Are babies sensitive to the context of acute pain episodes? Infant distress and maternal soothing during immunization routines at 3 and 5 months of age

Ninety‐three healthy full‐term Italian infants were observed longitudinally at 3 and 5 months during routine vaccinations. Mothers' behaviour was also observed. Participants were divided into two cohorts depending on procedure of inoculation (the first cohort, n=44, showed more distress; the second cohort, n=49, showed less distress). Results indicate that babies' different levels of behavioural distress correspond to mothers' different soothing strategies. Maternal proximal soothing at 3 months predicts faster infant quieting at 5 months, but concurrent and predictive effects of maternal proximity are apparent only when level of baby distress is not too high. The study confirms the view that young babies are sensitive to the overall context of acute pain episodes, including medical procedure and maternal soothing. Copyright © 2005 John Wiley & Sons, Ltd.     

Attention and reaction to distress in infancy: a longitudinal study

The primary aim of this study was to verify whether early individual differences in look duration are related to general mechanisms of the infant nervous system that draw together attention and emotion. Thirty-one infants were observed at 3, 5, and 11 months of age. Facial expressions of pain and distress were observed by means of C. Izard's (1979) Maximally Discriminative Facial Movement Coding System 90 s after routine pediatric vaccinations. Several measures of visual attention were taken experimentally in a separate testing session. Significant correlations between measures of attention and duration of facial expressions of pain and distress were found at each age level. Infants who showed pain or distress for a shorter time period also paid attention for a shorter time period and vice versa. The main conclusion is that individual differences combining control of both pain and attention can be identified from early infancy.     

早期气质对焦虑退缩行为的影响：社会适应的背景性作用

本追踪研究从发展的角度探讨了焦虑退缩行为与儿童的社会适应之间的关系, 并探讨了气质对焦虑退缩行为的影响。共132名儿童参与了本研究, 2岁时测查了儿童气质, 7岁和11岁时测查了儿童的焦虑退缩行为和社会适应。结果发现, 7岁时焦虑退缩行为与社会适应之间的相关不显著, 11岁时焦虑退缩与积极的适应结果呈负相关, 与消极的适应结果呈正相关; 儿童2岁时的行为接近显著预测儿童7岁和11岁时的焦虑退缩行为, 且儿童2岁时的自我调节能力能够调节行为接近与11岁时的焦虑退缩之间的关系。研究表明, 从7岁到11岁, 焦虑退缩行为对社会适应的影响变得消极, 在对焦虑退缩行为的预测中, 存在不同气质特质之间的交互作用。     

Maternal soothing and infant stress responses: soothing, crying and adrenocortical activity during inoculation

The relation between maternal soothing and infant stress response during inoculation was examined in a sample of 37 mothers and their 3-month-old infants. The mothers' soothing and the infants' cry vocalizations and the mothers' and the infants' salivary cortisol level pre- and post-injection were analysed. There was a positive relation between infants' cry vocalization post-injection and maternal soothing pre- and post-injection. The sample was divided in two sub-groups depending on whether the mothers evidenced most soothing of the infants in the period before (Preparatory group; n=20) or after (Contingent group; n=17) the syringe injection. In the Preparatory group, the duration of infant cry vocalizations was related to amount of maternal soothing before and after the injection, while cry vocalizations in the Contingent group was related to amount of maternal soothing after the injection. The Contingent infants responded to the injection with a significant increase in cortisol, while there was no increase in the Preparatory infants. The Preparatory infants evidenced significantly longer duration of looking at the target stimuli in a visual marking task, suggesting greater difficulties in disengaging attention. These findings indicate that 3-month-olds' stress responses and their mothers' situational behaviour are mutually regulated.     

Maternal Emotion Socialization,Depressive Symptoms and Child Emotion Regulation: Child Emotionality as a Moderator

This study tested a model of children's emotionality as a moderator of the links between maternal emotion socialization and depressive symptoms and child emotion regulation. Participants were 128 mother–preschooler dyads. Child emotion expression and emotion regulation strategies were assessed observationally during a disappointment task, and a principal component analysis revealed three factors: passive soothing (including sadness and comfort seeking), negative focus on distress (including anger, focus on distress and low active distraction) and positive engagement (including positive emotion, active play and passive waiting, which was loaded negatively). Hierarchical linear regression models revealed that child positive emotionality (PE) and negative emotionality (NE) moderated the links between maternal support/positive emotion expression and child emotion regulation strategies. In particular, children's low PE exacerbated the association between lack of maternal support and child passive soothing, whereas high PE enhanced the association between maternal positive expression and reduced negative focus on distress. Furthermore, the associations of mothers' support and reduced passive soothing and negative focus on distress, as well as the association between mothers' positive expression and child positive engagement, were stronger for children with low levels of NE, compared with those with average and high levels of NE. Findings partially support a diathesis–stress model in understanding the effects of both child characteristics and the familial influence on child emotion regulation. Copyright © 2016 John Wiley & Sons, Ltd.     

Individual differences in disengagement of fixation and temperament: Longitudinal research on toddlers

It has been suggested that a shift occurs in the brain's control system from the orienting network in infancy to the executive network by the age of 3–4 years; however, there has been little empirical evidence of this shift during toddlerhood. Therefore, the present study examined how the orienting system in infancy is related to an effortful control system at a later age. Children were assessed longitudinally at 12, 18, 24, and 36 months of age, using a gap-overlap task in which dynamic geometrical-shape stimuli were presented. Parents completed temperament questionnaires about the children at each age. A delayed-gratification task was also given to 36-month-olds. Overall, saccadic latencies in the gap-overlap task were significantly faster at 36 months. At all ages, responses were slower during overlap trials than during gap or no-overlap trials. Longer latencies in the overlap condition were associated with low temperamental orienting/regulation scores at 12 months but with high effortful control scores at 18 and 24 months. The associations at 18 and 24 months are thought to represent a genuine positive association between effortful control and sustained and focused attention.     

Does sensitivity to criticism mediate the relationship between theory of mind and academic achievement?

This study adds to the growing research on school outcomes associated with individual differences in preschoolers’ theory of mind skills by considering whether “costs” of theory of mind (e.g., sensitivity to criticism) actually help to foster children’s academic achievement. A group of 60 Italian children was tested during the last year of preschool (Time 1, mean age = 5 years 6 months) and in their first year (Time 2, mean age = 6 years 5 months) and second year (Time 3, mean age = 7 years 5 months) of primary school. Children’s theory of mind, verbal ability, and social skills were evaluated at each time point. In addition, children’s sensitivity to teacher criticism was assessed at Time 2 and teachers’ ratings of children’s academic achievement were gathered at Time 3. Mediation analyses showed that, independent of verbal ability and social skills, sensitivity to criticism at Time 2 mediated the association between theory of mind at Time 1 and academic achievement at Time 3. These findings highlight the importance of investigating the educational consequences of individual differences in preschoolers’ theory of mind.     

Longitudinal Assessment of Pain, Coping, and Daily Functioning in Children with Sickle Cell Disease Receiving Pain Management Skills Training

Objective. To conduct intensive pain management skills training (IST) in children with sickle cell disease (SCD) and their parents and to comprehensively evaluate pain, coping, and daily functioning in children pre, immediately post, and 3 months following treatment. Methods. Three children who received IST in nonpharmacological and pharmacological pain management strategies completed a Coping Strategies Questionnaire (CSQ) at pre, post, and follow-up assessments, and daily pain and activity diaries for 18 weeks, spanning from 1 week pretreatment to 11 weeks posttreatment. Results. From pre- to posttreatment, 1 child receiving IST indicated increased report of active coping attempts and all 3 children indicated decreased report of negative thinking on the CSQ. Participants in IST used coping skills on 90% of days with pain and reported the skills to be moderately helpful on the daily diaries. For daily activities such as eating dinner, playing with friends, and hours slept, children participated similarly on days with pain and days without pain during the posttreatment period. Given the small number of participants in this study, individual cases are discussed to highlight similarities and differences in how participants responded to the treatment and during the 3-month follow-up period. Conclusions. In this pilot study, each participant showed improvement in coping and daily functioning after completing the IST program. Individual differences in response to treatment indicate the need for more targeted intervention programs that incorporate pharmacological and nonpharmacological components. The results of this study highlight both the promise and the complications of conducting comprehensive pain intervention and functional outcome studies in children with SCD.     

Spanish-speaking caregivers’ use of referential labels with toddlers is a better predictor of later vocabulary than their use of referential gestures

Variation in how frequently caregivers engage with their children is associated with variation in children's later language outcomes. One explanation for this link is that caregivers use both verbal behaviors, such as labels, and non-verbal behaviors, such as gestures, to help children establish reference to objects or events in the world. However, few studies have directly explored whether language outcomes are more strongly associated with referential behaviors that are expressed verbally, such as labels, or non-verbally, such as gestures, or whether both are equally predictive. Here, we observed caregivers from 42 Spanish-speaking families in the US engage with their 18-month-old children during 5-min lab-based, play sessions. Children's language processing speed and vocabulary size were assessed when children were 25 months. Bayesian model comparisons assessed the extent to which the frequencies of caregivers’ referential labels, referential gestures, or labels and gestures together, were more strongly associated with children's language outcomes than a model with caregiver total words, or overall talkativeness. The best-fitting models showed that children who heard more referential labels at 18 months were faster in language processing and had larger vocabularies at 25 months. Models including gestures, or labels and gestures together, showed weaker fits to the data. Caregivers’ total words predicted children's language processing speed, but predicted vocabulary size less well. These results suggest that the frequency with which caregivers of 18-month-old children use referential labels, more so than referential gestures, is a critical feature of caregiver verbal engagement that contributes to language processing development and vocabulary growth.

Research Highlights

• We examined the frequency of referential communicative behaviors, via labels and/or gestures, produced by caregivers during a 5-min play interaction with their 18-month-old children.
• We assessed predictive relations between labels, gestures, their combination, as well as total words spoken, and children's processing speed and vocabulary growth at 25 months.
• Bayesian model comparisons showed that caregivers’ referential labels at 18 months best predicted both 25-month vocabulary measures, although total words also predicted later processing speed.
• Frequent use of referential labels by caregivers, more so than referential gestures, is a critical feature of communicative behavior that supports children's later vocabulary learning.

     

Effectiveness of Primiparae and Multiparae at Soothing Their Newborn Infants

To examine the effectiveness of new parents at soothing their infants, the authors filmed primiparae (20 mothers, 20 fathers) and, for comparison, multiparae (25 mothers, 25 fathers) during an interaction with their crying 2- to 3-day-old infants. Data were derived from loudness ratings of the infants' distress signals and by measuring the time it took parents to quiet their infants. In addition, specific parental behaviors were coded by microanalysis. From these data, measures of soothing effectiveness and behavioral profiles were derived. Data analyses showed that most primiparae were effective at soothing their infants' cries and that there were no parity effects on measures of soothing effectiveness. However, mothers, regardless of parity, were more effective at quieting their infants than were fathers, and there were significant differences in mothers' and fathers' caregiving behaviors. These data suggest that primiparae are effective at quickly soothing their newborns and that their skill, as measured, does not depend on parenting experience. Moreover, the data point to significant differences in mothers' and fathers' competence at quieting their newborns whether or not they are experienced at parenting.     

The performance evaluation of novices: The importance of competence in specific work activity clusters

In this study, we examine the relationships between newcomers' competence in specific work activity clusters and the evaluation of their performance. Longitudinal data were gathered on 92 novice nurses from themselves and from the senior staff at three stages: before entering the job, 6 weeks after entry and 18 months after entry. Results showed that, after entry, a newcomer's competence in the cluster of care activities contributed more to a positive performance evaluation than competence in the cluster of non‐care activities. Competence in the non‐care cluster was only found to contribute to a positive performance evaluation, if the newcomer also showed competence in the care cluster. Moreover, novices showed a greater improvement in their care competence than their non‐care competence during the first 18 months of socialization. Finally, we found that after 18 months competence in the non‐care cluster contributes more to a positive performance evaluation than competence in the care cluster.     

Sense of Competence and Beliefs About Parental Roles in Mothers and Fathers as Predictors of Coparenting and Child Engagement in Mother–Father–Infant Triadic Interactions

The aim of this study was to assess the extent to which a sense of competence and beliefs about parental roles in mothers and fathers influence coparenting and child engagement in triadic interactions during the first 2 years of the child's life, after other influential variables such as marital satisfaction and postpartum depression have been controlled for. The sample constituted 69 mother–father–infant families, whose sense of competence, beliefs in parental roles, postpartum depression, and marital satisfaction were assessed in our laboratory at 3, 9, and 18 months with self‐reported questionnaires. Coparenting support and conflict and child engagement were assessed with the Lausanne Trilogue Play. Results show that (i) predictors of coparenting and child engagement are not the same at each time point; (ii) a sense of competence in mothers is positively linked with coparenting support, particularly at 3 months, whereas in fathers, it is negatively linked with support, particularly at 18 months; (iii) discrepancies between mothers and fathers in beliefs about the importance of the mother's role is the main predictor of coparenting conflict at 18 months; and (iv) paternal beliefs about the importance of the father's and mother's roles are the main predictor of child engagement at 18 months. Copyright © 2015 John Wiley & Sons, Ltd.     

Infant crying and maternal holding in the first 2 months of age: an Italian diary study

This study aims to confirm previous North American and North European findings about the normal developmental pattern of infant crying by studying the crying of Italian babies. A cohort of 70 healthy, full‐term Italian infants was assessed longitudinally at 2, 5 and 8 weeks of age. Mothers were asked to fill in 24‐h behaviour diaries for 3 consecutive days at each age. Results show significant differences in the amount of daily crying between 2 and 8 weeks and between 5 and 8 weeks. Different from other similar studies, no significant cry peak at 5 weeks was found in the Italian babies, but the amount of time Italian mothers spent holding their babies showed a peak at 5 weeks. Infants cried more during the evenings and mothers carried them most during this part of the day. Significant correlations between maternal holding and infant crying were found both concurrently and predictively. The amount of infant crying at 2 weeks predicted the amount of holding at 5 weeks. Results confirmed previous findings about the individual stability of daily crying in the first 8 weeks of age, but future research should take account of cultural variations in maternal holding in studying infant crying in different societies. Copyright © 2008 John Wiley & Sons, Ltd.     

Maternal psychological functioning mediates the association between infant behavior and subsequent child psychological functioning

Symptoms of psychopathology that onset during childhood are often more severe, chronic, and difficult to treat than symptoms that first appear later in life. Maternal psychological symptoms are associated with the development of psychological symptoms in children. However, less research focuses on whether children’s behaviors may presage maternal psychological difficulties that, in turn, contribute to the child’s own psychological functioning. Identifying psychological difficulties in families and intervening in early life may lower risk for intergenerational transmission of subsequent psychological symptoms. Even at non-clinical or normative levels, exploring transactional models of parent-child behavior and psychological functioning may provide insight into the development of later psychological difficulties or symptoms within families. Thus, the current study examined whether difficult infant behavior (e.g., fussiness, unpredictability) is associated with future maternal psychological difficulties and subsequently, the child’s own psychological functioning in early childhood. The current sample includes 847 dyads from a multi-wave birth cohort in England (‘Born in Bradford’), who identified as predominantly non-White (62.2%) and socioeconomically diverse. Mothers reported on their child’s behaviors at 6 months, their own psychological functioning during pregnancy and at 18 months postpartum, and their child’s psychological functioning at age 3. Results of a mediation model revealed that the association between infant behavior at 6 months and child psychological functioning at 3 years is partially explained by maternal psychological functioning at 18 months, even after accounting for psychological difficulties during pregnancy, maternal age at birth, child sex, family income, and ethnicity. Post-hoc exploratory analyses revealed that the association between infant behavior, maternal psychological functioning, and subsequent child psychological functioning was significant for Pakistani British families but not White British families. These findings provide preliminary evidence that infant behaviors (e.g., temperament) may presage future maternal psychological difficulties and subsequent child psychological functioning, above and beyond previous maternal psychological functioning. Importantly, these results highlight infant behavior as a potential catalyst for later psychological difficulties within families.     

Longitudinal associations between low morning cortisol in infancy and anger dysregulation in early childhood in a CPS‐referred sample

Children who experience early adversity are at increased risk for developing psychopathology, and dysfunction of the hypothalamic pituitary adrenal (HPA) axis is a possible mechanism conferring this risk. This study sought to characterize the association between morning cortisol during different developmental periods and deficits in children's emotion regulation, a core feature of many psychological disorders. Morning cortisol was collected at two time points (i.e., during infancy, M = 13.0 months old, and during early childhood, M = 36.8 months old) from 120 children with histories of child protective services (CPS) involvement. Children completed a lab visit during early childhood (M = 38.6 months old) that involved an observational measure of anger regulation. Results showed that low morning cortisol during infancy, but not early childhood, predicted increased anger dysregulation during early childhood. These results highlight the importance of developmental timing in assessing the effects of HPA axis functioning and suggest that low cortisol during infancy is a risk factor for later emotion regulation difficulties.     

Longitudinal study of perception of structured optic flow and random visual motion in infants using high‐density EEG

Electroencephalogram (EEG) was used in infants at 3–4 months and 11–12 months to longitudinally study brain electrical activity as the infants were exposed to structured forwards and reversed optic flow, and non‐structured random visual motion. Analyses of visual evoked potential (VEP) and temporal spectral evolution (TSE, time‐dependent amplitude changes) were performed on EEG data recorded with a 128‐channel sensor array. VEP results showed infants to significantly differentiate between the radial motion conditions, but only at 11–12 months where they showed shortest latency for forwards optic flow and longest latency for random visual motion. When the TSE results of the motion conditions were compared with those of a static non‐flow dot pattern, infants at 3–4 and 11–12 months both showed significant differences in induced activity. A decrease in amplitudes at 5–7 Hz was observed as desynchronized theta‐band activity at both 3–4 and 11–12 months, while an increase in amplitudes at 9–13 Hz was observed as synchronized alpha‐band activity only at 11–12 months. It was concluded that brain electrical activities related to visual motion perception change during the first year of life, and these changes can be observed both in the VEP and induced activities of EEG. With adequate neurobiological development and locomotor experience infants around 1 year of age rely, more so than when they were younger, on structured optic flow and show a more adult‐like specialization for motion where faster oscillating cell assemblies have fewer but more specialized neurons, resulting in improved visual motion perception.     

The role of mother–child and teacher–child relationship on academic achievement

Robust findings have highlighted the importance of early cognitive abilities for academic performance. However, little is known about the role played by relational variables. In this longitudinal study, we examined children’s relationship with their mothers and teachers as predictors of later academic achievement. We addressed this issue following a group of 45 Italian children (29 boys) from the last year of preschool (mean age: five years and six months) until Year 4 of primary school (mean age: nine years and six months). Results showed that mother–child relationship at age 5 and teacher–child relationship at age 7 correlate with children’s academic achievement at age 9, controlling for early background and verbal abilities. Further analyses showed that teacher–child conflict partially mediates the relationship between early mother–child conflict and children’s later academic achievement. Mechanisms by which relational variables influence learning outcomes are discussed.     

Maternal perinatal mental health: Associations with bonding,mindfulness, and self-criticism at 18 months’ postpartum

The perinatal period is a time of significant transition for women, with changes in maternal mental health from pregnancy to 18 months’ postpartum. This study specifically analyzes maternal self-criticism and mindfulness during pregnancy and at 18 months’ postpartum, and their associations with bonding. A longitudinal study (30 weeks’ gestation–18 months’ postpartum) assessed 32 mother–infant dyads, examining changes in maternal depression, anxiety, self-criticism, and mindfulness. In addition, associations between maternal variables during pregnancy and bonding were investigated. Maternal depression and self-criticism significantly increased from pregnancy to postpartum. Maternal anxiety, self-criticism, and facets of mindfulness during pregnancy were also associated with mother–infant bonding at 18 months. Maternal mental health during pregnancy is subject to change postchildbirth. The lack of control and autonomy accompanying motherhood may result in an increase in self-criticism during this period. Such feelings may elevate a woman's vulnerability to postpartum depression and have consequences for later maternal bonding. Early identification of at-risk mothers is important to increase likelihood of positive outcomes.     

Mechanisms of Behavioral and Affective Treatment Outcomes in a Cognitive Behavioral Intervention for Boys

Evidence for effective treatment for behavioral problems continues to grow, yet evidence about the effective mechanisms underlying those interventions has lagged behind. The Stop Now and Plan (SNAP) program is a multicomponent intervention for boys between 6 and 11. This study tested putative treatment mechanisms using data from 252 boys in a randomized controlled trial of SNAP versus treatment as usual. SNAP includes a 3 month group treatment period followed by individualized intervention, which persisted through the 15 month study period. Measures were administered in four waves: at baseline and at 3, 9 and 15 months after baseline. A hierarchical linear modeling strategy was used. SNAP was associated with improved problem-solving skills, prosocial behavior, emotion regulation skills, and reduced parental stress. Prosocial behavior, emotion regulation skills and reduced parental stress partially mediated improvements in child aggression. Improved emotion regulation skills partially mediated treatment-related child anxious-depressed outcomes. Improvements in parenting behaviors did not differ between treatment conditions. The results suggest that independent processes may drive affective and behavioral outcomes, with some specificity regarding the mechanisms related to differing treatment outcomes.     

Perception of tones by infants learning a non-tone language

This article examines the perception of tones by non-tone-language-learning (non-tone-learning) infants between 5 and 18 months in a study that reveals infants’ initial sensitivity to tonal contrasts, deterioration yet plasticity of tonal sensitivity at the end of the first year, and a perceptual rebound in the second year. Dutch infants in five age groups were tested on their ability to discriminate a tonal contrast of Mandarin Chinese as well as a contracted tonal contrast. Infants are able to discriminate tonal contrasts at 5–6 months, and their tonal sensitivity deteriorates at around 9 months. However, the sensitivity rebound sat 17–18 months. Non-tone-learning infants’ tonal perception is elastic, as is shown by the influence of acoustic salience and distributional learning: (1) a salient contrast may remain discriminable throughout infancy whereas a less salient one does not; (2) a bimodal distribution in tonal exposure increases non-tone-learning infants’ discrimination ability during the trough in sensitivity to tonal contrasts at 11–12 months. These novel findings reveal non-tone-learning infants’ U-shaped pattern in tone perception, and display their perceptual flexibility.