Effects of maternal psychopathology on birth outcomes and later psychopathology Effects of adolescent status and states of mind on child attachment and maternal sensitivity Effects of children’s attachment and maternal depression on behavioral outcomes Child Psychopathology in Context I Parental Transmission Models
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Effects of maternal psychopathology on birth outcomes and later psychopathology Effects of adolescent status and states of mind on child attachment and.
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Effects of maternal psychopathology on birth outcomes and later psychopathology
Effects of adolescent status and states of mind on child attachment and maternal sensitivity
Effects of children’s attachment and maternal depression on behavioral outcomes
Child Psychopathology in Context IParental Transmission Models
Presence of maternal psychopathology places neonates at risk for complications, which could result in later psychopathological outcomes (Zax)
Mothers categorized into four groups
Schizophrenics
Neurotic depressives
Personality disorders
Controls (nonpathologized)
Mothers also categorized by two other variables
Chronicity of mental illnessNo mental illness
Low chronicity
Medium chronicity
High chronicity
Severity of mental illnessLow severity
Moderate severity
High severity
Findings
Mentally ill women differed from controls on four variables
Anxiety level
Social incompetency
Depression
Severity of mental illness
Mentally disordered women have infants with more medical complications than controls on seven variables
ROS infant score
ROS total score
APGAR score (1’+ 5’)
Induced labor
Low birthweight
Resuscitation
Fetal death (4/56 (7%) for neurotic depressives)
Chronicity in women distinguished four women’s and infants’ characteristics (consisting largely of schizophrenics)
Infant mortality and adoptionNeurotic depressives responsible for all but one death (4/56 (7%))
Schizophrenics responsible for all but two separations (6/29 (21%))
Adopted low birthweight infants carry potential for negative interactions with caregivers
Adolescent Mothers’ States of Mind with Respect to Attachment Influence
Maternal Sensitivity and Infant Attachment (Ward)
Concordance between mothers’ attachment assessments (AAI’s) and infant attachment assessments (Strange Situation)
AAI’s administered during third trimesterStrange situations administered at 15 months
AAI classification distributions with SS distributions (68% agreement)
32% F – 44% B (86% concordance)36% Ds – 34% A (73% concordance) 6% E – 4% C (60% concordance) 26% U – 18% D (only 43% concordance)
Concordance between AAI’s and mothers’ sensitivity (as measured by Crittenden) assessed at 3 and 9 months No relation between maternal sensitivity and infant attachment
Multiple caregivers involved (related)Significant intervening life events (not related)At 9 months among future anxious infants, mothers who were primary caregivers were less sensitive than mothers who were not primary caregiversAt 9 months among future secure infants, mothers who were primary caregivers did not differ in sensitivity from those who were notPerhaps behaviors of primary caregiver have more influence on infant attachment than behaviors of mother
ConclusionsPredictive validity of AAI for sensitivity, infant attachment
Meaning of sensitivity must be examined in the context of multiple caregivers
Quality Of Preschool Children’s Attachment And Maternal Depression Both
Influence Children’s Externalizing Behaviors
(Hubbs-Tait)
Distribution of children’s attachment patterns (at 44 months)
6 D (18%)9 A (26%)15 mild A (44%)4 fairly secure (12%)O secureO resistant
Principal components analysis of story-completion responses (p. 422)
Departure factor, maternal depression measured at 44 months predicted CBCL externalizing behaviors at 54 months
Only maternal depression measured at 44 and 54 months predicted CBCL internalizing behaviors at 54 months
Clinically externalizing children had higher departure scores than nonclinical children ( T<63)
ConclusionsResponses to departure but not reunion predict future behavior problems (contrary to results in SS)Disorganized kids could have been resistant in infancy ( cf. also Bretherton et al.’s (1990) article)Maternal depression related to both externalizing and internalizing behaviors5 of 6 clinical children had disorganized departure responses (83%)
Frightening, violent experiences during parental absence, orIrreconcilable conflict in representations of departures from parents