Leslie E Roos

Leslie E Roos
University of Manitoba | UMN · Department of Psychology

PhD

About

99
Publications
24,305
Reads
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1,254
Citations
Citations since 2017
82 Research Items
1186 Citations
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Introduction
Leslie's program of research employs multi-modal techniques to examine how acute and chronic stress affect children’s self-regulatory function. The goal of this work is to inform the development of targeted interventions that can mitigate negative outcomes linked to early adversity and promote positive adjustment across mental health, behaviour, and achievement domains. Leslie an Assistant Professor at the University of Manitoba where she co-directs the Hearts and Minds Lab with Dr. Ryan Giuliano. She previously completed her Clinical Psychology Residency at the Centre for Addiction and Mental Health in Toronto, Canada, and her PhD at the University of Oregon.
Additional affiliations
September 2017 - present
Centre for Addiction and Mental Health
Position
  • Clinical Psychology Resident
September 2016 - August 2017
University of Oregon
Position
  • Fellow
September 2011 - present
University of Oregon
Position
  • Graduate Teaching Fellow
Education
September 2011 - April 2013
University of Oregon
Field of study
  • Clinical Psychology
September 2005 - June 2010
Brown University
Field of study
  • Psychology; Visual Arts

Publications

Publications (99)
Article
Full-text available
The COVID-19 pandemic and related public health restrictions have impacted the mental health and coping strategies of many population groups, including people who are pregnant. Our study sought to explore the ways that pregnant people described coping with stressors associated with the pandemic. N = 5879 pregnant individuals completed the pan-Canad...
Preprint
Fathers experienced high rates of mental health concerns during the COVID-19 pandemic. Social support is crucial to mitigate these problems; however, access to and quality of support were impacted by public health guidelines to increase physical distancing. Online forums offer an avenue for peer connection and support. Yet, minimal research has exa...
Preprint
Full-text available
Background: Drastic increases in the rates of maternal depression and anxiety have been reported since the COVID-19 pandemic began. Most programs aim to improve maternal mental health or parenting skills separately, despite it being more effective to target both concurrently. The Building Emotional Awareness and Mental health (BEAM) program was dev...
Article
Context Parental socioeconomic status (SES) is increasingly understood to be a key contributor to sleep health, but the research in childhood has not been synthesized. Objective To examine the associations between indicators of child SES and child sleep (≤18 years old), we conducted a systematic review and meta-analyses. Data sources CINAHL with...
Article
Full-text available
Background Reports of allergic reactions to the COVID-19 vaccines have been documented, which may also contribute to hesitancy. Despite the low likelihood that the COVID-19 vaccine will trigger an allergic reaction, we and others have reported that families with allergy remain vaccine hesitant due to concerns of COVID-19-vaccine-triggered anaphylax...
Article
Full-text available
Background The prevalence of maternal depression and anxiety has increased during the COVID-19 pandemic, and pregnant individuals are experiencing concerningly elevated levels of mental health symptoms worldwide. Many individuals may now be at heightened risk of postpartum mental health disorders. There are significant concerns that a cohort of chi...
Article
Objective Preoperative distress is commonly experienced by surgical patients and is associated with adverse health-related outcomes. Research suggests preoperative distress may be elevated among cancer surgery patients relative to other surgical groups and there appears to be greater recognition of the adverse impacts of distress for these patients...
Preprint
Background: Drastic increases in the rates of maternal depression and anxiety have been reported since the COVID-19 pandemic began. Most programs aim to improve maternal mental health or parenting skills separately, despite it being more effective to target both concurrently. The Building Emotional Awareness and Mental health (BEAM) program was dev...
Article
Objectives Pregnancy is associated with elevated risk for poor sleep quality, which increases the risk for poor obstetrical outcomes and parent mental health problems. The COVID-19 pandemic has seen increased reports of disturbed sleep worldwide; however, the degree this extends to pregnancy or influences pregnancy mental health outcomes has not be...
Article
People who have a uterus but are not cisgender women may carry pregnancies. Unfortunately, to date, academic language surrounding pregnancy remains largely (cis) woman-centric. The exclusion of gender-diverse people in the language of pregnancy research in English is pervasive. In reviewing a random sample of 500 recent articles on pregnancy or pre...
Article
There is increased interest in inclusion, diversity and representativeness in epidemiological and community health research. Despite this progress, misunderstanding and conflation of sex and gender have precluded both the accurate description of sex and gender as sample demographics and their inclusion in scientific enquiry aiming to distinguish he...
Conference Paper
Background Social support and connection with other parents are important factors associated with parental mental health and parenting practices. These social connections can be integrated in parental eHealth programs through forums or group therapy sessions, but parental needs and preferences regarding these eHealth features are unknown. Objectiv...
Article
Full-text available
Objectives Children with neurodevelopmental delays show higher levels of externalizing behavioral problems, resulting in increased parental stress. This study aims to determine if the frequency of family routines moderates children’s externalizing problems and associated parental stress based on children’s cognitive ability longitudinally. Methods...
Article
Full-text available
Background Families have faced unprecedented challenges during the COVID-19 pandemic, leading to increased maternal mental health problems and barriers to accessing care. Innovative programs are needed to support both maternal mental health and parenting, and to buffer the long-term impacts of stress on young children. Using a patient-oriented appr...
Article
Full-text available
Background A growing body of research highlights the experiences of moral injury among healthcare professionals during the COVID-19 pandemic. Moral injury (i.e., participating in or witnessing acts that violate one's central moral values), is associated with a host of psychological sequelae and corresponding negative psychosocial impacts. There is...
Preprint
BACKGROUND Social support and connection with other parents are important factors associated with parental mental health and parenting practices. These social connections can be integrated in parental eHealth programs through forums or group therapy sessions, but parental needs and preferences regarding these eHealth features are unknown. OBJECTIV...
Article
Objective: Maternal stress and mental health challenges have increased since the coronavirus disease 2019 (COVID-19) pandemic began. Experts are concerned about elevated substance use given its well-known association with negative emotions, but existing research has not examined substance use among mothers during the COVID-19 pandemic. This is a c...
Preprint
Full-text available
Background Reports of allergic reactions to the COVID-19 vaccines have been documented, which may also contribute to hesitancy. Despite the low likelihood that the COVID-19 vaccine will trigger an allergic reaction, we and others have reported that families with allergy remain vaccine hesitant due to concerns of COVID-19-vaccine-triggered anaphylax...
Preprint
Heart rate is a transdiagnostic marker of affective states and the stress diathesis model of health. While most psychophysiological research has been conducted in laboratory environments, recent technological advances have provided the opportunity to index heart rate dynamics in real world environments with commercially available mobile health (mHe...
Preprint
Background: The prevalence of maternal depression and anxiety has increased during the COVID-19 pandemic and pregnant individuals are experiencing concerningly elevated levels of mental health symptoms worldwide. Many individuals may now be at heightened risk of postpartum mental health disorders. Recent evidence suggests that the cognitive develop...
Preprint
Families have faced unprecedented challenges during the COVID-19 pandemic, leading to increased maternal mental health problems and barriers to accessing care. Innovative programs are needed to support both maternal mental health and parenting, and to buffer the long-term impacts of stress on young children. Using a patient-oriented approach, our r...
Preprint
Families have faced unprecedented challenges during the COVID-19 pandemic, leading to increased maternal mental health problems and barriers to accessing care. Innovative programs are needed to support both maternal mental health and parenting, and to buffer the long-term impacts of stress on young children. Using a patient-oriented approach, our r...
Article
Children with developmental delays or disabilities (DD) are at risk for self-regulation difficulties and behaviour problems compared to typically developing children. Intervening early is crucial to prevent long-term adjustment challenges across home and school contexts. Parenting has been identified as a malleable target of intervention for improv...
Article
Background Evidence suggests a mental health impact of food allergy on affected children and their families, however little is known about healthcare professionals’ understanding of these impacts and the resources available to patients and their families. Objective To conduct a pilot study in which we examine healthcare professionals’ perceptions...
Article
Full-text available
Background Parent–child interactions are crucial for child development. The COVID-19 pandemic has negatively affected mental health and increased parenting challenges impacting parent–child functioning. Objective This study examined parent factors related to more and less enriching child activities during the pandemic through Bronfenbrenner’s Ecol...
Preprint
Background: Medical care advancements have increased the survival rates of children with complex medical conditions (CMC). Parents/caregivers of these children experience a range of positive and negative emotional experiences as a result. This population experiences an increased risk of mental health concerns, versus the public; however, there is a...
Preprint
Maternal depression is a risk factor for future mental health problems in offspring, with stress-system function as a candidate vulnerability factor. Here we present initial validation of an online matching-task paradigm in young children exposed to maternal depression (N=40), a first in stressor-paradigm research for this age group. Investigations...
Article
Full-text available
Recent studies have demonstrated the feasibility of administering the Trier Social Stress Test (TSST) through the internet, with major implications for promoting inclusivity in research participation. However, online TSST studies to date are limited by a lack of control groups and the need for biological measures of stress reactivity that can be fu...
Preprint
Assessment of executive function in young children is amongst the most commonly used cognitive assessments; however, there is a paucity of childhood executive function assessment methods which can be used remotely. Here, we present a novel adaptation of two child-friendly variants of the Stroop task (i.e., “Day-Night”; “Happy-Sad”), which were cond...
Article
Full-text available
Early exposure to maternal depression is a key risk factor for child mental illness (MI), but there are limited programs that interrupt intergenerational transmission. The BRIDGE “Building Regulation in Dual Generations” Program treats maternal MI using Dialectical Behavior Therapy Skills with a paired curriculum that promotes non-reactive and emot...
Article
Full-text available
Background Supportive parenting is critical for promoting healthy child development in the face of stressors, such as those occurring during COVID-19. Here, we address a knowledge gap regarding specific household risk factors associated with parenting quality during the pandemic and incorporate first-person accounts of family challenges and needs....
Preprint
Full-text available
Recent studies have demonstrated the feasibility of administering the Trier Social Stress Test (TSST) through the internet, with major implications for promoting international inclusivity in research participation through extending typical sampling procedures beyond traditional geographical boundaries. However, online TSST studies to date are limit...
Preprint
Background. Disruptive behavior disorders significantly increased family disruption and children are at higher rates of child maltreatment, which have increased following the pandemic. While parent training interventions are a best-practice intervention to treat a range of disruptive behavior disorders and family dysfunction concerns, there is limi...
Preprint
Background: Emotion regulation deficits are increasingly recognized as an underlying mechanism of many disorders. Dialectical behaviour therapy (DBT) holds potential as a transdiagnostic treatment for disorders with underlying emotion regulation deficits. Here, we systematically review the evidence for DBT skills training groups as a transdiagnosti...
Preprint
Group-based parenting programs have been implemented for over 50 years as a cost-effective way to promote child mental health and reduce behavior problems. However, some evidence suggests that their effects are limited and inconsistent. To inform next steps in program development, more systematic examinations about the overall efficacy of programs...
Article
This study examined children's stress system reactivity via the autonomic nervous system (ANS) and hypothalamic pituitary adrenal axis (HPAA) during an acute stressor as moderators of predicted relations between cumulative risk (CR) and mental health symptoms in a sociodemographically diverse sample of young children (n = 58). We employed a reliabl...
Preprint
Background: The COVID-19 pandemic has changed family functioning and increased parenting demands, leading to increased risk for poor psychosocial outcomes. Emerging evidence underscores the significant impact the pandemic has had on maternal mental health concerns. In contrast, paternal mental health has yet to be described. The current study descr...
Article
Full-text available
Background: Physical distancing and health measures, such as school closures and work-at-home mandates, implemented to mitigate the transmission of COVID-19, will likely have far-reaching impacts on children’s psychosocial health and well-being. We aimed to examine extant literature on pandemics and epidemics to draw comparison’s regarding COVID-19...
Preprint
Full-text available
Parent-child interactions are crucial for child development. The COVID-19 pandemic has negatively affected mental health and increased parenting challenges impacting parent-child functioning. The aim of the current study was to examine the relationship between parent factors and child activities to identify parental needs. A convenience sample of p...
Preprint
Context: Physical distancing and health measures, such as school closures and work-at-home mandates, implemented to mitigate the transmission of COVID-19, will likely have far-reaching impacts on children’s psychosocial health and well-being. Objective: We aimed to examine extant literature on pandemics to identify the expected impact of COVID-19 o...
Preprint
Early exposure to maternal depression is a key risk factor for child mental illness (MI), but there are limited programs that interrupt intergenerational transmission. The BRIDGE “Building Regulation in Dual GEnerations” Program treats maternal MI using Dialectical Behavior Therapy Skills with a paired curriculum that promotes non-reactive and emot...
Article
Full-text available
Background: Food allergy has a known impact on quality of life (QoL), but this has not been extensively studied during the COVID-19 pandemic. Objective: The objective of this mixed methods study was to characterize the levels of anxiety of mothers of food allergic children aged 0-8 years, compared to families without a food allergic child, as we...
Preprint
Full-text available
Background: Maternal stress levels and mental health symptoms have significantly increased since the coronavirus (COVID-19) pandemic began. As a result, experts have become concerned about elevated substance use given well-known associations between negative emotions and increased substance use. Extant research has not examined substance use among...
Preprint
Background: Comparing the efficacy of psychotherapy services for different family needs is critical for advancing more personalized treatment approaches. We examined maternal internalizing mental health problems as a predictor of treatment response for individualized treatment for mothers and their child, versus Coping Power (CP), a manualized grou...
Preprint
Full-text available
Background: Supportive parenting is critical for promoting healthy child development in the face of stressors, such as those occurring during COVID-19. Here, we address a knowledge gap regarding specific household risk factors associated with parenting quality during the pandemic and incorporate first-person accounts of family challenges and needs....
Preprint
Caregivers exhibiting low levels of positive caregiving tend to have reduced dynamic range in high- frequency heart rate variability (HRV), an index of parasympathetic nervous system activity. Yet less is known about the involvement of the sympathetic nervous system, which may impact the plausible range of parasympathetic reactivity. Here, caregive...
Article
There is growing interest among researchers and clinicians in incorporating one of the most efficacious treatments for improving emotion regulation, dialectical behavior therapy (DBT), into parenting interventions, with the explicit purpose of improving parental well‐being so as to positively impact children's social–emotional outcomes. Integration...
Article
Background Mental health problems are increasingly recognized as a significant and concerning secondary effect of the COVID-19 pandemic. Research on previous epidemics/pandemics suggest that families, particularly mothers, may be at increased risk, but this population has yet to be examined. The current study (1) described prevalence rates of mater...
Preprint
Despite substantial research emphasizing the role of chronic stress on children’s brain function, remarkably little is known about the more immediate effects of acute stress on brain activity. Here, we analyzed changes in power spectra of the electroencephalogram (EEG) during a Go/No-go task collected both before and after a laboratory psychosocial...
Preprint
Family functioning has changed as a result of the coronavirus disease (COVID-19) pandemic. Research on previous epidemics and pandemics suggest that families, specifically mothers, may be at an increased risk for mental health challenges. The current study (1) described prevalence rates of maternal depressive and anxiety symptoms, (2) identified ri...
Article
Background Approximately 8% of children have food allergy. Yet, little is known about how parents cope with the burden of this disease. Objective To describe the perceptions of food allergy-related mental health issues of parents of children with food allergy. Methods Parents of children with pediatric allergist-diagnosed food allergy were recrui...
Article
Full-text available
Childhood is a formative period of behavioral and biological development that can be modified, for better or worse, by the psychosocial environment that is in part determined by caregivers. Not only do our own genes and the external environment influence such developmental trajectories, but the community of microbes living in, on, and around our bo...
Article
Full-text available
Despite evidence that acute stress impairs attention in adults, there has been minimal research in children. Here, the effects of acute stress on Go/No‐go performance were examined in young children (M age = 5.41 years). Given the critical role of the parent–child relationship to children's self‐regulatory development, the extent to which parenting...
Article
Dialectical behavior therapy (DBT) is an effective treatment for an increasing number of mental disorders. Its increased application to a range of disorders has been prompted by the recognition that DBT targets emotion dysregulation, which is a transdiagnostic feature underlying several forms of psychopathology. More recently, DBT has been used to...
Preprint
Full-text available
Psychosocial environments impact normative behavioral development in children, increasing the risk of problem behaviors and psychiatric disorders across the lifespan. Converging evidence demonstrates early normative development is affected by the gut microbiome, which itself can be altered by early psychosocial environments. Nevertheless, these rel...
Article
Objective: Suicide is a leading cause of death, yet the accurate prediction of suicidal behavior is an elusive target for clinicians and researchers. The current paper examines the predictive validity of the Mini Neuropsychiatric Interview (MINI) Suicidality subscale for suicide attempts (SAs) for a homeless population with mental illness. Method...
Article
Full-text available
Substance use and addiction are disproportionately experienced by individuals with a history of exposure to early life stress (ELS), such as maltreatment, domestic violence and parent psychopathology. Unfortunately, extant interventions have mixed effectiveness at improving outcome trajectories for ELS-exposed children, who are often underserved by...
Article
Full-text available
Multiple theoretical frameworks posit that interactions between the autonomic nervous system and higher-order neural networks are crucial for cognitive regulation. However, few studies have simultaneously examined autonomic physiology and brain activity during cognitive tasks. Such research is promising for understanding how early adversity impacts...
Article
Full-text available
Early life adversity is a documented risk factor for substance abuse and addiction. The pre- and perinatal period (i.e., from implantation, through pregnancy, to 6 months of age) is a critical period marked by high biological plasticity and vulnerability, making perinatal stress a particularly robust form of adversity. The neuroendocrine and immune...
Article
Full-text available
Although prior research has characterized stress system reactivity (i.e. hypothalamic-pituitary-adrenal axis, HPAA; autonomic nervous system, ANS) in children, it has yet to examine the extent to which biological reactivity predicts concurrent goal-directed behavior. Here, we employed a stressor paradigm that allowed concurrent assessment of both s...
Article
Full-text available
A child's cumulative risk for early exposure to stress has been linked to alterations of self-regulation outcomes, including neurobiological correlates of inhibitory control (IC). We examined whether children's ability to engage the parasympathetic nervous system impacts how risk affects IC. Children ages 3–5 years completed two laboratory measures...
Article
Full-text available
Prior research has identified the role of childhood maltreatment in externalizing problems and executive function (EF) deficits, but minimal work has been done to characterize the effects of co-occurring maltreatment types, defined as polyvictimization. Here, we sought to characterize the association between polyvictimization and externalizing prob...
Article
Full-text available
A recent meta-analytic review by Shields, Sazma, and Yonelinas (2016) brings to the fore several conceptual issues within the stress and executive function (EF) literatures. We present a critique of these issues, using the review as an exemplar of how stress and EF are often examined empirically. The review summarizes research suggesting that EF is...