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1.
Objective. Recognizing that not all mothers at risk for depression engage in insensitive parenting, this study examined predictors of individual differences in sensitive parenting of infants by mothers with histories of depression, who are at elevated risk for depression during the perinatal period. Design. We examined maternal personal characteristics, context, and early infant temperament as predictors of sensitive parenting. Seventy-six women with a history of major depression were followed through pregnancy and postpartum and observed during play and feeding interactions with their 12-month-old infants. Results. Maternal personal characteristics (recurrence of clinically significant depression symptom levels during pregnancy or postpartum and higher trait anxiety), context (lower social context and lower income), and early infant temperament (higher negative affectivity, surgency/extraversion, and orienting/regulation) are often associated with less sensitive parenting, with stronger and clearer associations for play than feeding and with some differences based on whether sensitivity was defined as affective matching or rated sensitivity. Conclusions. The findings extend support for multi-determination of sensitive parenting of infants to women with histories of depression, albeit with small to medium effect sizes, and suggest ways to identify those who may be most at risk for insensitive parenting and the potential value of intervening in pregnancy to enhance subsequent sensitivity of parenting.  相似文献   

2.
Dimensions of Subjectivity in Parents'' Ratings of Infant Temperament   总被引：1，自引：0，他引：1  
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.  相似文献   

3.
Resting respiratory sinus arrhythmia (RSA) may confer infant susceptibility to the postpartum environment. Among infants with higher RSA, there may be a positive relation between depressive symptoms across the first 6 months postpartum (PPD) and later behavior problems, and toddlers’ dysregulation during mother–child interactions may partially explain the effects. Among a sample of low-income Mexican-American families, infant RSA (N = 322; 46% male) was assessed at 6 weeks of age; mothers (Mage = 27.8, SD = 6.5) reported PPD symptoms every 3 weeks from 6 to 24 weeks and infant behavior problems at 36 months. Dysregulation was observed at 24 months. PPD was positively associated with behavior problems only among infants with lower RSA; however, this relation was not mediated by dysregulation.  相似文献   

4.
Women who experienced abuse or neglect as children are more likely to have health problems during pregnancy and postpartum, but can be reluctant to seek help due to a lack of trauma-informed services. As part of a larger mixed method study, this component aimed to obtain qualitative data from trauma-exposed new mothers about their health care preferences during the perinatal period with the ultimate goal to design personalized, supportive interventions. Fifty-two trauma-exposed mothers completed a semi-structured interview at seven months postpartum about health care preferences including ideas for programs that promote wellness, thoughts about the influences of being a new mother and possible names for a program serving trauma-exposed mothers. Interviews were transcribed and coded using N-Vivo. Participants described ambivalence about seeking help but also a sincere desire for healing, coupled with hope for the future. This tension was apparent in the discussions highlighting the importance of access to experienced, nonjudgmental, and knowledgeable health and social care staff and volunteers, the wish for both formal, integrated physical and mental health services, and for informal opportunities to meet other trauma-exposed mothers in a non-stigmatizing, child-friendly setting. Finally, positive relationship-building, respect, and safety were identified as key elements of services critical to counteract trauma-related shame and mistrust in others. Services for trauma-exposed mothers should acknowledge the normal ambivalence surrounding seeking help, but promote hope-affirming practices in a family-centered, safe, non-clinical setting that involves children, builds social support, and provides peer interaction. Program names should reflect optimism and healing rather than trauma.  相似文献   

5.
Kalil A  Kunz J 《Child development》2002,73(6):1748-1760
This study examined the role of prechildbearing characteristics in later-life depressive symptomatology among 990 married and unmarried teenage childbearers. Data from teenagers in the National Longitudinal Survey of Youth (NLSY79) were used to test the relative contribution of age and marital status at first birth to depressive symptomatology measured during young adulthood (ages 27-29). Unmarried teenage childbearers displayed higher levels of depressive symptoms in young adulthood than did women who first give birth as married adults. However, the psychological health of married teenage mothers in later life was as good as that of married adult mothers, whereas unmarried adult mothers and unmarried teenage mothers had similarly poor outcomes. The findings of this study suggest that marital status, rather than age at first birth, may be more relevant for later-life psychological health.  相似文献   

6.
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.  相似文献   

7.
In this study, the impact of rejection/acceptance experienced during the adolescent mother's childhood, social support received after the baby's birth, and infant irritability on angry, punitive maternal behavior are tested, and possible links between such maternal behavior and indices of child anger and noncompliance, low confidence, and social withdrawal are investigated. 40 mothers who gave birth as adolescents and their 2-year-old children participated in the study. When mothers experienced both rejection during childhood and little support from a partner after birth, they were likely to exhibit angry and punitive parenting. Infant irritability did not predict maternal behavior. Angry and punitive mothers had children who were angry and noncompliant and who distanced themselves from their mothers. Taken as a main effect, infant irritability was unrelated to later child behavior. However, the association between maternal behavior and 2 aspects of child behavior was stronger for children as irritable at 3 months postpartum: when irritable infants had angry and punitive mothers they were more likely to be angry and noncompliant and to exhibit less confidence than less irritable infants who experienced the same pattern of parenting.  相似文献   

8.
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.  相似文献   

9.
Previous studies have found that stressful events during pregnancy can influence the developing fetus, resulting in attentional and neuromotor problems. This prospective study examined whether periods of vulnerability exist for neurobehavioral impairments associated with prenatal stress, using a nonhuman primate model. Twenty-eight rhesus monkey infants were born to mothers in 3 groups: (1) early gestation stress involving mild psychological stress from gestational days 45-90, (2) mid-late gestation stress from days 90-145, and (3) undisturbed controls. Infants were separated from their mothers on days 4, 9, 15, and 22 (+/- 1) postpartum for growth and neurobehavioral assessments. Results indicated that infants from the early gestation stress condition weighed less than infants from mothers stressed during mid-late gestation. Moreover, whereas both groups scored lower than controls on measures of attention and neuromotor maturity, early gestation stress was associated with more pronounced and more pervasive motor impairments than mid-late gestation stress. These results suggest sensitivity to prenatal stress effects peaks during early gestation, tapering off during mid-late gestation. Clarifying the period of greatest vulnerability to prenatal stress moves toward elucidating the underlying mechanism for prenatal stress effects and may lead to more successful intervention and/or prevention.  相似文献   

10.
Social referencing refers to the tendency of a person to look to a significant other in an ambiguous situation in order to obtain clarifying information. The aims of the study were to assess the extent to which infants use fathers as referencing targets, and to assess the familial context that might mediate referencing to both parents. 40 11-month-old infants were observed once with their mothers and once with their fathers in a 15-min social referencing situation that involved entrance of a female stranger as the ambiguous stimulus. Infants used their fathers and mothers as referencing targets to an equal extent. Additionally, marital satisfaction was found to be a significant modifier of referencing. A hierarchical regression analysis indicated that paternal marital satisfaction predicted social referencing to fathers as well as to mothers; no effect was found for maternal marital satisfaction alone. This suggests that in order to better understand early socioemotional development, it is necessary to consider the interdependence among various relationships within the family.  相似文献   

11.
70 2-parent families with 12-month-old infants and 67 2-parent families with 18-month-old toddlers participated in the study. Mothers and fathers participated in separate interviews and filled out questionnaires on family and child behaviors. Mothers and their children participated in the Ainsworth Strange Situation, and the families were observed for a total of 4 hours in their homes. Families were compared on composite measures of family environment variables, parents' perception of their children, and on process variables from home observations. Family differences in environmental stress and marital adjustment showed no effects for attachment classifications, although parents of 12-month-olds reported greater marital adjustment and more pleasure in parenting than parents of 18-months-olds. Both mothers and fathers reported that children classified as resistant were more difficult on several temperament measures. During home observations, 12-month-old children received more positive responses from mothers, and 18-month-old children received more instructions and directions from both parents. Insecure boys (both avoidant and resistant) received the least instructions and directions from both parents, but insecure-avoidant girls received the most instruction from fathers.  相似文献   

12.
Postpartum depression (PPD) occurs in 13% of new mothers internationally, but many do not receive treatment. In the Western world, hospital-based perinatal nurses have extended contact with new mothers and are in a unique position to teach them to recognize symptoms of and seek treatment for PPD. In this replication study framed by self-efficacy theory, teaching new mothers about PPD was predicted by a nurse’s self-efficacy related to PPD teaching, expectations for teaching from supervisor, PPD continuing education, teaching experience on other topics, and experience with observing other nurses teaching patients about PPD. The results of the study demonstrate the importance of the climate created by the nursing supervisor in which teaching about PPD is expected and facilitators of effective patient teaching are available.  相似文献   

13.
Socioeconomically disadvantaged neighborhoods increase the risk for poor mental health among residents, yet protective factors may operate alongside risk. This study evaluated the influence of the prenatal neighborhood ethnocultural context on child behavior problems and maternal depressive symptoms. Prenatal maternal role expectations, prenatal culture-specific stress, and postpartum depression (PPD) symptoms were evaluated as mediators. Participants included 322 low-income, Mexican American mother-child dyads. Women (Mage = 27.8) reported on proposed mediators, maternal depressive symptoms, and child behavior problems at 4.5 years. Neighborhood Latinx concentration was obtained from census data. Higher Latinx concentration predicted fewer maternal depressive symptoms and child behavior problems, mediated through role expectations and PPD symptoms. Results suggest prenatal neighborhood context to impact later maternal and child mental health.  相似文献   

14.
This study investigated predictors of early infant social development and the role of social support as a resilience factor among Arab-Bedouin families. We propose a mediation model in which social support will be related to maternal postpartum emotional distress (PPED), which in turn will be related to infant social responsiveness. One hundred five Arab-Bedouin mothers (age range = 17–44 years) and their preterm (n = 48) and full-term (n = 57) infants were recruited shortly after birth and were followed up at age 12 months. Findings demonstrate that, among the preterm group, higher levels of social support predicted lower levels of maternal PPED, and this, in turn, predicted higher levels of infant social responsiveness.  相似文献   

15.
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.  相似文献   

16.
ABSTRACT

Depression is a major problem among African American older women; however, they also tend to be understudied as members of a multiple minority and oppressed group. As matriarchs and grandmothers in their families and communities, depression often emerges and becomes a detrimental problem for these older African American women. This study, a secondary data analysis, utilized the Health and Retirement Study (HRS) 2010 database to examine depression among older African American women. This article discusses the joint impact of age, social support, religion, caregiving, and physical health on depression among older community dwelling African American women. Findings indicate that age, physical health, and marital status as an aspect of social support were significant predictors of whether or not an older African American woman had ever had depression and whether or not she felt depressed in the past year. Receiving help from relatives as an aspect of social support also remained significant for participants who were feeling depressed in the past year. Implications for research, theory, and policy are offered.  相似文献   

17.
Observations of 23 free-ranging rhesus monkey infants on Cayo Santiago, Puerto Rico, indicated that mothers' first postpartum estrous periods were marked by large increases in the amount of time infants were separated from their mothers, by disturbances in mother-infant relationships, and by increases in infant distress behavior. When their mothers resumed mating, most infants showed signs of agitation; a few briefly showed indications of depression. Male infants responded to their mothers' resumption of mating by playing more, whereas females engaged in less play and more allogrooming. The results suggest ( a ) that basic parallels exist between the behavioral responses of rhesus infants to their mothers' resumption of mating in the field and to forcible separation from their mothers in captivity and ( b ) that early separation experiences may play a role in the normal development or manifestation of sex differences in behavior.  相似文献   

18.
The postpartum period is a vulnerable period for women with a history of childhood maltreatment. This study investigated the association between childhood maltreatment and postnatal distress three months postpartum and examined the role of social support provided by different sources (intimate partner, parents, parents-in-law, and friends). Analyses are based on N = 66 women, who were screened for maltreatment experiences shortly after parturition with the Childhood Trauma Questionnaire. Their levels of postnatal distress (symptoms of depression, anxiety, and stress; assessed with the Hospital Anxiety and Depression Scale and the 4-Item version of the Perceived Stress Scale) and postpartum social support (measured with the Postpartum Social Support Questionnaire) were assessed three months postpartum. Adjusting for educational level and the experience of a recent stressful event, childhood maltreatment was directly associated with higher levels of postnatal distress. Social support provided by friends moderated this association in a heteroscedastic regression analysis. No moderating effect was observed for support provided by the own parents, the intimate partner, or parents-in-law. The association between childhood maltreatment and postnatal distress was not mediated by social support. Additional analyses revealed no main, moderating, or mediating effects of satisfaction with support. Results suggest that support provided by friends may promote resilience during the postpartum period in women with a history of childhood maltreatment. Efforts to better understand the role of postpartum support and mechanisms that may enhance a mother’s ability to develop and maintain supportive friendships may be promising for guiding preventive interventions.  相似文献   

19.
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.  相似文献   

20.
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.  相似文献   

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