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Updated: Jun 9, 2026

P50 Sensory Gating in Infants
Published on: December 26, 2013
An intervention that increases parental sensitivity in families referred to Child Protective Services also changes
Paul D Hastings1, Sarah Kahle2, Charles Fleming3
1Center for Mind & Brain, Department of Psychology, University of California Davis, Davis, California.
Insights
Childhood maltreatment impacts parasympathetic regulation. The Promoting First Relationships program improved toddlers' respiratory sinus arrhythmia (RSA) reactivity, suggesting lasting benefits for children
Area of Science:
- Developmental Psychology
- Childhood Trauma Research
- Neuroscience of Emotion Regulation
Background:
- Early childhood maltreatment is linked to impaired parasympathetic regulation, affecting physiological responses.
- Low baseline parasympathetic activity and reduced parasympathetic influence during tasks characterize dysregulation.
- Parental sensitivity is crucial for child development and emotional regulation.
Purpose of the Study:
- To investigate the long-term effects of the Promoting First Relationships (PFR) program on toddlers' parasympathetic regulation (respiratory sinus arrhythmia - RSA).
- To examine if parental sensitive and responsive behavior mediates or moderates the relationship between PFR participation and children's RSA.
- To compare RSA reactivity in toddlers of maltreating families receiving PFR versus a control condition.
Main Methods:
- A subsample from a randomized control trial involving 29 families in the PFR group and 30 in the control group.
- Home visits conducted over 6 months post-treatment to assess toddlers' RSA at baseline and during five challenging tasks.
- Analysis of parental sensitive and responsive behavior as potential mediators/moderators.
Main Results:
- No significant differences in baseline RSA between groups.
- Toddlers in the PFR group showed significantly less decrease in RSA reactivity across tasks compared to the control group.
- Parental sensitive behavior moderated PFR's effect, with improvements in RSA change observed in toddlers of highly sensitive parents in the PFR group.
Conclusions:
- The PFR program demonstrates lasting positive effects on toddlers' parasympathetic regulation in response to everyday challenges.
- Improved parental sensitivity following PFR is associated with enhanced parasympathetic regulation in young children.
- Findings support PFR as an intervention for improving physiological self-regulation in children exposed to maltreatment.
Abstract:
Experiencing maltreatment in early childhood predicts poor parasympathetic regulation, characterized by low baseline parasympathetic activity and strong withdrawal of parasympathetic influence in response to tasks. The Promoting First Relationships® (PFR) program improves parental sensitivity toward young children in families identified as maltreating. Using a subsample from a randomized control trial, we examined whether parental participation in PFR had lasting effects on toddlers' parasympathetic regulation, as measured by respiratory sinus arrhythmia (RSA), relative to a resource and referral control condition. In addition, we examined whether parental sensitive and responsive behavior mediated or moderated associations between parent treatment group and children's RSA. More than 6 months after completing treatment, 29 families in the PFR condition and 30 families in the control condition were visited at home, and toddlers' RSA was assessed at baseline and during five moderately challenging tasks. Groups did not differ in baseline RSA, but differed in RSA reactivity to the tasks. Across tasks, toddlers of parents in the control condition manifested significantly larger RSA decreases than toddlers of parents in the PFR condition. Parental behavior showed divergent associations with RSA change for toddlers of parents in the PFR versus control condition, with PFR treatment predicting RSA change ranging from small decreases to increases in toddlers of parents who showed the most sensitive, responsive behavior in the 6 months following treatment. This preliminary study showed that the same intervention that improved parenting also improved toddlers' parasympathetic regulation in response to everyday activities, warranting further experimental investigation.
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