Evidence map›Paper›PMID 39632609›Full record

ArticleThe British journal of psychiatry : the journal of mental science2025

Time-out under scrutiny: examining the relationships among the discipline strategy time-out, child well-being and attachment and exposure to adversity.

Alex Roach, Rebecca McLean, Antonio Mendoza Diaz, David Hawes, Mark Dadds

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Article in The British journal of psychiatry : the journal of mental science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Alex RoachSchool of Psychology, University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0003-2403-3360
Rebecca McLeanSchool of Psychology, University of Sydney, Sydney, Australia.
Antonio Mendoza DiazDiscipline of Psychiatry & Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia.
David HawesSchool of Psychology, University of Sydney, Sydney, Australia.
Mark DaddsSchool of Psychology, University of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiscipline is a crucial aspect of parenting, shaping child development and behaviour. Time-out, a widely used disciplinary strategy with a strong evidence-base, has recently come under scrutiny with concerns about potential adverse effects on children's emotional development and attachment, particularly for those with a history of adversity.

aimsTo contribute critical empirical insights to the current controversy surrounding time-out by exploring the associations among time-out implementation, parent-child attachment and child mental health, and whether adversity exposure moderated these associations.

methodThis cross-sectional study utilised a nationally representative sample of 474 primary caregivers in Australia, with children aged 6-8 years, who completed an online survey. Measures included the Implementation of Time-out Scale, Adverse Life Experiences Scale, Primary Attachment Style Questionnaire, Strengths and Difficulties Questionnaire and Spence Child Anxiety Scale.

resultsAppropriately implemented time-out was associated with enhanced mental health and attachment, while inappropriate time-out correlated with adverse child outcomes. Exposure to adversity moderated the relationship between time-out implementation and child well-being, such that children exposed to adversity were most likely to experience attachment enhancement from appropriately implemented time-out.

conclusionsDespite recent concerns of harm caused by time-out, particularly for children with a history of adversity, findings support the beneficial impact of time-out on child well-being and attachment when implemented in accordance with evidence-based parameters. Combatting misinformation and disseminating evidence-based time-out guidelines is crucial for promoting child well-being and attachment, especially for children who have experienced adversity.

Indexed as

Adverse Childhood ExperiencesChild DevelopmentObject AttachmentParent-Child RelationsParentingAdultAustraliaChildCross-Sectional StudiesFemaleHumansMaleMental HealthChild and adolescent psychiatryconduct disordersmental health servicespsychological treatmentstrauma and stressor-related disorders

Identifiers

PMID39632609
PMCPMC12355463

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.