Perinatal Mental Health, The Coombe Women and Infants University Hospital, D08 XW7X Dublin, Ireland.
School of Psychology, National University of Ireland, H91 TK33 Galway, Ireland.
Int J Environ Res Public Health. 2021 Mar 11;18(6):2861. doi: 10.3390/ijerph18062861.
The purpose of this study was to generate greater understanding of social-emotional difficulties in infants and toddlers in an Irish context. This study compared rates of reported social-emotional difficulties in young children in clinical and non-clinical samples and probed a predictive model of social-emotional adjustment. Data were collected from a cross-sectional sample of 72 mothers of young children aged between 12 and 48 months. Mothers were recruited from waiting lists for child Early Intervention services (clinical sample) and community mother-toddler groups (non-clinical sample). Mothers completed a questionnaire battery which assessed parenting self-efficacy, parenting behaviour, psychological distress and child social-emotional adjustment. The results indicated that 55.5% of young children in the clinical sample and 15% in the non-clinical sample had significant social-emotional problems. Similarly, 55.5% of young children in the clinical sample and 30% in the non-clinical sample had significant delays in the acquisition of social-emotional competencies. Two hierarchical multiple regressions were carried out with social-emotional problems and social-emotional competencies as the respective criterion variables. Clinical or non-clinical group membership, parenting satisfaction and maternal psychological distress were found to be significant predictors of child social-emotional problems in a model which explained 59% of the variance. Task-specific self-efficacy was the only significant predictor of child social-emotional competencies in a model which explained 21% of the variance. The significant rates of social-emotional problems in young children in the current study and the potential negative impact on child health and wellbeing, suggest that the early assessment of social-emotional adjustment should be incorporated into routine clinical assessment for young children. For services to effectively meet the needs of children with social-emotional difficulties and their families, consideration of maternal factors is also necessary.
本研究旨在增进对爱尔兰背景下婴儿和幼儿社会情感困难的理解。本研究比较了临床和非临床样本中幼儿报告的社会情感困难的发生率,并探讨了社会情感调整的预测模型。数据来自 72 名年龄在 12 至 48 个月的幼儿母亲的横断面样本。母亲是从儿童早期干预服务(临床样本)和社区母婴小组(非临床样本)的候补名单中招募的。母亲们完成了一份问卷,评估了育儿自我效能感、育儿行为、心理困扰和儿童社会情感适应。结果表明,临床样本中有 55.5%的幼儿和非临床样本中有 15%的幼儿存在显著的社会情感问题。同样,临床样本中有 55.5%的幼儿和非临床样本中有 30%的幼儿在社会情感能力的获得方面存在显著延迟。进行了两次分层多元回归,以社会情感问题和社会情感能力作为各自的因变量。临床或非临床组的归属、育儿满意度和母亲的心理困扰被发现是儿童社会情感问题的重要预测因素,该模型解释了 59%的方差。特定任务的自我效能感是儿童社会情感能力的唯一显著预测因素,该模型解释了 21%的方差。当前研究中幼儿显著的社会情感问题率以及对儿童健康和幸福感的潜在负面影响表明,应将社会情感调整的早期评估纳入对幼儿的常规临床评估。为了使服务能够有效地满足有社会情感困难的儿童及其家庭的需求,还需要考虑母亲的因素。