Bed-sharing, breastfeeding and maternal moods in Barbados

Bed-sharing among Barbadian mothers and infants was studied in relationship to maternal and infant characteristics. This prospective study followed 226 healthy, well-nourished mother–infant dyads at birth, 7 weeks, 3 months, and 6 months postpartum. At each age, approximately half of the infants shared the same beds as their mothers. Bed-sharing was associated with demographic characteristics, especially fewer home conveniences, and also maternal characteristics, including less information seeking by the mother and younger maternal age at first pregnancy. Bed-sharing was also associated with lower infant birth weights. Maternal moods were significantly correlated with bed-sharing, such that mothers who reported having more despair and anxiety were also more likely to sleep with their infants. Bed-sharing was also significantly associated with increased breastfeeding at all infant ages, but this relationship was no longer significant once the effects of maternal moods were controlled. This study emphasizes the importance of assessing maternal moods in studies evaluating the risk and benefits of bed-sharing.     

Infant feeding and maternal attitudes among mothers of low-income

Demographic variables, maternal attitudes, knowledge, practices, and support systems were examined in a sample of 50 women attending a public health clinic for well baby visits. Black women were nonsystematically selected an approached as they were waiting for their babies. Because the number of white women attending the clinic was small, an effort was made to include all of them. Data were obtained through individual interviews conducted by a trained interviewer. A questionnaire was constructed to obtain demographic information, information regarding prenatal awareness, delivery, mother infant interaction in the hospital, nutrition and infant care during the 1st year of life, and attitudes. 68% of the women were black and 32% were married. Most unmarried mothers lived with parents (50%), other relatives (26.5%), or ex husbands/boyfriends (5.9%). The mean educational level of 11.8 years was higher than anticipated for studies of public health department clinic populations. Teenagers made up 38% of the sample. 74% of the women reported family incomes below $8000. 64% had more than 1 child. Only 2 mothers in the sample had attended childbirth classes. 2/3 of the mothers recalled receiving no prior information about labor and delivery procedures and medications. Practices during the 1st few days after delivery indicate that only 20% of the mothers held their babires in the 1st hour after delivery and none of the mothers had the baby rooming in with them. 54% of the babies spent some time in the high risk nursery. This limited the mothers' opportunities to interact with and feed them. Only 3 of the mothers breastfed their babies for any length of time. 2 of them decided to breastfed because that was the best nutrition for the baby, and 1 did so because her mother had breastfed. The most common reasons given for bottlefeeding were not wanting to nurse (43.5%) and inconvenience (26.1%). Only 13% mentioned the necessity of back to school/work as a reason for not breastfeeding. No differences were observed between teenage mothers and older mothers in regard to the reasons for not breastfeeding. Since the number of breastfeeding mothers in this study was too small to permit statistical analysis, only scores for bottlefeeding mothers were compared. Bottlefeeding mothers of the low income group had statistically significant higher mean scores on 3 attitudinal scales: seclusion of the mother, acceleration of development, and mother's covert attitudes toward breastfeeding. Lower scores alone or with their spouses suggest that, when the childrearing responsibility was shared with extended family, mothers tended to be stricter with their children and minimized physical and emotional dependence of the children on them. Mothers who lived with spouses or alone tended to be more nurturing and less strict with their children.     

Perceived stress,life events,dysfunctional attitudes,and depression in adolescent psychiatric inpatients

Hewitt, Flett, and Mosher (1992) examined the factor structure of the Perceived Stress Scale (PSS) and its relation to depression in adult psychiatric patients. This study sought to replicate and extend their findings, using a sample of 203 adolescent psychiatric inpatients. All patients admitted to the adolescent unit in a psychiatric hospital over a 3-year period were administered the PSS, as well as measures of depression, life events, dysfunctional attitudes, and intellectual abilities. Consistent with Hewittet al., two factors were found in the PSS, reflecting perceived distress and perceived coping ability. Regression analyses indicated that, for males, both factors account for independent variance in depression, whereas for females, only the distress factor is related to depression. In addition, for both male and female, dysfunctional attitudes account for significant variance in depression in addition to PSS, but negative life events do not. None of the variables were related to intellectual abilities. Implications for clinical assessment and intervention are discussed.     

Perinatal loss and maternal attitudes toward the subsequent child

Twenty-five mothers who had experienced a previous perinatal loss and a comparison group of 30 nonloss mothers completed the Maternal Attitude Questionnaire (MAQ) and the Maternal Separation Anxiety Scale (MSAS) when their children were 16 months old. The purposes of the study were to describe and evaluate the development of a new measure (the MAQ) and to examine the hypothesis that mothers who experienced a perinatal loss would express (a) more concern about the subsequent child's health, (b) more investment in the child, and (c) heightened concern about maternal-child differentiation/separation in comparison to nonloss mothers. The results showed that the MAQ had good internal consistency. None of the three factors of the MSAS differentiated between the two groups of mothers while two subscales of the MAQ did: (1) Maternal Concern with Child's Health and (2) Maternal Concern with Differentiation. Mothers who had experienced a perinatal loss thus expressed more concerns about their children's physical well-being and more concerns about differentiating from their child than mothers who had not had a perinatal loss.     

Correlations of attitudes toward physician-assisted suicide, death depression, death obsession, and trait anxiety

In a sample of 112 Kuwaiti college students, approval of physician-assisted suicide was not significantly correlated with scores on trait anxiety, death depression, or death obsession.     

Stepmothers and natural mothers: A study of maternal attitudes

The maternal attitudes of 15 natural mothers (M_d age 46) and 15 stepmothers (M_d age 47) were compared. The HerefordParent Attitude Survey was the instrument used to assess differences between the two populations on five scales measuring confidence, causation, acceptance, understanding, and trust. No significant differences were found between the two populations with the exception of the causation dimension (t=2.4840 p<.05), which indicated that stepmothers attribute the problem behavior of the child to genetic and environmental factors while natural mothers accept the influence of the maternal role in the child's problem behavior. It is the authors' opinion that the statistical similarities and differences found between the two samples is a reflection of the common problem they share, that of a child in treatment.     

Nuclear attitudes and reactions: associations with depression, drug use, and quality of life

For 40 years the world has lived with the threat of nuclear war and, recently, with the possibility of nuclear power plant accidents. Although virtually every generation must confront various national or international crises, the threat of nuclear war is unprecedented in its destructive potential. This study is an attempt to assess attitudes and amount of distress associated with the ever-present threat of nuclear war and the possibility of accidents at nuclear power plants. The Nuclear Attitudes Questionnaire (NAQ) consists of 15 items and was administered to 722 young adults who have grown up in the nuclear age. The items were found to reflect four latent factors of nuclear concern, nuclear support, fear of the future, and nuclear denial, all of which in turn represent a second-order construct of nuclear anxiety. Women reported significantly more nuclear concern, less nuclear support, more fear of the future, and less nuclear denial than did men. In latent-variable models, nuclear anxiety was found to be significantly associated with less purpose in life, less life satisfaction, more powerlessness, more depression, and more drug use. It is concluded that the threat of nuclear war and accidents is significantly related to psychological distress and may disturb normal maturational development.     

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.     

Mother and infant affective involvement states and maternal depression

This study shows two different dimensional types of maternal depression, one dull and slow, the other stressed and irritable. When the quality of the infant attachment to mother is assessed, it is noted that the dimensional aspect of the maternal depression can be of some importance in the quality of the attachment. In fact, children are more inclined to develop an insecure–ambivalent attachment to their stressed depressed mothers, while children of slow depressed mothers are more insecure–avoiding. Thus, the dimensions of maternal depression can be an indicator of the type of insecure attachment of the infant at one year of age. We have also found that insecure children of depressed mothers express very little joy in the course of face-to-face interactions. A parallel can be established between the characteristics of the different affective dimensions of the maternal depression, the affective involvement state level of the partners, their synchrony or non-synchrony, the affective expression of the baby, and the type of insecure attachment to the mother. Thus, affective interaction may be an indicator of the child's development, both to assess the interaction and to evaluate the type of attachment shown by the child, indicating that previous interactive patterns have been internalized. © 1997 Michigan Association for Infant Mental Health     

Warmth and contingency and their relationship to maternal attitudes toward parenting

In this study, the authors addressed the question of whether maternal parenting behaviors in terms of sensitivity, warmth, and contingency with respect to small infants were equally represented in attitudes toward parenting. Sixty mothers from central Germany with middle-class socioeconomic backgrounds were videotaped with their 1st born 3-month-old infant in a free-play and a caregiving episode in their home. The different maternal parenting components were behaviorally analyzed. Maternal attitudes toward parenting were assessed with self-report measures. The results showed that behavioral sensitivity was significantly associated with attitudes related to contingency, whereas behavioral warmth and contingency were not associated with maternal attitudes. The authors interpreted differential associations as a reflection of intuitive and explicit parenting strategies, with only sensitivity being explicitly represented.     

Child behavior,maternal depression,and social coercion as factors in the quality of child care

Observational and self-report data were obtained in the homes of 33 mother-child dyads. These volunteer, normal subjects were monitored with respect to their affectionate and aversive interactions, and the mothers were asked to provide three categories of self-report data. Mothers made observational judgments of their children, their own feelings of depression, and the valences of their interactions with adults. Multiple regression analyses were then employed to predict the mothers' child care behaviors, which were composed of observed mother responses and mother observational judgments. In addition, conditional probability analyses were conducted to examine the directionality of correlations between observed mother-child interchanges. Results showed child behavior to be the best single predictor of how the mothers responded to their children, followed by maternal depression and mother coercive interactions with adults. Child behavior was shown to be a significant antecedent cue for the maternal responses. However, the findings also showed that mother observational judgments about their children had little to do with how the children behaved. Rather, the maternal judgments were best predicted by mother depression, mother coercive interchanges with adults, and the mothers' observed aversive responses to their children. Results were interpreted within a systems framework in which maternal care is viewed as a response that is triangulated by adult-and child-produced stimuli.     

Dysfunctional attitudes, self-esteem, and hassles: cognitive vulnerability to depression in children of affectively ill parents

The current study tested the diathesis-stress component of Beck's [(1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row, (1983). Cognitive therapy of depression: New perspectives. In P.J. Clayton, J.E. Barnett (Eds.), Treatment of depression: Old controversies and new approaches (pp. 265-290). New York: Raven Press] cognitive theory of depression in a sample of children between the ages of 6 and 14. We also examined whether high self-esteem buffers cognitively vulnerable youth against experiencing increases in depressive symptoms following increases in hassles. To provide a effective test of hypotheses, an at-risk sample (children of parents with a history of major depressive episodes) and a multi-wave longitudinal design were used. At Time 1, children (n=140) completed measures assessing dysfunctional attitudes, self-esteem, and depressive symptoms. Every 6 weeks for the next year, children completed measures assessing depressive symptoms and hassles. Hierarchical linear modeling analyses indicated that children possessing high levels of dysfunctional attitudes and low levels of self-esteem reported greater elevations in depressive symptoms following elevations in hassles than other children.     

The impact of maternal schooling and occupation on child-rearing attitudes and behaviours in low income neighbourhoods in Cairo,Egypt

This study evaluated how Cairene mothers of low-income neighborhoods with different levels of education and occupational status prepare their preschoolers for the cognitive demands of school. It was hypothesized that educated working mothers act as mediators of their children's learning; endorse less traditional socialization values, believe in earlier developmental timetables, and more frequently show child-rearing behaviors which have been associated with intellectual development in children. Interviews and intelligence tests concerning socialization values and practices were administered to 30 mothers. Overall, the respondents were found to emphasize a controlling, restricting, and protecting style of child rearing. They adopted ideals that include moral education, compliance, agreeableness, passivity, and loyalty. Observation revealed little verbal interaction or stimulation of children. In contrast, educated working mothers expressed belief in earlier developmental timetables and endorsed the less traditional values of stimulating and interacting, subsequently supporting the hypothesis. They were also more positively verbally interacting with their children during the interview compared to nonworking low-educated mothers. Findings underscore the potential benefit of investing in girls' education for the future of their children.     

Dysfunctional attitudes and episodes of major depression: Predictive validity and temporal stability in never-depressed, depressed, and recovered women

In a large, community-based sample of women (N = 750), the authors examined the nature of associations between dysfunctional attitudes and depression. Dysfunctional attitudes were evaluated both as a vulnerability factor for depression and as a consequence of depression. A link was found between past depression and baseline elevations in dysfunctional attitudes that was independent of current subsyndromal symptoms, but intensification of dysfunctional attitudes following prospectively evaluated episodes of depression (depressive "scarring") was not observed. Although baseline dysfunctional attitudes predicted an episode of major depression over 3 years of prospective study, this prediction, considered alone or in interaction with negative life events, was redundant with that offered by history of past depression. Further, no significant prediction was evident for the Dysfunctional Attitude Scale (A. N. Weissman & A. T. Beck, 1978) when the formerly depressed and never-depressed cohorts were considered separately. Implications for cognitive theories are discussed.     

Discrepancies among mother,child, and teacher reports: Examining the contributions of maternal depression and anxiety

The relationship between maternal affective symptomatology and discrepancies in maternal reports of child symptoms, relative to teacher and child reports, was evaluated in a community sample of 188 children ages 9–12 years. Mothers, teachers, and children were administered a structured interview about child psychopathology. In general, mothers reported more child behavior problems than children and teachers, regardless of maternal symptomatology. However, maternal affective symptoms were associated with discrepancies between mothers' and daughters' reports and between mothers' and teachers' reports of girls' externalizing symptoms. Furthermore, mothers who reported high levels of both anxiety and depressive symptomatology tended to report a large number of symptoms that were not confirmed by either their daughters or teachers. Findings are discussed as possible evidence of the role of maternal affective symptomatology in both actual increases in child symptomatology and maternal reporting distortions. Although maternal depressive and anxiety symptoms shared variance in reporting discrepancies, only anxiety explained unique variance. Consistent with previous studies, cross-informant agreement was modest to moderate (r= .16 to .50) and all informants reported more behavior problems in boys than in girls. This work was undertaken with the support of National Institute of Mental Health Grants MH43909 and MH46717.     

Sports ideology,attitudes toward women,and anti-homosexual attitudes

The present work tests the associations of sports ideology with sexist and anti-homosexual attitudes in a sample of 304 college students. It was found that sports ideology is positively associated with sexist and anti-homosexual attitudes, but only among males. Among females only sexist attitudes were associated with negative attitudes toward gays and lesbians. Among males, the link of sports ideology to anti-homosexual attitudes was independent of sexist beliefs. Reciprocal causal influences between sexist attitudes and sports ideology are discussed.