There is considerable evidence that maternal postnatal psychiatric disorder has an adverse influence on infant development. In attempting to examine the pathways of intergenerational transmission, most research has concentrated on genetic factors or on maternal behaviours during mother-child interaction and attachment. However, researchers have largely ignored the possible role of maternal cognition underlying behaviour, especially the thought and attentional processes involved in psychiatric disorders. This paper argues that a particular form of maternal cognition, namely ‘preoccupation’, is one key, but under-recognised, mechanism in the transmission of psychiatric disturbance. We propose that preoccupation interferes with specific aspects of mental functioning, especially attention and responsivity to the environment. This impairs the mother’s parenting capacities and adversely affects mother-child interaction and child development.
© 2008 S. Karger AG, Basel
- Intergenerational transmission
- Mother-child interaction
- Postnatal psychiatric disorder
- Merikangas KR, Dierker LC, Szatmari P: Psychopathology among offspring of parents with substance abuse and/or anxiety disorders: a high risk study. J Child Psychol Psychiatry 1998;39:711–720.
- Barnes J, Stein A: Effects of parental psychiatric illness on child development; in Gelder MG, Lopez-Ibor JJ, Andreason NC (eds): New Oxford Textbook of Psychiatry. Oxford, Oxford University Press, 2000.
- Campbell SB, Cohn JF, Meyers T: Depression in first-time mothers: mother-infant interaction and depression chronicity. Dev Psychol 1995;31:349–357.
- Cohn JF, Campbell SB: Influence of maternal depression on infant affect regulation; in Cicchetti D, Toth S (eds): Developmental Perspectives on Depression. Rochester, University of Rochester Press, 1992, pp 103–130.
- Field TM: Infants of depressed mothers. Infant Behav Dev 1995;18:1–13.
- Hay DF, Pawlby S, Sharp D, Asten P, Mills A, Kumar R: Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. J Child Psychol Psychiatry 2001;42:871–889.
- Murray L, Cooper P: Intergenerational transmission of affective and cognitive processes associated with depression: infancy and the preschool years; in Goodyer I (ed): Unipolar Depression: A Lifespan Perspective. Oxford, Oxford University Press, 2003, pp 17–46.
- Jacobi C, Agras WS, Hammer L: Predicting children’s reported eating disturbances at 8 years of age. J Am Acad Child Adolesc Psychiatry 2001;40:364–372.
- Patel P, Wheatcroft R, Park RJ, Stein A: The children of mothers with eating disorders. Clin Child Fam Psychol Rev 2002;5:1–19.
- Stein A, Woolley H, Cooper SD, Fairburn CG: An observational study of mothers with eating disorders and their infants. J Child Psychol Psychiatry 1994;35:733–748.
- Stice E, Agras WS, Hammer LD: Risk factors for the emergence of childhood eating disturbances: a five-year prospective study. Int J Eat Disord 1999;25:375–387.
- Murray L, Cooper P, Creswell C, Schofield E, Sack C: The effects of maternal social phobia on mother-infant interactions and infant social responsiveness. J Child Psychol Psychiatry 2007;48:45–52.
- Rutter M: Psychiatric disorder in parents as a risk factor for children; in Shaffer D, Phillips I, Enger NB (eds): Prevention of Mental Disorders, Alcohol and other Drug use in Children and Adolescents. Rockville, Office for Substance Abuse, United States Department of Health and Human Services, 1989, pp 157–189.
- Fonagy P, Steele H, Steele M: Maternal representations of attachment during pregnancy predict the organization of infant-mother attachment at one year of age. Child Dev 1991;62:891–905.
- Tronick EZ: Emotions and emotional communication in infants. Am Psychol 1989;44:112–119.
- Cicchetti D, Rogosch F, Toth S: Maternal depressive disorder and contextual risk: contributions to the development of attachment insecurity and behavior problems in toddlerhood. Dev Psychopathol 1998;10:283–300.
- Plomin R, DeFries JC, Craig IW, McGuffin P: Behavioral Genetics in the Postgenomic Era. Washington, American Psychological Association, 2003.
- Fonagy P, Steele M, Steele H, Moran, GS, Higgitt AC: The capacity for understanding mental states: the reflective self in parent and child and its significance for security of attachment. Infant Ment Health J 1991;12:201–218.
- McGrath M, Zachariah BCF, Lester BM: Determinants of maternal self-esteem in the neonatal period. Infant Ment Health J 1993;14:35–48.
- Stern D: The Interpersonal World of the Infant. London, Karnac Books, 1998.
- Feshbach ND: Empathy and physical abuse; in Cicchetti D, Carlson V (eds): Child Maltreatment: Theory and Research on the Causes and Consequences of Child Abuse and Neglect. Cambridge, Cambridge University Press, 1989, pp 349–376.
- Oxford English Dictionary (electronic version), ed 2. Oxford, Oxford University Press, 2007.
- Primary maternal preoccupation: in Winnicott DW (ed): Collected Papers – Through Paediatrics to Psychoanalysis. London, Tavistock Publications, 1958.
- Leckman JF, Mayes LC, Feldman R, Evans DW, King RA, Cohen DJ: Early parental preoccupations and behaviors and their possible relationship to the symptoms of obsessive-compulsive disorder. Acta Psych Scan Suppl 1999;396:1–26.
- Hesse E: The Adult Attachment Interview: historical and current perspectives; in Cassidy J, Shaver PR (eds): Handbook of Attachment: Theory, Research, and Clinical Applications. New York, Guilford Press, p xvii 925.
- Cooper P, Murray L: Prediction, detection, and treatment of postnatal depression. Arch Dis Child 1997;77:97–99.
- Kessler RC, DuPont RL, Berglund P, Wittchen HU: Impairment in pure and comorbid generalized anxiety disorder and major depression at 12 months in two national surveys. Am J Psychiatry 1999;156:1915–1923.
- Wittchen HU, Zhao S, Kessler RC, Eaton WW: DSM-III-R generalized anxiety disorder in the National Comorbidity Survey. Arch Gen Psychiatry 1994;51:355–364.
- Kessler RC, Keller MB, Wittchen HU: The epidemiology of generalized anxiety disorder. Psychiatr Clin North Am 2001;24:19–39.
- Matthey S, Barnett B, Howie P, Kavanagh D: Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety? J Affect Disord 2003;74:139–147.
- Wenzel A, Haugen E, Jackson L, Brendle J: Anxiety symptoms and disorders at eight weeks postpartum. J Anxiety Disord 2005;19:295–311.
- Hoek HW: Review of the epidemiological studies of eating disorders. Int Rev Psychiatry 1993;5:61–74.
- Harvey AG, Watkins E, Mansell W, Shafran R: Cognitive Behavioural Processes across Psychological Disorders: A Transdiagnostic Approach to Research and Treatment. Oxford, Oxford University Press, 2004.
- Borkovec TD, Robinson E, Puzinsky T, DePree JA: Preliminary exploration of worry: some characteristics and processes. Behav Res Ther 1983;21:9–16.
- Nolen-Hoeksema S: The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol 2000;109:504–511.
- Nolen-Hoeksema S: Responses to depression and their effects on the duration of depressive episodes. J Abnorm Psychol 1991;100:569–582.
- Troop NA, Treasure JL: Psychosocial factors in the onset of eating disorders: responses to life-events and difficulties. Br J Med Psychol 1997;70:373–385.
- Fresco DM, Frankel AN, Mennin DS, Turk CL, Heimberg RG: Distinct and overlapping features of rumination and worry: the relationship of cognitive production to negative affective states. Cognit Ther Res 2002;26:179–188.
- Harrington JA, Blankenship V: Ruminative thoughts and their relation to depression and anxiety. J Appl Soc Psychol 2002;32:465–485.
- Segerstrom SC, Tsao JCI, Alden LE, Craske MG: Worry and rumination: repetitive thought as a concomitant and predictor of negative mood. Cognit Ther Res 2000;24:671–688.
- Szabo M, Lovibond PF: The cognitive content of naturally occurring worry episodes. Cognit Ther Res 2002;26:167–177.
- Klinger E: Emotional influences on cognitive processing, with implications for theories of both; in Gollwitzer PM, Bargh JA (eds): The Psychology of Action: Linking Cognition and Motivation to Behaviour. New York, Guilford Press, 1996, pp 168–189.
- Craske MG, Hazlett-Stevens H: Facilitating symptom reduction and behavior change in GAD: the issue of control. Clin Psychol Sci Pract 2002;9:69–75.
- Craske MG, Rapee RM, Jackel L, Barlow DH: Qualitative dimensions of worry in DSM-III-R generalized anxiety disorder subjects and non-anxious controls. Behav Res Ther 1989;27:397–402.
- Roemer L, Borkovec TD: Worry: unwanted cognitive activity that controls unwanted somatic experience; in Wegner DM, Pennebaker JW (eds): Handbook of Mental Control. Englewood Cliffs, Prentice Hall, 1993, pp 220–238.
- Cooper PJ, Cooper Z, Hill C: Behavioral treatment of bulimia nervosa. Int J Eat Disord 1989;8:87–92.
- Rosen JC, Reiter J, Orosan P: Assessment of body image in eating disorders with the Body Dysmorphic Disorder Examination. Behav Res Ther 1995;33:77–84.
- Nolen-Hoeksema S, Morrow J: Effects of rumination and distraction on naturally occurring depressed mood. Cogn Emot 1991;7:561–570.
- Exner JE: The Self-Focus Sentence Completion: a study of egocentricity. J Pers Assess 1973;37:437–455.
- McIntosh WD, Martin LL: The cybernetics of happiness: the relation of goal attainment, rumination, and affect. Pers Soc Psychol Rev 1992;14:222–246.
- Meyer TJ, Miller ML, Metzger RL, Borkovec TD: Development and validation of the Penn State Worry Questionnaire. Behav Res Ther 1990;28:487–495.
- Lyubomirsky S, Kasri F, Zehm K: Dysphoric rumination impairs concentration on academic tasks. Cognit Ther Res 2003;27:309–330.
- Wentzlaff R, Rude S, Taylor C, Stultz C, Sweatt R: Beneath the veil of thought suppression: attentional bias and depression risk. Cogn Emot 2001;15:435–452.
- Ingram RE: Self-focused attention in clinical disorders: review and a conceptual model. Psychol Bull 1990;107:156–176.
- Mor N, Winquist J: Self-focused attention and negative affect: a meta-analysis. Psychol Bull 2002;128:638–662.
- Williams JMG, Watts FN, MacLeod C, Mathews A: Cognitive psychology and emotional disorders. Oxford, Wiley, 1988.
- Williams JMG, Watts FN, MacLeod C, Mathews A: Cognitive psychology and emotional disorders. Chichester, Wiley, 1997.
- Ehlers A: Cardiac perception, panic attacks, and phobias; in Vaitl D, Schandry R (eds): From the Heart to the Brain: The Psychophysiology of Circulation – Brain Interaction. New York, Peter Lang, 1995, pp 299–313.
- Clark D, Wells A: Cognitive therapy for anxiety disorders; in Dickstein L, Riba M, Oldham J (eds): American Psychiatric Press Review of Psychiatry. Washington, American Psychiatric Association, 1997, vol 16, pp I-9–I-43.
- Ben-Tovim DI, Walker MK, Fok D, Yap E: An adaptation of the Stroop Test for measuring shape and food concerns in eating disorders: a quantitative measure of psychopathology? Int J Eat Disord 1989;8:681–687.
- Cooper MJ, Fairburn CG: Demographic and clinical correlates of selective information processing in patients with bulimia nervosa. Int J Eat Disord 1993;13:109–116.
- Jones-Chesters MH, Monsell S, Cooper PJ: The disorder-salient Stroop effect as a measure of psychopathology in eating disorders. Int J Eat Disord 1998;24:65–82.
- Schotte DE, McNally RJ, Turner ML: A dichotic listening analysis of body weight concern in bulimia nervosa. Int J Eat Disord 1990;9:109–113.
- Fairburn CG, Shafran R, Cooper Z: A cognitive behavioural theory of anorexia nervosa. Behav Res Ther 1999;37:1–13.
- Kahneman D: Attention and Effort. Englewood Cliffs, Prentice Hall, 1973.
- Foa EB, McNally RJ: Sensitivity to feared stimuli in obsessive-compulsives: a dichotic listening analysis. Cognit Ther Res 1986;10:477–485.
- Mathews A, MacLeod C: Selective processing of threat cues in anxiety states. Behav Res Ther 1985;23:563–569.
- Chen E, Lewin MR, Craske MG: Effects of state anxiety on selective processing of threatening information. Cognit Emot 1996;10:225–240.
- Bradley BP, Mogg K, Millar N, White J: Selective processing of negative information: effects of clinical anxiety, concurrent depression, and awareness. J Abnorm Psychol 1995;104:532–536.
- Gotlib IH, Cane DB: Construct accessibility and clinical depression: a longitudinal investigation. J Abnorm Psychol 1987;96:199–204.
- Mogg K, Bradley BP, Williams R, Mathews A: Subliminal processing of emotional information in anxiety and depression. J Abnorm Psychol 1993;102:304–311.
- Mogg K, Bradley BP, Williams R: Attentional bias in anxiety and depression: the role of awareness. Br J Clin Psychol 1995;34:17–36.
- Gotlib IH, McLachlan AL, Katz AN: Biases in visual attention in depressed and nondepressed individuals. Cogn Emot 1988;2:185–200.
- McCabe SB, Gotlib IH: Selective attention and clinical depression: performance on a deployment of attention task. J Abnorm Psychol 1995;104:241–245.
- Sackville T, Schotte DE, Touyz SW, Griffiths R, Beumont PJV: Conscious and preconscious processing of food, body weight and shape, and emotion-related words in women with anorexia nervosa. Int J Eat Disord 1998;23:77–82.
- Walker MK, Ben-Tovim DI, Paddick S, McNamara J: Pictorial adaptation of Stroop measures of body-related concerns in eating disorders. Int J Eat Disord 1995;17:309–311.
- Eysenck MW, Calvo MG: Anxiety and performance: the processing efficiency theory. Cogn Emot 1992;6:409–434.
- Sarason IG, Sarason BR, Keefe DE, Hayes BE, Shearin EN: Cognitive interference: situational determinants and trait-like characteristics. J Pers Soc Psychol 1986;51:215–226.
- Hope D, Heimberg R, Klein J: Social anxiety and the recall of interpersonal information. J Cognit Psychother 1990;4:185–195.
- Daly JA, Vangelisti AL, Lawrence SG: Self-focused attention and public speaking anxiety. Pers Individ Dif 1990;10:903–913.
- Stopa L, Clark D: Cognitive processes in social phobia. Behav Res Ther 1993;31:255–267.
- Mogg K, Mathews A, Eysenck M, May J: Biased cognitive operations in anxiety: artefact, processing priorities or attentional search? Behav Res Ther 1991;29:459–467.
- Rokke PD, Arnell KM, Koch MD, Andrews JT: Dual-task attention deficits in dysphoric mood. J Abnorm Psychol 2002;111:370–379.
- Harvey AG, Greennall E: Catastrophic worry in primary insomnia. J Behav Ther Exp Psychiatry 2003;34:11–23.
- Startup HM, Davey GCL: Mood as input and catastrophic worrying. J Abnorm Psychol 2001;110:83–96.
- Vasey MW, Borkovec TD: A catastrophizing assessment of worrisome thoughts. Cogn Ther Res 1992;16:505–520.
- Morrow J, Nolen-Hoeksema S: Effects of responses to depression on the remediation of depressive affect. J Pers Soc Psychol 1990;58:519–527.
- Nolen-Hoeksema S, Morrow J: A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta earthquake. J Pers Soc Psychol 1991;61:115–121.
- Blaney PH: Affect and memory: a review. Psychol Bull 1986;99:229–246.
- Teasdale JD: Psychological treatments for depression: how do they work? Behav Res Ther 1985;23:157–165.
- Lewis M, Goldberg S: Perceptual-cognitive development in infancy: a generalized expectancy model as a function of the mother-infant interaction. Merrill Palmer Q 1969;15:81–100.
- Murray L, Trevarthen C: Emotional regulation of interactions between two-month-olds and their mothers; in Field TM, Fox NA (eds): Social Perception in Infants. Norwood, Ablex, 1985, pp 177–197.
- Nadel J, Carchon I, Kervella C, Marcelli D, Reserbat-Plantey D: Expectancies for social contingency in 2-month-olds. Dev Sci 1999;2:164–173.
- Rochat P, Striano T: Social-cognitive development in the first year, in Rochat P (ed): Early Social Cognition: Understanding Others in the First Months of Life. Mahwah, Lawrence Erlbaum, 1999, p ix 341.
- Papousek H, Papousek M: Intuitive parenting: a dialectic counterpart to the infant’s integrative competence; in Osofsky JD (ed): Handbook of Infant Development. New York, Wiley, 1987, pp 669–720.
- De Haan M, Nelson CA: Discrimination and categorisation of facial expressions of emotion during infancy; in Slater A (ed): Perceptual Development: Visual, Auditory, and Speech Perception in Infancy. Hove, Psychology Press, 1998, pp 287–309.
- Bigelow AE, Birch SAJ: The effects of contingency in previous interactions on infants’ preference for social partners. Infant Behav Dev 1999;22:367–382.
- Cohn JF, Matias R, Tronick EZ, Connell D, Lyons-Ruth D: Face-to-face interactions of depressed mothers and their infants; in Tronick EZ, Field T (eds): Maternal Depression and Infant Disturbance: New Directions for Child Development. San Francisco, Jossey-Bass, 1986, pp 31–46.
- Field TM: Early interactions between infants and their postpartum depressed mothers. Infant Behav Dev 1984;7:517–522.
- Field T, Healy B, Goldstein S, Perry S, Bendell D, Schanberg S, Zimmerman EA, Kuhn C: Infants of depressed mothers show ‘depressed’ behavior even with non-depressed adults. Child Dev 1988;59:1569–1579.
- Murray L, Fiori-Cowley A, Hooper R, Cooper P: The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcomes. Child Dev 1996;67:2512–2526.
- Murray L, Kempton C, Woolgar M, Hooper R: Depressed mothers’ speech to their infants and its relation to infant gender and cognitive development. J Child Psychol Psychiatry 1993;34:1083–1101.
- Stein A, Gath DH, Bucher J, Bond A, Day A, Cooper PJ: The relationship between postnatal depression and mother-child interaction. Br J Psychiatry 1991;158:46–52.
- Zahn-Waxler C, Iannotti RJ, Cummings EM, Denham S: Antecedents of problem behaviors in children of depressed mothers. Dev Psychopathol 1990;2:271–291.
- Sharp D, Hay DF, Pawlby S, Schmuecker G, Allen H, Kumar R: The impact of postnatal depression on boys’ intellectual development. J Child Psychol Psychiatry 1995;36:1315–1336.
- Teti DM, Gelfand DM: Maternal cognitions as mediators of child outcomes in the context of postpartum depression; in Murray L, Cooper PJ (eds): Postpartum Depression and Child Development. New York, Guilford Press, 1997, pp 136–164.
- Goodman SH, Gotlib IH: Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev 1999;106:458–490.
- Stein A, Woolley H, McPherson K: Conflict between mothers with eating disorders and their infants during mealtimes. Br J Psychiatry 1999;175:455–461.
- Hart S, Field T, Jones N, Yando R: Intrusive and withdrawn behaviours of mothers interacting with their infants and boyfriends. J Child Psychol Psychiatry 1999;40:239–245.
- Papousek H, Papousek M: Fragile aspects of early social integration; in Murray L, Cooper P (eds): Postpartum Depression and Child Development. New York, Guilford Press, 1997, pp 35–53.
- Stanley C, Murray L, Stein A: The effect of postnatal depression on mother-infant interaction, infant response to the still-face perturbation and performance on an instrumental learning task. Dev Psychopathol 2004;16:1–18.
- Yarrow LJ, MacTurk RH, Vietze PM, McCarthy ME, Klein RP, McQuiston S: Development course of parental stimulation and its relationship to mastery motivation during infancy. Dev Psychol 1984;20:492–503.
- Ruddy MG, Bornstein MH: Cognitive correlates of infant attention and maternal stimulation over the first year of life. Child Dev 1982;53:183–188.
- Dunham P, Dunham F: Effects of mother-infant social interactions on infants’ subsequent contingency task performance. Child Dev 1990;61:785–793.
- Belsky J, Goode MK, Most RK: Maternal stimulation and infant exploration: cross-sectional, correlational and experimental analyses. Child Dev 1980;51:1168–1178.
- Brazelton TB, Koslowski B, Main M: The origins of reciprocity: the early mother-infant interaction; in Lewis M, Rosenblum LA (eds): The Effect of the Infant on its Caregiver. New York, Wiley, 1974.
- Jaffe J, Beebe B, Feldstein S, Crown CL, Jasnow MD: Rhythms of dialogue in infancy: coordinated timing in development. Monogr Soc Res Child Dev 2001;66:i–vii, 1–132.
- Ruff HA, Rothbart MK: Attention in early development: themes and variations. New York, Oxford University Press, 1996.
- Stern DN, Beebe B, Jaffe J, Bennett S: The infant’s stimulus world during social interaction: a study of caregiver behaviour with particular reference to repetition and timing; in Schaffer HR (ed): Studies in Mother-Infant Interaction. London, Academic Press, 1977.
- Lawson KR, Ruff HA: Focused attention: assessing a fundamental cognitive process in infancy; in Singer LT, Sanford P (eds): Biobehavioral Assessment of the Infant. New York, Guilford Press, 2001, pp 293–311.
- Slater A: Individual differences in infancy and later IQ. J Child Psychol Psychiatry 1995;36:69–112.
- Breznitz Z, Friedman SL: Toddler’s concentration: does maternal depression make a difference? J Child Psychol Psychiatry 1988;29:267–279.
- Kochanska G, Coy KC, Tjebkes TL, Husarek SJ: Individual differences in emotionality in infancy. Child Dev 1998;69:375–390.
- Kochanska G, Murray KT, Harlan ET: Effortful control in early childhood: continuity and change, antecedents, and implications for social development. Dev Psychol 2000;36:220–232.
- Rothbart MK, Ziaie H, O’Boyle CG: Self-regulation and emotion in infancy; in Eisenberg N, Fabes RA (eds): Emotion and its Regulation in Early Development: New Directions for Child Development. San Francisco, Jossey-Bass, 1992, vol 55, pp 7–23.
- Belsky J, Friedman SL, Hsieh KH: Testing a core emotion-regulation prediction: does early attentional persistence moderate the effect of infant negative emotionality on later development? Child Dev 2001;72:123–133.
- Butterworth G: The ontogeny and phylogeny of joint visual attention; in Whiten A (ed): Natural Theories of Mind: Evolution, Development and Simulation of Everyday Mind-Reading. Oxford, Blackwell, 1991, p xiv 362.
- Moore C, Corkum V: Social understanding at the end of the first year of life. Dev Rev 1994;14:349–372.
- Trevarthen C, Hubley P: Secondary intersubjectivity: confidence, confiding and acts of meaning in the first year; in Lock A (ed): Action, Gesture, and Symbol: The Emergence of Language. London, Academic Press, 1978, pp 183–229.
- Reddy V, Hay D, Murray L, Trevarthen C: Communication in infancy: mutual regulation of affect and attention; in Bremner G, Slater A, Butterworth G (eds): Infant Development: Recent Advances. Hove, Psychology Press, 1997.
- Feinman S, Roberts D, Hsieh K-F, Sawyer D, Swanson D: A critical review of social referencing in infancy, in Feinman S (ed): Social Referencing and The Social Construction of Reality in Infancy. New York, Plenum, 1992.
- Hobson PR, Patrick MPH, Crandell LE, Garcia-Perez RM, Lee A: Maternal sensitivity and infant triadic communication. J Child Psychol Psychiatry 2004;45:470–480.
- Tomasello M: Joint attention as social cognition; in Moore C, Dunham P (eds): Joint Attention: Its Origins and Role in Development. Hillsdale, England, Lawrence Erlbaum Associates, 1995, pp 103–130.
- Roggman LA: Assessing social interactions of mothers and infants through play; in Schaefer CE, Gitlin K, Sandgrund A (eds): Play Diagnosis and Assessment. New York, Wiley, 1991, pp 427–462.
- Stern DN: The Interpersonal World of the Infant: A View from Psychoanalysis and Developmental Psychology. New York, Basic Books, 1985.
- Tronick EZ: Emotions and emotional communication in infants. Am Psychol 1989;44:112–119.
- Isabella RA, Belsky J: Interactional synchrony and the origins of infant-mother attachment: a replication study. Child Dev 1991;62:373–384.
- Craske MG: The origins of phobias and anxiety disorders: why more women than men. Oxford, Elsevier Science, 2003.
- Barlow DH: Anxiety and its disorders: the nature and treatment of anxiety and panic. New York, Guilford Press, 1988.
- Juffer F, Hoksbergen RAC, Riksen-Walraven JM, Kohnstamm GA: Early intervention in adoptive families: supporting maternal sensitive responsiveness, infant-mother attachment, and infant competence. J Child Psychol Psychiatry 1997;38:1039–1050.
- Murray L, Cooper PJ: Postpartum depression and child development. New York, Guilford Press, 1997.
Professor Alan Stein
University of Oxford, Department of Psychiatry
Oxford OX3 7JX (UK)
Tel. +44 1865 223 911, Fax +44 1865 226 384, E-Mail firstname.lastname@example.org
Received: July 19, 2007
Accepted after revision: April 17, 2008
Published online: November 20, 2008
Number of Print Pages : 11
Number of Figures : 0, Number of Tables : 0, Number of References : 141
Psychopathology (International Journal of Descriptive and Experimental Psychopathology, Phenomenology and Psychiatric Diagnosis)
Vol. 42, No. 1, Year 2009 (Cover Date: January 2009)
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