SURE: Web Posters from SURE 2004

Maternal Interactive Quality as a Stressor in Association with 12 Month Old Infant Outcome Scores
Akilah Swinton and Sherryl H. Goodman, PhD
Department of Psychology, Emory University, Atlanta, GA

Abstract

Though many aspects of maternal behavior have influence on the infant, it is possible that certain parenting behavior can serve as early life stressors to the infant, which can adversely affect the infant's development. The research project aims to determine the extent to which adverse qualities of parenting of 3-month olds influence their attachment security, intellectual functioning, and temperament at 12-months of age. Mothers' sensitivity, intrusiveness, withdrawal, positive and negative affect were coded from videotapes of mothers interacting with their infants in a laboratory play setting. Upon coding, a Pearson's R was used to correlate the mother's behavior with her infants' outcome scores. The mother's concurrent depression and her infant's attachment was not found to be significantly associated with the observed variables. However, higher sensitivity and stimulation were associated with higher scores on the mental BSID scale. Also, higher sensitivity and lower negative affect was associated more with typical temperament on the TABS. Future studies should test parenting as a moderator of maternal depression's effect on the infant's development. In addition, the mother should be observed with her infant at 6 months to determine whether or not interaction at 6 months is more highly associated with the infants' outcome scores.

Introduction

General Background Certain theorists argue that infancy is a 'sensitive period' in which incidents have a long-lasting effect that is unique to that stage of growth (Ainsworth, 1978; Bornstein, 1995). One essential aspect of infant development is the acquisition of attachment relationships with primary caretakers. Infants form attachments by 7 months regardless of how the caretakers have treated the infant, although the quality of the attachment relationship is expected to differ (Main, 1996). In addition to affecting the development of secure attachments, it is possible that certain parenting behavior can serve as early life stressors to the baby, which can adversely affect the infant's psychological development. According to Graham, Heim, Goodman, Miller, and Nemeroff (1999) neurobiological alterations due to exposure to early life stressors, one being maternal depression, can be observed as early as the neonatal period. Mothers with higher levels of depression symptoms may interact with their infants in ways that are experienced by the child as being stressful, relative to mother with low levels of depression. Researchers are beginning to find that infants are fully aware of, imitate, and are affected by their parent's negative and positive emotions (Bornstein, 1995). Why Is It Important To Observe The Early Parenting of Mothers with a History of Depression? In a meta-analysis of 46 studies done on maternal depression and parenting behavior, Lovejoy, Graczyk, O'Hare, and Neuman (2000) concluded that the association between depression and parenting is stronger among mothers of very young children, most likely because as children get older they are less dependent on their mother to shape interactions. Maternal depression appears to have a strong association with irritability and hostility toward the child and a weak association with positive interactions with the child (Lovejoy et al,2000). Depressed mothers show increased negative affect and they are more likely to be intrusive than non-depressed mothers(Cohn, Campbell, Matias, and Hopkins, 1990) The babies of depressed mothers are observed to show less positive affect and to have slower responsiveness than the babies of non-depressed mothers (Cohn et al, 1990). Purpose The aim of this research project is to determine the extent to which adverse qualities of parenting of 3-month olds influence their attachment security, intellectual functioning, and self-regulatory functioning at 12-months of age.

Methods and Materials

Fifty-eight mothers were videotaped while interacting with their babies at 3 months old in a laboratory play setting. Each mother had had at least one episode of major depression prior to pregnancy, was a first time parent, and was in a stable relationship. Maternal behavior was measured based on five constructs: sensitivity, positive affect, withdrawal, negative affect, and intrusiveness. Rating scales were utilized to measure the behavior and one out of every six tapes coded was randomly selected to test for inter-rater reliability. Upon rating the videos, maternal behavior ratings were tested for their association with the infant outcome measures at 12 months old.

Measures
Mother (Measure of Agreement)
1. Sensitivity - Sensitivity/responsiveness to distress scale (Campbell, 1991) - (70%) -Sensitivity/responsiveness to nondistress scale (Campbell, 1991) - (70%)
2. Intrusiveness - Intrusiveness scale (Campbell, 1991) - (90%) - Cooperation vs. Interference scale (Ainsworth, 1976) - (60%)
3. Withdrawal - Detachment/ Disengagement scale (Campbell,1991)- (100%) - Flatness of Affect scale (Campbell, 1991)- (90%)
4. Positive Affect - Positive Regard for the Child scale (Campbell, 1991)- (90%) - Warmth (Campbell et al, 1990) - (90%) - Stimulation of Development scale (Campbell, 1991)- (70%)
5. Negative Affect - Quality and Amount of Physical Contact: Negative scale (Clark, 1985)- (100%) - Angry, Hostile Mood scale (Clark, 1985) - (100%) - Displeasure, Disapproval, Criticism scale (Clark, 1985) - (90%)

Child
1. Attachment - The Strange Situation (Ainsworth, 1978)
2. Intellectual Functioning - Bayley Scales of Infant Development, 2nd ed. (Bayley, 1993)
3. Self-Regulation - Temperament and Atypical Behavior Scale (TABS)

Sample Characteristics
Mean age of Mother: 30(SD=5.3)
Ethnicity: 74% European American; 26% African American Marital Status: 78% married; 22% with partners
Mean Household Income: $76-80,000
Education: 73% with a college degree or higher
Mean # of episodes of MDD: 2.18(SD=3.25) Mean age of 1st major depressive disorder(MDD) episode: 22(SD=7.2)

Conclusions and Future Studies

Concurrent depression was not significantly correlated with the observed sensitivity, withdrawal, positive affect and negative affect of parenting. There was a tendency for intrusive mothers to be more depressed at the time of the observation. We found that out of the five constructs, Positive Affect (with the exception of Stimulation of Development) and Withdrawal had little variation. Over 90 % of the mothers were rated as positive, warm, and not withdrawn. The infant's attachment ratings were not significantly associated with any of the observed variables. Higher scores of stimulation and sensitivity were positively associated with accelerated and normal mental development as recorded on the BSID. Lower scores of sensitivity as well as higher scores on negative affect are associated with more self-regulatory dysfunction s on the TABS. Future studies should test parenting as a moderator of the association between maternal depression and the infant's development. In addition, the mother should be observed with her infant at 6 months to determine whether or not interaction at 6 months is even more highly.

Acknowledgements and Funding Attributions

This work was partially supported by National Institute of Mental Health Grant 1P50MH58922-01A1, the Silivo O. Conte Center for the Neuroscience of Mental Disorders (Dr. Nemeroff, PI; Dr. Goodman, PI of Project 8).

Techniques

Rating Scales.