Face-to-face interactions of postpartum depressed and nondepressed mother-infant pairs at 2 months (original) (raw)

Abstract

Depression's influence on mother-infant interactious at 2 months postpartum was studied in 24 depressed and 22 nondepressed mothex-infant dyads. Depression was diagnosed using the SADS-L and RDC. In S's homes, structured interactions of 3 min duration were videotaped and later coded using behavioral descriptors and a l-s time base. Unstructured interactions were described using rating scales. During structured interactions, depressed mothers were more negative and their babies were less positive than were nondepressed dyads. The reduced positivity of depressed dyads was achieved through contingent resixmfiveness. Ratings from unstructured interactions were consistent with these findings. Results support the hypothesis that depression negatively influences motherinfant behaviol; but indicate that influence may vary with development, chronicity, and presence of other risk factors. Ten to 15% of postpartum women develop a moderate, clinically significant depressive reaction that is more prolonged than the "blues" and serious enough to interfere with daily functioning (O'Hara, Neunaber, & Zekosld, 1984). Postpartum depression is thus a potentially important mental health problem for families with young infants. Studies of depression in the postpartum period, however, have focused almost exclusively on the woman herself (see Hopkins, Marcus, & Campbell, 1984, for a review) and have ignored the possible negative effects depression may have on her relationship with her infant and her infant's development. Postpartum depression would be expected to interfere with optimal mothering. The importance of positive expression and responsive caretaking in early infancy has been well documented in numerous studies (e.g., Ainsworth, Blehar, Waters, & Wall, 1978; Belsky, Rovine, & Taylor, 1984), whereas maternal insensitivity and unavailability have been associated with a range of difficulties in adaptation in infancy and early childhood (e.g., Sronfe, 1983). Recent studies have confirmed earlier clinical observations by Weissman and Paykel (1974) about the negative impact of maternal depression on young children's development. Research on the offspring of women with major depressive disorders has indicated a range of cognitive and social problems in toddlers, preschoolers, and school age children (Beardslee,

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References (41)

  1. Ainsworth, M. D., Bleha~ M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hills- dale, NJ: Erlbaum.
  2. Beardslee, W. R., Bemporad, J., Keller, M. B., & Klerman, G. L. (1983). Children of parents with major affective disorder: A review. American Journal of Psychiat~ 140, 825-832.
  3. Beehe, B., Jaffe, J., Feldstein, S., May, K., & Alson, D. (1985). Interper- sonal timing: The application of an adult dialogue model to mother- infant vocal and kinesic interactions. In T Field & A. Fogel (Eds.), Socialperception in infants (pp. 217-248). Hillsdale, NJ: Erlbaum.
  4. Belsky, J., Rovine, M., & Taylor, D. G. (1984). Pennsylvania infant and family development project: IlL The origins of individual differences in infant-mother attachment: Maternal and infant contributions. Child Development, 55, 718-728.
  5. Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for behavioral sciences (2 nd ed. ). Hillsdale, N J: Eflbaum.
  6. Cohn, J. E, & Elmore, E. (1988). Effect ofcontingvnt chang~ in moth- ers' affective expression on the o~aniTation of behavior in 3-month- old infants. Infant Behavior and Development, 11, 493-505.
  7. Cohn, J. F., Matias, R., Tronick, E. Z., Lyons-Ruth, K., & Connell, D. (1986). Face-to-face interactions, spontaneous and structured, of mothers with depressive symptoms. In T. Field & E. Z. Tronick (Eds.), Maternal depression and child development (New Directions for Child Development, No. 34, pp. 31-46). San Francisco: Jo~ey-Bass.
  8. Cohn, J. E, & Tronick, E. Z. (1983). Three-month-old infants' reaction to simulated maternal depression. Child Development, 54, 185-193.
  9. Cohn, J. E, & Tronick, E. Z. (1987). Mother-infant face-to-face interac- tion: The sequence of dyadic states at 3, 6, and 9 months. Develop- mental Psycholog~, 23, 68-77.
  10. Cohn, J. E, & Tronick, E. Z. (1988a). Discrete versus scaling ap- proaches to the description of mother-infant face-to-face interaction: Convergent validity and divergent applications. Developmental Psy- chology, 24, 396-397.
  11. Cohn, J. E, & Tronick, E. Z. (1988b). Mother-infant interaction: In- fluence is bidirectional and unrelated to periodic cycles in either part- neT's behavior. DevelopmentalPsycholog~, 24, 386-392.
  12. Cohn, J. E, & Troniek, E. Z. (1989). Specificity of infants' response to mothers' affective behavior. Journal of the American Academy of Child and Adolescent Psychiat~ 28, 242-248.
  13. Cytryn, L., McKnew, D. H., Zahn-Waxler, C., & Gershon, E. S. (1986). Developmental issues in risk research: The offspring of affectively ill parents. In M. Rutte~ C. E. Izard, & P. B. Read (Eds.), Depression in young people." Developmental and clinical perspectives (pp. 163-188 ). New York: Guilford.
  14. Ekman, P. (1984). Expression and the nature of emotion. In K. R. Scherer & P. Ekman (Eds.), Approaches to emotion (pp. 319-344). Hillsdale, NJ: Erlbaum.
  15. Endicott, J., & Spitzer, R. L. (1978). A diagnostic interview: The Sched- ule for Affective Disorders and Schizophrenia. Archives of General Psychiat~ 35, 837-844.
  16. Field, T. (1984). Early interactions between infants and their postpar- tum depressed mothers. Infant Behavior and Development, 7, 527- 532.
  17. Field, T., Healy, B., Goldstein, S., Perry, S., Debra, B., Schanberg, S., Zimmerman, E. A., & Kuhn, C. (1988). Infants of "depressed" mothers show depressed behavior even with nondepressed adults. Child Development, 59, 1569-1579.
  18. Field, T., Sandherg, D., Garcia, R., Vesa-Lal~ N., Goldstein, S., & Guy, L. (1985). Pregnancy problems, postpartum depression, and early mother-infant interactions. Developmental Psycholog3~, 21, 1152- 1156.
  19. Garrison, W. T., & Earls, E J. (1986). Epidemiologic perspectives on maternal depression and the young child. In T. Field & E. Z. Tronick (Eds.), Maternal depression and child development (New Directions for Child Development, No. 34, pp. 13-30). San Francisco: Jossey- Bass.
  20. Haviland, J. (1977). Sex-related pragmatics in infants. Journal of Com- munication, 27, 80--84.
  21. Hopkins, J., Campbell, S. B., & Marcus, M. (1987). Role of infant re- lated stressors in postpartum depression. Journal of Abnormal Psy- chology, 96, 237-241.
  22. Hopkins, J., Marcus, M., & Campbell, S. B. (1984). Postpartum depres- sion: A critical review. Psychological Bulletin, 95, 498-515.
  23. Izard, C. E., Dougherty, L. M., & Hembree, E. A. (1983). A system for identifying affect expressions by holistic judgraents (Affex). Newark: University of Delaware, Instructional Resources Center.
  24. Jasnow, M., & Feldstein, S. (1986): Adult-like temporal characteristics of mother-infant vocal interaction. Child Development, 5 7, 754-761.
  25. Kaye, K., & Fogel, A. (1980). The temporal structure of face-to-face communication between mothers and infants. Developmental Psy- chology, 16, 454-464.
  26. Lyons-Ruth, K., Connell, D. B., 7_o11, D., & Staid, J. (1987). Infants at social risk: Relations among infant maltreatment, maternal behavior; and infant attachment behavior. Developmental Psychology,, 23, 223- 232.
  27. Malatesta, C. Z., & Haviland, J. M. (1986). Emotion socialization and expressive development in preterm and full-term infants. Child De- velopment, 57, 316-330.
  28. MeCleary, R., & Hay, R. A. (1980). Applied time series analysis for the social sciences. Beverly Hills, CA: Sage.
  29. O'Hara, M. W., Neunaber, D. J., & Zekoski, E. M. (1984). Prospective study of postpartum depression: Prevalence, course, predictive fac- tors. Journal of Abnormal Psychoiog2z, 93, 158-171.
  30. Radke-Yarrow, M., Cummings, E. H., Kuczynski, L., & Chapman, M. (1985). Patterns of attachment in two-and three-year-olds in normal families and families with parental depression. Child Development, 56, 884-893.
  31. Robins, L. (1974). Deviant children grown up. New York: Kxieger.
  32. Rutter, M., Yule, B., Qninton, D., Rowland, O., Yule, W., & Berget; M. (1974). Attainment and adjustment in two geographical areas: III. British Journal of Psychiatr)~ 123, 520-533.
  33. Sameroff, A., Scifer, R., & Zax, M. (1982). Early development of chil- dren risk for emotional disorder. Monographs of the Society for Re- search in Child Development, 47(7, Serial No. 199).
  34. Spitzer, R. L., Endicott, J., & Robins, E. (1978). Research Diagnostic Criteria: Rationale and reliability. Archives of General Psychiatr)z, 36, 773-782.
  35. Sroufe, A. (1983). Infant--caregiver attachment and patterns of adapta- tion in preschool: The roots of maladaptation and competence. In M. Perlmutter (Ed.), Minnesota Symposium on Child Psychiatry (pp. 41-83). Hillsdale, NJ: Erlbaum.
  36. Symons, D. K., & Moran, G. (1987). The behavioral dynamics of mu- tual responsiveness in early face-to-face mother-infant interactions. Child Development, 58, 1488-1495.
  37. Tronick, E., Als, H., & Brazelton, T. B. (1980). Monadic phases: A structural descriptive analysis of infant-mother face-to-face interac- tion. Merrill-Palmer Quarterly of Behavior and Development, 26, 3- 24.
  38. Troniek, E. Z., & Cohn, J. E (1989). Infant-mother face-to-face interac- tion: Age and gender differences in coordination and miscoordina- tion. Child Development, 59, 85-92.
  39. Tronick, E. Z., Ricks, M., & Cohn, J. E (1982). Maternal and infant affective exchange: Patterns of adaptation. In T. Field & A. Fogel (Eds.), Emotion and early interaction (pp. 83-100). Hillsdale, NJ: Erlbaum.
  40. Vaughn, B. E., Taraldson, B., Cfichton, L., & Egeland, B. (1980). Rela- tionship between neonatal behavioral organization and infant behav- ior during the first year of life. Infant Behavior and Development, 3, 47-66.
  41. Weissrnan, M. M., & Paykel, E. S. (1974). The depressed women: A study in social relationships. Chicago: University of Chicago Press. Received December 16, 1987 Revision received October 24, 1988 Accepted January 24, 1989 •