behavior

Spanking triggers vicious cycle, study finds

Parents who spank unruly children may not know it, but they are participating in a vicious cycle that will lead to both more spankings and more misbehavior in coming years, a new study suggests.

Researchers wanted to resolve the age-old “chicken-and-egg” question that surrounds the issue of physical discipline in childhood — do spankings promote aggression in children, or do naturally aggressive children simply receive more spankings as parents try to control their behavior?

The answer is yes to both, said study author Michael MacKenzie, an associate professor at the Columbia University School of Social Work in New York City. Across a child’s first decade of life, current spankings will lead to future misbehavior — but current misbehavior also will lead to future spankings, the investigators found.

“You can think of it as an escalating arms race, where the parent gets more coercive and the child gets more aggressive, and they get locked into this cycle,” MacKenzie said. “These processes can get started really early, and when they do there’s a lot of continuity over time.”

The findings are based on almost 1,900 families from the Fragile Families and Child Wellbeing Study. That’s a decade-old research project conducted by researchers at Columbia and Princeton universities involving children born in 20 large American cities between 1998 and 2000.

Families in the study took part in assessments shortly after giving birth and when the children were approximately 1, 3, 5 and 9 years old. These assessments included questions about whether the children received spankings and the extent to which the children behaved aggressively, broke rules or acted surly or antagonistic.

About 28 percent of mothers reported spanking their children during their first year of life, increasing to 57 percent at age 3 and then hovering around 53 percent at age 5 and 49 percent at age 9.

But researchers also found that at each age, children who exhibited more behavioral problems went on to experience more spanking at a later age, indicating that the more difficult children might prompt increasing levels of punishment from their parents.

“Some children are eliciting higher levels of physical discipline, and high levels of physical discipline are in turn associated with later higher levels of parental aggression,” MacKenzie said.

Even though the study shows that spanking and misbehavior tend to feed each other, the investigators also found strong evidence that spanking a child within the first year of life likely is the catalyst that starts the cycle.

These findings put an end to the “chicken or the egg” debate over which comes first, the spanking or the childhood misbehavior, said Dr. Andrew Adesman, chief of developmental & behavioral pediatrics at Steven & Alexandra Cohen Children’s Medical Center of New York in New Hyde Park, N.Y.

“I see it starting with the egg, with the egg being the spanking, and then the spanking then leads to more aggressive behavior, and the aggressive behavior then leads to more spanking,” Adesman said.

The findings are published in the March 25 online issue of the Journal of Youth and Adolescence.

If parents can stick to non-physical forms of punishment when a toddler acts out, they are more likely to have a well-behaved child at ages 3, 5 and 9, he said.

“During the early toddler years, parents probably need to get more counseling or advice on strategies for managing children’s behavior without resorting to spanking,” Adesman said.

Unfortunately, MacKenzie said, it can be tough to avoid the urge to spank, given how stressed and overwhelmed many young parents can become.

“Spanking gives very immediate feedback, because children will stop doing what they were doing, but it’s not giving children the ability to regulate themselves over time,” he noted.

“But parenting is not an easy thing, and challenging kids make the job even tougher,” MacKenzie explained. “We need to give these parents the support they need to do as well as they’d like by their children.”

Source: cbs news

Cutting and self-harm: Is your kid doing it?

When you think about cutting – one form of self harm – what likely comes to your mind is an emotionally unstable teenage girl who cuts her forearms with razor blades. However, self-injurious behavior can be much more subtle, and in turn, much more difficult to detect and address. That’s why it’s so important to know how and why it happens and where you can find help.

What is cutting and self harm?

Self harm is intentionally harming oneself, oftentimes with the objective of alleviating suffering. Examples of self harm include cutting the skin with objects, scratching the skin, picking wounds so they can’t heal, biting or burning oneself, and more harmful instances that include hitting one’s head or breaking bones. Of the many types of self harm, cutting is the most common. It damages the skin or other tissues, it is rarely associated with suicide attempts, and it is socially unacceptable. People who cut themselves may attempt to hide the marks or scars, and they may give false explanations for how they occurred (e.g., being scratched by a pet). Teens use many different items to cut (e.g., razor blades, scissors, pens, bottle tops, etc.), and it occurs in a variety of body locations (e.g., arms, legs, genital area, abdomen, etc.).

Who is most likely to cut?
Young people of all ethnicities, ages, and income levels intentionally harm themselves. Cutting is most common among adolescent, Caucasian females who come from intact, middle- to upper-class families. Self-injurious behavior oftentimes begins during middle school, and young people are often introduced to it through peer groups and media outlets (e.g., music, television, internet, etc.).

How common is it?
Approximately one out of every eight people engages in some form of self harm, and currently, it’s more widespread than it has been in prior decades. Among people who have mental illnesses, it is more common, affecting approximately one out of every four people.

Why do people intentionally injure themselves?
It is unclear why people cut themselves; some explanations include impulsivity, a way to distract from personal pain, feelings of control and peer pressure. If a person is cutting or engaging in any other form of self harm, a mental health professional should be consulted. Professionals will use interview techniques to identify reasons why it may be occurring and to provide interventions for effective treatment.

What are the risk factors and signs to watch for?
It is important to remember that each adolescent who cuts is different and not all start or continue for the same reason. In addition, some individuals who cut may not show any of the warning signs. If you believe or know that your child is cutting, it is important to seek professional assistance to assess the reasons why the cutting is occurring and to begin appropriate treatment. Here are some risk factors and signs that have been associated with cutting among adolescents:

Risk Factors

  • Knowledge that friends or acquaintances are cutting
  • Difficulty expressing feelings
  • Extreme emotional reactions to minor occurrences (anger or sorrow)
  • Stressful family events (divorce, death, conflict)
  • Loss of a friend, boyfriend/girlfriend, or social status
  • Negative body image
  • Lack of coping skills
  • Depression

Signs

  • Wearing long sleeves during warm weather
  • Wearing thick wristbands that are never removed
  • Unexplained marks on body
  • Secretive or elusive behavior
  • Spending lengthy periods of time alone
  • Items that could be used for cutting (knives, scissors, safety pins, razors) are missing

What should you do?

If you become aware that your child is engaging in self-injurious acts, remember that it is fairly common. Though it is often frightening for parents, the majority of teens who cut themselves do not intend to inflict serious injury or to cause death. If the injury appears to pose potential medical risks, contact emergency medical services immediately. If the injury doesn’t appear to pose immediate medical risks, remain calm and nonjudgmental, contact your child’s pediatrician to discuss the concerns, and ask for a referral to a trained mental health professional who has experience in this area.

Source : Parenting

 

When Smartphone Is Near, Parenting May Falter

Mealtime is supposed to be family time, but a new study suggests that ever-present smartphones are impeding parent-child communication at the table.

Researchers who observed more than 50 family-type groups eating out found a significant number of adults were preoccupied with their smartphones.

“We know from decades of research that face-to-face interactions are important for cognitive, language and emotional development. Before mobile devices existed, mealtime would’ve been a time where we would’ve seen those interactions,” said study author Dr. Jenny Radesky, a fellow in developmental-behavioral pediatrics at Boston Medical Center.

It’s unclear how much of an impact parents’ smartphone use will ultimately have on a child’s development, and whether that effect will have a negative, positive or neutral impact, said the researchers.

One basic thing that may be affected is child vocabulary, said Dr. Rahil Briggs, director of pediatric behavioral health services at Montefiore Medical Center in New York City. “The single most powerful predictor of a child’s vocabulary is conversations with the child. Dinnertime is an important time for those conversations, and if you’re absorbed with your phone, that’s a lost opportunity.”

Briggs added that social, emotional and conversational skills might also be affected if parents spend too much time looking at their phones and other media.

“What really concerned me was those children who appeared to accept this lack of engagement. It seemed like they’d given up,” noted Briggs, who wasn’t involved with the research.

To capture a snapshot of how parents use their phones around their children at mealtime, Radesky and her colleagues visited Boston-area fast food restaurants and observed groups that included at least one adult and one or more children who looked younger than 10. They took detailed notes on how caregivers — which likely included parents, grandparents and babysitters — used their smartphones and how children responded.

They conducted 55 observations last summer. Forty caregivers took out their phones at some point during the meal. A few kept it on the table, but didn’t appear to use it. Another small group kept their phones in their hands while doing other things.

The largest group — 16 caregivers — seemed totally absorbed by their phones, using them continuously, even eating and talking while looking at the phone. In most cases, it appeared the caregivers were using the phones’ keyboards or making swiping motions on the phones rather than making phone calls.

Another nine caregivers used their devices intermittently, and then put the phone away. The researchers said these caregivers appeared to balance use of the device and paying attention to the child or children.

While the adults used their phones, some school-aged children were busy eating, talking to another child or playing with the toy that came with their meal, and didn’t seem concerned that the caregiver was on a device, especially if it was for a short period of time.

Source: webmd

Challenge at Work May Ease Adults’ Autism Symptoms

For adults with autism, having the chance to work somewhat independently may lead to a reduction in symptoms of the disorder, a new study suggests.

The research puts new emphasis on the potential for adults with autism to develop and improve over their lifetimes, said study author Julie Lounds Taylor, an assistant professor of pediatrics at Vanderbilt University, in Nashville.

“We have assumed it’s really hard to budge autism symptoms in adulthood. Drugs are targeted to problems like acting out, for example,” she said. “But this study suggests that these adults need a place where they’re intellectually stimulated, and then we’ll see a reduction in symptoms.”

The challenge is to find the right fit between a person’s abilities and interests and a specific job, she explained.

“How independent can they be and what are the risks of failure? We have to be careful. You’re talking about a huge range of people with autism,” Taylor said. “I’ve seen people who can manage pretty high-level jobs, like computer programming or being in the military, while others have more [mental] challenges, but can still work a job in the community with support.”

Autism spectrum disorders are a class of neurodevelopmental disorders defined by difficulties with social functioning and communication, according to the researchers. Symptoms include restricted interests, repetitive behaviors and difficulty with social interactions.

The study findings were reported online recently in the Journal of Autism and Developmental Disorders.

Increasing the level of independence in adults with autism isn’t necessarily difficult to do, Taylor said. “We found behavior changes any time you could bump [them] up to doing something a little more independent,” she said. “As they get more independent, you see more benefit.”

Yet understanding what makes a good fit is a huge challenge, she said. “Insight is one of the characteristics people with autism typically may not have, so we will probably need the person’s perspective and then gather information from families, looking at what’s available, and incorporating all of that together,” Taylor explained.

About 50 percent of adults with autism spend their time in sheltered settings, and a minority work in the community, according to Taylor. Most have trouble holding steady jobs, she added.

For the study, the researchers tracked the behavioral development and activities of 153 people with autism spectrum disorder over a five-year period. Their average age was about 30.

The data came from a larger study conducted at the University of Wisconsin-Madison, which followed 400 families with adolescents with autism over 10 years. Data were collected at two different points in time almost six years apart. Data came from the primary caregiver — 150 were mothers and three were fathers.

The researchers found that having greater vocational independence and engagement was related to reduction in autism symptoms and maladaptive behaviors. It was also associated with improvements in daily life activities.

An expert in autism spectrum disorders who was not involved in the study said the results were not surprising.

“This study suggests that, as with nondisabled individuals, a more positive work experience can have many important associated benefits downstream,” said Dr. Andrew Adesman, chief of developmental and behavioral pediatrics at Steven & Alexandra Cohen Children’s Medical Center of New York, in New Hyde Park.

If the research can be replicated, Adesman said it suggests greater emphasis needs to be given to helping adults with autism spectrum disorder find as independent and engaging a work environment as possible.

Taylor said the key point for parents of adults with autism spectrum disorder is to understand the value of getting the best possible vocational placement for their son or daughter and advocating for it.

“If it’s a terrible fit, in ability or in what interests them, it won’t work out,” she said. “But a job can have lasting behavioral impact across the lifespan.”

Source: Web md