Minor illness and social behavior of infants and caregivers

Fourteen infants attending day care were observed during the first year of life when well and during acute minor illnesses. Comparisons of behavior during 46 afebrile illnesses and a like number of well observations revealed no differences in infant or caregiver behavior. During 24 febrile illness observations, however, infants moved less, contacted toys less, were in closer proximity to teachers, cried more, and looked at teachers more. During a subset of these febrile illnesses, in which teachers recognized that infants were ill, teachers vocalized, gave toys, looked at, touched, held, and fed infants more than when infants were well. Analysis of teacher behavior during infant crying demonstrated that infant cries played an important role in eliciting social responses from teachers during febrile illness. These results suggest that both caregiver perception of illness state and illness-induced changes in infant behavior contribute to increased sociability by caregivers during acute febrile illness.     

A novel two-body sensor system to study spontaneous movements in infants during caregiver physical contact

Spontaneous movements, which refer to repetitive limb movements in the absence of any external stimulus, have been found to be reflective of neurodevelopmental status during infancy. These movements are modulated by both individual and environmental factors, including physical contact (holding) with the caregiver. However, it is a challenge to measure spontaneous movements during physical contact because infant-generated movements become coupled with caregiver-generated movements in such contexts. Here, we propose the use of a novel two-body sensor system to distinguish infant-generated movements in the presence of physical contact with the caregiver. Data from seven typically developing infants and their caregivers were recorded during different simulated home activities, which involved different combinations of physical interaction, caregiver’s movement and infant positions. The two-body sensor system consisted of two wearable accelerometers – one placed on the infant’s arm and one on the caregiver’s arm, and we developed a Kalman-filter based algorithm to isolate the infant-generated movements. In addition, video was recorded for qualitative analysis. Results indicated that spontaneous movement activity was higher when there was no physical contact with caregiver. When there was physical contact, spontaneous movements were increased when the caregiver was still and when the infant was held horizontally. These results show that the novel two-body sensor system and the associated algorithms were able to isolate infant-generated movements during physical contact with the caregiver. This approach holds promise for the automated long-term tracking of spontaneous movements in infants, which may provide critical insight into developmental disorders.     

Longitudinal changes in term and preterm infant night wakings: The role of caregiver anxious-depression

Changes in infant night waking during the first year of life are associated with individual (e.g., prematurity) and family (e.g., caregiver psychopathology) factors. This study examined the association between infant night waking and caregiver anxious-depressive symptoms during the first year of life in preterm and term infants. We considered between-person differences and within-person changes in caregiver anxious-depressive symptoms in relation to changes in infant night waking from 2- to 9-months. Racially (30.0% Black, 60.4% White, 9.5% multiracial/other) and socioeconomically (40.0% below median household income) diverse caregivers (N = 445) of full term (n = 258) and preterm (n = 187) infants were recruited from hospitals and clinics in two midwestern states. Caregivers completed measures of anxious-depression and their infant's night waking at four sampling periods (2-, 4-, 6-, and 9-months). Infant night wakings declined from 2- to 9-months. Between-person differences were observed, such that caregivers with higher average anxious-depressive symptoms or infants born full term reported more night wakings. Within-person effects of caregiver anxious-depressive symptoms were not significant. Caregiver anxious-depression is closely associated with infant night wakings. By considering a caregiver's average severity of anxious-depression, healthcare providers can more effectively plan infant sleep interventions. If caregiver anxious-depressive symptoms are ameliorated, night wakings may also decrease.     

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.     

Neonatal responsiveness as a function of maternal contact and obstetrical drugs

This work was designed to study changes in neonatal behavior during the first two days of life. Infants in Part I were from middle-class backgrounds. Half of these infants had unrestricted maternal contact during the first two days of life, the other half had contact with their mothers only at feeding time. Infants in Part II were from low socio-economic backgrounds. They were cared for entirely by the nursery staff during the first two days of life, so that differences in maternal style did not affect their behavior. Half of these babies were born to mothers who received 50 mg meperidine during labor, half to mothers who received no meperidine. This work provided evidence for the sensitivity of the neonate during the first two days of life. Both those infants who received unrestricted maternal contact and those whose mothers had received no obstetrical drugs exhibited more behavioral change than those who received low maternal contact or whose mothers had received meperidine during labor. High maternal contact and absence of obstetrical drugs also resulted in increased sensitivity to some environmental stimuli.     

Attention-getting vs. imitation effects on depressed mother-infant interactions

The effects of instructing mothers to “imitate” their infant versus “keep their infant's atten tion” were examined during mother-infant face-to-face interactions of 18 mothers reporting depressive symptoms as compared with 22 mothers who did not report such symptoms. Mothers were generally rated as showing more positive facial expressions and more game playing (particularly the depressed mothers) during the attention-getting versus the imitation sessions. The infants received more optimal physical ac tivity, and facial expression ratings during attention getting, and the infants of depressed mothers, in par ticular, showed more positive facial expressivity and more joy expressions. As might be expected for the imitation condition, mothers showed more imitative behavior, contingent responsivity, and silence during gaze aversion. Infants generally showed more disinterest and self-comfort behaviors, and the infants of depressed mothers, in particular, showed more anger expressions, fussiness, and squirming during the imitation condition. The data suggest that the attention-getting condition was the most effective “intervention” for eliciting positive behavior in the depressed mother-infant dyads.     

Wearable strain sensor suit for infants to measure limb movements under interaction with caregiver

Development of motion capture technology has enabled the measurement of body movements over long periods of time in daily life. Although accelerometers have been used as primary sensors, problems arise when they are used to measure the movements of infants. Because infants and caregivers interact frequently, accelerometer data from infants may be significantly distorted by a caregiver’s movement. To overcome this problem, a strain sensor suit was developed for infants to measure flexion and extension movements of the limbs. A case study was performed to analyze the strain sensor data of an infant in relation to the accelerometer data of the infant’s and a caregiver’s body under various types of infant–caregiver interaction. The results demonstrated that the strain sensor data had low correlation with the accelerometer data of the infant and caregiver while the accelerometer data between infant and caregiver had higher correlation. This suggests that the strain sensor is suitable to detect limbs’ angular displacements mostly independent from the translational body movements exerted by a caregiver.     

Assessing the social behavior of infants: Use of the ADBB Scale and relationship to mother's mood

Infants can show a range of social behavior when interacting with their main caregiver. Previous work has demonstrated that when the caregiver is depressed, the infant may demonstrate withdrawn behavior not only to this person but also to others. This pilot study used a relatively new assessment tool, the Alarme Distress de Bebe Scale (ADBB; Guedeney and Fermanian, 2001), to assess the social behavior of 44 infants during a routine physical checkup. Results indicated that withdrawn infant social behavior to the clinician was related to the mother's report of whether she had felt more irritable, sad, anxious, or depressed since the birth, but not to her current mood as rated by her score on the Edinburgh Postnatal Depression Scale (Cox, Holden & Sagovsky, 1987). The psychometric properties of the ADBB also were explored. The findings are further evidence for the need to screen for mood difficulties in women with infants not just by focusing on a woman's current mood but also her mood since the infant's birth.     

Randomized controlled trial of a prenatal focused coparenting consultation for unmarried black fathers and mothers: One-year infant and family outcomes

In the infant mental health field, scant conceptual attention has been given to coparenting and family adaptations of non-white family systems, with no evidence-based, community-informed coparenting interventions responsive to unmarried Black mothers’ and fathers’ life circumstances. This study examined 1-year post-partum child and family outcomes of a novel, modest dosage (six sessions) prenatal focused coparenting consultation (FCC) using randomized controlled trial methodology. One-hundred-thirty-eight expectant families (one or both parents identified as Black/African American) were randomized to an intervention (N = 70) or treatment-as-usual (TAU; control) condition (N = 68). TAU families received navigational support in accessing existing community services for pregnant families. Intervention families received TAU plus 6 dyadic FCC sessions led by a Black male-female Community Mentor team. When infants were three and 12 months old, parents reported on coparenting, father engagement, interparental aggression, depressive symptoms, and infant social and emotional adjustment. Intent-to-treat analyses focusing on 12-month post-partum data indicated significant intervention effects on coparenting, interparental psychological aggression, and infants’ emotional adjustment. Improvement was also seen in depression and father engagement, with gains for both groups. Results suggest FCC delivered by same-race Community Mentors to unmarried Black coparents transitioning to parenthood supports infant and family adaptation during the first year of life.     

Developmental stimulation in child care centers contributes to young infants’ cognitive development

This study examined whether the quality of caregiver behavior in child care centers contributes to infant cognitive development at 9 months of age. Sixty-four infants (34 boys) were observed with their primary caregivers in child care centers at 3, 6, and 9 months of age. Caregiver behavior was rated for sensitivity and for stimulation of infant development during one-to-one caregiving interactions. Infant cognitive development was assessed using the Bayley Scales of Infant Development-II (Mental Development Index). Higher levels of developmental stimulation in the centers predicted higher levels of infant cognitive development at 9 months, beyond infant cognitive development at 3 months (just before entering child care), parental education, and maternal sensitivity. The results suggest that even small increases in developmental stimulation provided in child care centers in the first year of life may foster infants’ cognitive development.     

Reflection in thought and action: Maternal parenting reflectivity predicts mind‐minded comments and interactive behavior

Recent research has identified mothers' mental reflective functioning and verbal mind‐minded comments as important predictors of subsequent infant attachment security. In the present study, we examine associations between mothers' (N = 95) parenting reflectivity expressed in an interview and observed parenting behavior, including verbal mind‐minded comments and interactive behavior during interaction with their 7‐month‐old infants. Parenting reflectivity was coded from the Working Model of the Child Interview. Maternal behavior was assessed via observations of mother–infant interaction during free play and structured teaching tasks. Both maternal appropriate mind‐minded comments as well as other indicators of maternal interactive behavior were coded. Parenting reflectivity was positively correlated with mind‐minded comments and behavioral sensitivity. Hierarchical multiple regression analyses indicated that parenting reflectivity contributed to maternal behavior beyond the contributions of mothers' educational status and depression symptoms. Discussion emphasizes the importance of individual differences in parental capacity to accurately perceive and mentalize their infants' experience, and the consequences of these differences for caregiving behavior.     

Mental health consultation in infant day care: A new frontier of prevention

This paper deals with the mental health aspects of infant day care emphasizing that mental health input into the design, implementation and ongoing supervision/evaluation of the majority of day care programs is minimal at the present time. The author proposes the following three criteria by which the adequacy of mental health input in a day care program could be judged: 1) ongoing mental health consultation to the caregiver staff on a weekly basis and by the same clinician(s), 2) assignment of primary caregivers to the infants, 3) periodic naturalistic observations of the infants to be recorded and discussed by the caregivers. The author postulates that consultation to the caregiver staff of infant day care programs represents the opportunity to establish a new frontier of prevention. Therefore, the mental health profession should consider it a goal that every infant day care setting would have a mental health clinician as a consultant. The methods, preventive functions and manpower aspects of such consultation work is discussed.     

Infants’ behaviours elicit different verbal,nonverbal, and multimodal responses from caregivers during early play

Caregivers use a range of verbal and nonverbal behaviours when responding to their infants. Previous studies have typically focused on the role of the caregiver in providing verbal responses, while communication is inherently multimodal (involving audio and visual information) and bidirectional (exchange of information between infant and caregiver). In this paper, we present a comprehensive study of caregivers’ verbal, nonverbal, and multimodal responses to 10-month-old infants’ vocalisations and gestures during free play. A new coding scheme was used to annotate 2036 infant vocalisations and gestures of which 87.1 % received a caregiver response. Most caregiver responses were verbal, but 39.7 % of all responses were multimodal. We also examined whether different infant behaviours elicited different responses from caregivers. Infant bimodal (i.e., vocal-gestural combination) behaviours elicited high rates of verbal responses and high rates of multimodal responses, while infant gestures elicited high rates of nonverbal responses. We also found that the types of verbal and nonverbal responses differed as a function of infant behaviour. The results indicate that infants influence the rates and types of responses they receive from caregivers. When examining caregiver-child interactions, analysing caregivers’ verbal responses alone undermines the multimodal richness and bidirectionality of early communication.     

Socially guided attention influences infants’ communicative behavior

For effective prelinguistic communication, infants must be able to direct their attention, vocalizations, and nonverbal gestures in social interactions. The purpose of our study was to examine how different styles of caregiver responses influenced infant attentional and communicative behavior in social interactions, based on prior studies that have shown influences of responsiveness on attention, language and cognitive outcomes. Infants were exposed to redirective and sensitive behavior systematically using an ABA design to examine real-time changes in infants’ behavior as a function of caregiver responses. During the two baseline “A” periods, caregivers were instructed to play as they would at home. During the social response “B” period, caregivers were instructed to respond sensitively to infants’ behavior on one visit and redirectively on the other visit. Results demonstrated that when caregivers behaved redirectively, infants shifted their attention more frequently and decreased the duration of their visual attention. Caregiver responses also resulted in changes in vocal and gesture production. Infants decreased their production of caregiver-directed vocalizations, gestures, and gesture-vocal combinations during in the redirective condition. Results suggest that caregiver sensitive responding to infants’ attentional focus may be one influence on infants’ attentional and prelinguistic communicative behavior.     

On the association of interparental conflict with developing behavioral inhibition and behavior problems in early childhood.

Associations between interparental conflict and the development of temperament characteristics have seldom been addressed; moreover, studies on the impact of interparental conflict on developing behavior problems in infancy and early childhood are relatively rare. The authors therefore aimed to contribute to the study of these issues. A sample of 64 families was investigated longitudinally. At the infant age of 4 months, negative emotionality was measured with a laboratory routine. When infants were 4, 8, and 12 months old, maternal sensitivity was assessed during home observations, and interparental conflict was measured by means of questionnaires. When infants were 30 months old, behavioral inhibition was measured in 2 laboratory fear episodes, and behavior problems were assessed with a structured clinical interview of the primary caregiver. Interparental conflict and infant negative emotionality were significantly and independently associated with subsequent behavioral inhibition. The association of interparental conflict with behavior problems was moderated by infant negative emotionality. Infants high in negative emotionality developed more serious behavior problems when exposed to high interparental conflict, whereas the association was not significant in infants low in negative emotionality.     

Social touch alters newborn monkey behavior

In humans, infants respond positively to slow, gentle stroking—processed by C-tactile (CT) nerve fibers—by showing reductions in stress and increases in eye contact, smiling, and positive vocalizations. More frequent maternal touch is linked to greater activity and connectivity strength in social brain regions, and increases children’s attention to and learning of faces. It has been theorized that touch may prime children for social interactions and set them on a path towards healthy social cognitive development. However, less is known about the effects of touch on young infants’ psychological development, especially in the newborn period, a highly sensitive period of transition with rapid growth in sensory and social processing. It remains untested whether newborns can distinguish CT-targeted touch from other types of touch, or whether there are benefits of touch for newborns’ social, emotional, or cognitive development. In the present study, we experimentally investigated the acute effects of touch in newborn monkeys, a common model for human social development. Rhesus macaques (Macaca mulatta), like humans, are highly social, have complex mother-infant interactions with frequent body contact for the first weeks of life, making them an excellent model of infant sociality. Infant monkeys in the present study were reared in a neonatal nursery, enabling control over their early environment, including all caregiver interactions. One-week-old macaque infants (N = 27) participated in three 5-minute counter-balanced caregiver interactions, all with mutual gaze: stroking head and shoulders (CT-targeted touch), stroking palms of hands and soles of feet (Non-CT touch), or no stroking (No-touch). Immediately following the interaction, infants watched social and nonsocial videos and picture arrays including faces and objects, while we tracked their visual attention with remote eye tracking. We found that, during the caregiver interactions, infants behaved differently while being touched compared to the no-touch condition, irrespective of the body part touched. Most notably, in both touch conditions, infants exhibited fewer stress-related behaviors—self-scratching, locomotion, and contact time with a comfort object—compared to when they were not touched. Following CT-targeted touch, infants were faster to orient to the picture arrays compared to the other interaction conditions, suggesting CT-targeted touch may activate or prime infants’ attentional orienting system. In the No-touch condition infants attended longer to the nonsocial compared to the social video, possibly reflecting a baseline preference for nonsocial stimuli. In contrast, in both touch conditions, infants’ looked equally to the social and nonsocial videos, suggesting that touch may influence the types of visual stimuli that hold infants’ attention. Collectively, our results reveal that newborn macaques responded positively to touch, and touch appeared to influence some aspects of their subsequent attention, although we found limited evidence that these effects are mediated by CT fibers. These findings suggest that newborn touch may broadly support infants’ psychological development, and may have early evolutionary roots, shared across primates. This study illustrates the unique insight offered by nonhuman primates for exploring early infant social touch, revealing that touch may positively affect emotional and attentional development as early as the newborn period.     

Behavior of neonates exposed in utero to methadone as assessed on the Brazelton scale

Twenty-nine infants exposed in utero to methadone and 37 comparison infants were examined on the Neonatal Behavioral Assessment Scale at early and late neonatal ages. All infants were full-term at birth, over 2500 g, and not yet circumcised at the early assessment. None of the methadone-exposed infants were breast-fed or were being treated pharmacologically for withdrawal. During the first week of life, methadone-exposed neonates differed from comparison ones in motoric behavior. Relative to comparison-group infants, they were jerkier and more tremulous, tense, active, and better able to put hand in mouth. By the end of the first month these differences diminished, although there was still a tendency for the methadone-exposed infants to have elevated body tonus. Neither perinatal complications, birth weight, nor sex of infant could explain the early neonatal differences between the methadone and comparison groups. Past the early stage of acute withdrawal, neonates exposed prenatally to methadone behave not unlike their nonexposed peers.     

Maternal mind-mindedness over infants’ first three months

Maternal mind-mindedness refers to mothers’ ability to reflect upon their infants’ mental states and respond appropriately. The present study assessed mind-mindedness longitudinally from the newborn period to the infant age of three months. The study is the first to assess maternal mind-mindedness in the infant’s early life prior to three months (one week, one month, two months, three months). To measure maternal mind-mindedness, mothers’ speech to their infants is coded for mental state comments about the infants’ thoughts, desires, and emotions. Appropriate mind-minded comments are judged to accurately reflect the infants’ mental states; non-attuned mind-minded comments are judged to misinterpret the infants’ mental states. Mothers’ individual stability (rank order stability) and group level continuity (mean level of stability across the infant ages) were assessed. Mothers showed modest temporal stability in both appropriate and non-attuned mind-mindedness over the infants’ first three months. The continuity of mind-mindedness showed that appropriate mind-mindedness increased over the infant ages, but non-attuned mind-mindedness showed no change. In infants’ early lives, mothers’ ability to accurately interpret their infants’ mental states is enhanced as the mother-infant relationship develops and infants become more communicative partners.     

The effect of mother–infant skin-to-skin contact on infants’ response to the Still Face Task from newborn to three months of age

The effect of mother–infant skin-to-skin contact on infants’ developing social expectations for maternal behavior was investigated longitudinally over infants’ first 3 months. Infants with and without skin-to-skin contact engaged with their mothers in the Still Face Task at ages 1 week, 1 month, 2 months, and 3 months. Infants with skin-to-skin contact began responding to changes in their mothers’ behavior with their affect at 1 month; infants without skin-to-skin contact did so at 2 months. At 3 months, infants with skin-to-skin contact increased their non-distress vocalizations during the still face phase, suggesting social bidding to their mothers. Skin-to-skin contact accelerated infants’ social expectations for their mothers’ behavior and enhanced infants’ awareness of themselves as active agents in social interactions.     

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.