Depressed Mothers' Neonates Improve Following the MABI and a Brazelton Demonstration

Hart, Sybil; Field, Tiffany; Nearing, Graciela

doi:10.1093/jpepsy/23.6.351

Cited by 43 publications

(31 citation statements)

References 19 publications

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“…The ENNAS correlates well with detailed neurological examination (Limperopoulos et al, 1997). Demonstration of infant capabilities to parents using such assessments can benefit development of early patterns of interaction (Fowles, 1999), and in high-risk groups this can significantly reduce morbidity (Hart, Field, & Nearing, 1998 ;Widmayer & Field, 1980.…”

Section: Pathologies Of Intersubjectivity In Childhood and Their Trementioning

confidence: 79%

Infant Intersubjectivity: Research, Theory, and Clinical Applications

Trevarthen

Aitken

2001

Child Psychology Psychiatry

1,145

499

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We review research evidence on the emergence and development of active "self-and-other" awareness in infancy, and examine the importance of its motives and emotions to mental health practice with children. This relates to how communication begins and develops in infancy, how it influences the individual subject's movement, perception, and learning, and how the infant's biologically grounded self-regulation of internal state and self-conscious purposefulness is sustained through active engagement with sympathetic others. Mutual self-other-consciousness is found to play the lead role in developing a child's cooperative intelligence for cultural learning and language. A variety of preconceptions have animated rival research traditions investigating infant communication and cognition. We distinguish the concept of "intersubjectivity", and outline the history of its use in developmental research. The transforming body and brain of a human individual grows in active engagement with an environment of human factors--organic at first, then psychological or inter-mental. Adaptive, human-responsive processes are generated first by interneuronal activity within the developing brain as formation of the human embryo is regulated in a support-system of maternal tissues. Neural structures are further elaborated with the benefit of intra-uterine stimuli in the foetus, then supported in the rapidly growing forebrain and cerebellum of the young child by experience of the intuitive responses of parents and other human companions. We focus particularly on intrinsic patterns and processes in pre-natal and post-natal brain maturation that anticipate psychosocial support in infancy. The operation of an intrinsic motive formation (IMF) that developed in the core of the brain before birth is evident in the tightly integrated intermodal sensory-motor coordination of a newborn infant's orienting to stimuli and preferential learning of human signals, by the temporal coherence and intrinsic rhythms of infant behaviour, especially in communication, and neonates' extraordinary capacities for reactive and evocative imitation. The correct functioning of this integrated neural motivating system is found to be essential to the development of both the infant's purposeful consciousness and his or her ability to cooperate with other persons' actions and interests, and to learn from them. The relevance of infants' inherent intersubjectivity to major child mental health issues is highlighted by examining selected areas of clinical concern. We review recent findings on postnatal depression, prematurity, autism, ADHD, specific language impairments, and central auditory processing deficits, and comment on the efficacy of interventions that aim to support intrinsic motives for intersubjective communication when these are not developing normally.

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Section: Pathologies Of Intersubjectivity In Childhood and Their Trementioning

confidence: 79%

Infant Intersubjectivity: Research, Theory, and Clinical Applications

Trevarthen

Aitken

2001

Child Psychology Psychiatry

1,145

499

View full text Add to dashboard Cite

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“…The Mother's Assessment of the Behavior of Her Infant (MABI; Field, Dempsey, Hallock, & Schuman, 1978), a simplified version of the NBAS for mothers to use with their infants, for example, has been found to impart some benefits to infants of depressed mothers (Hart, Field, & Nearing, 1998). The MABI, however, primarily serves as an assessment tool.…”

Section: Prevention and Treatmentmentioning

confidence: 99%

Effects of an Infant-Focused Relationship-Based Hospital and Home Visiting Intervention on Reducing Symptoms of Postpartum Maternal Depression

Nugent

Bartlett

Valim

2014

Infants &Amp; Young Children

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Relationship-based interventions are an effective means for reducing postpartum depression (PPD), but few cost-effective tools that can be administered efficiently in medical and home settings are available or well-studied. This study examines the efficacy of the Newborn Behavioral Observations (NBO), an infant-centered relationship-based intervention, in reducing levels of postnatal maternal depression. First-time mothers and their infants were recruited in the postpartum units of two New England hospitals and randomized into intervention and control groups. A total of 106 mothers participated in this study, which used a randomized controlled trial design. At one-month postpartum, symptoms of postpartum depression (PPD) were assessed using the Edinburgh Postnatal Depression Scale (EPDS). Ten of the 106 mothers reported elevated levels of depressive symptoms (EPDS > 12), with 4% in the intervention group and 16% in the control group. Results indicated that the NBO was associated with lowering the odds of depressive symptomatology by approximately 75%. These findings suggest that the NBO conducted in hospital and home settings may be an efficient, cost-effective, relationshipbased method for reducing the likelihood of PPD symptoms.

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“…Interventions are needed to enhance maternal sensitivity and caregiving through low-cost techniques, such as infant massage, which can help mothers recognize and respond to their infant's signals of pleasure and discomfort (Glover, Onozama, & Hodgkinson, 2002;Hart, Field, & Nearing, 1998), and to examine the effects on children's development. Investing in prevention and treatment during infancy may interrupt the intergenerational cycle of maternal depressive symptoms.…”

Section: Implications For Programs and Policymentioning

confidence: 99%

Depressive symptoms among rural Bangladeshi mothers: implications for infant development

Black

Baqui

Zaman

et al. 2007

Child Psychology Psychiatry

131

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Depressed Mothers' Neonates Improve Following the MABI and a Brazelton Demonstration

Abstract: Findings suggested that an intervention consisting of mothers taking part in NBAS/MABI assessments may be a simple and cost-effective technique for benefiting infants of depressed mothers during the early postpartum period.

Cited by 43 publications

References 19 publications

Infant Intersubjectivity: Research, Theory, and Clinical Applications

Infant Intersubjectivity: Research, Theory, and Clinical Applications

Effects of an Infant-Focused Relationship-Based Hospital and Home Visiting Intervention on Reducing Symptoms of Postpartum Maternal Depression

Depressive symptoms among rural Bangladeshi mothers: implications for infant development

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