The Infant Development Distress (IDD) Syndrome: A Predictor of Impaired Development?

Ironside, Wallace

doi:10.3109/00048677509159841

Cited by 19 publications

(15 citation statements)

References 2 publications

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“…Engel (1962) considers Depression -Withdrawal as the "more undifferentiated affect warning of loss of supplies and indicating the need for conservation of energy" (p. 95). Ironside (1975) described it as a biological process subserving survival and reality based discouragement. Menahem (1984) described two infants with possible Conservation -Withdrawal reaction arising from grossly inadequate feeding and suggested that many infants with NOFTT can be better understood within the concept of Conservation -Withdrawal.…”

Section: From Sustained Withdrawal Reaction To Depression In Infantsmentioning

confidence: 99%

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From early withdrawal reaction to infant depression: A baby alone does exist

Guédeney¹

1997

Infant Ment. Health J.

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Section: From Sustained Withdrawal Reaction To Depression In Infantsmentioning

confidence: 99%

“…No matter how early it may begin, it is the result of psychic work, leading to the maintenance of a sort of Depressive Object (Denis, 1987). Thus it may be important to identify infant withdrawal behavior as an alarm distress symptom before it becomes obvious (Ironside, 1975).…”

Section: Infant Withdrawal In the Process Of Evaluationmentioning

confidence: 99%

From early withdrawal reaction to infant depression: A baby alone does exist

Guédeney¹

1997

Infant Ment. Health J.

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“…The link between depression-withdrawal reaction in infants and learned helplessness behavior was made relatively recently ͑Seligman, 1975; Ironside, 1975;Widlöcher, 1983;Menahem, 1984;Lask, Britter, Kroll, Magnana, & Tranter, 1991;Nunn & Lynne Thompson, 1996;Teti & Gelfand, 1997͒. In a now ethically disputable experiment, the famous Learned Helplessness situation, a dog was electrically shocked while in an inescapable situation, which led to resignation, thus leading to the model of Learned Helplessness as the basis for depression, and to the use of the Learned Helplessness paradigm as a key screening test for antidepressant Depression in infants • activity ͑Seligman, 1975͒.…”

Section: Animal Models Of Depressionmentioning

confidence: 99%

Withdrawal behavior and depression in infancy

Guédeney

2007

Infant Mental Health Journal

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This paper describes the history of the concept of infant depression, which has been at the beginning of the discipline of infant mental health, and reviews classification and diagnosis issues, along with some animal models. Several diagnostic criteria have yielded different prevalence rates, and some being unrealistic, but we still do not know when infant depression begins, what its outcome is, and what are its different aspects. It is suggested that infant depression needs a certain amount of emotional and cognitive development to unfold, and that it might not exist before 18-24 months of age, a crossover during which major autoreflexive, cognitive, and emotional abilities emerge. Depression could be an outcome of attachment disorganization in infancy, as depression and disorganization seem to share the same learned helpnessness psychopathological process. Developmental psychopathology considers trouble more from a dimensional point of view rather than from a categorical one, and more as the result of several factors with a sequential action rather than the effect of a genetic disorder with direct expression. Before the limit of 18-24 months, the concept of relational withdrawal seems more applicable and useful.

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“…This can be observed in the "still-face" experiment (Cohn & Tronick,1983;Field, 1984;Seifer & Dickstein, 1993;Tronick & Weinberg, 1997), in studies of the effect of maternal depression (Murray & Cooper, 1997), or in parents who have other kinds of mental impairment (Reder & Lucey, 1995). Severe withdrawal can be observed also at different levels in infants with Anxiety Disorders, Post Traumatic Stress Disorders (Zeanah, 1993), and in children who have suffered from chronic and severe pain in infancy (Gauvain-Piquard, Rodary, Rezvani & Lemerle, 1987;Gauvain-Piquard, Rezvani, Rodary & Serbouti, 1999).Although withdrawal is a very important alarm signal (Ironside, 1975), no assessment tool is available to date, to our knowledge. This article describes the construction and the validation of a scale, the Alarm Distress Baby Scale (ADBB), designed to assess sustained withdrawal reactions in infants aged between 2 -24 months.…”

mentioning

confidence: 99%

A validity and reliability study of assessment and screening for sustained withdrawal reaction in infancy: The Alarm Distress Baby scale

Guédeney

Fermanian

2001

Infant Mental Health Journal

177

186

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Sustained withdrawal behavior in infancy is an important alarm signal to draw attention to both organic and relationship disorders. A withdrawal scale, the Alarm Distress Baby scale (ADBB), for infants between 2 and 24 months of age was built. This article describes the construction of the scale and the assessment of its psychometric properties. The ADBB has good content validity, based on the advice of seven experts. The scale has good criterion validity: first, as a measure of the infant's withdrawal reaction, with a very good correlation between nurse and pediatrician on the ADBB (r ϭ 0.84), and s second, as a screening procedure for detecting the developmental risk of the infant. The cutoff score of 5 with a sensitivity of 0.82 and a specificity of 0.78 was determined to be optimal for screening purposes. The scale has good construct validity, with good convergent validity with both the Spitz (1951) and the Herzog & Rathbun (1982) lists of symptoms of infant depression (r ϭ 0.61 and 0.60, respectively). s Exploratory factor analysis showed two different factors, consistent with the scale's construct. Reliability was satisfactory with good internal consistency for both subscales (the Cronbach ␣ ϭ 0.80 for the first subscale and 0.79 for the second) and for the global scale (␣ ϭ 0.83). The test-retest procedure showed good stability over time (r ϭ 0.90 and 0.84 for the two different raters). The scale could be used in 560• A. Guedeney and J. Fermanian relatively brief period of time. The scale can be used by nurses and psychologists or by medical doctors after a short period of training.RESUMEN: Cuando la conducta de ensimismarse o apartarse es sostenida durante la infancia nos encontramos frente a una importante señal de alarma que nos hace dirigir la atención hacia los trastornos orgánicos y los que se presentan dentro de una relación. Se ha establecido una escala para determinar el ensimismamiento en infantes entre los 2 y 24 meses de edad, la cual se denomina "Alarm Distress Baby scale" (ADBB). Este ensayo describe la estructuración de dicha escala y la evaluación de sus propiedades sicométricas. La ADBB tiene una muy buena validez de contenido, basándose en el consejo de siete expertos. La escala también posee una validez en cuanto al buen criterio: primero como una forma de medir la reacción de ensimismamiento del infante, con una buena correlación entre enfermera y pediatra en la ADBB (rs ϭ 0.84); y segundo, como un procedimiento investigativo para detectar el riesgo de desarrollo del infante. Se determinó que un puntaje máximo de 5, con una sensibilidad de 0.82, y una especifidad de 0.78, era el puntaje óptimo para los propósitos investigativos. La escala tiene asímismo una buena validez de estructuración, con buena validez convergente con referencia a las listas de síntomas de la depresión infantil de Spitz (1951) y de Herzog & Rathbun (1982) (rs: 0.61 y 0.60). El análisis del factor de exploración mostró dos diferentes factores, consistentes con la estructuración de la escala. La fiabilidad...

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The Infant Development Distress (IDD) Syndrome: A Predictor of Impaired Development?

Cited by 19 publications

References 2 publications

From early withdrawal reaction to infant depression: A baby alone does exist

From early withdrawal reaction to infant depression: A baby alone does exist

Withdrawal behavior and depression in infancy

A validity and reliability study of assessment and screening for sustained withdrawal reaction in infancy: The Alarm Distress Baby scale

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