From early withdrawal reaction to infant depression: A baby alone does exist

Guédeney, Antoine

doi:10.1002/(sici)1097-0355(199724)18:4<339::aid-imhj2>3.0.co;2-g

Cited by 53 publications

(30 citation statements)

References 31 publications

(26 reference statements)

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“…In severe forms of protein‐energy malnutrition such as kwashiorkor, infant social withdrawal is intense and prolonged, and its abatement is a reliable sign of recovery (Guedeney, ; McMahan True, Pisani, & Oumar, ). This demonstrates how intense social withdrawal reactions of affected children can be, occurring within their disordered attachment relationships with caregivers and confirming the strong association between infant social withdrawal and attachment disorders (Guedeney, , 2000; Zeanah, Boris, Bakshi, & Lieberman, ). According to Dollberg, Feldman, Keren, and Guedeney (), sustained withdrawal behavior in infants can be seen as “a chronic diminution of the attachment system, which is gradually generalized into a diminished engagement and lowered reactivity to the environment at large” (p. 295).…”

Section: Theory For Social Withdrawal Behavior In Infantssupporting

confidence: 66%

Social Withdrawal Behavior in Infancy: A History of the Concept and a Review of Published Studies Using the Alarm Distress Baby Scale

Guédeney

Matthey

Puura

2013

Infant Mental Health Journal

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This article reviews the studies using or validating the Alarm Distress Baby Scale (ADBB; A. Guedeney & J. Fermanian, 2001) within different countries, different populations, and different settings. After a brief summary of the theoretical backgrounds of infant social behavior, the results of the main controlled and methodologically comparable studies are summarized and discussed. Second, the results of some observational studies as well as different models of factor analysis are presented. The modified, five-item ADBB (m-ADBB) Scale is described. Finally, perspectives for future research and training are presented.

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Section: Theory For Social Withdrawal Behavior In Infantssupporting

confidence: 66%

Social Withdrawal Behavior in Infancy: A History of the Concept and a Review of Published Studies Using the Alarm Distress Baby Scale

Guédeney

Matthey

Puura

2013

Infant Mental Health Journal

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“…Severe withdrawal is also a key feature of non-organic failure-to-thrive (Powell and Bettes, 1992) and may be seen in clinical conditions, including central nervous system disease and visual and auditory sensory impairment (Behrman et al, 1983). In addition, emotional withdrawal occurs in severe forms of malnutrition, and its disappearance is a reliable sign of recovery (Guedeney, 1997). Depressed affect has also been found in infants with iron deficiency (Lozoff et al, 1998; Carter et al, 2010), and infant withdrawal has been recognized as an element of disorganized attachment (Lyons-Ruth et al, 1993; Main and Solomon, 1986).…”

Section: Introductionmentioning

confidence: 99%

Infant Emotional Withdrawal: A Precursor of Affective and Cognitive Disturbance in Fetal Alcohol Spectrum Disorders

Molteno

Jacobson

Carter

et al. 2013

Alcohol Clin Exp Res

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Objectives To test the hypothesis that emotional withdrawal is an early indicator of affective disorder in infants heavily exposed prenatally to alcohol, which is independent of alcohol-related effects on mother-infant interaction and temperament and discriminated between children later diagnosed with fetal alcohol syndrome (FAS) and partial FAS (PFAS) and predicted cognitive and affective outcomes at 5 and 9 years. Methods The sample consisted of Cape Coloured (mixed ancestry) infants, whose mothers were interviewed during pregnancy regarding their alcohol consumption using a timeline follow-back approach. Infant emotional withdrawal (n = 85) was assessed on the Alarm Distress Baby Scale at 6.5 months. Mother-infant interaction was evaluated from video recordings during free play and infant feeding at 6.5 months (n = 127). Infant temperament was assessed by maternal report on the EAS Temperament Survey at 13 months (n = 119). Socio-demographic and psychological correlates of maternal alcohol use and infant iron deficiency were examined as potential confounders. The children were diagnosed for FAS/PFAS by expert dysmorphologists at 5 years; cognitive and affective function, at 5 and 9 years. Results Prenatal alcohol exposure was associated with increased infant emotional withdrawal and decreased activity, but unrelated to mother-infant interaction or any other temperament measures. Children later diagnosed with FAS and PFAS at 5 years exhibited more emotional withdrawal and less responsivity and activity as infants. Infant withdrawal, responsivity, quality of interaction, and maternal sensitivity also predicted poorer IQ and affective response at 5 and 9 years. When all four infant affective measures were examined simultaneously in a regression analysis, only infant emotional withdrawal persisted as a significant predictor of 9-year IQ. Conclusions This study is the first to document a direct effect of fetal alcohol exposure on emotional withdrawal in infancy. These data link prenatal alcohol to a specific aspect of infant affective function not attributable to mother-infant interaction, infant temperament, or other socioemotional aspects of the infant’s environment and identify infant emotional withdrawal as an early indicator of affective disturbance, particularly in children later diagnosed with FAS and PFAS.

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“…Withdrawal behavior in infants and young children is considered a risk signal for optimal development and is frequently observed among children of depressed mothers (Field, 1992). Although very little research is available on depressed infants, there are data suggesting that social withdrawal accompanied with flat or sad affect, disinterest, motor retardation, and restricted speech in young infants, when not a temporary reaction to maternal absence, is a risk signal for the development of childhood depression (Guedeney, 1997). The Alarm Distress Baby Scale (ADBB; Guedeney & Fermanian, 2001) is a brief assessment tool used to evaluate infant withdrawal during routine medical checkups.…”

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confidence: 99%

Parent–infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions

Feldman

2007

Child Psychology Psychiatry

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940

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Synchrony, a construct used across multiple fields to denote the temporal relationship between events, is applied to the study of parent-infant interactions and suggested as a model for intersubjectivity. Three types of timed relationships between the parent and child's affective behavior are assessed: concurrent, sequential, and organized in an ongoing patterned format, and the development of each is charted across the first year. Viewed as a formative experience for the maturation of the social brain, synchrony impacts the development of self-regulation, symbol use, and empathy across childhood and adolescence. Different patterns of synchrony with mother, father, and the family and across cultures describe relationship-specific modes of coordination. The capacity to engage in temporally-matched interactions is based on physiological mechanisms, in particular oscillator systems, such as the biological clock and cardiac pacemaker, and attachment-related hormones, such as oxytocin. Specific patterns of synchrony are described in a range of child-, parent- and context-related risk conditions, pointing to its ecological relevance and usefulness for the study of developmental psychopathology. A perspective that underscores the organization of discrete relational behaviors into emergent patterns and considers time a central parameter of emotion and communication systems may be useful to the study of interpersonal intimacy and its potential for personal transformation across the lifespan.

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From early withdrawal reaction to infant depression: A baby alone does exist

Cited by 53 publications

References 31 publications

Social Withdrawal Behavior in Infancy: A History of the Concept and a Review of Published Studies Using the Alarm Distress Baby Scale

Social Withdrawal Behavior in Infancy: A History of the Concept and a Review of Published Studies Using the Alarm Distress Baby Scale

Infant Emotional Withdrawal: A Precursor of Affective and Cognitive Disturbance in Fetal Alcohol Spectrum Disorders

Parent–infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions

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