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Articles 1411 - 1440 of 3757

Full-Text Articles in Child Psychology

Mitigation Of A Prospective Association Between Early Language Delay At Toddlerhood And Adhd Among Bilingual Preschoolers: Evidence From The Gusto Cohort, Shaun K. Y. Goh, Hwajin Yang, Stella Tsotsi, Anqi Qiu, Yap-Seng Chong, Kok Hian Tan, Lynette Shek, Birit F. P. Broekman, Anne Rifkin-Graboi Jan 2020

Mitigation Of A Prospective Association Between Early Language Delay At Toddlerhood And Adhd Among Bilingual Preschoolers: Evidence From The Gusto Cohort, Shaun K. Y. Goh, Hwajin Yang, Stella Tsotsi, Anqi Qiu, Yap-Seng Chong, Kok Hian Tan, Lynette Shek, Birit F. P. Broekman, Anne Rifkin-Graboi

Research Collection School of Social Sciences

There is accumulating evidence of a prospective relation between early language problems and ADHD, a disorder associated with deficits in executive functioning. However, little is known regarding this link among bilingual children. Here, we investigate whether (i) the prediction from language to ADHD may be lower among bilinguals, and (ii) explore if this moderation can be explained by differential executive functioning ability. Utilising a prospective sample of 408 South-East Asian toddlers, bilingual exposure as a moderator of the link between language delay at 24 months to ADHD intermediate diagnosis at 54 months was first examined with an interaction model. Next, …


Construct Validity Of The Behavior Assessment System For Children-Third Edition Teacher Rating Scales (Basc-3 Trs): Comparisons With The Adjustment Scales For Children And Adolescents (Asca), Shannon Burback Jan 2020

Construct Validity Of The Behavior Assessment System For Children-Third Edition Teacher Rating Scales (Basc-3 Trs): Comparisons With The Adjustment Scales For Children And Adolescents (Asca), Shannon Burback

Masters Theses

The Behavior Assessment Scale for Children-Third Edition Teacher Rating Scale Child Form (BASC-3 TRS-C) and the Adjustment Scales for Children and Adolescents (ASCA) are both teacher rating scales which may be used by school psychologist to assess youth behavior problems. The BASC, BASC-2, and BASC-3 have limited replicated research of the studies reported in their respective manuals. Therefore, it was important to empirically compare the BASC-3 TRS-C with the ASCA to examine construct validity (convergent, discriminant, and divergent) as there were, at present, no published studies replicating BASC-3 Manual research. The present study analyzed BASC-3 TRS-C and ACSA ratings which …


Middle School And High School Educators’ Knowledge And Acceptability Of Praise, Zachary Yehling Jan 2020

Middle School And High School Educators’ Knowledge And Acceptability Of Praise, Zachary Yehling

Masters Theses

Praise is a simple strategy, that when used correctly reduces student inappropriate behavior. Furthermore, praise is a key strategy used within the School-wide Positive Behavior Intervention Supports (SWPBIS) framework. All staff are expected to participate in SWPBIS and therefore, it is important for staff to know how use praise effectively. However, few studies have examined educators’ knowledge of effective praise use. In the current study, 201 educators completed the Praise Knowledge Assessment of Teachers and Educators (PKATE) and the Behavior Intervention Rating System for Praise (BIRS-P). The PKATE was created by the author to assess educators’ knowledge of effective praise …


Gesture Production And Theory Of Mind: Effective Disambiguation In Communication Through Gesture, Minju Kim, Adena Schachner Jan 2020

Gesture Production And Theory Of Mind: Effective Disambiguation In Communication Through Gesture, Minju Kim, Adena Schachner

Psychology Faculty Articles and Research

People design their speech acts with their listeners in mind,accounting for their knowledge and other mental states. Is this ability specific to spoken language and co-speech gesture, or does it appear in pantomimic gestures as well? We ask whether adults flexibly shift their silent gestures to emphasize relevant information, representing different features of the target indifferent contexts. In a two-item reference game, adults gestured to a partner to indicate which object was the target.Item pairs differed in one of three features (size, shape,pattern). We found that adults were more likely to gesture a feature when it was relevant to distinguishing …


An Evaluation Of Praise As A Reinforcer For Preschoolers' Behavior, Laura Perry Senn, Makenzie W. Bayles, Jennifer L. Bruzek Jan 2020

An Evaluation Of Praise As A Reinforcer For Preschoolers' Behavior, Laura Perry Senn, Makenzie W. Bayles, Jennifer L. Bruzek

Research, Publications & Creative Work

Behavior analysts and educators often recommend using praise, particularly descriptive praise, despite mixed empirical findings to support this recommendation. We evaluated the effectiveness of praise as a reinforcer during a reinforcer assessment using known tasks with preschoolers in Study 1. Praise functioned as a reinforcer for 2 of 6 participants; the remaining 4 participants required additional reinforcers (edibles) to show a reinforcement effect. We then compared the effectiveness of descriptive versus general praise for acquisition of unknown tacts and assessed participants’ preference for the different types of praise for 4 participants from Study 1. Results showed the efficacy of and …


A Qualitative Analysis Of Caregiver Goals For Urban Children With And Without Asthma, Megan M. Carlson Jan 2020

A Qualitative Analysis Of Caregiver Goals For Urban Children With And Without Asthma, Megan M. Carlson

Theses and Dissertations

Pediatric asthma is a major public health concern that disproportionately affects children of color and youth living in low-income, urban areas. The implications for public health, child health, and family functioning necessitates our understanding and addressing experiences by families who are facing barriers within their socio-demographic context in addition to the stressors associated with managing pediatric asthma. The current study applied qualitative methods to interviews with caregivers of children with and without asthma in an effort to more deeply connect with caregivers’ experiences and yield richer information about the intersection of identities as Black caregivers living in an urban setting …


A Meta-Analysis Investigating The Correlation Between Treatment Integrity And Youth Client Outcomes, Ruben G. Martinez Jan 2020

A Meta-Analysis Investigating The Correlation Between Treatment Integrity And Youth Client Outcomes, Ruben G. Martinez

Theses and Dissertations

Objective: The relation between treatment integrity and youth client outcomes in psychosocial treatment research has implications for therapist training, study design, and study interpretation. Despite work done in this area, this relation remains unclear. The aim of the current study was to meta-analyze and describe characteristics of investigations of integrity and outcome in youth.

Method and Analytic Plan: A total of N = 30 studies were identified. Conceptual and methodological factors were coded. Pearson’s r represented the magnitude of the integrity-outcome correlation. Robust variance estimation was used to account for dependency of within-study effect sizes. Two models were run with …


Comorbidity In Context: Identifying Patterns Of Depressive And Anxiety Symptoms In African American Early Adolescents, Kathryn Behrhorst Jan 2020

Comorbidity In Context: Identifying Patterns Of Depressive And Anxiety Symptoms In African American Early Adolescents, Kathryn Behrhorst

Theses and Dissertations

Depression and anxiety during adolescence includes symptoms of irritability, sleeplessness, feelings of guilt or worthlessness, worry, avoidance, and/or restlessness. Anxiety and depressive symptoms are often comorbid and are associated with impairments across academic, social, and emotional areas of functioning. No studies to date have examined patterns of depressive and anxiety symptoms together for African American adolescents using person-centered analyses. The current study examined patterns of symptoms and domains of anxiety and depression during early adolescence using latent profile analyses (LPA). A sample of 196 African American early adolescents in grades six through eight (Mage = 12.6; 50% female) were …


The Influence Of Peers On Adolescents' Physical Aggression: The Moderating Roles Of Parental Messages Supporting Fighting And Nonviolence, Jasmine Coleman Jan 2020

The Influence Of Peers On Adolescents' Physical Aggression: The Moderating Roles Of Parental Messages Supporting Fighting And Nonviolence, Jasmine Coleman

Theses and Dissertations

There is substantial support for the link between peer factors and adolescents’ aggression. Less is known about protective factors that may mitigate the relation between peer factors and aggression. Parental influences, such as parental messaging supporting fighting, have been directly associated with aggression. What remains unclear is the extent to which parental messages supporting fighting and nonviolence might serve as protective factors in relations between negative peer interactions and aggressive behavior. The purpose of this study was to investigate longitudinal effects of peerson adolescents’ physical aggression and to examine the extent to which parental messages supporting fighting and nonviolence moderated …


Infants’ Relationship With Drop-Offs And Water Environments, Carolina Burnay Rodrigues De Morais Jan 2020

Infants’ Relationship With Drop-Offs And Water Environments, Carolina Burnay Rodrigues De Morais

Theses: Doctorates and Masters

Underpinned by the ecological approach to perceptual-motor development, this Thesis aims to contribute to the understanding of the organization of infants’ behaviour during encounters with drop-offs and water environments. Previous studies have linked locomotor experience to infants’ avoidance of falling from heights. Using the Real Cliff / Water Cliff apparatus, Burnay and Cordovil (2016) confirmed the effect of locomotor experience on crawlers’ avoidance of drop-offs and linked locomotor experience to infants’ avoidance of falling into the water for the first time. However, the effect of other specific locomotor experiences on infants’ approach to aquatic environments has not been addressed. This …


Educational And Psychosocial Development Of Adolescents In Specialist Sport Programs In Low Ses Areas Of Perth, Western Australia, Eibhlish Máire Bridget O'Hara Jan 2020

Educational And Psychosocial Development Of Adolescents In Specialist Sport Programs In Low Ses Areas Of Perth, Western Australia, Eibhlish Máire Bridget O'Hara

Theses: Doctorates and Masters

Adolescents from low socio–economic (SES) backgrounds are more vulnerable, experience more physical and mental health problems, and often do not have as many positive educational outcomes as adolescents from higher SES backgrounds (Totten, 2007). Most research examining youth recreational activities, such as sport programs, demonstrate the positive influence they can have, especially for adolescents living in low SES neighbourhoods (National Research Council and Institute of Medicine, 2002). However, adolescents living in low SES neighbourhoods often have limited access to such programs (Leventhal, Dupéré, Brooks-Gunn, 2009). As such, it is important to find alternate ways for adolescents living in low SES …


Clinician’S Resource Guide: A Compendium Of Child Treatment Resources, Carleen Knauf Jan 2020

Clinician’S Resource Guide: A Compendium Of Child Treatment Resources, Carleen Knauf

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

As an early career clinician in a fast-paced field that is dedicated to working with others, saving time and energy where possible is invaluable. When I first started working with children, I was overwhelmed by the amount of time I was having to dedicate to research to find reputable resources to use in my clinical settings. I realized so much of my time and energy was going towards this research that by the time I entered the therapy room with my clients I was tired, frustrated, and overwhelmed by the lack of easily accessible resources. After working with and learning …


Narrative Therapy To Reduce Self-Stigma: Empowering Children, Adolescents, And Their Families, Jillian Baldwin Jan 2020

Narrative Therapy To Reduce Self-Stigma: Empowering Children, Adolescents, And Their Families, Jillian Baldwin

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The effects of self-stigma on children and adolescents with mental health diagnoses is a documented psychological issue in academic literature; however, no studies or articles to date present strategies for reducing its negative effects. Additionally, very few studies have connected the experience of parental stigma, or courtesy/affiliate stigma, and its effects on child and family well-being. Self-stigma has been conceptualized as existing on the opposite end of the spectrum from empowerment, suggesting that empowerment may serve as a promising approach to tackling self-stigmatization. This paper presents a novel therapeutic intervention for reducing self-stigma in children, adolescents, and their families through …


An Evaluation Of The Timeline As A Memory Retrieval Aid For Children’S Recall Of Specific Details From A Repeated Event, Huan Huan Zhang Jan 2020

An Evaluation Of The Timeline As A Memory Retrieval Aid For Children’S Recall Of Specific Details From A Repeated Event, Huan Huan Zhang

Theses and Dissertations (Comprehensive)

Investigators and prosecutors are heavily dependent on children’s testimony in abuse cases where physical evidence is often lacking, making children the sole source of information. Decades of research have shown that young children are indeed capable of accurately recalling events from the past. Findings from research on interview techniques suggest that interview aids such as dolls and human diagrams are often not helpful and pose risks of eliciting inaccurate reports unless they are used cautiously and non-suggestively at the end of the interview.

The timeline, which is a visual depiction of time, is another type of interview aid that is …


The Inclusive Nature Of Mindfulness-Based Practice: Does Executive Functioning Play A Role In Children's Mindful Experience?, Kaitlyn Butterfield Jan 2020

The Inclusive Nature Of Mindfulness-Based Practice: Does Executive Functioning Play A Role In Children's Mindful Experience?, Kaitlyn Butterfield

Theses and Dissertations (Comprehensive)

We examined the effects of a six-week mindfulness program in order to assess how executive function level played a role in students’ mindful experience. The effects of the mindfulness program were evaluated according to prospective outcomes across students’ level of executive function, in comparison to an active control group. Classrooms were randomly assigned to a mindfulness-based program or a health-based active control group. Pre- and early adolescent students in the 5th to 8th grade (N = 52) from two MindfulMe! program classrooms and two HealthyMe! program classrooms (active control group) completed self-reported pretest and post-test measures to assess mindful attention …


The Role Of Individual Difference In Predicting Psychopathology Following Peer Victimization, Miranda Evans Dec 2019

The Role Of Individual Difference In Predicting Psychopathology Following Peer Victimization, Miranda Evans

LSU New Orleans Theses and Dissertations

eer victimization is a common experience that is associated with later psychopathology. However, there is inconsistency in the strength and statistical significance of this effect. The current study used two methods to try to understand this inconsistency. First, co-occurring internalizing and externalizing symptoms were considered dimensionally. Second, the present study considered temperament as a potential moderator to explain the multifinality of outcomes that occur following peer victimization. A community sample (N = 387; 52% female) of early adolescents (11-15) from a longitudinal study of risk and resilience factors for psychopathology was utilized to test hypotheses. Cross-lagged examinations between victimization and …


Evaluating The Effectiveness Of A Community-Based Youth Non-Profit Organization At Increasing Prosocial Behavior And Decreasing Antisocial Behavior Among Young Boys: A Pilot Study, Molly A. Miller Dec 2019

Evaluating The Effectiveness Of A Community-Based Youth Non-Profit Organization At Increasing Prosocial Behavior And Decreasing Antisocial Behavior Among Young Boys: A Pilot Study, Molly A. Miller

LSU New Orleans Theses and Dissertations

Community-based youth non-profit organizations (NPOs) have become increasingly popular for the provision of youth prevention and intervention services, yet many youth NPOs lack the resources to undergo formal evaluation. Further, most existing program evaluations do not consider individual characteristics of the child or the child’s exposure to stressors. The current pilot study sought to evaluate the extent to which boys participated in 1:1 mentoring and other program activities at the Son of a Saint (SOAS) NPO, an organization seeking to provide positive male role models for fatherless young boys. In addition, the current study examined the effects of program involvement …


Examining The Moderating Role Of Promotive Factors On The Relationship Between Bullying Victimization And Suicidal Behavior, Rachel Simonds Dec 2019

Examining The Moderating Role Of Promotive Factors On The Relationship Between Bullying Victimization And Suicidal Behavior, Rachel Simonds

Electronic Theses and Dissertations

Bullying is one of the most common challenges that youth in the United States face that can often have negative impacts on children’s lives and mental health. One potential negative outcome of bullying victimization is increased risk for suicidal behavior, including suicidal ideation and suicide attempts. Implementing interventions and supports for youth involved in bullying has the ability to decrease risk for suicidal ideation and suicide attempts.

Previous literature supports that those involved in bullying are at an increased risk for both suicidal ideation, and suicide attempts. Evidence supports promotive factors that help minimize negative outcomes those who are involved …


Sexting Among Adolescents: Examining The Association Between Sexting And Self-Esteem, Hanaah Fannin Dec 2019

Sexting Among Adolescents: Examining The Association Between Sexting And Self-Esteem, Hanaah Fannin

Physician Assistant Studies | Student Capstone Presentations

The primary objective of this study is to provide a systematic review of the published literature, examining the association between sexting and self-esteem in adolescents, and to identify gaps in existing knowledge to provide recommendations for future research.


Do Faces Facilitate Or Distract Children From Attending To Threats?, Sarah A. Skidmore Dec 2019

Do Faces Facilitate Or Distract Children From Attending To Threats?, Sarah A. Skidmore

Senior Honors Projects, 2010-2019

Threatening stimuli may produce an attentional bias in humans, capturing and holding attention to a greater extent than other types of stimuli. Humans rely on others to alert their attention to threats in their environment, and social stimuli, such as faces, have privileged processing compared to nonsocial stimuli. We wanted to explore whether task-irrelevant fearful or neutral faces facilitate, distract, or have no effect on the detection of threatening or neutral images (spiders and frogs, respectively). Three- to-five-year-old children (N=37) completed a visual search task in which they searched for threatening or neutral animals. Consistent with previous literature, we found …


Torn Apart: A Closer Look At Our Cover Image, Sandra Rios Dec 2019

Torn Apart: A Closer Look At Our Cover Image, Sandra Rios

Culture, Society, and Praxis

No abstract provided.


Creative Arts-Based Parents Training Program For Parents Of Children With Autism Spectrum Disorder, Jung Eun Park Dec 2019

Creative Arts-Based Parents Training Program For Parents Of Children With Autism Spectrum Disorder, Jung Eun Park

Expressive Therapies Dissertations

This study evaluated the impact of the Creative Arts-based Parents’ Training (CAPT) program. The 6-week long, creative arts therapy-based program and its impact on parental stress and sense of competence for parents of children with Autism Spectrum Disorder (ASD) was examined. Korean Parenting Stress Index Short-Form (K-PSI-SF) and Korean-Parenting Efficacy Test (K-PET) were used as quantitative measurements. Qualitative data were also collected for the experimental group (n = 17) using questionnaires, art journaling, and a 30 min focus group interview. The control group (n = 15) only participated in quantitative measurements. There was no difference in age between …


Healing Through Creativity And Creation: Drama Therapy As Treatment For Individuals With Eating Disorders, Hayley Werner Dec 2019

Healing Through Creativity And Creation: Drama Therapy As Treatment For Individuals With Eating Disorders, Hayley Werner

Student Scholar Symposium Abstracts and Posters

For those living with eating disorders, intervention and effective treatment can mean the difference between life and death. Conventional treatments, such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy, forms of talk therapy, and Nutritional Counseling, focus solely on the psychological patterns or nutritional science of eating disorders. Though these treatments are effective for some individuals, there is a gap in treatment options that address both the mind and body as one and appeal to the humanity of patients outside of their disorder(s). Herein lies the power and potential of integrating drama therapy as a widely available treatment. Drama therapy …


Human Milk Omega-3 Fatty Acid Composition Is Associated With Infant Temperament, Jennifer Hahn-Holbrook, Adi Fish, Laura M. Glynn Dec 2019

Human Milk Omega-3 Fatty Acid Composition Is Associated With Infant Temperament, Jennifer Hahn-Holbrook, Adi Fish, Laura M. Glynn

Psychology Faculty Articles and Research

There is growing evidence that omega-3 (n-3) polyunsaturated fatty-acids (PUFAs) are important for the brain development in childhood and are necessary for an optimal health in adults. However, there have been no studies examining how the n-3 PUFA composition of human milk influences infant behavior or temperament. To fill this knowledge gap, 52 breastfeeding mothers provided milk samples at 3 months postpartum and completed the Infant Behavior Questionnaire (IBQ-R), a widely used parent-report measure of infant temperament. Milk was assessed for n-3 PUFAs and omega-6 (n-6) PUFAs using gas-liquid chromatography. The total fat and the ratio of n6/n-3 fatty acids …


Exploring The Need For Social Emotional Learning Programs: A New Model For Mental Health And Wellness, Karen Sarafian Dec 2019

Exploring The Need For Social Emotional Learning Programs: A New Model For Mental Health And Wellness, Karen Sarafian

Benerd College Student Articles

In their early years, children often experience a number of adverse childhood experiences (ACEs) including verbal, physical, and sexual abuse; violence; neglect; poverty; and parental divorce, incarceration, and addiction (Bjrkenstam et al., 2017; Dube et al., 2001; Fuller-Thomson et al., 2014; Sarafian, 2018a). These ACEs place children at greater risk of developing academic and behavioral problems, as well as a number of mental health challenges in adolescence and adulthood (Chapman et al., 2007; Sarafian, 2018a). Committed to providing mental health education and services to those impacted by ACEs, a number of organizations are addressing ACE-related challenges within the context of …


Childhood Witnessing Of Domestic Violence And Its Impact On Character Development Across Time And Adulthood Relationships, Zena Ouzounian Dec 2019

Childhood Witnessing Of Domestic Violence And Its Impact On Character Development Across Time And Adulthood Relationships, Zena Ouzounian

Antioch University Dissertations & Theses

This phenomenological research study explored the experiences of five adult participants who reported witnessing domestic violence between their parents during childhood. Through the process of open-ended interviews, this work added further support to the existing understanding of the impact that childhood witnessing of parental violence can have on one’s adult behavior and relationships. Thus far, child witnesses to parental violence receive little attention, perhaps due to the lack of tangible evidence that they have been harmed. Existing studies in the field primarily make use of quantitative methods to examine negative outcomes of such experiences. This study identified similar themes among …


Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis Dec 2019

Childhood Abuse, Religiosity, And Opioid Use: Findings From The National Epidemiologic Survey On Alcohol And Related Conditions Data, James E. Lewis

Electronic Theses and Dissertations

Religiosity is adopting a belief system surrounding concepts of purpose, meaning, and value through an institution that has already defined these concepts prior to the individual member attending and that member’s degree of participation. Religiosity does have protective factors against negative health outcomes. This protective influence was evaluated in this study. Data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were examined to learn about the relationship between protective effects of religious participation on substance abuse, and whether this association weakened for individuals who have experienced higher levels of childhood abuse. A binary logistic regression …


Renaming Me: Assessing The Influence Of Gender Identity On Name Selection, Sharon Obasi, Richard Mocarski, Natalie Holt, Debra Hope, Nathan Woodruff Dec 2019

Renaming Me: Assessing The Influence Of Gender Identity On Name Selection, Sharon Obasi, Richard Mocarski, Natalie Holt, Debra Hope, Nathan Woodruff

Department of Psychology: Faculty Publications

Our identity is our name connected with a specific face and body. Yet, our name, a critical aspect of the “names-body-identity” nexus is rarely selfselected. The naming of a newborn is often the purview of family and the name selected is often linked to the sex assigned to the child. Assigned sex, however, may differ from gender identity. Renaming, the process of selecting and using a new name, can be instrumental in expressing an authentic gender identity. Thus, gender identity and renaming were examined among transgender and gender nonconforming (TGNC) adults using an online survey. Participants indicated that the recognition …


Toxic Gymnastics Culture’S Impact On The #Metoo Movement: Sexual Abuse Survivor Aly Raisman’S Trauma Fosters Fight For Change, Jessica Malinsky Dec 2019

Toxic Gymnastics Culture’S Impact On The #Metoo Movement: Sexual Abuse Survivor Aly Raisman’S Trauma Fosters Fight For Change, Jessica Malinsky

Faculty Curated Undergraduate Works

This paper explores how female gymnasts, particularly Aly Raisman, have sparked the gymnastics world’s involvement in the #MeToo movement. It briefly touches on Raisman’s beginnings with gymnastics and how she became an elite U.S. gymnast but promptly dives into her #MeToo story, focusing on her traumatic experiences with Olympic doctor Larry Nassar. Furthermore, her story brings to light how she and other survivors of sexual assault have faced credibility discounting, also known as gaslighting, for sharing their truth. By sharing parts of Aly Raisman and other survivors’ testimonies, this paper highlights not only the trauma and pain they endured while …


Adverse Childhood Experiences, Familial Emotion Socialization, And Adult Emotion Regulation: A Moderation Model, Rebecca Otwell-Dove Dec 2019

Adverse Childhood Experiences, Familial Emotion Socialization, And Adult Emotion Regulation: A Moderation Model, Rebecca Otwell-Dove

Electronic Theses and Dissertations

Adverse childhood experiences (ACEs) have been associated with maladaptive outcomes, including difficulties with emotion regulation (ER). ER difficulties, in turn, increase risk for experiencing physical and mental health problems. Parental emotion socialization is one factor that has been associated with ER skills across development. No known studies, however, have examined whether parental emotion socialization moderates the relationship between ACEs and ER difficulties. In the current study, undergraduates (N = 678) completed questionnaires about their history of ACEs, parental emotion socialization experiences, and current ER difficulties. Correlational results indicated a positive correlation between ACEs and ER difficulties. Results of the hierarchical …