Toward a synactive theory of development: Promise for the assessment and support of infant individuality

A theoretical model to understand and assess the individual infant is presented. Its focus is on the dynamic, continuous interplay of various subsystems within the organism: the autonomic system, the motor system, the state organizational system, the attentional-interactive system, and the self-regulatory system. The organism forges ahead negotiating emerging developmental agenda while simultaneously seeking to attain a new level of modulated, functional competence. Developmentally salient aspects of the environment are actively sought as fuel in this process. This synactive model of development promises to be helpful in identifying specific ingredients of the early developmental process and in structuring specific supports for preventive and ameliorative work when difficulties in differentiation and regulation are identified. An assessment procedure to systematically identify difficult areas of modulation integration is briefly described and examples of environmental structuring are given.     

家庭生态系统对儿童心理健康发展影响机制的研究

以生态系统理论为指导,选取中小学生746名,分健康组和问题组,利用结构方程建模(SEM)技术,就家庭生态系统对儿童心理健康发展的影响机制进行了研究。结果表明,在健康组,构成家庭生态系统的父母子系统、家庭环境子系统和儿童子系统均对心理问题的形成起抑制作用;而在问题组,除儿童子系统对心理问题的形成起抑制作用外,父母子系统和家庭环境子系统对心理问题的形成起正向作用。     

“Hey mom, look at me!”

The degree to which infant and maternal characteristics were related to maternal psychological distress and play competence was examined in 40 mother preterm and full-term dyads. Measures of maternal psychological distress, self-efficacy, infant temperament, and mother-infant interaction in a play situation, were obtained at 4 months corrected for prematurity. Results revealed that maternal self-efficacy was the strongest correlate of maternal psychological distress but was not related to maternal play competence. Interaction effects for unadaptable temperament and infant behavioral involvement were found in the regressions predicting both maternal psychological distress and maternal play competence. Mothers of more adaptable and less behaviorally involved infants reported greater psychological distress and exhibited greater play competence than mothers of more adaptable and involved infants. The results suggest that a lack of concordance between mothers' perceptions of their infants' behavior and actual behavioral experiences adversely affects mothers' affect and the quality of their play interactions.     

Effects of Early Parenting Interventions on Parents and Infants: A Meta-Analytic Review

This systematic review evaluates the efficacy of parenting interventions on parent, infant and parent-infant relationship outcome measures for parents of infants under 12 months old. Parent outcomes examined included competence, and confidence; baby outcomes included infant behaviours of crying, settling, and sleeping problems and parent-infant relationship outcomes included parental responsiveness. Systematic searches of five databases were carried out. In total, 36 randomised controlled trials over the past 35 years were included in the meta-analyses, with a total of 4880 participants. Interventions were carried out either during pregnancy or within the first 12 months after birth and involved teaching specific strategies and provision of information on infant development and behaviour. Mean effect sizes were obtained using a structural equation modelling (SEM) approach to meta-analysis. Heterogeneity was found on parent responsiveness and infant sleep. Potential moderator variables were assessed for these two outcomes using the SEM approach. Results showed that early parenting interventions are effective in improving parental responsiveness (d?=?0.77), and improving or preventing infant sleep problems (d?=?0.24), but not crying problems (d?=?0.27) possibly due to low power. No conclusions could be drawn in regards to parental competence or confidence. Moderator analysis showed that for interventions aimed at improving responsiveness, briefer interventions were more effective than longer ones; and studies published more recently reported smaller effects than older studies. No other moderators influenced the assessed intervention outcomes. The findings of this study provide further evidence for the positive effects of early parenting interventions for infants under 12 months of age, however future research is needed to assess intervention effects on parental competence and confidence.     

The efficacy of conjoint behavioral consultation on parents and children in the home setting: Results of a randomized controlled trial

The present study is a large-scale randomized trial testing the effects of a family–school partnership model (i.e., Conjoint Behavioral Consultation, CBC) for promoting behavioral competence and decreasing problem behaviors of children identified by their teachers as disruptive. CBC is a structured approach to problem-solving that involves consultants, parents, and teachers. The effects of CBC on family variables that are commonly associated with important outcomes among school-aged children (i.e., family involvement and parent competence in problem solving), as well as child outcomes at home, were evaluated. Participants were 207 children with disruptive behaviors from 91 classrooms in 21 schools in kindergarten through grade 3 and their parents and teachers. Results indicated that there were significantly different increases in home–school communication and parent competence in problem solving for participants in the CBC relative to control group. Likewise, compared to children in the control group, children in the CBC group showed significantly greater decreases in arguing, defiance, noncompliance, and tantrums. The degree of family risk moderated parents' competence in problem solving and children's total problem behaviors, teasing, and tantrums.     

Affect regulation and synchrony in mother—infant play as precursors to the development of symbolic competence

This study examines relationships between organizing processes of affective communication in infancy and the development of symbolic competence. Thirty six mother—infant dyads were observed at 3 and 9 months, and 32 dyads were reassessed at 24 months. Mother's and infant affective states during face-to-face play at 3 and 9 months were coded in .25-second frames. The underlying structure of infant affect and the time-lag synchrony between mother and infant affective states were assessed with time-series analyses. In addition, interactions at 3 and 9 months were assessed for the global level of infant positive affect and maternal affect attunement. At 2 years, three dimensions of symbolic competence were evaluated: symbolic play, verbal IQ, and the child's use of internal states words. Infant affect regulation at 3 months, defined by the existence of a non-random, stochastic-cyclic organization of affective states, predicted all three domains of symbolic competence at 2 years. Maternal synchrony and attunement each had an independent contribution to the prediction of symbolic play and internal state talk. The microanalytic and global indices of affect each added meaningfully to the prediction of symbolic functioning. The organization of behavioral sequences into coherent affective configurations is discussed as a possible precursor to the general capacity to develop symbols. © 1997 Michigan Association for Infant Mental Health     

Back to sleep: Teaching adults to arrange safe infant sleep environments

There are over 3,000 sleep related infant deaths each year in the United States. Attempts to teach medical personnel and parents safe infant sleep practices in the infant sleep training literature have demonstrated mixed results. Thus, strategies to teach arrangements of safe infant sleep environments warrant further investigation. Behavioral skills training (BST) is an evidence-based teaching strategy shown to successfully teach various safety skills to children and adults. The current study evaluated the effectiveness of behavioral skills training to teach safe infant sleep practices to typically developing adults. Specifically, differential responding was assessed across multiple environmental arrangements typical of contexts parents may be exposed to when putting an infant to sleep. BST significantly improved appropriate arrangement of a safe sleep environment for infants for all 8 participants.     

Exploring an integrative model of infant behavior: what is the relationship among temperament, sensory processing, and neurobehavioral measures?

Traditionally, developmental psychology, occupational/physical therapy, and behavioral pediatrics view similar infant behaviors from temperament, sensory processing, or neurobehavioral theoretical perspectives. This study examined the relations between similar and unique summary scores of three infant assessments (Early Infancy Temperament Questionnaire - EITQ, the Infant Sensory Profile - ISP, and the NICU Network Neurobehavioral Scale - NNNS) in a healthy sample of 100, one-month-old infants. A Principal Components Analysis of selected subscale scores derived from the three assessments suggested a three-factor model. Temperament and sensory summary scores had the strongest relations on two factors: Sensory-Affective Reactivity and Engagement. A third factor had strong relations between state regulation and motor competence. This new integrative model also validates an existing model and expands explanation of infant behavior across disciplines and methods which have significant implications for assessment, intervention, and management practices.     

类别与数量空间关系识别加工中的练习效应研究

本研究通过检测20名飞行员及其控制组的视觉空间关系识别中的认知加工水平,旨在探讨视觉空间关系识别中的类别关系和数量关系加工子系统所表现出的练习效应水平的高低。研究结果表明,在参与视觉空间关系判断的两个典型加工子系统中,负责数量(坐标)空间关系判断的加工子系统随系统训练而表现出功能增强的练习效应。相对而言,涉及类别空间关系判断的加工子系统则较少受到练习的影响。研究揭示,由于受大脑神经解剖结构特点以及加工任务性质的影响,练习效应在神经网络上的分布是不平衡的。相对于类别空间关系加工子系统,数量空间关系加工子系统更多地表现出了练习效应这一典型的认知神经加工特性。     

Prolactin and paternal care: comparison of three species of monogamous new world monkeys (Callicebus cupreus,Callithrix jacchus,and Callimico goeldii)

The authors explored whether prolactin is associated with paternal care in 3 monkey species: titi monkey (Callicebus cupreus), common marmoset (Callithrix jacchus), and Goeldi's monkey (Callimico goeldii). They compared prolactin levels in fathers before and after infant birth as well as between fathers and nonfathers. C. cupreus fathers carry infants almost exclusively, have higher prolactin levels than nonfathers, but show no prolactin increase after infant birth. C. goeldii fathers carry infants only after 3 weeks, show an increase in prolactin levels during the precarrying period, but do not have higher levels than nonfathers. C jacchus fathers are the primary carriers, have higher prolactin levels than nonfathers, and show a trend for a prolactin increase after the birth of infants. In conclusion, species differences in the patterns of prolactin secretion were evident and reflect the different paternal roles.     

Tailoring Social Competence Interventions for Children with Learning Disabilities

Challenges in social competence are common in children with Learning Disabilities (LDs), particularly those who present with co-occurring mental health challenges (LD + MH). Social competence calls upon a complex set of skills, including social skills, perspective-taking abilities, and an understanding of the social environment. Successful enactment of these skills necessitates behavioral and emotion regulation, an area of weakness for many youth with LD + MH. Using a mixed-method design, the present study assessed the efficacy of a social competence group program for children with LD + MH (mean age = 11.4 years) in which group size, content, and structure are tailored to the child’s level of emotion regulation, information processing abilities, and social competence goals. Quantitative measures completed by parents and coded behavioral observations completed pre- and post-treatment indicated significant gains in initiation and engagement in positive social interactions, foundational skills that support improvement in social competence. Qualitative interviews with parents, children and teachers suggested improvements in social self-concept, initiation, and emotion regulation. Tailoring treatment to the child’s information processing and emotion regulation abilities, as well as ‘in the moment’ feedback, supported gains made and contributed to participants having a positive social experience. Directions for future research are discussed.     

Are the discrepancies between self- and others' appraisals of competence predictive or reflective of depressive symptoms in children and adolescents: a longitudinal study, Part II

Two cohorts of children and adolescents (who started 6th grade in 1993 and 1996), parents, teachers, and peers participated in a 4-wave, 2-year, longitudinal study of perceived competence and depressive symptoms. The authors assessed children's tendencies to underestimate their competence (discrepant self-appraisals) relative to the appraisals of significant others. We also assessed the degree to which self-appraisals reflected the evaluations of others (reflective self-appraisals). Domains of competence were academic competence, physical appearance, behavioral conduct, social acceptance, and athletic competence. Cross-sectional analyses indicated that depressive symptoms correlated with reflective and discrepant self-appraisals. Longitudinal analyses revealed that reflective and discrepant self-appraisals predicted subsequent depressive symptoms and that depressive symptoms predicted discrepant but not reflective self-appraisals. Clinical implications of the findings are discussed.     

A cognitive-behavioral analysis of parental facilitation of children's social-cognitive problem solving

The present study used a case study framework to examine ways in which parental belief systems and parental teaching strategies interact to enhance children's social-cognitive problem solving and school adjustment. The focus of the investigation was to examine the robustness of several postulated typologies of interrelationship among the key variables, as well as antecedents and consequences of means-ends problem solving exhibited by children. Four intact families with second grade children were observed in the home as they participated in discussion and decision making concerning problematic social situations. The data suggested these major points: Parental behavior was generally consistent with their beliefs; parents could most effectively elicit means-ends verbalizations from children through direct questioning; families differed in the extent to which children's inputs into family decision making were valued and the degree of interparental discord concerning beliefs and strategies. The latter points suggest a reconceptualization of how parental variables can be linked to the development of social-cognitive and behavioral competence in children. Specific implications for theory and recommendations for research are discussed.     

Towards creation of a unified view of the neurodevelopment of the infant

During the twentieth century, study of the neurologic development of the fetus and infant has resulted in multiple neurodevelopmental assessments. They have been used both for determination of the integrity of the neonate as well as for assessment of the child's outcome from prenatal and neonatal medical interventions. These models of assessment have broadened our view and understanding of the development of functions such as movement, posture, attention, oromotor skills, and behavior. The link between these areas and the traditional areas of neurologic and psychiatric examination of older children and adults is explored through discussion of the maturation of movement, cranial nerve function, sensory, cognitive, and behavioral responses. Gaps in knowledge remain about the relationship between early neurodevelopmental assessments and later findings. A single unified means of examining the infant is also lacking.     

Responsive parenting: establishing early foundations for social, communication, and independent problem-solving skills

Mothers whose infants varied in early biological characteristics (born at term, n = 120; born at very low birth weight [VLBW], n = 144) were randomized to a target group (n = 133) or developmental feedback comparison group (n = 131) to determine whether learning responsive behaviors would facilitate infant development. The target condition included videotaped examples, problem-solving activities, and mothers' critique of their own behaviors through video procedures across 10 home visits. All target versus comparison mothers showed greater increases across multiple responsiveness behaviors observed in 4 assessments conducted across 6-13 months of age; changes in emotionally supportive behaviors were strongest for target mothers of infants born at VLBW. Increased maternal responsiveness facilitated greater growth in target infants' social, emotional, communication, and cognitive competence, supporting a causal role for responsiveness on infant development. Although benefits were generally comparable across risk groups, aspects of social and emotional skills showed greater change for those born at VLBW. Evidence for responsiveness as a multidimensional construct was provided as well as the importance of different aspects of responsiveness mediating the effect of the intervention on different infant skill domains.     

Models of visuospatial and verbal memory across the adult life span

The authors investigated the distinctiveness and interrelationships among visuospatial and verbal memory processes in short-term, working, and long-term memories in 345 adults. Beginning in the 20s, a continuous, regular decline occurs for processing-intensive tasks (e.g., speed of processing, working memory, and long-term memory), whereas verbal knowledge increases across the life span. There is little differentiation in the cognitive architecture of memory across the life span. Visuospatial and verbal working memory are distinct but highly interrelated systems with domain-specific short-term memory subsystems. In contrast to recent neuroimaging data, there is little evidence for dedifferentiation of function at the behavioral level in old compared with young adults. The authors conclude that efforts to connect behavioral and brain data yield a more complete understanding of the aging mind.     

Preterm behavior,maternal adjustment,and competencies in the newborn period: What influence do they have at 12 months postnatal age?

This article examines whether preterm newborns' behavior and their mother's adjustment to the premature birth and infant hospitalization have an influence on subsequent infant development and behavior, maternal adjustment, and mother–infant relationship. The behavioral competencies of 42 well, singleton preterm infants (mean gestational age=31 weeks) were assessed, as were their mothers' adjustment (depression and coping) and competencies (knowledge of child development). At 12 months of postnatal age, child competencies (development and behavior) were assessed, together with maternal adjustment (parenting stress and depression). Mother–infant interaction also was observed. Regression analyses indicated that in the newborn period, maternal positive reappraisal and a planful coping style, more knowledge of child development, and previous experience with baby‐sitting were associated with better infant development (p=.002), maternal adjustment (p=.012), and mother–child relationship (p=.002) at 12 months. Newborn infant muscle‐tone maturity was predictive of better motor quality at 12 months (p=.011), and being a firstborn infant who was more sleepy and drowsy was associated with subsequent higher maternal parenting stress (p=.007). Social and educational support groups combined with an approach that assists mothers to develop problem‐solving coping styles may have a beneficial influence on infant development.     

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.     

Assessment of gestational age and neuromaturation

Neuromaturation is the functional development of the central nervous system (CNS). It is by its very nature a dynamic process, a continuous interaction between the genome and first the intrauterine environment, then the extrauterine environment. Understanding neuromaturation and being able to measure it is fundamental to infant neurodevelopmental assessment. Fetal and preterm neuromaturation has become easier to observe with the advent of prenatal ultrasonography and neonatal intensive care units. A number of measures of degree of fetal maturation have been developed and used to estimate gestational age (GA) at birth. The most reliable measures of GA are prenatal measures, especially from the first trimester. Postnatal GA measurements tend to be least accurate at the extremes of gestation, that is, in extremely preterm and post-term infants. Observations of measures of neuromaturation in infants born to mothers with pregnancy complications, including intrauterine growth restriction, multiple gestation, and chronic hypertension, have led to the discovery that stressed pregnancies may accelerate fetal pulmonary and CNS maturation. This acceleration of neuromaturation does not occur before 30 weeks' gestation and has a cost with respect to cognitive limitations manifested in childhood. The ability to measure fetal and preterm neuromaturation provides an assessment of neurodevelopmental progress that can be used to reassure parents or identify at risk infants who would benefit from limited comprehensive follow-up and early intervention services. In addition, measures of neuromaturation have the potential to provide insight into mechanisms of CNS injury and recovery, much-needed early feedback in intervention or treatment trials and a measure of early CNS function for research into the relationships between CNS structure and function.