- 1Sanghuh College of Humanities, Konkuk University, Seoul, Republic of Korea
- 2Department of Psychological and Brain Sciences, The University of Iowa, Iowa, IA, United States
Introduction: Considering that the level of stress during a distressing event can decrease children’s abilities to encode and store event-related information, and thereby their recall accuracy of the event, it is imperative to identify factors that can reduce the risk of high stress. This study explored cascading relations from mother–child conversations to children’s strategies for coping with stress to their recall accuracy regarding dental treatment to examine antecedents of recall accuracy related to a distressing event.
Methods: Eighty 5- to 10-year-old children (41 boys, 39 girls) and their mothers participated in the study. Mother–child conversations and children’s coping strategies were, respectively, measured via coding based on mothers’ reports and children’s self-reports. Recall accuracy was assessed using the proportion of accurate free-recall reports and suggestibility in a memory interview.
Results and discussion: Emotion-oriented conversations predicted higher recall accuracy (including more accurate free recall and less suggestibility) directly and indirectly through more use of positive coping strategies and less use of negative coping strategies. These results suggest that it is critical to consider the complex impacts of individual differences when studying children’s recall accuracy regarding stressful past events, especially in terms of interviewing child witnesses.
Introduction
Children’s memory performance in stressful situations has been a focus of forensic research over the past few decades (see Deffenbacher et al., 2004; Marr et al., 2021 for a review). A question that continues to intrigue scholars is why some children recall stressful events accurately while others struggle with fragmented or distorted memories. One important aspect related to this variability is the intensity of stress felt during the event. High stress has been consistently reported to be related to poorer recall accuracy (e.g., Baker-Ward et al., 2015; Deffenbacher et al., 2004; Merritt et al., 1994; Wolf, 2017), although mild acute stress may temporarily facilitate memory performance (Deffenbacher et al., 2004). High levels of stress interfere with attention allocation and memory encoding, leading to poorer recall performance. Stress-induced impairments in memory encoding are especially problematic in contexts such as forensic interviews and medical assessments, where children’s recall and reports are crucial. Identifying factors that alleviate stress-related risks is therefore essential.
Children employ various strategies to manage stress and regulate negative responses (e.g., tension, anxiety, and fear) in distressing situations (Compas et al., 2001; Rodríguez et al., 2016; Schäfer et al., 2020). These coping skills can influence one’s amount of time spent managing stress, behavioral responses to stressors, and overall memories of the event (Aldwin, 2009). Researchers have defined dimensions of coping in several ways (e.g., Curry and Russ, 1985; Endler and Parker, 1990; Ryan, 1989), but the most popular and established categorization may be approach-oriented and avoidance-oriented strategies (Roth and Cohen, 1986). Approach-oriented strategies refer to individual efforts to deal with a stressful situation by actively facing and addressing the stressor, which include information seeking (i.e., asking questions or clarifying details about the event to reduce uncertainty), mood elevation (i.e., intentionally redirecting attention from the stressful event and inducing positive emotions such as joy, happiness, or pleasure), and cognitive restructuring or self-talk (Boals et al., 2008; Bray et al., 2019; Lee, 2011; Orvell et al., 2021; Peterson and Toler, 2013). These techniques are considered adaptive because they can facilitate recall by helping children focus on the experience rather than negative feelings, be less influenced by other people’s reactions, and reinterpret stressful situations in a more manageable way, thereby preserving cognitive resources for precise encoding and recall. Avoidance-oriented strategies, on the other hand, refer to individual attempts to distance themselves from the stressor, such as ignoring unpleasant stimuli or denying a stressor. Such techniques may relieve stress temporarily but not be adaptive in the long term, particularly for recall. They can weaken memory accuracy by preventing children from processing major details needed for adequate encoding and storage of the event (Goodman and Quas, 2018; Newman and Hedberg, 1999).
Given that approach-oriented strategies enhance recall accuracy by lowering stress and facilitating effective encoding and storage of event details, it is important to guide children in using such techniques during stressful situations. In this study, we investigated whether emotion-oriented mother–child conversations can shape children’s coping strategies, and, by extension, children’s subsequent recall accuracy. In general, children’s conversations with their parents can enhance the accuracy of the memory report by enabling children to practice elaborating their experiences, thoughts, and emotions. For instance, children whose mothers encouraged them to use detailed descriptions when discussing their experiences (including expressions on a variety of topics) have exhibited more accurate recall than children whose mothers did not (Fivush, 2019; McDonnell et al., 2016; Principe and London, 2022). This positive association has been shown to remain significant even after controlling for children’s language skills (Farrant and Reese, 2000; Reese and Newcombe, 2007). Thus, children with accumulated elaborative conversations with their parents may report an experienced event more coherently and accurately.
A limited perspective on cognitive resource allocation, which assumes that children possess finite cognitive and attentional resources that must be distributed across concurrent emotional and cognitive demands can provide a more fundamental framework explaining such a link from mother-child conversation to recall accuracy (Baddeley, 2020; Kahneman, 1973). During emotion-focused conversations, parents can help children perceive, label, and validate their feelings and learn suitable coping strategies through coaching and modeling (Gentzler et al., 2005; Gottman et al., 1996; Salmon and Reese, 2015). Thus, emotionally supportive mother–child conversations before a stressful event may help children regulate their affective arousal using more adaptive coping strategies, thereby freeing cognitive resources for effective memory encoding. Conversely, when emotional distress remains unresolved, a greater proportion of cognitive resources may be devoted to managing negative affect rather than encoding event details, leading to reduced recall accuracy.
For example, Gentzler et al. (2005) demonstrated that parent–child communication styles were related to children’s adaptive coping strategies (e.g., more reliance on support-seeking and cognitive decision-making and less on avoidant or aggressive strategies). Specifically, parents’ constructive reactions to the child (e.g., problem- and feeling-centered reactions, expressive encouragement, acceptance) and children’s affective sharing and emotion openness to the parent were related to more adaptive coping strategies, whereas parents’ unsupportive and distressing reactions were related to less use of adaptive coping strategies. Similarly, high-quality mother–child conversations, including maternal sensitive guidance and child cooperation, were related to approach-oriented coping, which in turn was associated with lower levels of angry feelings (Overbeek et al., 2022). This suggests that emotion-oriented mother–child conversations can lower children’s stress and negative feelings by helping them utilize more adaptive coping strategies. However, these studies measured parents’ and children’s general conversational styles during parent–child communications, not specific to conversations regarding upcoming stressful events.
We expect such relations would be particularly stronger for negative events because parents tend to be more descriptive and clearer in their narratives and to make more explicit causal links, when discussing negative events compared to positive ones (Fivush and Wang, 2005; Salmon and Reese, 2015). A growing body of evidence has demonstrated the associations between mother–child conversations and children’s recall of a past negative, stressful event, but most studies have examined the role of mother–child conversations after the event, not before the event, and the findings were mixed (see Lawson et al., 2018, for a review). Some studies have found that post-event parent–child discussions can facilitate the reliability and accuracy of children’s recall (e.g., Goodman et al., 1994; Peterson et al., 2007), while others have shown that conversations with parents can decrease the accuracy of recall or distort children’s memory (e.g., Alexander et al., 2010; Principe et al., 2017). Mother–child conversations before the event, however, may serve preparatory and regulatory functions, shaping children’s coping strategies and encoding processes before stressful experiences occur. Thus, emotion-oriented conversations discussing possible feelings and effective coping strategies would promote recall accuracy by helping children prepare for upcoming negative, stressful events. If conversations focus on anticipated unpleasant feelings and strategies to deal with them, then children may be able to identify their emotions more easily and apply proper techniques when facing a distressing event. Children should therefore better regulate their stress levels and encode event-based details more accurately.
Another important gap in the literature is that most studies have included events that children experienced with their mothers (e.g., Reese et al., 2019, 2020). However, in real-world situations such as investigative interviews, children are usually required to report details about an event that they did not experience with their mothers. As one exception, Baker-Ward et al. (2015) evaluated the relations between mother–child conversations and children’s memory accuracy regarding pediatric dental treatment, which children experienced alone (i.e., without a parent present). Children who talked about treatment more with their mothers before visiting the dentist demonstrated more accurate free recall and greater resistance to the interviewer’s misinformation than children who had fewer conversations with their mothers. However, the amount of conversation was determined based on mothers’ subjective ratings, which may introduce bias.
In sum, we examined mediation in order to understand a comprehensive pathway from mother–child conversations to children’s recall accuracy through coping strategies. We considered a naturally stressful event – a dental visit. A visit to the dentist is an authentic, often tense experience that can elicit anxiety and fear. It thus represents a useful paradigm for appraising children’s recall of a stressful personal event. To maintain objectivity, we rated mother–child conversations instead of relying on maternal self-reports as in previous studies. We anticipated a cascading relation from mother–child conversations to stress coping strategies to recall accuracy. That is, emotion-oriented conversations were expected to increase the accuracy of free recall and decrease suggestibility, namely by prompting children to use more positive and fewer negative coping techniques. While prior studies have examined some of these links separately, to our knowledge, the current study is the first to test all components simultaneously in a cascading pathway, which can provide a more comprehensive understanding of antecedents of children’s recall accuracy of stressful experiences.
Method
Participants
The participants included eighty 5- to 10-year-old children (41 boys, 39 girls) who were scheduled for general treatment (e.g., tooth decay, tooth extraction, sealant) at a pediatric dentistry clinic in Seoul, South Korea. The initial sample included 85 children, but data from five were excluded from analyses because those children either did not complete the memory interview or wanted to withdraw from the study. All remaining participants had visited the dentist more than twice and had received treatment from the same medical staff in this study more than once on average.
A sample size of more than 71 was deemed adequate for mediation using bias-corrected bootstrap with a power level of 0.80 and medium effects for both a path from the predictor to the mediator and b path from the mediator to the outcome (Fritz and MacKinnon, 2007). Therefore, our final sample size of 80 seemed sufficient.
Procedure
In the clinic’s waiting area, we explained the study’s purpose and process to mothers and children and asked if they would be willing to participate in the study. For interested parties, we obtained verbal consent from children and informed consent from mothers. Then, while each child received treatment, their mother filled out a survey about her conversations with her child before the visit. Following a 10-min break after treatment, the child answered questions regarding stress coping strategies, reported their stress level during treatment, and completed memory interviews, which lasted roughly 20 min. Dental treatments took approximately 15 min on average (M = 14.15 min, SD = 4.35, range = 5–25 min), and differences in duration were not related to any study variables. The Institutional Review Board at Seoul National University approved this research (1212/001–002).
Measures
Mother–child conversations
Mothers were asked to describe any conversations they had had with their children about the upcoming dental treatment—that is, whether they had discussed the visit in advance and, if so, what specific topics or messages had been shared. The survey was completed while mothers were waiting in the reception area during their child’s dental appointment. Based on the mothers’ written descriptions, two trained researchers independently coded the responses to determine (a) whether the conversation involved references to negative emotions (e.g., anticipated pain, tension, fear, or stress) related to the upcoming procedure, and (b) whether it included methods to regulate or cope with those emotions. Children whose mothers reported discussing strategies to help manage negative emotions (e.g., reassurance, comfort, encouragement, or relaxation techniques) were classified into the emotion-oriented conversation group (coded as 1), whereas those whose mothers’ conversations focused solely on factual or procedural information (e.g., what the dentist would do, why treatment was necessary) or who reported having had no discussion about the visit were assigned to the non-emotion-oriented conversation group (coded as 0). Each group consisted of 40 children. Coding reliability between the two raters was high (κ = 0.92).
Emotion-oriented conversations typically included emotionally supportive content designed to reduce the child’s anxiety or distress (e.g., “It might be scary, but it will be over soon and the dentist will help you”), whereas non-emotion-oriented conversations emphasized concrete or educational information about the procedure (e.g., “The dentist will clean your teeth and check for cavities”). The coding framework and classification criteria were guided by the procedures described in Baker-Ward et al. (2015) and Lee (2011), which demonstrated the methodological validity of coding based on parental self-reports to assess mother–child conversational content in relation to coping and emotion regulation. See Supplementary Table S1 for detailed coding criteria and representative examples of emotion-oriented and non-emotion-oriented conversations.
Stress coping strategies
Children’s stress coping strategies were assessed with 15 questions based on the Kidcope measure (Spirito et al., 1988) and the How I Coped under Pressure Scale (Ayers et al., 1996). All items were scored on a 4-point Likert-type scale and were classified as either positive or negative strategies following Baker-Ward et al. (2009). Positive strategies for coping with stress during medical treatment included mood elevation (3 items; e.g., “I told myself that my visit to the dentist would be over soon.”), social support (3 items; e.g., “I held someone’s hand so I would feel better.”), and information seeking (2 items; e.g., “I asked lots of questions, so I would know just what the dentist was doing.”). Negative strategies included active escape (3 items; e.g., “I did something to try to get away like jumping out of the chair.”), avoidant behavior (3 items; e.g., “I wished I wasn’t at the dentist anymore.”), and resignation (1 item; e.g., “I did not do anything. Nothing would have helped.”). We asked children if they used these strategies to cope with pain or stress during treatment and, if so, how often (1 = not at all, 2 = a little, 3 = a lot, 4 = always throughout treatment). We then calculated the average of each coping strategy, with a high score indicating more use.
Recall accuracy
We evaluated children’s recall accuracy through a memory interview consisting of questions about the terms and tools frequently mentioned or used during treatment (for detailed procedures, see Baker-Ward et al., 2015; Lee, 2011). The questions were developed under pediatric dentists’ guidance. Each interview proceeded hierarchically, wherein questions were posed based on the child’s responses (i.e., starting with an open-ended question, followed by semi-open-ended questions, and finally yes/no questions; La Rooy et al., 2015). Hierarchical interviews are known to improve children’s accuracy when recalling experiences by encouraging voluntary reporting while minimizing misleading or suggestive information provided by an interviewer (Benia et al., 2015).
Each interview started with an open-ended question, “Would you like to tell me all the things you remember from the dental treatment today?” If the child provided short responses without sufficient details (e.g., “The dentist made me hurt,” “The dentist treated me”), the interviewer asked semi-open-ended questions in the form of ‘how’ or ‘what’ (e.g., “How did the dentist hurt you?,” “What did the dentist treat you with?”) to prompt more specific answers. Lastly, yes/no questions covered what the child had and had not experienced during treatment. Questions about unexperienced events were meant to test the child’s susceptibility or resistance to suggestive questions (e.g., “Did the dentist give you candy after treatment as a reward?”).
We quantified the accuracy of children’s responses to the interviewer’s questions by counting the number of correct answers, following a system described in Lamb et al. (1996). The accuracy of children’s responses was evaluated against the treatment records and dentist reports to ensure objective identification of correct answers. Items that were mentioned repeatedly were not counted more than once. Among the questions a child answered correctly, those that were in response to open-ended and semi-open-ended questions were coded as free recall. We calculated a free-recall score by dividing the number of correctly answered open-ended and semi-open-ended questions by the total number of those questions, with higher scores indicating more accurate free recall. In addition, if the child incorrectly responded “yes” to a yes/no question about something that did not occur during treatment, this answer was coded as suggestibility. A suggestibility score was calculated by dividing the number of incorrect “yes” responses by the total number of suggestive questions asked; a higher suggestibility score demonstrated that more suggestive questions were incorrectly answered with “yes.” Overall, the higher the child’s free-recall scores and the lower their suggestibility scores, the better the child’s recall accuracy. Interrater reliability, measured with the kappa statistic, was 0.90 for free recall and 0.95 for suggestibility.
Results
Preliminary analyses
To ensure that the use of positive and negative coping strategies was indeed, respectively, related to the decrease and increase in the level of stress during treatment, we checked correlations between coping strategies and the level of stress, measured by physiological stress responses, observer-rated stress, and child self-report (see Supplementary Material 1 for the details of stress measures). More use of positive coping strategies was related to lower stress measured by observer rate (r = −0.46, p < 0.001) and child self-report (r = −0.29, p < 0.01), but not to physiological stress response (r = −0.17, p = 0.13). More use of negative coping strategies was related to higher stress measured by all three measures (r = 0.23, p < 0.05 for physiological response, r = 0.54, p < 0.001 for observer rate, r = 0.46, p < 0.001 for child self-report). Also, associations between higher stress and lower recall accuracy were supported (r = −0.77 – −0.23, p < 0.05, 0.01 or 0.001 for free recall, r = 0.32–0.69, p < 0.01 or 0.001 for suggestibility).
Correlations
Descriptive statistics and correlations were computed in SPSS 26.0 (IBM Corp., 2019; Tables 1, 2). Mother–child conversational styles and children’s coping strategies were significantly related to free recall and suggestibility. Children who had emotion-oriented conversations with their mothers before treatment were likely to exhibit more accurate free recall and lower suggestibility compared with children who had non-emotion-oriented conversations. Children who more actively employed positive coping strategies during treatment displayed more accurate free recall and lower suggestibility. The relations of negative coping strategies with free recall and suggestibility showed opposite patterns: heavier use of negative coping strategies was related to less accurate free recall and higher suggestibility. Mother–child conversational styles and children’s coping strategies also correlated with each other. Emotion-oriented conversations were related to more use of positive coping strategies and less use of negative coping strategies. However, positive and negative strategies did not have significant correlations with each other. Child gender was not significantly related to any of the variables.
Relations from mother–child conversations to coping strategies to stress to recall accuracy
Indirect relations were tested in Mplus 7 (Muthén and Muthén, 1998-2012) with bootstrapping (5,000 samples) and bias-corrected 95% confidence intervals (CIs). Suggestibility scores were log-transformed due to high kurtosis. Given the limited sample size and non-significant correlations between positive and negative coping strategies, we created two separate models with each coping strategy as the mediator. Thus, we included dummy-coded emotion-oriented mother–child conversations as the predictor, positive or negative coping strategies as the mediator, free recall accuracy and suggestibility as the outcomes, and children’s age as a covariate.
Figure 1 displays the results of the model with positive coping strategies as the mediator. Emotion-oriented mother–child conversations predicted more use of positive coping strategies, which in turn was related to better free recall (B = 0.08, SE = 0.04, 95% CI: [0.011, 0.155]) and lower suggestibility (B = −0.03, SE = 0.02, 95% CI: [−0.062, −0.005]). The direct paths from mother–child conversations to free recall and suggestibility were significant.
Figure 1. Relations from mother–child conversations to children’s recall accuracy via positive coping strategies. Unstandardized coefficients and standard errors in parentheses are presented. Mother–child conversations were coded as 0 = non-emotion-oriented and 1 = emotion-oriented. Child age was covaried and significantly related to free recall and suggestibility, but it is not shown in this figure for clarity. *p < 0.05, **p < 0.01, ***p < 0.001.
We found similar patterns of results for the model with negative coping strategies as the mediator (Figure 2). Emotion-oriented mother–child conversations predicted higher free-recall accuracy and lower suggestibility through less use of negative coping strategies (B = 0.02, SE = 0.01, 95% CI: [0.003, 0.035] for free recall; B = −0.01, SE = 0.004, 95% CI: [−0.018, −0.001] for suggestibility). The direct paths from mother–child conversations to free recall and suggestibility were again significant.
Figure 2. Relations from mother–child conversations to children’s recall accuracy via negative coping strategies. Unstandardized coefficients and standard errors in parentheses are presented. Mother–child conversations were coded as 0 = non-emotion-oriented and 1 = emotion-oriented. Child age was covaried and significantly related to free recall and suggestibility, but it is not shown in this figure for clarity. *p < 0.05, **p < 0.01, ***p < 0.001.
Sensitivity analyses
Given that our sample size justification was based on a mediation model with one outcome, we estimated models for each outcome, instead of having two outcomes in the same model. The coefficient values and mediation results in the separate models were almost identical to those in the models with the two outcomes.
Discussion
In the current study, we sought to identify aspects related to children’s abilities to accurately recall and report a past stressful event. In child abuse cases, the child and the alleged perpetrator are typically the only witnesses to the event, and the child is often required to elaborate on witnessed or experienced acts of violence or accidents. Thus, given that the child’s capacity to serve as a reliable witness is of paramount importance, it is essential to understand the factors associated with their abilities to recall and report stressful personal experiences.
We investigated mother–child conversational styles and children’s stress coping strategies as antecedents of recall accuracy in 5- to 10-year-old South Korean children. Our findings supported significant associations between emotion-oriented mother–child conversations and higher recall accuracy via more proper use of coping strategies. In particular, children who had emotion-oriented conversations with their mothers before treatment gave more accurate reports about treatment and were less susceptible to misinformation through more use of positive coping strategies and less use of negative coping strategies. Therefore, alleviating stress by employing proper coping strategies is imperative for accurate recall and reports as expected. Parental efforts to help children use such strategies (e.g., having conversations about anticipated feelings and emotions beforehand, reminding children to refrain from using negative coping strategies) can indeed prompt more precise free recall and stronger resistance to interviewers’ suggestive questions.
Although some scholars have argued that emotion-oriented conversations held after an event could distort children’s memories and diminish the accuracy of event-related recall (Lawson et al., 2018; Principe and London, 2022), we found that having emotion-oriented conversations before a stressful event could promote accurate recall and reports. If a child is prepared in advance (i.e., through relevant conversations with their mother) for negative emotions they may experience later, the child can better regulate negative emotions and apply more effective and positive strategies or refrain from less adaptive strategies to cope with stress during an event (Wu et al., 2020; Zinsser et al., 2021). Children equipped with positive coping strategies can have higher memory accuracy because they can allocate cognitive resources more efficiently. That is, their cognitive resources are sufficient for processing information because these children do not need to devote an excessive volume of resources to controlling negative emotions (Alexander et al., 2002; Peterson et al., 2007). By contrast, children with negative coping strategies may find it difficult to store event-related information: being overwhelmed by negative emotions can exacerbate their stress levels during the event and prevent them from using their cognitive resources to process incoming information appropriately.
Based on this study’s findings, creating developmentally and individually sensitive guidelines for interviewing children in the legal system is recommended. Investigative interviewers should consider ways to help children utilize adaptive, approach-oriented coping strategies (e.g., mood elevation, information seeking, social support) while discouraging the use of negative, avoidant-oriented coping strategies (e.g., distraction, escape, and denial) to reduce anxiety and stress before conducting an interview. Given that emotion-oriented conversations between mothers and children were effective in the current research, freely talking about children’s emotions and sharing examples of coping strategies during a rapport-building phase before a substantive phase of an interview is considered vital. It could enhance children’s recall accuracy and prepare them to resist potentially misleading information from interviewers. Moreover, guiding children to use approach-oriented coping techniques and have conversations beforehand may be applicable in other stressful environments, such as clinical settings, especially for children who are intensely afraid of treatment due to past medical experiences that evoked severe negative feelings. Advocating for these strategies could help not only children but also medical staff to proceed smoothly with treatment.
This study is not without limitations. Although we tried to measure the constructs in a valid and reliable manner, children’s coping strategies were self-reported. This approach seemed most suitable because certain measures of implicit strategies were only available from the child (e.g., “I told myself that my visit to the dentist would be over soon.”). However, future research could integrate methods such as self-reports and observations to increase measurement validity. For mother–child conversations, we used systematic content-coding based on maternal reports, but future research with direct observation, which can provide more detailed information (e.g., frequency of emotional words, discussion of causes and outcomes of emotions, etc.), would strengthen methodological rigor and ecological validity. Also, we did not include the level of stress during treatment as part of a cascade, given our limited sample size and its well-established associations with coping strategies and recall accuracy. However, correlation results supported these associations. Future research with a larger sample, ideally in a longitudinal and experimental design, is needed to clarify the temporal and causal dynamics among mother–child conversations, coping strategies, stress, and recall accuracy.
Other unmeasured personal and contextual characteristics might further explain our identified mechanism or serve as a moderator. For example, although we focused on that mother–child conversations would help children use more adaptive coping strategies, the relations can be bidirectional, such that their general stress coping skills can influence their conversational styles (Fivush and Sales, 2006). Additionally, mechanisms could be different depending on child age or family socioeconomic status (SES). Since differences by age or SES were not the main focus of the study and our sample size was limited, we did not test whether these variables moderated any of the relations among mother–child conversations, stress coping strategies, and recall accuracy. Note, however, that we covaried child age and found that older children were less likely to use negative coping strategies and had better free recall and lower suggestibility. Older children have advanced cognitive skills due to linguistic and metacognitive maturity, which may enable them to employ better coping strategies, more effectively process information, and more accurately remember and report the details of the past event (e.g., Compas et al., 2001; Geddie et al., 2000). Also, children’s coping could be different by SES as the effectiveness of coping strategies could depend on context. Future research with a larger sample would be warranted to examine differences by age or SES in the effects of emotion-focused conversations and coping strategies on recall accuracy, to identify which developmental period is most sensitive to emotion-focused conversations and different coping strategies, and to explore if the patterns differ by family SES.
Additionally, cultural backgrounds can be an interesting moderator. For instance, U. S. mothers were more likely to attempt to understand children’s feelings and elaborate on the cause of those feelings, whereas Chinese mothers used more negative emotional words and employed a more directive and disciplinary approach by emphasizing proper behaviors (Fivush and Wang, 2005; Wang and Fivush, 2005). It not only highlights cultural differences in mother–child conversational styles and children’s stress coping strategies but also suggests that our findings from South Korean children may not be applicable to children with different cultural backgrounds.
In conclusion, we discovered several tactics that could facilitate the accuracy of children’s reports of a stressful past event (e.g., pre-event emotion-oriented mother-child conversations and less use of negative, avoidance-oriented coping strategies). The current findings can further strengthen ecological validity and generalizability to real-world forensic and medical settings because the study concerned a naturally distressing event (i.e., pediatric dental treatment). By identifying pre-event conversations and stress coping as critical antecedents of recall performance, this research integrates emotion socialization and cognitive stress-memory frameworks. Based on the findings, we would advise researchers studying children’s memories of stressful events to account for the complex effects of numerous characteristics instead of simply relying on children’s stress levels.
Data availability statement
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.
Ethics statement
The studies involving humans were approved by Institutional Review Board at Seoul National University. The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent for participation in this study was provided by the participants’ legal guardians/next of kin.
Author contributions
SL: Writing – original draft, Investigation, Funding acquisition, Conceptualization, Formal analysis, Writing – review & editing, Methodology. JK: Writing – review & editing, Conceptualization, Writing – original draft, Formal analysis.
Funding
The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by Konkuk University Researcher Fund in 2025.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Generative AI statement
The authors declare that no Gen AI was used in the creation of this manuscript.
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Supplementary material
The Supplementary material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1648952/full#supplementary-material
References
Aldwin, C. M. (2009). Stress, coping, and development: an integrative perspective. New York, NY : Guilford Press.
Alexander, K. W., O’Hara, K. D., Bortfeld, H. V., Anderson, S. J., Newton, E. K., and Kraft, R. H. (2010). Memory for emotional experiences in the context of attachment and social interaction style. Cogn. Dev. 25, 325–338. doi: 10.1016/j.cogdev.2010.08.002
Alexander, K. W., Quas, J. A., and Goodman, G. S. (2002). Theoretical advances in understanding children’s memory for distressing events: the role of attachment. Dev. Rev. 22, 490–519. doi: 10.1016/S0273-2297(02)00004-7
Ayers, T. S., Sandler, I. N., West, S. G., and Roosa, M. W. (1996). A dispositional and situational assessment of children’s coping: testing alternative models of coping. J. Pers. 64, 923–958. doi: 10.1111/j.1467-6494.1996.tb00949.x
Baddeley, A. (2020). “Working memory” in Memory. eds. A. Baddeley, M. W. Eysenck, and M. C. Anderson (London: Routledge), 71–111.
Baker-Ward, L., Ornstein, P. A., Quinonez, R., Milano, M., Langley, H., Lee, S., et al. 2009 Children’s memory for a dental procedure: The impact of stress and coping on remembering, poster presented in cognitive developmental Society in San Antonio
Baker-Ward, L., Quinonez, R., Milano, M., Lee, S., Langley, H., Brumley, B., et al. (2015). Predicting children's recall of a dental procedure: contributions of stress, preparation, and dental history. Appl. Cogn. Psychol. 29, 775–781. doi: 10.1002/acp.3152
Benia, L. R., Hauck-Filho, N., Dillenburg, M., and Stein, L. M. (2015). The NICHD investigative interview protocol: a Meta-analytic review. J. Child Sex. Abus. 24, 259–279. doi: 10.1080/10538712.2015.1006749,
Boals, A., Rubin, D. C., and Klein, K. (2008). Memory and coping with stress: the relationship between cognitive–emotional distinctiveness, memory valence, and distress. Memory 16, 637–657. doi: 10.1080/09658210802083098,
Bray, L., Appleton, V., and Sharpe, A. (2019). The information needs of children having clinical procedures in hospital: will it hurt? Will I feel scared? What can I do to stay calm? Child Care Health Dev. 45, 737–743. doi: 10.1111/cch.12692,
Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., and Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. Psychol. Bull. 127, 87–127. doi: 10.1037/0033-2909.127.1.87,
Curry, S. L., and Russ, S. W. (1985). Identifying coping strategies in children. J. Clin. Child Psychol. 14, 61–69. doi: 10.1207/s15374424jccp1401_10
Deffenbacher, K. A., Bornstein, B. H., Penrod, S. D., and McGorty, E. K. (2004). A meta-analytic review of the effects of high stress on eyewitness memory. Law Hum. Behav. 28, 687–706. doi: 10.1007/s10979-004-0565-x,
Endler, N. S., and Parker, J. D. (1990). Multidimensional assessment of coping: a critical evaluation. J. Pers. Soc. Psychol. 58, 844–854. doi: 10.1037/0022-3514.58.5.844,
Farrant, K., and Reese, E. (2000). Maternal style and children’s participation in reminiscing: stepping stones in children’s autobiographical memory development. J. Cogn. Dev. 1, 193–225. doi: 10.1207/S15327647JCD010203
Fivush, R. (2019). Family narratives and the development of an autobiographical self: social and cultural perspectives on autobiographical memory. New York, NY : Routledge/Taylor & Francis Group.
Fivush, R., and Sales, J. M. (2006). Coping, attachment, and mother-child narratives of stressful events. Merrill-Palmer Q. 52, 125–150. doi: 10.1353/mpq.2006.0003
Fivush, R., and Wang, Q. (2005). Emotion talk in mother-child conversations of the shared past: the effects of culture, gender, and event valence. J. Cogn. Dev. 6, 489–506. doi: 10.1207/s15327647jcd0604_3
Fritz, M. S., and MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychol. Sci. 18, 233–239. doi: 10.1111/j.1467-9280.2007.01882.x,
Geddie, L., Fradin, S., and Beer, J. (2000). Child characteristics which impact accuracy of recall and suggestibility in preschoolers: is age the best predictor? Child Abuse Negl. 24, 223–235. doi: 10.1016/S0145-2134(99)00133-7,
Gentzler, A. L., Contreras-Grau, J. M., Kerns, K. A., and Weimer, B. L. (2005). Parent–child emotional communication and children's coping in middle childhood. Soc. Dev. 14, 591–612. doi: 10.1111/j.1467-9507.2005.00319.x
Goodman, G. S., and Quas, J. A. (2018). “Trauma and memory: individual differences in children’s recounting of a stressful experience” in Memory for everyday and emotional events. eds. N. L. Stein, C. J. Brainerd, B. Tversky, and P. A. Ornstein (New York, NY Routledge), 267–294.
Goodman, G. S., Quas, J. A., Batterman-Faunce, J. M., Riddlesberger, M. M., and Kuhn, J. (1994). Predictors of accurate and inaccurate memories of traumatic events experienced in childhood. Conscious. Cogn. 3, 269–294. doi: 10.1006/ccog.1994.1016
Gottman, J. M., Katz, L. F., and Hooven, C. (1996). Parental meta-emotion philosophy and the emotional life of families: theoretical models and preliminary data. J. Fam. Psychol. 10, 243–268. doi: 10.1037/0893-3200.10.3.243
La Rooy, D., Brubacher, S. P., Aromäki-Stratos, A., Cyr, M., Hershkowitz, I., Korkman, J., et al. (2015). The NICHD protocol: a review of an internationally-used evidence-based tool for training child forensic interviewers. J. Criminol. Res. Policy Pract. 1, 76–89. doi: 10.1108/JCRPP-01-2015-0001
Lamb, M. E., Hershkowitz, I., Sternberg, K. J., Boat, B., and Everson, M. D. (1996). Investigative interviews of alleged sexual abuse victims with and without anatomical dolls. Child Abuse Negl. 20, 1251–1259. doi: 10.1016/S0145-2134(96)00121-4,
Lawson, M., Rodriguez-Steen, L., and London, K. (2018). A systematic review of the reliability of children’s event reports after discussing experiences with a naïve, knowledgeable, or misled parent. Dev. Rev. 49, 62–79. doi: 10.1016/j.dr.2018.06.003
Lee, S. (2011) Children’s memories of a stressful dental procedure: Effects of stress and individual differences on remembering. [doctoral dissertation, University of North Carolina, Chapel Hill]
Marr, C., Sauerland, M., Otgaar, H., Quaedflieg, C. W., and Hope, L. (2021). The effects of acute stress on eyewitness memory: an integrative review for eyewitness researchers. Memory 29, 1091–1100. doi: 10.1080/09658211.2021.1955935,
McDonnell, C. G., Valentino, K., Comas, M., and Nuttall, A. K. (2016). Mother-child reminiscing at risk: maternal attachment, elaboration, and child autobiographical memory specificity. J. Exp. Child Psychol. 143, 65–84. doi: 10.1016/j.jecp.2015.10.012,
Merritt, K. A., Ornstein, P. A., and Spicker, B. (1994). Children's memory for a salient medical procedure: implications for testimony. Pediatrics 94, 17–23. doi: 10.1542/peds.94.1.17,
Muthén, L. K., and Muthén, B. O. (1998-2012). Mplus user’s guide. Los Angeles, CA : Muthén & Muthén.
Newman, L. S., and Hedberg, D. A. (1999). Repressive coping and the inaccessibility of negative autobiographical memories: converging evidence. Pers. Individ. Differ. 27, 45–53. doi: 10.1016/S0191-8869(98)00233-5
Orvell, A., Vickers, B. D., Drake, B., Verduyn, P., Ayduk, O., Moser, J., et al. (2021). Does distanced self-talk facilitate emotion regulation across a range of emotionally intense experiences? Clin. Psychol. Sci. 9, 68–78. doi: 10.1177/2167702620951539
Overbeek, M. M., Koren-Karie, N., de Schipper, J. C., van Delft, I., and Schuengel, C. (2022). Quality of mother–child dialogue about emotional events, coping and posttraumatic stress symptoms among children exposed to interpersonal trauma. J. Child Adolesc. Trauma 15, 201–208. doi: 10.1007/s40653-021-00381-x,
Peterson, C., Sales, J. M., Rees, M., and Fivush, R. (2007). Parent-child talk and children's memory for stressful events. Appl. Cogn. Psychol. 21, 1057–1075. doi: 10.1002/acp.1314
Peterson, L., and Toler, S. M. (2013). “An information seeking disposition in child surgery patients” in Child Health Psychology. eds. B. G. Melamed, K. A. Matthews, D. K. Routh, B. Stabler, and N. Schneiderman (Psychology Press), 235–250.
Principe, G. F., and London, K. (2022). How parents can shape what children remember: implications for the testimony of young witnesses. J. Appl. Res. Mem. Cogn. 11, 289–302. doi: 10.1037/mac0000059
Principe, G. F., Trumbull, J., Gardner, G., Van Horn, E., and Dean, A. M. (2017). The role of maternal elaborative structure and control in children’s memory and suggestibility for a past event. J. Exp. Child Psychol. 163, 15–31. doi: 10.1016/j.jecp.2017.06.001,
Reese, E., Macfarlane, L., McAnally, H., Robertson, S. J., and Taumoepeau, M. (2020). Coaching in maternal reminiscing with preschoolers leads to elaborative and coherent personal narratives in early adolescence. J. Exp. Child Psychol. 189:104707. doi: 10.1016/j.jecp.2019.104707,
Reese, E., Meins, E., Fernyhough, C., and Centifanti, L. (2019). Origins of mother-child reminiscing style. Dev. Psychopathol. 31, 631–642. doi: 10.1017/S0954579418000172,
Reese, E., and Newcombe, R. (2007). Training mothers in elaborative reminiscing enhances children’s autobiographical memory and narrative. Child Dev. 78, 1153–1170. doi: 10.1111/j.1467-8624.2007.01058.x,
Rodríguez, F. M. M., Torres, M. V. T., Páez, J. M., and Inglés, C. J. (2016). Prevalence of strategies for coping with daily stress in children. Psicothema 28, 370–376. doi: 10.7334/psicothema2015.10
Roth, S., and Cohen, L. J. (1986). Approach, avoidance, and coping with stress. Am. Psychol. 41, 813–819. doi: 10.1037/0003-066X.41.7.813,
Ryan, N. M. (1989). Stress-coping strategies identified from school age children’s perspective. Res. Nurs. Health 12, 111–122. doi: 10.1002/nur.4770120208,
Salmon, K., and Reese, E. (2015). Talking (or not talking) about the past: the influence of parent–child conversation about negative experiences on children's memories. Appl. Cogn. Psychol. 29, 791–801. doi: 10.1002/acp.3186
Schäfer, A., Pels, F., and Kleinert, J. (2020). Effects of different coping strategies on the psychological and physiological stress reaction. Eur. J. Health Psychol. 27, 109–123. doi: 10.1027/2512-8442/a000056
Spirito, A., Stark, L. J., and Williams, C. (1988). Development of a brief checklist to assess coping in pediatric patients. J. Pediatr. Psychol. 13, 555–574. doi: 10.1093/jpepsy/13.4.555
Wang, Q., and Fivush, R. (2005). Mother–child conversations of emotionally salient events: exploring the functions of emotional reminiscing in European-American and Chinese families. Soc. Dev. 14, 473–495. doi: 10.1111/j.1467-9507.2005.00312.x
Wolf, O. T. (2017). Stress and memory retrieval: mechanisms and consequences. Curr. Opin. Behav. Sci. 14, 40–46. doi: 10.1016/j.cobeha.2016.12.001
Wu, Y., He, Z., and Jobson, L. (2020). Maternal reminiscing and autobiographical memory features of mother–child dyads in a cross-cultural context. Child Dev. 91, 2160–2177. doi: 10.1111/cdev.13430
Keywords: free recall, suggestibility, mother–child conversations, coping strategies, stressful event
Citation: Lee S and Kim J (2025) Mother–child conversations and coping strategies as antecedents of children’s recall accuracy. Front. Psychol. 16:1648952. doi: 10.3389/fpsyg.2025.1648952
Edited by:
Pietro Spataro, Mercatorum University, ItalyReviewed by:
Francesco Bruno, Mercatorum University, ItalyAysu Alkış, Middle East Technical University, Türkiye
Copyright © 2025 Lee and Kim. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Juyoung Kim, anV5b3VuZy1raW1AdWlvd2EuZWR1
†ORCID: Seungjin Lee, orcid.org/0000-0002-3150-5373
Juyoung Kim, orcid.org/0000-0003-0358-9271