The melody of surprise: maternal surprise vocalizations during play with her infant

Two groups of mothers and their infants (24 infants, mean age=3.5 months and 24 infants, mean age=5.5 months) were video‐ and audio‐taped in their homes while playing with a Jack‐in‐the‐box. The mean fundamental frequency of spontaneous surprise exclamations of mothers when opening the toy were analysed, and infant and maternal facial expressions of surprise were coded in three regions of the face. A t‐test established that significantly more of the older children in comparison with younger children showed surprise (t=?2.96, df=46, p<0.005, 2‐tailed). Twenty‐nine per cent of the younger infants, in comparison with 67% of the older children showed facial expressions of surprise. A t‐test of maternal pitch height (Hz) indicated that mothers exclaimed in surprise with a higher pitch when the child did not show a surprise facial expression (mean=415.61 Hz) in comparison with the child showing surprise (mean=358.97 Hz; t=2.9, df=46, p=0.006, 2‐tailed). A multiple regression established that infant's expression was a stronger predictor of maternal vocal pitch than was the age of the infant. These results are discussed in terms of maternal use of emotional expressions as ‘social signals’. Copyright © 2002 John Wiley & Sons, Ltd.     

Depressed mothers' and their infants' interactions with nondepressed partners

Twenty depressed adolescent mothers were videotaped interacting with their own infant and with the infant of a nondepressed mother. In addition, nondepressed mothers were videotaped with their own infant as well as with the infant of a depressed mother. Depressed mothers showed less facial expressivity than nondepressed mothers and received less optimal interaction rating scale scores (a summary score for state, physical activity, head orientation, gaze, silence during gaze aversion, facial expressions, vocalizations, infantized behavior, contingent responsivity, and gameplaying). This occurred independent of whether they were interacting with their own infant versus an infant of a nondepressed mother, suggesting that depressed mothers display less optimal behaviors to infants in general. The infants of both depressed and nondepressed mothers received better head orientation and summary ratings when they were interacting with another mother, perhaps because the other mother was more novel. Infants of nondepressed mothers, in particular, had better summary ratings (state, physical activity, head orientation, gaze, facial expressions, fussiness, and vocalizations) than the infants of depressed mothers when interacting with depressed mothers. Thus, it may be that infants of nondepressed mothers are generally better interaction partners than infants of depressed mothers. Another related possibility is that they persist longer in trying to elicit a response from mothers less responsive than their own, given that they have learned to expect a response to their behavior.     

Facial expressions and vagal tone of infants of depressed and non-depressed mothers

Mothers classified as ‘depressed’, ‘non-depressed’ or ‘low scoring’ on the Beck Depression Inventory and their 3-month-old infants were videotaped during 3-minute face-to-face play interactions. Infants' facial expressions were coded using the AFFEX facial expression coding system and their EKG was recorded during the interactions to assess the relationship between cardiac measures and facial expressivity. Infants of both ‘depressed’ and ‘low scoring’ mothers showed significantly more sad and anger expressions and fewer interest expressions than infants of nondepressed mothers. Cardiac vagal tone, (quantified from the amplitude of respiratory sinus arrhythmia) was correlated with infants' joy and interest expressions and with self-comfort behaviours in the non-depressed and low scoring groups, but not in the depressed group. The results suggest that matermal depression affects infants' affective state and appearance as well as their biobehavioural emotional regulation systems.     

Maternal postpartum depression is a risk factor for infant emotional variability at 4 months

Maternal postpartum depression (PPD) is a risk for disruption of mother–infant interaction. Infants of depressed mothers have been found to display less positive, more negative, and neutral affect. Other studies have found that infants of mothers with PPD inhibit both positive and negative affect. In a sample of 28 infants of mothers with PPD and 52 infants of nonclinical mothers, we examined the role of PPD diagnosis and symptoms for infants’ emotional variability, measured as facial expressions, vocal protest, and gaze using microanalysis, during a mother–infant face-to-face interaction. PPD symptoms and diagnosis were associated with (a) infants displaying fewer high negative, but more neutral/interest facial affect events, and (b) fewer gaze off events.  PPD diagnosis, but not symptoms, was associated with less infant vocal protest. Total duration of seconds of infant facial affective displays and gaze off was not related to PPD diagnosis or symptoms, suggesting that when infants of depressed mothers display high negative facial affect or gaze off, these expressions are more sustained, indicating lower infant ability to calm down and re-engage, interpreted as a disturbance in self-regulation. The findings highlight the importance of not only examining durations, but also frequencies, as the latter may inform infant emotional variability.     

Caregiving behavior and interactions of prenatally depressed mothers (antidepressant‐treated and non‐antidepressant‐treated) during newborn acute pain

This exploratory study aimed to examine time‐based measures of the behaviors and interactions of prenatally depressed serotonin reuptake inhibitors (SRI)‐medicated mothers to their infant's pain (n = 10) by comparing them with similar measures obtained from prenatally depressed nonmedicated mothers and their infants (n = 10), and nondepressed mothers and their infants (n = 10). During the second trimester of their pregnancy, the 30 study mothers were assessed for depression and anxiety, with no further measures of maternal mood taken. Maternal and infant interactions were continuously videorecorded while the infant underwent a scheduled heel lance for routine blood screening that occurred when study infants were between the ages of 24 and 60 hr. Maternal behavior and infant cry, for all 30 cases, were coded second‐by‐second for the full duration of each infant's heel lance using a reliable coding system and analyzed using odds ratio and regression analyses. Infants exposed to prenatal SRIs and depressed maternal mood were more likely to have lower Apgar scores and to exhibit weak and absent cry. Even when duration of the heel lance was controlled for, women with depression during the second trimester were more likely to exhibit depressed behavior at 2 days' postpartum despite sustained SRI antidepressant treatment. Both groups of prenatally depressed mothers were more likely to exhibit diminished response to their infants' pain cue although nonmedicated mothers' expressions of depressed behavior were more similar to healthy controls. Comprehensive understanding is essential to optimize the clinical care of mothers and their infants in this complex setting. This study contributes preliminary new findings that warrant prospective and longitudinal studies to clarify further the impacts of prenatal SRI and maternal mental mood (e.g., chronic depression and anxiety) effects on the mother–infant interaction and infant pain and stress reactivity.     

Newborns of mothers with depressive symptoms are less expressive

The facial expressions of 40 newborns of mothers with depressive symptoms (n = 20) and of nondepressive mothers (n = 20) were recorded during the Brazelton Neonatal Behavior Assessment Scale and during the modeling of happy, sad, and surprised faces. Infants of mothers with depressive symptoms demonstrated inferior performance on the orientation cluster of the Brazelton scale and showed fewer interest and more precry expressions during the Brazelton. During the facial expression modeling, they showed less orientation and fewer facial expressions in response to the modeled happy and surprise facial expressions.     

Discrimination of facial expression by 5-month-old infants of nondepressed and clinically depressed mothers

Five-month-old infants of nondepressed and clinically depressed mothers were habituated to either a face with a neutral expression or the same face with a smile. Infants of nondepressed mothers subsequently discriminated between neutral and smiling facial expressions, whereas infants of clinically depressed mothers failed to make the same discrimination.     

Infants of “depressed” mothers interact better with their nondepressed fathers

To determine whether infants of “depressed” mothers interact better with their nondepressed fathers, twenty-six 3- to 6-month-old infants were videotaped during face-to-face interactions with their parents. The “depressed” mother group consisted of twelve 3- to 6-month-old infants and their “depressed” mothers and nondepressed fathers. The control group was composed of 14 nondepressed mothers and nondepressed fathers and their 3- to 6-month-old infants. In the “depressed” mother group, the nondepressed fathers received better interaction ratings than the “depressed” mothers. In turn, the infants received better interaction ratings when they interacted with their nondepressed fathers than with their “depressed” mothers. In contrast, nondepressed fathers and mothers and their infants in the control group did not differ on any of their interaction ratings. These findings suggest that infants' difficult interaction behaviors noted during interactions with their “depressed” mothers may not extend to their nondepressed fathers. The data are discussed with respect to the notion that nondepressed fathers may “buffer” the effects of maternal depression on infant interaction behavior.     

Newborns of depressed mothers

Eighty-three newborns (M GA = 37 weeks) were assigned to depressed (N = 47) and nondepressed mother (N = 36) groups based on Beck Depression Inventory (BDI) scores. The Brazelton Neonatal Assessment Scale was administered to the infants within 24 hours after birth. Infants of depressed mothers demonstrated poorer performance on the orientation cluster. Further analysis of the orientation cluster items revealed inferior orientation to the inanimate stimuli. Infants of depressed mothers also showed less motor tone and activity and more irritability and less robustness and endurance (unavailability, lethargy, and stress behaviors) during the examination.     

Coordination of Emotions in Mother–Infant Dialogues

Eleven infant–mother dyads in Crete were videod during spontaneous interactions at home, from the second to the sixth month of life. Micro‐analysis was used to investigate‘coordination'and ‘non‐matching’ of facial expressions of emotion. ‘Emotional coordination’ was evaluated with four measures: matching of facial expressions, completion when one responded to the other with ‘pleasure’ or ‘interest’, synchrony by matching frequency of change or rhythm of emotional expressions, and attunement when shifts of emotional intensity of the two partners were in the same direction.‘Emotional non‐matching'was coded when neither the infant nor the mother showed interest in interacting with the other. In emotional coordination or non‐matching between mother and infant, who performed first was also recorded. We obtained evidence of emotional matching, synchrony, and attunement. Importantly, the probability of emotional non‐matching by the infant was higher than the probability of emotional matching and completion, indicating a tendency for thoughtful attention or playful rivalry in the responses of infants, who also initiated emotional matching, completion, and non‐matching more frequently than mothers. The probability of expression of emotional matching, completion, and non‐matching changed with age. Both mothers and infants act to obtain sympathetic complementarity of feelings and co‐operative inter‐synchrony of actions. Copyright © 2016 John Wiley & Sons, Ltd.     

The impact of postpartum depressed mood on mother-infant interaction: Like mother like baby?

The purpose of this study was to test the hypothesis that mothers with depressed mood would exhibit less optimal interaction than their nondepressed counterparts and that their infants would show similar deficits in interactional behavior. Twenty-two mothers and their 2-month-old infants were videotaped in to-minute free-play segments in a laboratory playroom, and their interactions were coded using both time-sampling and global clinical ratings of behavior. Mothers with depressed mood were judged significantly lower on overall positive interaction, Expressivity/Affective Involvement, and Responsivity/ Sensitivity than were nondepressed mothers. Infants of mothers with depressed mood were rated significantly lower than infants of nondepressed mothers on corresponding interaction domains. Mothers with depressed mood were also rated as more variable than nondepressed mothers along a continuum of withdrawal to controlling/intrusive behavior. Contrary to prediction, level of maternal stimulation and infant activity did not differ as a function of depression in maternal mood. We conclude that mild to moderate symptoms of maternal depression may have salient but selective effects on mother-infant interaction.     

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.     

Infants of depressed mothers show less “depressed” behavior with their nursery teachers

This study investigated whether infants' “depressed” behavior (i.e., less positive affect and lower activity levels) noted during their interactions with their depressed mothers generalized to their interactions with their nondepressed nursery teachers. Field et al. (1988) reported that infants of depressed mothers also show “depressed behavior” when interacting with nondepressed female adults, suggesting that the infants develop a generalized “depressed mood style” of interaction. However, in that study the adults were also strangers to the infants, confounding the results. In the present study, eighteen 3-month-old infants interacted with their depressed mothers and also with their nondepressed familiar teachers in 3-minute episodes. The infants' behavior ratings improved when they interacted with their familiar teachers compared to their interactions with their mothers. The infants' low activity levels and negative affect were specific to their interactions with their depressed mothers. Thus, the data suggest that the infants respond differentially to depressed and nondepressed adults who are familiar.     

Two-month-old infants of depressed mothers show mild, delayed and persistent change in emotional state after non-contingent interaction

The aim of this study was to explore how early infants show different responses to non-contingent maternal behavior according to their past history of relations with their mother. Two groups of 2-month-olds interacted with their mother who was assessed as depressed (group 1) or non-depressed (group 2). Although they received a continuous image and voice of their mothers, the infants were presented either a 30-s contingent maternal communication (live episode 1) or a thirty second non-contingent episode (replay of prior maternal communication), or again a 30-s contingent live episode (live2). The lower percentage of negative facial expressions displayed during replay by infants of depressed mothers suggests on one hand that they are less sensitive to a non-contingent maternal behavior than infants of non-depressed mothers. However, within group comparisons demonstrate a notable difference: while infants of non-depressed mothers show a U curve of smile, infants of depressed mothers show decreasing smile throughout the three episodes. Taken together, these results plead in favour of an other profile of sensitivity displayed by infants of depressed mothers. Instead of the strong but short-term reaction of infants of non-depressed mothers, the response of infants of depressed mothers appeared to be a mild, delayed and more persistent change in emotional state. These findings are discussed in the light of possible cognitive and social incidence of passive avoidance of stressful events in infants of depressed mothers.     

Motor activity and spatial proximity: Relationships to infant emotions and maternal postpartum depression

The ability to express emotions is a protective factor for infant development. Despite the multimodal nature of emotion expression, research has mainly focused on facial expressions of emotions. The present study examined motor activity and spatial proximity in relation to positive and negative infant facial expressions and maternal postpartum depression during face-to-face interactions at four months. Video cameras and a motion capture system recorded mother-infant interactions. Repeated measures ANOVAs were conducted to analyze the effect of micro-coded infant positive and negative facial affect and maternal depression diagnosis on automatically extracted measures of motor activity and spatial proximity, including speed of mothers’ arm movements (nondepressed = 32; PPD = 16), and infants’ arm movements (nondepressed = 29; PPD = 17), and head distance (nondepressed = 45; PPD = 27). Results showed that the speed of infants’ arm movements and head distance were greater during negative compared to positive infant affect. Further, the results demonstrated that the speed of PPD mothers’ arm movements was slower than the speed of nondepressed mothers’ arm movements. In the discussion, it is suggested that increased speed of infant arm movements during negative affect functions to elicit faster caregiving responses, and that increased head distance during negative infant affect functions to decrease the intensity of the interaction. Finally, the slower speed of arm movements in PPD mothers suggests psychomotor retardation, which is proposed to limit these mothers’ abilities to engage their infants during the interaction.     

Mothers with Depressive Symptoms Touching Newborns

Previous research has demonstrated the positive effects of early contact on mother–infant touching behaviours. The present study investigated whether the type of maternal touching, shortly after birth, is also determined by the mother's mood state. Mothers with depressive symptoms were compared to non-depressive mothers 1 day after delivery on how they touched their newborns following an initial feeding. The results were counter-intuitive in that no differences were found between mothers with depressive symptoms and non-depressive mothers in type of maternal touching. However, mothers with depressive symptoms talked to their infants less often and talked on the phone more often. In addition, mothers with depressive symptoms showed more neutral and negative facial expressions and fewer positive and more neutral vocal expressions.     

Diminished response to pleasant stimuli by depressed women

This study examined the self-report and facial expressions of emotional response to pictorial stimuli and the incidental learning of pleasant and unpleasant words by depressed (n = 20) and nondepressed (n = 20) women. Depression was associated with reports of diminished emotional response and reduced frequency and intensity of facial expressions only to pleasant stimuli. The 2 groups did not differ in response to hedonically unpleasant stimuli, even those specifically relevant to the emotion of sadness. In a similar vein, depressed and nondepressed participants showed differences in incidental recall for only pleasant self-referential terms. There was no difference in recall of unpleasant words. These findings suggest the importance of hedonic deficits on psychological processes in clinical depression.     

Cognitive biases in processing infant emotion by women with depression,anxiety and post-traumatic stress disorder in pregnancy or after birth: A systematic review

Perinatal psychological problems such as post-natal depression are associated with poor mother–baby interaction, but the reason for this is not clear. One explanation is that mothers with negative mood have biased processing of infant emotion. This review aimed to synthesise research on processing of infant emotion by pregnant or post-natal women with anxiety, depression or post-traumatic stress disorder (PTSD). Systematic searches were carried out on 11 electronic databases using terms related to negative affect, childbirth and perception of emotion. Fourteen studies were identified which looked at the effect of depression, anxiety and PTSD on interpretation of infant emotional expressions (k = 10), or reaction times when asked to ignore emotional expressions (k = 4). Results suggest mothers with depression and anxiety are more likely to identify negative emotions (i.e., sadness) and less accurate at identifying positive emotions (i.e., happiness) in infant faces. Additionally, women with depression may disengage faster from positive and negative infant emotional expressions. Very few studies examined PTSD (k = 2), but results suggest biases towards specific infant emotions may be influenced by characteristics of the traumatic event. The implications of this research for mother–infant interaction are explored.     

Preschoolers' response to maternal sadness: Relationships with maternal depression and emotional availability

Previous research has documented that children of depressed mothers are at risk for a variety of emotional/behavioral problems and impairments in mother-child interaction. Depressed mothers have been characterized as withdrawn and unavailable. The present study examined behavior of preschool children of depressed and nondepressed mothers in response to their mothers' feigned sadness. The study assessed maternal depression and maternal emotional availability to determine how these related to preschoolers' expression of empathy. Sixty-two mothers and their 3 1/2-year-olds participated in the study. Mother-child interaction was coded from four tasks: free play, eating a snack, problem solving, and sadness simulation. Children of depressed mothers were not less empathic than children of nondepressed mothers. However, the mother's mood on day of testing related to child response. Maternal emotional availability interacted with the credibility/intensity of her simulation of sadness to predict child empathy.     

Depressed mothers' newborns show longer habituation and fail to show face/voice preference

Twenty neonates of depressed and nondepressed mothers failed to show an initial visual preference for their mother's versus a female stranger's face/voice. Subsequently, infants were habituated to their mother's face and voice. Infants of depressed mothers required 1/3 more trials and almost twice as long to habituate. A posthabituation test with their mother and a different female stranger revealed a preference for the stranger's face for 9 out of the 10 newborns of the nondepressed mothers. Again, the infants of depressed mothers displayed no visual preference. These findings reveal differences in depressed mothers newborns' speed of habituation and face/voice preferences. ©2002 Michigan Association for Infant Mental Health.