Infant Mental Health assessment: the use of DC 0-3 in an outpatient child psychiatric clinic in Scandinavia

The study focuses on Infant Mental Health data from an outpatient psychiatric clinic using the "Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood" (DC 0-3) and parental questionnaires, CBCL and ITSC. In total, 138 infants (aged 0-3) went through the diagnostic procedure. Sixty-eight per cent were diagnosed within Axis I, with regulatory disorder, disorder of affect and traumatic stress disorder being the most frequent diagnoses. In addition, 48% were classified as having a relationship disorder according to Axis II, with an additional 40% being considered to be at risk of developing a relationship disorder. The mothers' and fathers' ratings of their children's externalized and sensitivity problems were in agreement with the clinicians, but the ratings of internalized problems as well as relationship problems presented a more complex pattern.     

Adding “Circle of Security – Parenting” to treatment as usual in three Swedish infant mental health clinics. Effects on parents’ internal representations and quality of parent‐infant interaction

This study presents effects of adding Circle of Security‐Parenting (COS ‐P) to an already established comprehensive therapeutic model for early parent‐child intervention in three Swedish infant mental health (IMH ) clinics. Parents’ internal representations and quality of parent‐infant interaction were studied in a clinical sample comprised of 52 parent‐infant dyads randomly allocated to two comparable groups. One group consisted of 28 dyads receiving treatment as usual (TAU ) supplemented with COS ‐P in a small group format, and another group of 24 dyads receiving TAU only. Assessments were made at baseline (T1), 6 months after inclusion (T2) and 12 months after inclusion (T3). Changes over time were explored in 42 dyads. In the COS ‐P group, the proportion of balanced representations, as assessed with Working Model of the Child Interview (WMCI ), significantly increased between T1 and T3. Further, the proportion of emotionally available interactions, as assessed with Emotional Availability scales (EA ), significantly increased over time in the COS ‐P group. Improvements in the TAU ‐group were close to significant. Limitations of the study are mainly related to the small sample size. Strength is the real world character of the study, where COS ‐P was implemented in a clinical context not otherwise adapted to research. We conclude by discussing the value of supplementing TAU with COS ‐P in IMH treatment.     

The lost steps of infancy: symbolization,analytic process and the growth of the self

In 'The Lost Steps' the Latin American novelist Alejo Carpentier describes the search by the protagonist for the origins of music among native peoples in the Amazon jungle. This metaphor can be utilized as a way of understanding the search for the pre-verbal origins of the self in analysis. The infant's experience of the tempo and rhythmicity of the mother/infant interaction and the bathing in words and sounds of the infant by the mother are at the core of the infant's development of the self. The infant observation method (Tavistock model) will be looked at as a way of developing empathy in the analyst to better understand infantile, pre-verbal states of mind. A case vignette from an adult analysis will be utilized to illustrate the theoretical concepts.     

A 2‐year‐old child's memory of hospitalization during early infancy

A child who had had surgery at 5 months of age, and who had been treated at the time for post‐traumatic symptoms (reported in a previous paper by the author), was interviewed 2 years later and almost 3 years later to test for possible verbal recall of his hospitalization. He appeared to have some memories of the experience at 29 months of age, and he was able to superimpose verbal labels onto the preverbal memories. At 40 months of age, however, the memories were no longer verbally accessible. The results are discussed in the context of different theories of encoding, storage, retrieval, and loss of early memories. The findings from this study support other findings indicating that there appears to be some form of long‐term memory in place early in life, at least for highly salient, traumatic events. There may be one memory system for traumatic memories, fully functional at birth, and a later developing, different system for neutral memories. It is further hypothesized that there may be a sensitive period around 2–3 years of age for the recall of early traumatic memories, and that verbal recall is more likely to be present in verbally precocious children during that period. Copyright © 2008 John Wiley & Sons, Ltd.     

Towards a broader scope of biomechanics in developmental studies: a commentary on Jensen (2005)

In this article, we discuss where biomechanical analysis can contribute to our understanding of motor development, and more particularly in what ways biomechanics can contribute to (1) explaining the universal sequence in motor milestones; (2) explaining variations in developmental sequence between individuals; (3) understanding the impact of context on the actions of an individual; and (4) understanding, preventing, and managing chronic disabilities. In our view, biomechanics is concerned with the dynamics of the musculo‐skeletal system (MSS) and thus provides insights in the way motion is affected by the activation of muscles and the mechanical interaction between the MSS and the environment. Biomechanical analysis is important in understanding the development of actions that depend on the perceptual‐motor loop although it cannot provide a full account of the changes in the behaviour. The contributions and limitations of specific biomechanical analyses such as the inverse and forward dynamical models are discussed in the light of the article of Jensen (2005). Copyright © 2005 John Wiley & Sons, Ltd.     

Motor development during the first 6 months: the case of Brazilian infants

This investigation documents the pattern of motor development of Brazilian infants over the first 6 months and compares the findings with a US norm. Infants were assessed once each month for the 6‐month period using the Bayley II Motor Scale, which represented the US norm for comparison. Participants monthly scores increased with age and were similar to the US profile. However, the Brazilian infants did exhibit mean scores significantly lower than their counterparts on tasks of sitting and grasping in the 3rd, 4th, and 5th month; at the 6th month, scores were comparable. Explanations for differences focus on possible cross‐cultural and maturational influences. Copyright © 2000 John Wiley & Sons, Ltd.     

Dimensions in scales for measuring exploratory tendencies and stimulation levels in consumers: a cross‐cultural comparison of the USA and Spain

Current scales to assess the exploratory tendency are mainly composite measures of psychological characteristics of the consumers concerning their personality. The cultural environment in which they were developed and tested is also a major factor that could affect their validity across different cultural scenes. In this paper the relevant scales measuring exploratory tendencies are reviewed and compared in two different cultural settings: USA and Spain. The main conclusion is that the scales are not equally valid; nor do the items included in them have the same relevance in different cultural setting. Copyright © 2005 John Wiley & Sons, Ltd.     

Investigating the social environment of the A‐not‐B search task

Controversy exists concerning the origins of object permanence, with different measures suggesting different conclusions. Looking measures have been interpreted as evidence for early understanding (Baillargeon, 1987, Developmental Psychology, 23 :655), while Piaget (The construction of reality in the child, 1954) interpreted perseverative reaching behaviour on his AB search task to be indicative of limited understanding. However, looking measures are often reported to be an unreliable index of infant expectation (Haith, 1998, Infant Behaviour and Development, 21 :167) and reaching behaviour has been explained by many alternative processes (e.g. Smith et al., 1999, Psychological Review, 106 :235; Topál et al., 2008, Science, 321 :1831). We aimed to investigate whether social looking (Dunn & Bremner, 2017, Developmental Science, 20 :e12452; Walden et al., 2007, Developmental Science, 10 :654) can be used as a valid measure of infant expectation of object location during the Piagetian AB search task. Furthermore, we aimed to test the social accounts of perseverative reaching by investigating how the direction of experimenter gaze would affect infant search and social behaviour. Infant search and social behaviour was compared on B trials across three different conditions, namely experimenter gaze to midline, location A and location B. Search performance significantly improved when the experimenter looked to location B. Infant social looking indicated that infants expect the object to be found in the location in which they search and are actively seeking information about object location from the experimenter. We conclude that social looking is a valid index of infant expectation that has provided support for the importance of the social environment on the AB search task. This casts doubt on the potential for this task to provide information related to the development of object permanence in infancy.     

The relationship between home environment and early childhood development of left-behind children under 3 years in rural China

BackgroundHome environment provides stimulation and learning opportunities required for children’s early development. However, few studies have focused on the effects of home environment on left-behind children’s development in rural China. The study aimed to investigate the relationship between home environment and early childhood development of left-behind children under 3 years old in rural China.MethodsInformation about sociodemographic characteristics, caregivers’ mental health, home environment and children’s development was collected. Infant/Toddler Home Observation for Measurement of the Environment Inventory (IT-HOME) was used to assess home environment. Child’s development was evaluated with the Chinese version of the Ages & Stages Questionnaire - third edition.ResultsElevated caregivers’ depressive symptoms were associated with a higher risk of total suspected development delay. An increase of one score in the IT-HOME resulted in a 7% decrease in total suspected development delay. Higher scores in the dimensions of involvement and variety were associated with a lower risk of suspected development delay adjusting for covariates.ConclusionsOur results have implications for home-based intervention aiming at promoting nurturing care as well as caregivers’ mental health, which is required for early development of young left-behind children in rural areas of China.     

HANDBOOK OF ATTACHMENT,THIRD EDITION: THEORY,RESEARCH, AND CLINICAL APPLICATIONS JudeCassidy and Phillip R.Shaver (Eds.), New York: Guilford Press, 2016, 1,068 pp., ISBN 978‐1‐4625‐2529‐4

Jude Cassidy and Phillip R. Shaver's third edition of the Handbook of Attachment has emerged and set a new bar for formative texts on pivotal issues related to the field of attachment. This state‐of‐the‐science reference on attachment eloquently intertwines attachment theory, research, and clinical applications, giving us innovative conceptualizations and perspectives on both implications for clinical advancement and directions for future research. This handbook moves basic research findings quickly into the realm of clinical and community applications, providing the field with new information about intervention procedures and outcomes while setting the stage for theoretical advancement. New chapters reflect the way we think about the interweaving of attachment, development, and infant mental health research and application. From the authors’ opening “Overview of Attachment” to the summary overview and evaluation of the field, “The Place of Attachment in Development” by attachment‐research pioneer L. Alan Sroufe, this third edition broadly delivers the most significant and important information that the field has on attachment. Researchers, clinicians, and professionals will benefit from this handbook as it presents with the most up‐to‐date, innovative, and thorough presentation of attachment theory.     

Development of ASB 1: The development of antisocial behaviour in adolescents and young adults

A substantial proportion of adolescent antisocial behaviour (ASB) research has focused on identifying the chronic offender; comparatively little research has investigated developmental patterns among the general adolescent population, who account for a large proportion of ASB participation. A modified version of the Mak Self‐Report Behaviour Scale was administered to 233 (relatively advantaged) community adolescents (aged 9–17), and 193 young adults (aged 18–25). Not available in previous instruments, in addition to prevalence rates, the Adolescent ASB Scale (AASBS) accurately identifies specifically when adolescents enter, exit, and peak in their ASB participation. An earlier age of ASB participation was associated with greater frequency, severity and duration. The most noteworthy finding was a mid‐adolescent peak in ASB participation, which was shorter and more dramatic for girls. These findings provide knowledge critical for informing future research into causal explanations for the temporary and dramatic increase in adolescent ASB, and for developing more effective intervention practices with mainstream youth.     

Intercorrelations and developmental pathways of mothers' and fathers' loneliness during pregnancy,infancy and toddlerhood – STEPS study

Our aim was to study the inter‐correlations and developmental pathways of mothers' and fathers' social and emotional loneliness during pregnancy (20th pregnancy week), infancy (child aged 8 months), and early childhood (child aged 18 months). Moreover, we aimed to study whether mothers and fathers who have different developmental profiles (identified by latent growth curve mixture models) differ in their experiences of marital dissatisfaction (RDAS), social phobia (SPIN) and depression (BDI) during pregnancy. Both mothers' social and emotional loneliness and fathers' social and emotional loneliness were highly stable, and within individuals these loneliness factors were strongly correlated. However, the correlations between mothers' loneliness experiences and fathers' loneliness experiences were weaker than expected. Separate latent growth curve groups were identified, which differed in feelings of marital dissatisfaction, social phobia, and depression. These groupings revealed that the higher the loneliness was, the more the parents experience these other psychosocial problems.     

Pain in children: A review of the literature from a developmental perspective

Abstract

This article presents a review of the current psychological literature about pediatric pain. Prevalence and types of pain problems encountered in children are considered briefly, followed by a developmental perspective on the experience of pain in children, encompassing physical, cognitive, social and behavioral factors. A discussion of the clinical significance of pain in children includes its use in differential diagnosis and the impact of pain on a developing child. Recommendations are made for assessing pain and factors relevant to managing its effects in children. The review concludes with an overview of clinical techniques for management, and recommendations for future research.     

More than meets the eye: The neural development of emotion face processing during infancy

This study explored the impact of infant temperament and maternal stress on the development of the infant medial prefrontal cortex (mPFC) among sixteen 6-8-month-old infants. Functional Near Infrared Spectroscopy (fNIRS) was used to measure activation of the infant mPFC in response to angry, happy, and sad faces. Infant temperament and dimensions of maternal stress were measured with the Infant Behavior Questionnaire and the Parenting Stress Index Respectively. Infants with high negative emotionality demonstrated increased mPFC activation in association with all emotion face conditions. Negative emotionality moderated the effect of total maternal stress on mPFC activation to angry and sad faces. Mother-infant dysfunctional interaction was related to increased mPFC activation associated with happy faces, supporting the “novelty hypothesis”, in which the mPFC responds more strongly to unique experiences. Therefore, this study provides additional evidence that infant temperament and the quality of the mother-infant relationship influence the development of the mPFC and how infants process emotions.     

The reliability of the ICD‐10 and the DC 0–3 in an epidemiological sample of children 1½ years of age

The aims of this study were to investigate the reliability of ICD‐10 and DC 0–3 in the diagnostic classification of mental health problems in 1½ ‐year‐old children from the general population. The reliability study was conducted as a part of an epidemiological survey of psychopathology in 1½ ‐year‐old children from the general population. In this survey, the children were assessed and diagnosed according to the ICD‐10 and the DC 0–3 after a 2‐hr session including standardized and clinical methods and videorecordings. The case records and video material of 18 children were rediagnosed by the three child psychiatrists, who had diagnosed children in the epidemiological survey. In general, the reliability in diagnostic classification of mental health problems in 1½‐year‐old children was improved with the DC 0–3 compared to the ICD‐10. In the classification of psychopathology at Axis I, the interrater reliability and test‐retest reliability kappas were 0.66 and 0.57, respectively, with the ICD‐10, and 0.72 and 0.74, respectively, with the DC 0–3. The reliability of the classification of relationship disturbances at Axis II with the DC 0–3 was high, corresponding to κ = 1. A high agreement among raters in the differentiation between psychopathology and normal variations was found. Given experienced clinicians and standardized assessment methods, it is possible to reliably identify and diagnose psychopathology in 1½‐year‐old children from the general population.     

Sound enhances detection of visual target during infancy: a study using illusory contours

In adults, a salient tone embedded in a sequence of nonsalient tones improves detection of a synchronously and briefly presented visual target in a rapid, visually distracting sequence. This phenomenon indicates that perception from one sensory modality can be influenced by another one even when the latter modality provides no information about the judged property itself. However, no study has revealed the age-related development of this kind of cross-modal enhancement. Here we tested the effect of concurrent and unique sounds on detection of illusory contours during infancy. We used a preferential looking technique to investigate whether audio-visual enhancement of the detection of illusory contours could be observed at 5, 6, and 7 months of age. A significant enhancement, induced by sound, of the preference for illusory contours was observed only in the 7-month-olds. These results suggest that audio-visual enhancement in visual target detection emerges at 7 months of age.