Prenatal Predictors of Postnatal Quality of Caregiving Behavior in Mothers and Fathers

SYNOPSIS

Objective. The quality of parental caregiving has been shown to affect children’s development from birth onward. Therefore, it is important to detect parents at risk for low-quality caregiving as early as possible – preferably before birth. Design. Observations of expectant mothers’ and fathers’ behavior when exposed to infant crying were examined as predictors of the quality of caregiving toward their own infant 6 weeks postpartum. Eighty-eight expectant mothers and 57 of their male partners were tested during the third trimester of pregnancy. Parents were filmed individually while caring for a crying Simulator Infant for 15 min; the quality of their caregiving was rated on sensitivity and cooperation. Also, cognitive interference on a working memory task and the ability to regulate physical force when exposed to infant crying were assessed. When their baby was 6 weeks old, parents were filmed and rated for sensitivity and cooperation during a 15-min interaction with their own infant at home. Results. Prenatal quality of caregiving behavior toward a simulator infant predicted postnatal quality of caregiving toward the own infant in both mothers and fathers. Cognitive interference and the ability to regulate physical force did not predict postnatal quality of caregiving behavior. Conclusions. Expectant parents’ quality of caregiving behavior toward a crying simulator infant predicted both mothers’ and fathers’ postnatal quality of caregiving behavior. Future research is needed to determine whether the simulator infant may be a useful screening instrument and training tool for parenting skills in at risk groups of parents-to-be.     

Dimensions of Subjectivity in Parents'' Ratings of Infant Temperament

This study was designed to further define the subjective component in parental reports of infant temperament. 131 mothers and 127 fathers completed the ICQ twice during pregnancy and at 3.5 months postpartum. In addition, motivation for the pregnancy was assessed early in pregnancy, and depression and anxiety were measured at each point in the study. Principal components analyses of the data collected during pregnancy yielded anxiety/depression and pregnancy motivation components for both mothers and fathers. The ICQ scores formed 2 components in the mothers' analysis and 1 in the fathers'. Subsequent correlation and regression analyses examining the relation between the pregnancy components and the postpartum scores revealed that the best predictors of postpartum ICQ scores were the postpartum ICQ components, although the anxiety/depression component was also a significant correlate. The results are discussed in terms of the role parents' prepartum expectancies might play in their perceptions of and interactions with their infants.     

Social support, infant temperament, and parenting self-efficacy: a mediational model of postpartum depression

A model of maternal postpartum depression was tested in which difficult infant temperament was construed as a stressor and supportive interpersonal relationships were construed as a protective resource. It was hypothesized that both infant temperamental difficulty and level of social support would affect maternal depression through the cognitive mediation of perceived self-efficacy in the parenting role. Participants were 55 married women who were assessed during pregnancy and again 3 months postpartum. Infant temperament was assessed through observation, maternal crying records, and the Revised Infant Temperament Questionnaire. Results of a path analysis indicated that infant temperamental difficulty was strongly related to the mothers' level of postpartum depression, both directly and through the mediation of parenting self-efficacy. Consistent with predictions, social support appeared to exert its protective function against depression primarily through the mediation of self-efficacy. Both practical implications for identifying women at risk for postpartum depression and theoretical implications for understanding the mechanisms through which stressful events and social support affect adjustment are discussed.     

Disposition and health outcomes among infants born to mothers with no prenatal care

ObjectiveThis study assessed infant disposition and health outcomes among offspring born to mothers without prenatal care, based on maternal characteristics and the reason for lack of prenatal care (i.e., denial of pregnancy, concealment of pregnancy, primary substance use, financial barriers and multiparity).MethodsA retrospective record review was completed at an urban academic medical center. Subjects were women who presented at delivery or immediately postpartum with no history of prenatal care (N = 211), and their infants.ResultsInfants of mothers with substance use problems had the highest rates of referral to child protective services and out-of-home placement at discharge, though mothers with other reasons for no prenatal care also experienced both referral and placement. Infants born to mothers using substances experienced the highest rates of neonatal intensive care unit admission, and the lowest mean birth weight.ConclusionsThough those without prenatal care experienced a variety of adverse outcomes, substance use problems were most frequently correlated with adverse infant outcomes. Mothers who either had lost custody of other children or with substance use problems were at highest risk of losing custody of their infants. Those who denied or concealed their pregnancy still frequently retained custody.Practice implicationsAmong mothers without prenatal care, those with substance use problems were least likely to retain custody of their infant at hospital discharge. Custody status of the mother's other children was also independently associated with infant custody. Mothers who denied or concealed their pregnancy still often retained custody. Referrals of mothers with no prenatal care for psychiatric evaluation were rare, though referrals to social work were frequent. Child protective services occasionally did not investigate referrals in the denial and concealment groups. Healthcare providers should be aware of the medical and psychological needs of this vulnerable population of infants and mothers.     

Maternal Responses to Infant Distress: Linkages Between Specific Emotions and Neurophysiological Processes

Objective. The goals of the current article were to test the presence of an association between mothers’ neural activity (measured by frontal cortical alpha asymmetry) and their specific emotions (measured by observed facial expressions) in response to infant distress and the moderation of this relation by mothers’ appraisal processes (measured by sense of parenting efficacy). Design. Mothers of 5- to 8-month-olds (n = 26) watched videos of their own infants expressing distress while their brain activity was recorded via electroencephalogram and their facial expressions were videotaped for later microcoding. Mothers also completed a questionnaire measure of parenting efficacy. Results. Greater neurophysiological withdrawal in response to infant distress videos, indexed by frontal alpha asymmetry, was associated with longer sad and tense expressions in mothers with average or below average parenting efficacy, but not in those with above average efficacy. Conclusions. Previous research showing that patterns of parents’ brain activity in response to child stimuli are associated with parenting behavior often interpret results in relation to parental emotion, but rarely measure specific concurrent emotions. The current study helps fill this gap in the literature by showing that maternal neurophysiological withdrawal (together with parenting efficacy) was associated with simultaneously measured facial expressions of negative emotion in response to infant distress stimuli.     

Infant Temperament Profiles,Cultural Orientation,and Toddler Behavioral and Physiological Regulation in Mexican-American Families

This study sought to (a) replicate infant temperament profiles from predominantly White samples in a sample of low-income, predominantly first-generation Mexican-American families, (b) investigate associations between infant temperament profiles and toddler behavioral and physiological regulation, and (c) explore whether mothers’ cultural orientation would moderate those associations. Mothers and infants (n = 322; 46% male) were assessed during pregnancy and at infant ages 9, 12, and 24 months. Latent profile analysis yielded three temperament profiles that were consistent with those from extant research. Compared to the high positive affect, well-regulated profile, the negative reactive, low regulated profile was associated with poorer behavioral and parasympathetic (i.e., respiratory sinus arrhythmia) regulation, but associations depended on mothers’ Mexican and Anglo cultural orientation.     

Coping and Psychological Distress in Mothers of Very Low Birth Weight Young Children

Objective. This study sought to increase understanding of relations among coping strategies, sociodemographic variables, and psychological distress in mothers of high-risk (HR) and low-risk (LR) very low birth weight (VLBW; < 1,500g) infants. Design. The sample (N = 199) consisted of 77 mothers of HR VLBW infants, 43 mothers of LR VLBW infants, and a control group of 79 mothers of healthy, term infants. Data were collected with self-report questionnaires at birth and at 24 months postpartum. Relations among infant medical risk, multiple birth, maternal race, social class, and maternal coping were investigated. Hierarchical regression analyses were used to identify predictors of maternal psychological distress and to determine whether coping differentially moderated maternal psychological distress across groups. Results. Infant medical risk, social support, and maternal coping independently predicted maternal psychological distress. Mothers of HR VLBW infants reported significantly greater psychological distress than mothers of LR VLBW or term infants. Greater use of avoidant and express emotions coping predicted higher psychological distress for all mothers. Greater use of humor coping had a buffering effect, reducing distress only for mothers of HR VLBW infants. Maternal coping scores were related to maternal race and social class, rather than to severity of infant medical risk. Conclusions. Sociocultural sources of resiliency, as well as biological risk factors, should be considered when developing strategies to enhance coping and parenting in HR populations.     

The Past is Present: Responses to Infant Crying Among Mothers High in Attachment Anxiety

SYNOPSIS

This commentary explores potential mechanisms underlying the links between mothers’ attachment anxiety and levels of salivary alpha amylase in response to infant crying across levels of spouse support. The commentary argues that the current design cannot disentangle different explanations for the effects – whether they reflect general stress reactivity patterns or patterns occurring specifically in response to infant distress – and offers suggestions for ways in which to explore putative explanations in future studies. Understanding mechanisms is essential to identify risk factors for insensitive parenting.     

Does Temperament Moderate the Relation between Preschool Parenting and School-Age Self-Regulation? Contrasting Diathesis-Stress and Differential Susceptibility Models

Objective. Children vary in how sensitive they are to environmental influences. Child temperament is an individual difference factor that appears to moderate the impact of environment on early child development. This study contrasts the “diathesis-stress/dual risk” and “differential susceptibility” models in examining difficult temperament as a moderator of the relation between preschool parenting and school-aged child persistence. Design. A longitudinal design included 61 typically developing Portuguese children (31 girls) assessed when they were toddlers (Time 1 at 1–3 years), preschoolers (Time 2 at 4–6 years), and school aged (Time 3 at 8–10 years). At Time 1, parents were recruited and interviewed. At Time 2, semi-structured mother–child interactions were observed, and preschool teachers rated children’s temperament. At Time 3, children’s task persistence was rated by their elementary teachers. Results. Difficult temperament moderated the association between mother–child interactions and child persistence, with stronger associations for children with more difficult temperaments. Conclusions. Consistent with the diathesis-stress model, results reveal that high levels of positive parenting reduce the risk of low self-regulation associated with difficult temperament.     

Mothers of anxious/ambivalent infants: maternal characteristics and child-care context

A general model of the determinants of parenting was employed to explore the antecedents of the ambivalent attachment pattern in Israel. Specifically, three classes of variables were identified: maternal, infant, and child-care context. Participants were 98 mothers and their infants. This research was part of a longitudinal study on sleep patterns. Mothers filled out questionnaires and were observed with their infants in the Ainsworth Strange Situation laboratory procedure. Mothers of ambivalent infants showed lower education level, higher separation anxiety, and higher parenting stress than mothers of secure infants. Infants' perceived difficult temperament did not discriminate between the two groups. Longer hours spent at work and placement in group day-care were both associated with ambivalent attachment. The findings are discussed in light of the importance of considering distal factors such as maternal attitudes and general caregiving strategy in clarifying the antecedents of attachment patterns.     

Exploring Trajectories of Young Mothers’ Parenting Stress in Early Childhood: Associations with Protective Factors and Psychological Vulnerabilities

SYNOPSIS

Objective . Most parents manage some degree of parenting stress without serious concerns, but young mothers experience parenting stress at higher levels than adult mothers; high parenting stress is problematic due to its association with children’s socioemotional and behavior problems and the increased likelihood of maltreatment. Understanding the circumstances that precipitate or mitigate parents’ stress can have lasting impacts for child well-being. Extant research fails to account for both longitudinal and individual variation in young mothers’ parenting stress, leading to equivocal findings about the nature of mothers’ parenting stress trajectories across early childhood. Design . The present study used growth mixture modeling (GMM) to model the trajectories of 544 first-time young mothers’ parenting stress from children’s infancy to school-age. We considered how protective factors (i.e., social support) and psychological vulnerabilities (i.e., depression) experienced during the transition to parenthood were associated with parenting stress trajectories and variation within trajectories when children were of school-age. Results . GMM identified three trajectories of parenting stress: “low stable”, “high increasing”, and “high decreasing.” Protective factors were related to low and decreasing patterns of parenting stress, whereas psychological vulnerabilities were associated with higher parenting stress patterns. Conclusions . This study has implications for programs and services that help young mothers cope with the demands of parenting and reduce parenting stress.     

Distress Tolerance and Emotion Regulation: Promoting Maternal Well-Being Across the Transition to Parenthood

Objective. This study examined the association between newborns’ daily crying and five measures of new mothers’ emotional states. Design. One hundred seven new mothers responded via a one-time, anonymous, online survey that assessed their stress, well-being, emotion regulation, frustration, and coping skills. Mothers also reported their infant’s daily cry duration. Results. Average daily crying was related to mothers’ emotional experiences, and relations also existed among the five mental health measures. Regression models indicate the strongest predictors of frustration were infant’s average cry duration, maternal well-being, and infant’s health status at enrollment. Conclusion. Mental health professionals can support families through the normative, but often stressful, experience of their infant’s cries. However, a re-evaluation of the clinical criteria for excessive crying is needed, as the results suggest that mothers whose infants cry considerably less than the widely used Wessel’s 3-hour-per-day criterion for excessive crying experience significant negative mental health.     

Emotion Dysregulation Mediates Relations Between Chinese Parents’ Histories of Childhood Emotional Abuse and Parenting Stress: A Dyadic Data Analysis

Objective. This study focused on the intrapersonal and interpersonal effects of parents’ histories of childhood emotional abuse and emotion dysregulation on parenting stress in a sample of school-age children’s fathers and mothers in Mainland China. Design. One hundred ninety-four Chinese couples participated. Structural equation modeling within the framework of the actor–partner interdependence mediation model was used to assess whether emotion dysregulation mediates relations between parents’ childhood emotional abuse and parenting stress of both individuals and their spouses. Results. The childhood emotional abuse of one parent was significantly associated with the parenting stress of both parents through the emotion dysregulation of the parent who was emotionally abused. Conclusions. Links between emotional abuse and parenting stress in the family system are complex, and both parents’ childhood histories of emotional abuse play roles in parenting.     

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.     

Depression and Anxiety in the Postnatal Period: An Examination of Infants’ Home Language Environment,Vocalizations, and Expressive Language Abilities

This longitudinal study investigated the effects of maternal emotional health concerns, on infants’ home language environment, vocalization quantity, and expressive language skills. Mothers and their infants (at 6 and 12 months; 21 mothers with depression and or anxiety and 21 controls) provided day-long home-language recordings. Compared with controls, risk group recordings contained fewer mother–infant conversational turns and infant vocalizations, but daily number of adult word counts showed no group difference. Furthermore, conversational turns and infant vocalizations were stronger predictors of infants’ 18-month vocabulary size than depression and anxiety measures. However, anxiety levels moderated the effect of conversational turns on vocabulary size. These results suggest that variability in mothers’ emotional health influences infants’ language environment and later language ability.     

Risk and Protective Factors Related to Fathers’ Positive Involvement and Negative Reinforcement With 1-Year-Olds

Objective. Guided by a social interaction learning model, this study investigated potential risk and protective factors related to fathers’ early parenting behaviors. Design. Parenting behaviors in 726 Norwegian fathers with their 1-year olds (51.7% boys) were assessed by both micro social coding and global ratings from direct observation of structured interactions. Father and child factors were reported by fathers when the child was 6 months and 1 year old. Results. Fathers’ positive involvement was associated with children’s observed sustained attention, and lack of positive involvement was associated with children’s communicative risk and fathers’ lower education. Fathers’ negative reinforcement was associated with children’s developmental difficulties and communicative risk. Positive involvement and negative reinforcement were not correlated and were predicted by different factors, indicating they are separate dimensions of parenting. Conclusion. Multiple predictors relate to different parenting dimensions and point to factors that may enhance father–infant interaction and identify fathers and children who may benefit from early intervention.     

More Than Meets the Eye: Parental and Infant Contributors to Maternal and Paternal Reports of Early Infant Difficultness

Objectives. This study examined correspondences among maternal and paternal ratings of infant temperament, parental psychological functioning, and infant behavior. Design. Participants included 120 families. When infants were 6 weeks old, mothers and fathers completed the Infant Characteristics Questionnaire (ICQ); reported on their own levels of anxiety, depressive symptoms, and parenting stress; and completed a 3-day diary of their infants' behavior. Infant irritability was assessed in a laboratory situation. Results. Fathers rated their infants' temperament somewhat more negatively, but there was significant correspondence between maternal and paternal ratings on the temperament factors of fussiness, unadaptability, dullness, and a difficultness composite. Higher infant difficultness was consistently associated with parenting stress. Infant behavioral fussiness, as measured by 3-day diaries, was significantly correlated with temperament ratings by both parents and with irritability observed in the laboratory setting. Maternal psychological distress was weakly predictive of ratings of infant difficultness; infant behaviors (diary and laboratory-based irritability) accounted for 15 to 17% of the variance. Paternal psychological distress and infant behaviors contributed equally to difficultness ratings. Conclusions. Mothers and fathers are influenced by somewhat different factors in perceiving their babies' temperament, but both maternal and paternal reports have a basis in laboratory- and diary-based behaviors. Results indicate the strong contributing influence of infant irritability to the perception of difficult temperament and support the validity of parental reports of infant irritability in the first 6 weeks of life.     

Arrested Motherhood: Parenting,Cognitive Distortions,and Depressive Symptoms in Mothers Being Released from Incarceration

Objective. The present study examines cognitive and emotional problems in mothers being released from incarceration. Design. Participants were 98 mothers who were about to be released or had just been released from incarceration, and 63 comparison mothers from disadvantaged areas with low socioeconomic status, both with young children. Mothers provided self-report data on parenting behaviors, cognitive distortions, depressive symptoms, and socioeconomic difficulties. Results. Mothers being released from incarceration reported less optimal parenting behaviors (i.e., less involvement and poorer monitoring) and higher levels of cognitive distortions and depressive symptoms than comparison mothers. Cognitive distortions and depressive symptoms were related to less optimal reported parenting behaviors. Conclusions. Cognitive distortions, depressive symptoms, and less optimal reported parenting behaviors may be factors in incarcerated and formerly incarcerated mothers, which might put their children at risk, beyond risks associated with low socioeconomic status.     

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.     

Changes in Cortical Sensitivity to Infant Facial Cues From Pregnancy to Motherhood Predict Mother–Infant Bonding

The transition to motherhood triggers changes in human brain structure that may facilitate mother–infant bonding. Although much research on maternal cortical responses to infant faces has focused on the postpartum period, no previous study has examined whether longitudinal functional changes in the maternal cortex during pregnancy and postpartum are associated with mother–infant bonding. Using electroencephalography, prenatal to postnatal changes in cortical sensitivity (P1, P2, late positive potential, N170 event-related potentials) to infant and adult faces were examined in relation to reported mother–infant bonding in 40 mothers (M_age = 30.5 years). Prenatal to postnatal increases in P1 and P2 responses to infant faces predicted stronger bonding. Findings suggest that cortical changes in attention allocation rather than in face-specific encoding enhance bonding.