Coregulation in mother-infant dyads: links to infants' cardiac vagal tone

This investigation explored links between mother-infant coregulated communication patterns and infants' emerging parasympathetic regulatory processes (cardiac vagal tone). Participants included 56 first-time mothers and their 6-mo.-old infants (31 girls, 25 boys). A 4-min. baseline EKG was gathered from the infant and an ensuing 15-min. mother-infant dyadic free-play episode was videotaped and coded using Fogel's 1994 Regional Coding System. This system was developed to describe variations in coregulated features of communication among dyads, ranging from symmetrical patterns to disruptive patterns of coregulation. Analysis suggests a positive link between infants' cardiac vagal tone and more symmetrical features of coregulated communication patterns in mother-infant dyads. Cardiac vagal tone was also negatively correlated with unilateral features of coregulation communication systems. These findings point toward the potential relation between emerging physiological regulatory abilities of infants and the more relational regulatory processes in mother-infant dyads.     

Preventive group psychotherapy for at-risk infants and their mothers

There is increased evidence that infants who receive poor quality social stimulation from their primary caregiver are at risk for later developmental difficulties. This paper describes a preventive intervention for mother-infant dyads exhibiting impaired patterns of social interaction. An impaired relationship with the primary caregiver has been found to be associated with social and emotional deficits in early childhood as well as with significant psychopathology in adulthood. The intervention consisted of group treatment of mothers and their infants. Each group session has 4 subsections which, together, were directed towards improving the mothers' ability to relate in a stimulating and nurturant manner to their children. Types of intervention included didactic instruction, modeling, and interpretation of the infant's behavior. Qualitative data suggested that the group intervention has positive effects on the mother-infant dyads.     

Skin-to-Skin contact (Kangaroo care) promotes self-regulation in premature infants: sleep-wake cyclicity, arousal modulation, and sustained exploration

The effect of mother-infant skin-to-skin contact (kangaroo care, or KC) on self-regulatory processes of premature infants was studied. Seventy-three infants who received KC were compared with 73 infants matched for birth weight, gestational age, medical risk, and family demographics. State organization was measured in 10-s epochs over 4 hr before KC and again at term. No differences between KC infants and controls were found before KC. At term, KC infants showed more mature state distribution and more organized sleep-wake cyclicity. At 3 months, KC infants had higher thresholds to negative emotionality and more efficient arousal modulation while attending to increasingly complex stimuli. At 6 months, longer duration of and shorter latencies to mother-infant shared attention and infant sustained exploration in a toy session were found for KC infants. The results underscore the importance of maternal body contact for infants' physiological, emotional, and cognitive regulatory capacities.     

Culture,carrying, and communication: Beliefs and behavior associated with babywearing

Ethnographic research suggests mother-infant physical contact predicts high levels of maternal responsiveness to infant cues, yet it is unclear whether this responsiveness is driven by the act of physical contact or by underlying beliefs about responsiveness. We examine beliefs and behavior associated with infant carrying (i.e., babywearing) among U.S. mothers and experimentally test the effect of mother-infant physical contact on maternal responsiveness. In Study 1 (N = 23 dyads), babywearing mothers were more likely to interact contingently in response to infant cues than non-babywearing mothers during an in-lab play session. In Study 2 (N = 492 mothers), babywearing predicted maternal beliefs emphasizing responsiveness to infant cues. In Study 3 (N = 20 dyads), we experimentally manipulated mother-infant physical contact in the lab using a within-subjects design and found that babywearing increased maternal tactile interaction, decreased maternal and infant object contact, and increased maternal responsiveness to infant vocalizations. Our results motivate further research examining how culturally-mediated infant carrying practices shape the infant’s early social environment and subsequent development.     

Synchrony in mother-infant vocal interactions revealed through timed event sequences

This report extends a previous cross-cultural study of synchrony in mother-infant vocal interactions (Bornstein et al., 2015) to immigrant samples. Immigrant dyads from three cultures of origin (Japan, South Korea, South America) living in the same culture of destination (the United States) were compared to nonmigrant dyads in those same cultures of origin and to nonmigrant European American dyads living in the same culture of destination (the United States). This article highlights an underutilized analysis to assess synchrony in mother-infant interaction and extends cross-cultural research on mother-infant vocal interaction. Timing of onsets and offsets of maternal speech to infants and infant nondistress vocalizations were coded separately from 50-min recorded naturalistic observations of mothers and infants. Odds ratios were computed to analyze synchrony in mother-infant vocal interactions. Synchrony was analyzed in three ways -- contingency of timed event sequences, mean differences in contingency by acculturation level and within dyads, and coordination of responsiveness within dyads. Immigrant mothers were contingently responsive to their infants’ vocalizations, but only Korean immigrant infants were contingently responsive to their mothers’ vocalizations. For the Japanese and South American comparisons, immigrant mothers were more contingently responsive than their infants (but not robustly so for South American immigrants). For the Korean comparison, mean differences in contingent responsiveness were found among acculturation groups (culture of origin, immigrant, culture of destination), but not between mothers and infants. Immigrant dyads’ mean levels of responsiveness did not differ. Immigrant mothers’ and infants’ levels of responsiveness were coordinated. Strengths and flexibility of the timed event sequential analytic approach to assessing synchrony in mother-infant interactions are discussed, particularly for culturally diverse samples.     

Effects of short-term interaction coaching with mothers of preterm infants

This study examined the effects of eight 40-minute interaction coaching sessions on the mother-infant interaction patterns of mother-preterm infant dyads. Thirty-five preterm infants and their mothers were matched for sex and then were assigned randomly to a treatment and a no-treatment control group. Behavior counts and ratings of maternal and infant interactive behavior (Interaction Rating Scale; Field, 1980) were obtained from naturalistic home observations, precoaching, postcoaching, and at a 2-month follow-up. It was hypothesized that coaching, which was intended to facilitate more sensitive responding by mothers, would positively influence mother-infant interaction and mothers' knowledge of infant development. The only marginally significant difference between the groups that emerged over time was in knowledge of infant development, in which the treatment group surpassed the control group.     

The Validity of the Massie-Campbell Attachment During Stress Scale (ADS)

The present study is the first step towards validating the Massie-Campbell attachment during stress scale (ADS). The ADS is a one-page guide to standardized observation of mother-infant interactions meant to detect insecure attachment behaviors. So far it was used infrequently in scientific research but it is widely applied in the Chilean public health system. To establish the ADS’s convergent, concurrent, and construct validity, the ADS was compared with the Strange Situation Procedure (SSP) and correlated with maternal sensitivity. Videotapes of the SSP were coded with the ADS and the resulting ADS attachment classifications were compared with the SSP classifications. It was found that the ADS can distinguish moderately well between securely attached and non-securely attached mother-infant dyads, and the ADS was also associated with observed maternal sensitivity. However, the ADS suffers from a number of limitations that warrant further study. In particular, the ADS proved unable to detect resistantly attached mother-infant dyads. Revision of the scale and its scoring rules seems necessary in order to improve its validity as a screening device in scientific research and clinical practice.     

Dynamics of frontal alpha asymmetry in mother-infant dyads: Insights from the Still Face Paradigm

The parent-infant dynamic has a foundational role in emotion regulation development. Electroencephalography (EEG) hyperscanning from mother-infant dyads can provide an unprecedented window into inter-brain dynamics during the parent-infant exchange. This potential depends on the feasibility of hyperscanning with dyads in emotionally taxing contexts. We sought to demonstrate feasibility of hyperscanning from 10 mother-infant dyads during the Still Face Procedure (SFP). We measured frontal alpha asymmetry (FAA) to elucidate ongoing regulatory dynamics and considered maternal caregiving quality as a window into dyads’ history. Results showed dyads exhibited a rightward shift in FAA over the course of SFP, indicating growing negative emotionality and desire to withdraw. Results also showed growing variability in FAA for infants over the course of SFP, indicating less active emotional control as stress ensued. Variability was especially low for mothers during periods when asked to be emotionally unavailable, suggesting active control to match the task demands. Dyads with a more responsive mother exhibited higher (more left) FAA relative to dyads with a less responsive mother, which might reflect a more positive emotional experience overall. We raise important methodological and theoretical questions that hyperscanning during SFP can address, such as the developmental origins of trait-like self-regulatory dispositions.     

The impact of optimality on maternal sensitivity in mothers with substance abuse and psychiatric problems and their infants at 3 months

The main aim of this study was to investigate the predictive validity of four different optimality indexes, as well as infant perinatal status, in relation to maternal sensitivity in interaction at 3 months. The four optimality indexes comprised items related to substance abuse, psychiatric condition, relational experience and socioeconomic status (SES). Maternal sensitivity in mother-infant interaction was assessed in two different groups of mothers. One group consisted of mothers with substance abuse and psychiatric problems who underwent treatment during pregnancy. The other group of mothers had neither substance abuse nor psychiatric problems. The expectant mothers were interviewed in the third trimester of pregnancy. Medical records and meconium were obtained from the infants at birth. Three months after birth, maternal sensitivity in mother-infant interaction was assessed. Altogether 79 mother-infant dyads participated in the study. The mothers' optimality associated with relational experiences, as well as the infants' perinatal status were found to predict maternal sensitivity in mother-infant interaction at 3 months. The SES index was also significantly related to maternal sensitivity. The relation between group and maternal sensitivity was mediated by the mothers' optimality associated with relational experiences. This study points to the importance of addressing the mothers' own relational experiences and their current representations of motherhood during treatment, in order to support and enhance maternal sensitivity.     

Taking stress response out of the box: stability, discontinuity, and temperament effects on HPA and SNS across social stressors in mother-infant dyads

This study investigated continuity and stability of hypothalamic-pituitary-adrenal (HPA) and sympathetic nervous system (SNS) response measures in mother-infant dyads across 2 different types of social stress sessions. Synchrony of response trajectories across systems (SNS-HPA coordination) and partners (mother-infant attunement) was addressed, as were associations with infant temperament. Primiparous mothers and their 18-month-old infants (n = 86 dyads) completed an attachment stressor--Strange Situation (Ainsworth, Blehar, Waters, & Wall, 1978)--at Session 1 and challenge stressors--cleanup task and emotion task battery--at Session 2. Mother and infant saliva samples collected to index pre-stress, stress, and post-stress response during each session were assayed for cortisol (HPA marker) and salivary alpha-amylase (sAA; SNS marker). Multilevel modeling of cortisol/sAA trajectories across sessions revealed rank-order stability in mother/infant stress measures but discontinuity in absolute levels; cortisol trajectories were higher during attachment stress, and sAA trajectories were higher during challenge stress. Varying degrees of mother-infant attunement were found across sessions/systems. Infant surgency predicted higher stress measures, and negative affect and effortful control predicted lower stress measures, though associations depended on session/system. Findings are discussed in terms of advancing a multisystemic, contextual definition of developing stress responsiveness.     

Infant attachment security and maternal predictors of early behavior problems: A longitudinal study of low-income families

In a longitudinal study of 100 low-income, mother-infant dyads, assessments of infant attachment security and maternal responsivity, involvement, depressive symptomatology, and perceived infant difficulty were used to predict later behavior problems at age 3. Attachment insecurity was related to behavior problems at age 3 when all insecure classifications were combined into one group and when insecurity was maintained at 12 and 18 months. For boys only, maternal depressive symptoms and low maternal involvement were associated with age 3 behavior problems. For girls, perceived difficult temperament at ages 1 and 2 were associated with later problem behavior.     

The effect of mother-infant skin-to-skin contact on Ghanaian infants’ response to the Still Face Task: Comparison between Ghanaian and Canadian mother-infant dyads

The effect of mother-infant skin-to-skin contact on Ghanaian infants’ developing social expectations for maternal behavior was investigated. Infants with high and low mother-infant skin-to-skin contact experience in the infants’ first month engaged with their mothers in a Still Face Task at 6 weeks of age. Infants with high skin-to-skin contact experience, but not those with low skin-to-skin contact experience, demonstrated the still face effect with their smiles. Infants with both high and low skin-to-skin contact experience demonstrated the still face effect with their visual attention. The behaviors of the Ghanaian infants and their mothers during the task were compared to archival evidence of Canadian mother-infant dyads’ behaviors in skin-to-skin and control groups who engaged in the Still Face Task at the infant ages of 1 and 2 months. Similarities and differences between the behaviors of the mother-infant dyads in the two cultures were assessed.     

Associations between mother-infant bed-sharing practices and infant affect and behavior during the still-face paradigm

Parents in the United States increasingly report bed-sharing with their infants (i.e., sleeping on a shared sleep surface), but the relationship between bed-sharing and child socioemotional outcomes are not well understood. The current study examines the links between mother-infant bed-sharing at 3 months and infant affect and behavior during a dyadic challenge task at 6 months. Further, we examine nighttime mother-infant contact at 3 months as a possible mechanism that may mediate linkages between bed-sharing and infant outcomes. Using observational data from a sample of 63 mother-infant dyads, we found that infants who bed-shared for any proportion of the observation period at 3 months displayed significantly more self-regulatory behaviors during the still-face episode of the Still-Face Paradigm (SFP) at 6 months, compared to non-bed-sharing infants. Also, infants of mothers who bed-shared for the entire observation period displayed significantly less negativity during the reunion episode than non-bed-sharing infants. There was no evidence that the relations between mother-infant bed-sharing practices and infant affect and behavior during the SFP were mediated through nighttime mother-infant contact. Results suggest that infant regulation at 6 months postpartum may vary based on early nighttime experiences, with bed-sharing potentially promoting more positive and well-regulated behavior during dyadic interaction.     

Emotional Relationships in Mothers and Infants: Culture-Common and Community-Specific Characteristics of Dyads from Rural and Metropolitan Settings in Argentina, Italy, and the United States

This study uses country and regional contrasts to examine culture-common and community-specific variation in mother-infant emotional relationships. Altogether, 220 Argentine, Italian, and U.S. American mothers and their daughters and sons, living in rural and metropolitan settings, were observed at home at infant age 5 months. Both variable- and person-centered perspectives of dyadic emotional relationships were analyzed. Supporting the notion that adequate emotional relationships are a critical and culture-common characteristic of human infant development, across all samples most dyads scored in the adaptive range in terms of emotional relationships. Giving evidence of community-specific characteristics, Italian mothers were more sensitive, and Italian infants more responsive, than Argentine and U.S. mothers and infants; in addition, rural mothers were more intrusive than metropolitan mothers, and rural dyads more likely than expected to be classified as mid-range in emotional relationships and less likely to be classified as high in emotional relationships. Adaptive emotional relationships appear to be a culture-common characteristic of mother-infant dyads near the beginning of life, but this relational construct is moderated by community-specific (country and regional) context.     

Mother-infant relationships in baboons (Papio hamadryas): predictors of differences and discontinuities in developmental pathways

This study uses hierarchical linear regression modeling to analyze sources of variation in the developmental pathways of mother-infant relationships and to search for behavioral discontinuities. The data come from 23 mother-infant dyads of baboons (Papio hamadryas), whose interactions were recorded longitudinally during the infants' 1st year of life. The infant's sex and the mother's age and reproductive experience accounted for part of the variation observed in the developmental pathways of 11 of 20 behavioral measures analyzed; however, some of them did so only in some periods but not in others. The authors proposed that this can reflect the occurrence of reorganizations or discontinuities in the mother-infant relationship that can be related to important life events such as the mother's resumption of sexual activity.     

Maternal and infant touching behaviours during perturbed interactions: Associations with maternal depressive symptomatology and infant crying

Touch is an important means through which mothers and infants co-regulate during periods of stress or perturbation. The present study examined the synchrony of maternal and infant touching behaviours among 41 mother-infant dyads, some of whom were deemed at-risk due to maternal depressive symptomatology. Mothers and their 4-month-old infants participated in the Still-Face (maternal emotional unavailability; SF) and Separation (maternal physical unavailability; SP) procedures. Infant crying was examined across procedures and investigated as a brief period of perturbation. Results revealed that mothers and infants displayed a positive pattern of tactile synchrony (coordinated, analogous changes in touch) during infant crying episodes. However, dyads in the high depression group displayed significantly less affectionate touch during instances of infant crying. Furthermore, more depressive symptoms were associated with less maternal and infant touch and lower rates of infant crying. This group of dyads may be less expressive via touch, be less affected by disruptions in their interactions, have impaired regulatory abilities, or simply require minimal amounts of touch to mutually regulate following social stressors and during brief perturbation periods. These findings enrich our limited knowledge about the dynamic interplay of maternal and infant touch and inform preventative intervention programs for at-risk groups.     

Mutual visual regard during mother-infant play.

Mutual visual regard was observed in 48 mother-infant dyads during a 6-min. play session. Infant-mother dyads containing 4 mo. -olds displayed significantly more mutual visual regard than dyads containing 6- or 8-mo.-olds. In addition, the more time infants spent in face-to-face interaction with mother, the more smiling they engaged in. No sex difference were observed.     

Examining pathways linking maternal depressive symptoms in infancy to children’s behavior problems: The role of maternal unresponsiveness and negative behaviors

The extent to which maternal depressive symptoms in the first 6 months of life is linked with internalizing and externalizing behaviors in childhood through specific insensitive maternal behaviors (unresponsive and overtly negative behaviors) was examined in a sample of 259 mother-infant dyads. In addition, the extent to which these paths were moderated by infant negative emotionality was also examined. Maternal depressive symptoms were assessed prenatally and when infants were 6 months and 2 years old. Maternal unresponsive and overtly negative behaviors and infant negative emotionality were observed when infants were 6 months old. Mothers reported on infant’s internalizing and externalizing behaviors when infants were 2 years old. Maternal depressive symptoms were directly associated with higher internalizing behaviors; this path was not mediated by maternal behaviors. Depressive symptoms were unrelated to externalizing symptoms. Infant negative emotionality did not moderate these effects, but was related positively to overtly negative maternal behaviors, and temperament interacted with maternal depressive symptoms to predict unresponsive maternal behaviors. Results suggest that early maternal depressive symptoms, infant negative emotionality, and negative maternal behavior pose risk for infants’ later internalizing behaviors, but the proposed moderated mediation model was not supported.     

9-24月龄婴儿母亲敏感性的预防性干预实验

本研究根据依恋理论和相关的干预研究成果编制了母亲敏感性干预手册,并对9-24月龄要儿的母亲实施了预防性干预.有16对母婴对分别进行了家庭录像观察.其中10位母亲作为培训组参加为期两个月的干预,干预目标集中于提高母亲敏感性,并提高母亲与婴儿的互动行为水平.另外6位母亲为对照组.三个月后,干预完成并再次对培训组和对照组进行家庭观察.用AinSwonh母亲敏感性量表和母亲行为Q分类方法分别对两次家庭观察录像进行编码分析.结果表明:培训组在信号敏感、可得、阻碍和接纳四个方面都有改善;该干预模式有效提高了母亲的敏感性.同时,该干预对母婴互动行为水平也略有提高.在文章中讨论了存在的问题和今后的研究方向.     

The association between maternal smoking and secondhand exposure and autonomic functioning at 2-4 weeks of age

This study examined the association between maternal smoking and exposure to environmental tobacco smoke (ETS) during pregnancy and infant heart rate. Participants were 62 mother-infant dyads where mother smoked during pregnancy, 47 dyads where mother did not smoke during pregnancy but was exposed to ETS and 47 dyads where mother did not smoke and was not exposed to ETS. Average heart rate (HR) and respiratory sinus arrhythmia (RSA) were assessed at 2-4 weeks of age during sleep. Infants in both exposure groups had higher HR and lower RSA than nonexposed infants. Furthermore, boys in both exposure groups had higher HR and lower RSA than girls. These results highlight the importance of considering prenatal ETS exposure and infant gender when assessing infant outcomes.