Childhood experiences of maltreatment,reflective functioning and attachment in adolescent and young adult mothers: Effects on mother-infant interaction and emotion regulation

BackgroundMaternal childhood experiences of maltreatment affect parenting and have consequences for a child’s social-emotional development. Adolescent mothers have a higher frequency of a history of maltreatment than adult mothers. However few studies have analyzed the interactions between adolescent mothers with a history of childhood maltreatment and their infants.ObjectiveThe aim of the study was to examine the effect of maternal childhood experiences of maltreatment on mother-infant emotion regulation at infant 3 months, considering both infant and mother individual emotion regulation and their mutual regulation.ParticipantsParticipants were 63 adolescent and young adult mother-infant dyads recruited at a hospital.MethodsThe mothers were administered the Adult Attachment Interview to evaluate reflective functioning and attachment and the Childhood Experiences of Care and Abuse was used to evaluate maternal childhood experiences of maltreatment. Mother-infant interactions were coded with a modified version of the Infant Caregiver Engagement Phases.ResultsDyads with mothers with childhood maltreatment (vs dyads with mothers with no maltreatment) spent more time in negative emotional mutual regulation (p = .009) and less time in positive and neutral mutual emotion regulation (p = .019). Cumulative maternal childhood experiences of maltreatment were associated positively with mother and infant negative states at individual and dyadic level and with the AAI scales of Passivity and Unresolved Trauma (p < .05). The effect of cumulative maternal childhood experiences of maltreatment on mother-infant emotion regulation was direct and not mediated by maternal attachment and reflective function.ConclusionsMaternal childhood experiences of maltreatment increase the risk connected to early motherhood, affecting mother-infant emotion regulation.     

Korean Immigrant Mothers’ Praise and Encouragement,Acculturation, and Their Children’s Socioemotional and Behavioral Difficulties

Objective. This study examined associations among Korean immigrant mothers’ use of praise and encouragement, their acculturation, their children’s socioemotional and behavioral difficulties, and the moderating role of child gender and age. Design. One hundred and twenty Korean immigrant mothers in the United States and their preschool children participated. Maternal praise and encouragement were observed during free-play interactions. Mothers reported their acculturation level, and teachers reported on children’s difficulties. Results. Mothers used process praise most frequently. Higher maternal American acculturation was associated with more use of person and other praise. Higher Korean acculturation was associated with greater use of person praise among younger children, but less use of person praise among older children. Mothers higher in American acculturation used more encouragement with older children only. Maternal encouragement was associated with fewer child difficulties. Conclusion. Korean mothers’ acculturation impacted their use of praise and encouragement, and maternal encouragement may be important for decreasing children’s difficulties.     

Predictors of Behavior Problems in Preschool Children of Inner-City Afro-American and Puerto Rican Adolescent Mothers

Maternal reports on the Child Behavior Checklist/2-3 (CBCL/2-3) were used to evaluate child, maternal, and environmental predictors of behavior problems in 83 preschool children of disadvantaged adolescent mothers. CBCL/2-3 scores correlated modestly with independent ratings of child difficult behaviors observed in videotaped mother-child play interactions. 13% of children had scores in the clinical range. Significant correlations were consistently found between CBCL/2-3 ratings and maternal depressive symptoms, social supports, and life stress—assessed 3 times during the first year postpartum. In hierarchical regression analyses, maternal depressive symptoms, residence with the adolescent's mother, and perceived emotional support from friends contributed most to the explained variance. A significant ethnicity and child gender interaction term also suggested that African American mothers of male children reported more behavioral problems. Findings evidence the heterogeneity of outcomes for children of disadvantaged adolescent mothers but also demonstrate how correlates of poverty negatively affect their socioemotional development.     

Lenghth of Maternity Leave and Quality of Mother-Infant Interactions

The aim of this study was to assess the association between the length of maternity leave and the quality of mother-infant interactions; 198 employed mothers of 4-month-old infants were interviewed and videotaped in their homes during a feeding time. Hierarchical multiple regression analyses indicated a direct association between shorter length of leave and more negative affect and behavior in maternal interactions with their infants. Infant and mother stressor/protective variables added significantly in predicting the quality of the mother-infant relationship. There were also significant interaction effects between the length of leave and these variables. Mothers who either reported more depressive symptoms or who perceived their infant as having a more difficult temperament and who had shorter leaves, compared with mothers who had longer leaves, were observed to express less positive affect, sensitivity, and responsiveness in interactions with their infants. The public policy implications of the relation between length of maternity leave, maternal and infant individual differences, and the quality of mother-infant interactions are discussed.     

Maternal adverse childhood experiences,attachment style,and mental health: Pathways of transmission to child behavior problems

BackgroundInvestigations have found mothers’ adverse childhood experiences (ACEs) confer an intergenerational risk to their children's outcomes. However, mechanisms underlying this transmission have only been partially explained by maternal mental health. Adult attachment insecurity has been shown to mediate the association of ACEs and mental health outcomes, yet an extension of this research to children's behavioral problems has not been examined.ObjectiveTo examine the cascade from maternal ACEs to risk for child behavioral problems at five years of age, via mothers’ attachment insecurity and mental health.Participants and settingParticipants in the current study were 1994 mother-child dyads from a prospective longitudinal cohort collected from January 2011 to October 2014.MethodsMothers retrospectively reported their ACEs when children were 36 months of age. When children were 60 months of age, mothers completed measures of their attachment style, depression and anxiety symptoms, and their children's behavior problems.ResultsPath analysis demonstrated maternal ACEs were associated with children's internalizing problems indirectly via maternal attachment avoidance, attachment anxiety, and depression symptoms, but not directly (β = .05, 95% CI [−.001, .10]). Maternal ACEs indirectly predicted children's externalizing problems via maternal attachment avoidance, attachment anxiety, and depression. A direct effect was also observed from maternal ACEs to child externalizing problems (β = .06, 95% CI [.01, .11]).ConclusionsMaternal ACEs influenced children's risk for poor behavioral outcomes via direct and indirect intermediary pathways. Addressing maternal insecure attachment style and depression symptoms as intervention targets for mothers with histories of ACEs may help to mitigate the intergenerational transmission of risk.     

Maternal Negativity and Children's Externalizing Behavior

Maternal negativity in parent-child interactions related to both the presence and persistence of child externalizing behavior problems. We examined how behavior of 120 mothers and their children in an interaction task at preschool related to assessments of child behavior problems at preschool, first grade, and third grade. At preschool and first-grade, children were assigned to three groups: comparison, moderate externalizing, and pervasive externalizing; at both timepoints the pervasive externalizing group had greater maternal negativity assessed at preschool. Maternal negativity was predicted, beyond the child's disruptive behavior in the task, by two variables: mother's perception of low spousal agreement and support related to child problems and depression. At third grade, child symptoms and diagnoses of ADHD and ODD were predicted by mothers' commands and repeat commands, though not negativity, in the preschool interaction task. Implications of these findings for early family intervention are discussed.     

The relationship between neonatal characteristics and three-month mother-infant interaction in high-risk infants

The behavior of 4 groups of infants--healthy term, healthy preterm, sick preterm, and sick full-term--was assessed in the neonatal period using the Neonatal Behavioral Assessment Scale (NBAS). At 3 months postterm, infants and their mothers were observed and videotaped in a free-play session. Both the NBAS and mother-infant interaction data were analyzed to assess the effects of maturity (term vs. preterm), illness (sick vs. healthy), and their interaction. Results revealed that illness of the infant affected both NBAS performance and maternal behavior during the interaction at 3 moths. Infants who were ill performed poorly on the NBAS orientation dimension; this dimension was found to be significantly associated with maternal and infant behaviors at 3 months. These data demonstrate an association between early infant characteristics and subsequent mother and child interactive behaviors. They also identify postnatal illness as an important influence on the development of the mother-infant dyad.     

Reflective Functioning,Limit Setting,and Emotional Availability in Mother–Child Dyads

Objective. There is a need for better understanding the relation between parents’ mentalizing about their child and their actual behavior toward the child. Specifically, it is important to understand the significance of mentalization about discrete parental challenges in comparison with mentalization about the relationship in general in relation to their interaction with the child. This study aimed to examine parental mentalization and observed emotional availability. Design. Forty mothers were observed in a play situation with their children (aged 3–10 years) to rate the emotional availability in the interaction. Mothers were also interviewed with the parent development interview and about parental limit setting to assess parental reflective functioning. Results. Analyses showed moderate correlations between the reflective functioning scores and the emotional availability dimensions. Approximately 15% of the variance in emotional availability scales could be accounted for by the reflective functioning ratings. Conclusions. The results suggest that parents’ ability to mentalize about limit setting behaviors may affect interactions between the parent and child.     

A Little Bit of the Blues: Low-Level Symptoms of Maternal Depression and Classroom Behavior Problems in Preschool Children

Research Findings: The purpose of this study was to examine the relationship between low-level depressive symptoms in mothers and teacher-reported child behavioral outcomes. Participants included 442 low-income mothers of preschool-age children who were screened for maternal depression by their child's preschool teacher. Teacher reports of child behavior problems were collected on a random sample of the children (n = 264). Of mothers screened for depression, 16.7% reported low-level depressive symptoms (below the cutoff on the screener indicating clinically elevated symptoms). Analyses revealed that children of mothers with low-level depressive symptoms had significantly greater problems with externalizing behavior compared to children of mothers with no depressive symptoms. Practice or Policy: Results suggest that children whose mothers experience even low-level depressive symptoms are at risk for problems with behavior, pointing to the need for screening and interventions to address maternal depression at all levels of severity. Early childhood education providers are in an excellent position to support families impacted by symptoms of maternal depression through screening and education, supportive daily interactions, and referrals for services if needed. Teachers can also provide direct support for high-risk children's social and emotional skill development through the provision of sensitive, nurturing care.     

Responsive Parenting Buffers the Impact of Maternal PTSD on Young Children

SYNOPSIS

Objective. This study investigates maternal responsive parenting behaviors as a theorized buffer to the detrimental impact of maternal PTSD symptoms on young children’s depression and anxiety symptoms, disruptive behavior, and stress-related symptoms. Design. A multi-ethnic sample of 242 trauma-exposed mothers and their preschool-aged children was assessed. Maternal responsive parenting behaviors were observed during standardized parent-child interactions. Maternal and child mental health symptoms were reported by mothers. Results. Maternal PTSD symptoms were associated with their responsive parenting behaviors and predicted children’s mental health symptoms. Responsive parenting was inversely associated with children’s depression and stress-related symptoms. Moderation analyses revealed an interactive effect of maternal symptoms and responsive parenting on preschool children’s disruptive behavior and stress-related symptoms. Conclusions. Responsive parenting behaviors can mitigate the ill effects of maternal PTSD symptoms. Nurturing relationships buffer the impact of maternal PTSD. Helping parents’ to sensitively respond to their young children’s distress can support positive outcomes in children.     

Maternal Working Models of Attachment, Marital Adjustment, and the Parent-Child Relationship

This study examined the connection between maternal working models, marital adjustment, and the parent-child relationship. Subjects were 45 mothers who were observed in problem-solving interactions with their 16–62-month-old children ( M = 33 months). Mothers also completed the Attachment Q-set, the Adult Attachment Interview, and a marital adjustment scale. As predicted, maternal working models were related to the quality of mother-child interactions and child security, and there was a significant relation between marital adjustment and child security. Maternal working models and marital adjustment were also associated interactively with child behavior and child security. Among children of insecure mothers, child security scores were higher when mothers reported high (vs. low) marital adjustment. No relation between child security scores and mothers' marital adjustment was found among children of secure mothers. These results suggest that maternal working models influence parenting and child adjustment well beyond infancy, to which period the few existing studies of adult attachment have been restricted. The results also suggest that interactions between maternal working models and the marital adjustment on child behavior and attachment security need to be more closely examined.     

Neonatal characteristics and mother-infant interaction in two observational situations.

134 mothers and their newborn infants were studied in order to evaluate the realtionship's between neonatal characteristics and mother-infant interaction. The procedure included a newborn assessment with the Brazelton Neonatal Assessment Scale and 2 mother-infant interaction observations, 1 carried out during feeding and the other during a semistructured situation. The results indicated that there were consistent relationships between infant and maternal behavior; more alert and responsive infants had more responsive and sensitive mothers. These consistencies were found for both infants and mothers across the different situations. Both infant and maternal responsiveness to a variey of social stimuli were noted.     

Caregiver-mother partnership behavior and the quality of caregiver-child and mother-child interactions

Parent-caregiver communication, particularly concerning the behavior and experiences of the child, is a means of linking the home and child-care contexts of the child’s experience and enriching the caregiver’s and parent’s capacity to provide supportive and sensitive care of the child. The Parent-Caregiver Partnership Scale was administered to 53 mothers of 3-year-old children and to the children’s primary caregivers in child-care centers (n = 20) and less formal child-care settings (n = 33) to examine relations of mother-caregiver communication about the child to the quality of caregiver-child and mother-child interactions. More communication between mother and caregiver about the child as reported by both mothers and caregivers was significantly related to more sensitive and supportive caregiver-child interactions in child care, even after controlling for the mother’s and caregiver’s childrearing beliefs that were related to partnership behavior and the quality of child care. The quality of mother-child interaction was significantly associated with the mother’s communication with her child-care provider about her child. After controlling for maternal childrearing beliefs, mothers who engaged in more partnership behavior with their providers were more supportive and sensitive with their children.     

Technoference: Parent Distraction With Technology and Associations With Child Behavior Problems

Heavy parent digital technology use has been associated with suboptimal parent–child interactions, but no studies examine associations with child behavior. This study investigates whether parental problematic technology use is associated with technology‐based interruptions in parent–child interactions, termed “technoference,” and whether technoference is associated with child behavior problems. Parent reports from 170 U.S. families (child M_age = 3.04 years) and actor–partner interdependence modeling showed that maternal and paternal problematic digital technology use predicted greater technoference in mother–child and father–child interactions; then, maternal technoference predicted both mothers’ and fathers’ reports of child externalizing and internalizing behaviors. Results suggest that technological interruptions are associated with child problem behaviors, but directionality and transactional processes should be examined in future longitudinal studies.     

Maternal Negativity and Children's Externalizing Behavior

Maternal negativity in parent-child interactions related to both the presence and persistence of child externalizing behavior problems. We examined how behavior of 120 mothers and their children in an interaction task at preschool related to assessments of child behavior problems at preschool, first grade, and third grade. At preschool and first-grade, children were assigned to three groups: comparison, moderate externalizing, and pervasive externalizing; at both timepoints the pervasive externalizing group had greater maternal negativity assessed at preschool. Maternal negativity was predicted, beyond the child's disruptive behavior in the task, by two variables: mother's perception of low spousal agreement and support related to child problems and depression. At third grade, child symptoms and diagnoses of ADHD and ODD were predicted by mothers' commands and repeat commands, though not negativity, in the preschool interaction task. Implications of these findings for early family intervention are discussed.     

Early motherhood and harsh parenting: The role of human,social, and cultural capital

ObjectiveThis study examined the role of maternal human, social, and cultural capital in the relationship between early motherhood and harsh parenting behavior.MethodsThis study used data from the Fragile Families and Child Wellbeing (FFCW) Study. Harsh parenting behaviors by mothers who were 19 years or younger at birth of the focal child (n = 598) were compared with that of adult mothers 26 years or older (n = 1,363). Measures included: For harsh parenting behavior, three proxies were created from the Parent to Child version of the Conflict Tactics Scales (CTS-PC) and self-reports of maternal spanking. For maternal human capital, education, employment, and depression were used. For maternal social capital, expected-social support, paternal support, and lone caregiver status were included. For maternal cultural capital, religious attendance and attachment to race/ethnic heritage were used.ResultsMultivariate analyses indicated that adolescent motherhood has a significant impact on all three harsh parenting behavior outcomes even after controlling for demographic and maternal capital characteristics. Working since the birth of the focal child, depression scores, paternal support, expected-social support, and attendance at religious services made independent contributions to the prediction of harsh parenting behavior.ConclusionsFindings emphasize the importance of the prevention of adolescent motherhood and suggest intervention strategies for reducing the risk of maternal harsh parenting behavior. Further study is necessary to examine the complicated relationships among maternal capital and parenting. One method may be to focus on the development of measures of maternal capital, notably measures of expectations regarding and perceptions of received capital.Practice implicationsFindings from this study have implications for social work practice, particularly for the prevention of adolescent pregnancy and intervention with adolescent mothers and their children. First, the study calls for more recognition of school social work and intervention programs in school settings as important components of prevention services. Second, the importance of identifying fathers and helping them become involved and connected with their young families are highlighted. Finally, practitioners should become more aware of the role of culture in young families as the effect of cultural capital on parenting behavior becomes better understood.     

The Impact of Postnatal Depression and Associated Adversity on Early Mother-Infant Interactions and Later Infant Outcome

The impact of maternal depression and adversity on mother-infant face-to-face interactions at 2 months, and on subsequent infant cognitive development and attachment, was examined in a low-risk sample of primiparous women and their infants. The severe disturbances in mother-infant engagement characteristic of depressed groups in disadvantaged populations were not evident in the context of postpartum mood disorder in the present study. However, compared to well women, depressed mothers were less sensitively attuned to their infants, and were less affirming and more negating of infant experience. Similar difficulties in maternal interactions were also evident in the context of social and personal adversity. Disturbances in early mother-infant interactions were found to be predictive of poorer infant cognitive outcome at 18 months. Infant attachment, by contrast, was not related to the quality of 2-month interactions, but was significantly associated with the occurrence of adversity, as well as postpartum depression.     

Developmental changes and socioeconomic differences in mother-infant picturebook reading

Picturebook reading is a common form of interaction between parents and young children. This study examined developmental changes and socioeconomic differences in picturebook interactions of motherinfant Argentine dyads. 21 middle and 18 low SES mothers with their 12 to 24 months-old infants interacting with two different books, were observed. It was found that mothers of both SES groups adjusted the level of their demands not only to the task requirements (books) but also to the age of the infant. However, it was also found that the style of the interaction was different depending on the SES of the mother-infant pair. A more demanding and elaborated maternal language along with a linguistically more competent child were found in the middle SES group.     

Behavioral and Contextual Manifestations of Parenting Stress in Mother–Child Dyads

Extensive data from mother-child interaction in the laboratory, teacher reports of child behavior problems in the preschool and maternal reports of child behavior problems, marital satisfaction, depression, social insularity, and other contextual risk factors were used to (1) describe the behavioral and contextual manifestations of parenting stress, (2) empirically investigate different cutoff points using the Parenting Stress Index (PSI; Abidin, 1990), and (3) validate a new French translation of the PSI Groups of mothers were formed on the basis of PSI percentile scores using cutoffs of 90% (Very High), 80–90% (High), 20–80% (Average) and 0–20% (Low) in order to determine the levels of parenting stress associated with the various risk factors assessed. Base rates and conditional probabilities were calculated to assess the extent to which mother and child responded contingently to each other's behaviors and affect during a problem-solving task . Results showed that (1) maternal behavior was more associated with total parenting stress than child behavior. (2) parenting stress was clearly associated with child's behavior problems in the home and classroom; (3) parenting stress was consistently associated with other risk factors; and (4) very highly stressed mothers appeared to be at significantly greater risk than high stressed mothers in terms of their social adaptation and emotional well being, as well as that of their preschool children.     

Behavioral and Contextual Manifestations of Parenting Stress in Mother-Child Dyads

Extensive data from mother-child interaction in the laboratory, teacher reports of child behavior problems in the preschool and maternal reports of child behavior problems, marital satisfaction, depression, social insularity, and other contextual risk factors were used to (1) describe the behavioral and contextual manifestations of parenting stress, (2) empirically investigate different cutoff points using the Parenting Stress Index (PSI; Abidin, 1990), and (3) validate a new French translation of the PSI Groups of mothers were formed on the basis of PSI percentile scores using cutoffs of 90% (Very High), 80-90% (High), 20-80% (Average) and 0-20% (Low) in order to determine the levels of parenting stress associated with the various risk factors assessed. Base rates and conditional probabilities were calculated to assess the extent to which mother and child responded contingently to each other's behaviors and affect during a problem-solving task . Results showed that (1) maternal behavior was more associated with total parenting stress than child behavior. (2) parenting stress was clearly associated with child's behavior problems in the home and classroom; (3) parenting stress was consistently associated with other risk factors; and (4) very highly stressed mothers appeared to be at significantly greater risk than high stressed mothers in terms of their social adaptation and emotional well being, as well as that of their preschool children.