Maternal mental health and child problem behaviours: disentangling the role of depression and borderline personality dysfunction

Huntley, Fay; Wright, Nicola; Pickles, Andrew; Sharp, Helen; Hill, Jonathan

doi:10.31219/osf.io/2ebyj

Cited by 4 publications

(6 citation statements)

References 15 publications

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“…The EPDS has 10 items scored on a 4-point scale. This measure is widely used during the prenatal and postnatal periods with parents of young children [43]. Internal consistency of the EPDS was good both in a previous study of Colombian women (α = 0.78) [44] and in this study (α = 0.83).…”

Section: Covariatessupporting

confidence: 66%

The Moderating Role of Maternal Praise and Positivity in the Association Between Callous-Unemotional (CU) Traits and Later Aggression: A Prospective Study in Preschool Children in Colombia

Obando

Hill

Wright

2022

Child Psychiatry Hum Dev

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Our previous findings in the UK and Colombia show that CU traits predict later aggression specifically among children who are already aggressive. We hypothesised that this effect would be reduced in the presence of maternal praise and positivity. In a sample of 220 mothers and children from Colombia, mother–child interactions were coded for maternal praise and positivity, and mothers reported on children’s CU traits at age 3.5 and aggression at ages 3.5 and 5 years. The results show three-way interactions between CU traits, child aggression and observed parenting at age 3.5 years in the prediction of later child aggression, and two-way interactions indicating a protective effect of positive parenting in the high aggressive children. Based on our finding, it is plausible that positive parenting may modify the effect of CU traits in the highly vulnerable group of children who are already aggressive in early childhood.

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Section: Covariatessupporting

confidence: 66%

The Moderating Role of Maternal Praise and Positivity in the Association Between Callous-Unemotional (CU) Traits and Later Aggression: A Prospective Study in Preschool Children in Colombia

Obando

Hill

Wright

2022

Child Psychiatry Hum Dev

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“…Disordered personality traits have similarly been reported to be associated with mother-child interaction deficits in cross-sectional studies with toddlers [50] and older children [51]. Given that accumulating evidence is suggesting an association between disordered personality traits in mothers and child outcomes [30,31], maternal sensitivity could potentially be a modifiable target for interventions, as maternal sensitivity during early infancy predicts mother-child attachment formation, which is known to influence later child outcomes [52].…”

Section: Discussionmentioning

confidence: 99%

“…In community settings, fewer individuals meet diagnostic criteria for personality disorder thresholds, yet, disordered traits might still be present. Thus, taking a dimensional approach to measuring personality disorder symptoms may be more appropriate for research in community samples [27][28][29][30][31][32], and more relevant for public health. As disordered personality traits are on a spectrum, diagnostic personality disorder would be considered at the severe end of the spectrum.…”

Section: Introductionmentioning

confidence: 99%

“…This may be associated with extreme problems with interpersonal relationships, such as the relationship between a mother and her infant. Indeed, recent studies have reported an association between disordered personality traits in mothers and increased emotional and behavioral problems among offspring during childhood and adolescence, independent of maternal depression [30,31]. However, studies on the mechanisms underpinning these associations are needed.…”

Section: Introductionmentioning

confidence: 99%

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Maternal personality traits, antenatal depressive symptoms and the postpartum mother–infant relationship: a prospective observational study

Nath

Pearson

Moran

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Purpose Maternal depression has been associated with bonding difficulties and lower maternal sensitivity in observed mother-infant interactions. However, little research has examined the impact of disordered personality traits in mothers on these outcomes. We investigated the association between disordered personality traits in mothers measured during pregnancy and postnatal (a) self-reported bonding with infant; (b) observational mother-infant interactions. Methods Five hundred fifty-six women were recruited during early pregnancy and subsequently followed up at mid-pregnancy (approximately 28 weeks' gestation) and when infants were aged approximately 3 months (n = 459). During early pregnancy, data were collected on disordered personality traits (using the Standardised Assessment of Personality Abbreviated Scale) and depressive symptoms (using the Edinburgh Postnatal Depression Scale). At 3 months postpartum, self-reported perceived bonding (using the Postpartum Bonding Questionnaire) were collected. A sub-sample of women additionally provided observational mother-infant interaction data (n = 206) (coded using the Child-Adult Relationship Experimental Index). Results Higher disordered personality traits was not associated with maternal perceptions of bonding impairment, but was associated with reduced maternal sensitivity during observational mother-infant interactions [adjusted for age, education, having older children, substance misuse prior to pregnancy, infant sex and gestational age: coefficient = − 0.28, 95% CI = − 0.56 to − 0.00, p < 0.05]. After adjusting for depressive symptoms, the association was attenuated [coefficient = − 0.19, 95% CI = − 0.48 to 0.11, p = 0.217]. Conclusions Mothers with disordered personality traits did not perceive themselves as having bonding impairments with their infants but were less sensitive during observed interactions, though depressive symptoms attenuated this relationship. Both depression and disordered personality traits need to be addressed to optimize mother-infant interactions.

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“…, which enhances the risk for chronic courses of PPD, problematic parenting, and negative child outcomes (Field, 2018;Hoffman, Dunn, & Njoroge, 2017;Huntley, Wright, Pickles, Sharp, & Hill, 2017;McLaughlin et al, 2012;Netsi et al, 2018). In order to buffer the negative effects of PPD among the mother, infant, and their relationship, supporting these mothers in their parenting capacities can be essential (Barlow, Bennett, Midgley, Larkin, & Wei, 2015;Guedeney, Guedeney, Wendland, & Burtchen, 2014).…”

mentioning

confidence: 99%

Randomized controlled trial of the Circle of Security-Intensive intervention for mothers with postpartum depression: maternal unresolved attachment moderates changes in sensitivity

Ramsauer

Mühlhan

Lotzin

et al. 2019

Attachment & Human Development

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Postpartum depression is related to inadequately sensitive caregiving, putting infants at risk for insecure attachment. Therefore, promoting sensitive maternal caregiving and secure child attachment is particularly important in postpartum depressed mothers and their infants. In this randomized-controlled-trial, we evaluated the efficacy of the Circle of Security-Intensive (COS-I)-intervention in supporting maternal sensitivity and mother-infant-attachment compared to treatment-as-usual (TAU) with unresolved-maternal attachment as a moderator of treatment effect. Eligible mothers with infants (N=72) 4-9 months-old were randomly assigned to treatment (n=36 dyads). Infant attachment was rated at follow-up (child age 16-18 months) (Strange-Situation-procedure). Maternal sensitivity was measured at baseline and follow-up (Mini-Maternal-Behavior-Q-sort). Maternal-unresolved-attachment was assessed at baseline (Adult-Attachment-Interview). We found no significant differences between treatments in infant attachment nor changes in mothers' sensitivity. However, in COS-I, unresolved-mothers exhibited significantly more change in sensitivity than non-unresolvedmothers, whereas in TAU, the opposite was true. These findings may help to optimize clinical use of COS-I.

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Maternal mental health and child problem behaviours: disentangling the role of depression and borderline personality dysfunction

Abstract: BackgroundIt is not known whether associations between child problem behaviours and maternal depression can be accounted for by comorbid borderline personality disorder (BPD) dysfunction.

Cited by 4 publications

References 15 publications

The Moderating Role of Maternal Praise and Positivity in the Association Between Callous-Unemotional (CU) Traits and Later Aggression: A Prospective Study in Preschool Children in Colombia

The Moderating Role of Maternal Praise and Positivity in the Association Between Callous-Unemotional (CU) Traits and Later Aggression: A Prospective Study in Preschool Children in Colombia

Maternal personality traits, antenatal depressive symptoms and the postpartum mother–infant relationship: a prospective observational study

Randomized controlled trial of the Circle of Security-Intensive intervention for mothers with postpartum depression: maternal unresolved attachment moderates changes in sensitivity

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