Psychopathology

 

Mother-Infant Emotion Regulation at Three Months: The Role of Maternal Anxiety, Depression and Parenting Stress

Riva Crugnola C.a · Ierardi E.a · Ferro V.a · Gallucci M.a · Parodi C.b · Astengo M.b

Author affiliations

aDepartment of Psychology, University of Milano-Bicocca, Milan, and bDepartment of Maternal and Child Health, Primary Care and District Activities, Savona, Italy

Related Articles for ""

Psychopathology 2016;49:285-294

Log in to MyKarger to check if you already have access to this content.


Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!


If you would like to redeem your KAB credit, please log in.


Save over 20% compared to the individual article price.

Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply

Rental: USD 8.50
Cloud: USD 20.00

Select

Subscribe

  • Access to all articles of the subscribed year(s) guaranteed for 5 years
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select
* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of  

Received: February 02, 2016
Accepted: May 08, 2016
Published online: July 14, 2016
Issue release date: October 2016

Number of Print Pages: 10
Number of Figures: 0
Number of Tables: 5

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: https://www.karger.com/PSP

Abstract

Background: While the association between anxiety and postpartum depression is well known, few studies have investigated the relationship between these two states and parenting stress. Furthermore, a number of studies have found that postpartum depression affects mother-infant emotion regulation, but there has been only one study on anxiety and emotion regulation and no studies at all on parenting stress and emotion regulation. Therefore, the primary aim of our study is to identify, in a community sample of 71 mothers, the relationship between maternal depression, anxiety, and parenting stress. The second aim is to examine the relationship between anxiety, postpartum depression, and parenting stress and mother-infant emotion regulation assessed at 3 months. Methods: Mother-infant interaction was coded with a modified version of the Infant Caregiver and Engagement Phases (ICEP) using a microanalytic approach. The Edinburgh Postnatal Depression Scale (EPDS), State-Trait Anxiety Inventory (STAI), and Parenting Stress Index-Short Form (PSI-SF) were administered to the mothers to assess depression, anxiety, and parenting stress, respectively. Results: Analysis revealed correlations between anxiety and depression, showing that parenting stress is associated with both states. In a laboratory observation, depression was correlated with both negative maternal states and negative dyadic matches as well as infant positive/mother negative mismatches; anxiety was correlated with both negative maternal states and infant negative states as well as mismatches involving one of the partners having a negative state. Multiple regression analysis showed that anxiety is a greater predictor than depression of less adequate styles of mother-infant emotion regulation. Parenting stress was not shown to predict such regulation.

© 2016 S. Karger AG, Basel




Related Articles:


References

  1. Reck C, Struben K, Backenstrass M, Backenstrass M, Stefenelli U, Reinig K, Fuchs T, Sohn C, Mundt C: Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders. Acta Psychiatr Scand 2008;118:459-468.
  2. O'Hara MW, McCabe JE: Postpartum depression: current status and future directions. Annu Rev Clin Psychol 2013;9:379-407.
  3. Weissman MM, Warner V, Wickramaratne P, Moreau D, Olfson M: Offspring of depressed parents: 10 years later. Arch Gen Psychiatry 1997;54:932-940.
  4. Murray L, Arteche A, Fearon P, Halligan S, Goodyer I, Cooper P: Maternal postnatal depression and the development of depression in offspring up to 16 years of age. J Am Acad Child Adolesc Psychiatry 2011;50:460-470.
  5. Kim-Cohen J, Moffitt TE, Taylor A, Pawlby SJ, Caspi A: Maternal depression and children's antisocial behavior. Arch Gen Psychiatry 2005;62:173-181.
  6. Tronick E, Reck C: Infants of depressed mothers. Harv Rev Psychiatry 2009;17:147-156.
  7. Feldman R, Granat A, Pariente C, Kanety H, Kuint J, Gilboa-Schechtman E: Maternal depression and anxiety across the postpartum year and infant social engagement, fear regulation, and stress reactivity. J Am Acad Child Adolesc Psychiatry 2009;48:919-927.
  8. Beebe B, Lachmann F, Jaffe J, Markese S, Buck KA, Chen H, Cohen P, Feldstein S, Andrews H: Maternal postpartum depressive symptoms and 4-month mother-infant interaction. Psychoanal Psychol 2012;29:383-407.
    External Resources
  9. Field T: Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behav Dev 2010;33:1-6.
  10. Reck C, Noe D, Stefenelli U, Fuchs T, Cenciotti F, Stehle E, Mundt C, Downing G, Tronick EZ: Interactive coordination of currently depressed inpatient mothers and their infants during the postpartum period. Infant Ment Health J 2011;32:542-562.
    External Resources
  11. Britton JR: Pre-discharge anxiety among mothers of well newborns: prevalence and correlates. Acta Paediatr 2007;94:1771-1776.
  12. Matthey S, Barnett B, Howie P, Kavanagh DJ: Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety? J Affect Disord 2003;74:139-147.
  13. Andersson L, Sundström-Poromaa I, Wulff M, Åström M, Bixo M: Depression and anxiety during pregnancy and six months postpartum: a follow-up study. Acta Obstet Gynecol Scand 2006;85:937-944.
  14. Barker ED, Jaffee SR, Uher R, Maughan B: The contribution of prenatal and postnatal maternal anxiety and depression to child maladjustment. Depress Anxiety 2011;28:696-702.
  15. Warren SL, Gunnar MR, Kagan J, Anders TF, Simmens SJ, Rones M, Wease S, Aron E, Dahl RE, Sroufe LA: Maternal panic disorder: infant temperament, neurophysiology, and parenting behaviors. J Am Acad Child Adolesc Psychiatry 2003;42:814-825.
  16. 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.
  17. Beebe B, Steele M, Jaffe J, Buck KA, Chen H, Cohen P, Kaitz M, Markese S, Andrews H, Margolis A, Feldstein S: Maternal anxiety symptoms and mother-infant self- and interactive contingency. Infant Ment Health J 2011;32:174-206.
  18. Kaitz M, Maytal HR, Devor N, Bergman L, Mankuta D: Maternal anxiety, mother-infant interactions, and infants' response to challenge. Infant Behav Dev 2010;33:136-148.
  19. Abidin RR: Parenting Stress Index, ed 3. Professional Manual. Odessa, Psychological Assessment Resources, 1995.
  20. Sidor A, Kunz E, Schweyer D, Eickhorst A, Cierpka M: Links between maternal postpartum depressive symptoms, maternal distress, infant gender and sensitivity in a high-risk population. Child Adolesc Psychiatry Ment Health 2011;5:7.
  21. Misri S, Kendrick K, Oberlander TF, Norris S, Tomfohr L, Zhang H, Grunau RE: Antenatal depression and anxiety affect postpartum parenting stress: a longitudinal, prospective study. Can J Psychiatry 2010;55:222-228.
    External Resources
  22. Mills-Koonce WR, Appleyard K, Barnett M, Deng M, Putallaz M, Cox M: Adult attachment style and stress as risk factors for early maternal sensitivity and negativity. Infant Ment Health J 2011;32:277-285.
  23. Tharner A, Luijk MP, van IJzendoorn MH, Bakermans-Kranenburg MJ, Jaddoe VWV, Hofman A, Verhulst FC, Tiemeier H: Infant attachment, parenting stress, and child emotional and behavioral problems at age 3 years. Parenting 2012;12:261-281.
    External Resources
  24. Brockington I: Postpartum psychiatric disorders. Lancet 2004;363:303-310.
  25. Tronick EZ, Messinger DS, Weinberg MK, Lester BM, Lagasse L, Seifer R, Bauer CR, Shankaran S, Bada H, Wright LL, Poole K, Liu J: Cocaine exposure is associated with subtle compromises of infants' and mothers' social-emotional behavior and dyadic features of their interaction in the face-to-face still-face paradigm. Dev Psychol 2005;41:711-722.
  26. Tronick EZ, Weinberg M: Depressed mothers and infants: the failure to form dyadic states of consciousness; in Murray L, Cooper P (eds): Postpartum Depression and Child Development. New York, Guilford, 1997, pp 54-81.
  27. Tronick E, Beeghly M: Infants' meaning-making and the development of mental health problems. Am Psychol 2011;66:107-119.
  28. Cassidy J: Emotion regulation: influences of attachment relationships. Monogr Soc Res Child Dev 2008;59:228-249.
  29. Riva Crugnola C, Tambelli R, Spinelli M, Gazzotti S, Caprin C, Albizzati A: Attachment patterns and emotion regulation strategies in the second year. Infant Behav Dev 2011;34:136-151.
  30. Sroufe LA: Attachment and development: a prospective, longitudinal study from birth to adulthood. Attach Hum Dev 2005;7:349-367.
  31. Weinberg MK, Olson KL, Beeghly M, Tronick EZ: Making up is hard to do, especially for mothers with high levels of depressive symptoms and their infant sons. J Child Psychol Psychiatry 2006;47:670-683.
  32. Riva Crugnola C, Gazzotti S, Spinelli M, Ierardi E, Caprin C, Albizzati A: Maternal attachment influences mother-infant styles of regulation and play with objects at nine months. Attach Hum Dev 2013;15:107-131.
  33. Lyons-Ruth K: The interface between attachment and intersubjectivity: perspective from the longitudinal study of disorganized attachment. Psychoanal Inq 2006;26:595-616.
    External Resources
  34. Beebe B, Jaffe J, Markese S, Buck K, Chen H, Cohen P, Bahrick L, Andrews H, Feldstein S: The origins of 12-month attachment: a microanalysis of 4-month mother-infant interaction. Attach Hum Dev 2010;12:3-141.
  35. Riva Crugnola C, Ierardi E, Gazzotti S, Albizzati A: Motherhood in adolescent mothers: maternal attachment, mother-infant styles of interaction and emotion regulation at three months. Infant Behav Dev 2014;37:44-56.
  36. Benvenuti P, Ferrara M, Niccolai C, Valoriani V, Cox JL: The Edinburgh Postnatal Depression Scale: validation for an Italian sample. J Affect Disord 1999;53:137-141.
  37. Spielberger CD, Pedrabissi L, Santinello M: STAI State-Trait Anxiety Inventory Forma Y. Florence, Giunti, 2012.
  38. Guarino A, Di Blasio P, D'Alessio M, Camisasca E, Serantoni G: Parenting Stress Index-Short Form. Florence, Giunti, 2008.
  39. Weinberg MK, Tronick EZ: Infant and Caregiver Engagement Phases (ICEP). Unpublished Scoring Manual. Boston, Boston Children's Hospital/Harvard Medical School, 1999.
  40. Bakeman R, Quera V: Analyzing Interaction: Sequential Analysis with SDIS and GSEQ. New York, Cambridge University Press, 1995.
  41. Tronick EZ, Weinberg MK: Gender differences and their relation to maternal depression; in Johnson SL, Hayes AM, Field TM, Schneiderman N, McCabe PM (eds): Stress, Coping and Depression. London, Lawrence Erlbaum Associates, 2000, pp 23-34.
  42. Weinberg MK, Tronick EZ, Cohn JF, Olson KL: Gender differences in emotional expressivity and self-regulation during early infancy. Dev Psychol 1999;35:175-188.
  43. Agrati D, Browne D, Jonas W, Meaney M, Atkinson L, Steiner M, Fleming AS; MAVAN Research Team: Maternal anxiety from pregnancy to 2 years postpartum: transactional patterns of maternal early adversity and child temperament. Arch Womens Ment Health 2015;18:693-705.
  44. Robertson E, Grace S, Wallington T, Stewart DE: Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 2004;26:289-295.
  45. Riva Crugnola C, Ierardi E, Albizzati A, Downing G: Effectiveness of an attachment-based intervention program in promoting emotion regulation and attachment in adolescent mothers and their infants: a pilot study. Front Psychol 2016;7:195.

Article / Publication Details

First-Page Preview
Abstract of  

Received: February 02, 2016
Accepted: May 08, 2016
Published online: July 14, 2016
Issue release date: October 2016

Number of Print Pages: 10
Number of Figures: 0
Number of Tables: 5

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: https://www.karger.com/PSP


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
TOP