Presence and Quality of Touch Influence Coregulation in Mother–Infant Dyads

The first major goal of this study was to determine whether touch would enhance mother—infant coregulation in ordinary, nonstressful face‐to‐face interactions. In an experimental manipulation of presence versus absence of touch in face‐to‐face interactions between 79 mothers and their 3.5‐month‐old infants, results indicated that when touch is prohibited, relaxed and mutually attuned coregulation (asymmetrical coregulation) decreases. Contrary to expectations, coactive and mutually attuned coregulation (symmetrical coregulation) increased during prohibited touch, but this finding was qualified by a significant interaction between touch and order. The second major goal of this study was to question the assumption that the presence of touch should exert uniform effects on mother—infant interactions despite likely individual differences in the way touch is practiced. We assessed affectionate touch and stimulating touch in the touch condition of the experiment. Results indicated that the decrease in symmetrical coregulation during touch was primarily explained by those dyads that practiced more affectionate and less stimulating touch, indicating that affectionate touch is inversely related and stimulating touch is directly related to infant activity level.     

Infant–Mother and Infant–Caregiver Emotional Relationships: Process Analyses of Interactions in Three Contemporary Childcare Arrangements

Emotional relationships in infant–mother dyads in families where mothers provided full‐time childcare were compared with those of families where mothers used in‐home childcare providers and family childcare providers (N = 245). Infant relationships with childcare providers were also studied. Emotional relationships were adequate in all three childcare arrangements, but infant–mother dyads in in‐home childcare arrangements displayed healthier emotional relationships than infant–mother dyads in mother care arrangements; no differences in the health of emotional relationships with infants emerged among the three types of childcare providers (mother care, in‐home childcare, family childcare). Infant–mother dyads in in‐home childcare arrangements also displayed healthier emotional relationships than infant–in‐home childcare caregiver dyads, but infant–mother and infant–caregiver dyads were comparable in family childcare families. Emotional relationships in infant–mother and infant–caregiver dyads were not correlated, regardless of the type of childcare.     

The Ability to Map Differentially Stressed Labels to Objects Predicts Language Development at 24 months in 12‐month‐olds at High Risk for Autism

Sensitivity to language‐specific stress patterns during infancy facilitates finding, mapping, and recognizing words, and early preferences for the predominate stress pattern of the infant's native language have been argued to facilitate language relevant outcomes (Ference & Curtin, 2013 Journal of Experimental Child Psychology, 116, 891; Weber et al., 2005 Cognitive Brain Research, 25, 180). We examined 12‐month‐old infant siblings of typically developing children (SIBS‐TD) and infant siblings of children diagnosed with autism spectrum disorder (ASD; SIBS‐A) on their ability to map differentially stressed labels to objects. We also examined whether success at this task relates to infants’ vocabulary size at 12 months, and more specifically to SIBS‐A's vocabulary at both 12 and 24 months. SIBS‐TD successfully mapped the word–object pairings, which related to their vocabulary comprehension at 12 months. In contrast, SIBS‐A as a group did not map the word–object pairings, which was unrelated to vocabulary size at 12 months. However, success on this task for SIBS‐A predicted expressive language abilities at 24 months using the Mullen Scales of Early Learning (MSEL; Mullen, 1995 Mullen Scales of Early Learning. Circle Pines, MN: American Guidance) and the MacArthur‐Bates Communicative Development Inventory (MB‐CDI; Fenson et al., 1993 MacArthur Communicative Development Inventory: Users Guide and Technical Manual. San Diego, CA: Singular Publishing Company). Our study is the first to demonstrate that 12‐month‐old SIBS‐A who succeed at word mapping using lexical stress are more likely to have stronger expressive language abilities at 24 months.     

Preference for Dynamic Human Images and Gaze‐Following Abilities in Preterm Infants at 6 and 12 Months of Age: An Eye‐Tracking Study

Preterm children are reported to be at higher risk of social communication problems such as autism spectrum disorder compared with full‐term infants. Although previous studies have suggested that preference for social stimuli in infancy is a possible indicator of later social communication development, little is known about this relation in preterm infants. We examined the gaze behavior of low‐risk preterm and full‐term infants at 6 and 12 months' corrected ages using two types of eye‐tracking tasks, which measured 1) preference for social stimuli by biological motion and human geometric preference and 2) ability to follow another's gaze direction. We found that preterm (compared with full‐term) infants at both 6 and 12 months of age spent less time looking toward dynamic human images, followed another's gaze less frequently, and looked for a shorter time at an object cued by another. Moreover, we found a positive correlation between looking time toward dynamic human images and frequency of gaze following at 12 months of age in full‐term, but not preterm, infants. We discuss the relation between the atypical patterns of gaze behavior in preterm infants and their higher risk of later social communication problems.     

Neighborhood Qualification of the Association Between Parenting and Problem Behavior Trajectories Among Mexican‐Origin Father–Adolescent Dyads

To address the combined importance of fathers and neighborhoods for adolescent adjustment, we examined whether associations between fathers' parenting and adolescents' problem behaviors were qualified by neighborhood adversity. We captured both mainstream (e.g., authoritative) and alternative (e.g., no‐nonsense, reduced involvement) parenting styles and examined parenting and neighborhood effects on changes over time in problem behaviors among a sample of Mexican‐origin father–adolescent dyads (N = 462). Compared to their counterparts in low‐adversity neighborhoods, adolescents in high‐adversity neighborhoods experienced greater initial benefits from authoritative fathering, greater long‐term benefits from no‐nonsense fathering, and fewer costs associated with reduced involvement fathering. The combined influences of alternative paternal parenting styles and neighborhood adversity may set ethnic and racial minority adolescents on different developmental pathways to competence.     

Mother–Infant Person‐ and Object‐Directed Interactions in Latino Immigrant Families: A Comparative Approach

Cultural variation in durations, relations, and contingencies of mother–infant person‐and object‐directed behaviors were examined for 121 nonmigrant Latino mother–infant dyads in South America, Latina immigrants from South America and their infants living in the United States, and European American mother–infant dyads. Nonmigrant Latina mothers and infants engaged in person‐directed behaviors longer than Latino immigrant or European American mothers and infants. Mother and infant person‐directed behaviors were positively related; mother and infant object‐related behaviors were related for some cultural groups but not others. Nearly all mother and infant behaviors were mutually contingent. Mothers were more responsive to infants' behaviors than infants were to mothers. Some cultural differences in responsiveness emerged. Immigrant status has a differentiated role in mother–infant interactions.     

Age‐at‐Arrival’s Effects on Asian Immigrants’ Socioeconomic Outcomes in Canada and the U.S.1

Age‐at‐arrival is a key predictor of many immigrant outcomes, but discussion continues over how to best measure and study its effects. This research replicates and extends a pioneering study by Myers, Gao, and Emeka [International Migration Review (2009) 43:205–229] on age‐at‐arrival effects among Mexican immigrants in the U.S. to see if similar results hold for other immigrant groups and in other countries. We examine data from the 2000 U.S. census and 2006 American Community Survey, and 1991, 2001, and 2006 Canadian censuses to assess several measures of age‐at‐arrival effects on Asian immigrants’ socioeconomic outcomes. We confirm several of Myers et al.’s key findings, including the absence of clear breakpoints in age‐at‐arrival effects for all outcomes and the superiority of continuous measures of age‐at‐arrival. Additional analysis reveals different age‐at‐arrival effects by gender and Asian ethnicity. We suggest guidelines, supplementing those offered by Myers et al., for measuring and studying age‐at‐arrival’s effects on immigrant outcomes.     

A Longitudinal Examination of Support,Self‐Esteem,and Mexican‐Origin Adolescent Mothers' Parenting Efficacy

Guided by a risk and resilience framework, this study used a prospective longitudinal, multiple‐reporter design to examine how social support from a mother figure during pregnancy interacted with Mexican‐origin adolescent mothers' self‐esteem to inform their parenting efficacy when their children were 10 months old. Using reports of perceived social support by adolescent mothers (M_age = 16.24, SD = 0.99) and their mother figures (M_age = 40.84, SD = 7.04) in 205 dyads, and controlling for demographic factors (i.e., adolescent age, adolescent nativity, family income, mothers' educational attainment, adolescent – mother coresidence) and adolescents' social support from a significant other, the findings indicated that social support during pregnancy was positively associated with adolescent mothers' future parenting efficacy when adolescent mothers had relatively lower self‐esteem. The findings were consistent for adolescents' and mothers' reports and emphasize the value of social support from a mother figure among adolescent mothers with lower self‐esteem. Implications for interventions are presented.     

Developmental Trajectories for Mother–Infant Coregulation in the Second Year of Life

Ten dyads were observed biweekly from 10 to 24 months of infant age while playing together at home with a set of toys. The aim was to examine whether mother–infant coregulation changes over the second year of the infant’s life and whether there are individual differences in that process. Normative trends as well as variability between and within dyads were tested using a multilevel modeling technique. We found that unilateral coregulation, in which only the mother was actively involved in play, largely prevailed at the beginning of the year and then decreased linearly, while symmetrical patterns, implying that the infant was also involved, were for the most part absent at the beginning but then increased rapidly, overtaking unilateral from the middle of the year on and becoming predominant by the end. In particular, symmetrical episodes of shared affect and shared action increased first and then decreased, being replaced by shared language. Variability in data was significant between the dyads, with some dyads advancing toward symmetrical coregulation at an earlier age and more rapidly than the others. It was also significant within the dyads, as the increase in symmetrical coregulation unfolded in a quite irregular manner across the sessions, unlike the decrease in unilateral. Results are discussed with reference to a view of joint attention development as a gradual and complex process.     

Mothers' Verbal and Nonverbal Strategies in Relation to Infants' Object‐Directed Actions in Real Time and Across the First Three Years in Ethnically Diverse Families

We examined maternal behavioral strategies in relation to infants' object‐directed actions in real time and over developmental time in 206 mother–infant dyads from African American, Dominican immigrant, and Mexican immigrant backgrounds. Mothers were asked to share a set of beads and strings with their infants when children were 14, 24, and 36 months. We coded three types of maternal strategies—eliciting attention, instructive assistance, and encouragement—which could be expressed verbally (e.g., “look”, “turn it”, “good job!”) or physically (i.e., through gestures, hands‐on guidance, or transfer of objects). We also coded infants' unassisted bead‐stringing. Across ethnic groups and ages, mothers' hands‐on guidance and object transfer increased the likelihood that infants would follow with unassisted bead‐stringing during real‐time interaction. Over developmental time, mothers modified their strategies: They displayed fewer attention‐getting strategies and more encouragement across infant ages, and peaked in their provision of instructive assistance when infants were 24 months. Additionally, Mexican mothers displayed more nonverbal strategies (e.g., gestures, hands‐on guidance) than did African American and/or Dominican mothers, who displayed more verbal strategies (e.g., attention‐getting and encouraging language). Developmental and real‐time patterns in mother–infant object‐related interactions generalize across ethnicities, although mothers' emphases on specific strategies are culture specific.     

Maternal Depression and the Ability to Facilitate Joint Attention With 18‐Month‐Olds

Maternal depression has been associated with the mother‐child dyad's ability to engage in joint attention. This study of 69 depressed and 63 control mothers and their 18‐month‐olds addresses how aspects of maternal psychopathology are related to joint attention during a snack interaction. Although nondepressed‐mother dyads appeared better at joint attention than depressed‐mother dyads, this difference was not statistically significant. Among the depressed‐mother dyads, joint attention was related to presence of a comorbid Axis I diagnosis (usually an anxiety disorder) versus a diagnosis of major depressive disorder (MDD) only. Surprisingly, dyads with mothers who met criteria for a comorbid diagnosis were better at joint attention than those with MDD only, despite the fact that those mothers were likely to have longer and more severe depressive histories. The relationship between comorbid status and joint attention was mediated by the mother's affect. Rationale for the paradoxical finding that the “more pathological” mothers had greater success in engaging in joint attention is discussed.     

The practical utility of the Welch Emotional Connection Screen for rating parent–infant relational health

Emotional Connection (EC) measured by the Welch Emotional Connection Screen (WECS) was related to the Parent–Infant Interaction Rating System (PIIRS), a 5‐point adaptation of the rating system developed for the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (e.g., NICHD Early Child Care Research Network, 1999, Developmental Psychology, 35, 1399). Parent–infant dyads (n = 49 mothers; 43 fathers) were videotaped during face‐to‐face interaction at infant age 6 months; interactions were coded with both the WECS and PIIRS. At age 3, mothers completed the Child Behavior Checklist. WECS ratings of EC were associated with PIIRS rating items for both mother–infant and father–infant dyads. Mother–infant EC related positively to maternal sensitivity and positive regard for child, child positive mood and sustained attention, and dyadic mutuality, and negatively with maternal intrusiveness. Father–infant EC related positively to fathers' positive regard for child, child positive mood and sustained attention, and dyadic mutuality. Mother–infant EC predicted child behavior problems at age 3 better than mother–infant PIIRS ratings of dyadic mutuality. With fathers, neither EC nor dyadic mutuality ratings predicted mother‐reported child behavior problems. Findings highlight the practical utility of the WECS for identifying potentially at‐risk dyads and supporting early relational health.     

Temperamental Susceptibility to Parenting among Preterm and Full‐Term Infants in Early Cognitive Development

The current study examined the interaction between premature birth, temperamental reactivity, and parenting in early cognitive development. Participants were 142 infants (80 preterm; 62 full term) and their parents. Parent–child interactions (maternal, paternal, and co‐parental) were observed at age 6 months to assess parental structuring behaviors. Additionally, both parents reported on infants' temperamental reactivity. At 12 months of age, infants' cognitive abilities were assessed. Consistent with the diathesis–stress model, preterm infants had lower cognitive outcomes than full‐term infants when exposed to low levels of co‐parental structuring, but functioned similarly when exposed to high levels of co‐parental structuring. However, temperamental reactivity moderated this effect: Infants who carried one susceptibility factor (i.e., premature birth or reactive temperament) were similarly affected by co‐parental structuring, whereas infants who carried two or no susceptibility factors were not. Furthermore, consistent with the differential susceptibility hypothesis, infants with highly reactive temperaments had lower cognitive functioning when exposed to low maternal structuring, but higher cognitive functioning when exposed to high maternal structuring compared to infants with lower reactivity. Results from this study highlight the importance of considering both temperamental reactivity and quality of parenting in understanding preterm infants' early cognitive vulnerability.     

Maternal Regulation of Daughters' Emotion During Conflicts From Early to Mid‐Adolescence

Primary caregivers play an important role in emotion socialization. Real‐time mother–daughter emotion socialization was examined in 45 mother–daughter dyads with early‐adolescent daughters (age M = 11.80, SD = .27) at the first observation point. Maternal supportive emotion regulation and daughters' emotions were coded during two conflict discussions, 2 years apart. With multilevel survival analysis, the likelihood of maternal supportiveness was predicted both over time, between early and mid‐adolescence, and by daughters' pubertal status. Mothers were more likely to respond to daughters' negative and positive emotions with supportiveness for daughters whose pubertal maturation occurred relatively early. Results suggest that mothers adjust their socialization of daughters' emotions according to their daughters' pubertal development.     

Emotion regulation from infancy to toddlerhood: Individual and group trajectories of full-term and very-low-birthweight preterm infants

Adaptive emotion regulation begins with infants operating jointly with their parents to regulate their emotions, which fosters the development of independent regulation. Little is known about when or how this transition occurs, or the impact of factors such as parental availability or premature birth status. The current study examined the use of self-soothing, attentional distraction, and dyadic regulation in full-term and healthy very-low-birthweight (VLBW) preterm infant-mother dyads at 5 ½, 12, and 18 months of age. At 5 ½ months, dyads participated in the Still-Face procedure. At 12 and 18 months, dyads participated in two free-play interactions, a puzzle task, and an interference task. Emotion regulation behaviors were coded using two systematic, observational systems. Results indicated that infants used less self-soothing and attentional distraction and more dyadic regulation as they aged. Increased use of self-soothing at earlier ages predicted increased use of dyadic regulation at subsequent ages. Toddlers used more independent, attention-seeking, and escape behavior during periods of maternal unavailability. There were no significant differences between full-term and VLBW/preterm toddlers’ emotion regulation behaviors. Results from the current study contribute to the understanding of normative development of emotion regulation and the risk associated with prematurity.     

Profiles of Emotion Deficits and Adolescent Nonsuicidal Self‐Injury in an Inpatient Sample

This study examined profiles of specific emotion deficits, including poor emotion awareness, reluctance to express emotion, sadness inhibition and dysregulation, and anger inhibition and dysregulation. Self‐report questionnaires assessed adolescents’ emotion skills and nonsuicidal self‐injury (NSSI) engagement, frequency, severity, methods, and age of onset. Latent profile analysis yielded a three‐profile solution: Low Deficit (LD; n = 49), Unaware/Anger Dysregulated (UAD; n = 24), and Anger Inhibited (AI; n = 20) profiles. Adolescents in the UAD profile were more likely to engage in NSSI, displayed a higher NSSI frequency, and reported a higher number of NSSI methods when compared to adolescents in the LD profile. No links emerged for NSSI severity or age of onset.     

Very Preterm and Full‐Term Infants’ Response to Socio‐Emotional Stress: The Role of Postnatal Maternal Bonding

Very preterm (VPT) infants are at risk for altered socio‐emotional stress regulation, even in the absence of perinatal complications. Moreover, becoming a mother of a VPT infant is a traumatic event, which might affect the establishment of a bonding relationship toward the infant during the postnatal period. The main aim of the present study was to assess the association between maternal postnatal bonding and socio‐emotional stress response in 3‐month‐old VPT infants, compared to full‐term (FT) controls. Thirty‐three VPT and 28 FT infant‐mother dyads underwent the maternal Face‐to‐Face Still‐Face (FFSF) procedure to assess socio‐emotional stress regulation. Maternal postnatal bonding was measured through the Maternal Post‐Natal Attachment Scale (MPAS), which includes three scales: Quality of attachment, Absence of hostility, and Pleasure in interaction. The VPT infants exhibited less self‐directed and other‐directed regulatory behaviors during the Still‐Face episode. Mothers of VPT infants reported lower Quality of attachment compared to FT counterparts. Importantly, higher levels of Quality of attachment were associated with more other‐directed behaviors during the Still‐Face episode in FT dyads, whereas this was not observed in VPT dyads. In conclusion, VPT infants might be exposed to a double‐risk condition for socio‐emotional development, encompassing both difficulties in stress response and the exposure to a less‐than‐optimal maternal bonding.     

Costs of Not Getting to Know You: Lower Levels of Parental Reflective Functioning Confer Risk for Maternal Insensitivity and Insecure Infant Attachment

Parental reflective functioning (PRF) is a robust predictor of parenting sensitivity and secure infant attachment, but its assessment requires extensive resources, limiting its integration into research and clinical practice. The Mini‐Parent Reflective Functioning Interview (Mini‐PRFI) assesses the parent's capacity to mentalize for his/her 6‐month‐old infant (rated using the PRF coding system; Slade et al., 2004, PRF coding system and Slade REF, Unpublished protocol, New York, NY: The City University of New York). In the current study, we examined whether Mini‐PRFI scores were associated with theoretically related constructs; to establish a point of comparison, we evaluated links between Mini‐PRFI scores alongside RF assessed from the Adult Attachment Interview (AAI). Mother–infant dyads (N = 88) completed the AAI before the birth of the infant, the Mini‐PRFI and an interaction task (rated for insensitive parental behavior) when infants were 6 months old, as well as the Strange Situation Procedure when infants were 16 months old. Mini‐PRFI scores were strongly positively associated with AAI RF and negatively associated with maternal insensitivity. Mini‐PRFI scores predicted infant attachment organization (secure/insecure, organized/disorganized) at 16 months, and this effect was mediated by parenting insensitivity. These findings suggest that the Mini‐PRFI predicts theoretically related attachment constructs, demonstrating the promise of the Mini‐PRFI to increase the accessibility of interview‐based PRF measurements to clinicians and researchers.     

The Quality of Spontaneous Movements of Preterm Infants: Associations with the Quality of Mother–Infant Interaction

The assessment of the quality of infants’ spontaneous movements is a diagnostic tool for the young nervous system. We examined whether it relates to the quality of the interactions between infants born preterm and their mothers. Thirty‐nine healthy infants born preterm (M_{age in weeks} = 14.59, SD = 2.21; 38.46% female) and their mothers participated in the study. Infants’ quality of spontaneous movements was assessed using the General Movement Assessment according to Prechtl (Prechtl, Early Human Development 1990, 23, 151). A new measurement was employed to evaluate the following aspects of the mother–infant interaction: maternal sensitivity in the motor modality (i.e., when touching, picking up, holding, and putting down the infant), maternal sensitivity in the modalities of vocalization and eye contact, and infants’ positive engagement. Several aspects of infants’ quality of movements were associated with maternal sensitivity in the motor modality and infants’ positive engagement, but not with maternal sensitivity in the modalities of vocalization and eye contact. These findings suggest that the quality of infants’ spontaneous movements may explain some of the variability in the interactions between infants born preterm and their mothers. The results also highlight the importance of differentiating between the modalities of mothers’ behavior when assessing their sensitivity. Implications for research and practice with families of preterm infants are discussed.     

Marriage and Family Therapy Trainees' Reports of Explicit Weight Bias

Discrimination based on an individual's weight has been observed in health care, education, retail, and other public sectors (Puhl & Huer, Obesity, 17, 941, 2007). Such inequity, known as “weight bias,” generates negative short‐term and long‐term consequences for the individuals that experience it (Puhl & Brownell, Weight bias in health care settings, 2007). Past research has shown that healthcare trainees exhibit weight bias (Phelan et al., Obesity, 22, 1201, 2014; Wigton & McGaghie, Journal of General Internal Medicine, 16, 262, 2001), yet little focus is given to weight bias in marriage and family therapy (MFT) education. The purpose of this study was to survey MFT students (N = 162) to explore weight bias and how contextual factors associate with weight bias. Participants in MFT programs reported explicit weight bias, with specific contextual factors associating with more bias. Female participants reported more fear of gaining weight, and individuals who identified as overweight had higher rates of explicit weight bias. Contextual differences and implications for training programs are discussed.