Effects of maternal depressive symptoms on sensitivity to infant distress and non-distress: Role of SES and race

Norcross, Pamela Linton; Bailes, Lauren G.; Leerkes, Esther M.

doi:10.1016/j.infbeh.2020.101498

Cited by 10 publications

(8 citation statements)

References 26 publications

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“…Second, we tested the association between postnatal OT levels and observed sensitive parenting in the total group of Expectant and New Fathers. Since in the total group fathers' educational level was related to parenting sensitivity, we also computed the partial correlation between OT and parenting controlling for father's education [69,70]. Next, we explored whether interactions between basal hormone levels predicted sensitivity using the Feasible Solution Shiny Application available from https://shiny.as.uky.edu/mcfsa/ [71].…”

Section: (D) Data Analysismentioning

confidence: 99%

Is paternal oxytocin an oxymoron? Oxytocin, vasopressin, testosterone, oestradiol and cortisol in emerging fatherhood

Bakermans‐Kranenburg

Verhees

Lotz

et al. 2022

Phil. Trans. R. Soc. B

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How do hormonal levels in men change from pregnancy to after the birth of their firstborn child, and what is the role of oxytocin, alone or in interplay with other hormones, in explaining variance in their parenting quality? We explored in 73 first-time fathers the development of five hormones that have been suggested to play a role in parenting: oxytocin (OT), vasopressin (AVP), testosterone (T), oestradiol (E2) and cortisol (Cort). In an extended group of fathers ( N = 152) we examined associations with fathers’ behaviour with their 2-month-old infants. OT and E2 showed stability from the prenatal to the postnatal assessments, whereas AVP and T decreased significantly, and Cort decreased marginally. OT on its own or in interplay with other hormones was not related to paternal sensitivity. Using an exploratory approach, the interaction between T and E2 emerged as relevant for fathers’ sensitive parenting. Among fathers with high E2, high T was associated with lower sensitivity. Although we did not find evidence for the importance of OT as stand-alone hormone or in interplay with other hormones in this important phase in men's lives, the interaction between T and E2 in explaining variation in paternal behaviour is a promising hypothesis for further research. This article is part of the theme issue ‘Interplays between oxytocin and other neuromodulators in shaping complex social behaviours’.

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Section: (D) Data Analysismentioning

confidence: 99%

Is paternal oxytocin an oxymoron? Oxytocin, vasopressin, testosterone, oestradiol and cortisol in emerging fatherhood

Bakermans‐Kranenburg

Verhees

Lotz

et al. 2022

Phil. Trans. R. Soc. B

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“…However, it is important to note that in the 12 studies including some form of social component, components ranged from the provision of an informational brochure for a family member, work on communication skills, to including a family member in part of the treatment. Additionally, only two studies included parenting components, and given the association between parenting difficulties, PND, and negative infant outcomes [ 7 , 10 , 11 ] initial findings point strongly to the need for more research investigating CBT-based interventions that incorporate parenting components [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another limitation of the existing evidence base is that a number of important secondary outcomes have been largely unexamined [ 24 ], for example, anxiety, stress (individual and perceived parenting), parenting (e.g., sensitivity/responsiveness), perceived social support, and perceived parental competence. Given high comorbidity rates of PND and anxiety [ 4 ], the impact of stress on both mothers and the infant [ 28 , 29 ], the association between PND and parenting difficulties [ 7 ], and poor social support [ 30 ], it is suggested that PND interventions should also try to improve these important outcomes. However, existing reviews have not adequately addressed the effect of CBT-based interventions on these secondary outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Finally, to date existing reviews of CBT-based interventions for PND have not examined the inclusion of parenting components as a moderator. Examining the potential effect of including intervention components targeting parenting is fundamental given the association between parenting difficulties, PND, and negative infant outcomes [ 7 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Critically, PND can have negative effects on the infant's social, cognitive and emotional development, persisting into late childhood and adolescence [5]. This effect is mediated both directly via exposure to chronically elevated maternal cortisol during pregnancy, or indirectly, via the relationship between the parent and infant and parenting practices [7][8][9][10][11]. Mothers with PND are less likely to demonstrate sensitive and responsive interactions with their infants, and are more likely to report difficulties breastfeeding, establishing sleep routines, and attending vaccination appointments [12].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of cognitive behavioural therapy-based interventions for maternal perinatal depression: a systematic review and meta-analysis

et al. 2023

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Background Depression during the perinatal period (during pregnancy and the year after childbirth) is common and associated with a range of negative effects for mothers, infants, family members, and wider society. Although existing evidence suggests cognitive behavioral therapy (CBT) based interventions are effective for perinatal depression, less is known about the effect of CBT-based interventions on important secondary outcomes, and a number of potential clinical and methodological moderators have not been examined. Methods A systematic review and meta-analysis primarily examined the effectiveness of CBT-based interventions for perinatal depression on symptoms of depression. Secondary aims examined the effectiveness of CBT-based interventions for perinatal depression on symptoms of anxiety, stress, parenting, perceived social support, and perceived parental competence; and explored clinical and methodological moderators potentially associated with effectiveness. A systematic search of electronic databases and other sources was performed up to November 2021. We included randomized controlled trials comparing CBT-based interventions for perinatal depression with control conditions allowing for the isolation of the effects of CBT. Results In total, 31 studies (5291 participants) were included in the systematic review and 26 studies (4658 participants) were included in the meta-analysis. The overall effect size was medium (hedges g = − 0.53 [95% CI − 0.65 to − 0.40]); with high heterogeneity. Significant effects were also found for anxiety, individual stress, and perceived social support, however few studies examined secondary outcomes. Subgroup analysis identified type of control, type of CBT, and type of health professional as significant moderators of the main effect (symptoms of depression). Some concerns of risk of bias were present in the majority of studies and one study had a high risk of bias. Conclusions CBT-based interventions for depression during the perinatal period appear effective, however results should be interpreted with caution given high levels of heterogeneity and low quality of included studies. There is a need to further investigate possibly important clinical moderators of effect, including the type of health professional delivering interventions. Further, results indicate a need to establish a minimum core data set to improve the consistency of secondary outcome collection across trials and to design and conduct trials with longer-term follow-up periods. Trial registration CRD42020152254.

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The Degree of Fluctuations in Maternal Depressive Symptoms in Early Childhood is Associated with Children’s Depression Risk: Initial Evidence and Replication Between Two Independent Samples

2023

Res Child Adolesc Psychopathol

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Effects of maternal depressive symptoms on sensitivity to infant distress and non-distress: Role of SES and race

Cited by 10 publications

References 26 publications

Is paternal oxytocin an oxymoron? Oxytocin, vasopressin, testosterone, oestradiol and cortisol in emerging fatherhood

Is paternal oxytocin an oxymoron? Oxytocin, vasopressin, testosterone, oestradiol and cortisol in emerging fatherhood

Effectiveness of cognitive behavioural therapy-based interventions for maternal perinatal depression: a systematic review and meta-analysis

The Degree of Fluctuations in Maternal Depressive Symptoms in Early Childhood is Associated with Children’s Depression Risk: Initial Evidence and Replication Between Two Independent Samples

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