Abstract
This chapter describes the research and clinical implications of Davies, Sturge-Apple, and Martin’s (Chap. 5) emotional security formulation (EST-R) for child health. Research priorities include the following: (1) identify key features of family discord that affect emotional security and child health outcomes, (2) clarify the specific processes by which emotional insecurity affects child health risks and outcomes, (3) clarify the timing and impact of family discord and emotional insecurity on age-specific developmental competencies that affect child health outcomes, (4) identify key and protective factors that influence the impact of family discord on child health, and (5) clarify the implications for preventive interventions that address specific risks associated with emotional insecurity for various child health outcomes. A range of intervention strategies can be targeted to the functional consequences of family discord on the social defense, stress, or behavioral systems.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Danese, A., Pariante, C. M., Caspi, A., Taylor, A., & Poulton, R. (2007). Childhood maltreatment predicts adult inflammation in a life-course study. Proceedings of the National Academy of Sciences of the United States of America, 104, 1319–1324.
Davies, P. T., Cummings, E. M., & Winter, M. A. (2004). Pathways between profiles of family functioning, child security in the interparental subsystem, and child psychological problems. Development and Psychopathology, 16, 525–550.
Davies, P. T., Sturge-Apple, M. L., Cicchetti, D., & Cummings, E. M. (2008). Adrenocortical underpinnings of children’s psychological reactivity to interparental conflict. Child Development, 79(6), 1693–1706.
Davies, P. T., Winter, M., & Cicchetti, D. (2006). The implications of emotional security theory for understanding and treating childhood psychopathology. Development and Psychopathology, 18, 707–735.
Drotar, D. (Ed.). (2000). Promoting adherence to medical treatment in childhood chronic illness: Concepts, methods, and interventions. Mahwah, NJ: Lawrence Erlbaum Associates.
Ellis, D. A., Podolski, C., Frey, M., Naar-King, S., Wang, B., & Moltz, K. (2007). The role of parental monitoring in adolescent health outcomes: Impact of regimen adherence in youth with type 1 diabetes. Journal of Pediatric Psychology, 32, 907–917.
Felitti, V. J., Anda, R. F., Nordenber, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14, 245–258.
Fiese, B. H., Wamboldt, F. S., & Anbar, R. D. (2005). Family asthma management routines: Connections to medical adherence and quality of life. Journal of Pediatrics, 146, 171–176.
Hobfoll, S. E. (1988). The ecology of stress. New York, NY: Hemisphere Publishing Co.
McEwen, B. S. (1998). Stress, adaptation, and disease: Allostasis and allostatic load. In S. McCann & J. M. Lipton (Eds.), Annals of the New York academy of sciences (Neuroimmunomodulation: Molecular aspects, integrative systems, and clinical advances, Vol. 840, pp. 33–44). New York, NY: New York Academy of Sciences.
McQuaid, E. L., & Nassau, J. H. (1999). Empirically supported treatments of disease-related symptoms in pediatric psychology: Asthma, diabetes, and cancer. Journal of Pediatric Psychology, 24, 305–328.
Modi, A. C., Pai, A. L., Hommel, K. A., Hood, K. K., Cortina, S., Hilliard, M. E., et al. (2012). Pediatric self-management: A framework for research, practice, and policy. Pediatrics, 129, 473–485.
Muraven, M., & Baumeister, R. F. (2000). Self-regulation and depletion of limited resources: Does self-control resemble a muscle? Psychological Bulletin, 126, 247–259.
Repetti, R. L., Robles, T. F., & Reynolds, B. (2011). Allostatic processes in the family. Development and Psychopathology, 23, 921–938.
Sandberg, S., Paton, J. Y., Ahola, S., McCann, D. C., McGuinness, D., Hillary, C. R., et al. (2000). The role of acute and chronic stress in asthma attacks in children. Lancet, 356, 982–987.
Schwartz, E., & Perry, B. (1994). The posttraumatic response in children and adolescents. Psychiatric Clinics of North America, 17, 311–326.
Taylor, T. K., & Biglan, A. (1998). Behavioral family interventions for improving child-rearing: A review of the literature for clinicians and policy makers. Clinical Child and Family Psychology Review, 1, 41–60.
Treadwell, M. J., Alkon, A., Quirolo, K. C., & Boyce, W. T. (2010). Stress reactivity as a moderator of family stress, physical and mental health, and functional impairment for children with sickle cell disease. Journal of Developmental and Behavioral Pediatrics, 31, 491–497.
Webster-Stratton, C., Reid, J., & Hammond, M. (2004). Treating children with early-onset conduct problems: Intervention outcomes for parent, child, and teacher training. Journal of Clinical Child and Adolescent Psychology, 33, 105–124.
Wysocki, T., Harris, M. A., Buckloh, L. M., Mertlich, D., Lochrie, A. S., Taylor, A., et al. (2006). Effects of behavioral family systems therapy for diabetes on adolescents’ family relationships, treatment adherence, and metabolic control. Journal of Pediatric Psychology, 31, 928–938.
Acknowledgments
The assistance of Jennifer Rohan in typing this chapter is gratefully acknowledged.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Drotar, D. (2013). Emotional Insecurity and Child Health: Implications and Future Directions. In: Landale, N., McHale, S., Booth, A. (eds) Families and Child Health. National Symposium on Family Issues. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6194-4_7
Download citation
DOI: https://doi.org/10.1007/978-1-4614-6194-4_7
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-6193-7
Online ISBN: 978-1-4614-6194-4
eBook Packages: Behavioral ScienceBehavioral Science and Psychology (R0)