Diagnostic importance of combined parent and teacher ratings on the Revised Behavior Problem Checklist

The Revised Behavior Problem Checklist (RBPC) was completed by parents and teachers for 105 child psychiatry outpatient boys aged 6 to 12 years. In addition, DSM-III diagnoses were determined independent of checklist results, and the children were divided into major diagnostic groups of externalizing, internalizing, and mixed disorders. Combined parent and teacher ratings proved more effective than separate ratings in distinguishing the externalizing and mixed groups from the internalizing group on the RBPC externalizing factors. The overall classification of individual boys with discriminant function analysis increased from 72% to 83% when the ratings of both parents, rather than one parent, were combined with teacher ratings. Enhancing diagnostic accuracy of type of psychiatric disorder by using combined parent and teacher behavior checklist ratings is discussed.     

Separation anxiety in mothers of latency-age fearful children

The hypothesis that mothers of children who have symptoms indicative of separation anxiety are themselves separation-anxious was tested by scoring mothers' TAT themes for separation concerns. The stories of 15 mothers of fearful children were compared to the stories of 26 mothers of children manifesting behavior disorders and 21 mothers of children having had no psychiatric contact. Different kinds of separation concerns were found to differentiate the groups of mothers. The stories of mothers of fearful children expressed significantly more concerns about abandonment and rejection and more often expressed a desire to stay near the loved one; the mothers of children with behavior disorders were found to tell significantly more stories with nurturance-succorance themes. The results lend support to the theory of anxious attachment in that mothers of fearful children seem to share the same concerns that have been ascribed to their children. On the other hand, it seems that separation anxiety may not be a unidimensional construct as different components seem to be more relevant to some symptom clusters than to others.     

Limited effects of pre‐existing maternal antisocial behaviours on infant neurodevelopment: A pilot study

Antisocial behaviour disorders (ABDs) are among the most costly and treatment resistant of all psychiatric syndromes. Select neurodevelopmental abnormalities have been labelled a risk factor for ABDs, but it is unknown if maternal ABDs are associated with early neurodevelopmental abnormalities. This study tested whether infants of ABD mothers had more neurodevelopmental abnormalities than mothers with no psychiatric disorder (ND). Thirty‐nine pregnant women (49% with ABDs; 51% no psychiatric disorder) were recruited from the community. Infant neurodevelopment was assessed at ≤1 and 8 weeks using the Neonatal Behavioural Assessment Scale and at 16 weeks of age using the Bayley Scales of Infant and Toddler Development‐III. There was no significant group difference at ≤8 weeks. At 16 weeks, ABD mothers rated their infants higher on the Adapted Behaviours subscale, specifically on the leisure and self‐directed scales, when corrected for substance use and socio‐economic status. This pilot study found higher maternal ratings of Adapted Behaviours at 16 weeks, which may be due to unrealistic expectations about infant development.

Highlights

• Maternal Antisocial behaviour disorders (ABDs) do not impact early infant neurodevelopment at ≤ 8 weeks old as measured by standardized assessment.
• Mothers with ABDs view their infants at 16 weeks as better adapted than women without any psychiatric disorder.
• Specifically, mothers with ABDs reported their infants as better adapted on the leisure and self‐direction subscales of the Bayley Scales of Infant and Toddler Development‐III. This finding may be due to less knowledge about normal infant adaptive behavior.

     

The relationship of adolescent mothers' expectations,knowledge, and beliefs to their young children's coping behavior

Developmental researchers have begun to explore parental cognitions in an effort to better understand adolescent parenthood. However, most research on adolescent mothers has failed to relate cognitions of the mother to the child's functioning. To extend the research on adolescent-parent families, we examined the association between adolescent mothers' knowledge of child development, parental expectations, and child-rearing beliefs to their infants' or toddlers' coping behavior. Trained observers rated children on the three subscales of the Early Coping Inventory–Sensorimotor, Reactive Behavior, and Self-Initiated Behavior. The findings indicated that the adolescent mothers' self-reports of their expectations for their own and their children's behaviors and emotions accounted for a significant proportion of the variance in objective ratings of the children's coping behavior in the sensorimotor and reactive behavior domains. Adolescent mothers who reported more positive, more realistic, and more mature expectations about parenting, children, and the parent-child relationship had children who were rated to display more adaptive and effective sensorimotor and reactive behavior coping capacities. An interaction between the adolescent mothers' knowledge and beliefs significantly predicted self-initiated child behaviors. Implications of the findings include the importance of exploring a “good match” in adolescent mother-child relationships.     

Coping behavior: Implications for disabled infants and toddlers

This article discusses the coping process and examines issues concerning the influence of a handicapping condition on the development of coping competence in young children. A preliminary study is reported that investigated the differences between the coping behavior of 25 developmentally disabled and 25 nondisabled children who were 4 to 34 months of age. The Early Coping Inventory was used to assess three categories of behavior related to adaptive coping efforts (sensorimotor organization, reactive behavior, and self-initiated behavior). Results indicated that the nondisabled children, as a group, demonstrated more effective coping-related behavior than did their disabled peers. The disabled children were situationally effective, in that behavior used effectively in one type of situation was not generalized to other types of situations. Their coping behavior tended to be erratic, inflexible, or limited in the range of available management strategies. The greatest discrepancy between the two groups was in their self-initiated behavior. The findings suggest the need for intervention services to address the enhancement of coping behavior of infants and toddlers with disabilities.     

The influence of Japanese mothers' styles of emotional expression on thirteen-month-old infants' reactions to a stranger

The present study investigated the hypothesized influence of mothers' styles of emotional expression on infants' responses to the stranger in Episode 3, the Ainsworth Strange Situation. One hundred and thirty-five mothers volunteered for this experiment with their 13-month-olds. The mothers' answers on an expression style questionnaire (EESQ) were factor analysed. According to their mothers' factor scores, infants were divided into four groups, those having (a) expressive type mothers (N = 40), (b) suppressive type mothers (N = 39), (c) positive expressive type mothers (N = 31), and (d) negative expressive type mothers (N = 25). The infants' behaviours were analysed in 5-sec intervals. The infants having expressive type mothers showed a strong interest in the stranger and interacted with her willingly. The infants having suppressive type mothers exhibited less smiling and much freezing behaviour. The infants having positive expressive type mothers reacted with more smiling, much bodily contact behaviour with the mother and less crying. The infants having negative expressive type mothers showed more often crying and frequent head orientation towards the stranger.     

Maternal adjustment and infant outcome in medically defined high-risk pregnancy.

Biological and psychosocial risk factors in high-risk pregnancy and their relation to infant developmental outcomes were explored in a sample of 153 pregnant Israeli women who had pregestational diabetes mellitus, gestational diabetes mellitus, or were nondiabetic. Questionnaires on coping and resources as well as well-being and distress during the 2nd trimester were administered. Estimates of maternal fuels (HbAlc and fructosamine) were obtained throughout pregnancy. At 1 year, offspring were administered the Bayley Scales of Infant Development and mother-infant interactions were observed. Infants of mothers in the diabetic groups scored lower on the Bayley Scales and revealed fewer positive and more negative behaviors than did infants of mothers in the nondiabetic group. Infant outcomes in the maternal diabetic groups were associated with maternal metabolism. Maternal coping and resources differed in the 3 groups and differentially predicted infant development.     

Some Personality Characteristics of the Culturally Disadvantaged

The relationship between sensitive maternal behavior and mother-infant vocalization during feedings was examined in an effort to determine this situational meaning of Ainsworth's concept of sensitivity. Ss were 28 white, middle-class mothers and their infants. Excerpts of home feedings videotaped at 6 and 9 months were coded for frequency of contingent vocal interaction and quality of vocal affect. Sensitive mothers were distinguished from insensitive mothers at each age period by differing vocal patterns. At 6 months, infants of sensitive mothers vocalized significantly less than did infants of insensitive mothers. Mothers in both groups responded to their infants' vocalizations equally as often. At 9 months, infants in both groups vocalized the same amount, while sensitive mothers vocalized more often in response to their infants than did insensitive mothers. The only significant difference in vocal affect was found in the greater positive affect among sensitive mothers at 9 months.     

Maternal coping strategies and emotional distress: results of an early intervention program for low birth weight young children

Several questions were examined with Infant Health and Development Program (IHDP) data (N = 843). Are effects of intervention services found for maternal emotional distress and coping strategies, and are these effects different for different groups of mothers? Do maternal distress, coping, and life events moderate (or mediate) the intervention effects reported earlier for children's test scores and behavior problems (IHDP, 1990)? The intervention reduced maternal distress, especially for women with less than a high school education. Maternal distress did not moderate or mediate the influence of the intervention on child outcomes. Maternal coping was not influenced by the intervention and did not moderate the influence of the intervention on child outcomes. Life events moderated the influence of the intervention on children's test scores; the intervention was more effective for children whose mothers had fewer life events.     

Patterns of maternal responding in postpartum mothers with schizophrenia

Little is known about how schizophrenia might affect how a mother responds to her infant, such as whether responding is reduced or impaired. The aim was to identify, from brief videotaped interactions, whether the responses of mothers with schizophrenia were fewer, less positive, more negative, and more ‘abnormal’ than mothers with affective disorder, and whether their infants (mean age: 15 weeks) lacked activity or initiation to which mothers could respond. Mothers with schizophrenia (N = 14) were as responsive as mothers with affective disorder (N = 31), but they showed markedly low positive responsiveness. Only the schizophrenia group exhibited non-responses as a result of being psychologically withdrawn from the interaction, and abnormal behaviors. Inconsistent to our hypothesis, infants in both groups showed similar levels of activity, initiative and negativity. The findings highlight the need for further research to examine the contribution of maternal response impairments to the developmental vulnerability of this genetically high-risk group.     

Behavioral and environmental correlates of infant abuse in group- living pigtail macaques

The present study investigated the context of occurrence of infant abuse and the behavior of abusive mothers and their infants in pigtail macaques (Macaca nemestrina). Subjects were 8 abusive mothers with their infants and 8 control mother-infant pairs living in 3 captive social groups. The most common forms of abuse were infant crushing and dragging and the most common context of occurrence was social stress. Severe and mild abuse differed in the frequency but not in the type of abuse patterns. Abusive mothers had controlling parenting styles relative to nonabusive mothers, and abused infants played at a later age and less frequently than controls. This study replicates previous findings on the parenting styles of abusive macaque mothers and provides new evidence on the context of occurrence of abuse and its consequences for infant health and social development.     

Differentiating psychiatrically disturbed children on the basis of a structured interview

A structured psychiatric interview designed for both clinical assessment and data collection was given to 50 pairs of well-matched pediatrie and psychiatric clinic children and their mothers. The two groups were shown to be dearly distinguished on the basis of numbers of symptoms. Behavior and school symptoms gave the sharpest distinction between the two groups. Neurotic and somatic symptoms were the poorest discriminators. The psychiatric children showed significantly more antisocial symptoms than their matched pediatrie peers. Age differences showed the expected trends with the widest divergence in the number of symptoms being in the oldest age group.This study was supported in part by NIMH Grant 05938.     

Preterm behavior,maternal adjustment,and competencies in the newborn period: What influence do they have at 12 months postnatal age?

This article examines whether preterm newborns' behavior and their mother's adjustment to the premature birth and infant hospitalization have an influence on subsequent infant development and behavior, maternal adjustment, and mother–infant relationship. The behavioral competencies of 42 well, singleton preterm infants (mean gestational age=31 weeks) were assessed, as were their mothers' adjustment (depression and coping) and competencies (knowledge of child development). At 12 months of postnatal age, child competencies (development and behavior) were assessed, together with maternal adjustment (parenting stress and depression). Mother–infant interaction also was observed. Regression analyses indicated that in the newborn period, maternal positive reappraisal and a planful coping style, more knowledge of child development, and previous experience with baby‐sitting were associated with better infant development (p=.002), maternal adjustment (p=.012), and mother–child relationship (p=.002) at 12 months. Newborn infant muscle‐tone maturity was predictive of better motor quality at 12 months (p=.011), and being a firstborn infant who was more sleepy and drowsy was associated with subsequent higher maternal parenting stress (p=.007). Social and educational support groups combined with an approach that assists mothers to develop problem‐solving coping styles may have a beneficial influence on infant development.     

Mother-infant interaction and children's socio-emotional development with high- and low-risk mothers

Charting the dynamic character of mother-infant interaction requires using observational systems of sequential coding in real time. A longitudinal study was designed to approach maternal sensitivity in a more complex way using sequential analysis. The study was conducted with 20 high- and 20 low-risk mothers and their infants (aged: 3, 12 and 15 months) to examine the relation among mothers' risk status for physical abuse and their maternal interactive profiles, using micro-social sequential analyses, and the subsequent quality of attachment developed by their children at 15 months of age. Results showed significantly different timings in maternal responses in high- and low-risk groups, that the high-risk mothers were less sensitive: more intrusive and less discriminate regarding their infant's behavior. Significant differences between groups were also found after infant difficult behavior. High-risk mothers' infants were significantly more likely to develop insecure attachment. Sensitivity is proposed as a constellation of timings in early mother-infant interaction.     

Preterm infants' affective responses in independent versus toy-centered play with their mothers

The affective behavior of medically high-risk (HR) and low-risk (LR) infants, along with a control group of full-terms (FT), was compared at 6 months of age during a 5-minute independent and a 5-minute toy-centered play session with their mothers. Because previous research has shown that joint toy play places a burden on the attentional capacities of HR infants, it was predicted that they would show less positive affect and more negative affect in toy-centered (vs. independent) play and joint attention (vs. face-to-face) interactions than would the LR or FT infants. Results showed that the HR infants displayed fewer smiles across the independent and mother toy-centered play condition and across face-to-face and joint attention interactions than LR or FT infants. The findings also indicated that the mother's presence facilitated the expression of positive affect for all three infant groups.     

Sustained withdrawal behavior in clinic‐referred and nonreferred infants

To examine the relations between infants' sustained withdrawal behavior and children's mental health status and maternal and child relational behavior, 36 clinic‐referred and 43 control infants were evaluated. Families were visited at home, mother‐child free play and feeding interactions were videotaped, and mothers completed self‐report measures. Interactions were coded for sustained withdrawal using the Alarm Distress Baby Scale (ADBB; Guedeney and Fermanian, 2001) and for global relational patterns with the Coding of Interactive Behavior (CIB; Feldman, 1998). Higher ADBB scores were found for the referred group, with many infants (38.9% ) scoring above the clinical cutoff (vs. 11.6% in the control group). More negative relational patterns were found for the withdrawn group in terms of higher maternal intrusiveness, lower reciprocity, and lower child involvement. Associations were found between maternal and child behavior during play and feeding and child sustained withdrawal behavior at play. Sustained withdrawal also was associated with unpredictable child temperament and lower sense of parental self‐efficacy. Maternal depressive symptoms were higher in the referred group and correlated with maternal and child relational patterns. The findings contribute to the construct and discriminant validity of the CIB and the ADBB coding systems, and suggest that sustained withdrawal may serve as a risk indicator for early socioemotional disorders.     

Altering withdrawn and intrusive interaction behaviors of depressed mothers

Interaction coaching was given to 44 depressed mothers who had either a withdrawn or intrusive interaction style with their infants. The intrusive and withdrawn mothers were given instructions either to imitate their infants' behavior or to keep their infants' attention. The results suggested that the specific type of interaction coaching for the specific type of depressed mother (imitation for the intrusive mothers and attention-getting for the withdrawn mothers) significantly improved their interaction behaviors with their infants.     

Type a behavior pattern as a predictor of psychiatric sick-leaves of Spanish teachers

The present study examined the relationship between the Type A Behavior Pattern and certain psychopathological disorders, namely, anxiety and depression, within an occupational setting. A sample group of 100 high school teachers (37 men and 63 women) who had taken one or more psychiatric leaves of absence were studied. An additional 100 teachers (47 men and 53 women), with no history of psychiatric sick-leaves, were randomly assigned to a control group. The groups shared the same organizational setting. The Jenkins Activity Survey, Form H, was administered to assess the Type A Behavior Pattern of both groups. Binomial logistic regression analysis indicated this pattern was related to psychiatric sick-leaves.     

Mothers of high-risk infants: Is their initial use of early intervention a predictor of later coping?

In a program for high-risk and handicapped infants that began at hospital discharge, mothers' initial use of intervention visits was investigated as a predictor of maternal functioning 9 months later. Measures included ventilation and advice seeking in the first month and 9-month maternal mood, coping, HOME scores, and use of intervention. Early ventilation and advice seeking were related significantly to mothers' self-reported confusion, but not to staff ratings of maternal mood. No significant relationships were found between early use of intervention and later coping, HOME scores, or use of intervention. Results are discussed in terms of mothers' generally good adaptation and the need for caution in drawing conclusions from their behavior soon after the birth of a high-risk or handicapped child.     

Depressed mothers' assessments of their neonates' behaviors

Neonates were assessed at delivery and again at 1 month by examiners and by their depressed or nondepressed mothers. Examiner assessments were conducted using the Brazelton Neonatal Behavioral Assessment Scale (NBAS). Maternal assessments were conducted by mothers using a simplified version of the NBAS, the Mother's Assessment of the Behavior of her Infant (MABI). Examiners rated neonates of depressed mothers lower than infants of nondepressed mothers on state organization. At delivery, newborn infants of depressed mothers were given lower state regulation scores by their mothers than by the examiners and, 1 month later, examiners’ state regulation ratings were as negative as those of the depressed mothers. Conversely, infants of nondepressed mothers were given higher social interaction scores by their mothers than by the examiners, and 1 month later, examiner ratings of social interaction were as positive as those of the nondepressed mothers. These findings suggest that infants of depressed mothers may be placed at risk by prenatal influences and by risks associated with maternal perceptions. Perceptions of infants appear to be colored by maternal depression status as early as the immediate postpartum period and, though “subjective,” these perceptions are predictive of infant outcomes.