Maternal parenting predicts infant biobehavioral regulation among women with a history of childhood maltreatment

Martinez-Torteya, Cecilia; Dayton, Carolyn J.; Beeghly, Marjorie; Seng, Julia S.; McGinnis, Ellen; Broderick, Amanda; Rosenblum, Katherine L.; Muzik, Maria

doi:10.1017/s0954579414000017

Cited by 94 publications

(86 citation statements)

References 91 publications

(125 reference statements)

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“…A variety of previous studies have shown that depressed mothers are less emotionally available and thus, respond less sensitively and more intrusively or hostilely in dyadic interactions with their offspring [3,4,5]. The emotional quality of the mother-child relationship during infancy and early childhood is thought to foster the development of secure child attachment, which has been shown to positively affect children's emotion and stress regulation skills [6,7,8]. Thus, children of depressed mothers constitute a high-risk group for later development of reduced socioemotional competencies and increased psychopathology [9,10,11].…”

Section: Introductionmentioning

confidence: 99%

Postnatal Mother-to-Infant Attachment in Subclinically Depressed Mothers: Dyads at Risk?

et al. 2016

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Background: Dyadic interactions between children and depressed mothers have been characterized as less synchronous and with lower maternal sensitivity, fostering an inharmonious, insecure attachment relationship between mother and child. Thus, these children may experience enhanced early life stress and are at higher risk of disturbed socioemotional development. Recently, this association has also been found in women with mild depressive symptoms. However, potential confounding effects of mother's history of own rearing experiences or infant temperament on the link between depressive symptoms and postnatal mother-to-infant attachment have not yet been investigated. Methods: Differences in mother-to-infant attachment (e.g. quality of attachment, absence of hostility, and pleasure in interaction) between mothers with and without symptoms of depression 6-8 months postpartum were analyzed in a low-risk community sample (n = 38, 19 per group). Depressive symptomatology was measured with the Beck Depression Inventory (BDI-II) and the Edinburgh Postnatal Depression Scale (EPDS). Depressed mothers indicated mild-to-moderate depressive symptomatology (mean BDI-II 11.26 ± 3.86) but did not fulfill criteria for a major depressive episode and, thus, were referred to as ‘subclinically' depressed. Potential confounders, namely maternal history of own rearing experiences and infant temperament, were explored by multivariate AN(C)OVA. Results: Primiparous mothers with subclinical depression differed significantly from healthy control mothers, i.e. showed poorer mother-to-infant attachment and higher infant-related hostility 6-8 months postpartum. As expected, infant temperament and mother's history of own rearing experiences were both associated with mother-to-infant attachment but did not explain the negative effects of subclinical depression on the mother-infant relationship. Conclusions: Given the high prevalence of maternal depression, the current findings give reason for increased concern for the developing mother-child relationship. Therefore, early interventions are needed that focus on the mother-child dyad and target not only clinically but also subclinically depressed mothers.

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Section: Introductionmentioning

confidence: 99%

Postnatal Mother-to-Infant Attachment in Subclinically Depressed Mothers: Dyads at Risk?

et al. 2016

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“…Mothers with histories of childhood physical abuse, but not sexual abuse, had increased risk for postpartum SI. In terms of behavioral disruptions, women with CM histories have greater difficulties when interacting with their infants (Levendosky and Graham-Bermann, 2001) which impacts child development (Martinez-Torteya, et al, 2014). Investigations incorporating more comprehensive assessment of CM including multiple types of abuse and neglect, and the severity of maltreatment with validated measures may further elucidate relationships between distal trauma exposure (e.g., abuse and neglect), postpartum functioning, and SI, and is a principle aim of the present study.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal suicidal ideation across 18-months postpartum in mothers with childhood maltreatment histories

Muzik

Brier

Menke

et al. 2016

Journal of Affective Disorders

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Objective The current study extends our understanding of postpartum suicidal ideation (SI) in the context of childhood maltreatment (CM). The study longitudinally examines the prevalence and severity of maternal SI. We further examined risk and protective factors’ associations with postpartum SI. Methods SI was assessed at 4, 6, 12, 15, and 18-months postpartum in a non-clinical sample of mothers with CM histories (N = 116). For the first aim, frequency, longitudinal percentage counts, and ANOVAs were conducted. For the second aim, logistic and linear regressions were completed to examine associations between risk and protective factors and the presence and severity of SI, respectively. Results Endorsement of SI was highest at 4-months (37%) and remained at approximately 25% for the duration of the study. While the severity of CM was not significant, our sample of women with CM histories evidenced markedly higher rates of SI than other postpartum investigations. Resilience, marital status, maltreatment-related shame, and family support were associated with suicidal ideation or severity at some assessments; however, these relationships were highly variable over time. Limitations Limitations of this study include the use of self-report measures and generalizability to mothers without CM histories. Conclusion Mothers with histories of CM are at risk for postpartum SI. Our findings elucidate the importance of understanding the interplay and variability of risk and protective factors during postpartum. These results aid clinicians in identifying women at risk for suicidal ideation during postpartum.

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“…The SFP has been widely utilized both in healthy mothers and mothers with depression [19,21], and a smaller number of studies with mothers with PTSD [18,22], and overall is a valid measure to tap into interactive affective exchanges [23]. Further, research has documented that infant and mother behavior varies by type of interactive task and that more challenging tasks tend to pull for more individual differences in behavior as well as more negative maternal behaviors (24).…”

Section: Introductionmentioning

confidence: 99%

Understanding Bidirectional Mother-Infant Affective Displays across Contexts: Effects of Maternal Maltreatment History and Postpartum Depression and PTSD Symptoms

Morelen¹,

Menke²,

Rosenblum³

et al. 2016

Psychopathology

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Background: This study examined the bidirectional nature of mother-infant positive and negative emotional displays during social interactions across multiple tasks among postpartum women accounting for childhood maltreatment severity. Additionally, effects of maternal postpartum psychopathology on maternal affect and effects of task and emotional valence on dyadic emotional displays were evaluated. Sampling and Methods: A total of 192 mother-infant dyads (51% male infants) were videotaped during free play and the Still-Face paradigm at 6 months postpartum. Mothers reported on trauma history and postpartum depression and posttraumatic stress disorder (PTSD) symptoms. Reliable, masked coders scored maternal and infant positive and negative affect from the videotaped interactions. Results: Three path models evaluated whether dyadic affective displays were primarily mother driven, infant driven, or bidirectional in nature, adjusting for mothers' maltreatment severity and postpartum psychopathology. The bidirectional model had the best fit. Child maltreatment severity predicted depression and PTSD symptoms, and maternal symptoms predicted affective displays (both positive and negative), but the pattern differed for depressive symptoms compared to PTSD symptoms. Emotional valence and task altered the nature of bidirectional affective displays. Conclusions: The results add to our understanding of dyadic affective exchanges in the context of maternal risk (childhood maltreatment history, postpartum symptoms of depression and PTSD). Findings highlight postpartum depression symptoms as one mechanism of risk transmission from maternal maltreatment history to impacted parent-child interactions. Limitations include reliance on self-reported psychological symptoms and that the sample size prohibited testing of moderation analyses. Developmental and clinical implications are discussed.

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Maternal parenting predicts infant biobehavioral regulation among women with a history of childhood maltreatment

Cited by 94 publications

References 91 publications

Postnatal Mother-to-Infant Attachment in Subclinically Depressed Mothers: Dyads at Risk?

Postnatal Mother-to-Infant Attachment in Subclinically Depressed Mothers: Dyads at Risk?

Longitudinal suicidal ideation across 18-months postpartum in mothers with childhood maltreatment histories

Understanding Bidirectional Mother-Infant Affective Displays across Contexts: Effects of Maternal Maltreatment History and Postpartum Depression and PTSD Symptoms

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