Infant Behavior and Competence Following Prenatal Exposure to a Natural Disaster: The QF2011 Queensland Flood Study

This study utilized a natural disaster to investigate the effects of prenatal maternal stress (PNMS) arising from exposure to a severe flood on maternally reported infant social–emotional and behavioral outcomes at 16 months, along with potential moderation by infant sex and gestational timing of flood exposure. Women pregnant during the Queensland floods in January 2011 completed measures of flood‐related objective hardship and posttraumatic stress (PTS). At 16 months postpartum, mothers completed measures describing depressive symptoms and infant social–emotional and behavioral problems (n = 123) and competence (n = 125). Greater maternal PTS symptoms were associated with reduced infant competence. A sex difference in infant behavioral problems emerged at higher levels of maternal objective hardship and PTS; boys had significantly more behavioral problems than girls. Additionally, greater PTS was associated with more behavioral problems in boys; however, this effect was attenuated by adjustment for maternal depressive symptoms. No main effects or interactions with gestational timing were found. Findings highlight specificity in the relationships between PNMS components and infant outcomes and demonstrate that the effects of PNMS exposure on behavior may be evident as early as infancy. Implications for the support of families exposed to a natural disaster during pregnancy are discussed.     

Functional Play at 2 Years of Age: Effects of Prenatal Maternal Stress

Toddler toy play evolves in a predictable manner and provides a valid, nonverbal measure of cognitive function unbiased by social behaviors. Research on prenatal maternal stress (PNMS) indicates that exposure to stress in utero results in developmental deficits. We hypothesized that children exposed to high objective PNMS from a natural disaster early in pregnancy would exhibit higher rates of stereotypical play and lower rates of mature functional play than their low‐stress counterparts would. We examined the functional play abilities of 52 2‐year‐olds exposed to low or high objective PNMS from a natural disaster within a nonstructured play session. Toddlers exposed to high objective PNMS, subjective PNMS, or both exhibited less functional and more stereotypical toy play, with less diversity, compared to toddlers exposed to low PNMS. PNMS appears to affect functional play development in toddlers negatively. These results replicate delays in language and intellectual functioning observed in these toddlers using the Bayley Scales.     

Prenatal Depression and Infant Temperament: The Moderating Role of Placental Gene Expression

Prior research has demonstrated the link between maternal depression during pregnancy (i.e., prenatal depression) and increased neurodevelopmental dysregulation in offspring. However, little is known about the roles of key hypothalamic–pituitary axis regulatory genes in the placenta modulating this association. This study will examine whether placental gene expression levels of 11β‐hydroxysteroid dehydrogenase type 2 (HSD11B2), glucocorticoid receptor (NR3C1), and mineralocorticoid receptor (NR3C2) can help elucidate the underlying mechanisms linking prenatal depression to infant temperament, particularly in infants with high negativity and low emotion regulation. Stored placenta tissues (N = 153) were used to quantify messenger ribonucleic acid levels of HSD11B2, NR3C1, and NR3C2. Assessments of prenatal depression and infant temperament at 6 months of age were ascertained via maternal report. Results found that prenatal depression was associated with increased Negative Affectivity (p < .05) after controlling for postnatal depression and psychosocial characteristics. Furthermore, the association between prenatal depression and Negative Affectivity was moderated by gene expression levels of HSD11B2, NR3C1, and NR3C2 such that greater gene expression significantly lessened the association between prenatal depression and Negative Affectivity. Our findings suggest that individual differences in placental gene expression may be used as an early marker of susceptibility or resilience to prenatal adversity.     

Indirect Effects of Maternal Sensitivity on Infant Emotion Regulation Behaviors: The Role of Vagal Withdrawal

The potential indirect effect of observed maternal sensitivity at 5 months on the development of infants' behavioral regulation of emotion from 5 to 10 months (i.e., distraction and maternal‐orientation behaviors) via infant's vagal withdrawal was investigated (N = 230). Results indicated that maternal sensitivity at 5 months was not directly associated with behavioral regulation at 10 months. However, greater maternal sensitivity at 5 months was associated with greater vagal withdrawal at 10 months, after controlling for vagal withdrawal at 5 months. Further, vagal withdrawal at 10 months was associated with greater orientation toward the mother at 10 months, after controlling for 5‐month orientation behaviors. The indirect effect of maternal sensitivity on maternal‐orientation behaviors was significant, suggesting that infant's vagal withdrawal may be one potential mechanism through which maternal sensitivity is related to behavioral regulation.     

The Regulation of Infant Negative Emotions: The Role of Maternal Sensitivity and Infant‐Directed Speech Prosody

This study explored the role of maternal sensitivity and infant‐directed speech (IDS) prosody in infants’ expression and regulation of negative emotion. Seventy mothers and their 3‐month‐old infants were observed during the Still‐Face Paradigm (SFP). Maternal sensitivity and IDS prosody were assessed at baseline and infant negative affect in the baseline, still‐face, and reunion episodes. Results showed that prototypical IDS prosody characterized by wider fundamental frequency (F0) variability was related to decreases in infant's negative affect, but only if accompanied by maternal sensitivity. Infants of sensitive mothers who spoke with more prototypical IDS prosody showed better abilities to regulate negative affect during the SFP. When prototypical IDS prosody was accompanied by low maternal sensitivity, infants showed lower regulation of negative emotions. In conclusion, infant negative affect regulation in a dyadic setting is facilitated by an optimal combination of both more prototypical maternal IDS prosody and maternal sensitive responsiveness. Implications for the study of mother–infant interaction are discussed.     

Reunifying Families Affected by Maternal Substance Abuse: Consumer and Service Provider Perspectives on the Obstacles and the Need for Change

ABSTRACT

This paper presents the findings of a qualitative study which examined the views of chemically dependent mothers, child welfare service providers and substance abuse service providers regarding the obstacles to family reunification and recommendations for change. Implications for practice, policy and research are discussed, with special reference to the mandates of the Adoption and Safe Families Act.     

Therapeutic Responses to Communities Affected by Disasters: The Contribution of Family Therapy

This article is underpinned by the premise that for recovery, healing and post‐traumatic growth to occur after traumatic events such as technological and natural disasters, massacres and terrorist attacks, effective therapeutic services need to be offered at both the individual and community level. Frequently, responses to such traumatic instances have been conceptualised as discrete, polarised interventions offered by various groups of health and welfare professionals at various points post the traumatic event. Traditionally when therapeutic interventions are considered, many practitioners assume that the response would, and should, focus primarily and narrowly, on individuals or their families and the symptoms of post‐traumatic stress. Conversely, the perceived role of community wide interventions has been unnecessarily limited to disaster relief or organised emergency responses most usually offered at the time of the crisis. The consequence of these limited understandings is an apparent failure to explore fully the therapeutic or mediating role of social or community support in surviving trauma. Interventions encompassing the level of community might be therapeutic in two fundamental ways. First, if practitioners embraced ideas from systemic family therapy literature, ideas that acknowledge the importance of social networks, this would encourage a more holistic vision of resilience and recovery. Second, if practitioners recognised that whole communities and social networks might also be traumatised, they could provide support and interventions oriented toward healing at this broader level.     

The Cat is out of the Bag: The Joint Influence of Previous Experience and Looking Behavior on Infant Categorization

We examined the effect of 4‐month‐old infants' previous experience with dogs, cats, or both and their online looking behavior on their learning of the adult‐defined category of cat in a visual familiarization task. Four‐month‐old infants' (N = 123) learning in the laboratory was jointly determined by whether or not they had experience with pets at home and how much they shifted their gaze back and forth between the stimuli during familiarization. Specifically, only infants with pets at home who also exhibited high levels of switching during familiarization remembered the individual cat exemplars or formed a summary representation of those cats. These results are consistent with recent theorizing about the processes of how infants' categorical representations are formed, and provide new understanding into how infants' categorization unfolds over time.     

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 Impact of Child Behaviour Problems on Maternal Employment: A Longitudinal Cohort Study

This prospective population-based study examined associations between children’s behaviour problems and maternal employment. Information on children’s behaviour problems at 3 years from 22,115 mothers employed before pregnancy and participating in the Norwegian Mother and Child Cohort Study were linked to national register data on employment and relevant social background factors, mothers’ self-reported susceptibility to anxiety/depression and mother-reports of day-care attendance and fathers’ income. Mothers reporting their child to have severe (>2 SD) internalizing or severe combined behaviour problems (5 %) had excess risk of leaving paid employment irrespective of other important characteristics generally associated with maternal employment (RR 1.24–1.31). The attributable risk percent ranged from 30.3 % (internalizing problems) to 32.4 % (combined problems). Externalizing behaviour problems were not uniquely associated with mothers leaving employment.     

Challenges and Coping Strategies of Children with Parents Affected by Schizophrenia: Results from an In-Depth Interview Study

This article presents results from an in-depth interview study investigating challenges and coping strategies of children with parents affected by schizophrenia. Thirty-four qualitative interviews of children were conducted and evaluated by content analysis. The interviewees spoke of a wide range of challenges that they must deal with daily. A variety of available coping strategies, social and personal resources were identified in the study. The results show that there is a need for professional support, especially on a low-threshold basis, that helps affected children to develop appropriate and diverse forms of coping.     

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.     

The Role of Managers in Critical Incident Stress Management Programmes: A Qualitative Study of New Zealand Social Workers

This paper reports part of a larger exploratory research study of social workers' preferred models of critical incident stress management and experiences of critical incident stress debriefing. Social workers were invited to contribute to the research through an advertisement in the national association's newsletter for Aotearoa New Zealand Association of Social Workers. Using a qualitative methodology involving in-depth interviews with 13 social workers, participants were asked about their experiences of critical events encountered within their workplaces over the last five years. Interviews were recorded by audiotape with consent and analysed using thematic analysis. Four main themes emerged: the importance of preparation for critical incidents, the role of relationship between line managers and social workers, specifically the line manager's support immediately after the critical incident, and the availability of peer/colleague networks. An unexpected finding was that social workers interviewed noted that the pre-existing relationship with the line manager influenced their experience of the debriefing process itself. The more engaged and emotionally aware the manager was seen, the more the social worker claimed the debriefing process had been successful from their perspectives. The implications for social workers and their employing agencies are discussed.     

The Utilisation of Music by Casino Managers: An Interview Study

Music is ubiquitous in retail and commercial environments, with some managers believing that music can enhance the customer experience, increase footfall and sales and improve consumer satisfaction. Casino gambling is popular in the United Kingdom and anecdotal evidence suggests that music is often present. However, little is known about the rationale for music use from the perspective of casino managers. In this study semi-structured interviews were conducted with five casino managers to establish their motivations for utilising music, the factors informing their choice of music and the extent to which music is used with the intention of influencing gambling behaviour. Results showed that casino managers utilised two types of music—recorded background music, often sourced via external music supply companies and live music. Live music was often situated away from the gaming floor and used primarily to accompany participation in non-gambling activities. Recorded background music was not used with the direct aim of influencing customers’ gambling behaviour, but to create the right atmosphere for gambling and to promote certain moods within the casinos. To achieve these aims casino managers manipulated the tempo, volume and genre of the recorded background music. Casino managers also reported that some gamblers listen to music via portable music players, possibly with the intention of customising their gambling experience. This study is unique as it has provided a first-hand account of casino managers’ implicit theories with regards to why they utilise music and the roles which music is considered to fulfil in casinos.     

The Levels of Cortisol,Oxidative Stress,and DNA Damage in the Victims of Childhood Sexual Abuse: A Preliminary Study

In this study we aimed to investigate serum cortisol, oxidative stress, and DNA damage in children who are sexual abuse victims. The study included 38 children who sustained child sexual abuse and 38 age- and gender-matched children who did not have a history of trauma. Cortisol levels reflecting the status of the hypothalamic-pituitary-adrenal axis, anti-oxidant enzymes glutathione peroxidase, superoxide dismutase, natural anti-oxidant coenzyme Q, and 8-hydroxy-2-deoxyguanosine as the indicator of DNA damage were analyzed in serum samples using the enzyme linked immunosorbent assay method. Cortisol levels were significantly higher in the child sexual abuse group compared to the control group. There were no significant differences between the groups in terms of oxidative stress and DNA damage. Cortisol and 8-hydroxy-2-deoxyguanosine levels decreased as the time elapsed since the sexual abuse increased. Coenzyme Q level was lower in victims who sustained multiple assaults than in the victims of a single assault. Cortisol and superoxide dismutase levels were lower in the victims of familial sexual abuse. Decreases in cortisol and 8-hydroxy-2-deoxyguanosine levels as time elapsed may be an adaptation to the toxic effects of high cortisol levels over a prolonged period of time. Child sexual abuse did not result in oxidative stress and DNA damage; however, some features of sexual abuse raised the level of oxidative stress.     

Characteristics of Sexually Abused Children and Their Nonoffending Mothers Followed by Child Welfare Services: The Role of a Maternal History of Child Sexual Abuse

Considering the importance of mother’s support in the adaptation of a sexually abused child, it is relevant to determine if the mothers and children involved in an intergenerational cycle of child sexual victimization differ from dyads in which only the child has been abused. The purpose of this study was to compare mother–child dyads with sexually abused children according to whether the mother had herself been victim of child sexual abuse. The sample included 87 dyads with sexually abused children aged 3–18 years old and their mothers (44 reporting maternal and child abuse), followed by social welfare services of the province of Quebec (Canada). The two groups of mothers were compared on their past family abuse experiences and past family relations, their mental health history, their current psychological distress, their parenting behaviors, and their current levels of family functioning. Children were compared on their adaptation. Multivariate analyses indicated that mothers reporting child sexual abuse were more likely to report more other maltreatments in their childhood and greater prevalence of lifetime history of alcohol abuse disorders, dysthymia, and panic disorder compared with mothers who had not experienced CSA. Compared to children whose mothers had not experienced CSA, those whose mothers had experienced CSA showed higher rates of problems behaviors and were more likely to report having been sexually abused by a trusted person. These results highlight the specific clinical needs for the assessment and treatment for sexually abused children whose mothers experienced child sexual abuse.