Infants of Depressed Mothers Show Reduced Gaze Activity During Mother–Infant Interaction at 4 Months

Gaze is one of the main means of communication in young infants, and it has been shown to be important for subsequent socio‐emotional and cognitive development. Maternal depression is a well‐known risk factor for disrupting mother–infant interactions, but findings regarding gaze behavior in infants of depressed versus nondepressed mothers have been ambiguous. In this study, we examined gaze duration and activity in a sample of 27 infants of mothers with postpartum depression (PPD) and 49 infants of nondepressed mothers. Maternal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale, and diagnoses were confirmed in clinical interview. Infant gaze was assessed during 4‐month face‐to‐face interactions using continuous timed‐event coding with high temporal resolution. Although we found no differences in gaze duration, infants of PPD mothers had both significantly less Gaze On and also less Gaze Off events. Findings suggest that PPD is related to reduced gaze activity during mother–infant interaction in 4‐month‐olds. This reduced activity may have long‐term negative consequences for child development.     

Remarriage,Cohabitation, and Changes in Mothering Behavior

We used data from two waves of the National Survey of Families and Household to investigate changes in mothering behavior associated with remarriage or cohabitation by single mothers. We considered three dimensions of mothering: (a) time and supervision, (b) harsh discipline, and (c) relationship quality. Mothers and children agreed that mothers who remained in new partnerships used harsh discipline less frequently than mothers who remained single or whose new partnership had ended by the second interview. Mothers reported less supervision if they had experienced a disrupted partnership, whereas children reported less supervision if their mothers remained in a new partnership at the second interview. Children but not mothers reported better relationships with mothers in partnerships at the second interview, compared with children whose mothers remained single or whose new partnership had ended. Only a small part of the differences in harsh discipline, and none of the other observed differences, could be explained by maternal or family characteristics or by mothering behavior and relationships in the first interview. Although cohabiting partnerships were more likely to end than were marriages, we found no differences in effects of cohabiting or marital partnerships, net of their status at the second interview.     

Effects of gaze on hiring,credibility, attraction and relational message interpretation

Two competing models of the social meaning and effects of eye gaze exist. One holds that different levels of eye gaze have clearly identifiable meanings that will yield main effects on such communication outcomes as hiring and interpersonal evaluations. The other holds that deviant levels of eye gaze are ambiguous in meaning and that interpretation depends on contextual cues such as the reward value of the violator. An experiment required 140 Ss to serve as interviewers during a structured interview in which six confederate interviewees sytematically varied three levels of eye gaze (high, normal, low) and two levels of reward (highly qualified, highly unqualified for the advertised position). Results favored a social meaning model over a violations of expectations model: Subjects were more likely to hire and rate as credible and attractive interviewees who maintained a normal or high degree of gaze than those who averted gaze. Interpretations given to higher amounts of gaze were more intimacy and similarity, more immediacy and involvement, and more composure, informality and nonarousal.

—Ralph Waldo Emerson

—Guillaume de Salluste

—T.S. Eliot

     

Follow My Gaze: Face Race and Sex Influence Gaze‐Cued Attention in Infancy

Using the eye gaze of others to direct one's own attention develops during the first year of life and is thought to be an important skill for learning and social communication. However, it is currently unclear whether infants differentially attend to and encode objects cued by the eye gaze of individuals within familiar groups (e.g., own race, more familiar sex) relative to unfamiliar groups (e.g., other race, less familiar sex). During gaze cueing, but prior to the presentation of objects, 10‐month‐olds looked longer to the eyes of own‐race faces relative to 5‐month‐olds and relative to the eyes of other‐race faces. After gaze cueing, two objects were presented alongside the face and at both ages, infants looked longer to the uncued objects for faces from the more familiar‐sex and longer to cued objects for the less familiar‐sex faces. Finally, during the test phase, both 5‐ and 10‐month‐old infants looked longer to uncued objects relative to cued objects but only when the objects were cued by an own‐race and familiar‐sex individual. Results demonstrate that infants use face eye gaze differently when the cue comes from someone within a highly experienced group.     

The labeling paradox: stigma, the sick role, and social networks in mental illness

Although research supports the stigma and labeling perspective, empirical evidence also indicates that a social safety net remains intact for those with mental illness, recalling the classic "sick role" concept. Here, insights from social networks theory are offered as explanation for these discrepant findings. Using data from individuals experiencing their first contact with the mental health treatment system, the effects of diagnosis and symptoms on social networks and stigma experiences are examined. The findings suggest that relative to those with less severe affective disorders, individuals with severe diagnoses and more visible symptoms of mental illness have larger, more broadly functional networks, as well as more supporters who are aware of and sympathetic toward the illness situation. However, those with more severe diagnoses are also vulnerable to rejection and discrimination by acquaintances and strangers. These findings suggest that being formally labeled with a mental illness may present a paradox, simultaneously initiating beneficial social processes within core networks and detrimental ones among peripheral ties.     

Gaze Behaviors of Preterm and Full‐Term Infants in Nonsocial and Social Contexts of Increasing Dynamics: Visual Recognition,Attention Regulation,and Gaze Synchrony

Although research has demonstrated poor visual skills in premature infants, few studies assessed infants’ gaze behaviors across several domains of functioning in a single study. Thirty premature and 30 full‐term 3‐month‐old infants were tested in three social and nonsocial tasks of increasing complexity and their gaze behavior was micro‐coded. In a one‐trial version of the visual recognition paradigm, where novel stimuli were paired with familiar stimuli, preterm infants showed longer first looks to novel stimuli. In the behavior response paradigm, which presented infants with 17 stimuli of increasing complexity in a predetermined “on‐off” sequence, premature infants tended to look away from toys more during presentation. Finally, during mother–infant face‐to‐face interaction, the most dynamic interpersonal context, preterm infants and their mothers displayed short, frequent episodes of gaze synchrony, and lag‐sequential analysis indicated that both mother and infant broke moments of mutual gaze within 2 sec of its initiation. The propotion of look away during the behavior response paradigm was related to lower gaze synchrony and more gaze breaks during mother–infant interactions. Results are discussed in terms of the unique and adaptive gaze patterns typical of low‐risk premature infants.     

A screening tool for detecting eating disorder risk and diagnostic symptoms among college-age women

Objective: As eating disorders (EDs) often emerge during college, managing EDs would ideally integrate prevention and treatment. To achieve this goal, an efficient tool is needed that detects clinical symptoms and level of risk. This study evaluated the performance of a screen designed to identify individuals at risk for or with an ED. Participants: Five hundred forty-nine college-age women. Methods: Participants completed a screen and diagnostic interview. Results: Using parsimonious thresholds for ED diagnoses, screen sensitivity ranged from 0.90 (anorexia nervosa) to 0.55 (purging disorder). Specificity ranged from 0.99 (anorexia nervosa) to 0.78 (subthreshold binge eating disorder) compared to diagnostic interview. Moderate to high area under the curve values were observed. The screen had high sensitivity for detecting high risk. Conclusions: The screen identifies students at risk and has acceptable sensitivity and specificity for identifying most ED diagnoses. This tool is critical for establishing stepped care models for ED intervention.     

Intimacy-mediators of the proximity-gaze compensation effect: Movement,conversational role,acquaintance, and gender

Reduction of interpersonal gaze in response to close proximity was hypothesized to be affected by four intimacy-related variables: movement (active relocation vs. static location), conversational role (listener vs. speaker), acquaintance (strangers vs. friends), and gender (males vs. females). Hypotheses were tested in a factorial experiment with 72 university students as subjects. In general, the effects of the four variables on compensatory gaze were interactive. Gaze reduction in response to a same-sex confederate's presence in a subject's personal-intimate (vs. social) distance zone was more likely for subjects with less intimate histories—males (vs. females) and strangers to the confederate (vs. friends). Furthermore, these effects were more likely when the close distance was the result of movement by the confederate from an established farther distance than when a consistently close distance condition was compared to a consistently far distance condition, and also when gaze was assessed during the subject's conversational listening periods in contrast to speaking periods. The identification of limiting conditions under which the compensatory response occurs supports a more refined conception of the intimacy-equilibrium and proxemics models of interpersonal behavior.The research reported herein and preparation of this article were supported in part by NIMH postdoctoral grant #PHS T32 MH 14588-04, held by author Breck, and by Biomedical Sciences Support Grant 40827118, to author Rosenfeld. Preliminary results were reported at the 1981 annual meeting of the Midwestern Psychological Association in Chicago. The authors wish to thank Katherine Wu and Sonya Clark for their assistance in data analysis.     

Effects of Interview Mode on Assessments of Erectile and Ejaculatory Dysfunction among Men with Benign Prostatic Hyperplasia (BPH)

In a randomized experiment (N = 249; age 50 + years), this study examined if self-reports of erectile dysfunction (ED) and ejaculatory dysfunction (EjD) symptomatology were influenced by the mode of interview administration (computer-assisted self-interview [CASI], audio computer-assisted self-interview [ACASI], or computer-assisted personal interview [CAPI; involving an interviewer]). This study also examined if mode moderated person variables hypothesized to impact self-reports (social desirability, age, or depressive mood). No main or moderating effects of mode were found for self-reports of EjD symptoms. However, mode effects on reports of ED symptoms were observed, and these moderated age and social desirability effects on self-reports. Significantly more older (relative to younger) men reported high levels of ED symptoms when interview administration was by a live interviewer (CAPI) than with self-administration. Alternatively, significantly more younger men reported high levels of ED symptoms when administration was by an interviewer (CAPI) or by ACASI (vs. CASI). The Mode × Social Desirability effects were complex (see the Discussion section), showing hypothesized effects under ACASI and CAPI conditions, but an opposite effect under the CASI condition. The stability of self-reported ED symptoms did not vary by mode (based on test–retest comparisons); test–retest was significantly higher for EjD symptoms within the ACASI condition. The impact of mode of administration on self-reports of ED/EjD symptoms is less predictable and dramatic than one might conclude from prior research with other types of self-report outcomes. The findings are consistent with a small, but growing, body of studies that illustrate highly situational effects of interviewing, which may depend on a complex interplay between modes, person variables, and the interview topic/target items. Self-administered methods, in particular, may not be a universal solution to response bias.     

Trauma Events, Residence in Refugee Camps, and Educational Attainment as Predictors of Trauma Symptoms of Albanian Refugees in Macedonia

Adult members of 79 Albanian families who had fled from Kosovo to Macedonia during the immediate postwar period (June–August 1999) were interviewed. In conjunction with therapeutic intervention, the Harvard Trauma Questionnaire (HTQ) and the General Health Questionnaire (GTQ) were administered. Trauma symptoms as measured by the HTQ and psychological distress as measured by the GHQ were highly correlated. The best predictor of psychological distress was severity of the trauma experienced. Refugees with high educational attainment had fewer trauma symptoms than those with lower educational attainment. Refugees who lived with host families in towns showed fewer trauma symptoms than those who lived in camps, but they were also more highly educated. The results of hierarchical multiple regression analyses suggested that educational attainment may mediate the effect of place of residence. Educational attainment may be an indicator of resourceful and effective coping strategies that ameliorate the effects of trauma.     

In sickness but not in health: self-ratings, identity, and mortality

Self-rated health as a predictor of mortality has been studied primarily in large, representative populations, with relatively little progress toward understanding the information processing that individuals use to arrive at these ratings. With subsamples of National Health and Nutrition Examination Survey (NHANES) Epidemiologic Follow-up Study (NHEFS) data for respondents with circulatory system disease (N = 3,709) and respondents with no diagnosable disorders (N = 1,127) at baseline, we test the idea that individuals with experience of chronic disease of the circulatory system will have more predictive self-ratings of health than healthy individuals. Poor or fair self-rated health increased the adjusted hazard of all-cause mortality for respondents with circulatory system disease, but not for respondents who were healthy. Additional analyses confirm that poor or fair self-rated health is particularly predictive for respondents with self-reported history of circulatory system diagnoses and perception of symptoms, but not for respondents without symptoms or diagnoses prior to the NHANES physical exam.     

Attention Capture by Direct Gaze is Robust to Context and Task Demands

Eye-tracking was used to investigate whether gaze direction would influence the visual scanning of faces, when presented in the context of a full character, in different social settings, and with different task demands. Participants viewed individual computer agents against either a blank background or a bar scene setting, during both a free-viewing task and an attractiveness rating task for each character. Faces with a direct gaze were viewed longer than faces with an averted gaze regardless of body context, social settings, and task demands. Additionally, participants evaluated characters with a direct gaze as more attractive than characters with an averted gaze. These results, obtained with pictures of computer agents rather than real people, suggest that direct gaze is a powerful attention grabbing stimulus that is robust to background context or task demands.     

Persistent symptoms of maternal post-traumatic stress following childbirth across the first months postpartum: Associations with perturbations in maternal behavior and infant avoidance of social gaze toward mother

Recent literature identifies childbirth as a potentially traumatic event, following which mothers may develop symptoms of Post-Traumatic-Stress-Following-Childbirth (PTS-FC). The current study examines whether stable symptoms of PTS-FC during the early postpartum period may impose risk for perturbations in maternal behavior and infant social-engagement with mother, controlling for comorbid postpartum internalizing symptoms. Mother-infant dyads (N = 192) were recruited from the general population, during the third trimester of pregnancy. 49.5% of the mothers were primipara, and 48.4% of the infants were girls. Maternal PTS-FC was assessed at 3-day, 1-month and 4-month postpartum, via self-report and clinician-administered interview. Latent Profile Analysis generated two profiles of symptomology: “Stable-High-PTS-FC” (17.0%), and “Stable-Low-PTS-FC” (83%). Membership in the “Stable-High-PTS-FC” profile associated with perturbed maternal sensitivity, which was in turn significantly associated with infant avoidance of social gaze toward mother (Indirect effect β = −0.15). Results suggest the need for early screening and inform the planning of early preventive interventions.     

The Mother–Infant Feeding Relationship Across the First Year and the Development of Feeding Difficulties in Low‐Risk Premature Infants

Although feeding problems are common during infancy and are typically accompanied by relational difficulties, little research observed the mother–infant feeding relationship across the first year as an antecedent to the development of feeding difficulties. We followed 76 low‐risk premature infants and their mothers from the transition to oral feeding in the neonatal period to the end of the first year. Prior to hospital discharge, microlevel patterns of maternal touch and gaze were coded during feeding and nonfeeding interactions, global patterns of maternal adaptation were assessed, and infants' neurobehavioral status was tested. Psychomotor development was evaluated at 4 months. At 1 year, feeding difficulties were determined on the basis of maternal interview and direct observations of feeding interactions. Mothers of infants who exhibited feeding difficulties at 1 year showed less affectionate touch and gaze during nonfeeding interactions and more gaze aversion and lower adaptability during feeding interactions already in the neonatal period. Infants with feeding difficulties demonstrated poorer psychomotor performance at 4 months. Feeding interactions of infants with feeding difficulties at 1 year were characterized by higher maternal intrusiveness, lower infant involvement, and greater infant withdrawal. Less maternal affectionate touch and lower maternal adaptation in the neonatal period, poor infant psychomotor skills, and higher maternal intrusiveness and lower infant involvement at 1 year predicted feeding difficulties. The findings underscore the role of the relational components across the first year in the development of feeding difficulties.     

Interaction between gaze and legitimacy of request on compliance in a field setting

It was hypothesized that experimenter gaze would lead to increased compliancewith a legitimate request and decreased compliance with an illegitimate request. Subjects (95 males, 73 females) in Experiment 1 gave more dimes for a phone call to gazing rather than non-gazing female experimenters. Experimenter gaze did not influence dimes given by subjects for a candy bar. Experiment 2 replicated Experiment 1 with a different legitimacy manipulation and with an additional treatment including both gaze and touch. A significant interaction showed that subjects (56 males, 58 females) gave more dimes for a legitimate request (phone call) when they received gaze alone or gaze and touch from a female experimenter. Subjects gave more dimes for an illegitimate request (buying gum) when the experimenter did not gaze at or touch them.Data from this experiment were presented at the meeting of the Western Psychological Association, Seattle, 1977. The author expresses thanks to David A. Kenny for his generous advice and assistance with data analysis. Appreciation is also extended to the following Wheaton College students who served as experimenters: Priscilla Brown, Nancy Boucher, Ali Chase, Wendy Churchill, Gail Gilmore, Rena Loderhose, Susan MacIntire, Wendy Minsky, Liz Popieniuck, Diane Riddle, Ann Sears, Lisa Shea, Debbie Swenson, Amy Zemsky.     

Screening for trauma exposure, and posttraumatic stress disorder and depression symptoms among mothers receiving child welfare preventive services

The role of parental trauma exposure and related mental health symptoms as risk factors for child maltreatment for parents involved with the child welfare (CW) system has received limited attention. In particular, little is known about the extent to which mothers receiving CW services to prevent maltreatment have experienced trauma and suffered trauma-related psychopathology. This study examined screening data collected from 127 mothers receiving CW preventive services. There were high levels of trauma exposure among screened mothers and their young children. Among mothers, 91.6% experienced at least one traumatic event (M = 2.60) and 92.2% reported their children had been exposed to one or more traumas (M = 4.85). Mothers reported high levels of trauma-related symptoms: 54.3% met probable criteria for posttraumatic stress disorder (PTSD) or depression (61.7%). Nearly half (48.8%) met criteria for co-morbid PTSD and depression. The large majority of the clients with trauma-related disorders were not receiving mental health services. Latina women had significantly more severe PTSD symptoms than African American women. Case planners reported that the screening process was useful and feasible. These findings underscore the feasibility and importance of trauma screening among parents receiving CW preventive services.     

Functions of gaze in social interaction: Communication and monitoring

Hypotheses and assumptions on the intimacy regulating and the monitoring function of gaze were tested in three successive experiments. In a 2 (sex of the dyad) × 6 (order of the intimacy levels) × 3 (questions' intimacy level) factorial design 144 subjects were interviewed by a confederate who was either constantly looking into their eyes (experiment I), was constantly avoiding mutual gaze (experiment II) or showed varying looking behavior (experiment III). The data clearly revealed that the compensation hypothesis predicting an inverse relationship between gaze and topic intimacy has to be rejected. Intimacy regulation through gaze functions more via adaptation processes. Adaptation can also account for differences in gaze dependent upon the partner's looking behavior. The sequence hypothesis which predicted decreasing gaze with increasing predictability of the partner's behavior was confirmed.It follows from these data that looking behavior has an internal structure with information receiving (regarding the partner's attentiveness and the ease of monitoring the interaction, monitoring function) more important in an encounter than information sending (communicative function); and—at least in the type of situation chosen—reactions towards situational conditions are primarily performed via adaptation processes.This research was supported by a grant from the University of Bielefeld 86/2754.     

Divorce, family conflict, and adolescents' well-being

The relative effects of family conflict and divorce on the well-being of adolescents were examined in a longitudinal study of a heterogeneous community sample. Higher levels of family conflict were associated with increases in adolescents' depressed mood, anxiety, and physical symptoms over time. In contrast, neither recent divorce nor earlier divorce was associated with longitudinal changes in any health outcomes. Also, adolescents living in intact families with high conflict had significantly poorer well-being than those living in families of divorce with low conflict. Finally, the longitudinal effects of divorce and family conflict did not differ by age and sex, but Hispanic adolescents experienced more negative effects of family conflict than non-Hispanic whites, and the well-being of Asian adolescents was influenced more strongly by recent divorce.     

Patterns of Gaze Between Parents and Children in European American and Mexican American Families

Mutual gaze has been shown to be a valuable channel of nonverbal communication. To examine mutual gaze between parents and children, 43 European American (EA) and 57 Mexican American (MA) families were coded on the occurrence of talking and gaze during a brief discussion. MA families showed lower levels of father-to-child gaze, mother-to-son gaze, and child-to-father gaze than EA families. MA families also showed less father–child mutual gaze, as well as less mother–child gaze for sons than EA families. Child gaze aversion was more common in European American families. Levels of gaze, father–child mutual gaze, and child gaze aversion all were positively correlated with acculturation. The importance of research exploring possible differences in function and meaning of gaze across cultural groups is emphasized.

The effects of women's employment: personal control and sex differences in mental health

Married women have been found consistently to have higher rates of anxious and depressive symptoms than married men. Power explanations for this difference predict that employment for women, which is associated with greater power in the family, would reduce women's symptoms to approximate men's more closely. Results on the effects of women's employment, however, are inconsistent. One explanation for this inconsistency concerns role overload, or the greater demands experienced by women with employment. This paper proposes that overload creates greater symptoms for the same reason as low power; that is, through lowering individuals' sense of personal control. Thus employment for women is not consistently positive because it often trades one source of low control for another. We test a personal control explanation for the effects of women's employment, using community surveys of mental health. Results indicate that issues of personal control underlie the effects of both high demands and low power on sex differences in anxious and depressive symptoms.