Defence strategies and anxiety in mothers of disabled children

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

A comparison of depression in children with and without mothers

The present research investigated depression in children with and without mothers. Differences in depression scores were tested by gender, socio-economic level, the cause of not having a mother, and the age of separation. The sample included 300 fourth and fifth grade elementary school children. Among them, there were 150 children (68 boys and 82 girls) who were living with their mothers and 150 (68 boys and 82 girls) who did not live with their mothers. Each group had an equal number of students (n=50) representing three different socio-economic levels (i.e., low, middle, high). Students in the sample came from 39 different public elementary schools. Children's ages varied between 10 and 12 years (M = 10.8, SD = .6). Teachers, administrators, and school counselors were asked to identify children without mothers. The children who were living with their mothers were randomly chosen. Results showed significant differences in depression between the two groups of children. Furthermore, there was a significant difference by socio-economic level. Depression of children without mothers is significantly associated with the cause of not having a mother and the age when the child was separated from the mother.     

Cognitive-behavioral depression treatment for mothers of children with attention-deficit/hyperactivity disorder

An adaptation of the Coping With Depression Course (CWDC) was evaluated in mothers of children with attention-deficit/hyperactivity disorder (ADHD), a population at risk for depression. Mothers were randomly assigned to receive the CWDC either immediately following an intensive summer treatment program targeting their child's behavior or after a wait-list period. Measures of maternal functioning, cognitions about child behavior, parent-child and marital relationship quality, child behavior, and ADHD-related family impairment were obtained at pretreatment, posttreatment, and 5-month follow-up. The CWDC resulted in improvements in maternal depressive symptoms, maternal self-esteem, child-related cognitions, and family impairment at posttreatment compared to a wait-list control group that were maintained at follow-up. Findings suggest that the CWDC is a promising intervention for mothers of children with ADHD, particularly those with current depressive symptomatology.     

Association between anxiety and depression in children and adolescents with anxiety disorders

The relationship between anxiety and depression was examined in a sample of 106 children and adolescents referred to an outpatient anxiety disorder clinic for children. Twenty-eight percent of patients with DSM-III diagnoses of anxiety disorders displayed a concurrent major depression. Children with anxiety disorders plus major depression were found (1) to be older, (2) to demonstrate more severe anxiety symptomatology, and (3) to be diagnosed with different rates of certain anxiety-disorder subtypes, when compared to anxious patients without major depression. Nondepressed anxious children and adolescents did not differ from a psychopathological control group in severity of either anxiety or depression symptoms.     

Self-cognitions,stressful events,and the prediction of depression in children of depressed mothers

In a preliminary effort to integrate cognitive, life stress, and interpersonal approaches to vulnerability to depression, children's cognitions about themselves, their stressful life events, and the interaction of self-cognitions and life events were tested as predictors of depression. Children of normal, medically ill, and bipolar and unipolar depressed mothers were assessed initially and 6 months later for diagnostic status using the Kiddie-SADS interview. As predicted, Piers-Harris self-concept scores and interview-assessed children's stressful life events significantly predicted changes in depression status over the 6-month follow-up. Stressors and the interaction of stressors and self-concept also predicted changes in diagnosis of nonaffective disorders. A self-schema measure of accessibility of negative self-cognitions, known to be mood-dependent, failed to add to the prediction of depression severity. The results are consistent with a model of depression vulnerability that emphasizes cognition about self-worth and self-efficacy as mediators of the impact of stressful events, and we speculate that such self-schemas are acquired in part in the context of parent-child relationships. Recommendations are given for further studies of the acquisition and the mechanisms of self-schemas.This research was supported by an award from the William T. Grant Foundation. The assistance of Cheri Adrian, Dorli Burge, David Gordon, Donald Hiroto, Carol Jaenicke, our research staff, and cooperating agencies is gratefully acknowledged.     

Social referencing in infants of mothers with symptoms of depression

The present study examined the acquisition of social referencing skills in infants of mothers with symptoms of depression (n = 44). We aimed to determine if a short discrimination training could facilitate infants’ social referencing. Mothers were instructed to pose either joyful or fearful facial expressions to cue infants’ approach/avoidance responses toward an ambiguous object. Maternal expressions were correlated with pleasant or unpleasant events occurring after the infant's response. The results showed that after the intervention, infants looked at their mothers more frequently and reached or avoided the ambiguous object based on the preceding maternal expression. The results suggest that discrimination training procedures can establish social referencing in infants of mothers with symptoms of depression.     

Electrophysiological responses in mothers to their own and unfamiliar child's gaze information

An attachment bond between a mother and her child is one of the most intimate human relationships. It is important for a mother to be sensitive to her child's gaze direction because exchanging gaze information plays a vital role in their relationship. Furthermore, recent studies have revealed differential neural activation patterns in mothers when presented the faces of their own children or the unfamiliar child of other people. Based on these findings, in the present study, we investigated whether mothers show differential neural responses to gaze information of their own child compared to that of an unfamiliar child. To this end, event-related-potentials elicited by the faces of one's own or an unfamiliar child with straight or averted gaze directions were measured using an oddball-paradigm. The results showed that peak amplitudes of the N170 component were enlarged by viewing the straight gazes compared to the averted gazes of one's own child, but not of an unfamiliar child. When the gaze was directed straight, the P3 amplitude elicited by one's own child's face is smaller than that elicited by an unfamiliar child's face. P3s elicited in viewing one's own child's face with averted gaze and in viewing an unfamiliar child's face with straight gaze were positively correlated with state-anxiety. These results bolster the hypothesis that processing the gaze information of one's own child elicits differential neural activation compared to the gaze information of an other person's unfamiliar child at both perceptual and evaluative stages of face processing.     

The child's participation in family therapy: A review and a model

A major gap in family therapy, the treatment of children and adults together, is addressed. The literature on the children's participation is reviewed and a model which systematizes their involvement is presented. The full participation of the child necessitates the use of play. To create a context of play without alienating the rest of the family, action-promoting methods are used. These methods are implemented through family activities and role playing, which are followed by discussion. The advantages, the indications, and the contraindications to the use of action in family therapy are presented.     

A child's experience of parental depression: encouraging relational resilience in families with affective illness

In this article, we describe an approach that parents with affective illness can use to foster the emotional resilience of their children. Building on current research that emphasizes the need to formulate concepts of risk and resilience in terms of family or relational processes, we propose that affectively ill parents can promote resilience in their children by helping them express the affect they experience as a result of parental illness-related behavior. Risk and resilience are conceptualized in terms of a family's ability to process emotion or affect: a family's need to constrict affect is a risk factor, while the family's ability to elaborate affect encourages relational resilience. An object relations model is used to discuss the ways in which encouraging this elaboration of affect, especially negative affect, contributes to resilience in children. We describe ways in which a preventive intervention helps to increase parents' emotional responsiveness to their children. Using extensive narrative data from followup interviews with families and children, constriction and expansion of emotion in children concerning affectively ill parents are documented, by multiple interviewers, over a span of more than 5 years.     

Reading deficits in learning disabled children

The purpose of this study was to determine whether LD children exhibited problems in the processes of attention, memory, or syntactical awareness when decoding written prose. Eighteen LD children and 18 normal controls were matched for initial word recognition skills. Subjects were then trained to read a list of individual words to criterion. Subsequently, they were tested on their ability to decode the same words in paragraph form, presented both immediately after training, and then again one week later. Half the children read paragraphs following standard English syntax, while the other half read a syntactically scrambled version of the same paragraph. The results indicated that a major contributing factor in the reading (decoding) difficulties demonstrated by the LD children derived from problems of acquisition and retrieval from long-term memory storage. The results were discussed in terms of their implications for the developmental lag theory of learning disabilities.     

Language skills in developmentally disabled children

Language measures of receptive and expressive vocabulary, story telling, and immediate verbal memory, as well as two perceptual tests, were administered to a group of developmentally disabled children, and three groups of normal children, one matched for chronological age, one for mean length of utterance, and one for performance on one of the perceptual tests. When diagnostic subgroups of “autism,” “childhood schizophrenia,” and “other severe disturbance” were formed using standard diagnostic tools, no language differences were found between diagnostic subgroups. When compared with the normal control groups, many of the language skills of the entire group of disabled children, and of the autistic children alone, were rather evenly delayed, showing only a relative sparing of the naming function, and a relative deficit on immediate verbal memory. Furthermore, a high correlation was found in a small subsample between the difficulty levels of morphemes in the disabled children and those reported for young normal children. Experienced special-education and early-childhood teachers could not discriminate the stories of the disabled children from those of young normal children. Analysis of the disabled children's error strategies, however, revealed features of their language not found in normal children's language: (1) extreme perseveration in test answers and stories, (2) attention to minor features of test stimuli, and (3) failure to adopt alternate, flexible communicative strategies. We conclude that the language acquisition of the developmentally disabled children is delayed but not deviant in its semantic and syntactic competence, and that current diagnostic practice does not differentiate linguistically distinct subgroups. We further argue that where developmentally disabled children do exhibit aberrant features of language, such deviance parallels similar features in other cognitive skills, and is not unique to language.     

Association of pathological gambling with depression in Scotland

Is most research concerning gambling and depression has been conducted on clinical populations, the present study examined the relationship between gambling and depression across a large sample in Scotland in higher education and the community. A questionnaire-based cluster design involved the distribution of the South Oaks Gambling Screen and the Centre for Epidemiologic Studies Depression Scale mainly to students and staff of higher educational establishments, with small community and gambling samples also included. Thirty-seven colleges and universities across Scotland participated in the research, with a sample of 2259 people aged sixteen years of age or over (M = 28.9 yr., SD = 13.4) being obtained. It was found that past-year probable pathological gamblers had significantly higher depression than problem gamblers, nonproblem gamblers, and nongamblers. However, when probable pathological gamblers who had sought treatment were omitted from the analysis, the nontreatment-seeking probable pathological gambling group no longer had significantly higher depression than the problem gambling group. Female problem and probable pathological gamblers had particularly high depressive symptomatology, suggesting co-morbid depression may be a prominent feature of problematic female gambling.     

Psychopathology in mothers of children with failure to thrive

An association between maternal psychopathology and failure to thrive (FTT) has been reported previously, but no prior investigators have used both operationalized diagnostic criteria for psychopathology and a control group in their studies. Twenty-eight mothers of children with FTT and 22 mothers of normally developing control children were assessed for psychopathology by the Structured Clinical Interview for DSM-III-R–Nonpatient Version (SCID-NP) and the Structured Clinical Interview for DSM-III-R–Personality Disorders (SCID-II). Affective disorders, personality disorders, and the COoccurrence in an indvidual of these two types of disorders were found at higher rates in mothers of children with FTT compared to controls. These results clarify prior reports of an association between failure to thrive and maternal psychopathology and may have implications for treatment approaches to FTT.     

Maternal touch in caregiving behavior of mothers with and without postpartum depression

The way a mother touches her infant plays a central role in maternal caregiving behavior. Thus, the purpose of the present study was to examine associations between touch and positive and negative caregiving behavior and whether this association differed in mothers with and without postpartum depression, an episode of depressive disorder following childbirth. Positive caregiving behavior was operationalized as sensitive behavior, i.e. the mother’s ability to notice the child’s signals, interpret these signals correctly and respond to them promptly and appropriately. Negative caregiving behavior was operationalized as overriding behavior, i.e. behavior which disturbs the child’s behavior or redirects the child’s attention to follow the parent’s agenda. Seventy mother-infant dyads (44 in the nonclinical group and 26 in the clinical group) participated in a 10 minutes long mother-infant interaction at four months postpartum. The sample is part of an archival dataset of a longitudinal study investigating the parent-child relationship and child development. Three minutes of the interaction were coded a) microanalytically for touch, using a modified version of the Maternal Touch Scale (Beebe et al., 2010), and b) macroanalytically for sensitive and overriding behavior, using the Coding Interactive Behavior measure (Feldman, 1998). Hierarchical regression analyses with bootstrapping showed that caregiving touch, but not affectionate and static touch, was associated with sensitive behavior across the whole sample. Moreover, playful, but not rough-intrusive touch, was associated with overriding behavior across the whole sample. Associations did not differ between mothers with and without postpartum depression.     

Visual feature integration in learning disabled children

This study examined the ability of 7 learning disabled children to detect and integrate visual features in a complex display. While the learning disabled children performed more poorly over-all than 6 control children, differences between the two groups were most pronounced when subjects were required to conjoin or integrate visual features to make a decision about the presence of a target item. This finding is discussed with reference to automatic and attention-demanding components of visual perception.     

Prenatal depression predicts postpartum maternal attachment in low-income Latina mothers with infants

Although maternal attachment is an important predictor of infant attachment security and other developmental outcomes, little is known about the formation of maternal attachment in the first few months of the infant's life, particularly among ethnic minority mothers. The current study examined the predictors of postpartum maternal attachment in a sample of 217 Latina women enrolled in a perinatal depression prevention trial. Mothers’ attachment to their infants was measured at 6-8 weeks postpartum using the Maternal Postnatal Attachment Scale. A variety of predictors of early attachment were explored including: depressive symptoms during pregnancy, pregnancy intention, feelings about the pregnancy, and the quality of the partner relationship. The strongest predictor of lower maternal attachment was depressive symptoms late in pregnancy; pregnancy intention was marginally predictive of attachment, with lower scores being associated with unwanted pregnancies. The study fills a critical gap in our understanding of the role of depressive symptoms during pregnancy in shaping mothers’ early attachment to their infants.     

Variations in WISC-R patterns of learning disabled children

The WISC-R was administered to 19 learning disabled students at the time of diagnosis and following a period of time in special program placements. Group analyses indicated fluctuations between testing times in the Verbal and Full-Scale IQs and the V-P IQ discrepancies. Small but significant differences in Verbal, Performance and V-P scatter indices were observed at one or both testings in comparison to the normal standardization sample. Although the suggested group pattern for learning disabled children based on the Bannatyne categories was confirmed on both occasions, there was considerable variation for individual subjects.     

The generality of overselectivity in developmentally disabled children

A growing body of research suggests that low Mental Age (MA) autistic and retarded children show a unique stimulus control deficit, one that may cause many or most of their behavioral deficiencies. This problem, stimulus overselectivity, is evidenced when a child responds only to a restricted portion of the stimulus environment when compared with normal children. The purpose of this study was to assess whether this overselectivity is general across situations or whether it is restricted to certain stimulus/task conditions. Eight autistic children, who evidenced overselectivity on a preassessment task, and 8 normal children with similar MA levels participated. All children were trained on 3 tasks to determine if overselectivity varied as a function of different stimulus conditions. Each of the 3 tasks involved training a child to respond to (i.e., touch) a card containing a circle (S +) and to avoid a blank (S ?) card. In each case, the circle comprised a series of dots. The difference between the 3 circles (tasks) was the distance between the successive dots making up each circle. Also, in the minimal separation condition the dots were smaller in size and greater in number than in the larger separation conditions. Of concern was whether autistic children learned about the gestalt (i.e., the circle), which required attention to multiple cues, or whether children would overselect and respond to the dots. The results showed that (1) stimulus overselectivity was found not to be a generalized deficit in autistic subjects; instead, it varied as a function of the stimulus variables; and (2) the stimulus variables manipulated in this study similarly influenced the responding of both normal and autistic children. The implications of these data for a theory of overselectivity are discussed.     

Family life education needs of mentally disabled adolescents

This study identifies the family life education needs of minimally and mildly mentally disabled adolescents as a basis for curriculum development. Respondents were 134 students from 11 school districts in a midwestern state. Through the administration of 50 needs statements, they were asked to indicate the magnitude of need and the extent to which the need was being met. Special education teachers were allowed to assist in reading or interpreting the directions and needs statements. Priority need statements--those with a high need score which were not being met--are related to the decision to parent, careers and work, marriage and parenthood, decision making and goal setting, and resource management. Six clusters or groups of family life education needs were identified: Basic Nutrition, Teenage Pregnancy, Sex Education, Developmental Tasks of Adolescents, Marriage and Parenthood, and Planning and Decision Making. Females reported significantly greater need for information on nutrition, teenage pregnancy, and marriage and parenthood.