Infant Mental Health Journal最新文献

The proposed study sought to investigate whether maternal experiences of racial discrimination and gendered racial stress are associated with offspring executive functioning. Total 266 Black mother-child pairs in the United States were assessed from pregnancy through child age of 4 years. We hypothesized that children whose mothers reported higher rates of perceived gendered racial stress during pregnancy and racial discrimination throughout their lifetime would have lower scores on executive functioning assessments. Furthermore, we hypothesized that low maternal education and income would act as risk moderators whereas social support would act as a protective moderator in the associations between maternal experiences of discrimination (EOD) and child executive functioning. Main effect findings support our hypothesis of an intergenerational association between maternal EOD and gendered racial stress and lower child executive functioning scores. Income was a significant moderator. As hypothesized, the association between mothers reports of lifetime discrimination and lower child executive functioning scores was stronger at lower levels of income. In contrast, however, the association between maternal prenatal reports of gendered racial stress and lower child executive functioning scores was stronger at higher levels of maternal education and income. Social support did not have a significant moderating effect on any of the association.

Parental cognitions, stress, depression, and infant regulatory challenges might reinforce each other in the early parent-infant relationship. A transactional model was used as a framework to investigate these relationships. Two hundred and twenty pregnant women and their partners were recruited during pregnancy and followed 7 months postnatally in the NorBaby study in Norway. To investigate risk and protective factors for parental stress and depressive symptoms at 2, 5, and 7 months postnatally, the following variables were entered antenatally: repetitive negative thinking, implicit associations to infants, parity, and social support. Postnatally, observed infant regulatory challenges at 2 months, parent's perception of infant temperament at 5 months, and signs of infant social withdrawal at 7 months. The model yielded that repetitive negative thinking predicted parenting stress and depressive symptoms, while infant regulatory challenges did not. Repetitive negative thinking is also related to infant temperament. For mothers, parity was beneficial against stress, depressive symptoms, and infant regulatory challenges. Implicit associations to infants were not related to parenting stress or depressive symptoms postnatally. Parenting stress and depressive symptoms were not related to infant social withdrawal at 7 months. In sum, how parents perceive their infant's temperament is associated with their own tendency to engage in repetitive negative thinking, and not by their infant's observed regulatory behavior. Accordingly, parental cognition and well-being should be considered when families struggle to adapt in the perinatal period.

This study is the first to explore the relation between children's attachment classifications, assessed by Mary Ainsworth's Strange Situation Procedure (SSP), and mothers' acceptance-rejection behaviors from the lens of Interpersonal Acceptance-Rejection Theory (IPARTheory). As a pilot study, the sample consisted of 23 Egyptian mother-child dyads. The mean age of children in the SSP was 18.6 months (SD = 3.10). Mothers' acceptance-rejection behaviors were explored through the Parental Acceptance-Rejection/Control Questionnaire (PARQ/Control). The pilot study's findings revealed that maternal acceptance-rejection behaviors significantly differed across children's attachment classifications. The findings also shed light on gender differences in parenting, as mothers tended to show a higher level of hostility/aggression, undifferentiated rejection, and control with their daughters more than sons. This study is an important stepping-stone for attachment research in the Arab world. It highlights several cultural aspects to be taken into account for future research using the SSP in Egypt or any other Arab country.

Although mother-to-infant attachment begins during pregnancy, few studies have explored correlates of prenatal attachment and associations with later measures of attachment representations. This study explored whether prenatal attachment is related to attachment representations during toddlerhood and whether associations between them reflect the broader quality of mothers' relationships. Young, ethnically/racially diverse, low-income American women (n = 160) were followed from pregnancy through 30 months postpartum. Questionnaires assessed prenatal attachment (Maternal Antenatal Attachment Scale [MAAS]) and mothers' relationships prenatally (Inventory of Parent and Peer Attachment [IPPA]; Social Provisions Scale [SPS]). At 30 months, the Working Model of the Child Interview (WMCI) assessed attachment representation classifications (balanced, disengaged, distorted) and affective themes. Stronger prenatal attachment was associated with balanced representations of the child, greater positive affect, and less negative affect at 30 months, even when accounting for quality of mothers' other relationships. Relationship quality generally and with the parent figure and infant's father specifically, was associated with prenatal attachment, and relationship quality with the parent figure was related to 30-month attachment representations. Findings support theory that mother-to-child attachment formed during pregnancy contributes to attachment representations and affective qualities of the relationship years later. Data highlight the role young mothers' parent figures play during the transition to parenthood.

There are considerable data documenting the importance of early experiences for healthy human development. Though widely accepted amongst mental health clinicians, developmental researchers and early childhood policymakers, this information is not well known by much of the public. We describe a specialized program designed for established and emerging leaders in Louisiana, United States of America, to help them become better informed to take action to support young children and their families and to facilitate connections across sectors for greater impact. Conducted annually for 6 years, the program drew leaders from a variety of professional sectors working in every region of the state. To evaluate the effectiveness of the program, we conducted semi-structured interviews of program graduates and tabulated responses by thematic analysis. We conclude that translation efforts delivered in this kind of format can lead to gains in knowledge among leaders and action to support early childhood development and well-being.

Social understanding competence develops in sensitive and co-regulating caregiver interactions. Parental reflective functioning (PRF) and parenting stress can affect children's social understanding. This study investigated if children's social understanding was associated with PRF and parenting stress. Parents of 305 Italian children aged from 24 to 72 months (M = 48.2, SD = 13.9; 47.9% girls) completed an online survey. Parents completed the following questionnaire: The Parenting Stress Index-Short Form, the Parental Reflective Functioning Questionnaire, and the Children's Social Understanding Scale. Results showed that children's social understanding was predicted by lower parenting stress, b = .002, p = .017, and parent's interest and curiosity about the child's mental states, b = .07, p = .013. Findings confirm that high levels of parenting stress and low PRF constitute unfavorable conditions for preschoolers' socio-cognitive development. Thus, the present study can have implication for interventions aimed at improving children's social understanding that should focus on reducing parenting stress and enhancing parental mentalizing.

Black women are more likely to experience traumatic birthing events, more likely to experience perinatal depression, and less likely to receive mental health treatment than women of other racial and ethnic backgrounds, and yet largely overlooked in perinatal mental health research. This pilot study seeks to understand how unacceptable racial disparities and adverse perinatal outcomes influence Black maternal depression and maternal bonding by exploring how prior traumatic loss moderates the relationship between depression and bonding during a subsequent pregnancy among a sample of Black mothers. We use survey data collected from 75 Black mothers as part of the Black Fathers, Equal Partners in Promoting Maternal and Infant Health study, a collaboration between the University of Wisconsin Madison and the African American Breastfeeding Network in Milwaukee, Wisconsin, USA. Study results suggest there is a correlation between maternal depression and bonding; when traumatic loss is included as an interaction variable, it produces a moderating effect, changing the direction of the relationship between bonding and depression. As maternal depression increases, bonding increases when moderated by the variable traumatic loss. This finding has important implications for infant mental health research and practice, disrupting the expectation that depression necessarily poses a risk to maternal-infant bonding.

This blended pilot-empirical and theoretical manuscript documents a reflective journey undertaken by a group of early childhood teacher educators located across different regions of the United States as they examined their course design, materials, and syllabi construction. Grounded in reflective practice, intersectionality, and critical pedagogy, their collaborative endeavor necessitated profound self-examination and recognition of oppressive structures inherent within the field and reproduced throughout course syllabi, thereby perpetuating societal inequities inside and outside the classroom context. Their iterative, evolving effort resembled a reflective consultation group, marked by continuous self-reflection, challenging assumptions, and transforming actions, vividly portrayed in their vignettes. A nonlinear spiral model emerged as a visual representation of the multiple entry points into an ongoing process-highlighting access points that encourage curiosity and interrogation of academic syllabi and course content. The inclusive nature of this inquiry invites faculty members and practitioners to confront racism, ableism, and other systems of domination, amplify marginalized scholarship, and redefine early childhood education-related fields, including the Infant and Early Childhood Mental Health landscape. It also underscores the imperative of sustained introspection and collaborative action in nurturing equity.

Children born to mothers with opioid use disorder (OUD) are at increased risk of maltreatment and out-of-home care (OOHC) placement. This study examines the parent-child interaction quality and home environments of 92 New Zealand children with prenatal opioid exposure (OE) and 106 non-opioid-exposed (NE) children. Experiences for those in maternal care versus OOHC were of particular interest. Biological mothers completed a lifestyle interview during late pregnancy/at birth. At 18 months, parent-child interaction observations, maternal/primary caregiver interviews, and the Home Observation for Measurement of the Environment were completed during a home visit. At age 4.5, children underwent developmental assessment. By 18 months, 20% of OE children were in OOHC. Mothers with OUD who were younger, less cooperative, and had increased polysubstance use during pregnancy were more likely to have lost custody of their child. OE children in their mother's care experienced less positive parenting and lower-quality home environments than NE children. OE children in OOHC had similarly resourced environments to NE children, yet experienced lower levels of parental warmth and responsiveness. Early parenting predicted child cognition, language, and behavior 3 years later, underscoring the critical importance of supporting the parenting and psychosocial needs of OE children's parents/caregivers to improve long-term outcomes.

The COVID-19 pandemic affected healthcare practices, especially the provision of face-to-face services due to restrictions and social distance. The aim of the study was to analyze the experience of childbirth care among mothers in Lithuania during the pandemic. A qualitative design was adopted in the study. Research data were collected as part of the international Babies Born Better survey. Data of 200 women who gave birth in Lithuania (February-June 2020 during the COVID-19 pandemic) was included. Participant responses to open-ended questions regarding childbirth care experiences were analyzed using an inductive thematic framework. Four themes emerged: "Subjective experience of birth care service," "COVID-19 policies," "Consideration of mother/baby needs," and "Perception towards staff." Emotional aspects of different care levels were highlighted in themes. Women expressed feelings of thankfulness for staff professionality and responding to their needs. However, perceived staff rudeness, lack of information and absence of an accompanied person negatively related to mothers' perceptions of satisfaction. The results revealed mothers' perceptions of strengths and challenges of the maternity care system in the country where the pandemic was managed with early vaccination, strict lockdown measures and social distancing-higher appreciation of service, regret for disturbed emotional aspects of communication, and lack of support from family members.