Patterns of mother–infant interaction from 3 to 12 months among dyads with substance abuse and psychiatric problems

Siqveland, Torill S.; Haabrekke, Kristin; Wentzel‐Larsen, Tore; Moe, Vibeke

doi:10.1016/j.infbeh.2014.09.003

Cited by 14 publications

(10 citation statements)

References 40 publications

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“…Comparison group data of 28 mother–infant dyads were gathered from another Norwegian study. These dyads were recruited from local well-baby clinics in Oslo, Norway, between December 2004–January 2009 (Siqveland et al 2014 ). Inclusion criteria were being pregnant and having no substance abuse or mental disorder.…”

Section: Methodsmentioning

confidence: 99%

“…Twenty percent of randomly selected interactions were double-rated and inter-rater reliability was calculated using categorical agreement (1–2, 3, 4–5). Intra-class correlation varied between 0.80 and 0.97 at 3 months and between 0.73 and 0.94 at 12 months for the different subscales used in the study (Siqveland et al 2014 ). The coders were blinded to all information about the participants.…”

Section: Methodsmentioning

confidence: 99%

“…Thus, for exploration of patterns of change in the interactions, PCERA variables that are rateable at both 3 and 12 months were clustered into subscales equivalent to behavioural, affective and communicative categories in the manual (Clark 1985 , 2006 , 2009 , 2010 ). The same procedure has been used in another study (Siqveland et al 2014 ). The clustered subscales comprise four maternal subscales: “Maternal tone of voice”, “Mother’s characteristic mood”, “Maternal affective and behavioural involvement”, “Maternal style”; three infant subscales: “Infant expressed affect and characteristic mood”, “Infant behavioural and adaptive abilities”, “Infant communication”, and two dyadic subscales: “Dyadic affective quality” and “Dyadic mutuality”.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Bipolar offspring and mothers: interactional challenges at infant age 3 and 12 months—a developmental pathway to enhanced risk?

Anke

Slinning

Moe

et al. 2020

Int J Bipolar Disord

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Background: Bipolar offspring are considered a high-risk group for developing mental disorders. Developmental outcomes result from additive and interactive effects of biological vulnerability and environmental influences. Mother-infant interactions represent important early environmental influences that may modify infants' risk of mental disorders. The aim of the current prospective study was to investigate the patterns and development of motherinfant interactions in the first year of life in dyads in which the mothers have bipolar disorder (BD). Methods: Twenty-six dyads in which the mothers had BD and 28 dyads in which the mothers had no mental disorder were video-taped in a free play interaction. The Parent-Child Early Relational Assessment (PCERA) was used to assess the quality of the interactions on three domains (maternal behaviour, infant behaviour and dyadic coordination) at 3 and 12 months of infant age. First, we compared the mother-infant interaction patterns between the two groups at 12 months. Second, we investigated how the patterns developed within and between the groups from infant ages 3 to 12 months. Results: BD dyads demonstrated significantly more challenges in all three interaction domains at infant age 12 months compared to the healthy dyads. This observation was in line with the findings at infant age 3 months. Subdued expression of positive affect and mutual underinvolvement represented core challenges in maternal and infant behaviours in the BD dyads. Continuous difficulties with dyadic coordination and reciprocity were the most concerning interaction behaviours at 3 and 12 months. On the positive side, there was little expression of negative affect or tension in maternal, infant and dyadic behaviour, and some positive changes in infant behaviour from 3 to 12 months. Conclusions: The current results suggest that challenges in mother-infant interaction patterns in the first year of life may enhance the developmental risk for bipolar offspring. Clinical interventions should address both the BD mothers' needs in relation to postpartum mood deviations and mother-infant interactions. We suggest interaction interventions to promote dyadic coordination and reciprocity, such as helping mothers being more sensitive to their infant's cues and to provide attuned contingent responses.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Bipolar offspring and mothers: interactional challenges at infant age 3 and 12 months—a developmental pathway to enhanced risk?

Anke

Slinning

Moe

et al. 2020

Int J Bipolar Disord

Self Cite

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show abstract

“…Data for comparison of mother-infant interactions were included from another Norwegian study. The comparison group consisted of 30 mother-infant dyads, recruited from local well-baby clinics in Oslo, Norway, between December 2004 – January 2009 [26]. Inclusion criteria for the comparison group were being pregnant and having no substance abuse or mental health problems.…”

Section: Methodsmentioning

confidence: 99%

“…Both coders double-rated 20% of randomly selected interactions, and inter-rater reliability was calculated using categorical agreement (1-2, 3, 4-5). Intra-class correlation varied between 0.80 and 0.97 for the different subscales used in the study [26]. All information, including group status (no mental health problems vs. substance abuse or mental health problems), was unknown to the coders.…”

Section: Methodsmentioning

confidence: 99%

Mothers with and without bipolar disorder and their infants: group differences in mother-infant interaction patterns at three months postpartum

et al. 2019

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Background Women with bipolar disorder (BD) have a high risk of illness relapse postpartum. The risk coincides with the period when mother-infant interactions are evolving. We compared mother-infant interactions in dyads where the mothers have BD with dyads where the mothers have no mental disorder. The association between concurrent affective symptoms of BD mothers and interaction quality was investigated. Methods Twenty-six women with BD and 30 comparison women with infants were included. The Parent-Child Early Relational Assessment (PCERA) was used to assess maternal behaviour, infant behaviour and dyadic coordination in interactions at 3 months postpartum. The Inventory of Depressive Symptomatology and Young Mania Rating Scale were used to assess affective symptoms of BD mothers at the time of interaction. Results There were significant group differences with medium to large effect sizes (0.73–1.32) on five of six subscales within the three interactional domains. Most interactional concerns were identified in dyadic coordination. No significant associations were found between maternal symptom load and interaction quality within the BD sample. Forty-six percent of the BD mothers experienced a mood episode within 0–3 months postpartum. Conclusions The present study identified challenges for mothers with BD and their infants in “finding” each other in interaction at 3 months postpartum. If sustained, this interaction pattern may have a long-term impact on children’s development. We suggest interventions specifically focusing on sensitising and supporting mothers to read infants’ cues on a micro-level. This may help them to respond contingently and improve dyadic coordination and synchronicity.

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Dyadic parent–infant interaction patterns at 12 months: Exploring dyadic parent–infant gender compositions

Siqveland

Fredriksen

Wentzel‐Larsen

et al. 2022

Infant Mental Health Journal

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This study investigates differences in dyadic mother-infant and father-infant interaction patterns at infant age 12 months, and the relation between different parent-infant gender compositions and the dyadic interaction. Data were drawn from a large-scale, population-based Norwegian community sample comprising 671 mother-infant and 337 father-infant interactions. The Early Relational Health Screen (ERHS), a screening method for observing dyadic parent-infant interactions, was used to assess the parent-infant interactions. Scores on the ERHS were employed to investigate dyadic differences in the overall interaction scores, and dyadic interaction on seven sub-dimensions between mother-infant and father-infant pairs. The relation between different parent-infant gender compositions and the dyadic interaction scores was also examined. As expected in a normative sample, most parent-infant interactions received scores in the upper rating levels. Differences between mother-infant and father-infant patterns were generally small, but mother-infant dyads tended to obtain slightly higher scores. The mother-infant dyads received higher scores on the dimensions of engagement and enjoyment, but no other significant differences between the parent-infant pairs were found for the remaining dimensions. We did not find evidence for a moderation effect of child gender. However, parent-daughter dyads received somewhat higher scores than the parent-son dyads.

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Patterns of mother–infant interaction from 3 to 12 months among dyads with substance abuse and psychiatric problems

Cited by 14 publications

References 40 publications

Bipolar offspring and mothers: interactional challenges at infant age 3 and 12 months—a developmental pathway to enhanced risk?

Bipolar offspring and mothers: interactional challenges at infant age 3 and 12 months—a developmental pathway to enhanced risk?

Mothers with and without bipolar disorder and their infants: group differences in mother-infant interaction patterns at three months postpartum

Dyadic parent–infant interaction patterns at 12 months: Exploring dyadic parent–infant gender compositions

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