Affective facial expression in sub-clinically depressed and non-depressed mothers during contingent and non-contingent face-to-face interactions with their infants

BackgroundDepression in the postpartum period involves feelings of sadness, anxiety and irritability, and attenuated feelings of pleasure and comfort with the infant. Even mild- to- moderate symptoms of depression seem to have an impact on caregivers affective availability and contingent responsiveness. The aim of the present study was to investigate non-depressed and sub-clinically depressed mothers interest and affective expression during contingent and non-contingent face-to-face interaction with their infant.MethodsThe study utilized a double video (DV) set-up. The mother and the infant were presented with live real-time video sequences, which allowed for mutually responsive interaction between the mother and the infant (Live contingent sequences), or replay sequences where the interaction was set out of phase (Replay non-contingent sequences). The DV set-up consisted of five sequences: Live1-Replay1-Live2-Replay2-Live3. Based on their scores on the Edinburgh Postnatal Depression Scale (EPDS), the mothers were divided into a non-depressed and a sub-clinically depressed group (EPDS score ≥ 6).ResultsA three-way split-plot ANOVA showed that the sub-clinically depressed mothers displayed the same amount of positive and negative facial affect independent of the quality of the interaction with the infants. The non-depressed mothers displayed more positive facial affect during the non-contingent than the contingent interaction sequences, while there was no such effect for negative facial affect.ConclusionsThe results indicate that sub-clinically level depressive symptoms influence the mothers’ affective facial expression during early face-to-face interaction with their infants. One of the clinical implications is to consider even sub-clinical depressive symptoms as a risk factor for mother-infant relationship disturbances.     

Neonatal sex and birth-order effects on behaviors of mothers and temporary caretakers during bottle-feeding

This study examined the effects of neonatal sex and birth order on maternal caretaking patterns for pre-attachment behaviors shown by mothers and instrumental behaviors seen in both mothers and temporary caretakers. Observational category scores were obtained for mothers of 20 newborn infants and for temporary caretakers observed in a 15 min bottle-feeding situation. A repeated measures analysis of variance design was used to partition categories into caretaking classifications and to evaluate the effects of infant sex and birth order. Significant main effects for caretaker (p less than .05) were obtained: six mother-high, pre-attachment categories, and seven mother-low, instrumental behavior categories. Maternal scores sensitive to infant sex and birth order were identified from Caretaker x Sex x Birth Order interactions (p less than .05). Birth order differences affected maternal behaviors directed toward sons more substantially than those directed toward daughters. Mothers held first-born sons upright in tactual contact with the trunk, whereas daughters were held supine on the lap and exposed to frequent maternal smiling.     

Games fathers and mothers play with their infants

Both fathers and mothers successfully engaged their infants one to six months of age in interactive games in a laboratory play situation. Both parents played almost one game per minute with their infants. Mother played more conventional limb movement games and more distal, visual, attention maintaining games while fathers played more proximal, arousing, idiosyncratic limb movement games with their infants. Interactive games with parents even during the first six months of infancy provide differential experiences for the infant. These games may have developmental significance in selectively facilitating the acquisition of social and cognitive skills.     

Effects of early hospital-based intervention on mothers and their preterm infants

Mothers of eight Israeli preterm infants were exposed to a standardized but individualized intervention during their stay in the hospital and before their infants were discharged. Mothers and infants in the intervention group were compared to eight control subjects using various outcome measures. While the intervention did not affect maternal personal attitudes and feelings, it positively affected the mother-infant interactions and mothers' perceptions of their infants. The importance of individualized interventions with parents of preterm infants is discussed.     

Unresolved states of mind, disorganized attachment relationships, and disrupted interactions of adolescent mothers and their infants

The links between unresolved maternal attachment status, disrupted maternal interaction in play situations, and disorganized attachment relationships were examined in a study of 82 adolescent mother-infant dyads. Maternal interactive behavior was measured using the Atypical Maternal Behavior Instrument for Assessment and Classification coding system. Additional rating scales were developed to correspond to the 5 dimensions of disrupted maternal behavior outlined by E. Bronfman, E. Parsons, and K. Lyons-Ruth (1999). A robust association was observed between disrupted maternal behavior and disorganized attachment. Ratings of disrupted maternal behavior revealed that disorganized attachment relationships were strongly related to ratings of fearful/disoriented behavior. Moreover, mothers who were unresolved were more likely than not-unresolved mothers to show disrupted patterns of interaction with their infants. Regression analyses suggested that disrupted behavior statistically mediated the association between unresolved status and disorganized attachment relationships.     

The functional concern of mothers for their infants

The Functional Maternal Concern of mothers for their infants was assessed (with an Index derived from Caldwell's Home Observation for the Measurement of the Environment.) when 36 children, heterogeneous with respect to social status, were 6- and 18-months-old. Scores on this Index were related to the mother's IQ and education, as well as to certain temperamental characteristics of the children: cooperativeness and happiness. The Index proved stable over the time period of 6 to 18 months and yielded better predictability of Stanford Binet scores at 48 months than the Bayley Infant test scores. Moreover, there appears to be a minimal level of maternal concern needed to facilitate the child's development which seems to be especially important for the second year of life.     

Influences on responsiveness: Interactions between mothers and their premature infants

The responsiveness of mothers to their infants has been found to make an important contribution to children's development. Mothers' cognitive ability, emotional state, and life stresses may influence their responsiveness, as may the medical condition of their infants. The patterns of influence may vary between groups of children with different biological risk conditions and should be examined carefully to determine intervention points for different groups. Forty mothers and their 3-month-old (corrected age) infants with intraventricular hemorrhage (IVH) were observed in free play. Mothers' depressive symptoms, cognitive skills, and the degree of infants' IVH were assessed and expected to be influences on mothers' responsiveness. Results indicated that mothers' depressive symptoms and cognitive skills were associated with their responsiveness, but that depressive symptoms were the stronger predictor. Post hoc analyses suggested that socioeconomic status and depressive symptoms may have related effects on mothers' behavior.     

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.     

Affective interactions of depressed and nondepressed mothers and their children

The expressed affect of clinically depressed and nondepressed mothers as measured by the Schedule for Affective Disorders and Schizophrenia: Lifetime Version (SADSL) and their children (1 1/2 to 3 1/2 years) was observed in seminatural situations. The objectives were to investigate how maternal depression enters into affective interactions between mother and child and how the affect patterns of mother and child are related. Fortynine unipolar and 24 bipolar depressed mothers and 45 nondepressed mothers were observed on 2 days, 2 weeks apart, for a total of 5 h. Each minute was coded for the predominant affect of mother and child. Affects relevant to depression (anxioussad, irritableangry, downcast, pleasant, tenderaffectionate) were coded. Depressed mothers expressed significantly more negative affect than did control mothers. Mothers' expressed affect and their selfreports of affect on days of observation were unrelated. Mother's and child's affects, measured on different days, were significantly correlated. Unipolar mothers and mothers severely depressed spent significantly more time in prolonged bouts of negative affect. There was significant synchrony between their bouts and the negative bouts of their daughters. Gender of child was related to mother's and child's affect, and to relations between mother's and child's affect.     

Infants’ expressive behaviors to mothers and unfamiliar partners during face-to-face interactions from 4 to 10 months

Changes in the organization of infant looking, facial expressions, and vocalizations were examined over age (4, 7, and 10 months) and with different social partners. Although infants at all ages accompanied smiling with looking at both mothers and unfamiliar partners, 7- and 10-month infants accompanied vocalization with looking only when they were with mothers. Seven- and 10-month-olds vocalized with unfamiliar partners only when they were smiling at the same time. When mothers stopped talking, infants reduced smiling significantly at all ages, yet vocalized more at 10 months. In the second half of the first year, there are fundamental changes in the coordination of infant expressive behaviors that reveal a keen attunement to variations in maternal behavior and the familiarity of social partners.     

Challenges of home visitor interventions with adolescent mothers and their infants

Issues in designing a home visitor intervention and research program for 130 adolescent mothers, 17 and under, and their infants from birth to 30 months are discussed. The overall project is described, and various aspects of creating and maintaining a home visitor intervention program are discussed, including: (1) Issues and problems that arise with the integration of a home visitor intervention component into an ongoing health department program; (2) the recruitment and training of lay home visitors in the context of arduous, often disheartening work; (3) issues of supervision and quality control faced by the mental health consultants; (4) coping with potential stresses and dangers faced by the home visitors; (5) assisting and maintaining maximum communication for the research components of the study to be successful.     

Interactions between depressed and nondepressed Latina mothers and their premature infants

The impact of depression upon mother–infant interaction was studied longitudinally in a sample of very low income, immigrant Latina mothers with premature, very low birth weight infants. Both maternal characteristics and infant characteristics were examined using a rating scale which measured feeding interactions. Results indicate that mothers who were depressed at one month did not interact differently with their premature infants than nondepressed mothers. In addition, infants of mothers who were depressed at one month did not interact differently with their mothers than infants of nondepressed mothers. There were no differences between groups of mothers who remained depressed across the one-year period and groups whose scores reflected no depression or changes in depression levels. These findings challenge previous assumptions about interactions between depressed mother–infant dyads. Results indicate the need to broaden study attention to include socioeconomic, cultural, and life circumstances of families that may have greater impact on child outcomes than single assessments of maternal depression. Such studies may lead to changes in the way services are delivered and the types of interventions provided to non-mainstream families. © 1997 Michigan Association for Infant Mental Health     

The interactions of hyperactive and normal boys with their fathers and mothers

This study examined the interactions of fathers and mothers with their hyperactive and normal children during both free-play and task periods. Eighteen hyperactive and 18 normal boys were observed interacting separately with their mothers and fathers in a playroom setting. Behavioral observations indicated, with minor exceptions, that fathers and mothers did not differ in their interactions with their sons. Substantial differences were found between hyperactive and normal boys in their parent-child interactions, particularly during the task setting. Hyperactive boys were generally less compliant and their parents more directive than normal parent-child dyads. Methodological problems are discussed that may have precluded the emergence of differences between mothers and fathers in their interactions with their sons.     

Emotional availability and attachment representations in kibbutz infants and their mothers.

Three components of the attachment transmission model were examined in 48 kibbutz dyads from 2 kibbutz sleeping arrangements: communal and home-based. Concurrent assessments used the Strange Situation procedure (M. D. Ainsworth, M. C. Blehar, E. Waters, & S. Wall, 1978) for infants' attachment relations, the Adult Attachment Interview (C. George, N. Kaplan, & M. Main, 1985) for mothers' attachment representations, and the Emotional Availability Scales (Z. Biringen, J. L. Robinson, & R. N. Emde, 1993) for emotional availability in the dyads. Security of infants' attachment relations as well as autonomy of mothers' attachment representations were associated with higher emotional availability scores. In addition, significantly poorer emotional availability was found in dyads in which infants were insecurely attached and mothers were nonautonomous. Results also indicate that in the ecology of collective sleeping, the associations between the experience of emotional availability in the dyads and infants' and mothers' attachment may have been disrupted.     

Psychological factors, immunocompetence, and health of breast-feeding mothers and their infants

We investigated whether the use of humor as a coping device and psychological hardiness were related to IgA levels in the saliva and breast milk of mothers, and if these factors were related to the incidence of upper respiratory infection (URI) in the mothers and their newborns. Nineteen mothers volunteered to participate and met the qualifications; however, only 17 completed all phases of the study. Prior to the birth of their child, mothers filled out demographic questionnaires and the psychological inventories. Saliva and milk samples were taken within 1 week after delivery, and follow-up questionnaires were mailed out 2 months after delivery. Coping humor was inversely related to URI incidence in both the mothers and the infants. Hardiness was directly related to coping humor and inversely related to URI incidence in the infants. Older mothers had higher coping humor and hardiness scores and fewer URIs in themselves and their infants.