Postpartum maternal mood,feeding practices,and infant temperament in Barbados

Maternal mood, infant feeding practices, and infant temperament, using the Carey-R scales, were assessed in 226 healthy, well-nourished Barbadian mothers and their infants during the first 6 months of life. Maternal moods were assessed by self-report using the Zung depression and anxiety scales and a morale scale. Even after correcting for background variables, maternal depression and anxiety ratings and reports of despair at 6 months postpartum were significantly associated with infant temperament ratings at 6 months, using the original Carey-R scales, with factors derived from principal components analysis of the Carey items, and with summary difficulty scores. Maternal depressive symptoms were associated with decreased infant adaptability, reduced approach, negative mood and an increased sensory threshold. Infants of depressed and anxious mothers were more resistant to change and preferred constancy. These significant relationships were linear across the range of maternal mood scores and were not limited to diagnosed cases of depression or anxiety. In contrast, feeding practices were not significantly correlated with infant temperament, although infant difficulty on the temperament scales was associated with an increase in difficult feeding behaviors and with fathers’ involvement in the feeding of their infants. We conclude that interventions focused on improving maternal mood in the postpartum period are likely to impact positively upon maternal perceptions of their infants, with implications for improving child behavioral development and health in this underserved population.     

Mother's personality and infant temperament

We examined if perfectionism and the perception of being an anxious person were associated with more negative infant temperament ratings by the mothers. 386 women (mean age = 30.08; standard deviation = 4.21) in their last trimester of pregnancy completed the Multidimensional Perfectionism Scale (MPS), the Beck Depression Inventory-II (BDI-II) and an item about their perception of being or not an anxious person. The Portuguese version of the Diagnostic Interview for Genetic Studies and the Operational Criteria Checklist for Psychotic Illness were used to generate diagnoses according to DSM-IV and ICD-10 criteria. After delivery, women completed eight items of the Difficult Infant Temperament Questionnaire (developed by our team) and filled in, again, the BDI-II and were interviewed with the DIGS. Women with depression (DSM-IV/ICD-10) and probable cases of depression using different cut-offs adjusted to Portuguese prevalence (BDI-II), in pregnancy and postpartum, were excluded. The Difficult Infant Temperament Questionnaire showed to have factorial validity and internal consistency. There was a statistically significant negative correlation between perfectionism total scale score and item 6 from the temperament scale (“is your baby irritable or fussy?”). Considering MPS 3-factor solution found for pregnancy there was also a statistically significant negative correlation between SOP and the same item. Women with low SOP differed from those with medium and high SOP in the total temperament score. Moreover, the low SOP group differed from the medium group on items three and four scores. There were no significant associations with SPP, which is the dimension more closely associated with negative outcomes. There was an association between anxiety trait status (having it or not) and scoring low, medium or high in the infant temperament scale. The proportion of anxious vs. non-anxious women presenting a high score on the infant temperament scale was higher (24.2% vs. 12.9%). Linear regressions showed that SOP (low vs. medium/high) offered a significant contribution to the prediction of total temperament scale score and items 3 and 4 scores, but a logistic regression did not confirm trait anxiety as a significant predictor of mother's infant temperament perception. Concluding, a major result concerns the fact that higher levels of adaptive perfectionism (i.e. SOP) are associated (and predict) a less negative view of their infant's temperament. These results on the effect of mother's anxiety and perfectionism on the child temperament perception might have treatment implications. As perfectionism is not always maladaptive, some of its positive features could be used to enhance women's self-efficacy/sense of parental competence in their role as mothers and positive affect towards their infants. Also, antenatal interventions aimed at minimising anxiety could help to optimise infant temperament outcomes, which could, eventually, also, lead to subsequent maternal and infant mental health better outcomes.     

Reliability,stability, and relationships between infant and parent temperament

Reliability, stability, and relationships between infant and parent temperament were assessed using infant adaptations of 2 childhood temperament inventories. Both scales were moderately reliable, stability was moderate for the 4- to 18-month periods, and significant correlations were noted between mother and infant temperament ratings.     

Convergence of multiple sources of information on infant individuality: neonatal behavior,infant behavior,and temperament reports

To shed light on the notion of enduring individual infant characteristics, convergence of three presumably interrelated measures of infant individuality was examined. Data collected included standardized behavioral assessments of the newborn (NBAS), maternal reports of infant temperament (at 3 and 9 months), and naturalistic observations of infant behavior at 1, 3, and 9 months. Infant temperament reports were significantly stable from 3 to 9 months; observed infant fussiness was significantly stable from 1 to 3 and 3 to 9 months; observed altertness/social responsiveness was not stable over time. Analyses of convergence of neonatal and infant behavior revealed that 9-month infant alertness/social responsiveness was significantly correlated with neonatal habituation. Similar analyses of neonatal behavior and reported temperament revealed that 3-month reported dullness was significantly correlated with neonatal habituation and range of state. At 9 months, temperament ratings of infant fussiness and unpredictability were significantly correlated with autonomic stability; fussiness was also significantly correlated with regulation of state. Finally, no significant relationships were observed between reported temperament and observed infant behavior. These results fail to support a simple notion of enduring individuality in infants over their first year of life.     

Relating early child adjustment to infant and parent temperament

The central question at issue was the role of both infant and parent temperament in determining child adjustment at age 4. Within the conceptual framework of the New York Longitudinal Study (NYLS), both infant and parent temperament were assessed. Factor analyses yielded three comparable infant and parent temperament factors: Mood, Energy, and Consistency. Correlations with teacher ratings of child adjustment indicated the most significant relationship to be with the infant girls' Mood factor (comparable to the NYLS high-risk "difficult" infant factor). No infant factors were found to relate to boys' adjustment, while maternal Mood was significant across sexes. Indices of the temperamental similarity within families also revealed sex differences relative to adjustment, with similarity across all family members significantly related to adjustment for girls and boy-father dissimilarity significant for boys. Discussion centered around continuity-discontinuity issues relevant to sex differences.     

The association of paternal mood and infant temperament: A pilot study

Maternal depression is associated with adverse child development, but little is known about the effects of paternal depression. This pilot study estimated the prevalence of paternal depression and mood state, and assessed the relationship between paternal mood and infant temperament. The participants in the study were 98 fathers of newborn babies. Fathers were initially screened for depressed mood (Hospital anxiety and depression scale, and Edinburgh postnatal depression scale), and at 6 months parental mood, infant temperament, couple relationship quality, alcohol use, adverse life events, parenting, and demographics were recorded. Infant fussiness was analysed in relation to paternal mood and other contextual factors using multiple regression. Of the 98 fathers, 48 (49%) completed depression-screening measures. Of these 48 fathers, 4 (8%) reported depressive symptoms above the cut-off for case definition. A total of 48% (N=19) completed measures at follow-up. In the adjusted model, higher paternal depression scores, more traditional attitudes towards fathering, and increased recent life events were related to higher infant fussiness scores; and better couple relationship quality was related to lower fussiness scores. This study showed that 1 in 12 fathers had depressed mood, and lower mood was associated with negative infant temperament. Since the findings of this feasibility study were based on a small sample size the association of paternal mood and child development merits further study using a larger sample of fathers.     

Genetic analyses of focal aspects of infant temperament.

The authors explored the genetic and environmental underpinnings of individual differences in temperament with a sample of 604 3- to 16-month-old infant twins and their parents. Mothers completed Rothbart's Infant Behavior Questionnaire (IBQ), and a subsample of 140 9-month-old twins participated in behavioral assessment of temperament in the laboratory as well. For IBQ Smiling and Laughter and Duration of Orienting, both additive genetic and shared environmental effects were needed to best represent the data. Shared environmental effects fully accounted for cotwin similarity for IBQ Soothability, and conversely, additive genetic effects fully accounted for cotwin similarity for the IBQ Distress to Limitations, Distress to Novelty, and Activity Level scales. With the subsample, the authors fit a multivariate model to mother report, father report, and lab measures of stranger distress and found that genetic influences were most important for the covariation among these measures.     

The Strelau Temperament Inventory—Revised (STI-R): Validity studies

This study examines the construct validity of the revised version of the Strelau Temperament Inventory (STI-R) and the short scale (STI-RS), which were introduced by Strelau, Angleitner, Bantelmann and Ruch (1990). Hypotheses about the relationship between the content scales of the STI-R, viz. Strength of Excitation (SE), Strength of Inhibition (SI), and Mobility (MO) of CNS properties, and (a) other personality/temperament dimensions referring to the level of arousal, (b) selected temperament inventories, and (c) selected personality scales are derived and tested in a total of four samples with altogether 420 Ss. The inventories investigated include, among others, the Eysenck Personality Questionnaire—Revised (EPQ-R), Zuckerman's Sensation Seeking Scale (SSS), the I.7 Impulsiveness Questionnaire (I.7), the Affect-Intensity-Measure (AIM), the EASI, the Structure of Temperament Questionnaire (STQ), and the Revised Dimensions of Temperament Survey (DOTS-R). In general, the hypotheses regarding the place of the STI-R in the temperament and personality domain were confirmed. A factor analysis of the STI-R, EASI, and DOTS-R yielded five factors: Emotional Stability, Rhythmicity, Activity/Tempo, Sociability, and Impulsivity versus Impulse Control.     

Maternal postnatal psychiatric symptoms and infant temperament affect early mother-infant bonding

Postnatal mother-infant bonding refers to the early emotional bond between mothers and infants. Although some factors, such as maternal mental health, especially postnatal depression, have been considered in relation to mother-infant bonding, few studies have investigated the role of infant temperament traits in early bonding. In this study, the effects of maternal postnatal depressive and anxiety symptoms and infant temperament traits on mother-infant bonding were examined using both mother and father reports of infant temperament. Data for this study came from the first phase of the FinnBrain Birth Cohort Study (n = 102, father reports n = 62). After controlling for maternal symptoms of depression and anxiety, mother-reported infant positive emotionality, measured by infant smiling was related to better mother-infant bonding. In contrast, infant negative emotionality, measured by infant distress to limitations was related to lower quality of bonding. In regards to father-report infant temperament, only infant distress to limitations (i.e., frustration/anger) was associated with lower quality of mother-infant bonding. These findings underline the importance of infant temperament as one factor contributing to early parent-infant relationships, and counseling parents in understanding and caring for infants with different temperament traits.     

Maternal depression and infant temperament characteristics

One hundred-thirty-nine women participated in this longitudinal study from the third trimester of pregnancy through 8-months postpartum. Women completed depression scales at several time points and rated their infant's characteristics and childcare stress at 2- and 6-months postpartum. Mothers' reports of infant temperament were significantly different for depressed and non-depressed mothers, with depressed mothers reporting more difficult infants at both measurement points. These differences remained after controlling for histories of maternal abuse or prenatal anxiety, which occurred more often in the depressed mothers. There were no significant differences in childcare stress or perceived support between the groups. Infant temperament and childcare stress did not change over time. Recommendations for practice include consistent ongoing evaluations of the "goodness of fit" within the dyad and exploring interventions for depressed mothers that provide guidance about interactions with their infants and the appropriateness of the infant behaviors.     

Three approaches to the study of infant temperament

In temperament research, the sensitive quantification of individual differences is critical, and biases affecting temperament measures differ somewhat from those affecting normative studies of development. In this paper, we attempt to specify major biases and strengths of the three methods most widely used in the assessment of infant temperament: parent report, home observation, and laboratory observation. We also describe an ongoing research program in order to illustrate how potential biases may be negotiated. We conclude that choice of temperament measure or measures depends upon (a) the purpose of the assessment, (b) knowledge of empirical relations among methods, and (c) evaluations of the seriousness of potential measurement biases.     

Stressed parents: a dyadic perspective on perceived infant temperament

The study employed the actor–partner interdependence model (APIM) to test whether one parent's experiences of recent life events as more stressful (the PSS) are associated with the same parent's own (the actor effect) and the other parent's (the partner effect) perceptions of the infant temperament as more negatively and/or less positively tuned (the IBQ; n=584 parents, 292 dyads). The results indicated that the more stress one parent reported the more negatively tuned were the same parent's own, and the other parent's perceptions of the infant. Perceptions of the infant temperament were least positive for members of parent dyads who were more, relative to less, similar in the experienced stress. The associations were independent of the parent gender and the parent‐reported level of trait anxiety. The findings augment prior knowledge on the factors that steer parental perceptions, and suggest that the dyadic perspective may offer valuable insight into the dynamics of interacting within a family consisting of two biological parents and an infant. Copyright © 2006 John Wiley & Sons, Ltd.     

The Children's Behavior Questionnaire very short scale: psychometric properties and development of a one-item temperament scale

Little research has been conducted on the psychometrics of the very short scale (36 items) of the Children's Behavior Questionnaire, and no one-item temperament scale has been tested for use in applied work. In this study, 237 United States caregivers completed a survey to define their child's behavioral patterns (i.e., Surgency, Negative Affectivity Effortful Control) using both scales. Psychometrics of the 36-item Children's Behavior Questionnaire were examined using classical test theory, principal factor analysis, and item response modeling. Classical test theory analysis demonstrated adequate internal consistency and factor analysis confirmed a three-factor structure. Potential improvements to the measure were identified using item response modeling. A one-item (three response categories) temperament scale was validated against the three temperament factors of the 36-item scale. The temperament response categories correlated with the temperament factors of the 36-item scale, as expected. The one-item temperament scale may be applicable for clinical use.     

Experimental manipulation of infant temperament affects amygdala functional connectivity

In this functional magnetic resonance imaging (fMRI) study we examined neural processing of infant faces associated with a happy or a sad temperament in nulliparous women. We experimentally manipulated adult perception of infant temperament in a probabilistic learning task. In this task, participants learned about an infant's temperament through repeated pairing of the infant face with positive or negative facial expressions and vocalizations. At the end of the task, participants were able to differentiate between “mostly sad” infants who cried often and “mostly happy” infants who laughed often. Afterwards, brain responses to neutral faces of infants with a happy or a sad temperament were measured with fMRI and compared to brain responses to neutral infants with no temperament association. Our findings show that a brief experimental manipulation of temperament can change brain responses to infant signals. We found increased amygdala connectivity with frontal regions and the visual cortex, including the occipital fusiform gyrus, during the perception of infants with a happy temperament. In addition, amygdala connectivity was positively related to the post-manipulation ratings of infant temperament, indicating that amygdala connectivity is involved in the encoding of the rewarding value of an infant with a happy temperament.     

Infant attractiveness and perceived temperament in the prediction of attachment classifications

The influence of infant physical attractiveness and infant temperament on the mother-infant relationship at 12 months of age was examined. Physical attractiveness of the infant was rated by 48 adults, and infant temperament was assessed by use of the Toddler Temperament Scale, which yields indices of activity level, rhythmicity, approach, adaptability, intensity, mood, persistence, distractibility, and threshold. Mother-infant attachment was measured via the Strange Situation. Results showed that 46% of the variance in attachment classification was accounted for by five of the nine dimensions of temperament (withdrawal from new situations, high intensity of response, low distractibility, negative mood, and low threshold of response). Physical attractiveness and other dimensions of temperament did not add significant amounts of variance over and above that contributed by the first five dimensions to the prediction of attachment.     

Stability of maternal postnatal bonding between 3 and 6 months: Associations with maternal mental health and infant temperament

Maternal bonding is key for infant development and well-being. Research to date focused on prenatal bonding experience, with fewer studies looking at the postnatal period. Moreover, evidence suggests significant associations among maternal bonding, maternal mental health, and infant temperament. The joint impact of maternal mental health and infant temperament on maternal postnatal bonding remains unclear, with limited research reporting longitudinal data. Hence, the present study aims (1) to explore the impact of maternal mental health and infant temperament on postnatal bonding at both 3 and 6 months of age, (2) to explore postnatal bonding stability from 3 to 6 months, and (3) to determine which factors are linked with 3-to-6-month changes in bonding. At the infants' 3 months (n = 261) and 6 months of age (n = 217), mothers provided measures of bonding, depressive and anxious symptoms, and infant temperament via validated questionnaires. At 3 months, higher levels of maternal bonding were predicted by lower levels of anxiety and depression in the mothers and by higher infants' regulation scores. At 6 months, lower levels of anxiety and depression predicted higher levels of bonding. Moreover, mothers showing decreases in bonding were characterized by 3-to-6-month increases in depression and anxiety, as well as increased reported difficulties in regulation dimensions of infant temperament. This study highlights the impact of both maternal mental health and infant temperament on maternal postnatal bonding in a longitudinal sample and could offer useful information for early childhood prevention and care.     

Differences in infant temperament between Chile and the US

Temperament refers to individual differences in reactivity and self-regulation and is influenced by genetic and experiential variation and maturation. Temperament reflects biologically based individual differences that emerge in early life and remain relatively stable thereafter. Given the growing interest in cultural variation in infant temperament, this study examined the temperament of 12-month-old children in Chile and the US. The aims were to validate a version of the Infant Behavior Questionnaire – Revised – Very Short Form in Spanish for Chile and to compare Chilean and US infants’ temperament. For the first aim, 150 Chilean infants aged 10–15 months were assessed, and 73 US infants aged 10–15 months were examined for the second aim. The children’s parents completed a demographic questionnaire and the IBQ-R-VSF, which measures three dimensions of temperament: Surgency, Negative Affectivity, and Effortful Control. The reliability of each dimension for the Chilean sample was between 0.70 and 0.75, and significant differences between Chilean and US infants emerged. Parents of Chilean infants reported higher levels of Effortful Control, whereas US parents reported that their infants exhibited higher levels of Negative Affectivity. A relationship between parents’ higher educational level and infants’ higher levels of Surgency was found for both countries. No gender or age differences were observed for any of the three temperament dimensions. These results and their implications for cultural studies are discussed.     

Paternal influences on infant temperament: Effects of father internalizing problems,parenting-related stress,and temperament

Temperament ratings were obtained from 98 fathers when their infants were 4 and 6 months of age to examine effects of paternal characteristics on infant temperament. Parental stress, internalizing symptoms, and father's temperament were considered as factors possibly contributing to differences in their child's temperament.     

Contextual basis of maternal perceptions of infant temperament

To elucidate the differential saliency of infant emotions to mothers across interactive contexts, the authors examined the moderating role of observed infant affect during interactions with mother in the relation between maternal and laboratory-based ratings of infant temperament. Fifty-nine developmentally healthy 9-month-old infants were judged for degree of infant positive, infant negative, and mother-infant mutually positive affect during the course of object-focused and routine home-based activities with mother. Mothers completed the Infant Behavior Questionnaire (M. K. Rothbart, 1981), and infants underwent the Laboratory Temperament Assessment Battery (H. H. Goldsmith & M. K. Rothbart, 1999). Results revealed that maternal and observer ratings of infant negativity converged when infants manifested high degrees of negative affect during routine home-based activities. Maternal and observer ratings of infant positivity converged when infants experienced low mutually positive affect during play. These findings support the hypothesis that maternal perceptions are based on mothers' experiences with their infants but that the salience of infant temperamental characteristics to mothers varies across emotion and interactive context.     

The role of sustained attention,maternal sensitivity,and infant temperament in the development of early self-regulation

This study investigated infant predictors of early cognitive and emotional self-regulation from an intrinsic and caregiving environmental perspective. Sustained attention, reactive aspects of infant temperament, and maternal sensitivity were assessed at 10 months (n = 124) and early self-regulation (including executive functions, EF, and emotion regulation) was assessed at 18 months. The results indicated that sustained attention predicted early EF, which provide empirical support for the hierarchical framework of EF development, advocating early attention as a foundation for the development of cognitive self-regulation. Maternal sensitivity and surgency predicted emotion regulation, in that infants of sensitive mothers showed more regulatory behaviours and a longer latency to distress, whereas high levels of surgency predicted low emotion regulation, suggesting both the caregiving environment and temperament as important in the development of self-regulation. Interaction effects suggested high sustained attention to be a protective factor for children of insensitive mothers, in relation to emotion regulation. In addition, high levels of maternal sensitivity seemed to foster development of emotion regulation among children with low to medium levels of sustained attention and/or surgency. In all, our findings point to the importance of both intrinsic and extrinsic factors in infant development of self-regulation.