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Maternal representations, infant psychiatric status, and mother–child relationship in clinic-referred and non-referred infants

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Abstract

To examine the relations between maternal representations, infant socio-emotional difficulties, and mother–child relational behavior, 49 clinic-referred infants and their mothers were compared to 30 non-referred controls. Clinic-referred infants’ psychiatric status was determined with the DC 0-3-R classification of Zeanah and Benoit (Child Adolesc Psychiatry Clin N Am 4:539–554, 1995) and controls were screened for socio-emotional difficulties. Mothers were interviewed with the parent development interview (Aber et al. in The parent development interview. Unpublished manuscript, 1985) and dyads were observed in free play and problem-solving interactions. Group differences emerged for maternal representations and relational behaviors. Representations of clinic-referred mothers were characterized by lower joy, coherence, and richness, and higher anger experienced in the mother–infant relationship compared to controls. During free play, clinic-referred mothers showed lower sensitivity and higher intrusiveness and provided less adequate instrumental and emotional assistance and support during problem solving. Referred children showed lower social engagement during free play. Associations were found among maternal representations, maternal interactive behavior, child social engagement, and the child’s ability to self-regulate during a challenging task. These findings provide empirical support for theoretical and clinical perspectives suggesting a reciprocal link between maternal negative representations and mother and child’s maladaptive behaviors in the context of early socio-emotional difficulties and mental health referrals.

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References

  1. Aber J, Belsky J, Slade A, Crnic K (1999) Stability and change in mothers’ representations of their relationship with their children. Dev Psychol 35:1038–1047

    Article  CAS  PubMed  Google Scholar 

  2. Aber J, Slade A, Berger G, Bresgi I, Kaplan M (1985) The parent development interview. Unpublished manuscript

  3. Bowlby J (1969) Attachment and loss. vol: I: attachment. Basic Books, New York

    Google Scholar 

  4. Cassidy J (1999) The nature of the child’s ties. In: Cassidy J, Shaver P (eds) Handbook of attachment. Guilford, New York, pp 3–20

    Google Scholar 

  5. Chase-Lansdale P, Brooks-Gunn J, Zamsky E (1994) Young African–American multigenerational families in poverty: quality of mothering and grandmothering. Child Dev 65:373–393

    Article  CAS  PubMed  Google Scholar 

  6. Crowell J, Feldman S, Ginsberg N (1988) Assessment of mother–child interaction in preschoolers with behavior problem. J Am Acad Child Adolesc Psychiatry 27:303–311

    Article  CAS  PubMed  Google Scholar 

  7. David M, Appel G (1962) Etude des facteurs de carence affective dans une pouponnière. Psychiatrie de l’enfant 4(2):207–242

    Google Scholar 

  8. David M, Appel G (1966) La relation mère -enfant. Etude de cinq patterns d’interaction entre mère et enfant a l’age de un an. La psychiatrie de l’enfant, IX, 2

  9. DeWolff M, van IJzerdoom M (1997) Sensitivity and attachment: a meta-analysis on parental antecedents of infant attachment. Child Dev 68:571–591

    Article  CAS  Google Scholar 

  10. Dollberg D (1995) The effects of adolescent mothers’ depression, social stress and support, and child temperament on maternal behavior and child development. Unpublished doctoral dissertation. Teachers College, Columbia University

  11. Dollberg D, Feldman R, Keren M, Guedeney A (2006) Sustained withdrawal behavior in clinic-referred and nonreferred infants. Infant Ment Health J 27:292–309

    Article  Google Scholar 

  12. Emde R, Egger H, Fenichel E, Guedeney A, Wise B, Wright H (2005) Introducing DC:0-3R. Zero to Three

  13. Emde R, Wise B (2003) The cup is half full: Initial clinical trials of DC: 0–3 and recommendation for revision. Infant Ment Health J 24(4):437–446

    Article  Google Scholar 

  14. Feldman R (1998) Coding interactive behavior. Unpublished Manual; Bar-Ilan University

  15. Feldman R (2007) Parent–infant synchrony and the construction of shared timing: physiological precursors, developmental outcomes, and risk conditions. J Child Psychol Psychiatry 48:329–354

    Article  PubMed  Google Scholar 

  16. Feldman R (2009) The relational basis of adolescent adjustment: trajectories of mother–child relational patterns from infancy to adolescence shape adolescents’ adaptation. Attachment and Human Development (in press)

  17. Feldman R, Eidelman AI (2009) Biological and environmental initial conditions shape the trajectories cognitive and social-emotional development across the first five years of life. Dev Sci 12:194–200

    Article  PubMed  Google Scholar 

  18. Feldman R, Eidelman AI, Rotenberg N (2004a) Parenting stress, infant emotion regulation, maternal sensitivity, and the cognitive development of triplets: a model for parent and child influences in a unique ecology. Child Dev, 75 (December)

  19. Feldman R, Keren M, Gross-Rozval O, Tyano S (2004b) Mother and child’s touch patterns in infant feeding disorders: relation to maternal, child, and environmental factors. J Am Academy Child Adolesc Psychiatry 43, (September)

  20. Feldman R, Klein PS (2003) Toddlers’ self-regulated compliance with mother, caregiver, and father: implications for theories of socialization. Dev Psychol 39:680–692

    Article  PubMed  Google Scholar 

  21. Feldman R, Masalha S, Nadam R (2001) Cultural perspective on work and family: dual-earner Israeli–Jewish and Arab families at the transition to parenthood. J Fam Psychol 15:492–509

    Article  CAS  PubMed  Google Scholar 

  22. Feldman R, Weller A, Eidelman AI, Sirota L (2003) Testing a family intervention hypothesis: the contribution of mother–infant skin-to-skin contact (Kangaroo Care) to family interaction and touch. J Fam Psychol 17:94–107

    Article  PubMed  Google Scholar 

  23. Fonagy P (1996) The significance of development of meta-cognitive control over mental representations in parenting and infant development. J Clin Psychoanal 5:67–86

    Google Scholar 

  24. Fonagy P, Gergely G, Jurist E, Target M (2002) Affect regulation, mentalization and the development of the self. Other Press, New York

    Google Scholar 

  25. Fonagy P, Target M (1997) Attachment and reflective function: their role in self organization. Dev Psychopathol 9:679–700

    Article  CAS  PubMed  Google Scholar 

  26. Fonagy F, Target M (2002) Early intervention and the development of self- regulation. Psychoanalytic Inq 22:307–335

    Article  Google Scholar 

  27. Fraiberg S (1980) Clinical studies in infant mental health. Basic Books, New York

    Google Scholar 

  28. George C, Kaplan N, Main M (1984) The adult attachment interview. Unpublished protocol. University of California, Berkely

  29. George C, Solomon J (1996) Representational models of relationships: links between caregiving and attachment. Infant Ment Health J 17:198–216

    Article  Google Scholar 

  30. Grienenberger J, Kelly K, Slade A (2005) Maternal reflective functioning, mother–infant affective communication, and infant attachment: exploring the link between mental states and observed caregiving behavior in the intergenerational transmission of attachment. Attachment Hum Dev 7(3):299–311

    Article  Google Scholar 

  31. Guedeney N, Guedeney A, Rabouam C, Mintz AS, Danon G, Huet MM, Jacquemain F (2003) The zero-to-three diagnostic classification: a contribution to the validation of the classification from a sample of 85 under-threes. Infant Ment Health J 24(4):313–336

    Article  Google Scholar 

  32. Isabella R, Belsky J (1991) Interactional synchrony and the origins of infant-mother attachment: a replication study. Child Dev 62:373–384

    Article  CAS  PubMed  Google Scholar 

  33. Keren M, Feldman R, Tyano S (2001) Diagnoses and interactive patterns of infants referred to a community-based Infant Mental Health Clinic. J Am Acad Child Adolesc Psychiatry 40:1–9

    Article  Google Scholar 

  34. Koren-Karie N, Oppenheim D, Dolev S, Sher A, Etzion-Carasso A (2002) Mothers’ empathic understanding of their infants’ internal experience: relations with maternal sensitivity and infant attachment. Dev Psychol 38:534–542

    Article  PubMed  Google Scholar 

  35. Lieberman A, Padron E, Van Horn P, Harris W (2005) Angels in the nursery: the intergenerational transmission of benevolent parental influences. Infant Ment Health J 26(6):504–524

    Article  Google Scholar 

  36. Lok S, McMahon C (2006) Mothers’ thoughts about their children: links between mind-mindedness and emotional availability. Br J Dev Psychol 24:477–488

    Article  Google Scholar 

  37. Maysless O (2006) Parenting representations: theory, research, and clinical implications. Cambridge University Press, New York

    Google Scholar 

  38. McDonough S (1995) Promoting positive early parent–infant relationships through interaction guidance. In: Lewis M (ed) Child and adolescent psychiatric clinics of North America, vol 4:661–672

  39. Meins E (1999) Sensitivity, security and internal working models: bridging the transmission gap. Attachment Hum Dev 1:325–342

    Article  CAS  Google Scholar 

  40. Miller A, McDonough S, Rosenblum K, Sameroff A (2002) Emotion regulation in context: situational effects on infant and caregiver behavior. Infancy 3(4):403–433

    Article  Google Scholar 

  41. O’Brien M, Johnson J, Anderson-Goetz D (1989) Evaluating quality in mother-infant interaction : situational effects. Infant Behav Dev 12:451–464

    Article  Google Scholar 

  42. Rosenblum K, Dayton C, McDonough S (2006) Communicating feelings: links between mothers’ representations of their infants, parenting, and infant emotional development. In: Maysless O (ed) Parenting representations: theory, research, and clinical implications. Cambridge Press, New York, pp 109–148

    Google Scholar 

  43. Sameroff A, Fiese B (2000) Models of development and developmental risk. In: Zeanah C (ed) Handbook of infant mental health. Guilford, New York, pp 3–20

    Google Scholar 

  44. Sander L (2000) Where are we going in the field of infant mental health? Infant Ment Health J 21(1/2):5–20

    Article  Google Scholar 

  45. Slade A (2005) Parental reflective functioning: an introduction. Attachment Hum Dev 7(3):269–281

    Article  Google Scholar 

  46. Slade A, Aber J, Cohen L, Fiorello J, Meyer J, DeSear P, Waller S (1993) Parent development interview coding system. Unpublished manuscript

  47. Slade A, Belsky J, Aber J, Phelps J (1999) Mothers’ representations of their relationships with their toddlers: links to adult attachment and observed mothering. Dev Psychol 35(3):611–619

    Article  CAS  PubMed  Google Scholar 

  48. Spiker D, Ferguston J, Brooks-Gunn J (1993) Enhancing maternal interactive behavior and child social competence in low-birth-weight, premature infants. Child Dev 64:754–768

    Article  CAS  PubMed  Google Scholar 

  49. Sroufe A (2000) Early relationships and the development of children. Infant Ment Health J 21(1/2):67–74

    Article  Google Scholar 

  50. Stern D (1995) The motherhood constellation. Basic Books, New York

    Google Scholar 

  51. Szewczyk Sokolowski M, Hans S, Bernstein V, Cox S (2007) Mothers’ representations of their infants and parenting behavior: associations with personal and social-contextual variables in a high-risk sample. Infant Ment Health J 28:344–365

    Article  Google Scholar 

  52. Thomas J, Clark R (1998) Disruptive behavior in the very young child: diagnostic Classification: 0–3 guides identification of risk factors and relational intervention. Infant Ment Health J 19:229–244

    Article  Google Scholar 

  53. Tomlin A, Vieheweg S (2003) Infant mental health: making a difference. Prof Psychol Res Pract 34:617–625

    Article  Google Scholar 

  54. Van IJzendoorn M (1995) Adult attachment representations, parental responsiveness, and infant attachment: a meta-analysis on the predictive validity of adult attachment interview. Psychol Bull 117:387–403

    Article  PubMed  Google Scholar 

  55. Van IJzendoorn M (1992) Intergenerational transmission of parenting: a review of studies in non clinical populations. Dev Rev 12:76–99

    Article  Google Scholar 

  56. Zeanah C, Benoit D (1995) Clinical application of a parent perception interview in infant mental health. Child Adolesc Psychiatry Clin N Am 4(3):539–554

    Google Scholar 

  57. Zero to three (2005) Diagnostic classification, 0–3-R: diagnostic classification of mental health and developmental disorders of infancy and early childhood. Zero to Three, National Center for Clinical Infant Programs, Arlington

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Acknowledgments

The study was supported by Dr. Mona Ackerman-Ricklis of the Ricklis Family Foundation. We thank Lilach Golan and Yossi Gwetta for their help in data collection and coding.

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Authors and Affiliations

  1. School of Behavioral Sciences, Academic College of Tel Aviv-Yaffo, Rabenu Yeruham St., P.O.B. 8401, 61083, Yaffo, Israel

    Daphna Dollberg

  2. Department of Psychology and the Gonda Brain Science Center, Bar-Ilan University, 62900, Ramat Gan, Israel

    Ruth Feldman

  3. Tel Aviv University Medical School and Geha Mental Health Center, Petah Tiqwa, Israel

    Miri Keren

Authors
  1. Daphna Dollberg
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  2. Ruth Feldman
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  3. Miri Keren
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Correspondence to Daphna Dollberg.

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Dollberg, D., Feldman, R. & Keren, M. Maternal representations, infant psychiatric status, and mother–child relationship in clinic-referred and non-referred infants. Eur Child Adolesc Psychiatry 19, 25–36 (2010). https://doi.org/10.1007/s00787-009-0036-5

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  • DOI: https://doi.org/10.1007/s00787-009-0036-5

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