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.     

Male callers to an Australian perinatal depression and anxiety help line—Understanding issues and concerns

There is increasing recognition of the issues facing men in the perinatal period. Vulnerability factors and issues in the partner relationship contribute to mental health risk and can impact the quality of the father–infant relationship. Yet, there is limited understanding of fathers’ help-seeking when they or their partner are experiencing mental health issues in the context of caring for a new baby. The present study examines fathers’ contacts with the Perinatal Anxiety and Depression Australia (PANDA) National Helpline. The study reviewed contacts from fathers and their identified needs for assistance, relationship issues, and support needs; 70% of male callers (N = 129) reported concerns about the mother's mental health, and 57% were concerned about relationship breakdown. Significant numbers of men raised issues about their own mental health (43%) and many were concerned about the impact of maternal mental state on the relationship with the infant. When compared to community data, there were elevated rates of concerns about depression and anxiety. Men also described difficulties with the fathering role and with regulating their own feelings of guilt and frustration. These findings highlight the needs of men for support when a mother experiences perinatal problems and also the risk for distress in fathers.     

Pathways to problems – an exploratory study of how problems evolve vs dissolve in families

A social constructionist and a systemic lens are combined to consider the nature of the development of problems in families. An exploratory qualitative study is presented in which families were invited to discuss their constructions of the onset of difficulties and their subsequent progression. Qualitative data are presented from two groups of families: where there had been spontaneous recovery (SR) as opposed to where the problems were still current (PC). The findings suggest that a combination of factors, including helpful inputs in the form of practical assistance and non-pathologizing definitions can help avert descent into pathology. However, the ability of families to recognize and utilize positive inputs also appeared to be related to their available resources, including their 'spare emotional capacity' . The findings lend some weight to the clinical view that early validation and support is essential for families to help them to utilize their natural self-healing capabilities.     

Using an Embedding Strategy to Teach Preschoolers with Significant Disabilities

The purpose of this study was two-fold. First, this study analyzed the effects of using response prompting procedures within an embedded skill approach on skill acquisition by 4 preschoolers with significant disabilities. Two target skills were identified from each student's IEP and taught during three preschool activities. A multiple probe across subjects design assessed the effects of the intervention. All students made progress above baseline performance. More importantly, there was consistency in performance of the target skills across at least two of the three activities for all children. Second, the reliability with which paraprofessionals in the preschool setting implemented response prompting procedures was evaluated. Data indicated that the paraprofessionals implemented the procedures with a high degree of accuracy. The impact of embedded skill instruction is addressed, as well as the impact of using non-degreed personnel to teach students with significant disabilities within inclusive preschool programs.     

The role of working memory in decoding emotions

Decoding facial expressions of emotion is an important aspect of social communication that is often impaired following psychiatric or neurological illness. However, little is known of the cognitive components involved in perceiving emotional expressions. Three dual task studies explored the role of verbal working memory in decoding emotions. Concurrent working memory load substantially interfered with choosing which emotional label described a facial expression (Experiment 1). A key factor in the magnitude of interference was the number of emotion labels from which to choose (Experiment 2). In contrast the ability to decide that two faces represented the same emotion in a discrimination task was relatively unaffected by concurrent working memory load (Experiment 3). Different methods of assessing emotion perception make substantially different demands on working memory. Implications for clinical disorders which affect both working memory and emotion perception are considered.     

The contribution of “cool” and “hot” components of decision-making in adolescence: Implications for developmental psychopathology

Impairments in either “cool” or “hot” processes may represent two pathways to deficient decision-making. Whereas cool processes are associated with cognitive and rational decisions, hot processes are associated with emotional, affective, and visceral processes. In this study, 168 boys were administered a card-playing task at ages 13 and 14 years to assess response perseveration. This task was designed to initially reward playing and gradually associate playing with punishment. Measures of subjective ordering (cool processes) and neuroticism (hot processes) at age 13 years were used to examine how these individual characteristics relate to perseveration over time. A decrease in perseveration from age 13 to 14 was associated with cool processes whereas hot processes were associated with response perseveration only over time. A complementary but simultaneous assessment of cool and hot processes, such as neuropsychological and personality tests, could facilitate treatment planning of children with behavioral problems.     

The impact of psychological therapies on violent behaviour in clinical and forensic settings: A systematic review

Violent behaviour is a serious problem in terms of the impact on victims, quality of life for perpetrators, and the financial burden on the prison service, the health sector, and society generally. However, to date there is not a general consensus as to how this can be managed other than removing the perpetrators from communities. Incarceration can be on an indeterminate basis or for a short period of time before reintegration into society, depending on the gravity of the offence. This systematic review critically examines the existing research literature on psychotherapeutic interventions for violent behaviour in forensic and clinical populations. Five databases were searched, selected journals were hand searched, and authors of identified papers were contacted in efforts to obtain relevant unpublished work. The first author and a colleague independently evaluated the eligibility of all studies identified, abstracted data, and assessed study quality. The overall findings provide tentative support for the utility of psychotherapeutic interventions in reducing aggressive behaviour in forensic and psychiatric patients with a history of violent behaviour.     

What role does neuroticism play in the association between negative job characteristics and anxiety and depression?

Many studies have established an association between job characteristics and anxiety and depression and noted that personality characteristics such as neuroticism likely play a role in creating or modifying these associations. Few studies, however, have explicitly tested or compared these possible alternative roles. In this study, we tested several specific hypotheses about neuroticism and its effects on job characteristics, anxiety and depression and their association in a series of structural equation models. Participants (N = 372) completed the Big Five Inventory, Job Contents Questionnaire and General Health Questionnaire. We tested (a) whether neuroticism is likely to be an important confounder of the association between job characteristics and anxiety and depression and (b) whether neuroticism moderates the association between job characteristics and anxiety and depression. Results indicated large attenuations by neuroticism of the association between job characteristics and anxiety and depression but there remained significant effects of psychological demands on anxiety, and social support on depression independent of neuroticism. Evidence was also found for interaction effects between neuroticism and decision latitude, with those lower in neuroticism being at higher risk for depression under conditions of low control.     

Patterns of recidivism and relapse among groups of mentally disordered offenders

The management and treatment of mentally disordered offenders is significantly hindered by our lack of detailed knowledge of this population. The present investigation attempted to identify five groups of male, mentally disordered offenders that are distinctive with respect to treatment needs: career criminals, chronic schizophrenics, violent psychotics, violent middleclass individuals, and intellectually handicapped subjects. It was hypothesized that patterns of recidivism and relapse would be different for each of these groups. A sample of 181 males previously judged unfit to stand trial or not guilty by reason of insanity were followed for an average of 6.1 years after discharge to the community. Factors relating to recidivism but not to relapse were found to distinguish the five groups.