Maternal sensitivity,infant temperament,and the development of early feeding problems

Early feeding problems, assessed in maternal reports about general problems and refusal behaviors, were investigated in a normal sample (n = 115) at the ages of 10 months and 2 years. In a longitudinal design, stability of feeding problems was studied. A model for development of nonorganic failure to thrive proposed by Chatoor (1989: Chatoor & Egan, 1983) was used as a guide in selection of potential antecedents to early feeding problems. The predictive value of parent-rated infant temperament and directly observed maternal sensitivity for explaining variance in feeding problems was explored. The results showed moderate stability for feeding problems. Feeding problems at both ages were predicted by interactions between infant temperament and maternal sensitivity. At 10 months feeding problems were marginally associated with an interaction between sensitivity and infant manageability (degree of negative emotionality); less sensitive mothers with less manageable infants reported more refusal behaviors. At the age of 2 years irregular infants were reported to have more problems if their mothers were less sensitive to their signals. The results are discussed in relation to studies of more severe feeding problems in infancy, and the Chatoor model was found to contribute to an understanding of the development of everyday infant feeding problems in a normal sample. © 1997 Michigan Association for Infant Mental Health     

PRENATAL AND POSTNATAL MATERNAL REPRESENTATIONS IN NONRISK AND AT‐RISK PARENTING: EXPLORING THE INFLUENCES ON MOTHER–INFANT FEEDING INTERACTIONS

The aim of this study was to investigate the mother–infant relationship in depressive, psychosocial, and cumulative‐risk parenting by assessing prenatal and postnatal maternal representations and mother–infant interactions during feeding at 4 months of age. The sample consisted of 167 mother–infant pairs: 41 nonrisk women, 40 depressive‐risk women, 40 psychosocial‐risk women, and 46 cumulative‐risk women. During pregnancy, the women were interviewed about psychosocial‐risk variables. Maternal representations and depressive symptoms were evaluated during pregnancy and again when the infants were 3 and 4 months old, respectively. All mother–infant pairs were observed in 20‐min video recordings during breast‐feeding. Maternal Integrated/balanced representations were more frequent in the nonrisk group whereas the maternal Nonintegrated/ambivalent category was more represented in the cumulative‐risk group during pregnancy and after the infant's birth. At 4 months, the cumulative‐risk group of mothers and infants showed a lack of reciprocity, conflictual communicative exchanges, and higher food refusal behavior. Moreover, at 4 months, differences between the quality of mother–infant feeding interactions and the quality of prenatal and postnatal maternal representations emerged, showing less adequate maternal scaffolding in the Nonintegrated/ambivalent and Restricted/disengaged women. This study has rich implications for intervention to support the affective and communicative caregiving system and to prevent infant feeding problems and mother–infant relational disturbances in childhood.     

“Good mothering”: Maternal attitudes and mother-infant interaction

Two groups of mother-infant pairs, with infants aged 1 to 5 months, were recruited by child health nurses. One group (n = 10) of infants had rational difficulties, whereas the other group (n = 22) did not. The research team was blind to group membership. The mothers were interviewed about background variables, their cognitive-emotional orientation during pregnancy and early motherhood, their self-confidence as mothers, their satisfaction with support from their husbands, and living conditions. Mother-infant interaction was observed in à diaper change and à face-to-face situation. Comparisons between the two groups showed no differences with regard to background variables, while significant differences were obtained with regard to interview and observation data. The problem group reported less satisfaction with and focus on maternal role, less self-confidence as mothers, and less satisfaction with husband support and living conditions than the no-problem group. With regard to observation data, the no-problem group mothers and infants both showed higher levels of what was à priori regarded as desirable interactional behavior. Correlations between interview and observation data, calculated within the no-problem group, showed the same kind of connection between mothers' cognitive emotional orientation and interactional behavior as was indicated by the group comparisons.     

Moderately dysphoric mothers behave more positively with their infants after completing the BDI

To determine whether mildly and moderately dysphoric adolescent mothers display infantized facial and vocal behaviors, 21 nondysphoric mothers and 32 dysphoric (16 mildly and 16 moderately/severely dysphoric) mothers were videotaped during face-to-face interactions with their 4-month-old infants. Mildly dysphoric mothers showed less positive facial expressions and less animated/exaggerated vocal expressions. The moderately/severely dysphoric mothers, however, did not differ from nondysphoric mothers in their display of facial and vocal behaviors. These mothers with higher Beck Depression Inventory (BDI) scores may have become concerned about their many symptoms affecting their interactions and tried to compensate for this during their interactions. A second study was conducted to determine whether completing the BDI before interactions positively affected the moderately/severely dysphoric mothers' behavior. Moderately/severely dysphoric mothers (N=24) and mildly dysphoric mothers (N=24) were given the Beck Depression Inventory either before or after their face-to-face interactions with their 4-month-old infants. Moderately/severely dysphoric mothers who were given the BDI before their interactions showed more positive behavior than mothers given the BDI after their interactions. © 1997 Michigan Association for Infant Mental Health     

Mother–infant communication can be enhanced after conception by in‐vitro fertilization

To determine if stress associated with artificial pregnancy treatment might affect early communication, video microanalysis was applied to examine face‐to‐face play between infants and their mothers in the first 5 months. Three groups of infants participated: 8 born after in‐vitro fertilization (IVF) treatment employing parental gametes; 8 born after standard infertility treatment (INF), which did not include IVF; and 8 infants whose parents had experienced no infertility problems (Control group: C). All were videotaped at home in free play with their mothers at 4, 7, 13, and 21 weeks of age. A 3‐min extract of each video was reviewed in detail by means of an objective coding system, to define the style of communication. Data from this analysis was subjected to two separate repeated measures of analyses of variance. We found no evidence of detrimental effects of infertility treatment on mother–infant communication, but there were “positive” differences in behavior in the pairs where the mother had been so treated. Thus, while maternal “caretaking” episodes had become infrequent in the control group by the age of 21 weeks, in the two treatment groups the mothers continued to show many caretaking behaviors with infants of this age. Furthermore, infants of both the IVF and INF groups showed significantly higher frequencies of “play” episodes than those in the control group (p = 0.018 and p = 0.004, respectively). Apart from these differences, mother–infant interactions were generally the same in the three groups. The results indicate that communication between mothers and infants is likely to develop along the normal path after IVF or INF treatment, but that mothers who have had these infertility treatments may be more attentive to their infants, and their infants are significantly more playful. Since the IVF and the INF groups were similar, it would appear that these differences from the control group are related to the experience of a successful treatment for infertility, and not related to any particular stresses that may be associated with IVF treatment. ©2001 Michigan Association for Infant Mental Health.     

Post-traumatic feeding disorders in infancy: Behaviors predicting treatment outcome

The purpose of this study was to examine whether specific problem feeding behaviors exhibited by infants with post-traumatic feeding disorders (PTFD) predict treatment outcome. In this case series, 24 infants aged 7 weeks to 34 months received a three-component intervention for the treatment of their PTFD. The three components of the interventions included (1) physiological and environmental changes to regularize hunger-satiety cycles and promote good eating habits and routines; (2) nutritional monitoring; and (3) behavior therapy (flooding). Infants with PTFD who exhibited passive refusal to swallow food placed in their mouths and did not chew/suck/move food placed in their mouths for more than 5 sec were significantly less likely to respond to treatment, compared to infants with PTFD who did not exhibit these behaviors. Further, compared with infants with PTFD who responded to treatment, more infants with PTFD who did not respond had anatomical/mechanical problems of their upper airway such as tracheoesophageal fistula or lung disease such as bronchopulmonary dysplagia. The findings have direct implications for the assessment and treatment of PTFD in infancy.     

The influence of Japanese mothers' styles of emotional expression on thirteen-month-old infants' reactions to a stranger

The present study investigated the hypothesized influence of mothers' styles of emotional expression on infants' responses to the stranger in Episode 3, the Ainsworth Strange Situation. One hundred and thirty-five mothers volunteered for this experiment with their 13-month-olds. The mothers' answers on an expression style questionnaire (EESQ) were factor analysed. According to their mothers' factor scores, infants were divided into four groups, those having (a) expressive type mothers (N = 40), (b) suppressive type mothers (N = 39), (c) positive expressive type mothers (N = 31), and (d) negative expressive type mothers (N = 25). The infants' behaviours were analysed in 5-sec intervals. The infants having expressive type mothers showed a strong interest in the stranger and interacted with her willingly. The infants having suppressive type mothers exhibited less smiling and much freezing behaviour. The infants having positive expressive type mothers reacted with more smiling, much bodily contact behaviour with the mother and less crying. The infants having negative expressive type mothers showed more often crying and frequent head orientation towards the stranger.     

Perceived and observed parenting behavior in American and Italian first-time mothers across the first 3 months

This short-term longitudinal study investigated cross-cultural universality (similarities) and cultural specificity (differences) in American and Italian first-time mothers’ perceived parenting efficacy and observed parenting behavior in early infancy. Thirty-two mother–infant dyads from the United States (n = 16) and Italy (n = 16) participated in this study at 1 and 3 months across the first developmental transition. Maternal self-efficacy in parenting was assessed by self-reports. Mothers’ parenting behavior was observed and videotaped in a feeding situation. Both micro- (15-s time sampling) and macro-analytic (global ratings) strategies were employed to measure maternal and infant behaviors. Results revealed both cross-cultural similarities and differences in American and Italian mothers’ perceived parenting efficacy and observed parenting behavior. Both American and Italian mothers perceived themselves as becoming more efficacious in their parental role from 1 to 3 months and demonstrated significant stability in their individual differences over time. Compared to American mothers, Italian mothers displayed greater social/affective and handling/holding behavior. Whereas American mothers showed more synchronous responses to their infants when they were resting, Italian mothers spent significantly more time in synchronous dyadic social exchanges with their infants. The findings are discussed from the perspective of cultural organization of parenting, which suggests that parents structure everyday activity for their infants in accordance with cultural values and expectations.     

Maternal self‐perceptions and reactions to infant crying among intrusive and withdrawn depressed mothers

This study compared intrusive (N =15) and withdrawn (N = 10) mothers' ratings of their own interaction styles with their infants and the behaviors of videotaped models of intrusive and withdrawn mothers. Withdrawn mothers rated themselves as less withdrawn than the model withdrawn mother. Intrusive mothers viewed themselves as more intrusive than the model intrusive mother. Both groups viewed their own infants as more outgoing than the infants of the model intrusive and withdrawn mothers. The withdrawn mothers reported feeling more distressed when they observed an infant (of an intrusive or withdrawn mother) crying, suggesting that they feel more empathy than the intrusive mothers. © 2001 Michigan Association for Infant Mental Health.     

Patterns of maternal responding in postpartum mothers with schizophrenia

Little is known about how schizophrenia might affect how a mother responds to her infant, such as whether responding is reduced or impaired. The aim was to identify, from brief videotaped interactions, whether the responses of mothers with schizophrenia were fewer, less positive, more negative, and more ‘abnormal’ than mothers with affective disorder, and whether their infants (mean age: 15 weeks) lacked activity or initiation to which mothers could respond. Mothers with schizophrenia (N = 14) were as responsive as mothers with affective disorder (N = 31), but they showed markedly low positive responsiveness. Only the schizophrenia group exhibited non-responses as a result of being psychologically withdrawn from the interaction, and abnormal behaviors. Inconsistent to our hypothesis, infants in both groups showed similar levels of activity, initiative and negativity. The findings highlight the need for further research to examine the contribution of maternal response impairments to the developmental vulnerability of this genetically high-risk group.     

Infants with colic: A study of maternal stress and anxiety

The purpose of this article is to broaden our understanding of colic and to explore the effects of infant colic both on the mother's stress level and on her anxiety about separation from her infant. A “colic” group of 20 mother-infant dyads was compared with a second, control “noncolic” group of equal size. Significant group differences in the amount of time the infants cried, fussed, and were in a quiet/awake state were found. Although no difference in maternal trait anxiety was found, mothers in the colic group reported higher levels of stress associated with their infants' crying behavior. This stress was inversely related to the amount of time the infants slept during a 24-hour period. Mothers in the colic group also expressed significantly greater anxiety about separating from their infants for short periods of time; but the lack of freedom was significantly less of a problem for them than it was for mothers in the noncolic group. We conclude that mothers of difficult infants are more anxious about being separated from their infants, but do not appear to feel “trapped” by their extra maternal duties.     

Newborns of depressed mothers

Eighty-three newborns (M GA = 37 weeks) were assigned to depressed (N = 47) and nondepressed mother (N = 36) groups based on Beck Depression Inventory (BDI) scores. The Brazelton Neonatal Assessment Scale was administered to the infants within 24 hours after birth. Infants of depressed mothers demonstrated poorer performance on the orientation cluster. Further analysis of the orientation cluster items revealed inferior orientation to the inanimate stimuli. Infants of depressed mothers also showed less motor tone and activity and more irritability and less robustness and endurance (unavailability, lethargy, and stress behaviors) during the examination.     

Depressed mothers’ infants show less negative affect during non-contingent interactions

Infants of depressed and non-depressed mothers were videotaped interacting with their mothers in the [Nadel, J., Carchon, I., Kervella, C., Marcelli, D., & Reserbat-Plantey, D. (1999). Report: Expectancies for social contingency in 2-month-olds. Developmental Science, 2, 164–173] paradigm which consists of three segments including: (1) a free play, contingent interaction, (2) a non-contingent replay of the mothers’ behavior that had been videotaped during the first segment, and (3) a return to a free play, contingent interaction. As compared to infants of non-depressed mothers, infants of depressed mothers showed less negative change (less increase in frowning) in their behavior during the non-contingent replay segment. This finding was interpreted as the infants of depressed mothers being more accustomed to non-contingent behavior in their mothers, thus experiencing less violation of expectancy in this situation.     

Early food refusal: Infant and family characteristics

This study compared infants who developed food refusal during the first year of life with a healthy control group concerning feeding, growth pattern, family situation, and infant behavioral characteristics. Infants with food refusal had a lower relative weight at inclusion in the study and at follow-up at the age of 2 years. Food refusal was also associated with weaning problems, parental reports of lower food consumption, a higher incidence of breast-feeding, a higher frequency of meals, psychosocial problems in the family, less positive perceptions of parenting, infant difficultness, and problematic behaviors. The findings have implications for identification and understanding of factors related to early food refusal.     

Symbols Scales for Use in Beginning Reading

Bayley Mental scores were significantly related to several concurrent ratings of infant and maternal testroom behavior when firstborn black male infants were 14 months (N = 49), 18 months (N = 34), and 22 months of age (N = 32). With increasing age, social responsiveness played a relatively less important role in successful performance, while object responsiveness became increasingly important. Bayley Motor scores were related to many fewer ratings than the Mental scores. Gross Muscle Coordination was related to performance at all three ages, and Energy ratings at two of the three ages. For both the Mental and Motor scores, fewer relationships were observed at the 18-month testings as compared to the 14- and 22-month testings. By 22 months, infants scoring higher on the Bayley Mental scale had mothers who were more highly involved with their child's achievement as judged by testroom behaviors.     

Predicting infant attachment classification from multiple, contemporaneous measures of maternal care

This investigation was designed to test whether stylistic differences in maternal caregiving were associated with both secure and insecure mother-infant attachment classifications in a low-income sample. Multiple measures of maternal interactive behavior and care were collected from a sample of 95 urban, low-income mothers and their 12-month-old infants. Contemporaneous relations to attachment were found only at the broad level of composite scores of caregiving. Scores derived from different measures were aggregated to create composites reflecting three caregiver styles—sensitive, controlling, and unresponsive. Mothers of infants with secure attachment classifications showed greater sensitivity and less controlling behavior than mothers of infants with resistant and avoidant attachments, respectively. Mothers of infants with resistant attachments appeared less responsive to their infants' signals than those of infants with avoidant attachments. Group differences were significant, but modest. These results contribute to the growing body of studies relating parental care with infant attachment patterns and indirectly support the more recent conceptual work on intergenerational transmission of attachment. They also raise methodological issues that need to be considered in future work on caregiving and infant-mother attachment.     

Development of co-feeding behavior in young wild Japanese macaques (Macaca fuscata)

This study describes the developmental course of the social context of feeding behavior in infants and yearlings of Japanese macaques in a provisioned free-ranging troop. Results of this longitudinal study revealed that infants and yearlings exhibited synchronous feeding behavior in the majority of cases in which they had feeding neighbors within 1 m. They consistently showed feeding behavior more often when their closest neighbor fed than when they did not. In feeding situations, infants tended mainly to be in close proximity with their mothers in the early stages of life and, later, also with peers. The results imply that potential opportunities for the social transmission of food selection habits are available for young Japanese macaques in the wild.     

Preterm infants' affective responses in independent versus toy-centered play with their mothers

The affective behavior of medically high-risk (HR) and low-risk (LR) infants, along with a control group of full-terms (FT), was compared at 6 months of age during a 5-minute independent and a 5-minute toy-centered play session with their mothers. Because previous research has shown that joint toy play places a burden on the attentional capacities of HR infants, it was predicted that they would show less positive affect and more negative affect in toy-centered (vs. independent) play and joint attention (vs. face-to-face) interactions than would the LR or FT infants. Results showed that the HR infants displayed fewer smiles across the independent and mother toy-centered play condition and across face-to-face and joint attention interactions than LR or FT infants. The findings also indicated that the mother's presence facilitated the expression of positive affect for all three infant groups.     

Affective expression among preterm infants of varying levels of biological risk

This investigation examines the association between risk status and the quality of emotional arousal and regulation among preterm infants in the second year of life. The behavior of 55 preterm infants stratified into three risk groups by severity and chronicity of respiratory illness was recorded during the procedures of the Strange Situation. Measures of emotional responsiveness included temporal and intensity features of facial and vocal expressions as well as concurrent activity with toys. Significant relationships between neonatal risk status and these expressive and regulatory features were observed. Infants in the High-Risk group (N = 16) differed from healthy Low-Risk infants (N = 23) and from those in the Moderate-Risk group (N = 16). The High-Risk infants showed a greater sensitivity to distress arousal at low levels of stress and less ability to modulate distress once aroused. High-Risk infants also demonstrated significantly less adaptive play with toys than the other preterm infants. In short, this study suggests that, when placed under stress, High-Risk preterm infants in their second year of life become more distressed and demonstrate less ability to recover from this distress and effectively re-engage their environment than preterm infants born at lower risk.     

Attitudinal and demographic predictors of breast-feeding and bottle-feeding behavior by mothers of six-week-old infants

The demographic and attitudinal characteristics of 42 bottle feeding and 41 breast feeding mothers of 6 week old infants were compared. The women were patients of private physicians in Nashville, Tennessee. Data was obtained from self-administered questionnaires distributed through the physicians' offices. The women were primarily middle class whites and one-half of the women were multiparous and one-half were primiparous. On the basis of the information obtained in the questionnaires respondents were given scores on 13 demographic and family history characteristics and on 16 attitudinal scales which measured the mothers' preceptions of family life, child rearing, and breast feeding. Discriminant function analysis was used to assess the differences in the mean scores on each of the 29 variables for the 2 groups of mothers. Major findings were: 1) breast feeding mothers were significantly more educated and had significantly more breast feeding friends than bottle feeding mothers; 2) breast feeding mothers viewed their husbands as significantly more supportive of their feeding method than bottle feeding mothers; 3) bottle feeding mothers perceived more conflict in their marriages than breast feeding mothers; 4) bottle feeding mothers tended to favor accelerating the development of their infants more than the other mothers; and 5) breast feeding mothers had more positive attitudes toward breast beeding than bottle feeding mothers. Most of the women in both groups decided on their method of feeding prior to delivery, and complications during and following delivery did not alter their plans significantly. The 2 groups did not differ significantly in the degree to which they: 1) fostered dependency in their infants; 2) felt possessive toward their infants; 3) rejected the housewife role; and 4) were secluded at home.