Interactions between mothers and infants: impact of maternal anxiety

The aim of the study was to examine the impact of anxiety in the postnatal year on maternal contribution to mother-infant interaction. Participants were 32 mothers with high anxiety and 32 mothers with low anxiety, when their infants were aged 10-14 months. Mother-infant interaction was videotaped during a standardized play situation and coded blind to group status. High trait anxiety mothers showed less sensitive responsivity (p<.05) and reduced emotional tone (p<.05) during interaction. When participants scoring high in depressive symptomatology were removed for a subgroup analysis, the same pattern of results was obtained, suggesting that the observed differences in mother-infant interaction were due to group differences in anxiety.     

Fears in clinic-referred children: relations with child anxiety sensitivity, maternal overcontrol, and maternal phobic anxiety

Relations among maternal phobic anxiety, maternal overcontrol, child anxiety sensitivity, and child level of fear were explored in 156 children referred to an outpatient clinic for psychological evaluation. In addition, these relations were examined separately in analyses of age, gender, and diagnostic status. Overall, age, gender, and child anxiety sensitivity, along with maternal ratings of an overly controlling parenting strategy were significant predictors of levels of fear. These four variables predicted approximately 50% of the variance associated with fear levels. Surprisingly, maternal phobic anxiety was not a significant predictor in this sample of clinic-referred children. In separate analyses of age, gender, and diagnostic status (presence or absence of an anxiety disorder), anxiety sensitivity was a significant predictor of fear levels for both older and younger children, for both boys and girls, and for both children with and without an anxiety disorder. However, maternal overly controlling parenting strategy was significant only for the younger children (and not the older ones) and only for girls (and not boys). Moreover, maternal overcontrol was a marginally significant predictor for the anxiety-disorder group (and not the non-anxiety-disordered group). Results are discussed within a developmental framework, and implications for treatment are explored.     

Interactions between mothers and their mentally retarded children: Integration of research findings

Research findings from 20 observational studies of interactions between mothers and their retarded infants and/or young children are brought together to provide a summary picture of: (1) differences in interaction patterns between mother-non-retarded child interactions. Several conceptual and methodological issues are raised: the need to bridge the gap between our current conceptualization of the dyadic interaction process and the methodology for its study and analysis; the importance of including both CA- and MA-match comparisons to reduce confounding of results; and the place of naturalistic observations in sampling interaction pattern as targets for modification in home-based intervention programs. The review indicates that generally, mothers and their retarded children exhibit a number of problems in their interactions. It is suggested that a sound observational data base is required to facilitate the development of interventions into problematic interactions.     

An examination of the interactions between mothers and children with anxiety disorders

This study examined the association between parenting styles and mother and child anxiety. Maternal overinvolvement and negativity/criticism were evaluated during a speech preparation task (N = 135 dyads) and a Five Minute Speech Sample (FMSS) from mothers (N = 155). During the speech task interaction, mothers of anxious children (aged 4–16 years), regardless of their own anxiety, were observed to be more overinvolved than mothers of nonanxious children. Similarly, the FMSS showed that mothers of anxious children (aged 4–17 years) were more overprotective, self-sacrificing, or nonobjective than mothers of nonanxious children, irrespective of maternal anxiety status. No differences in maternal negativity were found on the speech task between any of the groups. However, the FMSS showed that mothers of anxious children were more critical than mothers of nonanxious children, regardless of maternal anxiety status. These results support the relationship between overinvolved, critical parenting and child anxiety, but suggest that maternal anxiety is not associated with increased overinvolvement or criticism. Theoretical implications are discussed.     

Defence strategies and anxiety in mothers of disabled children

The aim of this investigation was to study anxiety and defence strategies in mothers of children with different disabilities. Mothers of children with childhood psychosis, motor handicaps, or Down's syndrome were tested with a projective, percept-genetic technique, viz. the Mother-Child Picture Test (MCPT). Levels of anxiety were measured with the Hospital Anxiety and Depression Scale (HAD). In mothers of psychotic children, the absence of anxiety was significantly associated with misinterpretations and/or failure to recognize the MCPT motif (a close relation between mother and child). This association was not found in the mothers of motor-handicapped children or children with Down's syndrome. The results suggest that, for mothers of psychotic children, the activation of defensive strategies is important to avoid feelings of anxiety evoked by the mother-child situation. For mothers of children with other chronic disabilities, for example, motor handicaps or Down's syndrome, low levels of anxiety may be experienced without the mobilization of strong defensive mechanisms. Different interpretations of the correlation between defence strategies and anxiety in the mothers of psychotic children are discussed.     

Separation anxiety in mothers of latency-age fearful children

The hypothesis that mothers of children who have symptoms indicative of separation anxiety are themselves separation-anxious was tested by scoring mothers' TAT themes for separation concerns. The stories of 15 mothers of fearful children were compared to the stories of 26 mothers of children manifesting behavior disorders and 21 mothers of children having had no psychiatric contact. Different kinds of separation concerns were found to differentiate the groups of mothers. The stories of mothers of fearful children expressed significantly more concerns about abandonment and rejection and more often expressed a desire to stay near the loved one; the mothers of children with behavior disorders were found to tell significantly more stories with nurturance-succorance themes. The results lend support to the theory of anxious attachment in that mothers of fearful children seem to share the same concerns that have been ascribed to their children. On the other hand, it seems that separation anxiety may not be a unidimensional construct as different components seem to be more relevant to some symptom clusters than to others.     

Interactions between mothers and infants showing food refusal

This study examined the interactional patterns of mothers and their infants who showed food refusal (N = 24) and of mothers and infants in a control group (N = 24) during feeding and play. The observations revealed significant group differences in both infant and maternal behavior. Infants in the case group rejected food more often and showed less clear communication signals than control infants, and mothers of case infants were less sensitive, less cooperative, and had more verbal teaching/control behavior than the control group. These differences pertained to both feeding and play situations. The findings have implications for the development of appropriate and efficient intervention strategies for infants showing food refusal.     

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.     

Separation anxiety in first-time mothers: infant behavioral reactivity and maternal parenting self-efficacy as contributors

This short-term longitudinal study examined the contribution of infant behavioral reactivity and maternal parenting self-efficacy to first-time mothers’ (total n = 32) separation anxiety. Infants’ behavioral reactivity indexed by gaze and facial affect were observed in the conditions of routine play and maternal still face at 3 months. Mothers reported their self-perceived parenting efficacy at 3 months and separation anxiety at 6 months. Results revealed that infants’ frequent gazing at their mother, greater negative affect, and less positive affect observed during the still face, but not during the routine play, contributed to heightened maternal separation anxiety. In addition to a direct link between low maternal parenting self-efficacy and high maternal separation anxiety, maternal parenting self-efficacy buffered against the impact of infant negative reactivity on maternal separation anxiety. The role of infant reactivity and maternal self-efficacy in parenting was discussed.     

Differences in child rearing attitudes between immigrant Chinese mothers and Anglo-American mothers

In order to explore cultural differences in child rearing attitudes, we studied 30 Anglo-American mothers and 30 immigrant Chinese mothers in the US, together with their preschool children and the children's teachers. Mothers completed a measure of child rearing attitudes, children were assessed for perceived competence, and teachers rated children's competence. Results showed that immigrant Chinese mothers were more authoritarian overall, as expected from previous research, but that they also were more likely to encourage independence and demand maturity from their children. Chinese-American children scored higher than Anglo-American children on cognitive competence, and their cognitive competence was related to authoritarian child rearing. The results are discussed in the context of Confucian and American cultural values. © 1998 John Wiley & Sons, Ltd.     

Differences and similarities between children,mothers, and teachers as informants on disruptive child behavior

Prevalence rates of disruptive child behaviors, based on structured psychiatric interviews, are presented for samples of clinic-referred prepubertal boys at two sites to investigate differences and similarities among reports of the behaviors from children, parents, and teachers. Children reported significantly less hyperactive/inattentive and oppositional behaviors than either parents or teachers. In contrast, children did not differ from parents or teachers in their report on the prevalence of more serious conduct problems. These results were well replicated across two sites, despite the fact that there were significant differences between the sites in the level of hyperactive/inattentive child behaviors and conduct problems. The ranking of parents' and teachers' reported prevalence of specific child behavior problems in each of the three domains of disruptive behavior was strikingly similar. With one exception, the concordance between the prevalence ranking based on the children's reports was lower than that based on adults' reports, Children's reports on their own behavior did not predict various child handicaps 1 year later as well as did adults' reports. The results are discussed in relation to the usefulness of certain child behaviors in symptom lists for diagnostic purposes; the reliability of children's reports on their own behavior; and the possible reasons why prevalence rankings, as perceived by adults, are so similar.     

Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale

The practical significance of assessing disorders of emotion in children is well documented, yet few scales exist that possess conceptual if not empirical relevance to dimensions of DSM anxiety or depressive disorders. The current study evaluated an adaptation of a recently developed anxiety measure (Spence Children's Anxiety Scale; [Spence, S. H. (1997). Structure of anxiety symptoms among children: a confirmatory factor-analytic study. Journal of Abnormal Psychology, 106, 280-297; Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36, 545-566]), revised to correspond to dimensions of several DSM-IV anxiety disorders as well as major depression. This investigation involved initial evaluation of the factorial validity of the revised measure in a school sample of 1641 children and adolescents and reliability and validity in an independent sample of 246 children and adolescents. Results yielded an item set and factor definitions that demonstrated structure consistent with DSM-IV anxiety disorders and depression. The revised factor structure and definitions were further supported by the reliability and validity analyses. Some implications for assessment of childhood anxiety and depressive disorders are discussed.     

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     

Distinctions between separation anxiety and social anxiety in children and adolescents

Separation anxiety and social phobia are intertwined to a considerable degree, and high comorbidity rates have been reported. The present study used latent class analysis (LCA) to investigate if classes of children and adolescents with-simultaneously-high rates of separation anxiety and low rates of social anxiety symptoms, or vice versa, could be identified. Eight- to 18-year-olds from a large general population (n=1000) and referred sample (n=735) were assessed with the Multidimensional Anxiety Scale for Children (MASC). With LCA, a separate class of referred 8-11-year-old children with high separation anxiety scores, and simultaneously lower social anxiety scores was identified, next to a class of children with high scores on separation anxiety and social anxiety. In the other groups (referred 12-18-year-olds and children and adolescents from the general population), a class with individuals who specifically scored high on separation anxiety could not be revealed. The results indicated that separation anxiety represents a different construct than social anxiety in referred children (but not in referred adolescents or in the general population). It can be concluded that, in referred children, research regarding etiology and treatment outcome of anxiety symptoms should be aimed specifically at separation anxiety and social anxiety, instead of just investigating a broader anxiety dimension.     

Prenatal maternal predictors of cognitive and emotional delays in children of adolescent mothers

The present study examined relationships among prenatal characteristics of 121 adolescent mothers-including cognitive readiness for parenting, intelligence, social support, and personal adjustment-and intellectual-linguistic development, social-emotional functioning, and adaptive behavior in their children at three years of age. Only 28% of the children scored within normal ranges on all three types of outcomes. Intellectual and linguistic delays were predicted best by prenatal measures of maternal Performance IQ and social support from extended family. Socioemotional problems were predicted best by maternal internalizing problems and social support from partner and friends. Adaptive behavior was associated with parenting style. Implications for the early identification of high-risk children--and associated intervention programs--are discussed.     

The question-answer exchange between mothers and young children

Investigated associations between the questioning and answering behaviour of mothers and children in a design that allowed analyses within as well as between social classes. Thirty-two six-year-old children volunteered their knowledge and asked questions of their mothers about a variety of objects in a natural context. Social class differences in the children were found in the quality of questioning and the amount of knowledge displayed, but for the latter there were differences between tasks, and the incidence of questioning confounded the predictions made. Class differences in mothers' behaviour likewise differed by task. An index of the mothers' provision of cognitive meaning and of feedback was shown to correlate highly with children's rates of questioning and knowledge revealed both within and across classes.     

Positive maternal interaction behavior moderates the relation between maternal anxiety and infant regulatory problems

Regulatory problems in infancy are determined by different risk factors. This study aims to examine how psychosocial risk factors are connected, and how they impact the early regulatory ability of 3-month-old infants. In a sample of 57 mother–infant dyads, maternal anxiety and infant crying, sleeping and feeding habits were assessed. As a possible moderator, the role of positive maternal behavior was analyzed by videotaping face-to-face interactions. During the interaction, interactive stress was provoked with the face-to-face still-face paradigm (FFSF). Thus, this study differentiated between the effects of maternal behavior in both an ordinary play context, as well as a stressful interaction context. Results revealed that the relation between maternal anxiety and infant regulatory problems in crying and sleeping varied as a function of positive maternal engagement in stressful situations. However, a significant moderation effect influencing infant feeding problems could not be demonstrated. These findings stress the importance of positive maternal interaction behavior in at least some parts of regulatory adjustment of at-risk infants.     

Causal explanations for school performance: Contrasts between mothers and children

This study investigated the causal attributions given by mothers and their fifth and sixth grade children to explain the children's success in a school subject of relatively high achievement as well as their failure in an area of low performance. Participants were asked to weight the importance of four attributions: ability, effort, personality, and training. Analyses of variance revealed significant differences between mothers' and children's weightings. Mothers cited children's ability as the main cause of success, while lack of effort was viewed as the reason for failure. Children, in contrast, gave effort as the explanation for success and lack of ability as the reason for failure. The apparent lack of concordance between mothers' and children's causal beliefs is discussed in terms of three explanatory possibilities: (a) actor/observer differences, (b) the effects of the affective bond between mother and child, and (c) the tendency toward self-presentational bias.