The Development of a Feeding Coparenting Scale for Japanese Parents of Fifth- and Sixth-Grade Elementary School Children

Aim: Recently, the role of feeding coparenting has gained attention in the child eating research field. The Feeding Coparenting Scale (FCS), a measure of how caregivers interact with their partners when feeding their children was developed in the United States in 2019. However, there is no valid and reliable measure to assess feeding coparenting among caregivers of school-aged children in Japan. Therefore, this study aimed to develop a Japanese version of the FCS (FCS-J) questionnaire for caregivers with school-aged children. Methods: This was a web-based cross-sectional survey completed by caregivers of children aged 10-12 years. A preliminary survey using interviews and a web-based survey was conducted and found that the translated items of the FCS into Japanese were understandable to Japanese people. The developed survey was administered to parents of children at an elementary school. The reliability of the survey was assessed using both test-retest reliability and internal consistency analysis. Exploratory factor analysis was used to test construct validity, and known population validity was examined in relation to attributes, marital satisfaction, and feeding tasks. Results: Findings with 135 parents of school-aged children showed good internal reliability and validity of the FCS-J. The mean score for the overall FCS-J score was 46.2 (SD = 6.2), with Cronbach’s α of 0.72. For the subscales, Cronbach’s α ranged from 0.75 to 0.79. In sum, the present study’s results support the three-factor structure of the FCS in Japanese caregivers in Japan. Conclusions: The developed FCS-J was found to have a certain degree of reliability and validity. In this study, a Japanese version of the FCS-J was developed. .

Comparative study on emotional behavior and parental job stress of only-child and non-only-child preschool children

BACKGROUND Studies have revealed that Children's psychological,behavioral,and emotional problems are easily influenced by the family environment.In recent years,the family structure in China has undergone significant changes,with more families having two or three children.AIM To explore the relationship between emotional behavior and parental job stress in only preschool and non-only preschool children.METHODS Children aged 3-6 in kindergartens in four main urban areas of Shijiazhuang were selected by stratified sampling for a questionnaire and divided into only and nononly child groups.Their emotional behaviors and parental pressure were compared.Only and non-only children were paired in a 1:1 ratio by class and age(difference less than or equal to 6 months),and the matched data were compared.The relationship between children's emotional behavior and parents'job stress before and after matching was analyzed.RESULTS Before matching,the mother's occupation,children's personality characteristics,and children's rearing patterns differed between the groups(P<0.05).After matching 550 pairs,differences in the children's parenting styles remained.There were significant differences in children's gender and parents'attitudes toward children between the two groups.The Strengths and Difficulties Questionnaire(SDQ)scores of children in the only child group and the Parenting Stress Index-Short Form(PSI-SF)scores of parents were significantly lower than those in the non-only child group(P<0.05).Pearson’s correlation analysis showed that after matching,there was a positive correlation between children's parenting style and parents'attitudes toward their children(r=0.096,P<0.01),and the PSI-SF score was positively correlated with children's gender,parents'attitudes toward their children,and SDQ scores(r=0.077,0.193,0.172,0.222).CONCLUSION Preschool children's emotional behavior and parental pressure were significantly higher in multi-child families.Parental pressure in differently structured families was associated with many factors,and preschool children's emotional behavior was positively correlated with parental pressure.

Literature Review on Support for Children and Families Experiencing Parental Bereavement

Purpose: This study aimed to understand the actual nursing support in a wide perspective by reviewing overseas literature on support for children who have experienced parental bereavement and their families. The goal was to identify future challenges in nursing support in clinical practice in Japan. Method: Literature searchable as of May 2023 was retrieved using PubMed, resulting in 11 relevant articles. Result: The results revealed the following: 1) For support provided to children, 13 codes were condensed into 5 subcategories and 4 categories. 2) For support provided to families, 36 codes were condensed into 11 subcategories and 4 categories. Conclusion: Open communication was found to be essential for supporting children and their families who have experienced parental bereavement. Moreover, involvement of multiple professions facilitated the provision of specialized support to address diverse needs of children and families, playing a crucial role in overcoming grief. Additionally, the effectiveness of support systems for bereaved families highlighted the need for nursing professionals in Japan to gain knowledge through learning opportunities and to establish a multi-disciplinary approach to support, thus indicating future challenges in nursing support.

Relationship between Authoritative Parenting Style and Preschool Children’s Emotion Regulation:A Moderated Mediation Model

An authoritative parenting style has been shown to promote children’s emotion regulation in European-American family studies.However,little is known about how sleep problems and the child’s sibling status in Chinese families affect this relationship.Based on family system theory,this study attempts to better understand the relationship between authoritative parenting style and emotion regulation.Mothers of preschool children in Chinese kindergartens completed questionnaires about their children’s sleep habits,their authoritative parenting styles,and children’s emotion regulation.A total of 531 children participated in this study.Results showed that authoritative parenting was positively associated with emotional regulation.Sleep problems mediated the effects of authoritative parenting style on emotion regulation.The child’s sibling status moderated the mediating effects of sleep problems in authoritative parenting and emotion regulation relationships.Specifically,the relationship between the authoritative parenting style and sleep problems was significant for only children,while birth order had no significant influence on the authoritative parenting style and sleep problems in two-child families.These findings suggest that a lowauthoritative parenting style predicts low emotion regulation through sleep problems,and this depends on the child’s sibling status,indicating that children without siblings may impair emotion regulation due to increased sleep problems.

Attachment Styles and Traumatic Responses: Exploring the Impact of Parental Interaction on Child Development and Coping Mechanisms

This article explores the intricate relationship between attachment styles formed during early childhood and the subsequent responses to traumatic events, particularly the death of a parent. Drawing on the theoretical framework of attachment theory and incorporating contemporary research, the paper discusses how parental interactions shape the neural circuitry of infants and children, influencing their ability to form secure or insecure attachments. These attachment styles, in turn, play a critical role in determining the child’s coping mechanisms when faced with trauma. This paper focuses on trying to understand how attachment theory is connected to the reaction to trauma with a highlight on the four major styles of attachments which are secure, anxious, avoidant, and disorganized to mention but a few, and how they influence stress and adversity in children. Attachment theory holds that human beings’ ability to form affectional bonds in infancy determines their patterns of relatedness across the life cycle. The type of attachment that is secure usually supports healthy adaptation and good coping mechanisms regardless of the trauma in the childhood of the child. While secure attachment mostly facilitates favorable trauma-related outcomes, anxious or avoidant attachment can exacerbate or alter the responses. The caregiving system that is avoidant attachment has implications of autonomous self-functioning which has features of suppression of the emotional response and poor search for emotional support during stress. From the principles of developmental psychology and trauma theory, the paper also focuses on the major significance of the child’s early caregivers’ interactions that define the resilience and vulnerability factor. This knowledge is therefore critical in designing specific interventions based on the improvement of coping behaviors and emotional regulatory systems of children who have been exposed to trauma. Finally, we have the synthesis of new knowledge about the role of secure attachment relationships as its fundamental element in shaping adaptive traumatization and psychological development. The article also delves into the physiological processes involved in emotional regulation and the role of cortisol in disrupting attachment. Finally, the implications of these findings for therapeutic interventions and the challenges of addressing prolonged grief and traumatic responses in clinical settings are considered.

A determination of the quality of life of children and adolescents with type 1 diabetes and their parents

Objective: Type 1 diabetes is a chronic illness which can have a negative effect on the health care and development of children and can put their lives in danger. This descriptive study aimed to determine the quality of life and the factors affecting it of children and adolescents with type 1 diabetes using the Pediatric Quality of Life Inventory (PedsQL).Methods: The study was conducted in the Child Endocrinology Unit of a University Hospital in Bursa, Turkey. Totally 64 children eight-12 years and 85 adolescents aged 13-18 with type 1 diabetes and their parents were recruited. HbA1c measurements were obtained from the records of the endocrinology clinicare, which were made once every three months, and the average of the last three measurements was taken in the study. The PedsQL was used to measure quality of life of the children and adolescents. The data was analyzed using SPSS version 20.0 and P<0.05 was considered significant. The demographic data of the children and parents were analyzed using means and percentiles. Pearson's correlation analysis was used to assess the relationship between two averages. Results: Of the sub-groups on the scale, affective and school function scores were somewhat low, and social function scores were high. The quality of life scores of the children and adolescents were found to correlate with those of their parents. A negative correlation was found between HbA1c levels and adolescent quality of life, a positive correlation was found between the child's age and the quality of life of the child and parents, and a negative correlation was found between the number of children in the family and the quality of life of the child and parents. Conclusions: An evaluation of the quality of life after a diagnosis of diabetes can be used to assess the problems which may be faced by children and adolescents and to combat these problems.

The associations between resilience and socio-demographic factors in parents who care for their children with congenital heart disease

Objective To examine the resilience of parents of children with congenital heart disease and to investigate socio-demographic factors that may influence parents’resilience.Methods This is a web-based survey study using a cross-sectional design.A purposive sampling method was utilized to recruit 515 parents who care for children with congenital heart disease.Resilience was assessed using the Dispositional Resilience Scale-Ⅱ.Based on expert-interviews,a questionnaire was designed to collect socio-demographic data.Descriptive statistics,factor analysis,and linear regressions were used to analyze data.Results A total of 413 parents completed the survey study.The mean resilience score was 3.75(SD=0.61;range=1.89–4.89)with higher scores indicating higher resilience.The linear regression models demonstrated that parents who had lower education levels and lower gross household income had lower resilience(P<0.05).Conclusions Parents reported resilience that reflected their ability to cope with stressful events and mitigate stressors associated with having and caring for children with congenital heart disease.Lower education levels and lower gross household income are associated with lower resilience.To increase parents’resilience,nursing practice and nurse-led interventions should target screening and providing support for parents at-risk for lower resilience.As lower education level and financial hardship are factors that are difficult to modify through personal efforts,charitable foundations,federal and state governments should consider programs that would provide financial and health literacy support for parents at-risk for lower resilience.

Children’s Health, Parent-Child Activities, Using Digital Devices, and Social Competence: Serial Mediation

Background: Studies have pointed out the influence of different children’s activities and prolonged use of digital products on their social development. However, whether the parent-child activities and using digital devices were serial mediators of the relationship between children’s health and social development needs further verification. Purpose: This study explored how parent-child activities and children’s use of digital devices influence the relationship between children’s health and their social competence. Method: This study used data from Kids in Taiwan: National Longitudinal Study of Child Development and Care. A total sample of 2164 participants was used in this study. Serial mediation analyses were performed using model six of Hayes’ PROCESS (2012). Results: This study found that parent-child activities and the use of digital devices can serially mediate the relationship between children’s health and social competence. Children’s health could directly improve their social competence, but it could also serially mediate social competence by increasing parent-child activities and reducing the use of digital devices. Conclusion: Childcare policy planners and parenting educators should not only call on parents to reduce the use of electronic products for their children, but also encourage parents to spend more time interacting with their children, so that children can learn social skills by interacting with others in their daily lives.

Analysis of Professional Quality Cultivation Strategies for Infant and Child Care Service Talents from the Perspective of Collaboration of Medical Care,Parenting,and Education,and Integration of Industry and Education

The collaboration of medical care,parenting,and education aims to integrate nursing,midwifery,infant and child care services,and management with speech and hearing rehabilitation technology,among other elements related to the infant care industry chain.This integration targets pediatrics talent training in nine infant care positions,including nursing,infant health care and management,and child rehabilitation,to ensure that the capabilities and quality of professional talents can meet the health care needs of infants and young children.This article briefly explains the background of the“collaboration of medical care,parenting,and education,and integration of industry and education.”It analyzes the necessity of cultivating infant and child care service talents based on the perspective of“collaboration of medical care,parenting,and education,and integration of industry and education.”Based on this perspective,we conducted an in-depth study of the cultivation of professional qualities of infant and child care service talents.

Relationship between negative emotions and perceived support among parents of hospitalized,critically ill children

Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cross-sectional descriptive study conducted face-to-face interviews between January 2019 and January 2020.Study variables included depression(PHQ-9 Scale),anxiety(Emotional Distress-Anxiety-Short Form 8a),anger(Emotional Distress-Anger-Short Form 5a),fear(Fear-Affect Computerized Adaptive Test),somatic fear(Fear-Somatic Arousal-Fixed Form),loneliness(Revised 20-item UCLA Loneliness Scale),and perceived emotional support(Emotional Support-Fixed Form).Results:Eighty parents reported symptoms of depression 8.00(4.00,13.75),anxiety(23.43±7.80),anger(13.40±5.46),fear(72.81±27.26),somatic fear 9.00(6.00,12.75),loneliness(39.35±12.00),and low perceived emotional support(32.14±8.06).Parents who were young,single,low-income,and with limited-post secondary education reported greater loneliness and lower perceived emotional support.Fear correlated with depression(r=0.737,P<0.01)and anxiety(r=0.900,P<0.01).Inverse relationships were discovered between perceived emotional support and loneliness(r=-0.767,P<0.01),anger(r=-0.401,P<0.01),and depression(r=-0.334,P<0.01).Conclusions:The cluster of negative emotions identified will serve as potential targets for future interventions designed to enhance support for parents of critically ill children.

Parents＇ Experiences of When an Adult Child Is Seriously III--＂lt Does Not Matter That It Is a Grown-Up Person, They Are Still Your Child＂

Purpose and Topic： A longer life expectancy is expected to rise continuously in all populations on all continents. Older parents are at risk of having to accompany their adult children through a severe illness, sometimes even to their death. The present study investigates the experiences of being a parent to an adult child with a severe illness and what support was helpful during the child＇s period of illness. Method： A qualitative approach with in-depth interviews which were analyzed using content analysis. Results： The results showed that a common perception was that it is very special to have a child with a severe illness. The underlying elements of existential experience and the relationship both influenced the parents＇ conceptions of life and permeated the whole situation. There were four areas that the parents found important and influenced how they could manage the situation： having information, participation, strategies to cope with the situation, and support. Conclusions： Accompanying an adult child through a severe and potentially fatal disease in the context of a growing elderly population will become an increasingly frequent problem. So far there is limited research in this area and more research should be a high priority in the future.

What Should Parents Say to a Child Bullied at School?

The Double Take column looks at a single topic from an African and Chinese perspective. This month we discuss how parents should respond when their child is bullied at school.

Parental Anxiety and Quality of Life of Epileptic Children

Objective To investigate the prevalence of parental anxiety associated with epileptic children, and to explore whether and how this specific condition affects children＇s quality of life （QOL）, and what are the significant determinants for parental anxiety. Methods Three hundred and forty parents whose children were affected with known epilepsy were enrolled in the study. Questionnaires for quality of life in childhood epilepsy （QOLCE）, and hospital anxiety and depression （HAD） of parents were used to collect demographic data of both children and their parents, as well as clinical manifestations of epilepsy and family status. Results Parental anxiety （of any severity） was observed in 191 subjects at interview, giving a prevalence rate of 56.2%. Of the 191 subjects, 18.5% reported mild anxiety, 24.4% moderate anxiety, and 13.2% severe anxiety. Factors associated with parental anxiety included frequency of seizure in children, average monthly income per person and parents＇ knowledge about epilepsy （P〈O.05）. Parental anxiety significantly （P--O.O00） correlated with quality of life of children with epilepsy. Conclusion Parents of children with epilepsy are at high risk of having anxiety. Factors associated with parental anxiety originate both from children and from parents. Parental anxiety is significantly related with children＇s QOL. It is important for experts concerned to recognize such a relationship to improve the QOL of children and their parents.

Understanding autism spectrum disorder and coping mechanism by parents:An explorative study

Objective:This study aimed to explore the perceptions of parents of children with autism spectrum disorder(ASD)and their coping strategies.Methods:The data of the study was collected using face-to-face semi-structured interviews.The participants were purposefully selected from the three schools in Mpumalanga Province because they had children diagnosed with ASD and data was analyzed using thematic content analysis.In this study,primary caregivers were selected.In the end,12 women were interviewed,and the data saturation was reached.Ethical considerations and measures to ensure trustworthiness were carried out throughout the study.Results:The findings revealed two themes:caregivers’understanding and misconceptions of ASD and coping mechanisms used in dealing challenges of caring for a child with ASD;and five subthemes:lack of knowledge,cultural beliefs,prayer,strong support system,and acceptance.Conclusion:Based on the findings,more awareness campaigns should be done on ASD to increase parents’understanding of the condition.Understanding the cultural beliefs of parents regarding ASD may assist health care professionals in developing care practices that are accepted in their culture,and may enhance parents’coping skills.

Fathers’Parenting Practices and the Children’s Approaches to Learning From Three Through Five Years;A Case of Mityana District,Uganda

The Approaches to Learning addresses how children learn-this includes children’s attitudes and interests in learning.This domain reflects behaviours and attitudes such as curiosity,problem-solving,maintaining attention and persistence.The research study focused on examining the fathers’parenting practices and the children’s approaches to learning from three through five years.The study used a cross sectional research design and data was generated using focal group discussions,interview guides and child behaviour rating scale on how fathers’parenting practices contribute to children’s approaches to learning.Results revealed that,Fathers’parenting practices and Children’s curiosity were found to have a very positive relationship(r=0.396,p<0.05).Fathers’parenting practices and children’s learning were found to have a significant positive relationship(r=0.420,p<0.05).Findings also indicated that fathers’parenting practices and children’s creativity were found to have an average positive relationship(r=0.379,p<0.05).Arising out of the findings,the study recommended that fathers’parenting programs be put in place to help them up bring the child in holistic manner.

Communication with Parents and Peers on Sexual Matters:the Experience of Adolescents in the Northeastern of China

Objective To analyze the status of parent-child communication on sexual matters and its relationship to the sexual behaviors of adolescents. Methods The data were obtained from a study which was conducted in Changchun city of China in 2001, Unmarried adolescents aged 15-19 years old（322 males and 360females） were selected for this analysis. Results Ten percent of adolescents reported having experience of sexual intercourse （16% of male and 5% of female）. The percentages of adolescents communicating with peers, mothers and fathers were 35%, 30% and 17%, respectively, Males were more likely to talk about sexual issues with peer, while females were more likely to talk with mothers. Significant difference was also noted between the ratio of communication on sexual matters and having a girl/boyfriend with peers and with parents, There was a statistically significant relationship between sexual experience and communication with fathers among male adolescents＇, Despite the fact that parents are the most closest care providers, adolescents obtained most of the sex information from ＂reading materials＂ and from ＂teachers＂, but not from their parents. There was an age difference in the main source of obtaining sexual information. Younger adolescents obtained sexual information mainly from teachers while older adolescents mainly from reading materials. Conclusion In addition to schools and reading materials, parents should serve as an important source of information on sexual education as well.

流动儿童社会排斥、自尊、亲子依恋与抑郁的关系:一项追踪研究

目的:为探讨流动儿童社会排斥、自尊、亲子依恋与抑郁的动态关系。方法:以班级为单位对385名流动儿童进行为期一年的纵向追踪调查。采用协方差结构方程模型对前、后两次4个研究变量间的动态关系进行检验。结果:控制年龄和性别作用后显示:①流动儿童前测社会排斥可以预测其后测抑郁水平(β=0.12,P<0.01);②流动儿童前测自尊在社会排斥对抑郁的即时和延时预测中均起部分中介作用,中介效应值分别是0.11和0.03;③流动儿童前测亲子依恋在其前测社会排斥影响后测抑郁的中介路径前半段中起延时调节作用,调节效应值为-0.12。结论:①社会排斥可以预测流动儿童的抑郁水平;②自尊在社会排斥和流动儿童抑郁中起即时和延时中介作用;③亲子依恋能够延时调节流动儿童社会排斥与自尊的关系。

基于KJ-KANO模型的亲子家居文创产品设计研究

以亲子用户群体需求为设计导向,综合使用KJ-KANO模型对亲子家居文创产品进行研究与设计,打破亲子沟通障碍的桎梏,营造和谐有爱的亲子氛围。首先运用KJ法获取亲子对于家居文创产品的相关需求,梳理出需求清单;其次运用KANO模型甄别亲子需求的属性以及对需求进行优先级排序。在此基础上,进行亲子家居文创产品设计实践。通过综合运用KJ-KANO模型精准获取用户需求,从而避免设计人员的主观臆断,为设计实践提供合理的设计要素,从而提升亲子群体对于家居文创产品的满意度和幸福体验指数。