An Instrument for the Measurement Of Infant-Adult Synchrony

Censullo, Meredith; Bowler, Regina; Lester, Barry M.; Brazelton, T. Berry

doi:10.1097/00006199-198707000-00015

Cited by 33 publications

(25 citation statements)

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“…The DMC measures levels of mutuality in infant-adult interaction, e.g., the partners coordinate repetitive sequences of behavior as they move as a joint unit to higher levels of energy, heightened positive affects, and increased mutual attention (Censullo, Bowler, Lester, & Brazelton, 1987; Lester, Hoffman, & Brazelton, 1985). The DMC consists of six items that represent key components of mutuality: mutual attention, positive affect, mutual turn-taking, maternal pauses, infant clarity of cues, and maternal sensitivity to cues and responsiveness (each scored as 1 if none or very brief and 2 if half the time or more), for a total score (range 6–12).…”

Section: Methodsmentioning

confidence: 99%

Mother–infant interaction improves with a developmental intervention for mother–preterm infant dyads

White‐Traut

Norr

Fabiyi

et al. 2013

Infant Behavior and Development

109

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While premature infants have a high need for positive interactions, both infants and their mothers are challenged by the infant‘s biological immaturity. This randomized clinical trial of 198 premature infants born at 29–34 weeks gestation and their mothers examined the impact of the H-HOPE (Hospital to Home: Optimizing the Infant’s Environment) intervention on mother-premature infant interaction patterns at 6-weeks corrected age (CA). Mothers had at least 2 social environmental risk factors such as minority status or less than high school education. Mother-infant dyads were randomly assigned to the H-HOPE intervention group or an attention Control group. H-HOPE is an integrated intervention that included (1) twice-daily infant stimulation using the ATVV (auditory, tactile, visual, and vestibular-rocking stimulation) and (2) four maternal participatory guidance sessions plus two telephone calls by a nurse-community advocate team. Mother-infant interaction was assessed at 6-weeks CA using the Nursing Child Assessment Satellite Training–Feeding Scale (NCAST, 76 items) and the Dyadic Mutuality Code (DMC, 6-item contingency scale during a 5-minute play session). NCAST and DMC scores for the Control and H-HOPE groups were compared using t-tests, chi-square tests and multivariable analysis. Compared with the Control group (n = 76), the H-HOPE group (n = 66) had higher overall NCAST scores and higher maternal Social-Emotional Growth Fostering Subscale scores. The H-HOPE group also had significantly higher scores for the overall infant subscale and the Infant Clarity of Cues Subscale (p < 0.05). H-HOPE dyads were also more likely to have high responsiveness during play as measured by the DMC (67.6% versus 58.1% of controls). After adjustment for significant maternal and infant characteristics, H-HOPE dyads had marginally higher scores during feeding on overall mother-infant interaction (β = 2.03, p = .06) and significantly higher scores on the infant subscale (β = 0.75, p = .05) when compared to controls. In the adjusted analysis, H-HOPE dyads had increased odds of high versus low mutual responsiveness during play (OR = 2.37, 95% CI = 0.97, 5.80). Intervening with both mother and infant is a promising approach to help premature infants achieve the social interaction patterns essential for optimal development.

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Section: Methodsmentioning

confidence: 99%

Mother–infant interaction improves with a developmental intervention for mother–preterm infant dyads

White‐Traut

Norr

Fabiyi

et al. 2013

Infant Behavior and Development

109

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“…Each item is given a score with the total score indicating high or low synchrony. Inter-rater reliability, concurrent validity, and evidence of construct validity have been reported (Censullo, Bowler, Lester, & Brazelton, 1987). 4).…”

Section: Methodsmentioning

confidence: 99%

Maternal–Infant interaction in women with unipoloar and bipolar depression

Logsdon¹,

Mittelberg

Jacob

et al. 2015

Applied Nursing Research

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Background One percent of women experience bipolar disorder and are likely to suffer from mood disorders during the postpartum period, potentially impacting interaction with their infants. The purpose of this study was to describe maternal infant interactions in women with bipolar depression at 12 months postpartum and to compare interactions to women with unipolar depression and a control group. Methods Using a descriptive design, maternal infant interactions in women with bipolar disorder (n=40) were videotaped, coded, and analyzed for maternal sensitivity and maternal infant reciprocity and compared to maternal infant interaction in women with unipolar depression (n=50) and women without depression (n=40). Results Women with bipolar depression had lower scores on both maternal sensitivity and infant recriprocity, but differences were nonsignificant. Conclusions This research is the first study to examine maternal infant interaction in women with bipolar disorder, and important trends were noted. Future research should examine maternal infant interaction at earlier time periods.

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Section: Instrumentsmentioning

confidence: 99%

Theoretical Approaches to Maternal–Infant Interaction: Which Approach Best Discriminates Between Mothers With and Without Postpartum Depression?

Logsdon

Mittelberg

Morrison

et al. 2014

Archives of Psychiatric Nursing

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Limitations of the study include the cross-sectional design and the low number of women with major depressive disorder. Further analysis should include data from videotapes at earlier postpartum time periods, and alternative coding approaches should be considered. Nurses should continue to examine culturally appropriate ways in which new mothers can be supported in how to best nurture their babies.

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An Instrument for the Measurement Of Infant-Adult Synchrony

Cited by 33 publications

References 0 publications

Mother–infant interaction improves with a developmental intervention for mother–preterm infant dyads

Mother–infant interaction improves with a developmental intervention for mother–preterm infant dyads

Maternal–Infant interaction in women with unipoloar and bipolar depression

Theoretical Approaches to Maternal–Infant Interaction: Which Approach Best Discriminates Between Mothers With and Without Postpartum Depression?

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