Mind‐Mindedness as a Multidimensional Construct: Appropriate and Nonattuned Mind‐Related Comments Independently Predict Infant–Mother Attachment in a Socially Diverse Sample

In a socially diverse sample of 206 infant–mother pairs, we investigated predictors of infants’ attachment security at 15 months, with a particular emphasis on mothers’ tendency to comment appropriately or in a non‐attuned manner on their 8‐month‐olds’ internal states (so‐called mind‐mindedness). Multinomial logistic regression analyses showed that higher scores for appropriate mind‐related comments and lower scores for non‐attuned mind‐related comments distinguished secure‐group mothers from their counterparts in the insecure‐avoidant, insecure‐resistant, and insecure‐disorganized groups. Higher scores for appropriate mind‐related comments and lower scores for non‐attuned mind‐related comments also independently predicted dichotomous organized/disorganized attachment. General maternal sensitivity predicted neither attachment security nor organization, although sensitivity was found to relate to dichotomous secure/insecure attachment specifically in the context of low socioeconomic status. The findings highlight how appropriate and non‐attuned mind‐related comments make independent contributions to attachment and suggest that mind‐mindedness is best characterized as a multidimensional construct.     

Mother‐ Versus Infant‐Centered Correlates of Maternal Mind‐Mindedness in the First Year of Life

We investigated whether maternal mind‐mindedness in infant–mother interaction related to aspects of obstetric history and infant temperament. Study 1, conducted with a socially diverse sample of 206 eight‐month‐old infants and their mothers, focused on links between maternal mind‐mindedness and (i) planned conception, (ii) perception of pregnancy, and (iii) recollections of first contact with the child. The two indices of mind‐mindedness (appropriate and nonattuned mind‐related comments) related to different aspects of obstetric history, but no strong associations were seen with socioeconomic status, maternal depression, or perceived social support. In Study 2, we found good temporal stability in both indices of mind‐mindedness in a sample of 41 infant–mother dyads between 3 and 7 months. Neither index of mind‐mindedness related to infant temperament. We conclude that mind‐mindedness is best characterized as a facet of the specific caregiver–child relationship, while also being influenced by stable cognitive–behavioral traits in the mother.     

Maternal Age,Psychological Maturity,Parenting Cognitions,and Mother–Infant Interaction

In the context of the trend toward delayed childbearing, the aim of this study was to examine relations among maternal age and the quality of maternal interactive behavior at 7 months assessed using sensitivity and mind‐mindedness, while also considering whether age effects were attributable to psychological maturity and parenting cognitions. Participants were 150 Australian mothers (mean age 33‐years) and their firstborn infants who were participating in a prospective study of parenthood. Path analysis showed maternal age had both direct and indirect associations with maternal interactive behavior. Older mothers made more mind‐related comments to their infants. They were also more sensitive; however, this effect was indirect and explained by greater psychological maturity (hardiness) and a more internal locus of control with regard to parenting. Results suggest that older maternal age may confer some benefits in terms of responsive parenting in infancy.     

Early Manifestations of Children’s Theory of Mind: The Roles of Maternal Mind‐Mindedness and Infant Security of Attachment

This study investigated two aspects of mother–child relationships—mothers’ mind‐mindedness and infant attachment security—in relation to two early aspects of children’s theory of mind development (ToM). Sixty‐one mother–child dyads (36 girls) participated in testing phases at 12 (T1), 15 (T2), and 26 months of age (T3), allowing for assessment of maternal mind‐mindedness (T1), infant attachment (T2), and child ToM understanding (T3). Results indicated that children’s understanding of discrepant desires and visual perspectives was positively related to their mothers’ earlier use of appropriate mind‐related comments in certain contexts. Furthermore, more securely attached boys, but not girls, performed better on a task requiring comprehension of their mothers’ visual perspective. Hence, the links previously found between competent parenting and older children’s ToM performance appear to extend, to a certain degree, to toddlers’ first manifestations of ToM understanding.     

The Relation between Mothers' Mirroring of Infants' Behavior and Maternal Mind‐Mindedness

Maternal mind‐mindedness, which is a measure of maternal mentalization involving mothers' speech, was examined as a predictor of mothers' mirroring of infant behavior during interaction. Five‐month‐old infants and their mothers engaged in a Still‐Face Task in which the mother's mirroring of the infant's behavior was assessed. After the task, the mother was shown a video of her infant in the task and asked to comment on what was happening for her infant; her comments were assessed for mind‐mindedness. Maternal mind‐mindedness when mothers were asked to reflect upon what was happening for their infants during the task predicted mothers' mirroring behaviors while engaged with their infants in the task. Maternal mirroring behavior may be a manifestation of maternal mentalization that is salient to infants.     

Predisposing Factors for Elevated Restricted and Repetitive Behavior in Typically Developing Toddlers

Little is known about the relation between levels of restricted and repetitive behavior (RRB) in infants and parent factors. The present study investigated maternal and psychosocial factors (depressive symptoms, socio‐economic status, social support) and mother–infant engagement factors (mind‐mindedness, sensitivity, and infant–mother attachment security) as predictors of children's RRB at age 26 months in a sample of 206 mothers and children. Maternal depressive symptoms predicted levels of sensory and motor repetitive behavior and rigid, routinized, and ritualistic repetitive behavior. Lower socioeconomic status also predicted independent variance in children's sensory and motor repetitive behavior. The relations between maternal depressive symptoms and both types of RRB were not mediated through observational measures of maternal sensitivity or mind‐mindedness at 8 months, or attachment security at 15 months. The results are discussed in terms of whether stress regulation, self‐stimulation, and genetic susceptibility can help explain the observed link between maternal depressive symptoms and RRB in the child.     

Age‐Related Changes in Prosodic Features of Maternal Speech to Prelingually Deaf Infants with Cochlear Implants

This study investigated prosodic and structural characteristics of infant‐directed speech to hearing‐impaired infants as they gain hearing experience with a cochlear implant over a 12‐month period of time. Mothers were recorded during a play interaction with their HI infants (N = 27, mean age 18.4 months) at 3, 6, and 12 months postimplantation. Two separate control groups of mothers with age‐matched normal‐hearing infants (NH‐AM) (N = 21, mean age 18.1 months) and hearing experience‐matched normal‐hearing infants (NH‐EM) (N = 24, mean age 3.1 months) were recorded at three testing sessions. Mothers produced less exaggerated pitch characteristics, a larger number of syllables per utterance, and faster speaking rate when interacting with NH‐AM as compared to HI infants. Mothers also produced more syllables and demonstrated a trend suggesting faster speaking rate in speech to NH‐EM relative to HI infants. Age‐related modifications included decreased pitch standard deviation and increased number of syllables in speech to NH‐AM infants and increased number of syllables in speech to HI and NH‐EM infants across the 12‐month period. These results suggest that mothers are sensitive to the hearing status of their infants and modify characteristics of infant‐directed speech over time.     

Development of Infant Pointing from 10 to 12 months: The Role of Relevant Caregiver Responsiveness

Infants’ pointing frequency is a predictor of their later language abilities. Yet, predictors of pointing frequency in the first year of life are not well understood. Study 1 explored what factors in infants and caregivers at 10 months would predict the pointing frequency of infants at 12 months (N = 35). Infant‐driven predictors were infants’ fine‐motor skills and point‐following abilities. Caregiver‐mediated predictors were caregivers’ pointing frequency and responsiveness toward infants’ pointing. Relevant caregiver responsiveness at 10 months predicted infants’ pointing frequency at 12 months, controlling for the other factors and infants’ prior pointing frequency. Study 2 explored whether child‐level factors influence caregivers’ responsiveness (N = 49). We examined the hand shape of infants’ pointing (whole‐hand versus index‐finger) and the presence of point‐accompanying vocalizations. Infants’ vocalization‐accompanied points were more likely to elicit relevant responses from caregivers, while hand shapes played a less pronounced role. Together, the findings reveal an early emerging mutual relationship between infant pointing and caregiver behavior such that certain characteristics of infant pointing predict caregivers’ responsiveness, and relevant responsiveness toward infants’ pointing predicts the increase in infants’ pointing frequencies.     

Predicting Patterns of Regulatory Behavior in the Still‐Face Paradigm at 3 Months

The current study addressed two aims: (1) to describe different patterns of infant regulatory behavior during the Face‐to‐Face Still‐Face (FFSF) paradigm at 3 months of age and (2) to identify specific, independent predictors of these patterns from an a priori set of demographic, infant (e.g., temperament), and maternal (e.g., sensitivity) variables. Analyses were based on data collected for 121 mother–infant dyads assessed longitudinally in the newborn period and again at 3 months. In the newborn period, infants’ neurobehavior was evaluated using the Neonatal Behavioral Assessment Scale (NBAS) and mothers reported on their caregiving confidence and their newborns’ irritability and alertness. At 3 months, mothers reported on their infant's temperament, and mother–infant interactions were videotaped during free play and the FFSF. Three patterns of infant regulatory behavior were observed. The most common was a Social‐Positive Oriented Pattern, followed by a Distressed‐Inconsolable Pattern, and a Self‐Comfort Oriented Pattern. Results of multinomial logistic regression indicated that categorical assignment was not associated with demographic or infant characteristics, but rather with dyadic regulatory processes in which maternal reparatory sensitivity played a crucial role.     

Effects of Maternal Responsiveness on Infant Responsiveness and Behavior in the Still‐Face Task

The effects of maternal responsiveness on infant responsiveness and behavior in the Still‐Face Task were longitudinally examined through infants' first 3 months. Maternal vocal responsiveness and infant vocal and smiling responsiveness significantly increased when infants were 2 months of age. Mothers showed continuity of individual differences in vocal responsiveness from the infants' newborn period. Maternal responsiveness predicted infant responsiveness within and across sessions. Compared with infants with low‐responsive mothers, infants with high‐responsive mothers were more attentive and affectively engaged during the Still‐Face Task from 1 month of age. Infants with high‐responsive mothers discriminated between the task phases with their smiling at 1 month, a month before infants with low‐responsive mothers did so. Infants in both groups discriminated between the phases with their attention and nondistress vocalizations throughout their first 3 months. Results suggest that maternal responsiveness influences infant responsiveness and facilitates infants' engagement and expectations for social interaction.     

Becoming a Communicative Partner: Infant Contingent Responsiveness to Maternal Language and Gestures

Infant contingent responsiveness to maternal language and gestures was examined in 190 Mexican American, Dominican American, and African American infant–mother dyads when infants were 14 and 24 months. Dyads were video‐recorded during book‐sharing and play. Videos were coded for the timing of infants’ vocalizations and gestures and mothers’ referential language (i.e., statements that inform infants about objects and events in the world; e.g., “That's a big doggy!”), regulatory language (i.e., statements that regulate infants’ attention or actions; e.g., “Look at that”, “Put it down!”), and gestures. Infants of all three ethnicities responded within 3 sec of mothers’ language and gestures, increased their responsiveness over development, and displayed specificity in their responses: They vocalized and gestured following mothers’ referential language and gestures, but were less likely than chance to communicate following mothers’ regulatory language. At an individual level, responsive infants had responsive mothers.     

A transactional model of infant still‐face response and maternal behavior during the first year

The present study takes a transactional approach to extend understanding of temporal relations between parenting behaviors and infant response to the face‐to‐face still‐face, a widely used method assessing infants’ affective and behavioral response to a violation of social expectations. A low‐income, urban sample of 180 mothers and infants participated when infants were 4 and 6 months old. Directional relations between infants’ still‐face response (i.e., change in affect and gaze from interaction to still face) and three parenting dimensions were examined using cross‐lagged structural equation models. Infant still‐face response predicted later parenting behavior, while the reverse association was not significant. Specifically, infants with a greater reduction in positive affect from interaction to still face had parents with more positive parenting and less negative parenting behaviors 2 months later, controlling for prior parenting and concurrent infant behavior. Furthermore, infants who increased gaze to mother from interaction to still face had mothers who used more mental state talk 2 months later. Findings underscore the importance of examining transactional relations between infant and parent behaviors, and in particular highlight the influence of infants on parents. Acknowledging these infant‐effects is critical to the development and implementation of interventions targeting parent‐infant interactions.     

Maternal Postpartum Depression Increases Vulnerability for Toddler Behavior Problems through Infant Cortisol Reactivity

The current study examined the role of hypothalamic‐pituitary‐adrenal reactivity (a physiological indicator of stress) in early infancy as a mediator of the relationship between maternal postpartum depression and toddler behavior problems. Participants were 137 at‐risk mothers and their children participating in a longitudinal study of intergenerational transmission of risk. Mothers’ depression was measured five times during the infants’ first 18 months. Infant cortisol was collected during a social stressor (the still‐face paradigm) when infants were 6 months old, and mothers reported on toddlers’ internalizing and externalizing symptoms at 18 months. Among this sample of high‐risk mother–infant dyads, early postpartum depression predicted atypical infant cortisol reactivity at 6 months, which mediated the effect of maternal depression on increased toddler behavior problems. Clinical implications are discussed.     

Mothers’ Work Status and 17‐Month‐Olds’ Productive Vocabulary

Literature examining the effects of mothers’ work status on infant language development is mixed, with little focus on varying work schedules and early vocabulary. We use naturalistic data to analyze the productive vocabulary of 44 17‐month‐olds in relation to mothers’ work status (full time, part time, stay at home) at 6 and 18 months. Infants who experienced a combination of care from mothers and other caretakers had larger productive vocabularies than infants in solely full‐time maternal or solely other‐caretaker care. Our results draw from naturalistic data to suggest that this care combination may be particularly beneficial for early lexical development.     

Maternal Talk About Mental States and the Emergence of Joint Visual Attention

Twenty‐four infants were tested monthly for gaze and point following between 9 and 15 months of age and mother‐infant free play sessions were also conducted at 9, 12, and 15 months (Carpenter, Nagell, & Tomasello, 1998). Using this data set, this study explored relations between maternal talk about mental states during mothers' free play with their infants and the emergence of joint visual attention in infants. Contrary to hypothesis, mothers' comments about their infants' perceptual states significantly declined after their infants began to engage in joint visual attention. Comments about other mental states did not change relative to acquisition of joint visual attention skill. We speculate that after infants begin to reliably follow gaze and points, mothers may switch the focus of their conversation from their infants' visual behavior and experiences to the object of their mutual attention.     

Assessing Capacity to Change in High‐Risk Pregnant Women: A Pilot Study

Pre‐birth risk assessment is a process by which circumstances affecting an unborn child can be identified and support for mother and infant embedded. This mixed methods study describes a community‐based pre‐birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme to assess parenting capacity and provide support pre‐ and post‐birth for ‘at risk’ women. Sixty‐eight pregnant women referred to children's social care services were allocated to the pre‐birth assessment and care pathway (n = 35) or to routine care (n = 33). Standardised measures of psychological distress, social support and alcohol measured change for the women in the assessment and care pathway. Twenty women who provided pre‐ and post‐data reported significant improvements on all measures except alcohol use. Safeguarding outcomes at 12 months were obtained for both groups using administrative data. Forty‐two per cent of the infants whose mothers received the pre‐birth assessment and care pathway showed an improvement in child protection status compared to 14 per cent of the routine care infants. Safeguarding status deteriorated or stayed the same in 52 per cent of the routine cases compared to 26 per cent of those receiving the pathway. Qualitative data revealed that the pathway was acceptable and helpful to service users and service providers. Copyright © 2017 John Wiley & Sons, Ltd.

‘Describes a community‐based pre‐birth assessment and care pathway that utilised the Parents Under Pressure (PuP) programme’

Key Practitioner Messages

• The current project found that a community‐based pre‐birth assessment and care pathway with high‐risk pregnant women was feasible and acceptable for practitioners and service users.
• The pathway began mid‐pregnancy and support was provided following the birth of the infant for up to 12 months.
• Over 40 per cent of infants whose mothers were allocated to the pre‐birth risk assessment pathway showed improvements in child safeguarding status at 12 months.

     

Maternal Into‐The‐Face Behavior,Shared Attention,and Infant Distress During Face‐to‐Face Play at 12 Months: Bi‐directional Contingencies

We describe a new maternal intrusion behavior, moving a toy or hand “into‐the‐face” of the infant, and we investigate its bi‐directional associations with infant‐initiated shared attention, infant distress, and infant gaze, during mother–infant face‐to‐face play at 12 months. The play was videotaped split‐screen, with infants seated in a high chair. Videotapes were coded on a 1‐sec time base for mother and infant gaze (at partner, toy, both, or gaze away); infant distress; and maternal intrusion behavior, “into‐the‐face.” We defined “infant‐initiated shared attention” as mother and infant looking in the same second at a toy that the infant‐initiated interest in. We documented that maternal into‐the‐face behavior decreased the likelihood of infant‐initiated shared attention, increased the likelihood of infant distress, and decreased the likelihood of infant gazing away. Reciprocally, infant distress and gazing away increased the likelihood of mother into‐the‐face. In moments when the dyad was engaged in infant‐initiated shared attention, mother into‐the‐face was less likely. This work documents bi‐directional contingencies in the regulation of maternal intrusion and infant behavior during face‐to‐face play at 12 months. We suggest that mother into‐the‐face behavior disturbs an aspect of the infant's experience of recognition.     

Infant Affect During Parent—Infant Interaction at 3 and 6 Months: Differences Between Mothers and Fathers and Influence of Parent History of Depression

Fifty families participated in mother‐infant and father‐infant still‐face interaction at infant ages 3 and 6 months as part of a study of affect in early parent‐infant relationships. Infants' positive and negative affect and parents' positive affect and physical play were coded from videotapes. Consistent with previous research, during the normal condition, mothers displayed more positive affect than did fathers, and fathers were more likely than mothers to display physical play. Infants were more positive with mothers than with fathers. Parents' positive affect but not parent gender predicted infants' positive affect at 6 months. During the still‐face condition, infants of parents with a lifetime history of depression were more likely to display negative affect and less likely to display positive affect than infants with no such parent history. Infants' affect was unrelated to parents' current level of depressive symptoms, which indicates the value of considering family history of psychopathology when examining individual differences in infants' affect.     

Play in Mexican‐American mothers and toddlers is frequent,multimodal, and rich in symbolic content

Play offers rich opportunities for toddlers to develop motor, social, cognitive, and language skills, particularly during interactions with adult caregivers who may scaffold toddlers to higher levels of play than toddlers achieve on their own. However, research on play has narrowly focused on children from White, middle‐income backgrounds, leaving a dearth of knowledge about dyadic play in diverse cultural communities. We videorecorded 222 Mexican‐American mothers playing with their 2‐year‐old toddlers with a standard set of toys. Play behaviors were coded as nonsymbolic or symbolic (play type) and as expressed through manual, verbal, or multiple channels (play modality). Play between toddlers and mothers was frequent, high in symbolic content, and toddler play closely corresponded with mother play in type and modality: Toddlers’ nonsymbolic play related to mothers’ nonsymbolic play; toddlers’ symbolic play related to mothers’ symbolic play; toddlers’ manual play related to mothers’ manual play; and toddlers’ multimodal play related to mothers’ multimodal play. Play in Mexican‐American mothers and toddlers is frequent, multimodal, and symbolically rich, offering new directions for future research and practice.