No abstract

This study examined relationships among maternal reflective functioning, parenting, infant attachment, and demographic risk in a relatively large (N= 83) socioeconomically diverse sample of women with and without a history of childhood maltreatment and their infants. Most prior research on parental reflective functioning has utilized small homogenous samples. Reflective functioning was assessed with the Parent Development Interview, parenting was coded from videotaped mother-child interactions, and infant attachment was evaluated in Ainsworth's Strange Situation by independent teams of reliable coders masked to maternal history. Reflective functioning was associated with parenting sensitivity and secure attachment, and inversely associated with demographic risk and parenting negativity; however, it was not associated with maternal maltreatment history or PTSD. Parenting sensitivity mediated the relationship between reflective functioning and infant attachment, controlling for demographic risk. Findings are discussed in the context of prior research on reflective functioning and the importance of targeting reflective functioning in interventions.

Objective Examine associations of maternal mobile device use with the frequency of mother-child interactions during a structured laboratory task. Methods Participants included 225 low-income mother-child pairs. When children were ~6 years old, dyads were videotaped during a standardized protocol in order to characterize how mothers and children interacted when asked to try familiar and unfamiliar foods. From videotapes, we dichotomized mothers based on whether or not they spontaneously used a mobile device, and counted maternal verbal and nonverbal prompts toward the child. We used multivariate Poisson regression to study associations of device use with eating prompt frequency for different foods. Results Mothers were an average of 31.3 (SD 7.1) years old and 28.0% were of Hispanic/non-white race/ethnicity. During the protocol, 23.1% of mothers spontaneously used a mobile device. Device use was not associated with any maternal characteristics, including age, race/ethnicity, education, depressive symptoms, or parenting style. Mothers with device use initiated fewer verbal (RR 0.80 [95% CI: 0.63, 1.03]) and nonverbal (0.61 [0.39, 0.96]) interactions with their children than mothers who did not use a device, when averaged across all foods. This association was strongest during introduction of halva, the most unfamiliar food (0.67 [0.48, 0.93] for verbal and 0.42 [0.20, 0.89] for nonverbal interactions). Conclusions Mobile device use was common and associated with fewer interactions with children during a structured interaction task, particularly nonverbal interactions and during introduction of an unfamiliar food. More research is needed to understand how device use affects parent-child engagement in naturalistic contexts.

Purpose Our goal was to examine the trajectory of bonding impairment across the first 6 months postpartum in the contexts of maternal risk, including maternal history of childhood abuse and neglect and postpartum psychopathology, and to test the association between self-reported bonding impairment and observed positive parenting behaviors. Method In a sample of women with childhood abuse and neglect (CA) histories (CA+, n=97) and a healthy control comparison group (CA-, n=53), participants completed questionnaires related to bonding with their infant at 6 weeks, 4 months, and 6 months postpartum and postpartum psychopathology at 6 months postpartum. In addition, during a 6 months postpartum home visit, mothers and infants participated in a dyadic play interaction subsequently coded for positive parenting behaviors by blinded coders. Results We found that all women independent of risk status increased in bonding to their infant over the first 6 months postpartum; however, women with postpartum psychopathology (depression and PTSD) showed consistently greater bonding impairment scores at all times points. Moreover, we found that at the 6 months assessment bonding impairment and observed parenting behaviors were significantly associated. Conclusion These results highlight the adverse effects of maternal postpartum depression and PTSD on mother-infant bonding in early postpartum in women with child abuse and neglect histories. These findings also shed light on the critical need for early detection and effective treatment of postpartum mental illness in order to prevent problematic parenting and the development of disturbed mother-infant relationships. Results support the use of the Parenting Bonding Questionnaire (PBQ) as a tool to assess parenting quality by its demonstrated association with observed parenting behaviors.

Prenatal psychopathology may have an adverse impact on mother and baby, but few women receive treatment. We offered a 10-week mindfulness yoga (M-Yoga) intervention to psychiatrically high-risk pregnant women as alternative to pharmacological treatment. Participants (N=18) were primiparous, 12–26 weeks pregnant, and scored positive (>9) on the Edinburgh Postnatal Depression Screen at baseline. In addition to a baseline diagnostic assessment, women completed self-ratings on depression, mindfulness, and maternal-fetal attachment before and after M-Yoga. Findings suggest that M-Yoga was feasible, accepted and effective. Symptoms of depression were significantly reduced (p=.025), while mindfulness (p=.007) and maternal-fetal attachment (p=.000) significantly increased. Overall, this pilot study is the first to demonstrate that M-Yoga may be an effective treatment alternative or augmentation to pharmacotherapy for pregnant women at high risk for psychopathology.