Health-related quality of life of children from low-income families: the new patterns study

BACKGROUND

Child poverty has been gradually rising, and about 12% of all Norwegian children are living in a state of relative poverty. This study was part of the New Patterns project, which recruits low-income families requiring long-term welfare services. Included families receive integrated welfare services, with the help of a family coordinator. The current study objectives were to explore the associations between HRQoL, demographic variables (age, gender, immigration status) and leisure activities in children and adolescents in low-income families.

METHODS

A cross-sectional survey was conducted among low-income families. Participating families had children (N = 214) aged 8-18 years.The family had a household income below 60% of the equivalized median population income for three consecutive years and needed long-term welfare services. HRQoL was measured using the KIDSCREEN-27 self-report instrument. Descriptive statistics, including means, standard deviations, and proportions, were calculated, and ordinary least squares regressions were performed, clustering standard errors at the family level.

RESULTS

Compared with boys, girls reported lower HRQoL on only one out of five dimensions, physical wellbeing. In the regression analysis we found statistically significant positive associations between migrant status and HRQoL on all five dimensions: physical wellbeing, psychological wellbeing, parents and autonomy, peers and social support, and school environment. In addition, age was associated with school environment, and age, gender and participation in leisure activities was associated with better physical wellbeing.

CONCLUSIONS

Baseline results regarding HRQoL among children and adolescents in low-income families indicate that they have overall good HRQoL, though some participants had low HRQoL scores, especially on the physical and social support dimensions. Children with an immigrant background report higher HRQoL than do children without an immigrant background.

Morality in middle childhood: the role of callous-unemotional traits and emotion regulation skills

BACKGROUND

The development of morality is vital for fostering prosocial behavior and enhancing both individual and societal well-being. Clarifying what contextual and individual factors play a role in moral processes during childhood can contribute to our understanding of the development of morality. Given the previous acknowledgment of importance, yet lack of existing empirical findings, the study focused on the significance of callous-unemotional traits (i.e., an affective-interpersonal personality trait, related to psychopathy in adulthood) and emotion regulation (i.e., an essential part of socio-emotional competence, and a transdiagnostic factor in the development of psychopathology) for moral emotions and cognitions during middle childhood. The concrete aim was to examine direct and indirect effects of callous-unemotional trait dimensions (callousness, uncaring, unemotionality) onto immoral emotional attribution (i.e., feeling good after immoral decisions) and admissibility of immoral actions (i.e., evaluating immoral actions as being okay) via emotion regulation skills.

METHODS

A cross-sectional study was conducted with 194 children attending Grades 1 to 4, and their primary caregivers. The children completed the Inventory of Callous-Unemotional Traits and caregivers completed the Emotion Regulation Checklist. The children were also presented with a set of moral dilemma vignettes, and asked about the emotions of protagonists who acted immoral, and the admissibility of their actions.

RESULTS

Path-model analysis revealed (1) negative direct effects of emotion regulation skills onto immoral emotional attribution and admissibility of immoral actions, (2) positive direct effects of the dimensions callousness and uncaring onto immoral emotional attribution and admissibility of immoral actions, and (3) negative direct effects of dimensions callousness and uncaring onto emotion regulation skills. Indirect effects, indicating that emotion regulation skills mediate the association between the callous-unemotional trait dimensions and morality, were also found.

CONCLUSION

The findings address a knowledge gap and indicate that emotion regulation skills, callousness, and uncaring play an important role in morality in middle childhood and should be included in frameworks of moral decision-making and development.

A systematic review and meta-analysis of associations between self-regulation and morality in preschool and elementary school children

The importance of self-regulatory skills for the socio-emotional competencies of children is being researched and discussed extensively. However, in order to make a clear statement about the impact of self-regulation on children’s morality, a systematic review of the literature is urgently needed. The aim of this systematic review and meta-analysis is to analyze associations between self-regulation and morality of preschool and elementary school children. In this context, distinctions among different definitions and operationalizations of self-regulation and morality are considered. Search terms were entered in the bibliographic databases PsycINFO, Scopus and Web of Science. To meet the inclusion criterion, studies needed to report empirical associations between self-regulation and morality in children of preschool and elementary school age. Furthermore, the studies should report primary data and be published in English in a peer-reviewed journal. Studies with secondary or summarized data, special populations or with certain designs were excluded. A total of 37 studies were included in the narrative synthesis. 35 of these studies were included in the meta-analysis. The narrative synthesis showed that different definitions and operationalizations were used for both self-regulation and morality. There also seems to be no consensus regarding the association between the constructs. Meta-analysis results revealed a small positive combined effect between self-regulation and morality, especially between temperament-related self-regulation and moral behavior and moral emotions. In order to gain a better understanding of the effects of self-regulation on morality, longitudinal research and further research addressing different forms of these constructs are essential.

Religiosity as a moderator of the links between parental psychological control and children's prosociality

Three studies examined the links between psychological control and prosociality in middle childhood, and the role of religiosity as a moderator. Study 1 (101 Israeli Jewish families, ages 6-9, 50% girls) found a significant interaction, with a negative association between maternal psychological control and children's prosociality in secular but not in religious families. Study 2 (161 Israeli Jewish families, ages 6-12, 48% girls) replicated this interaction for mothers using a continuous religiosity measure. Study 3 (64 Arab Muslim Israeli families, ages 6-8.5, 50% girls) also found a significant interaction, with a positive link between psychological control and prosociality seen at higher, but not at lower, religiosity levels. The findings suggest that religiosity may alter the meaning and consequences of parenting practices.

Parental emotion regulation and preschoolers' prosocial behavior: The mediating roles of parental warmth and inductive discipline

The potential mediating roles of parental warmth and inductive discipline on the relations of parental emotion regulation strategies to children's prosocial behavior were examined in this study. Sixty-four parents of preschoolers (50% girls) completed questionnaires assessing their own regulation practices (i.e., cognitive reappraisal, expressive suppression), parenting behaviors (i.e., parental warmth/nurturance, inductive discipline), and children's prosocial behavior (voluntary behavior intended to benefit another). The authors hypothesized that cognitive reappraisal would be positively and expressive suppression would be negatively related to parenting behaviors and children's prosocial behavior. They further hypothesized that parental warmth and inductive discipline would mediate the relations between parents' own regulation strategies and children's prosocial behavior. Results demonstrated that parental cognitive reappraisal was positively associated with warmth, and expressive suppression was negatively associated with inductive discipline and children's prosocial behavior. Parental warmth, but not inductive discipline, mediated the relations between cognitive reappraisal and children's prosocial behavior. The results highlight adults' own regulatory strategies as predictors of socialization behaviors and the potential processes for socialization of children's moral emotions and positive social development.