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Disrupted caregiving behavior as a mediator of the relation between disrupted prenatal maternal representations and toddler social–emotional functioning

Published online by Cambridge University Press:  02 March 2021

Katherine L. Guyon-Harris Open the ORCID record for Katherine L. Guyon-Harris [Opens in a new window] ,
Sarah M. Ahlfs-Dunn ,
Sheri Madigan ,
Elisa Bronfman ,
Diane Benoit  and
Alissa C. Huth-Bocks
Katherine L. Guyon-Harris*
Affiliation:
Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Sarah M. Ahlfs-Dunn
Affiliation:
Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA
Sheri Madigan
Affiliation:
Department of Psychology, University of Calgary, Calgary, Alberta, Canada Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
Elisa Bronfman
Affiliation:
Boston Children's Hospital/Harvard Medical School, Boston, MA, USA
Diane Benoit
Affiliation:
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
Alissa C. Huth-Bocks
Affiliation:
Department of Pediatrics, Rainbow Babies & Children's Hospital, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA
*
Author for Correspondence: Katherine Guyon-Harris, PhD, University of Pittsburgh, Department Pediatrics, 3414 5th Ave., CHOB 3rd floor, Pittsburgh, PA 15213, USA; E-mail: guyonharriskl@upmc.edu
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Abstract

The development of maternal representations of the child during pregnancy guides a mother’s thoughts, feelings, and behavior toward her child. The association between prenatal representations, particularly those that are disrupted, and toddler social-emotional functioning is not well understood. The present study examined associations between disrupted prenatal representations and toddler social-emotional functioning and to test disrupted maternal behavior as a mediator of this association. Data were drawn from 109 women from a larger prospective longitudinal study (N=120) of women and their young children. Prenatal disrupted maternal representations were assessed using the Working Model of the Child Interview disrupted coding scheme, while disrupted maternal behavior was coded 12-months postpartum from mother-infant interactions. Mother-reported toddler social-emotional functioning was assessed at ages 12 and 24 months. Disrupted prenatal representations significantly predicted poorer toddler social-emotional functioning at 24 months, controlling for functioning at 12 months. Further, disrupted maternal behavior mediated the relation between disrupted prenatal representations and toddler social-emotional problems. Screening for disrupted representations during pregnancy is needed to facilitate referrals to early intervention and decrease the likelihood of toddler social-emotional problems.

Keywords

disruptedmaternal behaviorprenatal representationstoddler social-emotional functioningtransmission
Type
Regular Article
Information
Development and Psychopathology , Volume 34 , Issue 3 , August 2022 , pp. 755 - 763
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Aspelmeier, J. E., Elliott, A. N., & Smith, C. H. (2007). Childhood sexual abuse, attachment, and trauma symptoms in college females: The moderating role of attachment. Child Abuse & Neglect, 31, 549–566. doi:10.1016/J.CHIABU.2006.12.002CrossRefGoogle ScholarPubMed
Ballen, N., Bernier, A., Moss, E., Tarabulsy, G. M., & St-Laurent, D. (2010). Insecure attachment states of mind and atypical caregiving behavior among foster mothers. Journal of Applied Developmental Psychology, 31, 118–125. doi:10.1016/j.appdev.2009.10.001.CrossRefGoogle Scholar
Barroso, N. E., Hungerford, G. M., Garcia, D., Graziano, P. A., & Bagner, D. M. (2016). Psychometric properties of the parenting stress index-short form (PSI-SF) in a high-risk sample of mothers and their infants. Psychological Assessment, 28, 1331–1335. doi:10.1037/pas0000257CrossRefGoogle Scholar
Benoit, D., Madigan, S., Lecce, S., Shea, B., & Goldberg, S. (2001). Atypical maternal behavior toward feeding-disordered infants before and after intervention. Infant Mental Health Journal, 22, 611–626. doi:10.1002/imhj.1022CrossRefGoogle Scholar
Benoit, D., Parker, K. C. H., & Zeanah, C. H. (1997a). Mothers’ representations of their infants assessed prenatally: Stability and association with infants’ attachment classifications. Journal of Child Psychology and Psychiatry, 38, 307–313. doi:10.1111/j.1469-7610.1997.tb01515.xCrossRefGoogle Scholar
Benoit, D., Zeanah, C. H., Parker, K. C., Nicholson, E., & Coolbear, J. (1997b). “Working Model of the Child Interview”: Infant clinical status related to maternal perceptions. Infant Mental Health Journal, 18, 107–121.3.0.CO;2-N>CrossRefGoogle Scholar
Bosquet Enlow, M., Egeland, B., Carlson, E., Blood, E., & Wright, R. J. (2014). Mother-infant attachment and the intergenerational transmission of posttraumatic stress disorder. Development and Psychopathology, 26, 41–65. doi:10.1017/S0954579413000515CrossRefGoogle ScholarPubMed
Bosquet Enlow, M., Kitts, R. L., Blood, E., Bizarro, A., Hofmeister, M., & Wright, R. J. (2011). Maternal posttraumatic stress symptoms and infant emotional reactivity and emotion regulation. Infant Behavior & Development, 34, 487–503. doi:10.1016/j.infbeh.2011.07.007CrossRefGoogle ScholarPubMed
Bowlby, J. (1983). Attachment and loss. Volume I: Attachment (2nd ed). New York, NY: Basic Books.Google Scholar
Bretherton, I., & Munholland, K. A. (2008). Internal working models in attachment relationships: Elaborating a central construct in attachment theory. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 102–127). New York, NY: Guilford Press.Google Scholar
Briggs-Gowan, KJ, & Carter, AS. (2006). The Brief Infant–Toddler Social & Emotional Assessment (BITSEA). San Antonio, TX: Psychological Corporation, Harcourt Press.Google Scholar
Briggs-Gowan, M.J, & Carter, A.S. (2007). Applying the Infant-Toddler Social & Emotional Assessment (ITSEA) and Brief-ITSEA in early intervention. Infant Mental Health Journal, 28(6), 564–583. doi:10.1002/imhj.20154.CrossRefGoogle ScholarPubMed
Briggs-Gowan, M. J, Carter, A. S., Irwin, J. R., Wachtel, K., & Cicchetti, D. (2004). The Brief Infant-Toddler Social and Emotional Assessment: Screening for Social-Emotional Problems and Delays in Competence. Journal of Pediatric Psychology, 29(2), 143–155. doi:10.1093/jpepsy/jsh017.CrossRefGoogle Scholar
Bronfman, E., Madigan, S., & Lyons-Ruth, K. (2009–2014). Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE): Manual for Coding Disrupted Affective Communication. Unpublished manuscript. Harvard University Medical School.Google Scholar
Busuito, A., Huth-Bocks, A., & Puro, E. (2014). Romantic attachment as a moderator of the association between childhood abuse and posttraumatic stress disorder symptoms. Journal of Family Violence, 29, 567–577. doi:10.1007/s10896-014-9611-8CrossRefGoogle Scholar
Cicchetti, D., Rogosch, F., & Toth, S. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18, 623–649. doi:10.1017/S0954579406060329CrossRefGoogle ScholarPubMed
Cicchetti, D., Toth, S., & Rogosch, F. (1999). The efficacy of toddler-parent psychotherapy to increase attachment security in off-spring of depressed mothers. Attachment and Human Development, 1, 34–66. doi:10.1080/14616739900134021CrossRefGoogle Scholar
Cooke, J. E., Eirich, R., Racine, N., Lyons-Ruth, K., & Madigan, S. (2020). Validation of the AMBIANCE-brief: An observational screening instrument for disrupted caregiving. Infant Mental Health Journal, 41, 299–312. doi:10.1002/imhj.21851.CrossRefGoogle ScholarPubMed
Cowan, P. A., Cohn, D. A., Cowan, C. P., & Pearson, J. L. (1996). Parents’ attachment histories and children's externalizing and internalizing behaviors: Exploring family systems models of linkage. Journal of Consulting and Clinical Psychology, 64, 53–63. doi:10.1037/0022-006X.64.1.53CrossRefGoogle ScholarPubMed
Crawford, A., & Benoit, D. (2009). Caregivers’ disrupted representations of the unborn child predict later infant-caregiver disorganized attachment and disrupted interactions. Infant Mental Health Journal, 30, 124–144. doi:10.1002/imhj.20207CrossRefGoogle ScholarPubMed
Dayton, C. J., Buczkowski, R., Muzik, M., Goletz, J., Hicks, L., Walsh, T. B., & Bocknek, E. L. (2016). Expectant fathers’ beliefs and expectations about fathering as they prepare to parent a new infant. Social Work Research, 40, 225–236. doi:10.1093/swr/svw017CrossRefGoogle Scholar
Dozier, M., Dozier, D., & Manni, M. (2002). Recognizing the special needs of infants’ and toddlers’ foster parents: Development of a relational intervention. Zero to Three Bulletin, 22, 7–13.Google Scholar
George, C., & Solomon, J. (2008). The caregiving system: A behavioral systems approach to parenting. In Cassidy, J., & Shaver, P. R. (Eds.), Handbook of attachment (2nd ed, pp. 833–856). New York, NY: Guilford Press.Google Scholar
Goldberg, S., Benoit, D., Blokland, K., & Madigan, S. (2003). Atypical maternal behavior, maternal representations, and infant disorganized attachment. Development and Psychopathology, 15, 239–257. doi:10.1017/S0954579403000130.CrossRefGoogle ScholarPubMed
Greenberg, M. T., Speltz, M. L., & Deklyen, M. (1993). The role of attachment in the early development of disruptive behavior problems. Development and Psychopathology, 5, 191–213. doi:10.1017/S095457940000434XCrossRefGoogle Scholar
Guyon-Harris, K. L., Ahlfs-Dunn, S., & Huth-Bocks, A. C. (2017). PTSD symptom trajectories among mothers reporting interpersonal trauma: Protective factors and parenting outcomes. Journal of Family Violence, 32, 657–667. doi:10.1007/s10896-017-9934-3CrossRefGoogle Scholar
Guyon-Harris, K. L., Madigan, S., Bronfman, E., Romero, G., & Huth-Bocks, A. C. (2020). Prenatal identification of risk for later disrupted parenting behavior using latent profiles of childhood maltreatment. Journal of Interpersonal Violence, doi:10.1177/0886260520906175Google ScholarPubMed
Hall, R. A. S., Hoffenkamp, H. N., Tooten, A., Braeken, J., Vingerhoets, A. J. J. M., & van Bakel, H. J. A. (2015). Longitudinal associations between maternal disrupted representations, maternal interactive behavior and infant attachment: A comparison between full-term and preterm dyads. Child Psychiatry & Human Development, 46, 320–331. doi:10.1007/s10578-014-0473-3CrossRefGoogle ScholarPubMed
Hesse, E., & Main, M. (2006). Frightened, threatening, and dissociative parental behavior in low-risk samples: Description, discussion, and interpretations. Development and Psychopathology, 18, 309–43. doi:10.1017/S0954579406060172CrossRefGoogle ScholarPubMed
Huth-Bocks, A. C., Levendosky, A. A., Bogat, G. A., & von Eye, A. (2004). The impact of maternal characteristics and contextual variables on infant-mother attachment. Child Development, 75, 480–496. doi:10.1111/j.1467-8624.2004.00688.xCrossRefGoogle ScholarPubMed
Huth-Bocks, A. C., Theran, S. A., Levendosky, A. A., & Bogat, G. A. (2011). A social-contextual understanding of concordance and discordance between maternal prenatal representations of the infant and infant-mother attachment. Infant Mental Health Journal, 32, 405–426. doi:10.1002/imhj.20304CrossRefGoogle ScholarPubMed
Karabekiroglu, K., Briggs-Gowan, M. J., Carter, A. S., Rodopman-Arman, A., & Akbas, S. (2010). The clinical validity and reliability of the Brief Infant–Toddler Social and Emotional Assessment (BITSEA). Infant Behavior and Development, 33(4), 503–509. doi:10.1016/j.infbeh.2010.07.001CrossRefGoogle Scholar
Korja, R., Ahlqvist-Björkroth, S., Savonlahti, E., Stolt, S., Haataja, L., Lapinleimu, H., … Lehtonen, L. (2010). Relations between maternal attachment representations and the quality of mother-infant interaction in preterm and full-term infants. Infant Behavior and Development, 33, 330–336. doi:10.1016/j.infbeh.2010.03.010CrossRefGoogle ScholarPubMed
Levendosky, A. A., Leahy, K. L., Bogat, G. A., Davidson, W. S., & von Eye, A. (2006). Domestic violence, maternal parenting, maternal mental health, and infant externalizing behavior. Journal of Family Psychology, 20, 544–552. https://psycnet.apa.org/buy/2006-22333-002CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Alpern, L., & Repacholi, B. (1993). Disorganized infant attachment classification and maternal psychosocial problems as predictors of hostile-aggressive behavior in the preschool classroom. Child Development, 64, 572–585. doi:10.1111/j.1467-8624.1993.tb02929.xCrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Bronfman, E., & Parsons, E. (1999). Atypical attachment in infancy and early childhood among children at developmental risk. IV. Maternal frightened, frightening, or atypical behavior and disorganized infant attachment patterns. Monographs of the Society for Research in Child Development, 64, 67–96. doi:10.1111/1540-5834.00034CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Bureau, J.-F., Holmes, B., Easterbrooks, A., & Brooks, N. H. (2013). Borderline symptoms and suicidality/self-injury in late adolescence: Prospectively observed relationship correlates in infancy and childhood. Psychiatry Research, 206, 273–281. doi:10.1016/J.PSYCHRES.2012.09.030CrossRefGoogle ScholarPubMed
Madigan, S., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., Moran, G., Pederson, D. R., & Benoit, D. (2006a). Unresolved states of mind, anomalous parental behavior, and disorganized attachment: A review and meta-analysis of a transmission gap. Attachment and Human Development, 8, 89–111. doi:10.1080/14616730600774458.CrossRefGoogle Scholar
Madigan, S., Bronfman, E. T., Haltigan, J. D., & Lyons-Ruth, K. (2018). Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE) – Brief measure. Unpublished manuscript, University of Calgary.Google Scholar
Madigan, S., Hawkins, E., Goldberg, S., & Benoit, D. (2006b). Reduction of disrupted caregiver behavior using modified interaction guidance. Infant Mental Health Journal, 27(5), 509–527. doi:10.1002/imhj.20102.CrossRefGoogle Scholar
Madigan, S., Moran, G., & Pederson, D. R. (2006c). Unresolved states of mind, disorganized attachment relationships, and disrupted interactions of adolescent mothers and their infants. Developmental Psychology, 42, 293–304. doi:10.1037/0012-1649.42.2.293CrossRefGoogle Scholar
Madigan, S., Moran, G., Schuengel, C., Pederson, D. R., & Otten, R. (2007). Unresolved maternal attachment representations, disrupted maternal behavior and disorganized attachment in infancy: Links to toddler behavior problems. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48, 1042–1050. doi:10.1111/j.1469-7610.2007.01805.xCrossRefGoogle ScholarPubMed
Madigan, S., Voci, S., & Benoit, D. (2011). Stability of atypical caregiver behaviors over six years and associations with disorganized infant–caregiver attachment. Attachment & Human Development, 13, 237–252. doi:10.1080/14616734.2011.562410CrossRefGoogle ScholarPubMed
Main, M., & Goldwyn, R. (1984). Adult Attachment Scoring and Classification System. Unpublished manuscript. Berkeley: University of California. doi:10.1186/1752-0509-2-76.Google Scholar
Main, M., & Hesse, E. (1990). Parents’ unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), The John D. and Catherine T. MacArthur Foundation series on mental health and development. Attachment in the preschool years: Theory, research, and intervention (pp. 161–182). Chicago: University of Chicago Press.Google Scholar
McDonald, S. W., Kehler, H. L., & Tough, S. C. (2018). Risk factors for delayed social-emotional development and behavior problems at age two: Results from the All Our Babies/Families (AOB/F) cohort. Health Science Reports, 1, e82. doi:10.1002/hsr2.82CrossRefGoogle ScholarPubMed
McDonough, S. (2000). Interaction guidance: An approach for difficult-to-engage families. In Zeanah, C. H. (Ed.), Handbook of infant mental health (2nd ed., pp. 485–493). New York, NY: Guilford Press.Google Scholar
Niccols, A., Smith, A., & Benoit, D. (2015). The Working Model of the Child Interview: Stability of the disrupted classification in a community intervention sample. Infant Mental Health Journal, 36, 388–398. doi:10.1002/imhj.21522CrossRefGoogle Scholar
O'connor, E., Bureau, J.-F., Mccartney, K., & Lyons-Ruth, K. (2011). Risks and outcomes associated with disorganized/controlling patterns of attachment at age three years in the national institute of child health & human development study of early child care and youth development. Infant Mental Health Journal, 32, 450–472. doi:10.1002/imhj.20305CrossRefGoogle ScholarPubMed
Rosenblum, K. L., McDonough, S., Muzik, M., Miller, A., & Sameroff, A. (2002). Maternal representations of the infant: Associations with infant response to the still face. Child Development, 73, 999–1015. doi:10.1111/1467-8624.00453CrossRefGoogle Scholar
Saïas, T., Greacen, T., Tubach, F., Dugravier, R., Marcault, E., Tereno, S., … Guédeney, A. (2013). Supporting families in challenging contexts: The CAPEDP project. Global Health Promotion, 20, 66–70. doi:10.1177/1757975913483335CrossRefGoogle ScholarPubMed
Schechter, D. S., Coots, T., Zeanah, C. H., Davies, M., Coates, S. W., Trabka, K. A., … Myers, M. M. (2005). Maternal mental representations of the child in an inner-city clinical sample: Violence-related posttraumatic stress and reflective functioning. Attachment and Human Development, 7, 313–331. doi:10.1080/14616730500246011CrossRefGoogle Scholar
Shi, Z., Bureau, J. F., Easterbrooks, M. A., Zhao, X., & Lyons-Ruth, K. (2012). Childhood maltreatment and prospectively observed quality of early care as predictors of antisocial personality disorder features. Infant Mental Health Journal, 33, 55–69. doi:10.1002/imhj.20295.CrossRefGoogle Scholar
Slade, A., & Sadler, L. S. (2019). Pregnancy and infant mental health. In Zeanah, C. H. (Ed.), Handbook of infant mental health (pp. 25–40). New York, NY: Guilford Press.Google Scholar
Solomon, J., & George, C. (1996). Defining the caregiving system: Toward a theory of caregiving. Infant Mental Health Journal, 17, 183–197. doi:10.1002/(SICI)1097-0355(199623)17:3<183::AID-IMHJ1>3.0.CO;2-Q3.0.CO;2-Q>CrossRefGoogle Scholar
Tereno, S., Guedeney, N., Dugravier, R., Greacen, T., Saïas, T., Tubach, F., & Guédeney, A. (2013). Implementation and assessment of an early home-based intervention on infant attachment organisation: The CAPEDP attachment study in France. Global Health Promotion, 20, 71–75. doi:10.1177/1757975913483337CrossRefGoogle ScholarPubMed
Tereno, S., Madigan, S., Lyons-Ruth, K., Plamondon, A., Atkinson, L., Guedeney, N., … Guedeney, A. (2017). Assessing a change mechanism in a randomized home-visiting trial: Reducing disrupted maternal communication decreases infant disorganization. Development and Psychopathology, 29, 637–649. doi:10.1017/S0954579417000232CrossRefGoogle Scholar
Tooten, A., Hall, R. A. S., Hoffenkamp, H. N., Braeken, J., Vingerhoets, A. J. J. M., & van Bakel, H. J. A. (2014). Maternal and paternal infant representations: A comparison between parents of term and preterm infants. Infant Behavior and Development, 37, 366–379. doi:10.1016/J.INFBEH.2014.05.004CrossRefGoogle ScholarPubMed
Toth, S., Rogosch, F., Manly, J., & Cicchetti, D. (2006). The efficacy of toddler-parent psychotherapy to reorganize attachment in the young offspring of mothers with major depressive disorder: A randomized preventive trial. Journal of Consulting and Clinical Psychology, 74, 1006–1016. doi:10.1037/0022-006X.74.6.1006CrossRefGoogle Scholar
Tubach, F., Greacen, T., Saïas, T., Dugravier, R., Guedeney, N., Ravaud, P., … Guedeney, A. (2012). A home-visiting intervention targeting determinants of infant mental health: The study protocol for the CAPEDP randomized controlled trial in France. BMC Public Health, 12, 648. doi:10.1186/1471-2458-12-648CrossRefGoogle Scholar
van IJzendoorn, M. H., Schuengel, C., & Bakermans-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology, 11, 225–250. doi:10.1017/s0954579499002035CrossRefGoogle ScholarPubMed
Vreeswijk, C. M. J. M., Maas, A. J. B. M., Rijk, C. H. A. M., Braeken, J., & van Bakel, H. J. A. (2014a). Stability of fathers’ representations of their infants during the transition to parenthood. Attachment & Human Development, 16, 292–306. doi:10.1080/14616734.2014.900095CrossRefGoogle Scholar
Vreeswijk, C. M. J. M., Maas, A. J. B. M., Rijk, C. H. A. M., & van Bakel, H. J. A. (2014b). Fathers’ experiences during pregnancy: Paternal prenatal attachment and representations of the fetus. Psychology of Men & Masculinity, 15, 129–137. doi:10.1037/a0033070CrossRefGoogle Scholar
Vreeswijk, C. M. J. M., Maas, A. J. B. M., & van Bakel, H. J. A. (2012). Parental representations: A systematic review of the working model of the child interview. Infant Mental Health Journal, 33(3), 314–328. doi:10.1002/imhj.20337.CrossRefGoogle ScholarPubMed
Yarger, H. A., Bronfman, E., Carlson, E., & Dozier, M. (2019). Intervening with attachment and biobehavioral catch-up to decrease disrupted parenting behavior and attachment disorganization: The role of parental withdrawal. Development and Psychopathology, 32, 1139–1148. doi:10.1017/s0954579419000786.CrossRefGoogle Scholar
Zeanah, C. H., Benoit, D., Barton, M. L., & Hirshberg, L. (1996). Working Model of the Child Interview Coding Manual. Unpublished manuscript. New Orleans: Louisiana State University School of Medicine.Google Scholar
Zeanah, C. H., Benoit, D., Hirshberg, L., Barton, M. L., & Regan, C. (1994). Mothers’ representations of their infants are concordant with infant attachment classifications. Developmental Issues in Psychiatry and Psychology, 1, 9–18.Google Scholar