Current and Past Maternal Depression, Maternal Interaction Behaviors, and Children’s Externalizing and Internalizing Symptoms

Relations among past maternal depressive disorder, current depressive symptoms, current maternal interaction behaviors, and children's adjustment were examined in a sample of 204 women and their young adolescent offspring (mean age = 11.86, SD = 0.55). Mothers either had (n = 157) or had not (n = 57) experienced at least one depressive disorder during the child's life. Mothers and children participated in a problem-solving task, video-taped for later coding. Mothers with current depressive symptoms and those with histories of chronic/severe depressive disorders displayed fewer positive behaviors toward their children; mothers with current depressive symptoms also showed more negative behaviors with their children. The relation between mothers' depression history and their behavior during the interaction with their child was partially mediated by mothers' current mood state. Moreover, high levels of maternal negativity and low levels of positivity during the problem-solving task were related to children's externalizing problems. Maternal positivity partially mediated the relation between maternal depression and children's externalizing symptoms. These findings highlight the importance of providing parenting interventions for depressed mothers.     

Preschoolers' response to maternal sadness: Relationships with maternal depression and emotional availability

Previous research has documented that children of depressed mothers are at risk for a variety of emotional/behavioral problems and impairments in mother-child interaction. Depressed mothers have been characterized as withdrawn and unavailable. The present study examined behavior of preschool children of depressed and nondepressed mothers in response to their mothers' feigned sadness. The study assessed maternal depression and maternal emotional availability to determine how these related to preschoolers' expression of empathy. Sixty-two mothers and their 3 1/2-year-olds participated in the study. Mother-child interaction was coded from four tasks: free play, eating a snack, problem solving, and sadness simulation. Children of depressed mothers were not less empathic than children of nondepressed mothers. However, the mother's mood on day of testing related to child response. Maternal emotional availability interacted with the credibility/intensity of her simulation of sadness to predict child empathy.     

EFFECTS OF KANGAROO MOTHER CARE ON MATERNAL MOOD AND INTERACTION PATTERNS BETWEEN PARENTS AND THEIR PRETERM,LOW BIRTH WEIGHT INFANTS: A SYSTEMATIC REVIEW

The birth of a premature infant can have adverse effects on the mood of mothers and on the interaction patterns between parents and their preterm babies. The aim of the present systematic review was to examine whether the Kangaroo Mother Care (KMC) intervention can attenuate these adverse psychological effects of a premature birth by ameliorating negative maternal mood and/or promoting more positive interactions between preterm infants and their parents. The results showed that although findings of studies were inconclusive, there is some evidence to suggest that KMC can make a positive difference on these areas. Specifically, it was found that KMC can improve negative maternal mood (e.g., anxiety or depression) and promote more positive parent–child interactions. Limitations and directions for future research are discussed.     

Mothers’ Attributions About Child Misbehavior: Can Situational Suggestions Change General Perceptions?

Mothers’ attributions about children’s misbehavior were experimentally manipulated to examine causal relationships among attributions, mood, and behavior and assess whether suggestion can change mothers’ general perceptions. Forty mothers of children aged 33 to 71 months were primed with dysfunctional child-referent (child responsible) or environment-referent (situation caused) attributions before a parent-child interaction. Mothers in the dysfunctional child-referent condition placed greater responsibility on children, reported less positive mood and endorsed more overly reactive discipline, and their children displayed more negative mood and misbehavior. The experimental manipulation also affected mothers’ general child attributions. Understanding how attributions form and change has implications for parenting interventions.     

The effects of maternal mood on mother-infant interaction

The effects of depressed mood on mother-infant interaction were studied in 30 mother-infant dyads using the Velten mood induction procedure. It was predicted that maternal depressed mood would induce dysphoria in the infants, disrupt the infants' natural responsiveness to their mothers, and interfere with the mothers' ability to manage the interaction. In addition, it was predicted that such deficits would be the result of depressed maternal mood and not simply due to any change in maternal mood. The results indicated that the infants were sensitive to depressed mood and were less contingently responsive to their mothers than were controls. Also, mothers in the depression induction condition were less successful in eliciting positive responses from their infants than were controls. These results have implications for the development of a helplessness vulnerability in infants and for the two-way direction of effect present in depressed mother-infant dyads.This research was partially funded by NIMH grant MH39283 and a Spelman-Rockefeller Seed Grant awarded to Michael O'Hara. We gratefully acknowledge the assistance of Joan Blackwood, Nancy Clift, Lynda Field, Darla Hauf, Randy Ross, Jane Ugland, and Jim Vincent in the data collection. We also thank Richard R. Hurtig, John F. Knutson, Donald K. Routh, Robert A. Forsyth, and Carolyn E. Cutrona for their helpful comments on an earlier version of this article.     

Exploring sex differences in the emotional content of mother-child conversations about the past

In this study, the ways in which mothers and their 30–35-month-old children discussed the emotional aspects of past experiences was explored. Although previous research has established that children this age talk about emotions, and some studies have found sex differences between mother-daughter and mother-son dyads in these conversations, no study has examined explicitly the way in which emotions about the past are discussed. This is an important research question because emotional aspects of events may help provide an evaluative framework for thinking about and talking about the past. The results suggest that, with daughters, mothers focus more on positive emotions and tend not to attribute negative emotions to the child. With sons, positive and negative emotions are discussed equally. Moreover, mothers never discuss anger with their daughters but they do with their sons. Finally, mother-daughter conversations emphasize the emotional state itself, whereas mother-son conversations often discuss the causes and consequences of emotions. The way in which these patterns might contribute to children's developing understanding of gender-appropriate emotional reactions are discussed.     

Impact of diagnosed depression and self-reported mood on mothers' control strategies: a longitudinal study

Control strategies of 70 well and depressed mothers were assessed twice: when their children were of toddler age (Time 1) and, for 39 of the mothers, when their children were 5 (Time 2). At Time 1 well mothers were more direct with their children, using more direct commands and reprimands, and fewer explanations than depressed mothers. At Time 2 well mothers used fewer direct commands than depressed mothers. Self-reported negative mood preceding the interaction in well mothers was associated with decreased directness at Time 1 but increased directness at Time 2. At Time 1 depressed mothers' negative mood was associated with a decrease in the use of explanations. All mothers used more unclear commands and fewer reprimands and positive incentives with their 5-year-olds than when the children were toddlers. Depressed mothers, but not well mothers, increased their use of direct commands when the children were older. The findings are interpreted in the context of complex interplay between mother's diagnosis of depression, self-reported mood preceding the interaction, and the developmental level of the child.     

Coping and Positive Affect in Adolescents of Mothers With and Without a History of Depression

The adolescent children of depressed mothers are at increased risk for depression, but little is known about protective factors for these children. Maintenance of positive affect in a stressful context may be an important marker of resilience. Mothers with (n = 34) and without (n = 38) a history of depression and their adolescent children completed questionnaires regarding adolescents’ coping and depressive symptoms and engaged in a 15 min videotaped interaction about family stress. Adolescents’ observed behaviors were coded using the Iowa Family Interaction Rating Scales. No significant differences emerged in observed behavior between adolescents of mothers with and without a history of depression. Higher levels of primary and secondary control coping and lower levels of disengagement coping were related to higher levels of observed positive mood and fewer depressive symptoms in adolescents. Observed positive mood was related to fewer depressive symptoms in adolescents, even after accounting for maternal history of depression and current maternal depressive symptoms. Results suggest the importance of considering positive affect in the context of family stress as a marker of resilience in adolescents at risk for depression. The current study provides evidence for coping as a protective factor, related to higher levels of positive affect and fewer depressive symptoms, in adolescents exposed to maternal depressive symptoms.     

The impact of postpartum depressed mood on mother-infant interaction: Like mother like baby?

The purpose of this study was to test the hypothesis that mothers with depressed mood would exhibit less optimal interaction than their nondepressed counterparts and that their infants would show similar deficits in interactional behavior. Twenty-two mothers and their 2-month-old infants were videotaped in to-minute free-play segments in a laboratory playroom, and their interactions were coded using both time-sampling and global clinical ratings of behavior. Mothers with depressed mood were judged significantly lower on overall positive interaction, Expressivity/Affective Involvement, and Responsivity/ Sensitivity than were nondepressed mothers. Infants of mothers with depressed mood were rated significantly lower than infants of nondepressed mothers on corresponding interaction domains. Mothers with depressed mood were also rated as more variable than nondepressed mothers along a continuum of withdrawal to controlling/intrusive behavior. Contrary to prediction, level of maternal stimulation and infant activity did not differ as a function of depression in maternal mood. We conclude that mild to moderate symptoms of maternal depression may have salient but selective effects on mother-infant interaction.     

Emotional context, maternal behavior and emotion regulation

This study investigated the importance of emotion-eliciting context (positive and negative) and mother's behaviors (constrained and involved) on toddlers’ emotion regulation behavioral strategies, emotional expressiveness and intensity, during three episodes eliciting fear, frustration/anger and positive affect. Fifty-five children between 18 and 26 months of age and their mothers participated in the study. Toddlers’ regulatory strategies varied as function of emotion-eliciting context (children exhibited behavioral strategies more frequently during positive affect and frustration/anger episodes and less frequently during fear episodes) and maternal involvement. Toddlers’ expression of emotion varied as function of emotion-eliciting context (children exhibited more emotional expressions, both negative and positive during fear and frustration/anger episodes compared to positive affect episodes). Toddlers’ expression of emotion was not strongly related to maternal involvement, however, the intensity of emotional expression was related to the interaction of context and maternal involvement.     

Maternal communication: predictors of outcome at follow-up in a sample of children at high and low risk for depression

Separate lines of investigation have shown the increased risk of dysfunction for children of depressed women and impaired interaction between depressed mothers and their children. The link between the two was examined in 57 children at high and low risk for depression. Children of unipolar depressed, bipolar depressed, chronically medically ill, and normal mothers were evaluated at a 6-month follow-up. Hierarchical regression analyses suggested a relation between maternal interaction behavior on two dimensions, task focus and affective quality, and children's subsequent depression and school behavior; academic performance was related only to affective quality of interaction. Chronic stress was predictive of more negative, critical maternal behavior, whereas depressed mood was associated with less task involvement. Maternal interactions are viewed as a marker of a complex, mutual process involving interpersonal relationships in an adverse environmental context.     

Emotion Socialization in Families of Children With an Anxiety Disorder

Compared emotion socialization in 26 children with anxiety disorders ages 8–12 years and their mothers to 26 nonclinical counterparts without psychopathology. Children and their mothers participated in an emotion interaction task in which they discussed occasions when the child felt worry, sadness, and anger. Responses were coded for length of discussion, proportion of words spoken by child vs. mother, frequency of positive and negative emotion words, explanatory discussion of emotion, and maternal facilitation of emotion discussion. Children and their mothers also completed the Expressiveness and Control scales of the Family Environment Scale. Results indicated that mothers of children with an anxiety disorder spoke less frequently than their child, used significantly fewer positive emotion words, and discouraged their childrens emotion discussions more than did mothers of nonclinical children. Nonclinical children and their mothers indicated significantly more emotional expressiveness in their families than did children with an anxiety disorder and their mothers. These results highlight the potential role of truncated family emotional expressivity in the emotional development and functioning of children with an anxiety disorder.     

抚养困难与教养行为的关系及其调节因素

本研究考察了567名2-5岁幼儿母亲的抚养困难与教养行为的关系,并进一步探讨了在高抚养困难情景下母亲教养行为的可能调节因素.结果发现(1)幼儿母亲的抚养困难感受总分与其教养行为的各个侧面均有非常显著的相关,母亲抚养困难程度越高,则其敏感性、参与性、积极情感及对儿童发展的指导性均较低,而其对儿童的消极情感较多;(2)回归分析表明,来自儿童侧面的"积极强化缺乏"、"多动/注意分散"、"不良心境"与"过度要求"以及来自母亲侧面的"缺乏依恋"、"缺乏能力感"等方面的抚养困难是预测母亲教养行为的重要因素;(3)在母亲抚养困难较高的情况下,夫妻双方的受教育水平分别对母亲教养行为的一些侧面具有调节作用.     

Making faces: testing the relation between child behavior problems and mothers' interpretations of child emotion expressions

We examined the relations between preschool boys' behavior problems and mothers' interpretations of children's emotion expressions. A sample of 31 mothers of oppositional boys and 28 control mothers responded to standard stimuli depicting child emotional reactions to maternal control attempts; mothers were instructed to think of the stimuli as either (a) their own child or (b) an unfamiliar child. Mothers of oppositional boys were more likely to generate negative interpretations than were control mothers when thinking of their own children; however, this difference did not generalize to the explicitly unfamiliar child condition. Mothers of oppositional boys demonstrated negative and comparison mothers demonstrated positive interpretive tendencies toward their own children. Findings suggest that child emotion cues may trigger biased maternal cognitions even in the absence of child misbehavior.     

The effect of child negative affect on maternal discipline behavior

The effect of children's negative affect on maternal discipline behavior was evaluated in a sample of 39 children (19 to 41 months old) and their mothers. Mothers were randomly assigned to view a videotape that contained either a high level of child negative affect (NA) or no negative affect (NNA). After viewing the videotape, mothers were observed interacting with their own children in three tasks designed to elicit child misbehavior. Mothers in the NA condition displayed significantly greater overreactivity to child misbehavior; no significant difference in laxness was observed between the two groups of mothers. Children of mothers in the NA condition tended to display more misbehavior during the last two tasks of the interaction. Maternal negative affect received mixed support as one possible mediator of this effect.These data were presented at the Association for Advancement of Behavior Therapy in Atlanta, Georgia in November 1993.     

Dyadic synchrony in parent–child interactions: A link with maternal representations of attachment relationships

The study examined the relation between maternal representations of attachment relationships from childhood and current parent–child interactions with their own preschool aged children. Thirty-six mother–child dyads were recruited from a community sample. The Adult Attachment Interview was converted into a questionnaire (AAIQ) and used to classify mothers as either “secure” or “insecure.” The mother–child dyads then engaged in a 20-min, videotaped play interaction task. The quality of maternal representations of attachment relationships was related to the degree of dyadic synchrony, as well as maternal affect and style of relating. Secure mothers and their children engaged in a more fluid, synchronous process of give-and-take than insecure mothers and their children. In addition, secure mothers expressed more warmth and affection, and their style of relating was less intrusive and more encouraging of child autonomy than insecure mothers. Children of secure mothers sought closer contact and were more compliant than children of insecure mothers. These interaction patterns were uniquely related to maternal representations of attachment, independent of maternal age, education and SES. There were no differences in these patterns of relating between mothers who had experienced loving relationships in childhood (continuous secure) and mothers who had come to terms with unloving and painful childhood relationships (earned secure). Therefore, rather than the quality of childhood histories, it was the manner in which these early experiences were mentally organized and integrated in adulthood that was significantly related to current parent–child interaction patterns. Finally, these differences in parent–child interaction patterns that were apparent on the observational measure were in contrast to information obtained from a maternal self-report measure. © 1997 Michigan Association for Infant Mental Health     

Maternal depression: Effects on social cognition and behavior in parent-child interactions

The social interactions of depressed and nondepressed mothers and their preschool-age children were observed and mothers' perceptions of child behavior assessed. Depressed mothers, as a group, exhibited more negative behavior than controls; however, no differences were found for maternal positive behavior or contingent responding. There was a high degree of reciprocity between child and mother behavior in both groups and there was a trend for children of the depressed mothers to be more negative than the control children. The results with cognitive measures were consistent with depressive realism in perception of social interactions: Depressed mothers recalled more negative child behavior than nondepressed mothers; however, these perceptions paralleled the observed interactions. Overall, the results suggest that maternal depression is associated with negative parent-child interactions and more negative, albeit fairly accurate, perceptions of child behavior.This study is based on portions of a doctoral dissertation completed in the Department of Psychology at the University of Iowa. I appreciate the guidance of my advisors Michael O'Hara and Donald K. Routh and committee members Leonard Feldt, John Knutson, and Sue Rosner.     

Maternal characteristics,ratings of child behavior,and mother-child interactions in families of children with externalizing disorders

Relationships among maternal characteristics, ratings of child behavior, and observed mother-child interactions were examined in a sample of 40 4- to 12-year-old children with externalizing disorders. Mothers and children were observed in a task interaction and mothers provided self-reports of depressed mood, parenting self-esteem, marital satisfaction, social support, and life stress. Child behavior was rated by both mothers and teachers. Several significant correlations were found among observed mother and child behaviors and among maternal self-report measures. However, few significant relationships were found between maternal characteristics and observed mother or child behavior. Although life stress predicted increased child negativity, maternal depressed mood was related to more appropriate child behavior. Mother and teacher ratings of child behavior demonstrated few significant relationships with other measures. These results suggest that, in samples comprised primarily of children with attention deficit disorder from socially advantaged families, few relationships exist between maternal characteristics, parenting behavior, and child behavior.This study was part of a doctoral dissertation conducted by the first author at Florida State University, under the direction of the second author, and supported by the Social Sciences and Humanities Research Council of Canada. Portions of the data also appear in a chapter by Johnston titled A behavioral-family systems approach to assessment: Maternal characteristics associated with externalizing behavior in children. In R. Prinz (Ed.),Behavioral assessment of children and families (Vol. 4, pp. 163–189). Greenwich, CT: JAI Press. The authors express appreciation to Alan Lang, Barbara Licht, and Richard Tate, for their thoughtful comments. We are grateful to Beverley Atkeson and a dedicated group of coders and to Dr. C. E. Cunningham and the staff of the Chedoke Child and Family Center for their support. Finally, our thanks to the families who participated.     

A categorical approach to infants’ individual differences during the Still-Face paradigm

Cluster analysis was used to create patterns of individual differences reflecting infant behaviors during the initial interaction episode of the Face-to-Face Still-Face (FFSF) paradigm. The clusters were used as the basic unit of analysis for studying infant and maternal behavior and dyadic coordination (i.e., matching and reparation) across FFSF. Seventy-five 4-month-old infants participated with their mothers. Cluster analysis identified three patterns: a Socially Engaged cluster (33%) exhibited high levels of social engagement with their mothers; a Disengaged cluster (60%) showed a tendency to be low in social interaction and a Negatively Engaged cluster (7%) showed high negative emotionality. During the Still-Face episode, the Socially Engaged cluster reacted by reducing focus on their mother and shifting their attention elsewhere, while infants in the Disengaged cluster reduced focus on the environment. Although both the Socially Engaged and Disengaged clusters increased in negative emotionality during the Still-Face, the Socially Engaged group largely recovered during the Reunion, whereas the Disengaged group displayed more negative emotion. The Negatively Engaged cluster demonstrated high levels of negative affect throughout the entire procedure. Mothers of Negatively Engaged infants showed less positive engagement and more social monitoring than mothers in other clusters during all episodes. Dyadic interaction differed between groups, with greater levels of matching and reparations in the engaged group, less in the Disengaged group, and very little coordination in the Negatively Engaged cluster. Findings highlight the role of distinctive patterns of infants’ individual differences in determining early dyadic functioning.     

Information processing in everyday life: emotion-congruent bias in mothers' reports of parent-child interactions

The authors examined the role of emotions in mothers' perceptions of the parent-child relationship. Ninety-nine mothers completed a measure of trait affect and then interacted with their preschool children under low- and high-stress conditions. After each interaction session, mothers rated their mood states and positive and negative aspects of parent-child behavior. To control for differences in the quality of dyadic interaction, observers also rated behavior. Across sessions, mood was a more robust predictor of mothers' perceptions than was trait affect. When trait effects did occur, they were mediated by mood states. Results suggest that when emotionally congruent information processing occurs in real-life situations, emotions generated by the interactions play a preeminent role in the immediate interpretation of the exchange.