Associations between prenatal maternal mental health indices and mother–infant relationship quality 6 to 18 months’ postpartum: A systematic review

Maternal mental disorders can significantly impact on children's psychosocial and psychological development, incurring substantial ongoing economic and personal costs. A key mediating mechanism is mother–infant relationship quality (MIRQ). Research studies and perinatal mental health screening initiatives have predominantly focused on depressive symptoms and perinatal depression as predictors of MIRQ. While maternal depression is associated with suboptimal MIRQ, the findings have not been consistent. Personality characteristics are associated with parenting and proneness to depression, presenting a potential addition to prenatal mental health assessment. We conducted a systematic review of studies that have examined the link between prenatal depressive symptoms and/or personality characteristics with postnatal MIRQ. Our findings suggest that both maternal personality traits and depressive symptoms measured in early pregnancy are associated with postnatal MIRQ. A measure of personality characteristics may enhance prenatal mental health assessment, affording opportunities for targeted intervention commencing in pregnancy to improve MIRQ, parenting, maternal mental health outcomes, and infant psychosocial and psychological development, and thereby contributing to the reduction of human and economic cost burdens.     

Is mindfulness associated with stress and burnout among mental health professionals in Singapore?

High levels of stress and burnout have been reported among mental health professionals worldwide, including Singapore, with concerning potential implications for the quality of patient care. Mindfulness has been associated with decreased stress and burnout; however, associations between mindfulness, stress, and burnout have not been examined in Singapore. The aim of this study was to investigate whether mindfulness is associated with stress and burnout among healthcare professionals working in a mental health setting in Singapore. A total of 224 Singaporean mental health professionals completed a cross-sectional survey which included measures of: mindfulness (observe, describe, act with awareness, non-judge, and non-react), stress, and burnout (exhaustion and disengagement). Using multiple regression, significant negative associations were found between each of the mindfulness facets and: stress, exhaustion, and disengagement, while controlling for years of experience. Of the five mindfulness facets, act with awareness demonstrated the strongest negative association with all three variables. This study showed that mental health professionals in Singapore who have higher levels of mindfulness also have lower levels stress and burnout (disengagement and exhaustion). Future longitudinal research is warranted to better understand the directionality of these associations, with implications for the development of interventions aimed to reduce stress and burnout within this population.     

Caregiving representations in war conditions: Associations with maternal trauma,mental health,and mother–infant interaction

Risk features in mothers’ caregiving representations remain understudied in dangerous environments where infants most urgently need protective parenting. This pilot study examines the feasibility of a novel coding system for the Parent Development Interview (PDI) interview (ARR, Assessment of Representational Risk) in assessing 50 war-exposed Palestinian mothers’ caregiving representations. First, we explored the content and structure of risks in the representations. Second, we examined associations between the high-risk representations, mothers’ pre- and postnatal exposure to traumatic war events (TWE), depressive and post-traumatic stress disorder (PTSD) symptoms, and self-rated emotional availability (EA) with their 1-year-old infants. Following three dimensions of high-risk caregiving representations were identified: self/dyadic dysregulation, unavailable, and fearful. Mothers’ prenatal depressive symptoms were associated with dysregulating and fearful representations, and their postnatal PTSD with fearful representations. TWE were not associated with the high-risk representations. Moreover, mothers of boys reported more fearful representations, and mothers with financial difficulties reported more unavailable representations. TWE and high-risk representations were not associated with EA. However, qualitative analysis of the representations indicated risks in the mother–infant relationship. Further, older mothers and mothers with postnatal PTSD reported lower EA. Cultural variance in caregiving representations and the use of self-report measures among traumatized mothers are discussed.     

Mothers’ Empathic Understanding of their Toddlers: Associations with Maternal Depression and Sensitivity

Mothers’ empathic understanding of their children’s motives, thoughts, and feelings is thought to guide parenting behaviors and shape the mother-child relationship. However, little is known about the relation between empathic understanding and parenting behaviors during developmental shifts that may be emotionally challenging for mothers, such as the transition from infancy to the toddler years, or how it may relate to maternal depressive symptoms. We assessed relations between maternal empathic understanding, depression, and sensitivity. We developed a coding system, the Empathic Understanding Assessment (EUA), to measure this construct in the mothers of 30-month old children. One hundred twenty eight mother-child pairs participated in a series of lab-based tasks designed to be challenging for the children. Mothers then watched these videotaped interactions and responded to questions regarding their children’s experiences. Interview content was coded using the EUA. Results indicated that mothers higher in empathic understanding and more intensely emotional were rated as more sensitive. Maternal depression was negatively related to empathic understanding. The importance of considering the role of maternal empathic understanding in parenting behavior is discussed, as are potential implications for child outcomes.     

Maternal communicative functions and mind-mindedness at 16 months as predictors of children’s internal and non-internal language at 20 months

The effects of Communicative functions and Mind-Mindedness on children’s language development have been typically investigated in separate studies. The present longitudinal research was therefore designed to yield new insight into the simultaneous impact of these two dimensions of maternal responsiveness on the acquisition of expressive language skills in a sample of 25 mother-child dyads. The frequencies of five communicative functions (Tutorial, Didactic, Conversational, Control and Asynchronous) and two types of mind-related comments (attuned vs. non-attuned) were assessed from a 15-min play session at 16 months. Children’s expressive language was examined at both 16 months (number of word types and tokens produced, and number of words attributed to the child in the Questionnaire for Communication and Early Language development) and 20 months (number of internal and non-internal words attributed to the child in the Italian version of the Mac Arthur-Bates Communicative Development Inventory). The main finding was that mothers’ use of attuned mind-related comments at 16 months predicted internal state language at 20 months, above and beyond the effects of CFs and children’s linguistic ability at 16 months; in addition, mothers’ Tutorial function at 16 months marginally predicted non-internal state language at 20 months, after controlling for MM and children’s linguistic ability at 16 months. These results suggest that different expressions of maternal responsiveness influence distinct aspects of children’s expressive language in the second year of life, although the effects of MM appear to be more robust.     

Children’s Intent Attributions and Feelings of Distress: Associations with Maternal and Paternal Parenting Practices

Many studies point to the importance of social information processing mechanisms in understanding distinct child behaviors such as aggression. However, few studies have assessed whether parenting might be related to such mechanisms. This study considers how aversive forms of parenting (i.e., corporal punishment, psychological control) as well as parental warmth and responsiveness might be concurrently associated with children’s hostile intent attributions and emotional distress in response to ambiguous provocation scenarios (both instrumental and relational). A sample of 219 children (101 boys, 118 girls) and their parents participated. Bivariate associations showed that parenting dimensions and child variables were significantly associated in mostly expected ways, but only in father–child relationships (especially father–son relationships). Analyses generally showed dimensions of aversive parenting by fathers to be associated with a greater tendency toward hostile attributional bias in children. Moreover, paternal warmth and responsiveness, as well as corporal punishment, were associated with less emotional distress in boys. In contrast, paternal psychological control predicted greater emotional distress in boys. The findings suggest that the tone of the father–son relationship, in particular, may help set the tone for how boys interpret their social world. Psychological control figures prominently in this regard.     

Children’s Attitudes toward Aggression: Associations with Depression,Aggression, and Perceived Maternal/Peer Responses to Anger

Little is known about factors that influence children’s attitudes toward aggression, despite evidence that these attitudes are influential in promoting violent behaviors. The purpose of the present research was to examine the relation of self, peer, and parent social factors to school-age children’s maladaptive attitudes toward aggression. Specifically, symptoms of depression, peer overt aggression behaviors, and perceptions of maternal and peer responses to anger were evaluated as important factors associated with the use of aggression. These factors were examined separately for boys and girls, as research has consistently documented gender differences in the form and use of aggression. Hierarchical regression models were computed separately for boys and girls in grades three through five (N?=?167), with child-reported depression, peer-nominated overt aggression, and child-reported maternal and best friend responses to anger examined as predictors of maladaptive attitudes toward aggression. For girls, depressive symptoms positively predicted maladaptive attitudes toward aggression. For boys, the extent of peer-reported overt aggression (positively) and child-reported supportive maternal responses to the child’s anger (negatively) predicted maladaptive attitudes toward aggression. The value of examining social factors that relate to attitudes toward aggression is discussed as well as consideration of gender differences in these relations. In addition, discussion includes how these results highlight important targets for interventions that may be especially relevant for school-age girls and boys.     

Toddler emotional states,temperamental traits,and their interaction: Associations with mothers’ and fathers’ parenting

We investigated the degree to which toddlers’ observed emotional states, toddlers’ temperamental traits, and their interaction accounted for variance in mothers’ and fathers’ parenting. Main effects of two emotional states (positive emotion and negative emotion), three temperamental traits (negative affectivity, effortful control, and surgency) as well as state-by-trait interactions, were examined in relation to parental sensitivity, positive affect, and negative affect. The hypothesis that toddlers’ temperamental traits would moderate the association between their observed emotional states and parenting was partially supported. Significant state-by-trait interactions were found in models predicting the probability that mothers and fathers expressed negative affect toward their toddlers. For parental sensitivity and positive affect, only main effects of temperament and/or emotion expression accounted for variance in parenting.     

Maternal Attachment and Television Viewing in Adolescents’ Sexual Socialization: Differential Associations Across Gender

The present study explores whether gender and maternal attachment moderate the relationship between television viewing and adolescents’ sexual and gender stereotypical attitudes. A quantitative survey was conducted among 1,026 Belgian adolescents in a targeted sample of nine schools (Mean age?=?16.3). Findings show that greater exposure to television among boys and lower maternal attachment among boys and girls is associated with more liberal and stereotypical sexual attitudes. While maternal attachment has a buffering effect on the relationship between television viewing and sexual attitudes among girls, maternal attachment has a risk-increasing effect among boys. Further research is needed to explore more fully the emergence of gender differences in the influence of maternal attachment and television viewing on adolescents’ sexual development.     

Motherhood in adolescent mothers: Maternal attachment,mother–infant styles of interaction and emotion regulation at three months

Early motherhood is considered a risk factor for an adequate relationship between mother and infant and for the subsequent development of the infant. The principal aim of the study is to analyze micro-analytically the effect of motherhood in adolescence on the quality of mother–infant interaction and emotion regulation at three months, considering at the same time the effect of maternal attachment on these variables. Participants were 30 adolescent mother–infant dyads compared to 30 adult mother–infant dyads. At infant 3 months, mother–infant interaction was video-recorded and coded with a modified version of the Infant Caregiver Engagement Phases and the Adult Attachment Interview was administered to the mother. Analysis showed that adolescent mothers (vs. adult mothers) spent more time in negative engagement and their infants spent less time in positive engagement and more time in negative engagement. Adolescent mothers are also less involved in play with their infants than adult mothers. Adolescent mother–infant dyads (vs. adult mother–infant dyads) showed a greater duration of negative matches and spent less time in positive matches. Insecure adolescent mother–infant dyads (vs. insecure adult mother–infant dyads) demonstrated less involvement in play with objects and spent less time in positive matches. To sum up adolescent mother–infant dyads adopt styles of emotion regulation and interaction with objects which are less adequate than those of dyads with adult mothers. Insecure maternal attachment in dyads with adolescent mothers (vs. adult mother infant dyads) is more influential as risk factor.     

Postnatal mental health and mothers’ processing of infant emotion: an eye-tracking study

ABSTRACT

Background

Postnatal mental illnesses are associated with less maternal sensitivity. Differences in how mothers with and without mental illness process infant emotions could explain this. People with mental illness in non-perinatal populations show certain processing patterns when viewing emotional faces, but it is not clear whether these patterns are present in mothers.     

Girls’ Stuff,boys’ stuff and mental rotation: fourth graders rotate faster with gender-congruent stimuli

Males outperform females in mental-rotation for various reasons, e.g. stimuli characteristics. This study tested the hypothesis that girls and boys solve mental-rotation tests with female- or respectively male-stereotyped objects faster and more correctly. 116 fourth-graders solved a chronometric mental-rotation test with either female- or male-stereotyped action-based objects as stimulus material and reported their solution strategies and familiarity with handling the objects in real life. Boys reacted faster than girls only in the male-stimuli condition, while gender differences were inversed in the female-stimuli condition. All children were faster with gender-congruent material, probably provoked by gender-schematic processing or stereotype lift effects. Furthermore, analytic solving strategies appeared as efficient as holistic strategies in gender-congruent conditions, while holistic strategies were more advantageous only in gender-incongruent conditions. The congruence of stimulus material and gender best predicted children’s reaction time. Practical implications are considered regarding the importance of diverse and gender-equalised material to assess mental-rotation skills.     

Experiential Avoidance and Anxiety Sensitivity: Independent and Specific Associations with Children’s Depression,Anxiety, and Social Anxiety Symptoms

Experiential avoidance (EA) is a key component in acceptance and commitment therapy (ACT) theory and research. EA is associated with a wide range of psychopathology in adults including anxiety, in particular social anxiety, and depression, yet little research exists on EA in youth. Anxiety sensitivity (AS), like EA, has been viewed as a form of distress tolerance or emotion regulation. In a sample of 124 children (age 10 to 12), this study examined the independent and specific relations of EA and AS to children’s depression, anxiety, and social anxiety symptoms, both before and after controlling for comorbid symptoms. EA and AS had independent associations with each of children’s depression, anxiety, and social anxiety; and EA had significantly stronger relations than AS with each of children’s social anxiety and anxiety. After controlling for depression, only EA (and not AS) was uniquely related to both children’s anxiety and social anxiety. After controlling for anxiety and social anxiety, only AS (and not EA) was uniquely related to depression. After controlling for depression and social anxiety, neither EA nor AS was significantly related to anxiety. In contrast, after controlling for depression and anxiety, EA (and not AS) showed a significant and unique relation to children’s social anxiety. These findings indicate: 1) there are distinctions between EA and AS; 2) EA and AS are overlapping yet independent correlates for each of depression, anxiety and social and anxiety; and 3) EA and AS show some differential relations with children’s depression, anxiety, and social anxiety when comorbid symptoms are considered. Theoretical and treatment implications are highlighted.     

Maternal Executive Functions,Maternal Discipline,and Children’s School Readiness: A Process Oriented Approach

Journal of Child and Family Studies - Emerging conceptual frameworks identify executive functions as a potential explanatory variable in determinants of parenting, and a growing body of research...     

Maternal perinatal representations and their associations with mother–infant interaction and attachment: A longitudinal comparison of Portuguese and Brazilian dyads

Prior research in Western countries (mostly the US, Canada and northern Europe) indicates that mothers' representations are associated with mother–infant interaction quality and their child's attachment security later in the first year. Fewer studies, however, have evaluated whether these associations hold for mother–infant dyads in other countries, such as Brazil and Portugal. Although these countries share a similar language and culture, they differ on societal dimensions that may affect parenting attitudes and mother–infant relationships, such as economic stress, social organisation, social policy, and the availability of services for young families. In this longitudinal study, we followed two independent samples of Brazilian and Portuguese mother–infant dyads from the perinatal period to 12 months post-partum. We assessed mothers' perinatal representations using semi-structured interviews in the first 48 hours after the infant's birth, and evaluated the associations of these representations with mother interaction quality at 9 months and infant attachment at 12 months. Results were similar in each country, corroborating prior research in single Western countries: Mothers with more positive perinatal representations were more sensitive to their infants during free play at 9 months and were more likely to have infants classified as securely attached at 12 months.     

Stress,self-esteem,and mental health: How does gender make a difference?

Questionnaire responses of 804 women and 127 men were compared to assess sex differences in college students' stress levels and reactions to stress, and the extent to which their self-esteem, interpersonal self-confidence, and self-concepts are associated with their experiences with stress. The men and women reported similar stress levels in most areas of life, but the women reported greater stress regarding family relationships and concern about their mental health. The women reported that when they are under stress, they experience more symptoms of depression and anxiety, and are more likely to express their anger and feelings, whereas the men reported that they become more active in response to stress. For both men and women, levels of stress and reactions to stress were associated with self-esteem, interpersonal self-confidence, and self-concepts. The results indicate that sex differences in dysfunctional reactions to stress can be explained by sex differences in self-concept more persuasively than can differences in areas of stress.The author wishes to thank the presidents of the seven colleges for their support and encouragement; the Seven College Study Advisory Board, campus coordinators, and staff for their contributions; and the students for their interest and participation. The author also expresses her appreciation for the support of the Henry A. Murray Research Center of Radcliffe College. This research was supported in part by a grant from the Josiah Macy, Jr. Foundation.     

Joining and leaving a new religious movement: A study of ex-members’ mental health

The impact of membership in new, often socially contested, religious movements (NRMs) on mental health of members and ex-members is still a controversial question in the psychological literature. In the present study, we interviewed 20 ex-members of various NRMs who also completed questionnaires measuring several cognitive (need for closure, world assumptions) and affective-emotional (parental and adult attachment, social relationships, depression) constructs. Ex-members were then compared with current NRM members and with individuals not involved in NRMs. It appeared that NRM membership compensated for some previously existing vulnerabilities reported by members (insecure attachment in childhood, few social relationships, negative life events). However, this supportive effect did not persist after the destabilizing experience of disaffiliation. Yet, ex-members remained strong believers and were very inclined to spirituality.