Bridging the divide: openness in adoption and postadoption psychosocial adjustment among birth and adoptive parents

Using 323 matched parties of birth mothers and adoptive parents, this study examined the association between the degree of adoption openness (e.g., contact and knowledge between parties) and birth and adoptive parents' postadoption adjustment shortly after the adoption placement (6 to 9 months). Data from birth fathers (N = 112), an understudied sample, were also explored. Openness was assessed by multiple informants. Results indicated that openness was significantly related to satisfaction with adoption process among adoptive parents and birth mothers. Increased openness was positively associated with birth mothers' postplacement adjustment, as indexed by birth mothers' self-reports and the interviewers' impression of birth mothers' adjustment. Birth fathers' report of openness was associated with their greater satisfaction with the adoption process and better postadoption adjustment.     

Adoption with contact: a study of adoptive parents and the impact of continuing contact with families of origin

Adoption practice has seen an increase in adoptive families where contact continues with families of origin. This study, based on responses from adoptive parents at least two years after placement, aims to enhance understanding of the meaning of these experiences for adoptive parents. Data from thirty questionnaire responses indicate that attitudes change, while there are gender differences in the degree of comfort with contact. Fifteen adopters participated in follow-up interviews. The analysis has considered (1) the impact on parenthood, exploring themes of control, entitlement to parent, communication, bonding and ownership, and (2) relationships between adoptive and birth parents, exploring themes of fear, anger and blame, competition and empathy. The findings suggest that passage of time and a greater sense of control assist in establishing confidence, while a more empathic view towards birth mothers develops. This has emotional costs to the adoptive mother. The implications for practice are discussed.     

Processes linked to contact changes in adoptive kinship networks

The purpose of this study was to reveal underlying processes in adoptive kinship networks that experienced increases or decreases in levels of openness during the child's adolescent years. Intensive case study analyses were conducted for 8 adoptive kinship networks (each including an adoptive mother, adoptive father, adopted adolescent, and birth mother), half of whom had experienced an increase in openness from indirect (mediated) to direct (fully disclosed) contact and half of whom had ceased indirect contact between Waves 1 and 2 of a longitudinal study. Adoptive mothers tended to be more involved in contact with the birth mother than were adoptive fathers or adopted adolescents. Members of adoptive kinship networks in which a decrease in level of contact took place had incongruent perspectives about who initiated the stop in contact and why the stop took place. Birth mothers were less satisfied with their degree of contact than were adoptive parents. Adults' satisfaction with contact was related to feelings of control over type and amount of interactions and permeability of family boundaries. In all adoptive kinship networks, responsibility for contact had shifted toward the adopted adolescent regardless of whether the adolescent was aware of this change in responsibility.     

The relationship of maternal mentalization and executive functioning to maternal recognition of infant cues and bonding

The study examined associations between maternal mentalization ability, executive functioning, recognition of infant cues, and bonding in a non‐clinical sample of mothers. It employed a correlational design. Sixty‐four mothers of young infants completed assessments of mentalization ability, executive functioning, and bonding. Photographs of infant facial expressions were utilized to assess ability to recognize infant cues of emotion, but this was not found to correlate with either maternal mentalization or executive functioning ability. Whilst a trend towards a significant positive relationship between mothers' cued ability to attribute mental states and their ability to recognize infant facial expressions was observed, no significant relationships were found between bonding scores and performance on the executive functioning and mentalization measures. The present study contributes to our current understanding of the influence of maternal cognitive factors, specifically mentalization and executive functioning, on the development of the mother–infant relationship. Future research, methodological issues, and clinical and theoretical implications are discussed.     

Bed-sharing, breastfeeding and maternal moods in Barbados

Bed-sharing among Barbadian mothers and infants was studied in relationship to maternal and infant characteristics. This prospective study followed 226 healthy, well-nourished mother–infant dyads at birth, 7 weeks, 3 months, and 6 months postpartum. At each age, approximately half of the infants shared the same beds as their mothers. Bed-sharing was associated with demographic characteristics, especially fewer home conveniences, and also maternal characteristics, including less information seeking by the mother and younger maternal age at first pregnancy. Bed-sharing was also associated with lower infant birth weights. Maternal moods were significantly correlated with bed-sharing, such that mothers who reported having more despair and anxiety were also more likely to sleep with their infants. Bed-sharing was also significantly associated with increased breastfeeding at all infant ages, but this relationship was no longer significant once the effects of maternal moods were controlled. This study emphasizes the importance of assessing maternal moods in studies evaluating the risk and benefits of bed-sharing.     

I. Genotype-environment interaction in the schizophrenia spectrum: genetic liability and global family ratings in the Finnish Adoption Study

In the Finnish Adoption Study, a national sample of adoptees with high versus low genetic liability for schizophrenia spectrum disorders was indexed by DSM-III-R diagnoses of their biological, adopting-away mothers. The rearing-family environments of the adoptees were independently evaluated from global ratings of directly observed adoptive family relationships. The interaction of high genetic liability and dysfunction of the rearing families predicted highly significantly to schizophrenia spectrum disorder of the adoptees at 21-year follow-up. Either low genetic liability or healthy rearing protected against a spectrum outcomes for the adoptees. Initial adoptive parent diagnosis, as a proxy for rearing family dysfunction, predicted to adoptee outcome only as a trend.     

Birth order,sex of child,and maternal help-giving

As part of a larger study of birth order, sex of child, and mother—child interaction, mothers were asked to supervise their child's performance on memory and puzzle tasks. Subjects were 56 5-year-old boys and girls and their mothers, half with a same-sex older sibling, half with a same-sex younger sibling. Mothers showed no differences in spontaneous help-giving as a function of sex or birth order of child, but were more likely to give requested help and support to daughters than sons, and to respond contingently to daughters' mistakes. Implications of greater reinforced help-seeking for girls' orientations to achievement and problem-solving are considered.The work for this study was financed in part by Public Health Service Predoctoral Fellowship 5F1MH20, 971-02 and Special Fellowship 1-F03-HD-49722-01 from the National Institutes of Health. The authors wish to express gratitude for the assistance of Dan Eisenberg in performing data analysis.Portions of this paper were presented at meetings of the Western Psychological Association, San Francisco. 1974.     

The relationship of maternal beliefs about sex typing to maternal and young children's behavior

Possible links between maternal beliefs about children's sex-typed behavior and familial characteristics, mothers' interactions with their young children, and children's cognitive functioning were explored. One hundred and thirty-two mothers and their two-year-olds were seen; familial social class, birth order, and child gender were selection-criterion variables. Sex-typed beliefs were assessed by asking mothers to rate a number of qualities and interests as to whether or not each was more likely to occur in or be characteristic of boys or of girls, or was equally likely to be characteristic of boys and girls. Mothers rated qualities for two different age periods—toddlerhood and middle childhood. Mothers and toddlers were observed in a free play setting for 20 min. Responsivity and type of behavior emitted were assessed. The Bayley Scale of Infant Intelligence was given at 24 months. The findings were as follows: First, gender and social class were related to maternal beliefs about sex-typed characteristics. Second, maternal sex-typed beliefs were negatively related to active toy play and distal interaction, with this relationship significant for daughters but not sons. Third, daughters of low sex-typed mothers were more responsive and more likely to seek comfort than daughters of high sex-typed mothers. Fourth, daughters of mothers who had strong sex-typed beliefs had lower IQ scores at 24 months than did daughters of mothers with beliefs less strong; this relationship was not found for sons. Research on cross-sex behavior and enhanced cognitive functioning was reviewed as it relates to these findings.     

Consistency of maternal cognitions and principles across the first five months following preterm and term deliveries

The aims of this study were to examine and compare the development of parenting cognitions and principles in mothers following preterm and term deliveries. Parenting cognitions about child development, including thinking that is restricted to single causes and single outcomes (categorical thinking) and thinking that takes into account multiple perspectives (perspectivist thinking), have been shown to relate to child outcomes. Parenting principles about using routines (structure) or infant cues (attunement) to guide daily caregiving have been shown to relate to caregiving practices. We investigated the continuity and stability of parenting cognitions and principles in the days following birth to 5 months postpartum for mothers of infants born term and preterm. All parenting cognitions were stable across time. Categorical thinking increased at a group level across time in mothers of preterm, but not term, infants. Perspectivist thinking increased at a group level for first-time mothers (regardless of birth status) and tended to be lower in mothers of preterm infants. Structure at birth did not predict later structure (and so was unstable) in mothers of preterm, but not term, infants and neither group changed in mean level across time. Attunement was consistent across time in both groups of mothers. These results indicate that prematurity has multiple, diverse effects on parenting beliefs, which may in turn influence maternal behavior and child outcomes.     

The risk of low risk: First time motherhood,prematurity and dyadic well-being

Premature birth has a well-documented impact on infants, mothers and their dyadic interactions. First time motherhood in the context of low risk premature birth—relatively unexplored in the literature—is a specific experience that sits at the nexus of premature infancy, motherhood and the processes that underpin dyadic connection. This qualitative study analyzed semistructured interviews with first time mothers of low risk premature babies. Findings were generated in response to research questions concerning mothers’ meaning-making, bonding and identity. Findings demonstrated that maternal meaning-making emerged from a dyadic framework. When mothers or their infants were considered outside of a dyadic context, surplus suffering inadvertently occurred. Findings have important implications for infant mental health practice in medical settings, for postnatal support in the aftermath of premature birth, and for understanding the meaning of risk.     

Stability of maternal postnatal bonding between 3 and 6 months: Associations with maternal mental health and infant temperament

Maternal bonding is key for infant development and well-being. Research to date focused on prenatal bonding experience, with fewer studies looking at the postnatal period. Moreover, evidence suggests significant associations among maternal bonding, maternal mental health, and infant temperament. The joint impact of maternal mental health and infant temperament on maternal postnatal bonding remains unclear, with limited research reporting longitudinal data. Hence, the present study aims (1) to explore the impact of maternal mental health and infant temperament on postnatal bonding at both 3 and 6 months of age, (2) to explore postnatal bonding stability from 3 to 6 months, and (3) to determine which factors are linked with 3-to-6-month changes in bonding. At the infants' 3 months (n = 261) and 6 months of age (n = 217), mothers provided measures of bonding, depressive and anxious symptoms, and infant temperament via validated questionnaires. At 3 months, higher levels of maternal bonding were predicted by lower levels of anxiety and depression in the mothers and by higher infants' regulation scores. At 6 months, lower levels of anxiety and depression predicted higher levels of bonding. Moreover, mothers showing decreases in bonding were characterized by 3-to-6-month increases in depression and anxiety, as well as increased reported difficulties in regulation dimensions of infant temperament. This study highlights the impact of both maternal mental health and infant temperament on maternal postnatal bonding in a longitudinal sample and could offer useful information for early childhood prevention and care.     

Genetic and adoptive motherhood: Stress,marital relationship,and child care support

In this paper we characterize adoptive and genetic motherhood with or without stress indicators. Participants were 86 mothers (36 adoptive, 50 genetic) with children from 0 to 12 years old. They answered questions about focal child and mother profile, marital relationship, child care support and the Lipp's Stress Symptoms Inventory for Adults. Results showed that mothers in both groups reported child care support, but there was more participation of nonrelatives in the care of adoptive children and relatives in the care of genetic children. There was greater marital stability and less conflict with the arrival of the child in the adoptive families and predominance of stress indicators in genetic mothers. We concluded that, although there are differences between adoptive and genetic motherhood, these do not imply advantages for one versus the other. Moreover, marital stability related to the adoption process and sociodemographic characteristics of adoptive mothers may have contributed to lower prevalence of stress.     

Early interactive behaviours in preterm infants and their mothers: Influences of maternal depressive symptomatology and neonatal birth weight

The study evaluated the quality of preterm infant–mother interactions, considering severity of birth weight (ELBW and VLBW) and maternal depression, compared to full term babies. 69 preterm infants (29 ELBW and 40 VLBW) and 80 full-term (FT) infants and their mothers were recruited. At 3 months of corrected age, the quality of mother–infant interaction was evaluated through Global Rating Scales; moreover, infant level of development and maternal depression were assessed through Griffith Development Mental Scales and Edinburgh Postnatal Depression Scale. Results showed adequate sensitivity in preterm infants’ mothers and higher involvement with their infants, compared to full term mothers, but ELBW ones exhibited an intrusive interactive pattern and a higher prevalence of depressive symptoms. The study underlined the relevance of paying special attention to both ELBW infants and their mothers, in order to support the parenting role and the co-construction of early interactions.     

Relation of birth weight, maternal intelligence and mother–child interactions to cognitive and play competence of Jamaican two-year old children

The present study assessed whether birth weight, maternal child rearing behaviors, and maternal intelligence combine in an additive or in a non-linear interactive fashion to influence cognitive performance in a sample of 24-month old full-term appropriate and low birth weight Jamaican children. Child cognitive performance was measured using the Griffiths Scale and a laboratory based assessment of the amount of time the child utilized different levels of play behavior. Mothers were videotaped while playing with their children under different instructional conditions and videotapes were coded for 8 maternal interaction patterns. Maternal verbal intelligence was assessed using the PPVT. Results supported the operation of both additive co-action as well as non-linear interactive processes. Birth weight, maternal behaviors toward her child and maternal intelligence predicted child cognitive performance. In addition, low birth weight infants were either less sensitive to facilitative aspects of maternal behaviors and/or more sensitive to maternal inhibitory behaviors than were appropriate birth weight infants. Further, child rearing behaviors of more intelligent mothers were a stronger influence on their child's cognitive performance than those of less intelligent mothers, even when there were no differences in the level of behaviors of more or less intelligent mothers.     

Caregiving stress and adjustment problems of Kenyan orphans raised by grandmothers

The present study compared levels of caregiving stress among 115 biological mothers and 134 grandmothers raising their orphaned grandchildren. The associations between parenting stress and adjustment difficulties exhibited by children raised by these two groups of caregivers were also assessed. Full‐time caregiving grandmothers reported elevated levels of stress more than did the biological mothers. A significant negative association was found between child maladjustment and caregiving stress. Caregivers' experienced stress was linked to advanced age and extensive, new adoptive roles now occupied by grandmothers. There was no evidence suggesting that these orphaned children were less well adjusted when compared to children still living with their own birth parents. Copyright © 2005 John Wiley & Sons, Ltd.     

Quality of maternal thinking and mother-child interaction in at-risk contexts

This study investigates how the maternal level of perspectivistic reasoning and the level of socialization goals in the representation of their actions are related to the quality of mother-child behaviors as well as to the expert ratings on maternal practices in at-risk contexts. It also investigated whether there is any direct link between mother and child behaviors and expert ratings. A sample of 75 mothers of children between 8 and 12 years old reported on their level of perspectivistic reasoning and were characterized by the social workers of municipal services as being coercive, neglectful or meeting their child's needs. Interactions during a collaborative task were observed to obtain information on level of socialization goals and mother-child behaviors. Structural equation models showed that mothers' higher levels of perspectivism and higher levels of socialization goals positively predicted the mother's and child's sensitivity and active involvement in the task and negatively predicted avoidance and passivity. Higher levels of perspectivism consistently predicted experts' views on maternal practices. However, only mother's avoidance predicted negatively expert ratings on coercion practice, indicating that expert views were mostly derived from the mothers' perspective on their child. The implications of these results for parental assessment and intervention programs are discussed.     

Contextual basis of maternal perceptions of infant temperament

To elucidate the differential saliency of infant emotions to mothers across interactive contexts, the authors examined the moderating role of observed infant affect during interactions with mother in the relation between maternal and laboratory-based ratings of infant temperament. Fifty-nine developmentally healthy 9-month-old infants were judged for degree of infant positive, infant negative, and mother-infant mutually positive affect during the course of object-focused and routine home-based activities with mother. Mothers completed the Infant Behavior Questionnaire (M. K. Rothbart, 1981), and infants underwent the Laboratory Temperament Assessment Battery (H. H. Goldsmith & M. K. Rothbart, 1999). Results revealed that maternal and observer ratings of infant negativity converged when infants manifested high degrees of negative affect during routine home-based activities. Maternal and observer ratings of infant positivity converged when infants experienced low mutually positive affect during play. These findings support the hypothesis that maternal perceptions are based on mothers' experiences with their infants but that the salience of infant temperamental characteristics to mothers varies across emotion and interactive context.     

Conceived Through Rape/Incest? Adoptive Parents’ Experiences Managing Uncertainty and Disclosure Surrounding their Children's Origins

Adoptive parents may be placed with children conceived under difficult circumstances, such as via rape or incest. At the same time, adoptive parents are generally encouraged to communicate openly with their children about their adoption stories and birth families. No research has examined the experiences of parents who adopt children who were conceived through rape or incest. This exploratory study examines how parents discuss their decision-making when adopting children conceived via rape or incest, how they manage varying levels of uncertainty about their children's origins, and whether and how they plan to disclose this information to children. The researchers used thematic analysis to examine the experiences of 11 couples (22 parents) interviewed at four time points after adopting children who were reportedly conceived via rape or incest. Findings revealed that even soon after adopting, parents discussed the need to eventually talk to their children about their conception circumstances. Parents generally struggled to determine how and when to disclose this information, particularly when they felt uncertain about the veracity of the conception stories they had been told. Some hoped to rely on professionals or birth mothers to guide them in these communications. Findings have implications for supporting adoptive families as they navigate the complexity of managing sensitive information and uncertainty when adopting children conceived through rape or incest. Practitioners should provide ongoing guidance to adoptive parents about how and when to disclose developmentally appropriate information to children about difficult conception circumstances.     

Illness perception ratings of high-risk newborns by mothers and clinicians: Relationship to illness severity and maternal stress

Objective: Patients' views of illness are often thought to differ from those of medical staff, although this is rarely assessed. This study examined the correspondence between mothers' and clinicians' perceptions of the same high-risk newborns, as well as with an objective measure of illness severity. We also investigated how mothers' perceptions were related to reported stress. Methods: Mothers of 99 high-risk infants admitted to either a neonatal intensive care or neonatal high dependency unit, which offers specialized but not intensive care, completed illness perception ratings of their baby's condition as well as perceived stress 3 to 5 days following admission. At the same time, a standardized measure of neonatal illness severity was calculated and the baby's primary neonatologist completed illness perceptions ratings. Results: Unlike clinician ratings, mothers' illness perceptions were not significantly correlated with illness severity. Mothers generally rated babies in both units as sicker and having a more serious illness than did neonatologists. Whereas clinicians, compared with mothers, rated babies in intensive care as having an illness that would affect their life more and last for a longer time. Mothers rated medical treatment to be significantly more helpful than did clinicians, particularly for babies admitted to the high dependency unit. Mothers' stress was significantly associated with illness perceptions but unrelated to illness severity. Conclusions: Significant differences exist in the perceptions of illness severity, helpfulness of treatment, and the long-term effects of the baby's illness between parents and clinicians and this may lead to misunderstandings and misinterpretations in communication. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Postpartum maternal mood,feeding practices,and infant temperament in Barbados

Maternal mood, infant feeding practices, and infant temperament, using the Carey-R scales, were assessed in 226 healthy, well-nourished Barbadian mothers and their infants during the first 6 months of life. Maternal moods were assessed by self-report using the Zung depression and anxiety scales and a morale scale. Even after correcting for background variables, maternal depression and anxiety ratings and reports of despair at 6 months postpartum were significantly associated with infant temperament ratings at 6 months, using the original Carey-R scales, with factors derived from principal components analysis of the Carey items, and with summary difficulty scores. Maternal depressive symptoms were associated with decreased infant adaptability, reduced approach, negative mood and an increased sensory threshold. Infants of depressed and anxious mothers were more resistant to change and preferred constancy. These significant relationships were linear across the range of maternal mood scores and were not limited to diagnosed cases of depression or anxiety. In contrast, feeding practices were not significantly correlated with infant temperament, although infant difficulty on the temperament scales was associated with an increase in difficult feeding behaviors and with fathers’ involvement in the feeding of their infants. We conclude that interventions focused on improving maternal mood in the postpartum period are likely to impact positively upon maternal perceptions of their infants, with implications for improving child behavioral development and health in this underserved population.