Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis

The goal of the current study was to review and meta-analyze the literature on relationships between child distress expression behaviors (e.g., cry) and three clusters of child distress regulation behaviors (disengagement of attention, parent-focused behaviors, and self-soothing) in the first three...

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Main Authors: Hannah G. Gennis, Oana Bucsea, Shaylea D. Badovinac, Stefano Costa, C. Meghan McMurtry, David B. Flora, Rebecca Pillai Riddell
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/2/174
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author Hannah G. Gennis
Oana Bucsea
Shaylea D. Badovinac
Stefano Costa
C. Meghan McMurtry
David B. Flora
Rebecca Pillai Riddell
author_facet Hannah G. Gennis
Oana Bucsea
Shaylea D. Badovinac
Stefano Costa
C. Meghan McMurtry
David B. Flora
Rebecca Pillai Riddell
author_sort Hannah G. Gennis
collection DOAJ
description The goal of the current study was to review and meta-analyze the literature on relationships between child distress expression behaviors (e.g., cry) and three clusters of child distress regulation behaviors (disengagement of attention, parent-focused behaviors, and self-soothing) in the first three years of life. This review was registered with PROSPERO (CRD42020157505). Unique abstracts were identified through Medline, Embase, and PsycINFO (<i>n</i> = 13,239), and 295 studies were selected for full-text review. Studies were included if they provided data from infants or toddlers in a distress task, had distinct behavioral measures of distress expression and one of the three distress regulation clusters, and assessed the concurrent association between them. Thirty-one studies were included in the meta-analysis and rated on quality. Nine separate meta-analyses were conducted, stratified by child age (first, second, and third year) and regulation behavior clusters (disengagement of attention, parent-focused, and self-soothing). The weighted mean correlations for disengagement of attention behaviors were −0.28 (year 1), −0.44 (year 2), and −0.30 (year 3). For parent-focused behaviors, the weighted mean effects were 0.00 (year 1), 0.20 (year 2), and 0.11 (year 3). Finally, the weighted mean effects for self-soothing behaviors were −0.23 (year 1), 0.25 (year 2), and −0.10 (year 3). The second year of life showed the strongest relationships, although heterogeneity of effects was substantial across the analyses. Limitations include only analyzing concurrent relationships and lack of naturalistic distress paradigms in the literature.
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spelling doaj.art-834acaf41bd44b7993d10c5b3fecc7dd2023-11-23T19:18:43ZengMDPI AGChildren2227-90672022-02-019217410.3390/children9020174Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-AnalysisHannah G. Gennis0Oana Bucsea1Shaylea D. Badovinac2Stefano Costa3C. Meghan McMurtry4David B. Flora5Rebecca Pillai Riddell6Department of Psychology, York University, 4700 Keele Street, Toronto, ON M3J 1P3, CanadaDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON M3J 1P3, CanadaDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON M3J 1P3, CanadaDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON M3J 1P3, CanadaDepartment of Psychology, University of Guelph, 50 Stone Road East, Guelph, ON N1G 2W1, CanadaDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON M3J 1P3, CanadaDepartment of Psychology, York University, 4700 Keele Street, Toronto, ON M3J 1P3, CanadaThe goal of the current study was to review and meta-analyze the literature on relationships between child distress expression behaviors (e.g., cry) and three clusters of child distress regulation behaviors (disengagement of attention, parent-focused behaviors, and self-soothing) in the first three years of life. This review was registered with PROSPERO (CRD42020157505). Unique abstracts were identified through Medline, Embase, and PsycINFO (<i>n</i> = 13,239), and 295 studies were selected for full-text review. Studies were included if they provided data from infants or toddlers in a distress task, had distinct behavioral measures of distress expression and one of the three distress regulation clusters, and assessed the concurrent association between them. Thirty-one studies were included in the meta-analysis and rated on quality. Nine separate meta-analyses were conducted, stratified by child age (first, second, and third year) and regulation behavior clusters (disengagement of attention, parent-focused, and self-soothing). The weighted mean correlations for disengagement of attention behaviors were −0.28 (year 1), −0.44 (year 2), and −0.30 (year 3). For parent-focused behaviors, the weighted mean effects were 0.00 (year 1), 0.20 (year 2), and 0.11 (year 3). Finally, the weighted mean effects for self-soothing behaviors were −0.23 (year 1), 0.25 (year 2), and −0.10 (year 3). The second year of life showed the strongest relationships, although heterogeneity of effects was substantial across the analyses. Limitations include only analyzing concurrent relationships and lack of naturalistic distress paradigms in the literature.https://www.mdpi.com/2227-9067/9/2/174distressemotion regulationbehaviorinfanttoddler
spellingShingle Hannah G. Gennis
Oana Bucsea
Shaylea D. Badovinac
Stefano Costa
C. Meghan McMurtry
David B. Flora
Rebecca Pillai Riddell
Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis
Children
distress
emotion regulation
behavior
infant
toddler
title Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis
title_full Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis
title_fullStr Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis
title_full_unstemmed Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis
title_short Child Distress Expression and Regulation Behaviors: A Systematic Review and Meta-Analysis
title_sort child distress expression and regulation behaviors a systematic review and meta analysis
topic distress
emotion regulation
behavior
infant
toddler
url https://www.mdpi.com/2227-9067/9/2/174
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