Evidence map›Paper›PMID 41449805›Full record

ArticleFamily process2026

Navigating the Emotional Challenges of Grade School: The Influence of Early Family Strains and a Lack of Parental Responsiveness on Trajectories of Anxiety and Depressive Symptoms.

Marla Lopez, Rebecca L Brock, Tiffany D James, Jennifer Mize Nelson, Kimberly Andrews Espy, Timothy D Nelson

Abstract read
In one paragraph

Article in Family process, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marla LopezDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA.ORCID https://orcid.org/0000-0003-4121-9853
Rebecca L BrockDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA.ORCID https://orcid.org/0000-0001-7826-6421
Tiffany D JamesOffice of Research and Economic Development, University of Nebraska-Lincoln, Lincoln, Nebraska, USA.
Jennifer Mize NelsonDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA.
Kimberly Andrews EspyDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan, USA.
Timothy D NelsonDepartment of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA.

Funding

Executive Function Development in Preschool ChildrenR01MH065668 · NIMH · UNIVERSITY OF NEBRASKA LINCOLN · PI ESPY, KIMBERLY ANDREWS, WIEBE, SANDRA A. · 2004 to 2013
$4.8M
Neural Vulnerabilities for Obesity: A Contextualized, Longitudinal Study in AdolescenceR01DK116693 · NIDDK · UNIVERSITY OF NEBRASKA LINCOLN · PI Timothy David Nelson, Maital Neta · 2018 to 2026
$4.0M
Modifiable predictors of neural vulnerabilities for obesityR01DK125651 · NIDDK · UNIVERSITY OF NEBRASKA LINCOLN · PI NELSON, TIMOTHY DAVID, SAVAGE, CARY R · 2020 to 2024
$3.0M
NIDDK NIH HHS R01 DK116693NIDDK NIH HHS R01DK116693NIDDK NIH HHS R01DK116693-04S1NIDDK NIH HHS R01 DK125651NIDDK NIH HHS R01DK125651NIMH NIH HHS R01 MH065668NIMH NIH HHS R01MH065668
6 · The paper itself

Abstract

Although parenting is critical to children's emotional development, broader family processes can also play an important role in the development of anxiety and depressive symptoms in children. The current study examined the influence of early family strains (i.e., chronic stressors and resource deficits) on children's trajectories of anxiety and depressive symptoms throughout grades 1-4 via (less) responsive parenting at preschool age. Further, we examined whether familial factors were differentially associated with child anxiety and depressive symptoms as a function of child temperamental negative affect, a prominent risk factor for internalizing problems. In a US longitudinal study including five waves of data spanning preschool to grade 4 (N = 496), analyses revealed that higher levels of family strains were associated with less responsive parenting during preschool, b = -0.16, p = 0.001. Less responsive parenting was associated with greater escalation in anxiety and depressive symptoms over grade school for children of average or higher negative affect, b = -0.11, 95% CI [-0.22, -0.01]. Examination of conditional indirect effects of family strains on symptom change via less responsive parenting showed statistical significance at average and higher levels of negative affect. Higher levels of family strains were also associated with higher levels of symptoms at grade 4, b = 0.45, p = 0.005, controlling for responsive parenting and child negative affect. Findings suggest that interventions for reducing risk for internalizing problems and promoting emotional health in children may show improved efficacy if modified to respond to family circumstances and stressors.

Indexed as

AnxietyDepressionParent-Child RelationsParentingChildChild, PreschoolEmotionsFemaleHumansLongitudinal StudiesMaleSchoolsStress, PsychologicalTemperamentchild negative emotionalityfamily strainsinternalizing symptomsresponsive parenting

Identifiers

PMID41449805
PMCPMC12741509

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Registered trials

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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.