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 journalArticle

12 Citations (Scopus)
4 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 languageEnglish
Article number223
JournalBMC Pediatrics
Volume14
DOIs
Publication statusPublished - 6 Sep 2014

Fingerprint

Attention Deficit and Disruptive Behavior Disorders
Conduct Disorder
Longitudinal Studies
Parenting
Parents
Psychiatry
Autistic Disorder
Psychopathology
Research Design
Observation
Prospective Studies

Keywords

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

Cite this

Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven : a nested, case–control ALSPAC study . / Puckering, Christine; Allely, Clare S; Doolin, Orla; Purves, David; McConnachie, Alex; Johnson, Paul C D; Marwick, Helen; Heron , Jon; Golding, Jean; Gillberg, Christopher; Wilson, Philip.

In: BMC Pediatrics, Vol. 14, 223, 06.09.2014.

Research output: Contribution to journalArticle

Puckering, C, Allely, CS, Doolin, O, Purves, D, McConnachie, A, Johnson, PCD, 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, vol. 14, 223. https://doi.org/10.1186/1471-2431-14-223
Puckering, Christine ; Allely, Clare S ; Doolin, Orla ; Purves, David ; McConnachie, Alex ; Johnson, Paul C D ; Marwick, Helen ; Heron , Jon ; Golding, Jean ; Gillberg, Christopher ; Wilson, Philip. / Association between parent-infant interactions in infancy and disruptive behaviour disorders at age seven : a nested, case–control ALSPAC study . In: BMC Pediatrics. 2014 ; Vol. 14.
@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’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.",
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 = "9",
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

VL - 14

JO - BMC Pediatrics

JF - BMC Pediatrics

SN - 1471-2431

M1 - 223

ER -