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VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Prediction of Social Skills in 6-Year-Old Children


With and Without Developmental Delays:
Contributions of Early Regulation and
Maternal Scaffolding
Jason K. Baker
The Pennsylvania State University
Rachel M. Fenning
University of California, Los Angeles
Keith A. Crnic
Arizona State University
Bruce L. Baker
University of California, Los Angeles
Jan Blacher
University of California, Riverside

Abstract
Children’s emotion dysregulation and maternal scaffolding at age 4 were examined as
predictors of social skills at age 6, for 66 children with and 106 without early developmental
delays. Observed scaffolding and regulation during frustrating laboratory tasks related to
later mother, father, and teacher social-skill ratings for children with delays and were stron-
ger predictors of social skills within this group than were developmental level and early
behavior problems. In contrast, fewer associations were found for typically developing
children, with early behavior problems providing the only unique prediction to social skills.
Data support a model in which dysregulation partially mediates the association between
developmental status and social-skill outcomes. Implications for research, prevention, and
early intervention are discussed.

Children with early developmental delays face et al., 1998) but may, instead, stem from deficits
many challenges within the social domain. These in specific aspects of social behavior.
children engage in more solitary play, are less pre- Relative to typically developing children, chil-
ferred as playmates (Guralnick & Groom, 1987; dren with developmental delays have been found
Kopp, Baker, & Brown, 1992), and experience to exhibit poorer initiation and group entry skills
more limited reciprocal friendships (Guralnick & (Wilson, 1999), more negative and less adaptive
Groom, 1988) than do their typically developing interactive styles (Guralnick et al., 1998), less pos-
peers. Evidence suggests that social problems itive affective displays (Kopp et al., 1992), and less
among children with certain (e.g., mild) delays social play (Guralnick & Groom, 1987). The im-
cannot be accounted for by child developmental portance of understanding the emergence of so-
level alone (Guralnick & Groom, 1987; Guralnick cial skills among children with developmental de-

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VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Predicting social skills J. K. Baker et al.

lays is underscored by strong evidence linking solving may be particularly prone to errors in pro-
peer relations to children’s later adjustment and cessing (Dodge & Newman, 1981).
psychopathology (Kuperschmidt, Coie, & Dodge, Many social interaction opportunities for
1990; Parker & Asher, 1987), and by the vulner- young children are likely to occur in the context
ability to social isolation observed among children of emotion and to require varying degrees of child
with delays (Guralnick, 1999b). regulation. For example, social entry situations
Developmental models of emergent social may be particularly difficult, thus taxing a child’s
competence for typical populations have empha- emerging regulatory system more substantially
sized the contributions of early parenting and (Wilson, 1999). Even among typically developing
child regulatory abilities to later functioning with children, over half of all peer entry attempts fail
peers (e.g., Dodge, 1991; Garner, Jones, & Miner, (Cosaro, 1979), suggesting that regulation is re-
1994; Mize & Pettit, 1997). Although related quired both in anticipation and in response to
models for children with developmental delays peer entry failure. Emotion regulation and emo-
have maintained the importance of early child tional expressiveness are separable, but closely re-
regulatory abilities and parent–child co-regulatory lated constructs. Thus, the role of child regulation
interactions (Guralnick, 1999a), empirical investi- in social situations can also be considered in the
gations have favored evaluation of more direct, effect that a child’s emotional expressiveness has
proximal parent and family constructs (e.g., paren- on the child’s interaction partners. Children who
tal arranging of socialization opportunities), and exhibit more happiness are often better liked by
aspects of parental cognition (e.g., attributions peers (Denham, McKinley, Couchoud, & Holt,
Guralnick, Neville, Connor, & Hammond, 2003). 1990; Sroufe, Schork, Motti, Lawroski, & La-
It is necessary for researchers to examine the spe- Freniere, 1985), and those who show more anger
cific contributions of early child regulation and tend to experience less popularity (Denham et al.,
co-regulatory interactions to later social skills 1990; Rubin & Clark, 1983).
among children with developmental delays in or- The link between child emotion regulation
der to provide a more comprehensive conceptu- and social competence has been demonstrated in
alization of the development of social compe- numerous studies of young typically developing
children (Blair, Denham, Kochanoff, & Whipple,
tence in this population.
2004; Denham et al., 2003; Eisenberg, Fabes,
Major strides have been made in attempts to
Guthrie, & Reiser, 2002), and Eisenberg (2001)
understand specific components of processing
suggested that emotion regulation may be key to
that may predispose children to maladaptive so-
understanding broader notions of child affective
cial outcomes (see Crick & Dodge, 1994, for a
social competence. Denham and colleagues
review). Although emphasis has often been placed
(2003) found that emotional competence in pre-
upon understanding social–cognitive mecha-
school predicted children’s social competence in
nisms, increased attention has been devoted to kindergarten. They also provided evidence that
the interplay between emotion and cognition sys- certain links between regulation and social skills
tems. Building upon models proposed by Dodge may be stronger for children who are prone to
and colleagues (Crick & Dodge, 1994; Dodge, negative emotion. Children with developmental
1991), Lemerise and Arsenio (2000) advocated for delays have been found to exhibit more negative
the centrality of emotion processes in social in- interactive styles (Guralnick et al., 1998) and more
formation processing. Of particular relevance to behavior problems (B. Baker, Blacher, Crnic, &
the present study, the authors suggested that in- Edelbrock, 2002) than have their typically devel-
dividual differences in emotionality and emotion oping peers, underscoring the notion that the con-
regulation represent important biological predis- struct of regulation may be particularly important
positions that critically influence children’s pro- to the development of social skills in this popu-
cessing of social and emotional cues as well as lation. Indeed, given that children with delays ex-
children’s ability to engage in decision-making perience elevated rates of social failure, these chil-
and enact selected responses. Research provides dren likely require increased arousal regulation
support for the importance of regulatory abilities during peer interactions. Unfortunately, the
to social information processing, with evidence heightened need for adaptive regulation is accom-
suggesting that children who demonstrate diffi- panied by a decreased competency in employing
culty regulating arousal during social problem- effective regulatory strategies among children with

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VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Predicting social skills J. K. Baker et al.

delays (Wilson, 1999). The result is likely to be a ity and responsiveness, in coordination with the
downward cycle in which the social failure of chil- provision of appropriate structure, as represented
dren with delays and their regulation abilities by maternal scaffolding behaviors. The term scaf-
transact over time, exacerbating difficulties within folding has been used largely in reference to paren-
each domain. tal involvement in children’s cognitive and/or lin-
In the current study we examined hypotheses guistic development (Vygotsky, 1978). However,
that child dysregulation at age 4 would predict the process of scaffolding, whereby a more skilled
later social skills at age 6 and that these relations individual enables a child to achieve higher levels
would be stronger for children with delays. We of functioning by providing an appropriate quan-
investigated two forms of dysregulation in order tity and form of assistance (e.g., within the child’s
to discriminate between aspects of this construct: ‘‘zone of proximal development’’), need not be
emotional and behavioral. The definition of emo- limited to these domains (e.g., see J. Baker &
tion regulation and the belief in the ability to Crnic, 2005, for a discussion of emotional scaf-
measure it convincingly has been debated recently folding). We examined the process of scaffolding
(Cole, Martin & Dennis, 2004). Emotion regulation as it applied to three content areas: emotional,
is commonly defined as ‘‘the extrinsic and intrin- motivational, and technical. Scaffolding was,
sic processes responsible for monitoring, evaluat- therefore, conceptualized as the mothers’ ability
ing, and modifying emotional reactions, especially to sensitively co-regulate and structure their chil-
their intensive and temporal features, to accom- dren through reciprocal interaction, in the areas
plish one’s goals’’ (Thompson, 1994, pp. 27–28). of emotion regulation, motivation (e.g., focus,
Because the internal processes involved in emo- persistence), and technical skill (e.g., problem-
tion regulation cannot be measured with behav- solving).
ioral systems, many researchers consider the be- Within the specific domain of emotion, par-
havior of a child when significant emotion is enting factors, such as reactions to child emotion,
thought to be activated and make assumptions expressiveness, and parent–child emotion dis-
about regulatory processes (Cole et al., 2004). One course, have been linked to a number of child
can argue that the observable behavioral ‘‘reac- social skills, including affective perspective-taking,
tions’’ relevant to dysregulation can be separated emotional understanding, and empathetic re-
into two types: emotional reactions (i.e., behaviors sponding (Denham, Cook, & Zoller, 1992; Dunn,
that reflect the emotion and its qualities, includ- Brown, & Beardsall, 1991; Eisenberg et al., 1999;
ing intensity, duration, and lability) and behavioral Garner et al., 1994; Halberstadt, Crisp, & Eaton,
reactions (i.e., behavioral self-management during 1999; Zhou et al., 2002). Much less is known
a significant emotional experience and how the about how parent–child interactions that are fo-
behavior relates to the achievement of one’s cused on the maintenance of motivation and on
goals). In the current study we made this delin- the development of children’s problem-solving
eation in order to consider specific aspects of abilities might relate to the development of social
emotion dysregulation as well as the related dys- skills. Research findings have suggested that chil-
regulation of behavioral self-management in the dren’s nonsocial cognitive-processing abilities,
context of an emotional event. such as the capacity to maintain attention; en-
In addition to testing the predictive potential code, represent, and retrieve relevant information;
of early dysregulation, we also investigated the hy- and engage in a decision-making process, provide
pothesis that early maternal scaffolding would re- a foundation for children’s social–cognitive pro-
late to later child social skills. Early parent–child cessing (e.g., Crick & Dodge, 1994). As such, par-
interactions have been identified as important to ents’ ability to foster processing in nonsocial do-
the development of social skills in typically de- mains may facilitate important developments in
veloping children. General constructs such as pa- skills necessary for children’s adaptive social func-
rental sensitivity and responsiveness have been tioning.
linked to children’s social adjustment during the Sensitive parental assistance in cognitive and
transition to school (National Institute for Child motivational domains may be of increased im-
Health and Human Development, 2004) and portance for the development of social skills in
have been found to predict social skills indepen- children with significant delays, who may struggle
dently from direct social coaching (Mize & Pettit, with the cognitive load and information-process-
1997). In the current study we examined sensitiv- ing demands of complex social problem-solving.

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VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Predicting social skills J. K. Baker et al.

Indeed, in some early research focused on this is- berg, Cumberland et al., 2001), the quality of par-
sue in populations with special needs, Freund and ent–child interaction (Patterson, 1982; Pettit &
Elardo (1978) found that ratings of parental intel- Bates, 1989), and important social outcomes
lectual stimulation accounted for 8% of the vari- (Newcomb, Bukowski, & Pattee, 1993). Conse-
ance in the social problem-solving of children quently, we believed that it was necessary to ac-
with learning disabilities; Herman and Shantz count for the potential impact of child behavior
(1983) reported that a composite of maternal problems in examining predictors of children’s so-
structuring and interactive play related to the gen- cial skills.
eration of socially competent responses to hypo- We anticipated group differences between
thetical social vignettes by children with mild to children with and without developmental delays
moderate delays. at age 6 on social-skill measures (Hypothesis 1).
Parental behaviors may lay the foundation for Early child regulatory abilities and parent–child
later social skills through their influence on child interactions were expected to relate to social skills
regulation. For example, Ramsden and Hubbard within each status group, and we predicted that
(2002) reported that parents’ ‘‘emotion-coaching’’ these relations would be stronger for children with
philosophy related to child aggression indirectly developmental delays (Hypothesis 2). This hy-
through parental report of their 9-year-olds’ emo- pothesis stems not only from aforementioned ev-
tion regulation. Eisenberg, Gershoff et al. (2001) idence suggesting the increased importance of reg-
similarly found that child emotion regulation me- ulation and parent–child interaction for children
diated the link between maternal negativity and with delays, but also from findings suggesting that
child social competence. It is, therefore, necessary relations between early family factors and later
not only to study the contributions of early reg- child outcomes may be stronger under conditions
ulation and parent–child interactions to later so- of risk, as in the case of prematurity (Crnic &
cial competence, but also to consider potential Greenberg, 1987) and early child behavior prob-
pathways that may exist between the two predic- lems (Denham et al., 2000). In Hypothesis 3 we
tors. We predicted here that the relation between predicted that associations between early predic-
early maternal scaffolding and later child social tors and later social skills within the group with
skills would be partially mediated by child dysreg- delays would remain after controlling for early be-
ulation. havior problems and child developmental level.
In the current study we evaluated early child Early child dysregulation was predicted to partial-
regulatory abilities and maternal scaffolding as ly mediate the relation between early maternal
predictors of later social skills among children scaffolding and later social skills among children
with developmental delays as compared to their with delays (Hypothesis 4). Next, the combined
typically developing peers. The investigation was sample was considered once again in order to test
designed to answer questions relating to (a) with- the possibility that early dysregulation and par-
in-group processes and (b) status group differences ent–child interactions would partially account for
(i.e., how processes may differ depending upon status group differences in social skills between
developmental status and/or how processes may children with and without developmental delays
help to explain developmental group differences). (Hypothesis 5).
Processes were examined longitudinally across the The above hypotheses were examined in line
important period of school entry, with develop- with prior theory and in order to answer specific
mental status measured at age 3, early predictors questions regarding the relations between the pre-
measured at age 4, and social skills measured at dictors (scaffolding and child dysregulation) and
age 6. later social skills. However, we also conducted ex-
Previous findings from our lab, indicating ploratory analyses in order to identify which early
that children with developmental delays exhibit factors, including the covariates, best predicted so-
significantly more behavior problems than do typ- cial skills within each status group over the 2-year
ically developing children even by age 3 (B. Baker period. We expected that although all four factors
et al., 2002), complicate the study of regulation, would predict social skills within each group, dys-
parent–child interaction, and later social skills. Be- regulation and maternal scaffolding would predict
havior problems have been linked to child regu- more strongly for children with delays, consistent
lation (Cole, Teti, & Zahn-Waxler, 2003; Eisen- with Hypothesis 2 (Hypothesis 6).

378 䉷 American Association on Intellectual and Developmental Disabilities


VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Predicting social skills J. K. Baker et al.

Method ucation was controlled, F (1, 168) ⫽ 1.10, p ⫽


.30. Maternal education was, therefore, covaried
Participants in all analyses in which status group was involved.
The sample was drawn from an ongoing lon- The proportion of married to unmarried mothers
gitudinal study of children from age 3 to 9 years differed between status groups, but this variable
that was designed to examine the emergence of was not related to any other variable of interest
psychopathology and social competence in chil- and was, therefore, not controlled. No demo-
dren with and without developmental delays. All graphic variables were related to the outcome var-
participants for whom data were available at both iables within either status group and were, there-
child ages 4 and 6 were included. Although there fore, not included in any within-group analyses.
were 207 families in the age 4 sample, age 6 social-
skills data were only available for 172 participants Procedure
(97 males, 75 females). The 35 families with miss- All procedures were approved by the Institu-
ing data at age 6 did not differ from the families tional Review Boards of the three universities in-
for whom data were available on any variable of volved. Parents visited the centers each year with
interest. The 172 children were designated as ei- their child for lab assessments, and the current
ther typically developing or as experiencing de- study included the 4- and 6-year time-points.
velopmental delay, based on their age 3 Mental Questionnaires were mailed to parents prior to the
Development Index on the Bayley Scales of Infant 6-year visit and were collected at the visit. Teacher
Development (85 or higher and 75 or lower, re- measures were collected in the spring quarter of
spectively; Bayley, 1993). Families resided in ei- the academic year in which the 6-year assessment
ther Southern California or rural Pennsylvania was conducted rather than at the time of the
and were recruited through local regional centers home visit, in order to standardize the amount of
and preschools. Exclusion criteria for the larger exposure that the teachers had to the children.
study included autism and significant neurologi- Outline of laboratory visits. Structured labora-
cal and/or motor impairment. tory visits occurred when each child was approx-
Demographics for the full sample revealed imately 48 months old. The full laboratory visit
that 60% of mothers were Caucasian; 15%, Lati- at age 4 included seven segments, all involving
no; 8%, African American; 2%, Asian, and 16% both the mother and child: free-play with age-ap-
identified themselves as ‘‘other,’’ usually mixed propriate toys (10 minutes), a clean-up task (3
race. Demographic data by developmental status minutes), an ‘‘easy’’ problem-solving task (2 min-
group can be found in Table 1. Mothers of typi- utes), a ‘‘medium’’ problem-solving task (3 min-
cally developing children achieved a significantly utes), a ‘‘difficult’’ problem-solving task (5 min-
higher educational grade level than did mothers utes), snack time (5 minutes), and a wait task (5
of children with delays. Family income also dif- minutes). The present study included all but the
fered by status group, but not once maternal ed- free-play and snack activities.

Table 1. Demographic Variables by Status Group


Typically developing Developmental
(n ⫽ 106) delays (n ⫽ 66)
Variable Mean/% SD Mean/% SD t/␹2a
Mean Bayley age 3 MDIb 105.06 11.63 58.76 11.16 25.78***
Mean maternal grade level completed 15.88 2.35 14.52 2.24 3.76***
Family income (scale 1–7) 4.86 1.78 4.08 1.93 2.70**
Mother is Caucasian (%) 68 58 1.90
Child is Caucasian (%) 62 56 .65
Siblings in the home (%) 76 66 1.57
Mother is married (%) 89 76 4.98*
a
Chi-squares are used with the percentage results. bMental Development Index.
*p ⬍ .05. **p ⬍ .01. ***p ⬍ .001.

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Predicting social skills J. K. Baker et al.

Description of laboratory tasks. Task difficulty lability and soothability exhibited by the child.
was adjusted dependent upon developmental sta- Emotion dysregulation ratings, therefore, involved
tus (i.e., to create a mental age [MA] equivalence, emotional expressions exhibited by the children,
tasks for the typically developing children were but as Cole et al. (2004) suggested, ratings also
somewhat more complex than those given to the captured more process-level features of the ex-
children with developmental delays). Mothers pressions and their relationship to the context,
were instructed to let their children try each task rather than simply considering the valence of the
on their own and then provide whatever help they emotional expression. The children were assigned
thought was necessary in order for their child to scores ranging from 0 (no evidence of dysregulation)
successfully complete each task. The easy and dif- to 4 (significant dysregulation). A score of 1 reflected
ficult problem-solving tasks involved the child a low degree of emotion dysregulation and de-
copying a 2-dimensional design with tile blocks. scribed individuals who (a) displayed only one or
The medium problem-solving task involved the two brief emotional expressions that were inap-
child completing a challenging, but developmen- propriate to the situation and who were able to
tally appropriate, paper-and-pencil maze. The regroup on their own or (b) displayed one or two
clean-up task followed a free-play period. For this brief instances of emotional lability and/or vari-
task, the child was told that it was time to clean ability in intensity of emotional expression and
up and that he or she should put all the toys away. usually recovered quickly from inappropriate
The child was left with the mother to complete emotional experiences. In contrast, a child receiv-
this activity. ing a score of 4 showed significant dysregulation
The wait task at age 4, which resembled tasks in that he or she displayed several intense emo-
developed by Greenberg, Carmichael-Olson, and tional expressions or displayed less intense but fre-
Crnic (1992) and Grolnick, Bridges, and Connell quent emotional expressions for the majority of
(1996), consisted of the child sitting at a table in the segment, was virtually unable to regroup with-
front of a large, attractively wrapped present. The out the help of the parent, and was very labile,
child was told that the present was for him or her showing extreme variability in the intensity of
but that it could not be opened until the child’s emotion and/or very slow recovery from emotion-
mother, who was seated beside the child, finished al experiences.
completing some paper-and-pencil measures and Behavior dysregulation was coded separately
the experimenter returned. The child was given a from emotion dysregulation and included instanc-
horse figurine with part of a leg broken off and es of poor behavioral management by the child
told that he or she could play with the toy during that impeded his or her ability to complete the
the wait. No other toys or materials were available task. This score included expressions of overt non-
to the child. compliance or defiant behavior and instances of
disruptive behavior. Behavior dysregulation was
Coding of Predictor Variables coded on a scale similar to that of emotion dys-
Early child dysregulation and maternal scaf- regulation, ranging from 0 (no evidence of dysregu-
folding were each coded from all five parent–child lation) to 4 (significant dysregulation). A score of 1
tasks (the three problem-solving tasks, clean-up, described a child who displayed only one or two
and the wait task). Detailed discussions of both brief inappropriate behaviors during the segment,
coding systems (with appendices that include an- with no instances of intense behavior disruption.
chor descriptions) can be found in a previous A score of 4 indicated that a child displayed sev-
study from our laboratory (Hoffman, Crnic, & eral intense disruptive behaviors or displayed less
Baker, 2006). Brief summaries are provided below. intense, but frequent, disruptive behaviors for the
Regulation at age 4. Child emotion and behav- majority of the segment.
ior dysregulation were coded using the Dysregu- Hoffman et al. (2006) provided a more de-
lation Coding System (Hoffman et al., 2006). The tailed presentation of the Dysregulation Coding
Emotion Dysregulation subscale was adapted System and reported reliability for the overall sys-
from the parameters presented by Cole, Michel, tem at this time point (age 4 years) at an intraclass
and Teti (1994). This scale was designed to mea- correlation of .90. The Emotion subscale reliabil-
sure the appropriateness of the type, duration, and ity was .79 and the Behavior subscale was .90.
intensity of emotional expressions as well as the Construct validity for the Dysregulation System

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VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Predicting social skills J. K. Baker et al.

within the current sample is also supported by view of 20% of tapes and resulted in intraclass
Hoffman et al. (2006), in that emotion dysregu- correlations of .84 for motivational, .87 for emo-
lation was mildly to moderately related to mater- tional, and .90 for technical scaffolding.
nal scaffolding and child behavior problems. Scaffolding and dysregulation were coded
Maternal scaffolding at age 4. Maternal scaf- from videotapes by separate teams of trained un-
folding was measured according to the Maternal dergraduates blind to the hypotheses of the study.
Scaffolding Coding System (Maslin-Cole & Spiek- For each task, a parent–child dyad was assigned
er, 1990). Highly effective scaffolding involved a three scaffolding codes (motivational, emotional,
mother providing the optimal level of support and technical) and two child dysregulation codes
and assistance necessary to allow her child to suc- (emotion and behavior). These codes were aver-
ceed beyond what the child would have been able aged over the five tasks in order to increase mea-
to achieve alone. Observers rated three dimen- surement reliability and to provide a single score
sions of scaffolding for each task: technical, mo- for each form of scaffolding and dysregulation.
tivational, and emotional. Technical scaffolding re-
flected the mother’s ability to structure the task in
such way that it was within the child’s abilities to Measures
successfully complete it with her support. Effec- Child behavior problems at age 4 were mea-
tive technical scaffolding included providing dem- sured by the raw score of maternal report on the
onstrations that were well-timed and designed to Total Problems scale of the Child Behavior
be easily understood by the child, pointing out Checklist 1½–5 CBCL (Achenbach, 2000). Raw
critical features of the task, and filling-in substeps scores are thought to be more powerful for statis-
that were too difficult for the child, without over- tical testing than are T scores due to a larger range
simplifying. Motivational scaffolding assessed the and slightly higher reliability (C. Edelbrock, per-
mother’s ability to help the child initially become sonal communication, 2005). The CBCL is one
engaged with the task and her ability to maintain of the most widely used parent-report measures of
the child’s focus on, and enthusiasm for, the task. child socioemotional and behavioral functioning
Effective motivational scaffolding included clearly and has sound reliability and validity (alpha for
stating the goal of the task for a child who needed the current study ⫽ .95). The CBCL contains a
it reiterated, frequently praising and encouraging list of 99 behaviors, which are rated by each par-
for effort, maintaining persistence toward the end ent on a 3-point scale from 0 (not true) to 2 (very
goal even if the child started to lose focus, and true or often true) for their child and summed for
successfully refocusing a child who had become the Total Score.
distracted. Finally, emotional scaffolding captured Social skills at age 6 were measured through
the mother’s ability to make the task a positive mother, father, and teacher report on the elemen-
experience for the child that would add to the tary-level version of the Social Skills Rating Sys-
child’s sense of accomplishment and effectiveness. tem (Gresham & Elliott, 1990), a widely used
This reflected a high degree of acceptance of and questionnaire that has adequate reliability and va-
value for the child’s attempts at the task, mainte- lidity and provides a broad assessment of social
nance of sensitivity toward the child’s emotional skills, problem behaviors, and academic compe-
state, shared positive emotions between parent tence. Only the Social Skills scale was used for
and child, and statements that contributed toward the current study, which included ratings of the
the child’s sense of pride and efficacy. Each form child’s responsibility (parent version only), coop-
of scaffolding was rated on a 5-point scale ranging eration, self-control, and assertiveness. The Social
from 1 (low quality scaffolding) to 5 (high quality Skills scale has high test–retest reliability (parent r
scaffolding). (See Hoffman et al., 2006, for further ⫽ .84, teacher r ⫽.85) and internal consistency
description of this coding system.) (parent r ⫽.87, teacher, r ⫽.94; Gresham & Elli-
Construct validity for the scaffolding system ott, 1990). The parent and teacher forms are not
has been generated within the current sample identical and measure the child in different con-
through its relations with parent expressiveness ( J. texts. Thus, parent and teacher ratings on the So-
Baker & Crnic, 2005) and with parental depres- cial Skills scale are typically only modestly, but
sion and child regulation (Hoffman et al., 2006). significantly, correlated, r ⫽ .25, p ⬍ .001 (Gresh-
Reliability for the present study was based on re- am & Elliot, 1990).

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VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Predicting social skills J. K. Baker et al.

Results Hypothesis 2: Early Dysregulation and


Hypothesis 1: Children With Delays Would Scaffolding Would Relate to Later Social
Be Rated Lower on Social Skill Measures Skills Within Each Status Group
Table 2 shows that social-skill ratings among Data reduction and descriptive analyses. Interre-
mothers, fathers, and teachers were significantly lations among motivational, emotional, and tech-
interrelated within both status groups, with the nical scaffolding ratings were significant, with rs
exception of a trend for the father–teacher corre- ranging from .66 to .76, and subscales were com-
bined to minimize the number of variables in lat-
lation within the typically developing group. All
er regression analyses (subscales were evaluated
correlations were higher for children with devel-
separately only for simple correlation analyses).
opmental delays than for typically developing
The scaffolding composite demonstrated an inter-
children, although not significantly so. We per-
nal reliability of .88 for the combined sample (typ-
formed separate ANCOVAs to examine status dif-
ically developing ⫽ .88, developmental delays ⫽
ferences in social skill ratings for each respondent
.87). A composite of overall dysregulation was
group, controlling for maternal education. As pre-
similarly generated by averaging the emotional
dicted, results revealed significantly lower social-
and behavioral dysregulation ratings, which were
skill ratings for children with developmental de-
significantly correlated, rs ⫽ .70 for total sample,
lays as compared to typically developing children,
.69 for typically developing, and .64 for develop-
according to mother, father, and teacher reports
mental delays.
(see Table 3).
Although not a primary focus of the study,
we examined dysregulation and scaffolding ratings
for status group differences. Maternal education
Table 2. Interrelations Among Social Skills
was related to all relevant variables and was, there-
Rating System Respondents by Status Group
fore, controlled in the analyses. Separate AN-
Mother Father COVAs indicated a significant difference between
Groupa/Report report report children with and without developmental delays
for the dysregulation composite but not for ma-
Typically developing ternal scaffolding (see Table 3).
Mother — .37*** Bivariate correlations between age 4 dysregula-
Teacher .23* .21⫹ tion and scaffolding, and age 6 social-skill ratings.
Developmental delay For children with developmental delays, as pre-
dicted and shown in Table 4, early dysregulation
Mother — .54*** and maternal scaffolding were significantly re-
Teacher .44** .49** lated to later social skill ratings across all re-
⫹p ⬍.10. *p ⬍ .05. **p ⬍ .01. ***p ⬍ .001. spondents. In this group, child dysregulation

Table 3. Means by Status Group Adjusted for Maternal Education


Developmental delays Typically developing
Child age/ Rating Mean SE Mean SE F
Age 6/SSRS a

Mother 86.27 2.18 100.84 1.73 26.27***


Father 85.09 2.37 96.21 1.74 13.51***
Teacher 90.31 1.89 105.05 1.48 36.21***
Age 4
Dysregulation composite 1.34 .08 .72 .06 33.58***
Scaffolding composite 3.07 .08 3.22 .06 1.58
CBCLb Total Problems 44.58 2.74 30.79 2.17 14.96***
a
Social Skills Rating System. bChild Behavior Checklist.
***p ⬍ .001.

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Predicting social skills J. K. Baker et al.

Table 4. Correlations Between Early Regulation and Scaffolding and Later Social Skills by Status Group
SSRSa at 6 Developmental delay SSRS at 6 Typically developing
Mother Father Teacher Mother Father Teacher
Child age/Rating (n ⫽ 65) (n ⫽ 50) (n ⫽ 54) (n ⫽ 100/101) (n ⫽ 85/86) (n ⫽ 88/89)
Age 4
Dysregulation
Emotion ⫺.26* ⫺.41** ⫺.28* ⫺.11 ⫺.07 ⫺.08
Behavior ⫺.42** ⫺.48*** ⫺.56*** ⫺.10 .00 ⫺.11
Composite ⫺.38** ⫺.49*** ⫺.48*** ⫺.12 ⫺.03 ⫺.11
Scaffolding
Motivational .32* .26⫹ .46*** .24* .20⫹ .17
Emotional .26* .32* .39** .16 .28** .17
Technical .40** .35* .52*** .08 .09 .12
Composite .36** .35* .50*** .18⫹ .22* .17
Note. Slashes for sample size in the typically developing group represent different available data for dysregulation and
scaffolding.
⫹p ⬍ .10. *p ⬍ .05. **p ⬍ .01. ***p ⬍ .001.

was inversely correlated with social skill ratings, Hypothesis 3: Early Dysregulation and
and maternal scaffolding was positively related Maternal Scaffolding Would Predict to Later
to social skill outcomes. For children with typ-
Social-Skill Ratings for Children With Delays,
ical development, relations between early scaf-
folding and later social skills were far less con- Above and Beyond Behavior Problems and
sistent, and no significant relations were found Relative Developmental Level
between the dysregulation and social-skill vari- We considered teacher ratings first in order to
ables among these children (see Table 4). The examine the predictive potential of early dysreg-
composites for dysregulation and scaffolding ulation and maternal scaffolding to later social
were modestly correlated in each group (devel- skills, above and beyond early behavior problems
opmental delays: r ⫽ ⫺.39, p ⬍ .01; typically and relative MA (among children with develop-
developing: r ⫽ ⫺.21, p ⬍ .05). mental delays). Table 5 shows regressions for each
predictor variable, with Bayley Mental Develop-
In every case, correlations between the pre-
ment Index entered on Step 1, mother CBCL to-
dictors and later social skills were higher for chil-
tal problems score on Step 2, and either dysreg-
dren with delays. In order to test whether status-
ulation or scaffolding on Step 3. As predicted,
group differences in the associations were statis-
both early dysregulation and scaffolding remained
tically significant, relations between the composite significant predictors of later teacher social-skill
predictor variables and Social Skills Rating System ratings, each accounting for 7% of the variance
ratings for each status group were transformed above and beyond early behavior problems and
into z scores and compared. Results indicate that child developmental level.
the correlations differed significantly between The above analyses were replicated with
children with and without developmental delays mother- and father-reported social skills. Consis-
for the associations between the dysregulation tent with teacher report of social skills, early dys-
composite and father, p ⬍ .01, and teacher Social regulation predicted above and beyond develop-
Skills Rating System, p ⬍ .05, and between the mental level and early behavior problems as per
scaffolding composite and teacher Social Skills both mother, ␤ ⫽ .30, p ⬍ .05, and father report
Rating System, p ⬍ .05. The correlations for the of social skills, ␤ ⫽ .37, p ⬍ .05. Scaffolding re-
dysregulation composite and mother Social Skills sults were also consistent with teacher reports for
Rating System differed at the level of a trend, p mothers, ␤ ⫽ .26, p ⬍ .05, but were not signifi-
⬍ .10. cant for fathers.

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Predicting social skills J. K. Baker et al.

Table 5. Hierarchical Regressions Predicting 6 Year Teacher Social-Skill Ratings From Early
Dysregulation and Maternal Scaffolding Among Children With Developmental Delays
Variable B SE B ␤
Regression 1
Step 1: Bayley MDIa .54 .17 .40**
Step 2: Mom CBCLb Total at 4 ⫺.19 .07 ⫺.35**
Step 3: Dysregulation at 4 ⫺6.75 2.89 ⫺.33*
Regression 2
Step 1: Bayley MDI .54 .17 .40**
Step 2: Mom CBCL Total at 4 ⫺.19 .07 ⫺.35**
Step 3: Maternal Scaffolding at 4 6.12 2.66 .31*
Note. Regression 1: R2 ⫽ .16, p ⬍ .01, for Step 1; ⌬R2 ⫽ .12, p ⬍ .01, for Step 2; ⌬R2 ⫽ .07, p ⬍ .05, for Step 3.
Regression 2: R2 ⫽ .16, p ⬍ .01, for Step 1; ⌬R2 ⫽ .12, p ⬍ .01, for Step 2; ⌬R2 ⫽ .07, p ⬍ .05, for Step 3.
a
Mental Development Index. bChild Behavior Checklist.
*p ⬍ .05. **p ⬍ .01.

We performed separate regressions for the Step 3. Results indicated that the association be-
above analyses in order to evaluate whether rela- tween scaffolding and social skills was reduced af-
tions between the predictors and later social skills ter controlling for dysregulation, original ␤ ⫽ .31,
were maintained after controlling for other im- p ⬍ .05, final ␤ ⫽ .24, p ⬍ .10. We then em-
portant child factors and to provide a basis for ployed the product-of-coefficients method
examination of the mediation hypothesis. (MacKinnon & Dwyer, 1993; Sobel, 1982) in or-
der to provide a more direct test of whether the
Hypothesis 4: Early Dysregulation Would mediating variable significantly carried the effect
of the predictor variable on the outcome variable.
Mediate the Relation Between Early Maternal
Results indicated that the indirect effect of par-
Scaffolding and Later Social Skills Among enting through child dysregulation (after control-
Children With Developmental Delays ling for developmental level and behavior prob-
To reduce the number of analyses, we selected lems) was not significant, indicating that dysreg-
teacher report as the outcome measure for the re- ulation did not seem to carry the effect of mater-
maining mediation analyses because these data re- nal scaffolding on later social skills, Sobel ⫽ 1.38,
flect the most independent measurement (i.e., p ⫽ .17. These findings indicate that although the
likely possessed the least shared method variance relation between scaffolding and social skills was
with parent–child interaction measures). Previous reduced somewhat after controlling for dysregu-
analyses revealed that the prerequisite significant lation, dysregulation did not appear to mediate
associations between the predictor and outcome this relation. An anonymous reviewer suggested
variables were present (see Hypothesis 3 section; that mediation analyses be conducted in which
Baron & Kenny, 1986). The final prerequisite, that scaffolding was examined as a mediator of the re-
scaffolding and dysregulation were associated lation between dysregulation and social skills.
once developmental level and behavior problems Similar to the original analyses, the relation be-
were controlled, was also met, ␤ ⫽ ⫺.25, p ⬍ .05. tween dysregulation and social skills was reduced,
We initially used the causal-steps approach to me- original ␤ ⫽ ⫺.33, p ⬍ .05; final ␤ ⫽ ⫺.26, p ⬍
diation (Baron & Kenny, 1986) in order to test .10, but scaffolding was not found to mediate the
whether the association between scaffolding and relation, Sobel ⫽ ⫺1.35, p ⫽ .18.
social skills would be reduced once child dysreg-
ulation was controlled. A hierarchical regression Hypothesis 5: Early Dysregulation and
predicting Teacher Social Skills Rating System was Maternal Scaffolding Would Partially
performed in which child developmental level Mediate the Relation Between Developmental
and behavior problems were entered on Step 1, Status and Later Social Skills
the dysregulation composite was entered on Step We did not perform mediation analyses for
2, and the scaffolding composite was entered on scaffolding, given that the prerequisite associa-

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Predicting social skills J. K. Baker et al.

tion between status and scaffolding did not exist Hypothesis 6: Exploratory Regression to
(see Hypothesis 1 section, above). In order to ex- Identify the Strongest Predictors of Social Skills
amine whether early dysregulation mediated the
in Each Status Group
relation between developmental status group and
We conducted stepwise regressions for each
later teacher social-skill ratings (controlling for
status group, predicting to age 6 teacher social-
maternal education and child behavior prob-
skill ratings. All four of the early variables were
lems), we initially used the causal steps method.
entered as potential predictors: child behavior
It was first necessary to establish that the relevant
problems, relative developmental level (Bayley
variables were related. After controlling for ma-
MDI), dysregulation, and maternal scaffolding (in-
ternal grade level and child behavior problems,
terrelations can be found in Table 6). As shown
we found that status was associated with both
in Table 7, for the typically developing children,
dysregulation, F(1, 162) ⫽ 24.11, p ⬍ .001, and
one significant model emerged. Early child behav-
teacher-rated social skills, F(1, 131) ⫽ 17.75, p ⬍
ior problems at age 4 predicted 16% of the vari-
.001. Dysregulation and social skills were also re-
ance in social skills at age 6. For children with
lated, partial r ⫽ ⫺.33, p ⬍ .001. We then per-
developmental delays, different predictors sur-
formed a hierarchical regression in which mater- faced. Within this group, two models were pre-
nal education, child behavior problems, and the sent. The first model consisted of one predictor,
early child dysregulation composite were entered maternal scaffolding, and accounted for 24% of
on Step 1 and status group assignment was en- the variance in later social skills. The second mod-
tered on Step 2. Partial mediation was suggested el consisted of maternal scaffolding and dysregu-
in that the association between status group and lation and predicted 33% of the variance (see Ta-
social skills was reduced after controlling for dys- ble 7). Although we expected that all variables
regulation, original ␤ ⫽ ⫺.33, p ⬍ .001; final ␤ would predict somewhat within each status group,
⫽ ⫺.25, p ⬍ .01. Given that the association be- the hypothesis that early dysregulation and ma-
tween status and social skills was reduced but re- ternal scaffolding would predict social skills better
mained significant, we used the product-of-coef- among children with delays was strongly support-
ficients method in order to test whether partial ed.
mediation was present (i.e., whether the indirect
effect of status through dysregulation was signif-
icant). Results from the product-of-coefficients Discussion
analysis indicated that dysregulation partially car- These findings suggest that emerging social
ried the effect of developmental status on social skills are tied to children’s early developmental
skills, Sobel ⫽ ⫺2.46, p ⬍ .05. In short, evidence status, regulatory skills, and supportive parent–
supported the hypothesis that child dysregula- child interactions. Validating a wealth of previous
tion partially mediated the relation between de- work in this area (e.g., Guralnick et al., 1998;
velopmental status and later social skills, but the Kopp et al., 1992; Wilson, 1999), lower social-skill
mediation hypothesis was not supported for scaf- ratings for children with delays than for typically
folding. developing children were apparent across all re-

Table 6. Correlations Among Variables Used in the Stepwise Regression Analyses


Variable 1 2 3 4 5
1. Developmental level — ⫺.06 ⫺.21* .27* .08
2. Behavior problems ⫺.06 — .12 ⫺.12 ⫺.40***
3. Dysregulation ⫺.50*** .13 — ⫺.21* ⫺.11
4. Scaffolding .34** ⫺.30* ⫺.39** — .17
5. Social skills .40** ⫺.40** ⫺.48*** .50*** —
Note. Correlations in the upper right corner correspond to the typically developing group. Bolded correlations in the
lower left correspond to the group of children with delays.
*p ⬍ .05. **p ⬍ .01. ***p ⬍ .001.

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Predicting social skills J. K. Baker et al.

Table 7. Stepwise Regressions Predicting Teacher Ratings of Social Skills at Age 6 From Early Variables
Group/Model B SE B ␤
Typically developing (TD)
Model 1: Mom CBCLa Total at 4 ⫺.27 .07 ⫺.40***
Developmental delays (DD)
Model 1: Maternal scaffolding at 4 9.78 2.42 .49***
Model 2: Maternal scaffolding at 4 6.72 2.58 .34*
Dysregulation at 4 ⫺6.86 2.65 ⫺.34*
Note. TD regression: R2 ⫽ .16, p ⬍ .001. DD regression: R2 ⫽ .24, p ⬍.001, for Model 1; R2 ⫽ .33, p ⬍ .05, for Model 2.
a
Child Behavior Checklist.
*p ⬍ .05. ***p ⬍ .001.

spondents. These findings underscore the notion this construct from related factors. Results from
that specific deficits in social-interactive behavior the current study revealed that dysregulation re-
seem to characterize the population of children mained a significant predictor of social skills after
with early identified mild to moderate develop- removal of the variance shared with behavior
mental delays. In addition, respondents reporting problems and that dysregulation was a stronger
on children with delays consistently displayed predictor of social skills than were behavior prob-
higher levels of agreement than did those report- lems. These findings ensure that dysregulation did
ing on typically developing children (although not simply predict later social skills as a result of
these differences were not statistically significant). covariation with broader aspects of child ‘‘diffi-
Higher agreement among reporters for children cultness’’ and provide additional support for the
with delays is consistent with earlier findings from dysregulation construct. The control for child de-
this sample, which indicated higher parental velopmental level was also conservative. Among
agreement on reports of behavior problems for children with developmental delays, parent–child
children with delays (B. Baker et al., 2002). interaction and child dysregulation each predicted
The current findings suggest that the social above and beyond the children’s relative devel-
skills of children with delays at age 6 can be pre- opmental functioning. Indeed, developmental lev-
dicted, in part, from observations conducted 2 el within the group of children with delays no
years earlier. Virtually all the parenting and child longer predicted social skills once dysregulation
regulation variables measured at age 4 were related and scaffolding were considered. These findings
to later social skills among children with devel- support the premise that social skills are not fully
opmental delays, and the scaffolding and dysreg- dependent upon children’s developmental level
ulation composites emerged as the most robust (Guralnick, 1999b) and uniquely expand this idea
predictors for this group. These findings strongly to address variability among children with devel-
support theories suggesting that early parent–child opmental delays (as opposed to clarifying differ-
interaction and child regulation are key to under- ences between children with and without delays).
standing the development of social skills in this Given that both early maternal scaffolding
population (Guralnick, 1999a). Furthermore, and child dysregulation were predictive of later
moderation analyses and stepwise regressions sug- social skills among children with developmental
gest that early parenting and child dysregulation delays, it was important to consider potential ex-
may take on increased importance in the context planatory pathways. We found here that child
of developmental risk. dysregulation did not mediate the association be-
In the current study we took a conservative tween maternal scaffolding and later social skills.
approach to examining the predictive potential of This finding suggests either that the contribution
child regulation and parent–child interaction. of early maternal scaffolding to later social skills
First, early child behavior problems were ad- is unique or that other factors might mediate the
dressed in the analyses. Current debates regarding association. We controlled child behavior prob-
the validity of the construct of emotion regulation lems in the analysis in order to examine the
(Cole et al., 2004) make it important to separate unique effects of dysregulation. However, the in-

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VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Predicting social skills J. K. Baker et al.

direct effect of scaffolding on later social skills veloping children (see Eisenberg, Cumberland, &
may be partially accounted for by the shared var- Spinrad, 1998) and recent investigations of chil-
iance of behavior problems and dysregulation. dren with delays (e.g., Wilson, 1999), suggest a
With respect to the potential for early dysreg- potential new direction for parent training in dis-
ulation to partially mediate the relations between abilities. Intervention could be extended to in-
developmental status group and later social skills, clude teaching parents techniques related to the
our findings support a model in which child de- sensitive application of co-regulatory parenting
velopmental delay poses a risk factor for dysreg- behaviors across several domains.
ulation, which, in turn, contributes to problems Throughout the analyses, relevant demo-
in the development of appropriate social skills. graphic variables were controlled and analyses
Furthermore, these results were significant above were conducted to address attrition. However, cer-
and beyond the variance that dysregulation shared tain limitations should be noted. First, the longi-
with child behavior problems, suggesting that dys- tudinal approach to prediction provides addition-
regulation uniquely carried the effect. Given that al evidence for causal pathways but does not
children’s deficits in regulation were apparent pri- prove causation. A second limitation concerns the
or to formal school entry, the current findings measurement of social skills. Although the early
suggest clear avenues for early identification dur- predictor variables were measured through careful
ing the preschool period. Observational classroom observation and coding, child social skills were as-
batteries designed to assess problems in children’s sessed solely through adult report. However, there
emerging regulatory systems have been success- are certain benefits to this approach, in that pre-
fully implemented for young typically developing diction across types of measurement can remove
children (Denham, 2006; Raver, Smith-Donald, shared method variance and minimize potential
Hayes, & Jones, 2005), and our findings suggest biases. In the current study we also maximized the
the importance of extending such efforts to chil- validity of the report measures by relying upon
dren with developmental delays. Children with multiple informants. Given the significant agree-
delays who demonstrate difficulties in early regu- ment among respondents and the consistency of
lation could benefit from a range of services, in- findings across informants, confidence in the va-
cluding social-skills training and specific coaching lidity of the social-skill measures is high. None-
for emotion regulation. theless, future studies relating parenting and child
The finding that maternal scaffolding regulation to careful observational measurement
emerged as the best predictor of later social skills of child social skills, building upon systems such
for children with delays is striking. Child charac- as those used by Kopp et al. (1992), Wilson
teristics such as regulation and behavior problems (1999), and Guralnick and colleagues (e.g., Gur-
are more proximal to social skills and seem to be alnick & Groom, 1987; Guralnick et al., 1998),
reliable predictors of social competence. Conse- would provide valuable information. Although
quently, evidence that parenting behaviors pre- many aspects of child functioning were assessed
dicted not only above and beyond, but better at an early age in the present study, social skills
than child factors among children with delays sug- were not measured during the preschool period.
gests important implications for targeted interven- Among children with delays, scaffolding was
tion and prevention efforts. The scaffolding mea- found to predict better than several child factors
sure in the current study included the mothers’ that were related to social skills (behavior prob-
ability to focus and motivate their children; break lems and dysregulation). However, the possibility
down and teach tasks in a structured manner; and cannot be ruled out that early social skills at age
provide emotional support, demonstrate sensitiv- 4 might predict as well or better than other child
ity and acceptance, and share emotion with their and/or family factors (as suggested by Guralnick,
child. Indeed, each form of scaffolding (emotion- Hammond, Connor, & Neville, 2006).
al, motivational, and technical) was associated A final limitation concerns the modest find-
with children’s later social skills. Parent training ings for typically developing children. The fact
for children with developmental delays has a long that early dysregulation was not associated with
history and has frequently emphasized behavior later social skills within this group should be in-
management and skill acquisition (e.g., B. Baker, terpreted with caution. Because the current study
1996). Findings from the current study, along with included children with developmental delays,
evidence from extensive research on typically de- who were predicted to exhibit higher levels of dys-

䉷 American Association on Intellectual and Developmental Disabilities 387


VOLUME 112, NUMBER 5: 375–391 円 SEPTEMBER 2007 AMERICAN JOURNAL ON MENTAL RETARDATION

Predicting social skills J. K. Baker et al.

regulation, the coding system utilized may not Whipple, B. (2004). Playing it cool: Temper-
have been subtle enough to differentiate among ament, emotion regulation, and social behav-
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Predicting social skills J. K. Baker et al.

Wilson, B. J. (1999). Entry behavior and emotion This article was based on activities of The Collab-
regulation abilities of developmentally de- orative Family Study, supported by National In-
layed boys. Developmental Psychology, 35, 214– stitute for Child Health and Human Develop-
222. ment Grant 34879-1459 (Keith Crnic, principal
Zhou, Q., Eisenberg, N., Losoya, S. H., Fabes, investigator; Bruce Baker, Jan Blacher, and Craig
R. A., Reiser, M., Guthrie, I. K., Murphy, B. Edelbrock, co-principal investigators). We are in-
G., Cumberland, A. J., & Shepard, S. A. debted to our staff and doctoral students at Penn-
(2002). The relations of parental warmth and sylvania State University, University of California,
positive expressiveness to children’s empathy Los Angeles, and University of California, River-
related responding and social functioning: A side. We especially appreciate the participation of
longitudinal study. Child Development, 73, the families who made this research possible. Re-
893–915. quests for reprints should be sent to Jason K. Bak-
er, The Pennsylvania State University, Psychology,
Received 2/13/06, accepted 11/05/06. Child Study Center, University Support Bldg. 1,
Editor-in-charge: William E. MacLean, Jr. University Park, PA 16802. E-mail: jkb169@psu.
edu

䉷 American Association on Intellectual and Developmental Disabilities 391

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