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Social influences on early developing biological and behavioral systems related to risk for affective disorder

Published online by Cambridge University Press:  31 October 2008

Geraldine Dawson*
Affiliation:
University of Washington
David Hessl
Affiliation:
University of Washington
Karin Frey
Affiliation:
University of Washington
*
Address correspondence and reprint requests to: Geraldine Dawson, Department of Psychology, University of Washington, Seattle, WA 98195.

Abstract

Dramatic changes take place in the neural physiology and emotional behavior of the human infant during the first 2 years of life. Evidence suggests that certain variations in the infant's early social environment, such as disturbances in mother-infant interaction that are associated with maternal depression, influence the development of biological systems related to the expression and regulation of emotion, particularly those systems involved in frontal lobe, autonomic, and adrenocortical functioning. In this essay, we provide an overview of the links between maternal depression and disruptions in early social and emotional development, and we highlight parallels between disturbances in biological systems found in depressed adults and those found in infants of mothers experiencing depression. We then discuss the possibility of sensitive periods for the enduring influences of maternal depression on the emotional development of these children and for increased risk for affective disorder. Finally, we point to directions for further research on the nature of the intergenerational transmission of emotional disturbance.

Type
Articles
Copyright
Copyright © Cambridge University Press 1994

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References

Ainsworth, M. D. S., Bleher, M. C., Waters, I., & Wall, S. (1978). Patterns of attachment: A psychological study of the Strange Situation. Hillsdale, NJ: Erlbaum.Google Scholar
Alpern, L., & Lyons-Ruth, K. (1993). Preschool children at social risk: Chronicity and timing of maternal depressive symptoms and child behavior at school and at home. Development and Psychopathology, 5, 371387.CrossRefGoogle Scholar
Baxter, L. R., Schwartz, J. M., Phelps, M. E., Mazziotta, J. C., Guze, B. H., Selin, C. E., Gerner, R. H., & Sumida, R. M. (1989). Reduction in prefrontal cortex glucose metabolism common to three types of depression. Archives of General Psychiatry, 46, 243250.CrossRefGoogle ScholarPubMed
Bell, M. A., & Fox, N. A. (1994). Brain development over the first year of life: Relations between EEG frequency and coherence and cognitive and affective behaviors. In Dawson, G. & Fischer, K. (Eds.), Human behavior and the developing brain (pp. 314345). New York: Guilford Press.Google Scholar
Bowlby, J. (1973). Attachment to loss: Vol. 2. Separation. New York: Basic Books.Google Scholar
Brazelton, T. B. (1982). Joint regulation of neonateparent behavior. In Tronick, E. (Ed.), Social interchange in infancy. Baltimore, MD: University Park Press.Google Scholar
Chugani, H. T. (1994). Developmental aspects of regional brain glucose metabolism, behavior and plasticity. In Dawson, G. & Fischer, K. (Eds.), Human behavior and the developing brain (pp. 153175). New York: Guilford Press.Google Scholar
Chugani, H. T., & Phelps, M. E. (1986). Maturational changes in cerebral function in infants determined by 18FDG positron emission tomography. Science, 231, 840843.CrossRefGoogle ScholarPubMed
Chugani, H. T., Phelps, M. E., & Mazziotta, J. C. (1987). Positron emission tomography study of human brain functional development. Annals of Neurology, 22, 487497.CrossRefGoogle ScholarPubMed
Cicchetti, D., Ganiban, J., & Barnett, D. (1991). Contributions from the study of high risk populations to understanding the development of emotion regulation. In Dodge, K. & Garber, J. (Eds.), The development of emotion regulation (pp. 1548). New York: Cambridge University Press.Google Scholar
Cicchetti, D., & Schneider-Rosen, K. (1986). An organizational approach to childhood depression. In Rutter, M., Izard, C. E., & Read, P. B. (Eds.), Depression in young people: Developmental and clinical perspectives (pp. 71134). New York: Guilford Press.Google Scholar
Clarke, A. S. (1993). Prenatal stress has long-term effects on behavioral responses to stress in juvenile rhesus monkeys. Developmental Psychobiology, 26, 293304.CrossRefGoogle ScholarPubMed
Coe, C. L., & Levine, S. (1981). Normal responses to mother-infant separation in nonhuman primates. In Klein, D. F. & Rabkin, J. G. (Eds.), Anxiety: New research and changing concepts (pp. 154177). New York: Raven Press.Google Scholar
Coghill, S. R., Caplan, H. L., Alexandra, H., Robson, K., & Kumar, R. (1986). Impact of maternal postnatal depression on cognitive development of young children. British Medical Journal, 292, 11651167.CrossRefGoogle Scholar
Cohn, J. F., Campbell, S. B., Matias, R., & Hopkins, J. (1990). Face-to-face interactions of postpartum depressed and nondepressed mother-infant pairs at 2 months. Developmental Psychology, 26, 1523.CrossRefGoogle Scholar
Cohn, J. F., Matias, R., Tronick, E. Z., Connell, D., & Lyons-Ruth, D. (1986). Face-to-face interactions of depressed mothers and their infants. In Tronick, E. Z. & Field, T. (Eds.), Maternal depression and infant disturbance (pp. 3145). San Francisco: Jossey-Bass.Google Scholar
Cohn, J. F., & Tronick, E. Z. (1983). Three-month-old infants' reaction to simulated maternal depression. Child Development, 54, 185193.CrossRefGoogle ScholarPubMed
Cohn, J. F., & Tronick, E. Z. (1989). Specificity of infants' response to mothers' affective behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 242248.CrossRefGoogle ScholarPubMed
Cummings, E. M., & Cicchetti, D. (1990). Toward a transactional model of relations between attachment and depression. In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 339372). Chicago: University of Chicago.Google Scholar
Davidson, R. J. (1994). Temperament, affective style, and frontal lobe asymmetry. In Dawson, G. & Fischer, K. (Eds.), Human behavior and the developing brain (pp. 518536). New York: Guilford Press.Google Scholar
Davidson, R. J. (1984a). Affect, cognition and hemispheric specialization. In Izard, C. E., Kagan, J., & Zajonc, R. (Eds.), Emotion, cognition and behavior (pp. 320365). New York: Cambridge University Press.Google Scholar
Davidson, R. J. (1984b). Hemispheric asymmetry and emotion. In Scherer, K. & Ekman, P. (Eds.), Approaches to emotion (pp. 3957). Hillsdale, NJ: Erlbaum.Google Scholar
Davidson, R. J. (1987). Cerebral asymmetry and the nature of emotion: Implications for the study of individual differences and psychopathology. In Takahashi, R., Flor-Henry, P., Gruzelier, J., & Niwa, S. (Eds.), Cerebral dynamics, laterally, and psychopathology (pp. 7183). New York: Elsevier.Google Scholar
Davidson, R. J., Ekman, P., Saron, C., Senulis, R., & Friesen, W. V. (1990). Approach-withdrawal and cerebral asymmetry: Emotional expression and brain physiology I. Journal of Personality and Social Psychology, 58, 330341.CrossRefGoogle ScholarPubMed
Davidson, R. J., & Fox, N. A. (1982). Asymmetrical brain activity discriminates between positive versus negative affective stimuli in human infants. Science, 218, 12351237.CrossRefGoogle Scholar
Davidson, R. J., & Fox, N. A. (1988). Cerebral asymmetry and emotion: Development and individual differences. In Segalowitz, S. & Molfese, D. (Eds.), Developmental implications of brain lateralization (pp. 191206). New York: Guilford Press.Google Scholar
Davidson, R. J., & Fox, N. A. (1989). Frontal brain asymmetry predicts infants' response to maternal separation. Journal of Abnormal Psychology, 98, 127131.CrossRefGoogle ScholarPubMed
Dawson, G. (1994). Development of emotional expression and emotion regulation in infancy: Contributions of the frontal lobe. In Dawson, G. & Fischer, K. (Eds.), Human behavior and the developing brain (pp. 346379). New York: Guilford Press.Google Scholar
Dawson, G. (in press). Frontal electroencephalographic correlates of individual differences in emotional expression in infants: A brain system perspective on emotion. In Fox, N. A. (Ed.), Emotion regulation: Behavioral and biological considerations. Monographs of the Society for Research in Child Development. Chicago: University of Chicago Press.Google Scholar
Dawson, G., Grofer Klinger, L., Panagiotides, H., Hill, D., & Spieker, S. (1992). Frontal lobe activity and affective behavior of infants of mothers with depressive symptoms. Child Development, 63, 725737.CrossRefGoogle ScholarPubMed
Dawson, G., Grofer Klinger, L., Panagiotides, H., Spieker, S., & Frey, K. (1992). Infants of mothers with depressive symptoms: Electrophysiological and behavioral findings related to attachment status. Development and Psychopathology, 4, 6780.CrossRefGoogle Scholar
Dawson, G., Panagiotides, H., Grofer Klinger, L., & Hill, D. (1992). The role of frontal lobe functioning in the development of self-regulatory behavior in infancy. Brain and Cognition, 20, 152175.CrossRefGoogle Scholar
Dawson, G., Panagiotides, H., Grofer Klinger, L., & Spieker, S. (1994). Infants of depressed mothers display atypical patterns of frontal brain activity during negative emotions. Manuscript submitted for publication.Google Scholar
Diamond, A. (1990). Developmental time course in human infants and infant monkeys, and the neural bases of inhibitory control in reaching. In Diamond, A. (Ed.), The development of and neural bases of higher cognitive functions. Annals of the New York Academy of Sciences, 608, 267317.Google ScholarPubMed
Downey, G., & Coyne, J. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 5076.CrossRefGoogle ScholarPubMed
Drevets, W. C., Videen, T. O., Price, J. L., Preskorn, S. H., Carmichael, S. T., & Raichle, M. E. (1991). A functional anatomical study of unipolar depression. The Journal of Neuroscience, 12, 36283641.CrossRefGoogle Scholar
Edelman, G. M. (1987). Neural Darwinism: The theory of neuronal group selection. New York: Basic Books.Google Scholar
Edelman, G. M. (1989). The remembered present: A biological theory of consciousness. New York: Basic Books.Google Scholar
Ekman, P., & Friesen, W. V. (1984). EM-FACS coding manual. San Francisco: Consulting Psychology Press.Google Scholar
Erickson, M., Sroufe, L. A., & Egeland, B. (1985). The relationship between quality of attachment and behavior problems in preschool in a high-risk sample. In Bretherton, I. & Waters, E. (Eds.), Growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 50(1–2, Serial No. 290), 147166.CrossRefGoogle Scholar
Field, T. (1981). Infant gaze aversion and heart rate during face-to-face interactions. Infant Behavior and Development, 7, 527532.CrossRefGoogle Scholar
Field, T. (1986). Models for reactive and chronic depression in infancy. In Tronick, E. Z. & Field, T. (Eds.), Maternal depression and infant disturbance (No. 34, pp. 4760). San Francisco: Jossey-Bass.Google Scholar
Field, T. (1992). Infants of depressed mothers. Development and Psychopathology, 4, 4966.CrossRefGoogle Scholar
Field, T., Healy, B., Goldstein, S., & Guthertz, M. (1990). Behavior-state matching and synchrony in mother-infant interactions of non-depressed versus depressed dyads. Developmental Psychology, 26, 714.CrossRefGoogle Scholar
Field, T., Healy, B., Goldstein, S., Perry, S., Bendall, D., Schanberg, S., Zimmerman, E., & Kuhn, C. (1988). Infants of depressed mothers show “depressed” behavior even with non-depressed adults. Child Development, 59, 15691579.CrossRefGoogle Scholar
Field, T., Sandberg, D., Garcia, R., Vega-Lahr, N., Goldstein, S., & Guy, L. (1985). Prenatal problems, postpartum depression, and early mother-infant interactions. Developmental Psychology, 12, 11521156.CrossRefGoogle Scholar
Finman, R., Davidson, R. J., Colton, M. B., Straus, A. M., & Kagan, J. (1989). Psychophysiological correlates of inhibition to the unfamiliar in children (abstract). Psychophysiology, 26 (No. 4A, S24).Google Scholar
Fox, N. A. (1991). If it's not left, it's right: Electroencephalography asymmetry and the development of emotion. American Psychologist, 46, 863872.CrossRefGoogle ScholarPubMed
Fox, N. A., & Davidson, R. J. (1986). Taste-elicited changes in facial signs of emotion and the asymmetry of brain electrical activity in human newborns. Neuropsychologia, 24, 417422.CrossRefGoogle ScholarPubMed
Fox, N. A., & Davidson, R. J. (1987). Electroencephalogram asymmetry in response to the approach of a stranger and maternal separation. Developmental Psychology, 23, 233240.CrossRefGoogle Scholar
Fox, N. A., & Davidson, R. J. (1988). Patterns of brain electrical activity during facial signs of emotion in 10-month-old infants. Developmental Psychology, 24, 230236.CrossRefGoogle Scholar
Fox, N. A., & Fitzgerald, H. E. (1990). Autonomic function in infancy. Merrill-Palmer Quarterly, 36, 2752.Google Scholar
Frankenhaeuser, M. (1980). Psychbbiological aspects of life stress. In Levine, S. & Ursin, H. (Eds.), Coping and health. New York: Plenum Press.Google Scholar
Fuster, J. M. (1989). Theprefrontalcortex: Anatomy, physiology, and neuropsychology of the frontal lobe. New York: Raven Press.Google Scholar
Gainotti, G. (1969). Reactions “Catatrophiques” et manifestations d'indifference au cours des atteintes cerebrais. Neuropsychologia, 7, 195204.CrossRefGoogle Scholar
Gainotti, G. (1972). Emotional behavior and hemispheric side of lesion. Cortex, 8, 4155.CrossRefGoogle ScholarPubMed
Ghodsian, M., Zajicek, E., & Wolkind, S. (1984). A longitudinal study of maternal depression and child behavior problems. Journal of Child Psychology and Psychiatry, 25, 91109.CrossRefGoogle Scholar
Goldman-Rakic, P. S. (1987). Circuitry of primate prefrontal cortex and regulation of behavior by representational memory. Handbook of physiology. Sect. 1: The nervous system. Vol. V: Higher functions of the brain (pp. 373417). Bethesda, MD: American Physiological Society.Google Scholar
Grunebaum, H. U., Cohler, B. J., Kaufman, C., & Gallant, D. H. (1978). Children of depressed and schizophrenic mothers. Child Psychiatry and Human Development, 8, 219228.CrossRefGoogle ScholarPubMed
Hebb, D. O. (1949). The organization of behavior: A neuropsychological theory. New York: John Wiley & Sons.Google Scholar
Henriques, J. B., & Davidson, R. J. (1990). Regional brain electrical asymmetries discriminate between previously depressed subjects and healthy controls. Journal of Abnormal Psychology, 99, 2231.CrossRefGoogle Scholar
Hertsgaard, C., Gunnar, M., Larson, M., & Broderson, L. (1992). First time experiences in infancy: When they appear to be pleasant, do they activate the adrenocortical stress response? Developmental Psychobiology, 25, 319333.CrossRefGoogle ScholarPubMed
Huttenlocher, P., de Courten, C., Garey, L. J., & van der Loos, H. (1982). Synaptogenesis in human visual cortex —Evidence for synapse elimination during normal development. Neuroscience Letters, 33, 247252.CrossRefGoogle ScholarPubMed
Huttenlocher, P. R. (1979). Synaptic density in human frontal cortex — Developmental changes and effects of aging. Brain Research, 163, 195205.Google ScholarPubMed
Huttenlocher, P. R. (1994). Synaptogenesis in human cerebral cortex. In Dawson, G. & Fischer, K. (Eds.), Human behavior and the developing brain (pp. 137152). New York: Guilford Press.Google Scholar
Jones, B. M., & Mishkin, M. (1972). Limbic lesions and the problem of stimulus reinforcement association. Experimental Neurology, 36, 362377.CrossRefGoogle Scholar
Kolb, B. (1989). Brain development, plasticity, and behavior. American Psychologist, 44, 12031212.CrossRefGoogle ScholarPubMed
Kopp, C. B. (1989). Regulation of distress and negative emotions: A developmental view. Developmental Psychology, 25, 343354.CrossRefGoogle Scholar
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
LeDoux, J. E. (1987). Emotion. In Plum, F. (Ed.), Handbook of physiology. Sect. I: The nervous system. Vol. V: Higher functions of the brain (pp. 419460). Bethesda, MD: American Physiological Society.Google Scholar
LeDoux, J. E. (1989). Cognitive-emotional interactions in the brain. Cognition and Emotion, 3, 267290.CrossRefGoogle Scholar
Levine, S., Johnson, D. F., & Gonzalez, C. A. (1985). Behavioral and hormonal responses to separation in infant and rhesus monkeys and mothers. Behavioral Neuroscience, 99, 399410.CrossRefGoogle ScholarPubMed
Levy, J., Heller, W., Banich, M. T., & Burton, L. A. (1983). Are variations among right-handed individuals in perceptual asymmetries caused by characteristic arousal differences between hemispheres? Journal of Experimental Psychology: Human Perception and Performance, 9, 329359.Google ScholarPubMed
Main, M., & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. In Greenberg, M. T. & Cicchetti, D. (Eds.), Attachment in the preschool years (pp. 121160). Chicago: University of Chicago Press.Google Scholar
Malatesta, C. Z., & Haviland, J. M. (1982). Learning display rules: The socialization of emotion expression in infancy. Child Development, 53, 9911003.CrossRefGoogle ScholarPubMed
McCabe, P. M., & Schneiderman, N. (1988). Psychophysiologic reactions to stress. In Field, T. M., McCabe, P. M., & Schneiderman, N. (Eds.), Stress and coping across development (pp. 99131). Hillsdale, NJ: Erlbaum.Google Scholar
Merzenich, M. M., Nelson, R. J., Stryker, M. P., Cynader, M., Schoppman, A., & Zook, J. M. (1984). Somatosensory cortical map changes following digit amputation in adult monkeys. Journal of Comparative Neurology, 224, 591605.CrossRefGoogle ScholarPubMed
Nowak, R. (1991). Windows on the brain: Cortisol secretion and depression. The Journal of NIH Research, 3, 6267.Google Scholar
Orvaschel, H., Welsh-Allis, G., & Weijai, Y. (1988). Psychopathology in children of parents with recurrent depression. Journal of Abnormal Child Psychology, 16, 1728.CrossRefGoogle ScholarPubMed
Porges, S. W., McCabe, P. M., & Yongue, B. G. (1982). Respiratory-heart rate interactions: Psychophysiological implications for pathophysiology and behavior. In Cacippo, J. T. & Petty, R. E. (Eds.), Perspectives in cardiovascularpsychophysiology (pp. 223264). New York: Guilford Press.Google Scholar
Radke-Yarrow, M., Cummings, E. M., Kuczynski, L., & Chapman, J. (1985). Patterns of attachment in two- and three-year-olds in normal families and families with parental depression. Child Development, 56, 884893.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.CrossRefGoogle Scholar
Redding, R. E., Harmon, R. J., & Morgan, G. A. (1990). Relationships between maternal depression and infants' mastery behaviors. Infant Behavior and Development, 13, 391395.CrossRefGoogle Scholar
Robinson, R. G., & Benson, D. F. (1981). Depression in aphasic patients: Frequency, severity and clinical-pathological correlations. Brain and Language, 14, 282291.CrossRefGoogle ScholarPubMed
Robinson, R. G., Kubos, K. L., Starr, L. B., Reo, K., & Price, T. R. (1984). Mood disorders in stroke patients: Importance of location of lesion. Brain, 107, 8193.CrossRefGoogle ScholarPubMed
Robinson, R. G., & Stetela, B. (1981). Mood change following left hemispheric brain injury. Annals of Neurology, 9, 447453.CrossRefGoogle ScholarPubMed
Sapolsky, R. M., Krey, L. C., & McEwen, B. S. (1986). The neuroendocrinology of stress and aging: The glucocorticoid cascade hypothesis. Endocrinology Review, 7, 284.CrossRefGoogle ScholarPubMed
Scaife, M., & Bruner, J. S. (1975). The capacity for joint visual attention in the infant. Nature (London), 253, 265266.CrossRefGoogle ScholarPubMed
Schaffer, C. E., Davidson, R. V., & Saron, C. (1983). Frontal and parietal electroencephalogram asymmetry in depressed and non-depressed subjects. Biological Psychiatry, 18, 753762.Google Scholar
Schneider, M. L. (1992a). Delayed object permanence development in prenatally stressed rhesus monkey infants. The Occupational Therapy Journal of Research, 12, 96110.CrossRefGoogle Scholar
Schneider, M. L. (1992b). Prenatal stress exposure alters postnatal behavior expression under conditions of novelty challenge in rhesus monkey infants. Developmental Psychobiology, 25, 141152.CrossRefGoogle ScholarPubMed
Schneider, M. L. (1992c). The effect of mild stress during pregnancy on birth weight and neuromotor maturation in rhesus monkey infants. Infant Behavior and Development, 15, 389403.CrossRefGoogle Scholar
Silberman, E. K., & Weingartner, H. (1986). Hemispheric lateralization of functions related to emotion. Brain and Cognition, 5, 322353.CrossRefGoogle ScholarPubMed
Spangler, G., & Grossman, K. E. (1993). Biobehavioral organisation in securely and insecurely attached infants. Child Development, 64(5), 14391450.CrossRefGoogle ScholarPubMed
Spitzer, R. L., Williams, J. B., Gibbon, M., & First, M. (1989). Structured Clinical Interview for DSMIII-R (with psychotic screen). New York: Biometric Research Department, New York State Psychiatric Institute.Google Scholar
Steriade, M. (1981). EEC desynchronization is associated with cellular events that are prerequisites for active behavioral states. Commentary on “reticulocortical activity and behavior: A critique of the arousal theory and a new synthesis” by Vanderwolf, C. H. & Robinson, T. E.. The Behavioral and Brain Sciences, 4, 489492.CrossRefGoogle Scholar
Stern, D. (1985). The interpersonal world of the infant. New York: Basic Books.Google Scholar
Stifter, C. A., & Moyer, D. (1991). The regulation of positive affect: Gaze aversion activity during mother-infant interaction. Infant Behavior and Development, 14, 111123.CrossRefGoogle Scholar
Stoller, E., & Field, T. (1982). Alteration of mother and infant behavior and heart rate during still-face interaction. In Field, T. & Fogel, A. (Eds.), Emotion and early interactions. Hillsdale, NJ: Erlbaum.Google Scholar
Tronick, E. Z. (1989). Emotions and emotional communication in infants. American Psychologist, 44, 112119.CrossRefGoogle ScholarPubMed
Tronick, E. Z., & Gianino, A. F. (1986). The transmission of maternal disturbances to the infant. In Tronick, E. Z. & Field, T. (Eds.), Maternal depression and infant disturbance (pp. 511). San Francisco: Jossey-Bass.Google ScholarPubMed
Tucker, D. M. (1981). Lateral brain function, emotion and conceptualization. Psychological Bulletin, 89, 1946.CrossRefGoogle ScholarPubMed
Tucker, D. M., & Williamson, P. A. (1984). Asymmetric neural control systems in human self regulation. Psychological Review, 91, 185215.CrossRefGoogle ScholarPubMed
Weiss, J. (1972). Influence of psychological variables on stress induced pathology. Physiology, Emotion, and Psychosomatic Illness, Ciba Foundation Symposium, 8, 253265.CrossRefGoogle ScholarPubMed
Whiffen, V. E., Gotlib, I. M. (1989). Infants of postpartum depressed mothers: Temperament and cognitive status. Journal of Abnormal Psychology, 98, 274279.CrossRefGoogle ScholarPubMed
Wolkind, S. N., Zajicek-Coleman, E., & Ghodsian, M. (1980). Continuities in maternal depression. International Journal of Family Psychiatry, 1, 167182.Google Scholar
Young, E. A., Haskett, R. F., Murphy-Weinberg, V., Watson, S. J., & Akil, H. (1991). Loss of glucocorticoid fast feedback in depression. Archives of General Psychiatry, 48, 693.CrossRefGoogle ScholarPubMed
Zahn-Waxler, C., Cummings, E. M., McKnew, D. H., & Radke-Yarrow, J. (1984). Problem behaviors and peer interactions of young children with a manic-depressive parent. American Journal of Psychiatry, 141, 236240.Google ScholarPubMed
Zuckerman, B., Als, H., Bauchner, H., Parker, S., & Cabral, H. (1990). Maternal depressive symptoms during pregnancy and newborn irritability. Developmental and Behavioral Pediatrics, 11, 190194.CrossRefGoogle ScholarPubMed