Early manifestations of childhood depression: influences of infant temperament and parental depressive symptoms

In this longitudinal study, 83 parents of infants between 3 and 12 months completed questionnaires assessing demographic information, infant temperament, and maternal depression. When these children were at least 18 months of age, parents completed follow‐up questionnaires assessing toddler temperament and depression‐like symptoms. We were primarily interested in the contributions of infant temperament and maternal depression to toddler depressive problems, and the analytic strategy involved controlling for toddler temperament in order to isolate the influence of infancy characteristics. The findings indicated that lower levels of infant regulatory capacity and greater severity of maternal depression were predictive of toddler depression‐like symptoms. Moderator effects of infant temperament were also examined, with the negative affectivity * maternal depression interaction emerging as significant. Follow‐up analyses indicated that the risk for early manifestations of depression was attenuated for children with lower negative affectivity in infancy and parents who reported lower levels of their own depressive symptoms; conversely, children exhibiting higher infant negative emotionality had higher levels of depression‐like symptoms as toddlers, regardless of their parents' level of depression. The present findings further suggest that parental depressive symptoms need not be ‘clinically significant’ to predict toddler affective problems. Copyright © 2008 John Wiley & Sons, Ltd.     

Mother–toddler attachment in a paediatric setting: Presentation and validation of the Paediatric Attachment Style Indicator

The paediatric examination with immunization is a stressful event for toddlers. Its characteristics are close to the classic “Strange Situation”: a perceived threat, which activates the attachment system, a stranger, and an unfamiliar environment. As such, it can be used as a natural situation to assess the quality of the mother–child attachment, on one hand to manage the stress of the toddler during the paediatric examination, and on the other to screen for relationship disturbances. To this end, we have developed a specific coding instrument, the Paediatric Attachment Style Indicator (PASI), which allows classification of infant and toddler behaviour in the paediatric examination as secure, anxious–avoidant, or anxious–ambivalent. This article presents the PASI instrument and its validation. Paediatric examinations (N = 41 mother and toddler dyads) were videotaped during a booster session of the regular immunization schedule for toddlers in Switzerland. Results of the PASI coding were compared with other methods of direct observation of emotional behaviour of the toddler (distress signals) and of the mother (verbal behaviours), with the information given by the mother to the toddler before the examination, and with the assessment of temperament of the toddler by the paediatrician. Results show good face validity and construct validity for the instrument.     

DEVELOPMENT OF THE PARENT‐CHILD PLAY SCALE FOR USE IN CHILDREN WITH FEEDING DISORDERS

The Parent‐Child Play Scale was developed as a scale that complements the Parent‐Child Feeding Scale, created by I. Chatoor et al. (1997), to evaluate mother–infant/toddler interactions in two different caregiving contexts of a young child's everyday life, specifically play and feeding. This Play Scale can be used with infants and toddlers ranging in age from 1 month to 3 years and provides reliable global ratings of mother–child interactions during 10 min of videotaped free‐play in a laboratory setting. The scale consists of 32 mother and infant/toddler interactive behaviors which are rated by trained observers from videotaped observations. Four subscales are derived: Dyadic Reciprocity, Maternal Unresponsiveness to Infant's/Toddler's Cues, Dyadic Conflict, and Maternal Intrusiveness. Construct validity and interrater and test‐retest reliability of the Play Scale have been demonstrated. This Play Scale discriminates between children with and without feeding disorders as well as between children with different subtypes of feeding disorders as defined by the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, Revised (DC:0–3R) (Feeding Disorder of State Regulation, Feeding Disorder of Caregiver‐Infant Reciprocity, and Infantile Anorexia). It can be used for research or clinical practice in the diagnosis and treatment of early feeding problems, to assess the pervasiveness of mother–infant/toddler difficulties and to monitor changes following therapy.     

Reformulating infant and toddler social competence with peers

Efforts to identify children at risk for social and academic difficulties at an early age have begun to apply conceptualizations of social competence with peers from childhood to infancy and toddlerhood. These attempts have had limited success, in part because social behaviors studied in later childhood such as negative or aggressive acts may not capture relevant dimensions of social competence with peers during the infant and toddler years. The present study conducted an exploratory factor analysis to begin developing a conceptualization of social competence with peers that is appropriate for use with infants and toddlers, and that captures individual differences capable of predicting later social functioning. Results indicate three dimensions of infant and toddler social competence with peers: peer sociability, active peer refusal, and passive peer avoidance. Negative and aggressive behaviors loaded on each of the three factors rather than emerging as a unique dimension of social competence. Each factor demonstrated both convergent and predictive validity, indicating that early identification of social skills remains a reasonable goal for practitioners and researchers alike. Finally, antecedents within children, families, and out-of-home child care environments helped to explain individual variability in each of these three factors of social competence with peers.     

Form is easy,meaning is hard: resolving a paradox in early child language

A developmental paradox is discussed: studies of infant processing of language and language-like stimuli indicate considerable ability to abstract patterns over specific items and to distinguish natural from unnatural English sentences. In contrast, studies of toddler language production find little ability to generalize patterns over specific English words or constructions. Thus, infants appear to be abstract auditory or language processors whereas toddlers appear to be non-abstract, item-specific language users. Three resolutions are offered to this paradox. The first, that no resolution is necessary because only the toddler findings come from language use in a communicative context and so only the toddler findings are relevant to linguistic knowledge, is rejected. The second, that the contradictions are rooted in the differing methodologies of the two sets of studies (comprehension vs. production), is found to explain important aspects of the contradictory findings. The third, that the contractions come from the differing content of the stimuli in the studies, is also found to be explanatory and is argued to carry greater weight. Resolution 3 suggests that the patterns that infants extract from their linguistic input are not yet tied to meaning; thus, toddlers do not lose these earlier-abstracted forms but their use of them is limited until they have been integrated with meaning. It is argued that in language acquisition, learning form is easy but learning meaning, and especially linking meanings and forms, is hard.     

What about the babies? A critical review of infants’ and toddlers’ absence in homelessness scholarship

Rates of family homelessness continue to reach unprecedented levels. As many as two million young children experience family homelessness each year, with an estimated one in 10 younger than one year old. Yet, despite their high prevalence, a dearth of studies have specifically investigated infants’ and toddlers’ experiences of homelessness. Overall, the available literature suggests homeless infants and toddlers experience increased risk to physical health, development, and well-being at an individual- and family-level. This presents a severely limited understanding of homeless infants’ and toddlers’ experiences, with substantial gaps remaining. This review documents the scant existing literature on infant and toddler development within the context of homelessness at both the individual and family-system levels, and proposes next steps for research, practice, and policy.     

Toddler peer interaction in mixed-age groups

Toddler preference for different age playmates was investigated. Thirty toddlers, aged 16 to 23 months, were observed in family day care homes. Each subject had access to both same-age and older peers. Results indicate that toddlers preferred 2-year-olds compared to same-age peers. Toddlers watched preschoolers more often than same-age peers. Toddlers also used more imitation and language in their play with 2-year-olds compared to other age peers. Features of the caregiving environment were also assessed. Higher levels of arousal and motion were associated with more elaborate peer interaction. These findings support the notion that partner age and the caregiving environment can influence toddler social interaction.     

Emerging effortful control in toddlerhood: the role of infant orienting/regulation, maternal effortful control, and maternal time spent in caregiving activities

Latent growth modeling (LGM) was used to examine the contribution of changes in infant orienting/regulation (O/R) to the emergence of toddler effortful control (EC), the contributions of maternal EC to the development of infant O/R and the emergence of toddler EC, the influence of maternal time spent in caregiving activities on toddler EC and the slope of infant O/R, and the contribution of maternal EC to subsequent maternal time spent in caregiving activities. Mothers from 158 families completed a self-report measure of EC when their infants were 4 months of age, a measure of infant O/R when their infants were 4, 6, 8, 10, and 12 months of age, and a measure of toddler EC when their children reached 18 months of age. Information concerning maternal time spent in various interactive caregiving activities was collected when infants were 6 months old. Results indicated higher maternal EC predicted interindividual differences in the intercept (i.e., higher intercepts), but not slope, of infant O/R and that higher maternal EC, higher infant O/R intercept, and higher infant O/R slope contributed to higher toddler EC. Furthermore, higher maternal EC predicted greater maternal time spent in interactive caregiving activities with their infants and greater maternal time in interactive caregiving with infants also contributed to higher toddler EC after controlling for maternal EC. These findings contribute to the understanding of the influence of maternal EC, directly and through caregiving, on toddler EC. Additional implications as they are related to early developing regulatory aspects of temperament are discussed.     

Can Toddlers Learn Vocabulary from Television? An Experimental Approach

This study was inspired by the rise in television targeting toddlers and preverbal infants (e.g., Teletubbies, Baby Mozart). Overall, we investigated if very young children who are in the early stages of language acquisition can learn vocabulary quickly (fast map) from television programs. Using a fast mapping paradigm, this study examined a group (n = 48) of toddlers (15–24 months) and their ability to learn novel words. Utilizing a repeated measures design, we compared children's ability to learn various novel words in 5 different conditions. These included the presentation and identification of a novel word by an adult speaker via live presentation when the toddler was attending (i.e., joint reference), an adult via live presentation when the toddler was not attending, an adult speaker on television, and an edited clip from a children's television program (Teletubbies). Overall, the toddlers were most successful in learning novel words in the joint reference condition. They were significantly less successful in the children's program condition. Furthermore, there was a significant interaction between age and condition on children's performance. Both younger (15–21 months) and older (22–24 months) participants identified the target objects when they were taught the novel word by an adult speaker; however, it appeared that children under the age of 22 months did not identify the target item when they were taught the novel word via the television program.     

Toddlers' Social Behaviors in Dyads and Groups

Although toddlers are clearly capable of interacting with peers, the amount and type of interactions among toddlers is controversial. Objectives of the present study were (a) to determine the effect of dyad versus group settings on the amount and type of social behaviors with peers, (b) to determine preference for interacting with peers versus adults, and (c) to determine differences in the types of behaviors directed to peers and adults. Sixteen children (with a mean age of 27 months) were observed in both a group setting and a dyad setting; their mothers were present in both settings. The children were from three different toddler classes, each meeting once a week. Specific social behaviors were coded, as well as the person to whom the behavior was directed (i.e., peer or adult). Setting affected toddlers' behaviors with adults but not behaviors with peers. Regardless of setting, toddlers preferred interacting with adults. The types of behaviors directed to peers and adults differed. Direct interactions with peers were rare, but interest and awareness of peers was shown by moderately high levels of proximity and parallel play. The use of different criteria to define social play appears to account for differences across studies in the amount of peer interaction.     

BEHAVIORAL ASSESSMENT FOR PEDIATRIC INTENSIVE CARE UNITS1

Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.     

Parents' perceptions of their infant's day care experience

Parents of infants who had been enrolled in a day-care center were asked to evaluate their day-care experience as well as their children's current development status. In general, parent evaluations provided strong support for day care as an effective means of supplementary infant care. When dissatisfaction with day care was expressed, it focused on matters pertaining to infant health, physical resources of the center, parent involvement in center activities, and caregiver-infant ratios. Parents perceived their children to be advanced in competence skills relative to their peers. With few exceptions, parents viewed group day care as the most desirable type of supplementary infant care, but only if high-quality staff and programs could be assured.     

Maternal self‐efficacy beliefs,competence in parenting,and toddlers' behavior and developmental status

This study was designed to examine parenting self‐efficacy beliefs as correlates of mothers' competence in parenting toddlers and as predictors of toddlers' behavior and development. Sixty‐eight predominantly middle‐class mother–toddler pairs participated in this study. Mothers completed questionnaires, toddlers were administered the Bayley Scales of Infant Development (BSID‐II), and each dyad participated in the Crowell Procedure, which is designed to observe parent and toddler behaviors in a semistructured laboratory context. Although domain‐general and domain‐specific parenting self‐efficacy beliefs were not associated with parenting competence, domain‐specific beliefs were significantly related to toddlers' scores on the Mental Scale of the BSID‐II and several behaviors observed during the Crowell Procedure (Affection Towards Mother, Avoidance of Mother, Compliance, Enthusiasm, and Negativity). Implications of the findings are discussed. ©2003 Michigan Association for Infant Mental Health.     

Building Meaningful Parasocial Relationships Between Toddlers and Media Characters to Teach Early Mathematical Skills

Very young children have difficulty transferring what they view onscreen to their offscreen worlds. This study examined whether familiarizing toddlers with a character would improve toddlers' performance on a subsequent seriation task. Toddlers were randomly assigned to one of three conditions: (1) a familiarized character condition where toddlers viewed character-based videos and engaged in character-based play over a 3-month period before viewing the seriation video demonstration; (2) an unfamiliarized character condition where the toddler only saw the seriation video demonstration; and (3) a no-exposure control group where the toddler did not see the seriation video demonstration or have any involvement with the character. All toddlers were tested on the same seriation task at age 21 months, with the familiarized character group beginning the study at age 18 months and the other groups participating only at age 21 months. Toddlers in the familiarized character condition, but not the unfamiliarized character condition, completed the seriation task significantly better than the no-exposure control group. Within the familiarized character condition, toddlers who nurtured the character during play subsequently had higher seriation scores. The results suggest that meaningful relationships with media characters can help toddlers learn early mathematical skills.     

Caregiver behavior in center and family day care

In an effort to examine relationships between variations within day care settings and adult caregiving behaviors the social experiences of 40 toddlers and their caregivers in family and center care were systematically observed. Caregivers were interviewed and conditions of caregiving recorded. Caregivers in both settings with fewer children in their care, who worked shorter hours, with less housework responsibilities engaged in more facilitative social stimulation, expressed more positive affect, were more responsive, and less restrictive and negative. Family day care caregivers who worked in spaces specifically designed to be safe and appropriate for children were less restrictive of toddler activity. Adult-child ratio and caregiver training appeared to be the best indicators of quality care in center day care, while a safe and appropriate caregiving environment and small groups appeared as quality indicators in family day care.     

Not your mother's view: the dynamics of toddler visual experience

Human toddlers learn about objects through second-by-second, minute-by-minute sensory-motor interactions. In an effort to understand how toddlers' bodily actions structure the visual learning environment, mini-video cameras were placed low on the foreheads of toddlers, and for comparison also on the foreheads of their parents, as they jointly played with toys. Analyses of the head camera views indicate visual experiences with profoundly different dynamic structures. The toddler view often consists of a single dominating object that is close to the sensors and thus that blocks the view of other objects such that individual objects go in and out of view. The adult view, in contrast, is broad and stable, with all potential targets continually in view. These differences may arise for several developmentally relevant reasons, including the small visuo-motor workspace of the toddler (short arms) and the engagement of the whole body when actively handling objects.     

Observing,playing and supporting development: Anna Freud’s toddler groups past and present

This paper describes an approach to working therapeutically with parents and toddlers in groups as practiced at the Anna Freud Centre. By intervening early to prevent later disturbance, the parent–toddler groups continue the tradition begun by Anna Freud in the Jackson Nursery in Vienna, the War Nurseries in and around London, and the Hampstead Clinic following the Second World War. Common features include the commitment to working with children and their parents, to observation, training and research, and to finding techniques that address developmental needs, delays and disturbances. Just as children select the specific therapeutic elements they need from a classical child analytic setting, parents and toddlers select what they need from what Anna Freud described as the various ‘therapeutic possibilities’ provided by the parent–toddler groups. The parent–toddler relationship is supported during a period which is crucial for future development, difficulties are identified and addressed before they become entrenched, and, where necessary, timely referrals are made to clinical services on the basis of the trusting relationships developed between the staff and parents in the groups.     

Maternal sensory sensitivity, mother-infant 9-month interaction, infant attachment status: predictors of mother-toddler interaction at 24 months

At 24-months of age, toddlers (N=62) and their mothers were observed in a free-play session to determine the contribution of (a) maternal sensory sensitivity to positive and negative infant facial expressions as measured in a signal detection task at 6 months, (b) maternal behavior and affect, infant behavior and affect, and dyadic interaction at 9 months, and (c) infant attachment status at 12 months in predicting maternal, toddler, and dyadic measures at 24 months. Hierarchical regression analyses revealed that over and above early maternal behavior, which was predictive of later maternal behavior at 24 months, sensory sensitivity to the positive infant expression at 6 months predicted maternal behavior at 24 months and sensory sensitivity to both the positive and negative expression was associated with later maternal affect. Infant attachment status emerged as the variable which predicted toddler behavior and dyadic interaction at 24 months.     

The Nature and Predictive Value of Mothers' Beliefs Regarding Infants' and Toddlers' TV/Video Viewing: Applying the Integrative Model of Behavioral Prediction

Viewing television and video programming has become a normative behavior among U.S. infants and toddlers. Little is understood about the extent of parents' decision making regarding their young children's viewing, although numerous organizations are interested in reducing time spent viewing among infants and toddlers. Prior research has examined parents' belief in the educational value of TV/videos for young children and the predictive value of this belief for understanding infant and toddler viewing rates, although other possible salient beliefs remain largely unexplored. This study employs the integrative model of behavioral prediction to examine 30 maternal beliefs about infants' and toddlers' TV/video viewing, which were elicited from a prior sample of mothers. Results indicate that mothers tend to hold more positive than negative beliefs about the outcomes associated with young children's TV/video viewing and that the nature of the aggregate set of beliefs is predictive of their general attitudes and intentions to allow their children to view, as well as children's estimated viewing rates. Analyses also uncover multiple dimensions within the full set of beliefs, which explain more variance in mothers' attitudes and intentions and children's viewing than the uni-dimensional index. The theoretical and practical implications of the findings are discussed.