Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven: a nested, case–control ALSPAC study

Christine Puckering; Clare S Allely; Orla Doolin; David Purves; Alex McConnachie; Paul C D Johnson; Helen Marwick; Jon Heron; Jean Golding; Christopher Gillberg; Philip Wilson

doi:10.1186/1471-2431-14-223

Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven: a nested, case–control ALSPAC study

Christine Puckering, Clare S Allely, Orla Doolin, David Purves, Alex McConnachie, Paul C D Johnson, Helen Marwick, Jon Heron , Jean Golding, Christopher Gillberg, Philip Wilson

Research output: Contribution to journal › Article › peer-review

26 Citations (Scopus)

6 Downloads (Pure)

Abstract

Background
Effective early intervention to prevent oppositional/conduct disorders requires early identification of children at risk. Patterns of parent-child interaction may predict oppositional/conduct disorders but large community-based prospective studies are needed to evaluate this possibility.

Methods
We sought to examine whether the Mellow Parenting Observational System (MPOS) used to assess parent-infant interactions at one year was associated with psychopathology at age 7. The MPOS assesses positive and negative interactions between parent and child. It examines six dimensions: anticipation of child’s needs, responsiveness, autonomy, cooperation, containment of child distress, and control/conflict; these are summed to produce measures of total positive and negative interactions. We examined videos from the Avon Longitudinal Study of Parents and Children (ALSPAC) sub-cohort who attended the ‘Children in Focus’ clinic at one year of age. Our sample comprised 180 videos of parent-infant interaction: 60 from infants who received a psychiatric diagnostic categorisation at seven years and 120 randomly selected controls who were group-matched on sex.

Results
A negative association between positive interactions and oppositional/conduct disorders was found. With the exception of pervasive developmental disorders (autism), an increase of one positive interaction per minute predicted a 15% (95% CI: 4% to 26%) reduction in the odds of the infant being case diagnosed. There was no statistically significant relationship between negative parenting interactions and oppositional/conduct disorders, although negative interactions were rarely observed in this setting.

Conclusions
The Mellow Parenting Observation System, specifically low scores for positive parenting interactions (such as Responsiveness which encompasses parental warmth towards the infant), predicted later psychiatric diagnostic categorisation of oppositional/conduct disorders.

Original language	English
Article number	223
Journal	BMC Pediatrics
Volume	14
DOIs	https://doi.org/10.1186/1471-2431-14-223
Publication status	Published - 6 Sept 2014

Keywords

ALSPAC
disruptive behaviour disorders
parent-infant interactions
Mellow Parenting Observation System

Access to Document

10.1186/1471-2431-14-223

Puckering_et_al_BMC_Pediatrics
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. http://www.biomedcentral.com/about/license
Final published version, 269 KB

Philip Wilson
- School of Medicine, Medical Sciences & Nutrition, Applied Health Sciences - Emeritus Professor
Person: Honorary

Cite this

Puckering, C., Allely, C. S., Doolin, O., Purves, D., McConnachie, A., Johnson, P. C. D., Marwick, H., Heron , J., Golding, J., Gillberg, C., & Wilson, P. (2014). Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven: a nested, case–control ALSPAC study . BMC Pediatrics, 14, Article 223. https://doi.org/10.1186/1471-2431-14-223

@article{5397dca3a072430e977b00039c300e1c,

title = "Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven: a nested, case–control ALSPAC study ",

abstract = "BackgroundEffective early intervention to prevent oppositional/conduct disorders requires early identification of children at risk. Patterns of parent-child interaction may predict oppositional/conduct disorders but large community-based prospective studies are needed to evaluate this possibility. MethodsWe sought to examine whether the Mellow Parenting Observational System (MPOS) used to assess parent-infant interactions at one year was associated with psychopathology at age 7. The MPOS assesses positive and negative interactions between parent and child. It examines six dimensions: anticipation of child{\textquoteright}s needs, responsiveness, autonomy, cooperation, containment of child distress, and control/conflict; these are summed to produce measures of total positive and negative interactions. We examined videos from the Avon Longitudinal Study of Parents and Children (ALSPAC) sub-cohort who attended the {\textquoteleft}Children in Focus{\textquoteright} clinic at one year of age. Our sample comprised 180 videos of parent-infant interaction: 60 from infants who received a psychiatric diagnostic categorisation at seven years and 120 randomly selected controls who were group-matched on sex. ResultsA negative association between positive interactions and oppositional/conduct disorders was found. With the exception of pervasive developmental disorders (autism), an increase of one positive interaction per minute predicted a 15% (95% CI: 4% to 26%) reduction in the odds of the infant being case diagnosed. There was no statistically significant relationship between negative parenting interactions and oppositional/conduct disorders, although negative interactions were rarely observed in this setting. ConclusionsThe Mellow Parenting Observation System, specifically low scores for positive parenting interactions (such as Responsiveness which encompasses parental warmth towards the infant), predicted later psychiatric diagnostic categorisation of oppositional/conduct disorders. ",

keywords = "ALSPAC, disruptive behaviour disorders, parent-infant interactions, Mellow Parenting Observation System",

author = "Christine Puckering and Allely, {Clare S} and Orla Doolin and David Purves and Alex McConnachie and Johnson, {Paul C D} and Helen Marwick and Jon Heron and Jean Golding and Christopher Gillberg and Philip Wilson",

year = "2014",

month = sep,

day = "6",

doi = "10.1186/1471-2431-14-223",

language = "English",

volume = "14",

journal = "BMC Pediatrics",

issn = "1471-2431",

publisher = "BioMed Central",

}

TY - JOUR

T1 - Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven

T2 - a nested, case–control ALSPAC study

AU - Puckering, Christine

AU - Allely, Clare S

AU - Doolin, Orla

AU - Purves, David

AU - McConnachie, Alex

AU - Johnson, Paul C D

AU - Marwick, Helen

AU - Heron , Jon

AU - Golding, Jean

AU - Gillberg, Christopher

AU - Wilson, Philip

PY - 2014/9/6

Y1 - 2014/9/6

N2 - BackgroundEffective early intervention to prevent oppositional/conduct disorders requires early identification of children at risk. Patterns of parent-child interaction may predict oppositional/conduct disorders but large community-based prospective studies are needed to evaluate this possibility. MethodsWe sought to examine whether the Mellow Parenting Observational System (MPOS) used to assess parent-infant interactions at one year was associated with psychopathology at age 7. The MPOS assesses positive and negative interactions between parent and child. It examines six dimensions: anticipation of child’s needs, responsiveness, autonomy, cooperation, containment of child distress, and control/conflict; these are summed to produce measures of total positive and negative interactions. We examined videos from the Avon Longitudinal Study of Parents and Children (ALSPAC) sub-cohort who attended the ‘Children in Focus’ clinic at one year of age. Our sample comprised 180 videos of parent-infant interaction: 60 from infants who received a psychiatric diagnostic categorisation at seven years and 120 randomly selected controls who were group-matched on sex. ResultsA negative association between positive interactions and oppositional/conduct disorders was found. With the exception of pervasive developmental disorders (autism), an increase of one positive interaction per minute predicted a 15% (95% CI: 4% to 26%) reduction in the odds of the infant being case diagnosed. There was no statistically significant relationship between negative parenting interactions and oppositional/conduct disorders, although negative interactions were rarely observed in this setting. ConclusionsThe Mellow Parenting Observation System, specifically low scores for positive parenting interactions (such as Responsiveness which encompasses parental warmth towards the infant), predicted later psychiatric diagnostic categorisation of oppositional/conduct disorders.

AB - BackgroundEffective early intervention to prevent oppositional/conduct disorders requires early identification of children at risk. Patterns of parent-child interaction may predict oppositional/conduct disorders but large community-based prospective studies are needed to evaluate this possibility. MethodsWe sought to examine whether the Mellow Parenting Observational System (MPOS) used to assess parent-infant interactions at one year was associated with psychopathology at age 7. The MPOS assesses positive and negative interactions between parent and child. It examines six dimensions: anticipation of child’s needs, responsiveness, autonomy, cooperation, containment of child distress, and control/conflict; these are summed to produce measures of total positive and negative interactions. We examined videos from the Avon Longitudinal Study of Parents and Children (ALSPAC) sub-cohort who attended the ‘Children in Focus’ clinic at one year of age. Our sample comprised 180 videos of parent-infant interaction: 60 from infants who received a psychiatric diagnostic categorisation at seven years and 120 randomly selected controls who were group-matched on sex. ResultsA negative association between positive interactions and oppositional/conduct disorders was found. With the exception of pervasive developmental disorders (autism), an increase of one positive interaction per minute predicted a 15% (95% CI: 4% to 26%) reduction in the odds of the infant being case diagnosed. There was no statistically significant relationship between negative parenting interactions and oppositional/conduct disorders, although negative interactions were rarely observed in this setting. ConclusionsThe Mellow Parenting Observation System, specifically low scores for positive parenting interactions (such as Responsiveness which encompasses parental warmth towards the infant), predicted later psychiatric diagnostic categorisation of oppositional/conduct disorders.

KW - ALSPAC

KW - disruptive behaviour disorders

KW - parent-infant interactions

KW - Mellow Parenting Observation System

U2 - 10.1186/1471-2431-14-223

DO - 10.1186/1471-2431-14-223

M3 - Article

SN - 1471-2431

VL - 14

JO - BMC Pediatrics

JF - BMC Pediatrics

M1 - 223

ER -

Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven: a nested, case–control ALSPAC study

Abstract

Keywords

Access to Document

Fingerprint

Profiles

Philip Wilson

Cite this