Infant distress to novelty is associated with maternal anxiety disorder and especially with maternal avoidance behavior

Reck, Corinna; Müller, Mitho; Tietz, Alexandra; Möhler, Eva

doi:10.1016/j.janxdis.2013.03.009

Cited by 35 publications

(18 citation statements)

References 41 publications

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“…Considering the extensive use of the EPDS in clinical postnatal settings with a focus on screening for depression [23] and based on the known comorbidity of depression and anxiety, the high prevalence of PPA [2,5], and the negative consequences of PPA [29], those who screen postpartum women should be aware of the multidimensionality of the EPDS and assess women for anxiety along with depression in order to provide treatment tailored to a woman's specific assessment and diagnosis. Based on the preliminary validation of the anxiety and depression EPDS subscale cutoff scores identified by Matthey [24] and Phillips et al [27], clinicians in postnatal settings can assess women for separate depressive and anxiety symptoms using this one short screening tool.…”

Section: Discussionmentioning

confidence: 99%

“…In the past few years growing attention has been given to distinguishing PPD from other postpartum emotional disorders, with special attention given to anxiety that appears in the postpartum period [31]. Postpartum anxiety (PPA) is often comorbid with depression but in many cases appears as an independent condition, at times more prevalent than depression and at least as disruptive for women and their infants [5,29].…”

Section: Introductionmentioning

confidence: 99%

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The Edinburgh Postnatal Depression Scale: Screening Tool for Postpartum Anxiety as Well? Findings from a Confirmatory Factor Analysis of the Hebrew Version

Bina

Harrington

2015

Matern Child Health J

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Edinburgh Postnatal Depression Scale: Screening Tool for Postpartum Anxiety as Well? Findings from a Confirmatory Factor Analysis of the Hebrew Version

Bina

Harrington

2015

Matern Child Health J

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“…The sample (n = 69) is part of a larger longitudinal study [14,37,47]. Subjects were recruited between June 2006 and October 2010.…”

Section: Methodsmentioning

confidence: 99%

Effects of Maternal Anxiety Disorders on Infant Self-Comforting Behaviors: The Role of Maternal Bonding, Infant Gender and Age

et al. 2016

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Background/Aims: We investigated the links between maternal bonding, maternal anxiety disorders, and infant self-comforting behaviors. Furthermore, we looked at the moderating roles of infant gender and age. Methods: Our sample (n = 69) comprised 28 mothers with an anxiety disorder (according to DSM-IV criteria) and 41 controls, each with their 2.5- to 8-month-old infant (41 females and 28 males). Infant behaviors were recorded during the Face-to-Face Still-Face paradigm. Maternal bonding was assessed by the Postpartum Bonding Questionnaire. Results: Conditional process analyses revealed that lower maternal bonding partially mediated between maternal anxiety disorders and increased self-comforting behaviors but only in older female infants (over 5.5 months of age). However, considering maternal anxiety disorders without the influence of bonding, older female infants (over 5.5 months of age) showed decreased rates of self-comforting behaviors, while younger male infants (under 3 months of age) showed increased rates in the case of maternal anxiety disorder. Conclusions: The results suggest that older female infants (over 5.5 months of age) are more sensitive to lower maternal bonding in the context of maternal anxiety disorders. Furthermore, results suggest a different use of self-directed regulation strategies for male and female infants of mothers with anxiety disorders and low bonding, depending on infant age. The results are discussed in the light of gender-specific developmental trajectories.

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“…This sample was part of a larger longitudinal study [44, 45]. Recruitment took place using flyers, newspaper advertisements and public birth announcements as well as by pregnancy screenings at the Heidelberg University Women’s Hospital between July 2006 and October 2010.…”

Section: Methodsmentioning

confidence: 99%

“…Salivary cortisol is a valid marker for infant stress reactivity in early infancy [8, 44], despite the weak circadian organization of the HPA-axis in early months [3, 46]. It was collected immediately prior to (C 1 ), immediately after (C 2 ) and 20 minutes after the FFSF paradigm (C 3 ).…”

Section: Methodsmentioning

confidence: 99%

What Dyadic Reparation Is Meant to Do: An Association with Infant Cortisol Reactivity

Müller

Zietlow²,

Tronick³

et al. 2015

Psychopathology

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Background: The latency to reparation of interactive mismatches (interactive repair) is argued to regulate infant distress on a psychobiological level, and maternal anxiety disorders might impair infant regulation. Sampling and Methods: A total of 46 dyads (19 mothers with an anxiety disorder, 27 controls) were analyzed for associations between interactive repair and infant cortisol reactivity during the Face-to-Face-Still-Face paradigm 3-4 months postpartum. Missing cortisol values (n = 16) were imputed. Analyses were conducted on both the original and the pooled imputed data. Results: Interactive repair during the reunion episode was associated with infant cortisol reactivity (original data: p < 0.01; pooled data: p < 0.01) but not maternal anxiety disorder (p > 0.23). Additional stepwise regression analyses found that latency to repair during play (p < 0.01), an interaction between distress during the first trimester of pregnancy and latency to repair during reunion (p < 0.01) and infant self-comforting behaviors during the reunion episode (p = 0.04) made independent contributions to cortisol reactivity in the final regression model. Conclusions: This is the first study demonstrating that interactive repair is related to infant psychobiological stress reactivity. The lack of a relation to maternal anxiety disorder may be due to the small sample size. However, this result emphasizes that infants respond to what they experience and not to the maternal diagnostic category.

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Infant distress to novelty is associated with maternal anxiety disorder and especially with maternal avoidance behavior

Cited by 35 publications

References 41 publications

The Edinburgh Postnatal Depression Scale: Screening Tool for Postpartum Anxiety as Well? Findings from a Confirmatory Factor Analysis of the Hebrew Version

The Edinburgh Postnatal Depression Scale: Screening Tool for Postpartum Anxiety as Well? Findings from a Confirmatory Factor Analysis of the Hebrew Version

Effects of Maternal Anxiety Disorders on Infant Self-Comforting Behaviors: The Role of Maternal Bonding, Infant Gender and Age

What Dyadic Reparation Is Meant to Do: An Association with Infant Cortisol Reactivity

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