The diagnosis of Sex Chromosome Trisomy (SCT) is increasing rapidly worldwide. About 1 in 650-1000 children are born with an extra X or Y chromosome. These common chromosomal abnormalities,...Show moreThe diagnosis of Sex Chromosome Trisomy (SCT) is increasing rapidly worldwide. About 1 in 650-1000 children are born with an extra X or Y chromosome. These common chromosomal abnormalities, including XXY/Klinefelter syndrome, XXX/Trisomy X and XYY syndrome, affect both physical development and behaviour. There is an increased risk of behavioural problems, including autism spectrum disorder (ASD) symptoms, in children with SCT (Rijn, 2019; Tartaglia et al., 2010; Urbanus, 2022). Despite these findings, there has been limited research on the variations in ASD characteristics in children with SCT and possible protective and risk factors. Therefore, this study aims to better understand the characteristics of ASD in children with SCT, identify possible protective and risk factors related to parenting skills for this group, and ultimately optimise support measures, early detection and appropriate interventions for this specific genetic population. For this purpose, the following research question was formulated; Is there a difference in the level of ASD characteristics in children with SCT 3-7 years compared to peers? And to what extent do the parenting skills (mentalisation and sensitivity) of parents with children aged 3-7 years with SCT correlate with the level of autism spectrum disorder (ASD) characteristics of this specific population? Data for this study is selected from a larger quantitative study conducted by Leiden University and the TRIXY Centre of Expertise. Children with SCT and their parents were recruited through support groups and clinical genetics departments in hospitals in the Netherlands, Belgium and the US. The control group was recruited from nurseries, public locations and primary schools. The study includes 145 children aged between 3 and 7 years, with 71 participants in control group and 74 participants in the SCT group. This study showed that a significant difference was found in the level of autism traits between children with SCT and children without SCT. Children with SCT scored significantly higher on every autism trait that was tested. In addition, no correlation was found between parenting skills; sensitivity and mentalisation and the level of autism traits in children with SCT. Based on this, a dimensional approach, rather than a binary criterion, is recommended as this could help detect subtle variations and gradations in ASD symptoms earlier, enabling early diagnosis. In addition, this research outcome implies that other factors such as biological, neurological and other environmental factors may have a greater influence on the level of ASD characteristics in children with SCT. More research needs to be done on this to say this with great certainty. This study is limited by no distinguish between different types of sex chromosome trisomy, which may limit the generalisability of the results. In addition, the study included children aged 3-7 years, but at this stage children develop rapidly, and ASD traits may manifest differently depending on age, which may limit the generalisability of the results to any age between 3 and 7 years. Besides these limitations, the study also has many strengths, such as contributing to increasing scientific knowledge about ASD traits in children with SCT, early detection of these and possible risk and protective factors.Show less
In Europe, more than half of adults are obese (WHO, 2022). Enhancing the self-regulation of energy intake, the ability to respond to one's own hunger or satiety signals, can reduce the risk of...Show moreIn Europe, more than half of adults are obese (WHO, 2022). Enhancing the self-regulation of energy intake, the ability to respond to one's own hunger or satiety signals, can reduce the risk of obesity (DiSantis et al., 2011). Promoting the self-regulation of energy intake as early as possible in development is therefore crucial. The present study examined the relation between maternal sensitivity in different contexts (during free play and during meals) at 18 months and the child's self-regulation of energy intake at 24 months. The sample consisted of 103 mother-child dyads (41.7% boys), obtained from the longitudinal study "Baby's first bites” (Van der Veek et al., 2019). Maternal sensitivity was measured using “the Ainsworth Maternal Sensitivity Scale” (Ainsworth et al., 1974). The self- regulation of energy intake was assessed using an “Eating in Absence of Hunger” paradigm (Schultink et al., 2021). First, no significant relation was found between maternal sensitivity during free play at 18 months and self-regulation of energy intake at 24 months. Second, maternal sensitivity during mealtime at 18 months was not related to self-regulation of energy intake at 24 months. Finally, maternal sensitivity during free play and during mealtime at 18 months did not make a unique contribution to the child's self-regulation of energy intake at 24 months. This study contributed to the emerging research area of parenting practices and the self-regulation of energy intake. Based on the current research, it cannot be stated that maternal sensitivity contributes to the child's self-regulation of energy intake. Therefore, it is not yet clear how parents can best contribute to good self-regulation of energy intake. Follow-up research is needed.Show less
Primary education teachers can feel incompetent in responding to the needs and behaviors of their pupils, especially those showing disruptive behaviors. By taking the student’s perspective, the...Show morePrimary education teachers can feel incompetent in responding to the needs and behaviors of their pupils, especially those showing disruptive behaviors. By taking the student’s perspective, the teacher should be able to understand the student better and react more responsively. Through this the teacher experiences more positive interactions with the student which contribute to developing and maintaining a positive student-teacher relationship. It is suggested that teachers’ sense of self- efficacy could play a role in the relationship between student-perspective taking and the student- teacher relationship. Therefore, the current study researches the relationship that is described above, and the potential role the teacher’s self-efficacy plays within this. The sample consisted of 133 Dutch regular primary school teachers. Results showed a significant relationship between student-perspective taking and the student-teacher relationship when teachers take the student’s perspective on the level of articulation. The relationship with taking the student’s perspective on the level of positioning, is non-significant. Regarding the role of teachers’ self-efficacy within this relationship, the results show that there is no mediating role. Meanwhile, a significant, positive relationship has been found between the teacher’s self-efficacy and the student-teacher relationship. The findings of this study can be used in developing and shaping interventions for teachers for developing, improving and maintaining positive student-teacher relationships.Show less
This study examines the relationship between picky eating, parental encouragement, and the frequency of family meals at the table on children's vegetable intake. Understanding the factors that...Show moreThis study examines the relationship between picky eating, parental encouragement, and the frequency of family meals at the table on children's vegetable intake. Understanding the factors that influence vegetable intake is vital for promoting healthy development in children, as unhealthy eating habits can increase the risk of diseases like cardiovascular conditions, cancer, and diabetes. A cross-sectional study was conducted with a sample of 256 mother-child dyads (age children M = 4,68, SD = 0,42). Participants were recruited through email lists and child health centers in four Dutch provinces, targeting mothers about to introduce solid foods to their 4-6 month-old infants The data in this study was collected from the same sample of children, but when they were 24 months old. Information about the variables was gathered using multiple questionnaires: Compl-Eat, Meals in Our Household, CFPQ, and CEBQ-T. Results show that less picky children consume significantly more vegetables on average than picky children, with an average difference of 38.64 grams. However, no significant effects were found for parental encouragement or the frequency of family meals at the table on vegetable intake. Possible explanations for the lack of significant results include the skewed data distribution and potential social desirability bias in parental reporting. Future research should aim to precisely define and measure 'encouragement' and 'meals at the table', considering factors like frequency, method, and context. This will lead to the development of more precise measurement tools, improving the accuracy and reliability of findings. These insights are crucial for developing effective interventions to promote vegetable consumption in children and improve their overall health.Show less
Selective mutism is an anxiety disorder in which children do not speak in certain social situations, while they do speak in others. Selective mutism shares similarities with social anxiety disorder...Show moreSelective mutism is an anxiety disorder in which children do not speak in certain social situations, while they do speak in others. Selective mutism shares similarities with social anxiety disorder. The cause of selective mutism is unknown, although several factors appear to be involved. The current study examined whether children with selective mutism have deficits in their inhibition and mental flexibility. Using parent questionnaires and a neurocognitive task for the children, inhibition in daily life, inhibition on a cognitive task, flexibility in daily life, flexibility on a cognitive task, and the social anxiety of both silent and non-silent children were assessed. A total of 33 children between four and six years old participated in the study, including 16 silent and 17 non-silent children. The results imply that inhibition and flexibility as behavioral characteristics are not the same constructs as inhibition and flexibility as cognitive functions but should be used to complement each other. Silent children were found to have more difficulty suppressing their responses on a cognitive task compared to the non-silent group. This difference was not observed for inhibition measured in daily life. It is suggested that silent children may struggle to suppress cognitive reactions for instance anxious thoughts in new situations while being capable of controlling impulses at a behavioral level. Additionally, silent children did not differ in their cognitive task-based mental flexibility from non-silent children, but they did differ in their mental flexibility in daily life. One explanation for this difference may be that environmental influences, such as stress, may prevent a child from effectively applying certain skills. Furthermore, in the present study of young children mental flexibility skills in daily life explained about a significant portion of the variance in social anxiety.Show less
Introduction: There is a concerning rise in childhood overweight rates. Higher intake of vegetables appears to aid in preventing overweight. Since food preferences form before the age of 2,...Show moreIntroduction: There is a concerning rise in childhood overweight rates. Higher intake of vegetables appears to aid in preventing overweight. Since food preferences form before the age of 2, understanding factors influencing children's vegetable intake is crucial. Parental vegetable intake predicts children's vegetable intake, but research on the mother-child relationship in this context is limited, especially regarding young children under the age of 2. This study examines the relationship between maternal and child vegetable intake among children aged 11 to 14 months, exploring the potential moderating roles of maternal body mass index (BMI) and exclusive breastfeeding. Method: Data were drawn from the "Baby's First Bites" study, involving 240 mother-child pairs from the Netherlands, with 121 pairs included in this analysis. Children's vegetable intake was measured using Compl-eat, while mothers' vegetable intake was measured using the Food Frequency Questionnaires (FFQ). One multiple regression and two moderation analyses were conducted, with the mother's education level included as control variable. Results: Results indicated no significant association between maternal and child vegetable intake. Moderation analyses revealed that neither maternal BMI nor exclusive breastfeeding moderated this relationship. Even after accounting for the mothers' educational levels, the results remained unchanged. Discussion: These results are contrary to the hypotheses. Possible explanations for these findings include the young age of the children in this study, which may prevent them from applying modeling as a possible working mechanism between maternal and child vegetable intake. Also, methodological limitations such as the use of Compl-eat and the limited duration of exclusive breastfeeding could explain the lack of an observed association. Future research could investigate whether altering methodologies reveals a previously unnoticed association between mothers' and children's vegetable intake, and explore the underlying mechanisms of this relationship to clarify the effectiveness of increasing mothers' vegetable intake as a preventive measure against childhood overweight.Show less
Sensitivity involves understanding the child's signals and responding to them promptly and appropriately (IJzendoorn, 2019). A sensitive and responsive parent provides comfort and security to the...Show moreSensitivity involves understanding the child's signals and responding to them promptly and appropriately (IJzendoorn, 2019). A sensitive and responsive parent provides comfort and security to the child when needed (Bowlby, 1969). Various factors may play a role in parental sensitivity. This correlational study examined whether factors such as child temperament, parenting self-confidence, and parental mental well-being contribute to the degree of parental sensitivity. Thirty-two respondents participated in the study. Sensitivity was measured through observations, while child temperament, parenting self-confidence, and parental mental well-being were assessed using various validated questionnaires. The results showed that child temperament, parenting self-confidence, and parental mental well-being did not determine the degree of parental sensitivity. Despite the lack of a found correlation, it remains important to conduct further research on sensitivity and the factors that play a role in it. Sensitivity can be enhanced through appropriate support of the parents, leading to more sensitive responses to the child.Show less
Background: Selective mutism (SM) is a rare, heterogenous disorder classified as an anxiety disorder in the DSM-5 (APA. 2014). Due to a lack of research and the complexity of the disorder, much...Show moreBackground: Selective mutism (SM) is a rare, heterogenous disorder classified as an anxiety disorder in the DSM-5 (APA. 2014). Due to a lack of research and the complexity of the disorder, much remains unclear about the etiology and contributing risk factors of SM. More knowledge about the risk factors can contribute to early identification of children that are prone to developing SM. This may lead to better treatment outcomes, as earlier treatment is preferred. Methods: This quantitative, cross-sectional case-control study investigates if there is a relationship between facial emotion recognition and social anxiety in 4- and 5-year-olds that are exceptionally quiet in social situations. Additionally, this study tried to identify whether parental behavior has a moderating effect. This was done by performing independents samples t-tests and multiple regression analyses. 16 silent children (M = 5.1 years, SD = 0.64) and 17 healthy controls from the same group (M = 4.8 years, SD = 0.52) participated in this study. The children performed an affect recognition subtest and parents filled in online questionnaire about their child. Results: Results showed that the quiet children had higher levels of social anxiety compared to the controls, with a medium, negative effect (r = -.4). Additionally, parents of quiet children were found to show less positive parenting compared to the controls. No group differences were found in facial emotion recognition. Regression analysis showed a negative, but non-significant, relation between emotion recognition and social anxiety, in both the quiet children and the control group. Positive parenting was negatively correlated with social anxiety but did not show a moderating effect on the relation between social anxiety and emotion recognition. Discussion: According to this study, emotion recognition cannot be seen as a risk factor for social anxiety. Positive parenting is associated with lower social anxiety in the child. However, the direction of this relation remains unclear. Replication of this study with a clinical population is advised, as well as further research on the causal relation between social anxiety and parenting behavior.Show less
This study aims to investigate whether parental sensitivity is related to the level of correspondence within parent-child dyads in terms of the strategies that they use while monitoring animations...Show moreThis study aims to investigate whether parental sensitivity is related to the level of correspondence within parent-child dyads in terms of the strategies that they use while monitoring animations of social interactions. Higher levels of synchrony, or the level of correspondence in behavior between parents and their children, is related to better social and emotional developmental outcomes for the children. In total, 69 parents and their 12-months-old baby’s participated in an eye-tracking study, in which an animation was shown that depicted a situation, wherein a “baby figure” shows distress after it is separated from a “parent figure”. This so-called separation segment of the animation was followed by the so-called response segment, wherein either a reunion or further separation of the two characters was shown. Both the parental sensitivity during free-play and the relative fixation duration to the “parent figure” in regards to the “baby figure” were measured. Within this study, no relationship between parental sensitivity and the level of correspondence in monitoring strategies has been found. Moreover, there was no proof for the statement that overall the monitoring strategies of parents and their children correspond with each other while watching animations that depict a social interaction. The baby’s tend to look more at the “parent figure” than their parents do. The focus on the “parent figure” increased from the separation segment to the response segment, for both the parents and their baby’s, although this increase in fixation is bigger for the parents than for their baby’s. These results imply that further research into the possible precursors or influences on the correspondence of behaviors within parent-child dyads is necessary.Show less
The prevalence of overweight children in the Netherlands poses a threat to both mental and physical health. While genetic factors are important, the environment, particularly parental influence,...Show moreThe prevalence of overweight children in the Netherlands poses a threat to both mental and physical health. While genetic factors are important, the environment, particularly parental influence, also plays a significant role in the development of childhood overweight, as children of overweight parents are more often overweight. Parents pass on their genetic predispositions but also their learned eating behaviors to their children. This thesis explores how three different parental feeding styles moderate the intergenerational transmission of BMI between mothers and children: Restriction, Pressure to Eat, and Responsiveness to Child Fullness Cues. Participants were recruited through the Baby's First Bites project and were visited repeatedly at home. This study included 205 mother-child dyads, and children were assessed aged 36 months. Responsiveness to Child Fullness Cues and Pressure to Eat were assessed through observations, while Restriction was measured using the Infant Feeding Style Questionnaire. Both mothers and children were weighed at home and their BMIs were calculated using their height and age. The moderation analysis revealed a significant relationship between maternal and child BMI. Pressure to Eat acted as a negative moderator, with high levels of Pressure to Eat weakening the BMI relation between mothers and children. When analyzing the effect of gender, the full model was not significant for boys. However, for girls, Pressure to Eat remained a significant negative moderator, with high levels of Pressure to Eat weakening the BMI relation between mothers and children . These findings suggest that maternal BMI is a significant predictor of BMI in 36-month-old girls but not in boys, and that maternal Pressure to Eat moderates this relation. Intervention programs should consider these gender differences. However, due to the cross-sectional nature of this study, causal relationships cannot be inferred.Show less
Disruptive behaviour in childhood, such as externalizing behavioural problems, has been linked to later antisocial and criminal behaviour. Impairments in social cognition are hypothesized to...Show moreDisruptive behaviour in childhood, such as externalizing behavioural problems, has been linked to later antisocial and criminal behaviour. Impairments in social cognition are hypothesized to contribute to antisocial and criminal behaviour. This study examines a specific element of social cognition impairment: empathy. We hypothesized that children with disruptive behaviour would exhibit impairments in affective empathy rather than impairment of cognitive empathy. We expected that the two different types of empathy would be associated with different levels of severities and types of aggression: proactive and reactive aggression. Eighty-six children (mean age 10.14 years) with disruptive behaviour took part. They participated in a police crime prevention program. The comparison group consists of forty-one typically developing children (mean age 10.15 years). The children with disruptive behaviour showed significant impairments in both cognitive and affective empathy compared to the comparison group. Empathy only predicted externalizing behaviour, proactive and reactive aggression when we considered the interaction effect of cognitive and affective empathy. When interacting with children exhibiting behavioral problems, it is crucial to recognize that they have a deficiency in a key component that influences the regulation of their brain functions. Further research is needed to identify additional factors that may also contribute to the manifestation of behavioral issues.Show less
This study examined the relationship between internalizing problem behavior and parental skills in children with sex chromosome trisomy (SCT). Focusing on children aged 1 to 7 years, it compared...Show moreThis study examined the relationship between internalizing problem behavior and parental skills in children with sex chromosome trisomy (SCT). Focusing on children aged 1 to 7 years, it compared them with typically developing peers. The hypothesis that children with SCT exhibit more internalizing problem behavior was confirmed; they scored significantly higher on anxious and withdrawn behavior. No significant difference was found in parental skills between parents of children with SCT and those of the control group, suggesting interventions for internalizing problem behavior may be universally applicable. Results indicate that only parental positive affect was significantly associated with internalizing problem behavior in children with SCT. This finding suggests that parents of children who exhibit a relatively high degree of internalizing problem behavior, may display more positive affect as an adaptive response to their children’s needs. No other parental skills were found to significantly contribute to the explanation of internalizing behavior. Factors other than parental skills, such as biological, psychological or environmental factors, may have a greater impact on the development of internalizing behavior in children with SCT. The study is limited by its cross-sectional nature and the selectivity of the sample, which may affect the generalizability of the results. Nevertheless, this research provides insight into the parenting skills of parents of children with SCT and offers an initial examination of the relationship between these skills and internalizing behavior in children with SCT. Additionally, it contributes to a better understanding of SCT in young children and underscores the importance of early identification and appropriate interventions to prevent more severe internalizing problems later in life.Show less
Decisions made at child protection sittings significantly impact the lives of children and their families. Therefore, it is crucial to investigate the factors influencing these decisions. Previous...Show moreDecisions made at child protection sittings significantly impact the lives of children and their families. Therefore, it is crucial to investigate the factors influencing these decisions. Previous research indicates that these decisions are not always made correctly and exhibit substantial variability. This study utilizes the Decision Making Ecology Model to analyse the influence of risk assessment tools and work experience on these decisions. Data were collected through a questionnaire and a case file study. The analyses show that the use of risk assessment tools has a significant impact on the decisions made. Work experience did not have a significant direct influence, but the use of risk assessment tools indirectly affected work experience, which in turn had a small effect on the final decisions.Show less
