn, Marinus; Bakermans-Kranenburg, MarianEmotional empathy has been linked to prosocial behaviors and is deemed crucial for parenting and caring for infants. This study examined whether emotional empathy (dispositional and in response to infant crying) is associated with sensitive responsiveness, as observed in 221 heterosexual couples (half of whom were expecting their first child) during a standardized caregiving situation. Simulators resembling real infants were used. Caregiving performed by each partner individually and as a couple was observed using the Ainsworth sensitivity scale. The partners rated their own empathy and their perceived partner’s empathy toward the infant simulator. The Polish version of the Interpersonal Reactivity Index was used to measure dispositional emotional empathy (empathic concern, EC; personal distress, PD). Multilevel modeling showed that self-reported and partner-reported empathy elicited by the infant simulator mediated the association between dispositional empathic concern and sensitive responsiveness during caretaking. Women were more empathic and responsive while caring for the infant simulator, and couple sensitive responsiveness was predicted by higher dispositional EC and lower PD in women but not in men. Our findings suggest that dispositional empathy and empathic reactions toward an infant simulator might translate into better adjustment to parenthood and more responsive parenting and coparenting.
- The moderating role of oxytocin in the association between parental support and change in secure attachment developmentPublication . Budniok, Samuel; Bakermans-Kranenburg, Marian; Bosmans, GuyAccording to the Learning Theory of Attachment, neuroendocrinological processes affect the association between parental support and change in attachment. The current study aimed to test this assumption for oxytocin (OT) given its role in social behavior. We conducted a three-wave longitudinal study in which 91 children (56% girls, Mage = 9.55, SDage = 0.63) participated. Change in attachment was assessed from Wave 1 to Wave 3 and was indexed by measuring trust in maternal support and Secure Base Script (SBS) knowledge. Measures of salivary child OT and parental support (child and mother report) were obtained during respectively the first and last wave. Results indicated that child-reported parental support was positively related to change in trust and more so for children with high OT levels. No (moderation) effects were found for SBS knowledge. Overall, these findings illustrate the importance of considering biological factors along with experienced parenting to explain differences in attachment.
- The role of psychopathology and emotion regulation in the intergenerational transmission of childhood abuse: A family studyPublication . Nimphy, Cosima; Kullberg, Marie-Louise J.; Pittner, Katharina; Buisman, Renate; van den Berg, Lisa; Alink, Lenneke; Bakermans-Kranenburg, Marian; Elzinga, Bernet M.; Tollenaar, MariekePrevious studies have shown that parents with a history of childhood abuse are at increased risk of perpetrating child abuse. To break the cycle of childhood abuse we need to better understand the mechanisms that play a role. In a cross-sectional extended family design including three generations (N = 250, 59% female), we examined the possible mediating role of parental psychopathology and emotion regulation in the association between a history of childhood abuse and perpetrating child abuse. Parents’ own history of childhood abuse was associated with perpetrating abuse toward their children, and externalizing (but not internalizing) problems partially mediated this association statistically. Implicit and explicit emotion regulation were not associated with experienced or perpetrated abuse. Findings did not differ across fathers and mothers. Findings underline the importance of (early) treatment of externalizing problems in parents with a history of childhood abuse, to possibly prevent the transmission of child abuse.
- Celebrating more than 26,000 adult attachment interviews: Mapping the main adult attachment classifications on personal, social, and clinical statusPublication . Bakermans-Kranenburg, Marian; Dagan, Or; Cárcamo, Rodrigo A.; van IJzendoorn, MarinusABSTRACT Since the development of the Adult Attachment Interview (AAI) in 1985, more than 26,000 AAIs have been administered, coded, and reported, representing 170 (wo-)man-years of work. We used multinomial tests and analyses of correspondence to compare the AAI distributions in various cultural and age groups, in mothers, fathers, high-risk, and clinical samples with the combined samples of North American non-clinical, non-risk mothers (22% dismissing, 53% secure, 8% preoccupied, and 17% unresolved loss or other trauma). Males were more often classified as dismissing and less frequently classified as secure compared to females (except adoptive fathers), and females were more frequently classified as unresolved (but not more often preoccupied) compared to males. A combination of high scores on the unresolved and insecure-preoccupied dimensions was shared by borderline personality disorder, autism spectrum disorders, and gender dysphoria, while combined high scores on the unresolved and insecure-dismissing dimensions characterized anxiety problems, obsessive-compulsive and thought disorders.
- Video-feedback intervention to promote positive parenting and sensitive discipline in early elementary education (VIPP-School): a randomized controlled trialPublication . Starreveld, Kim M.; Overbeek, Mathilde; Willemen, Agnes M.; Bakermans-Kranenburg, MarianThe VIPP-SD (Video-feedback Intervention to promote PositiveParenting and Sensitive Discipline) program has been shown topromote positive interactions between parents and children withbehavior problems. This study evaluated an adapted version forteachers (VIPP-School) through a parallel-group randomized con-trolled trial involving 58 teacher–child dyads from kindergarten tosecond grade. Teacher–child dyads were randomly assigned toVIPP-School (n = 28) or an active control group (n = 30). Intention-to-treat analyses showed improvements in teacher sensitivity (d =0.87) and supportive teacher classroom interactions (d = 0.53) inthe VIPP-School condition compared to the control condition. VIPP-School had no significant effect on teachers’ observed sensitivediscipline (although changes were in the expected direction), noron reported child externalizing behavior, overall relationship qual-ity, school happiness or teacher self-efficacy. These findings showthat the intervention, originally developed for families, could beeffectively applied to early elementary education. The limited num-ber of sessions increases the feasibility of VIPP-School