Parent training for foster parents is mandated by federal law and supported by state statues in nearly all states; however, little is known about the efficacy of that training, and recent reviews underscore that the most widely used curricula in the child welfare system (CWS) have virtually no empirical support (Farmer et al., 2007;Grimm, 2003). On the other hand, numerous theoretically-based, developmentally-sensitive parent training interventions have been found to be effective in experimental clinical and prevention intervention trials (e.g., Kazdin & Wassell, 2000;McMahon & Forehand, 2003;Patterson & Forgatch, 1987;Webster-Stratton et al., 2001). One of these, Multidimensional Treatment Foster Care (MTFC; Chamberlain 2003), has been used with foster parents of youth referred from juvenile justice. The effectiveness of an intervention based on MTFC was tested in a universal randomized trial with 700 foster and kinship parents in the San Diego County CWS. The goal of the intervention was to reduce child problem behaviors through strengthening foster parents' skills. The trial was designed to examine effects on both child behavior and parenting practices, allowing for specific assessment of the extent to which improvements in child behavior were mediated by the parenting practices targeted in the intervention. Child behavior problems were reduced significantly more in the intervention condition than in the control condition, and specific parenting practices were found to mediate these reductions, especially for high-risk children (i.e., those with more than 6 behavior problems per day at baseline). Keywords parent management training; foster parents; effectiveness trialChild welfare services are estimated to cost $20 billion per year (Allphin et al., 2001), yet very little experimental research has been used to guide the interventions used within that system. In a systematic review of research on children in foster care, Wulczyn et al. (2005) found that most existing studies were descriptive in nature. They and other researchers (e.g., Courtney, 2000) have called for experimental research to improve practices in the child welfare system (CWS), particularly for children in out-of-home care. In this study, we tested Correspondence should be directed to Patricia Chamberlain, Oregon Social Learning Center, 10 Shelton McMurphey Boulevard, Eugene, (541) 485-2711; fax, (541) NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript the effectiveness of an intervention designed to strengthen foster parents' parenting skills through the implementation of a theoretically-based intervention that had been shown in previous randomized studies to have positive short-and long-term effects on child outcomes Chamberlain & Reid, 1991;Leve et al., 2005). The intervention was expected to lead to improvements in foster parent child management skills, which were expected to result in fewer child behavior problems. Previous work has shown that behavior problems (particularly externalizing behaviors) are o...

Emotion regulation, defined as the capacity to influence one’s experience and expression of emotion, is a complex skill now recognized to evolve throughout the lifetime. Here we examine the role of emotion regulation in parenthood, and propose that regulatory function during this period is distinct from the emotion regulation skills acquired and implemented during other periods of life. In this review, we consider the unique demands of caring for a child and recognize that parents have to maintain a regulated state as well as facilitate regulation in their child, especially early in development. We examine neurobiological, hormonal and behavioral shifts during the transition to parenthood that may facilitate parental regulation in response to infant cues. Furthermore, we consider how parents shape emotion regulation in their child, and the clinical implications of regulatory functioning within the parent-child relationship.

Nature exposure in virtual reality (VR) can provide emotional well-being benefits for people who cannot access the outdoors. Little is known about how these simulated experiences compare with real outdoor experiences. We conduct an experiment with healthy undergraduate students that tests the effects of 6 min of outdoor nature exposure with 6 min of exposure to a 360-degree VR nature video, which is recorded at the outdoor nature exposure location. Skin conductivity, restorativeness, and mood before and after exposure are measured. We find that both types of nature exposure increase physiological arousal, benefit positive mood levels, and are restorative compared to an indoor setting without nature; however, for outdoor exposure, positive mood levels increase and for virtual nature, they stay the same. The nature-based experience shows benefits above and beyond the variance explained by participants' preferences, nature and VR experiences, and demographic characteristics. Settings where people have limited access to nature might consider using VR nature experiences to promote mental health.

Placement disruptions undermine efforts of child welfare agencies to promote safety, permanency, and child well-being. Child behavior problems significantly contribute to placement changes. The aims of this investigation were to examine the impact of a foster parent training and support intervention (KEEP) on placement changes and to determine whether the intervention mitigates placement disruption risks associated with children's placement histories. The sample consisted of 700 families with children between ages 5 and 12 years, from a variety of ethnic backgrounds. Families were randomly assigned to the intervention or control condition. The number of prior placements was predictive of negative exits from current foster placements. The intervention increased chances of positive exit (e.g., parent/child reunification) and mitigated the negative riskenhancing effect of a history of multiple placements. Incorporating intervention approaches based on a parent management training model into child welfare services may improve placement outcomes for child in foster care. Keywords parent management training; foster parents; placement disruptionsThe child welfare system provides services designed to promote the well-being of children by ensuring safety, achieving permanency, and strengthening families to care successfully for their children (National Survey of Child and Adolescent Well-being Research Group, 2005). For a number of families serviced by the child welfare system this may require removing the child from the home and placing him/her in the care of either a relative or a foster family. Once in foster care, the goals of promoting safety, permanency, and child well-being can be undermined by disruptions in placement. Recent research suggests that one of the major contributors to placement disruptions is the externalizing behavior problems exhibited by many foster children (Chamberlain et al., 2006;Newton, Litrownik, & Landsverk, 2000). The primary goals of the current study were twofold: to examine the impact of a foster parent training and support intervention on placement changes and disruptions, and to determine whether the intervention mitigated placement disruption risks associated with children's placement histories.Correspondence should be directed to Joseph M. Price, Department of Psychology, San Diego State University, 6363 Alvarado, Ct., Suite 103, San Diego, CA 92120; (619) 594-5241; fax, (619) 594-6780; email, jprice@sunstroke.sdsu.edu. NIH Public Access Importance of Stability in Family SettingsStability in safe, nurturing family settings affords children opportunities to develop positive and supportive relationships, especially with caregivers and other significant adults (e.g., teachers) that, in turn, facilitates normative development (Cicchetti & Valentino, 2006;Sroufe, Duggal, Weinfield, & Carlson, 2000; Thompson, Flood, & Goodwin, 2006). Stability in family settings also provides continuity in school settings, peer networks, health care providers, and access to community resources an...

This study investigated depression-related differences in primiparous mothers' neural response to their own infant's distress cues. Mothers diagnosed with major depressive disorder (n = 11) and comparison mothers with no diagnosable psychopathology (n = 11) were exposed to their own 18-months-old infant's cry sound, as well as unfamiliar infant's cry and control sound, during functional neuroimaging. Depressed mothers' response to own infant cry greater than other sounds was compared to non-depressed mothers' response in the whole brain [false discovery rate (FDR) corrected]. A continuous measure of self-reported depressive symptoms (CESD) was also tested as a predictor of maternal response. Non-depressed mothers activated to their own infant's cry greater than control sound in a distributed network of para/limbic and prefrontal regions, whereas depressed mothers as a group failed to show activation. Non-depressed compared to depressed mothers showed significantly greater striatal (caudate, nucleus accumbens) and medial thalamic activation. Additionally, mothers with lower depressive symptoms activated more strongly in left orbitofrontal, dorsal anterior cingulate and medial superior frontal regions. Non-depressed compared to depressed mothers activated uniquely to own infant greater than other infant cry in occipital fusiform areas. Disturbance of these neural networks involved in emotional response and regulation may help to explain parenting deficits in depressed mothers.

We investigated the effects of timing and the course of maternal perinatal depressive symptoms on mother-infant hypothalamic-pituitary-adrenal (HPA) response profiles during an attachment stressor, as well as on within-dyad synchrony of stress profiles: coordination of HPA and sympathetic nervous system and infant-mother HPA attunement. Mothers (n = 86) completed the Center for Epidemiological Studies Depression Scale during pregnancy (Time 1 [T1]) and at 5 months (T2) and 18 months (T3) postnatal. At T3 mother-infant dyads completed the Strange Situation, and four saliva samples collected from both mothers and infants were assayed for cortisol and α-amylase. Hierarchical linear modeling was used to predict mother-infant cortisol response trajectories and within-dyad synchronies by main and interactive effects of T1-T3 Center for Epidemiological Studies Depression Scale scores. Main effects of earlier (T1, T2) depressive symptoms predicted mothers' cortisol trajectories and coordination, and interactions of T1 with postnatal (T2 and T3) symptoms predicted infants' cortisol trajectories, coordination, and attunement. Decomposition of interactions revealed more marked effects on infant cortisol trajectories when the mother shifted from higher to lower depressive symptoms (or vice versa) across the perinatal period. Shifts from lower to higher symptoms also predicted inverse coordination of cortisol with salivary α-amylase and greater attunement of infant with mother cortisol. Implications for the development and transmission of stress dysregulation are discussed.

This study investigated continuity and stability of hypothalamic-pituitary-adrenal (HPA) and sympathetic nervous system (SNS) response measures in mother-infant dyads across 2 different types of social stress sessions. Synchrony of response trajectories across systems (SNS-HPA coordination) and partners (mother-infant attunement) was addressed, as were associations with infant temperament. Primiparous mothers and their 18-month-old infants (n = 86 dyads) completed an attachment stressor--Strange Situation (Ainsworth, Blehar, Waters, & Wall, 1978)--at Session 1 and challenge stressors--cleanup task and emotion task battery--at Session 2. Mother and infant saliva samples collected to index pre-stress, stress, and post-stress response during each session were assayed for cortisol (HPA marker) and salivary alpha-amylase (sAA; SNS marker). Multilevel modeling of cortisol/sAA trajectories across sessions revealed rank-order stability in mother/infant stress measures but discontinuity in absolute levels; cortisol trajectories were higher during attachment stress, and sAA trajectories were higher during challenge stress. Varying degrees of mother-infant attunement were found across sessions/systems. Infant surgency predicted higher stress measures, and negative affect and effortful control predicted lower stress measures, though associations depended on session/system. Findings are discussed in terms of advancing a multisystemic, contextual definition of developing stress responsiveness.

The present study examined the longitudinal course of men’s physical and psychological aggression toward a partner across 10 years, using a community sample of young couples (N = 194) from at-risk backgrounds. Findings indicated that men’s aggression decreased over time and that women’s antisocial behavior and depressive symptoms predicted changes in men’s aggression. This suggests the importance of studying social processes within the dyad to have a better understanding of men’s aggression toward a partner.