Embracing the Biological Roots of the Infant’s Cry

SYNOPSIS

Across species of mammals, the cry of a young infant has profound effects on the parent’s brain, physiology, emotions, and behavior. High levels of infant crying can trigger increases in testosterone in men, which is accompanied by less sensitive caregiving. By learning about the biological roots and essential functions of the infant’s cry, parents may be empowered to take steps to manage the stress that is inherently induced by these cries.     

Guys and Dolls,and Testosterone

SYNOPSIS

Zeifman et al. present a study of fathers’ and non-fathers’ caregiving in response to infant crying. The associations among testosterone, amount of crying, and parental status were evaluated in a laboratory paradigm using a realistic infant simulator. Although fathers did not show lower levels of testosterone, men who listened to greater amounts of crying showed significant increases in testosterone, and men who increased in testosterone had less optimal caregiving. Hormonal influences on parental behavior, which have been studied extensively in non-human animals, are now being explicated in humans. Zeifman et al. help advance this area of research.     

Infant Crying Levels Elicit Divergent Testosterone Response in Men

SYNOPSIS

Objective. Lower baseline testosterone (T) among men is generally associated with more sympathetic and nurturant responses to infant stimuli. The effect of exposure to infant crying on men’s levels of T, however, is not well understood. The present study aimed to measure men’s T responses to high and low levels of infant crying. Design. Changes in fathers’ (n = 18) and non-fathers’ (n = 28) salivary T levels from baseline were measured in response to caring for an infant simulator programmed to cry often (high-demand condition) or infrequently (low-demand condition) during a 20-min caregiving simulation. Results. Men exposed to low-demand conditions exhibited significant T reductions from baseline, whereas men in high-demand conditions exhibited increases in T. Compared to men who displayed decreases in T following the caregiving simulation, men who displayed increases in T provided less sensitive care. Conclusions. Results suggest a potential role of high levels of crying in provoking physiological reactions among men that may set the stage for hostile or aggressive responses. More research is needed to illuminate contextual factors that contribute to men’s variable responses to infant crying.     

Infant Crying,Testosterone, and Paternal Provisions: A Positive Take on a Punishing Signal

SYNOPSIS

Author replies to commentaries on a paper reporting that different crying levels in infant simulators produce divergent testosterone (T) responses. Major points considered include that: human infant crying is similar to the crying of other mammalian young; increases in T following exposure to infant crying may mobilize paternal protection rather than paternal care; T changes in response to crying are embedded within a larger constellation of interdependent hormonal responses; more refined behavioral measures and more frequent hormone sampling would enhance researchers’ ability to detect individual differences in fathers’ caregiving behavior and make causal inferences. Implications for intervention and parent education are discussed.     

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.     

Children's emotions and behaviors in response to infants' cries

Infant crying can elicit in others both a range of emotions and contrasting behavioral reactions, such as altruistic caregiving versus aggression. Variations in reactions to young infants' cries were examined in 60 children ranging in age from late preschool to preadolescence. Each child over-heard either a preterm or a full-term tape-recorded cry from an adjacent room. Then a mother, carrying her infant, came looking for her (previously) "crying" infant's bottle. Later each child was interviewed after hearing a tape recording of a preterm and a full-term cry. Children's emotions and behaviors thus were assessed in response to simulated, real distresses and hypothetical representations of distress. Children's self-reports of empathy, their verbalized intentions to help, their actual helping responses, and observers' ratings of negative emotion were common responses to cries at all ages. In addition there were significant increases with age in prosocial, behavioral interventions. Expressions of negative emotion were inversely related to subsequent forms of prosocial behavior that required direct interaction with the infant. The emotions and behaviors of most children were not influenced by whether they heard preterm or full-term cries. They were, however, able to discriminate between such cries and some articulated "theories" about the impact of the cries on the listener.     

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.     

Infant Crying and Adults'' Anticipated Caregiving Responses: Acoustic and Contextual Influences

These studies assessed adults' latencies to signal that they would respond to infant crying as functions of (1) the degree of infant distress they perceived in the cry, and (2) contextual information relevant to caregiving. In the first study (N = 34), listeners waited longer to respond to cries that they had earlier rated as sounding less distressed than when they heard cries of higher distress. Further, those who had been told that the infant needed sleep waited longer to respond than those without this information. This effect of context information, however, was limited to the latencies; in another study (N = 50), listeners' ratings of distress were not affected. Several acoustic features of the cries correlated with distress ratings and with latencies to signal a caregiving response. Taken together, the results suggest that adults' responses to crying are influenced both by acoustic gradations in the cry itself and by the caregiving context. Ratings of degree of distress manifest in the cry, in other words, may be highly predictive of caregiving behavior but not wholly so. Finally, although certain acoustic variations related to greater perceived distress and speed of response, differences were apparent between infants in the magnitude of these variations. The implication that the general process of cry perception may be calibrated, or fine tuned, to the range of acoustic variation provided by individual infants is discussed.     

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.     

Studying Quality of Caregiving Behavior: The Roles of Infant,Mother, Father,and Culture

SYNOPSIS

This study showed that prenatal quality of caregiving behavior toward a crying simulator infant predicted the postnatal quality of caregiving behavior of both mothers and fathers.     

A Glimpse into the Minds of Mothers: The Default Mode Network and Responsiveness to Infant Cries

SYNOPSIS

The authors comment on a paper reporting differences between mothers and non-mothers in neural responses to infant cries and other emotive sounds while engaging in self- or goal-oriented tasks. The value of examining deactivation of the default mode network (DMN) as a means of understanding differential attention patterns in both typical and atypical populations is discussed, as is the generalizability of the experimental paradigm to ecologically relevant contexts. The role of an individual’s age, parental status, and experience in shaping responses to infant crying is considered, and future avenues of research are suggested. An argument is made for coupling neuroimaging techniques with behavioral assays to better understand the determinants of maternal behavior.     

Associations Between First‐Time Expectant Women's Representations of Attachment and Their Physiological Reactivity to Infant Cry

Associations among 53 primiparous women's Adult Attachment Interview classifications (secure–autonomous vs. insecure–dismissing) and physiological and self‐reported responses to infant crying were explored. Heart rate, skin conductance levels, and respiratory sinus arrhythmia (RSA) were recorded continuously. In response to the cry, secure–autonomous women demonstrated RSA declines, consistent with approach‐oriented responses. Insecure–dismissing women displayed RSA and electrodermal increases, consistent with behavioral inhibition. Furthermore, insecure–dismissing women rated the cries as more aversive than secure–autonomous women. Nine months postpartum, secure–autonomous women, who prenatally manifested an approach‐oriented response to the unfamiliar cry stimulus, were observed as more sensitive when responding to their own distressed infant, whereas women classified prenatally as insecure–dismissing were observed as less sensitive with their own infants.     

Cultural Manifestations of Infant Caregiving

SYNOPSIS

Hechler and colleagues in this special show that prenatal behaviors predict the quality of postnatal caregiving practices. Adding to their arguments and findings, the present commentary discusses the possible role of culture in caregiving. Considerations of cultural norms, ideologies, and values may take the scientific understanding of infant caregiving to a new stage.     

Spousal Presence Modulates Salivary α-Amylase Responses to Infant Cry in Mothers With High Attachment Insecurity

SYNOPSIS

Objective: Infant cry, a major stressor for caregivers, is one of the leading triggers of child abuse. The present study examined the effects of spousal support, spousal presence, and the possible moderating effect of attachment insecurity on individuals’ subjective and physiological responses to infant cry. Design: Thirty-one healthy mothers (M age = 36 years) and their spouses participated in an infant crying paradigm, where mothers were tasked to listen to infant cries under three conditions: (1) alone, (2) in the same room as partner, without physical contact, and (3) in the same room as partner, with hand-holding. Attachment was determined using the Experiences in Close Relationship Questionnaire, and physiological response was ascertained from concentration of salivary α-amylase (sAA). After each cry sound, sAA level and subjective responses to infant cry were assessed. Results: Multilevel regression analyses revealed that trait attachment-anxiety moderated the effect of spousal presence on sAA. Specifically, mothers with high attachment-anxiety showed reduced sAA when their spouse was present, which indicates that spousal support is effective for mothers with high attachment-anxiety. Conclusions: Findings from this study translate to promising clinical applications for the management of parenting stress from infant cry.     

And Baby Makes Three: Kindling the Reciprocal and Dynamic Processes of Caregiving

SYNOPSIS

Hechler et al.’s (2019) utilization of a simulation paradigm to predict postnatal caregiving quality is worth celebrating. Instead of using subjective self-report measures, the authors objectively observed behaviors that potentially mapped onto real-life processes. As well, they considered for regulatory processes and included fathers into the picture of early caregiving. To enhance the prediction of caregiving simulation paradigms, we advocate for paradigms that are interactive in nature and address the unique roles of the infant, the mother, and the father. Effective paradigms afford context-specific conclusions that sufficiently address the dynamic qualities of iterative interactions between the infant and parents.     

Crying and infant abuse in rhesus monkeys

This study investigated the relation between crying and infant abuse in group-living rhesus monkeys (Macaca mulatta). The subjects were 10 abusive mothers with their infants and 10 control mother-infant pairs. Abused infants cried more frequently than controls in the first 12 weeks of life, even when cries immediately following abuse were excluded from the analysis. The coos of 5 abused infants differed from those of 5 controls in several acoustic parameters, whereas their screams and geckers were acoustically similar, when recorded in the same context. Abusive mothers were less likely than control mothers to respond positively to the cries of their infants. Although infant cries may increase the probability of abuse being repeated, infant crying per se does not appear to be a major determinant of abuse.     

Ghosts in the Nursery 2.0

SYNOPSIS

Parental working is not unambiguously beneficial for children. On the one hand, working parents can be positive role models for their children, and income can improve children’s lives in many ways. On the other hand, work can impair parent-child interactions, especially when the parents experience high levels of working stress. In my commentary, I conclude that the paper by River, enjoys strong support for the impact of maternal state anxiety (attachment anxiety) and work-interfering-with-family (WIF)-conflict related guilt on parents behaviors. Considering the cognitive-relational stress-theory by Lazarus and Folkman, the balance of personal resources and external demands can explain parental stress, which could be associated with parental behavior. Full-time-working parents, who experience high levels of guilt and report high levels of attachment anxiety, are more prone to show low levels of stress resistance toward crying infants. However, these associations are not studied in families with high risk factors. Furthermore, future studies should include aspects of mental health status in a theoretical model. Taken together, the target article provides a solid foundation for further research. I also propose to transfer the findings into more realistic research setting, which includes high-risk groups (parents with low socioeconomic status, low-income, mental health problems) to study how infant cry can influence parents’ patterns of care and abuse. The commentary tries to enrich the study by including Fraiberg’s “ghosts in the nursery” to further integrating parental mentalizing processes in the model explaining parents’ reactions to infant cry signal in the context of WIF conflicts.     

Feasibility study of the calm baby gently program: An educational baby book intervention on safe practices related to infant crying

BackgroundAbusive head trauma (AHT) is a preventable form of child abuse.ObjectiveThis project used a mixed method design to assess the feasibility of the Calm Baby Gently educational baby book intervention for promoting safe practices related to infant crying in an effort to prevent AHT.Participants and settingThree pediatric practices participated between June 2016 and January 2018, including 1045 caregivers who attended their infant’s 2-month well-child visit.MethodsPediatric providers gave the educational baby book to caregivers at the 1-month well-child visit. Caregivers completed a survey at the 2-month well-child visit on their use and satisfaction with the book and responses to infant crying. Thematic analysis of qualitative feedback was performed. Responses to infant crying were compared quantitatively between caregivers who had and had not read the book.ResultsOf the 819 caregivers (78%) who received the book, 92% (754) read it, and 51% (421) had another caregiver read it. Caregivers considered the book approachable, understandable, validating, and helpful for improving knowledge and skills related to infant crying. The book was rated more helpful by caregivers of younger age, male gender, and non-white race. Controlling for age, gender, and race, caregivers who read the book were more confident (p = 0.033) and had more knowledge on how to respond appropriately to infant crying (p = 0.019) than caregivers who had not read it.ConclusionsCalm Baby Gently is a feasible and well-received AHT prevention program. Randomized controlled trials are needed to better understand its impact on knowledge, behavior, and AHT rates.     

Cross-cultural differences in maternal perceptions of cries of low- and high-risk infants

The tape-recorded cries of low- and high-risk newborn infants were rated by 150 inner-city Anglo-American, Black-American, and Cuban-American mothers during the hospital lying-in period following childbirth. Half of each cultural group was primiparous and half was multiparous. The mothers rated the cries along 4 perceptual and 6 caregiving response scale items. Reliable differences were found between low- and high-risk infant cries on all perceptual responses with the effects of culture and parental experience affecting the degree of differences. Generally, Anglo-American mothers found the cries more distressing, urgent, arousing, and sick sounding than Black-American mothers, while Cuban-American mothers showed similarities to both Black- and Anglo-American mothers depending on the scale items. The ratings on the caregiving response scale items paralleled cultural differences found on the perception scale items and previous reports of the mother-infant interaction patterns of other Anglo-, Black-, and Cuban-American samples. The results are discussed as being important in developing nonethnocentric views of the functional significance of the behaviors of the infant at risk, yet as providing evidence of the cross-cultural significance of the cry sound of the infant at risk.     

No Such Thing as a Baby: Responses to Infant Cry Paradigms Are Primarily Influenced by Parents’ Experiences and Behavior

SYNOPSIS

This article builds on our previous work demonstrating that, when exposed to work–family conflict, parents with high levels of attachment anxiety exhibit greater work–family guilt and less tolerance of infant distress. We respond to commentaries suggesting that the theoretical model could be enhanced by better accounting for innate infant differences and parent psychopathology, arguing that it is possible that parents’ experiences of work–family conflict and attachment anxiety precede the development of psychopathology and may influence the development of infant temperament and behavior. We further explore clinical implications of our findings and identify key suggestions for future work, with an emphasis on the roles of parental experiences of childhood maltreatment and insensitive caregiving.