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Journal of Interpersonal Violence Nov 2022Investigations have found maternal adverse childhood experiences (ACEs) cause an intergenerational danger to their children's health. However, no study has investigated...
Investigations have found maternal adverse childhood experiences (ACEs) cause an intergenerational danger to their children's health. However, no study has investigated the effects of maternal ACEs on behavioral problems of preschool children in China and gender differences on these effects. This paper aims to investigate the role of maternal ACEs on behavioral problems of preschool children in China and explore gender differences as related to these behavioral problems. Stratified cluster sampling method was used to select 7318 preschool children from 12 districts in Hefei city, China. A questionnaire survey was conducted to collect information on maternal exposure to ACEs and Conners' Parent Rating Scales. Logistic regression was used to analyze the relationship between maternal ACEs and children's behavioral problems. The prevalence of behavioral problems in preschool children was 16.0%, while it was higher among girls (18.4%) than boys (13.92%) (χ = 27.979, < 0.001). The rate of behavioral problems in children in the group of mothers with ACEs was higher than those without ACEs (all < 0.05). Maternal ACEs were associated with increased risk of the behavior problems in preschool children (adjusted OR 2.91, 95% CI 2.45-3.45), and no gender difference (in girls 3.01, 2.38-3.81, in boys 2.79, 2.17-3.58, respectively) was found. Maternal ACEs were associated with increased risk of each type of the behavioral problems of preschool children, except that maternal emotional neglect was not associated with psycho-physical problems, impulse-activities, and anxiety. The only gender differences found were higher conduct problems related to maternal emotional abuse and ACEs and higher anxiety related to maternal physical abuse and community violence in girls compared with boys. Mothers exposured to ACEs are more likely to have children with behavioral health problems in preschool period. Further research is needed to explore the mechanisms by which maternal ACEs influence children's behavioral problems.
Topics: Adverse Childhood Experiences; Anxiety; Child, Preschool; Female; Humans; Male; Mothers; Problem Behavior
PubMed: 34652992
DOI: 10.1177/08862605211050093 -
Research on Child and Adolescent... Feb 2022Models of transdiagnostic family emotion processes recognize parents' emotion-related characteristics and behaviors as key contributors to child emotional development...
Models of transdiagnostic family emotion processes recognize parents' emotion-related characteristics and behaviors as key contributors to child emotional development and psychological functioning. One such psychological outcome, child anxiety, is prevalent and early emerging, underscoring the importance of identifying early family- and emotion-related mechanisms involved in anxiety risk. We investigated the extent to which mother and child emotion-related traits and behaviors related to child anxiety in a community sample of 175 mother-child dyads. Using three time-points (child ages 2-4 years, assessments 1 year apart), we examined how mothers' emotion dysregulation predicted their emotion socialization practices (either supportive or non-supportive) and children's emotion regulation (ER; either attention- or caregiver-focused) over time, in relation to later child anxiety. Models controlled for child inhibited temperament and also tested the role of maternal anxiety in these trajectories. Mothers reported on their emotion dysregulation, emotion socialization, and their own and their child's anxiety, whereas child ER and inhibited temperament were measured using laboratory observation. In supportive emotion socialization models, maternal emotion dysregulation predicted child anxiety 2 years later. An indirect effect emerged, such that greater maternal emotion dysregulation predicted greater non-supportive emotion socialization, which in turn related to children's greater caregiver-focused ER. Maternal emotion dysregulation, maternal anxiety, and child inhibited temperament each predicted child anxiety above and beyond other variables, although their shared variance likely accounted for some of the results. Findings lend partial support to current theoretical models of transdiagnostic family emotion processes and child anxiety development, suggesting promising avenues of future research.
Topics: Anxiety; Child, Preschool; Emotional Regulation; Emotions; Female; Humans; Mothers; Socialization
PubMed: 33821371
DOI: 10.1007/s10802-021-00804-1 -
Midwifery Jul 2022The aim of this study was to determine maternal attachment and mental health status in mothers of babies with infantile colic.
PURPOSE
The aim of this study was to determine maternal attachment and mental health status in mothers of babies with infantile colic.
DESIGN
Cross-sectional online survey.
SETTING
The study was conducted on messaging and social media platforms, and groups related to mothers and babies.
PARTICIPANTS
380 mothers, 107 of whom had babies with infantile colic and 273 of whom had healthy babies, participated in the study.
MEASUREMENT TOOLS AND FINDINGS
A Personal Information Form, the Maternal Attachment Inventory, and the Depression, Anxiety and Stress Scale were used to collect data. No statistically significant relationship was found between infantile colic status and maternal attachment. The depression, anxiety and stress scores of the mothers who had babies with infantile colic were significantly higher compared to the mothers with healthy babies (p<0.05). Additionally, as the depression scores of the mothers increased, their maternal attachment levels decreased (p <0.05).
KEY CONCLUSIONS
Maternal depression, anxiety and stress make it difficult for mothers to provide care for their babies. Therefore, health professionals should screen mothers who have babies with infantile colic in the postpartum period in terms of mental health. Besides, the mothers should be provided with support to assist them in coping with their Babies' colic.
IMPLICATIONS FOR PRACTICE
Health professionals should be aware that infantile colic negatively affects the mental health of mothers and increases the frequency of follow-ups of these mothers in the postpartum period. More research is needed to examine the effects of infantile colic on maternal attachment.
Topics: Colic; Cross-Sectional Studies; Depression, Postpartum; Female; Health Status; Humans; Infant; Mother-Child Relations; Mothers
PubMed: 35486961
DOI: 10.1016/j.midw.2022.103339 -
Pediatric Research Jul 2022The pre- and postnatal programming mechanisms, timing, and direction of effects linking maternal early exposure to violence (MEEV), psychopathology, and child adaptive...
BACKGROUND
The pre- and postnatal programming mechanisms, timing, and direction of effects linking maternal early exposure to violence (MEEV), psychopathology, and child adaptive functioning are understudied. Thus, the following hypotheses were tested: (H1) higher pre- and postnatal maternal psychopathology will predict lower adaptive functioning, (H2) lower adaptive functioning will predict higher subsequent maternal psychopathology, (H3) cumulative effects of MEEV on maternal psychopathology and adaptive functioning will be observed, and (H4) higher MEEV will predict lower adaptive functioning via maternal psychopathology both pre- and postnatally.
METHODS
Prospective pregnancy cohort study including 1503 mother-child dyads with associations between MEEV, psychopathology, and child adaptive functioning examined using cross-lagged panel analysis. Assessment occurred in the third trimester and annually across the first four years of life.
RESULTS
Higher pre- and postnatal maternal psychopathology predicted lower child adaptive functioning at 12 and 24 months, respectively. MEEV predicted maternal psychopathology cumulatively and offered a repeated prediction of adaptive functioning across the first two years of the child's life, operating predominantly through maternal psychopathology during pregnancy. Child effects on mothers were not observed.
CONCLUSIONS
Like in socioemotional assessment, pediatric assessment of child adaptive functioning should consider the intergenerational transmission of MEEV.
IMPACT
Associations between maternal early exposure to violence (MEEV), psychopathology, and child socioemotional development is well documented. Much less is known about the pre- and postnatal programming mechanisms, timing, and direction of effects between MEEV, maternal psychopathology, and child adaptive functioning. Findings suggest associations of both prenatal and postnatal maternal psychopathology with child adaptive functioning, though the effects of MEEV were more strongly operative through the prenatal pathway. Pediatric assessment and interventions surrounding adaptive functioning should consider the potential role of MEEV in shaping children's health and development, in addition to potential consequences of pre- and postnatal maternal mental health.
Topics: Child; Cohort Studies; Exposure to Violence; Female; Humans; Mental Disorders; Mothers; Pregnancy; Prospective Studies
PubMed: 35250026
DOI: 10.1038/s41390-022-01954-8 -
Sexual & Reproductive Healthcare :... Mar 2023Breastfeeding practices remain globally suboptimal despite many known maternal and neonatal health benefits and the Baby-Friendly Hospital Initiative as a global effort... (Clinical Trial)
Clinical Trial
BACKGROUND
Breastfeeding practices remain globally suboptimal despite many known maternal and neonatal health benefits and the Baby-Friendly Hospital Initiative as a global effort to support breastfeeding.
OBJECTIVE
We aimed to evaluate the effects of the implementation of the Baby-Friendly Hospital Initiative for a proportion of mothers who exclusively breastfed during a 6-month period, including breastfeeding problems, and maternal breastfeeding attitudes.
METHODS
Using a quasi-experimental non-equivalent two-group design, we recruited two independent samples of postpartum mothers in a maternity hospital to compare the situation before (N = 162) and after (N = 163) the implementation. We measured breastfeeding status and possible breastfeeding problems via text-message questions at 2 weeks, 1, 4 and 6 months after birth. We measured Mothers' attitudes toward breastfeeding at the maternity hospital and 4 months after birth using the Iowa Infant Feeding Attitude Scale.
RESULTS
The implementation of the Baby-Friendly Hospital Initiative had no effect on the proportion of mothers who exclusively breastfed, and we found no significant differences in exclusive breastfeeding at 6 months (41.3 % vs 52.9 %, p =.435). The intervention did not influence the reported number of breastfeeding problems (p =.260) or maternal breastfeeding attitudes (p =.354). More favourable breastfeeding attitudes (p <.001) and less problematic breastfeeding (p <.001) were associated positively with exclusive breastfeeding.
CONCLUSION
Exclusive breastfeeding rates did not increase after the intervention; however, the rates at baseline were already high. Ensuring the Baby-Friendly Hospital Initiative practices through pre- and postnatal periods and preparing mothers to manage common breastfeeding problems might improve breastfeeding rates. This trial was registered (0307-0041) with ClinicalTrials.gov on 03/03/2017.
Topics: Female; Humans; Infant; Infant, Newborn; Pregnancy; Breast Feeding; Health Promotion; Hospitals, Maternity; Mothers; Postpartum Period
PubMed: 36521260
DOI: 10.1016/j.srhc.2022.100806 -
Infancy : the Official Journal of the... May 2022Mother-infant synchrony is one of the most important processes in the development of socio-affective competencies in children. While maternal abilities and...
Mother-infant synchrony is one of the most important processes in the development of socio-affective competencies in children. While maternal abilities and psychopathology are related to maladaptive mother-infant synchrony, it is as yet unclear how maternal emotion regulation difficulties contribute to it. Based on a panel of behavioral indicators (i.e., gaze, vocal, and motor), the present study examined mother-infant synchrony at 6 months of age in a modified version of Ainsworth's Strange Situation (n = 72 dyads). Mother-infant interaction sequences were characterized by indicators of complexity (LZ complexity of joint behavioral sequences) and of synchronization quality (cross-recurrence plot quantification). Results showed that mothers' touch was greater in the reunion condition than in the initial condition. Mothers' motor behaviors were associated with the global levels of infants' behavioral involvement in the reunion condition, unlike the symmetrical influence observed between mothers and infants in the initial condition. Results show that maternal anxiety mediates the relationships between mothers' emotion regulation difficulties and gaze, vocal, and motor synchrony between mothers and infants in the initial and reunion conditions. This study emphasizes the central role of maternal emotion regulation difficulties in the establishment of maladaptive synchrony and in the adjustments of maternal physical contacts with infants.
Topics: Child; Emotional Regulation; Female; Humans; Infant; Infant Behavior; Mother-Child Relations; Mothers
PubMed: 35170196
DOI: 10.1111/infa.12461 -
Archives of Women's Mental Health Dec 2022Maternal depression negatively impacts child mental health and is a well-known risk factor for child psychopathology. However, maternal depression treatment and child... (Review)
Review
Maternal depression negatively impacts child mental health and is a well-known risk factor for child psychopathology. However, maternal depression treatment and child mental health treatment are rarely integrated. The purpose of this review was to assess the impact of maternal depression on child mental health treatment, including (1) how treatment of maternal depression affects child mental health outcomes, (2) the impact of maternal depression on children receiving mental health care, and (3) emerging models that address maternal depression in primary-care pediatrics and child mental health settings. A systematic literature review was conducted using PubMed and PsycInfo. Initial search yielded 224 records, and after exclusion, 29 papers were reviewed. Effective treatment of maternal depression is associated with a significant decrease in child psychiatric symptoms. Maternal depression negatively affects child mental health treatment in that there is a high rate of untreated mental illness among mothers of psychiatrically ill children, and maternal depression impedes effective child mental health treatment. Current models to address maternal depression in child settings include screening in pediatric primary care, psychotherapy for depressed mothers of psychiatrically ill children, and emerging models that integrate maternal and child mental health treatment. Effective treatment of maternal depression significantly improves child mental health and should be better integrated into child treatment. Opportunities to improve care include more robust screening for parental mental illness, supports to refer parents to psychiatric care, and on-site services for parents. Such interventions hold promise, but require significant support from a multidisciplinary team.
Topics: Female; Child; Humans; Mental Health; Psychotherapy; Mothers; Child of Impaired Parents; Mental Disorders
PubMed: 36327004
DOI: 10.1007/s00737-022-01272-2 -
Eastern Mediterranean Health Journal =... Sep 2023Adolescent motherhood can cause lifelong health inequalities for mothers and children.
BACKGROUND
Adolescent motherhood can cause lifelong health inequalities for mothers and children.
AIMS
To compare the frequency of negative birth outcomes and stunting among children aged ≤ 5 years born to adolescent and non-adolescent mothers.
METHODS
This was a secondary analysis of the Demographic and Health Survey data of 2755 adolescent and non-adolescent mothers aged 15-49 years who had a negative birth outcome and their children aged 0-5 years in Türkiye. The data were analysed using SPSS version 25.0.
RESULTS
Term low birthweight and stunting were significantly higher among children of adolescent mothers. Multivariable analysis revealed that lack of education, poverty, and living in eastern Türkiye increased the risk of delivering a term low birthweight infant. The risk of being stunted was 2.22 times higher among women with lower socioeconomic status, and 2.86 times higher among low birthweight infants.
CONCLUSION
Our results show that macroenvironmental factors have a marked impact on maternal and child health, especially among women with lower socioeconomic status. Improving maternal education, income, and other socioeconomic inequalities can help improve maternal and child health in Türkiye.
Topics: Infant; Child; Humans; Female; Adolescent; Adolescent Mothers; Birth Weight; Mothers; Growth Disorders; Poverty
PubMed: 37776131
DOI: 10.26719/emhj.23.074 -
Journal of Family Psychology : JFP :... Sep 2022Maternal sensitive parenting behavior has been shown to account, at least partially, for the relation between family background and children's language and behavioral...
Maternal sensitive parenting behavior has been shown to account, at least partially, for the relation between family background and children's language and behavioral outcomes. Yet, as previous studies often used a rather global or domain-general measure of maternal sensitivity, it remains an open question whether different domains of child development are influenced by the different facets of maternal sensitivity. Thus, this study investigated whether specific parenting behaviors differentially mediated the association between maternal education and children's language and social competence. Drawing on 2,478 mother-child dyads from the German National Educational Panel Study, we distinguished mothers' sensitive parenting behavior as and . These two observed specific parenting behaviors at 26 months were modeled as separate pathways linking maternal education and children's language outcomes at 26 months as well as children's social competence at 38 months. All analyses controlled for family net income, single parenthood, migration background, mother's depressive feelings, and child's negative affectivity. The results indicated that the mother's cognitive-verbally stimulating parenting behavior was specifically related to the children's language skills, whereas mother's socioemotionally supportive parenting behavior specifically predicted children's later social competence. Furthermore, these two separable parenting behaviors differentially mediated the association between maternal education and toddler's language and social competence. Most notably, children's language additionally mediated the relation between maternal education and children's social competence. The findings suggest that domain-specific intervention programs have the potential to promote early language and social development efficiently. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Topics: Child, Preschool; Female; Humans; Language; Mother-Child Relations; Mothers; Parent-Child Relations; Parenting; Social Skills
PubMed: 35025535
DOI: 10.1037/fam0000950 -
Journal of Family Psychology : JFP :... Apr 2023The relations between maternal sensitivity and infant negative emotionality have been tested extensively in the previous literature. However, the extent to which these...
The relations between maternal sensitivity and infant negative emotionality have been tested extensively in the previous literature. However, the extent to which these associations reflect unidirectional or bidirectional effects over time remains somewhat uncertain. Further, the possibility that maternal characteristics moderate the extent to which infant negative emotionality predicts maternal sensitivity over time has yet to be tested in cross-lag models. The goal of the present study is to address these gaps. First time mothers ( = 259; 50% White; 50% Black) and their infants participated when infants were 6, 14, and 26 months of age. Infant negative emotionality was assessed via maternal report and direct observation during standardized laboratory tasks, which were subsequently combined to yield a multimethod measure at each wave. Maternal sensitivity was observationally coded at each wave and mothers self-reported emotion dysregulation at 6 and 14 months. A random intercepts cross-lagged model with maternal emotion dysregulation specified as a moderator revealed that infant negative emotionality at 6 months was negatively associated with maternal sensitivity at 14 months, but only among mothers higher in emotion dysregulation. Higher maternal sensitivity was in turn associated with lower infant negative emotionality when infants were 26 months of age. The indirect pathway was significant, lending support for the transactional model. Implications for future research and prevention/intervention are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Topics: Female; Humans; Infant; Emotions; Mothers; Infant Behavior; Mother-Child Relations
PubMed: 36689388
DOI: 10.1037/fam0001060