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Updated: Apr 15, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Parenting Skills and Emotional Availability: An RCT
Aisha K Yousafzai1, Muneera A Rasheed2, Arjumand Rizvi2
1Division of Women and Child Health, Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan; aisha.yousafzai@aku.edu.
Responsive stimulation significantly improved parenting skills and caregiving environments in impoverished families. Nutrition interventions showed smaller effects, while combined approaches slightly reduced maternal depressive symptoms.
Area of Science:
- Child Development
- Public Health Interventions
- Maternal and Child Health
Background:
- Parenting skills and emotional availability are crucial for child development, particularly in impoverished settings.
- Early childhood interventions can mitigate risks associated with poverty and improve developmental trajectories.
- Integrated interventions combining stimulation and nutrition may offer synergistic benefits for mother-infant dyads.
Purpose of the Study:
- To evaluate the effectiveness of a responsive stimulation intervention, alone or combined with nutrition interventions, on parenting skills and emotional availability.
- To compare these interventions against a nutrition-only intervention and the usual standard of care.
- To assess the impact on children's development and growth, and maternal well-being.
Main Methods:
- A cluster randomized factorial effectiveness trial involving 1489 mother-infant dyads in impoverished Pakistan.
- Four arms: usual care, responsive stimulation, enhanced nutrition, and combined intervention.
- Interventions delivered by community health workers over the first two years of life; data analyzed using intention-to-treat factorial analysis.
Main Results:
- Responsive stimulation demonstrated large effect sizes in improving mother-child interaction, caregiving environment, and knowledge/practices.
- Nutrition intervention showed smaller, significant effects on mother-child interaction and caregiving environment.
- The combined intervention yielded a small but significant reduction in maternal depressive symptoms.
Conclusions:
- Responsive stimulation is an effective intervention for promoting positive caregiving behaviors in impoverished families.
- Further research is warranted to develop effective interventions for reducing maternal depressive symptoms in these populations.
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Related Concept Videos
Socioemotional Development during Infancy
Primary Temperament Types
Parenting Styles
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
Empathy
Relationship with Parents: Attachment
Coping Strategies: Emotion Focused
Parental Care