Family-expressed emotion,childhood-onset depression,and childhood-onset schizophrenia spectrum disorders: Is expressed emotion a nonspecific correlate of child psychopathology or a specific risk factor for depression?

Expressed emotion (EE) was examined, using the brief Five Minute Speech Sample measure, in families of (1) children with depressive disorders, (2) children with schizophrenia spectrum disorders, and (3) normal controls screened for the absence of psychiatric disorder. Consistent with the hypothesis of some specificity in the association between EE and the form of child disorder, rates of EE were significantly higher among families of depressed children compared to families of normal controls and families of children with schizophrenia spectrum disorders. Within the depressed group, the presence of a comorbid disruptive behavior disorder was associated with high levels of critical EE, underscoring the need to attend to comorbid patterns and subtypes of EE in future research.This research was supported by a grant from the John D. and Catherine T. MacArthur Foundation as part of their Network on Risk and Protective Factors in the Major Mental Disorders. The authors wish to express their appreciation to Sybil Zaden and Ana Magana-Amato for their assistance coding the FMSS-EE data, to Gwen Gordon for her assistance with data analysis, and to the families participating in the project.     

Speech norms and perceptions of ethno-linguistic group differences: Toward a conceptual and research framework

Perceptions of social group membership are crucial both to social behaviour generally, and to social conflict: The basis for ingroup versus outgroup distinctions and the personal and social significance of such judgments are thus important areas of study. This paper describes a model of social norms as it applies to speech use and, in particular, the role of speech in perceptions of social groups. The context of this discussion is a general research and conceptual framework for studying perceptions of and reactions to social group differences. The framework is in three stages, consisting of the recognition of group differences, the ‘definition’ or evaluative interpretation of a given speech act, and the development of a ‘problem resolution’ or social change strategy. Social group distinctions are hypothesized to be based on shared norms, modelled here as structured expectancies regarding the behaviour appropriate to specific social contexts. Norms are seen as varying in their content, i.e. the specific behaviours that are socially evaluated, in their clarity, which controls the strength and certainty of social judgments based on norms, and in the size and nature of the social group sharing a given norm. The specific components of the norm model are discussed in light of existing data on language behaviour. The second stage of the model is briefly discussed via social psychological judgments that are hypothesized to control responses to a given speech event. This framework is hoped to have heuristic value in studying language use and social processes.     

Relationship‐based intervention with at‐risk mothers: Outcome in the first year of life

This study shows that a home‐visiting, relationship‐based intervention, as defined in the UCLA Family Development Project, affects certain areas of family functioning by the time an infant reaches 12 months. Within a randomized trial design, we compared two samples of mothers who were identified as at risk for inadequate parenting in the third trimester of pregnancy with their first child. The primary risk characteristics were poverty and a lack of support. Thirty‐one of these mothers experienced the intervention and thirty‐three did not. Mothers given the opportunity of a positive, trusting, and working relationship with a weekly home visitor as well as a mother–infant group scored significantly higher on measures of their experienced partner and family support. The intervention also made a significant impact on three critical social‐emotional mother–infant transactions in the first year of life. Thus, on a variety of indices including the responses to the Ainsworth Strange Situation, the children in the intervention group were more secure and their mothers more responsive to their needs. Children experiencing the intervention were also more autonomous and task oriented and were encouraged in this regard by their mothers. ©1999 Michigan Association for Infant Mental Health.     

Marital adaptation,divorce, and parent–infant development: A prospective study

In this prospective study of divorce in the first 4 years of life we have shown that previous marital patterns anticipate the occurrence of divorce and influence the response to that event. Most of the divorces occurred in marriages that were consistently low in satisfaction or decreased in satisfaction from birth on. The family response to the event differed. The continuing effort at conflict resolution and the fact that differing levels of adjustment are reached at different time points are suggested by these reactions. For couples with an unsatisfactory marriage from late pregnancy through the first 2 years (consistently low), the immediate and sustained impact of divorce was to enhance the parent's responsiveness to the needs of their infant and the infant's expectation of being cared for. This was not true for couples decreasing from high to lower satisfaction in their adaptation. However, by child age 4, when all families had been divorced for 1 year, divorce versus no divorce was associated with a differential positive effect on teacher Q-sort ratings of the children for both marital patterns. Children who were from families where the parents were in conflict but did not divorce were more likely to externalize control, were more often uncontrolled, and were more anti- as opposed to prosocial. The implication of these findings are discussed. © 1997 Michigan Association for Infant Mental Health     

Prebirth marital interactions and postbirth marital development

A considerable body of research supports the general statement that “couples who before the birth of their first child are characterized by positive mutuality, partner autonomy, and the ability to confront problems and regulate negative affect are responsive to the needs of their infants, promote their autonomy and have more secure and autonomous children, as seen throughout the first 4 years of life” (Heinicke, 1995). The implications for infant mental health are profound, but more needs to be known about what specific prebirth marital qualities interact with and anticipate postbirth marital and child functioning. This is a study of the association between the nature of the couple's prebirth interaction and their marital adaptation during the first 2 years of the child's life. Linking pre- and postbirth marital functioning, the frequency of negative affect and off-task scores, as well as the inability to resolve their issues in the prebirth marital interaction, anticipated a declining or consistently low postbirth marital adaptation.     

Mothers' emotional expressivity and children's behavior problems and social competence: mediation through children's regulation.

The relations between mothers' expressed positive and negative emotion and 55-79-month-olds' (76% European American) regulation, social competence, and adjustment were examined. Structural equation modeling was used to test the plausibility of the hypothesis that the effects of maternal expression of emotion on children's adjustment and social competence are mediated through children's dispositional regulation. Mothers' expressed emotions were assessed during interactions with their children and with maternal reports of emotions expressed in the family. Children's regulation, externalizing and internalizing problems. and social competence were rated by parents and teachers, and children's persistence was surreptitiously observed. There were unique effects of positive and negative maternal expressed emotion on children's regulation. and the relations of maternal expressed emotion to children's externalizing problem behaviors and social competence were mediated through children's regulation. Alternative models of causation were tested; a child-directed model in which maternal expressivity mediated the effects of child regulation on child outcomes did not fit the data as well.     

Dichotic listening,executive functions and grey matter cortical volume in patients with schizophrenia and healthy controls

Schizophrenia is characterized by cognitive impairment, especially in relation to executive functions. Brain structural abnormalities are also often seen in schizophrenia although little is known of the relationship between cognitive impairment and structural brain changes. Our aim was therefore to investigate this relationship further using MRI and a dichotic listening (DL) task with simple speech sounds and with instructions to focus attention and report only from the left or right ear stimulus. When instructed to focus attention on the left ear syllable a cognitive conflict is induced requiring the allocation of executive resources to be resolved. Grey matter (GM) volume was measured with MRI from four volumes of interests (VOIs), left and right frontal and temporal cortex, respectively, and correlated with DL performance. The results showed significant differences between the groups in their ability to focus attention on and report the left ear stimulus, which was accompanied by reduced GM volume in the left frontal and right temporal lobe VOIs. There was also a significant positive correlation between left frontal GM volume and performance on the DL task, for the groups combined. The results did not support a conclusion that an impairment in cognitive function in schizophrenia was driven by an corresponding impairment in brain structure, since there were no significant correlations when the groups were analyzed separately. It is however concluded that patients with schizophrenia are impaired in executive functions and that they also show reduced GM volumes in left frontal and right temporal lobe areas, compared to healthy controls.