Infants of Depressed Mothers Exhibit Atypical Frontal Electrical Brain Activity during Interactions with Mother and with a Familiar, Nondepressed Adult

Previous studies have shown that infants of depressed mothers exhibit atypical frontal brain electrical activity when they are interacting with their mothers. Whereas typically developing infants exhibit greater left versus right frontal brain activity, infants of depressed mothers have been found to exhibit reduced relative left frontal activity. The left frontal brain region has been associated with the expression of positive emotions. In the present study, the question of whether the atypical pattern of brain activity found in infants of depressed mothers generalizes to situations not involving mother was addressed. Brain electrical activity was recorded from 13- to 15-month-old infants of depressed (N = 59) versus nondepressed (N = 40) mothers during a baseline condition, and during several social conditions that included a playful social interaction with a familiar experiments. Infants of depressed mothers exhibited reduced left relative to right frontal activity during the baseline condition, and during interactions with their mothers and with the familiar experimenter. The present results suggest that the atypical pattern of electrical brain activity found in infants of depressed mothers generalizes to a variety of situations, including positive interactions with nondepressed adults.     

Depressed Mothers' Touching Increases Infants' Positive Affect and Attention in Still-Face Interactions

The effects of depressed mothers' touching on their infants' behavior were investigated during the still-face situation. 48 depressed and nondepressed mothers and their 3-month-old infants were randomly assigned to control and experimental conditions. 4 successive 90-sec periods were implemented: (A) normal play, (B) still-face-no-touch, (C) still-face-with-touch, and (A) normal play. Depressed and nondepressed mothers were instructed and shown how to provide touch for their infants during the still-face-with-touch period. Different affective and attentive responses of the infants of depressed versus the infants of nondepressed mothers were observed. Infants of depressed mothers showed more positive affect (smiles and vocalizations) and gazed more at their mothers' hands during the still-face-with-touch period than the infants of nondepressed mothers, who grimaced, cried, and gazed away from their mothers' faces more often. The results suggest that by providing touch stimulation for their infants, the depressed mothers can increase infant positive affect and attention and, in this way, compensate for negative effects often resulting from their typical lack of affectivity (flat facial and vocal expressions) during interactions     

Speech patterning of natural discourse of well and depressed mothers and their young children

The speech behavior of 14 depressed and 18 nondepressed mothers during conversations with their 3-year-old children was examined in this study. Given the general motor retardation, reduced energy level, and social withdrawal of depressed individuals, the speech patterns of depressed mothers were predicted to differ from the speech patterns of well mothers. Depressed mothers vocalized less often and responded less quickly to the cessation of their children's speech than healthy mothers. However, in a mildly stressful situation (awaiting a doctor's visit) the depressed mothers, but not the healthy mothers, significantly increased their level of speech productivity. Children of the depressed mothers spoke less than children of healthy women, particularly while sitting and eating lunch with their mothers. The observed difference in the mothers' behaviors was interpreted as an indication that the 2 groups of children are exposed to very different patterns of socialization. The offspring of depressed women are being taught both to keep social interaction to a minimum and to be overreactive to even mild stresses. The differences in the children's behavior may indicate that already these 3-year-old children have learned to keep their interactions with their mother to a minimum. This manner of adaptation may have negative effects on the child's continued social, emotional, and cognitive development.     

Depressed mothers' judgments about their children: an examination of the depression-distortion hypothesis

The belief that depressed mothers have distorted perceptions of their children's problems has gained considerable currency in recent years. The empirical basis for this belief at present amounts to little more than reliable demonstrations that depressed mothers tend to report more behavior problems in their children than do nondepressed mothers. An obvious alternative to the distortion interpretation is that depressed mothers are accurate about their children's behavior problems. We examined these competing models by comparing teachers' ratings of children with ratings provided by their mothers, who varied on the dimensions of depressed mood, depressed clinical state, and history of depression. Mothers' and teachers' ratings yielded substantially similar portraits of child behavior problems at the group level, with children of in-remission and in-episode mothers manifesting significantly higher levels of behavior problems than children of control mothers. Moreover, agreement between mothers and teachers was in the moderate range for all index groups and did not differ significantly from the mean level of mother-teacher agreement reported by other investigators based on unselected samples. The limitations of these findings and of earlier reports for assessing a depression----distortion influence on mothers' ratings of their children are considered.     

Frontal Lobe Activity and Affective Behavior of Infants of Mothers with Depressive Symptoms

Studies of adults and infants indicate that the left frontal brain region is specialized for approach emotions, such as joy, whereas the right frontal region is specialized for withdrawal emotions, such as distress. Furthermore, depressed adults have been found to show reduced brain activity in the left frontal region. In this study, frontal and parietal electroencephalographic (EEG) activity was recorded from 27 infants aged 11-17 months (13 of whose mothers reported elevated depressive symptoms) during baseline and emotion-eliciting conditions. Compared with infants of nonsymptomatic mothers, infants of symptomatic mothers exhibited reduced left frontal brain activity during playful interactions with their mothers and failed to exhibit the typical pattern of greater right frontal activity during a condition designed to elicit distress (maternal separation). Infants of symptomatic mothers also showed less distress during maternal separation; however, no group differences in behavior were found during the playful condition. Group differences were evident in the frontal region, but not in parietal brain activity.     

Caring Behavior in Children of Clinically Depressed and Well Mothers

Young children's sensitivity and responsiveness to mothers' needs were investigated under conditions of high and low parenting risk (depressed and nondepressed mothers, SADS-L). Child characteristics of gender, affect, and impulse control problems and the mother-child attachment relationship were examined as they related to children's caring actions. Children's caring behavior was observed in an experimental situation in which their mothers simulated sadness and in a naturalistic setting. Attachment alone and child's problems alone were not predictors, and maternal diagnosis alone was not a strong predictor. Girls were significantly more caring than boys. Severe maternal depression was necessary to bring out high levels of responding in boys. Highest frequencies of caring were from children with severely depressed mothers, problems of affect regulation, and secure attachment. The importance of recognizing interacting influences and diverse underlying processes in the development of children's caring behavior is discussed.     

Stranger responses: effects of familiarity, stranger's approach, and sex of infant

Most investigators examining contextual influences on infant responses to a stranger have limited their study to the initial responses of the infant. Few have considered infant reactions beyond the first minutes of the encounter or the enduring effects of contextual variables once mothers have left. The present study examines the effects of stranger's style of approach, familiarity with the stranger, and infant sex on infant response before and after maternal separation. Familiarity was operationalized in 2 ways: the length of time mothers stayed before leaving infants with the stranger and meeting the stranger a second time. Findings suggest that all these factors influence infant behavior. Ifants looked and smiled at the stranger significantly more when approached slowly. Contrary to expectations, infants (particularly girls) who met the familiar stranger after 1 week protested significantly more when left with her at that time. Trends indicate the length of time mothers stayed was least influential since most infants became extremely distressed once mothers departed.     

A comparison of the vocal patterns of deaf and hearing mother-infant dyads during face-to-face interactions

This study was part of a longitudinal investigation of the impact of deafness on the cognitive, social, and communicative development of infants. The current study reports analyses of the vocalizations of deaf and hearing infants and their Deaf or hearing mothers during normal face-to-face interactions when the infants were 9 months old. Results indicate essentially no differences in the amount of positive or negative vocalizations emitted by infants in any of the four groups observed. However, there is a heightened use of vocal games by hearing mothers interacting with deaf infants, indicating that these mothers are incorporating several additional sensory modalities into their vocal expressions. This is interpreted as one way in which parents make their vocal communication more salient and accessible to an infant with a hearing loss. Deaf mothers are also highly active and engaged with their infants, but have been found to rely more extensively on vigorous tactile contact rather than auditory input during these same interactions.     

Intergenerational transmission of social anxiety: the role of social referencing processes in infancy

Responses to an unfamiliar adult were examined in infants of mothers with social phobia ( N = 79) and infants of nonanxious comparison mothers ( N = 77) at 10 and 14 months in a social referencing paradigm. On each occasion, a female stranger first interacted with the mother and then approached and interacted with the infant. Over time, infants of mothers with social phobia showed increasing avoidance of the stranger, particularly when they were behaviorally inhibited. In boys, maternal social phobia was associated with increasing fearful responses. Infant avoidance was predicted by expressed maternal anxiety and low levels of encouragement to interact with the stranger. The findings are discussed in relation to theories concerning the intergenerational transmission of social anxiety.     

Maternal depression and motherese: temporal and intonational features

Children of depressed parents are at increased risk for depression and other developmental problems. Recent research indicates that disturbances exist in face-to-face interactions between depressed mothers and their infants. In the present study, the effects of maternal depression on motherese, an interactive behavior that plays a significant role in affective, cognitive, and social development, were examined. 2 paralinguistic features of motherese were examined: temporal parameters of utterances and pauses and the frequency of use of 5 types of intonation contours typically found in motherese utterances. Face-to-face interactions between 36 mothers and their 3-4-month-old infants were audio-recorded, and hard copy records of pitch contours and relative intensity were produced for 2-min interaction sequences. Results indicated that depressed mothers failed to modify their behavior according to the behavior of the infant. They were significantly slower to respond to an infant vocalization, had more variable utterances and pauses, and were less likely to utilize the exaggerated intonation contours that are characteristic of motherese. The results provide evidence for a mechanism through which maternal depression increases the infant's risk for psychopathology.     

Maternal Interactions and Self-Reports Related to Attachment Classifications at 4.5 Years

Building on attachment theory and infancy research, this study examines relations between maternal style and attachment patterns in early childhood. Mothers of children classified as Secure at 4.5 years were rated higher than mothers of Insecure children on positive mood, meshing, enjoyment of child, and providing a relaxed home atmosphere. In a laboratory joint task, they had a higher frequency of monitoring, planning, and affirming and also received higher ratings for providing a sensitive framework. Compared with all other mothers, mothers of Avoidant children monitored less and planned less but reported themselves in a better light on 3 temperament scales as well as a depression scale. Mothers of Ambivalent children rated themselves as the most depressed and anxious and the least satisfied with their marriages. Their interactions at home were characterized by friction. Mothers of Controlling children rated themselves as least irritable and anxious, but in the laboratory they affirmed less, enjoyed the task less, and provided a less sensitive framework than all other mothers.     

The relationship between quality of infant-mother attachment and infant competence in initial encounters with peers.

18-month-old infants and their mothers were observed in the Ainsworth strange situation (SS) in order that security of attachment might be assessed. Infant dyads were created for observation in unstructured peer interaction according to their SS classification (security of attachment). Focus was on the subgroups within the securely attached (B) category. Results indicated a relationship between quality of infant-mother attachment and infant peer competence. The B1 and B2 infants engaged in more frequent and more sophisticated interaction with peers than did the B3 and B4 infants, who intensely sought proximity and contact with their mothers in the peer session just as in the SS. The B1 and B2 infants engaged in more distal interaction with their mothers and were more sociable with the peers' mothers and with the stranger in the SS. Implications of individual differences in quality of attachment for the development of social competence and social relationships are discussed.     

Treatment of depressed mothers in home visiting: Impact on psychological distress and social functioning

Objectives

Depression is prevalent in mothers receiving home visiting. Little is known about the impact of treatment on associated features of maternal depression in this population. The purpose of this study was to examine the impact of a novel, adapted treatment for depressed mothers in home visiting on psychological distress and social functioning.

Methods

In-Home Cognitive Behavioral Therapy (IH-CBT) was developed to treat depressed mothers in home visiting. A randomized clinical trial design was used in which subjects were 93 new mothers in a home visiting program. Mothers with major depressive disorder identified at 3 months postpartum were randomized into IH-CBT and ongoing home visiting (n = 47) or standard home visiting (SHV; n = 46) in which they received home visitation alone and could obtain treatment in the community. Measures of psychological distress, social support, and social network were measured at pre-treatment, post-treatment, and three-month follow-up. Clinical features of depression and home visiting parameters were examined as potential moderators.

Results

Subjects receiving IH-CBT reported decreased psychological distress at post-treatment (ES = 0.77) and follow-up (ES = 0.73). Examination of types of psychological distress indicated broad improvements at both time points. Those receiving IH-CBT reported increased social support over time relative to those in the SHV condition. Effect sizes were modest at post-treatment (ES = 0.38) but increased at follow-up (ES = 0.65). Improvements were seen in affiliative and belonginess aspects of social support, in contrast to tangible support which was statistically non-significant. Findings were not moderated by clinical features of depression or home visiting parameters. No group differences were found in size of and involvement with social networks.

Conclusions

IH-CBT is effective in reducing psychological distress and improving perceived social support in depressed mothers receiving home visiting. To the extent that mothers are better adjusted and feel socially supported, they are more available to their children and more amenable to home visiting services. IH-CBT is a feasible, readily adopted treatment that is compatible with multiple home visiting models. As a result it is a promising approach to help depressed mothers in home visiting. Additional interventions may be needed to support depressed mothers in building sizable and stable social networks.     

Behavioral Competence among Mothers of Infants in the First Year: The Mediational Role of Maternal Self-Efficacy

This study tests the idea that mothers' self-efficacy beliefs mediate the effects on parenting behavior of variables such as depression, perceptions of infant temperamental difficulty, and social-marital supports. Subjects were 48 clinically depressed and 38 nondepressed mothers observed in interaction with their 3-13-month-old infants (M = 7.35 months). As predicted, maternal self-efficacy beliefs related significantly to maternal behavioral competence independent of the effects of other variables. When the effects of self-efficacy were controlled, parenting competence no longer related significantly to social-marital supports or maternal depression. In addition, maternal self-efficacy correlated significantly with perceptions of infant difficulty after controlling for family demographic variables. These results suggest that maternal self-efficacy mediates relations between maternal competence and other psychosocial variables and may play a crucial role in determining parenting behavior and infant psychosocial risk.     

Maternal Beliefs as Long-Term Predictors of Mother-Child Interaction and Report

2 kinds of parental beliefs: endorsed rearing philosophy (authoritative-authoritarian dimension) and affective attitude toward child (positive-negative affect dimension) were examined in 20 normal and 36 depressed mothers as long-term predictors of their rearing behaviors and interaction patterns with their children, and of their ratings of child externalizing problems (Achenbach CBCL). The beliefs were measured when the children were toddlers (Time 1), and maternal behaviors 2-3 years later (Time 2). Mothers' endorsement of the belief in authoritative parenting predicted their frequent avoidance of prohibitive interventions. It also predicted maternal autonomy-granting to the child (more compliant and liberal responses to child-initiated control interventions). Endorsed child-rearing philosophy was a relatively more important predictor of behavior for normal mothers, and affective attitude toward child for the behavior of depressed mothers. Both actual child noncompliance and parental beliefs predicted mothers' ratings of externalizing problems in their children. The former was relatively more important for normal and latter for depressed mothers.     

Cultural Differences in Maternal Beliefs and Behaviors: A Study of Middle-Class Anglo and Puerto Rican Mother-Infant Pairs in Four Everyday Situations

This study examines cultural patterning in situational variability in mother-infant interactions among middle-class Anglo and Puerto Rican mothers and their 12 to 15-month-old firstborn children. Forty mothers were interviewed regarding their long-term socialization goals and childrearing strategies, and videotaped interacting with their infants in four everyday settings: feeding, social play, teaching, and free play. Results suggest that: (1) Anglo mothers place greater emphasis on socialization goals and childrearing strategies consonant with a more individualistic orientation, whereas Puerto Rican mothers place greater focus on goals and strategies consistent with a more sociocentric orientation; (2) coherence was found between mothers' childrearing beliefs and practices, with Puerto Rican mothers more likely to directly structure their infants' behaviors; and (3) situational variability arose in mother-infant interactions, but this variability showed a cultural patterning consistent with mothers' long-term socialization goals and childrearing beliefs.     

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.     

The curiosity of abused preschool children in mother-present,teacher-present,and stranger-present situations

The purposes of this study were (a) to examine differences in the curiosity behavior of abused preschool children in three situations: with their mothers, a teacher, and a female stranger; (b) to determine whether these children would exhibit more curiosity when exposed to novel versus familiar objects; and (c) to examine several adult behaviors that are theoretically related to children's curiosity. Twenty-three 2-to 5-year-old abused low socioeconomic children participated in a warm-up session with their mothers followed by three procedurally equivalent sessions during which the child, the mother, the teacher, and a stranger were exposed to 6 novel and 6 familiar play objects. Regardless of the social situation, the children and the adults explored the familiar objects more than the novel objects. The children explored the novel objects significantly less in the stranger-present situation than in the other situations. Finally, the pattern of adult findings indicated that abusive mothers were less likely to encourage curiosity in their children than were teachers or strangers. These results were related to past research with white, middle-class, nonabused children.     

Self or (M)other? Infants’ Sensitivity to Bodily Overlap With Their Mother Reflects Their Dyadic Coordination

Adults experience greater self-other bodily overlap in romantic than platonic relationships. One of the closest relationships is between mother and infant, yet little is known about their mutual bodily representations. This study measured infants’ sensitivity to bodily overlap with their mother. Twenty-one 6- to 8-month-olds watched their mother’s face or a stranger’s face being stroked synchronously versus asynchronously with their own face. Infants preferred synchrony only when viewing their mother, not when viewing the stranger. Infants who strongly preferred synchrony with their mother also experienced less coordination with her in naturalistic interactions. Infants thus appear sensitive to bodily overlap with their mother, and this overlap reflects dyadic coordination, supporting theoretical accounts of intersubjectivity in the development of the bodily self.     

Child-Directed Speech Produced by Mothers with Symptoms of Depression Fails to Promote Associative Learning in 4-Month-Old Infants

Child-directed (CD) speech segments produced by 20 mothers who varied in self-reported symptoms of depression, recorded during a structured play interaction with their 2- to 6-month-old infants, were used as conditioned stimuli with face reinforcers in a conditioned attention paradigm. After pairings of speech segments and faces, speech segments were assessed for their ability to increase time spent looking at a novel checker-board pattern (summation test) using 225 4-month-old infants of nondepressed mothers. Significant positive summation, an index of associative learning, was obtained in groups of infants tested with speech produced by mothers with comparatively fewer self-reported symptoms of depression (Beck Depression Inventory or BDI < or = 15). However, significant positive summation was not achieved using speech samples produced by mothers with comparatively more symptoms of depression (BDI > 15). These results indicate that the CD speech produced by mothers with symptoms of depression does not promote associative learning in infants.