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BACKGROUND: New mothers and fathers are at risk of developing postnatal depressive problems. To understand how postnatal depressive symptoms unfold over time, analyses at the within-person level are necessary. Inspecting postnatal depressive problems at the symptom level provides a novel perspective, ultimately offering insight into which symptoms contribute to the elevation of other symptoms over time. METHODS: Panel graphical vector-autoregression (GVAR) models were applied to analyze the within-person temporal and contemporaneous relations between depressive symptoms across the postnatal period in new mothers and fathers (at T1; Nmothers = 869, Nfathers = 579). Depressive symptoms were assessed at 6-, 12-, and 18-months postpartum, using the Edinburgh Postnatal Depression Scale. RESULTS: The results revealed that for mothers, sadness was a key symptom predicting symptom increases in multiple other depressive symptoms and itself (autoregressive effect) over time. Furthermore, anxiousness and feeling scared predicted each other across the postnatal period in mothers. For fathers, the most central predicting symptom in the overall network of symptoms was being anxious, while self-blame and being overwhelmed had strong self-maintaining roles in the fathers' symptomatology, indicating that these could be key features in fathers experiencing postnatal depressive problems. The pattern of symptoms that mothers and fathers experienced within the same time window (contemporaneous associations), shared many of the same characteristics compared to the temporal structure. CONCLUSIONS: This study suggests that across the postnatal period, from 6- to 18-months postpartum, depressive symptoms in mothers and fathers contribute differently to the pattern of depressive problems, highlighting sadness as a key feature in maternal symptomatology and anxiousness components in paternal symptomatology.
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Depressão Pós-Parto , Pai , Mães , Humanos , Feminino , Depressão Pós-Parto/psicologia , Pai/psicologia , Masculino , Adulto , Mães/psicologia , Ansiedade/psicologia , Período Pós-Parto/psicologiaRESUMO
INTRODUCTION: Developmental research suggests that children learn to regulate their emotions and behavior through a process of emotion socialization. The main body of literature is based on samples from the United States, and very little is known about the socialization of emotions in Nordic settings. OBJECTIVES: The current study aimed to explore associations between mothers' and fathers' reactions to children's negative emotions and externalizing behavior problems in a Nordic cultural context, and to explore gender differences in these associations. METHODS: Parent-report data on the Coping with Children's Negative Emotions Scale (CCNES) and the Eyberg Child Behavior Inventory 6 (ECBI) was collected in a large sample of Norwegian preschool-aged children (mothers, n = 242; fathers, n = 183; N = 257; M = 54 months, SD = 4.54; 49% boys). Teacher-report data was collected using the Strengths and Difficulties Questionnaire (SDQ) conduct scale (n = 117). RESULTS: Both parents' supportive and non-supportive reactions were associated with child externalizing difficulties in expected directions as evidenced by path models, controlling for socioeconomic status and age. A pattern emerged in which non-supportive reactions to a greater extent predicted an increase in externalizing problems in girls, and supportive reactions predicted lower levels of externalizing problems in boys. CONCLUSION: Our findings supported the basic assumptions of emotion socialization theory in a Nordic cultural context in which parental supportive and non-supportive responses are related to child externalizing difficulties. Nordic parents are important socialization agents for their children, but their behaviors had a differential effect on boys' and girls' externalizing behavior problems.
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Multiple risk is associated with adverse developmental outcomes across domains. However, as risk factors tend to cluster, it is important to investigate formation of risk constellations, and how they relate to child and parental outcomes. By means of latent class analysis patterns of prenatal risk factors were identified, and relations to interactional quality, parenting stress, and child internalizing and externalizing behaviors were investigated. An array of prenatal risk factors was assessed in 1036 Norwegian pregnant women participating in a prospective longitudinal community-based study, Little in Norway. Mother-infant interactions were videotaped and scored with the Early Relational Health Screen (ERHS) at 12 months. The Parenting Stress Index (PSI) and Infant-Toddler Social and Emotional Assessment (ITSEA) were administered at 18 months. First, we analyzed response patterns to prenatal risks to identify number and characteristics of latent classes. Second, we investigated whether latent class membership could predict mother-child interactional quality, parenting stress, and child internalizing and externalizing behavior after the child was born. Results revealed three prenatal risk constellations: broad risk (7.52%), mental health risk (21.62%) and low-risk (70.86%). Membership in the broad risk group predicted lower scores on interactional quality, while membership in the mental health risk group predicted less favorable scores on all outcome measures. Prenatal risks clustered together in specific risk constellations that differentially related to parent, child and interactional outcomes.
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Mães , Poder Familiar , Lactente , Humanos , Feminino , Gravidez , Poder Familiar/psicologia , Estudos Prospectivos , Estudos Longitudinais , Mães/psicologia , Relações Mãe-Filho/psicologia , Período Pós-Parto , PartoRESUMO
How expectant fathers think and feel about the unborn child (prenatal representations), has shown associations with fathers' postnatal parenting behaviors, observed father-infant interactional quality and child cognitive development. There is limited knowledge about fathers' prenatal representations. The present study examined if fathers' partner-related attachment styles were related to their prenatal representations of the unborn child. In the "Little in Norway Study", an ongoing prospective, longitudinal population-based study, 396 expectant fathers completed the Experiences in Close Relationships Scale at enrollment (mean gestational week = 23.76, SD = 4.93), and in gestational weeks 27-35 completed three questions assessing prenatal representations. Correlations of attachment style and prenatal representations were reported using logistic regression analyses. We found that an avoidant attachment style by fathers were predicted to have absent or negative representations on all three items (1) "strongest feeling about the unborn child" (Cl = 1.19-2.73), (2) "thoughts about child personality" (Cl = 1.16-1.87), and (3) "experiences of relationship with the child" (Cl = 1.14-1.75). Father anxious attachment style was not significantly associated with absent or negative prenatal representations. Results suggest that expectant fathers with a partner related avoidant attachment style have an increased risk of having absent or negative prenatal representations of the unborn child.
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There is considerable variability in developmental outcomes of children whose mothers experience depression. Few longitudinal studies have examined contributions of paternal involvement in the association between maternal postnatal depression (PND) and offspring development. We examined pathways from maternal PND at 8 weeks (Edinburgh Postnatal Depression Scale; total score) to offspring emotional and behavioral development at 7 years (Strengths and Difficulties Questionnaire; total score) through behavioral, affective, and cognitive dimensions of paternal involvement in a U.K.-based birth cohort (Avon Longitudinal Study of Parents and Children; n = 3,434). Analyses were adjusted for baseline confounders and paternal PND (Edinburgh Postnatal Depression Scale; total score) as an intermediate confounder. Maternal PND was strongly associated with offspring development, but this association was not mediated by the combination of all indirect pathways through various dimensions of paternal involvement. Only father-child conflict emerged as a risk factor for adverse offspring development and as a mediator in the association between maternal PND and offspring development (albeit the effect size was small). If found causal, interventions that reduce father-child conflict may reduce the risk of adverse development in offspring of mothers with PND. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Filho de Pais com Deficiência , Depressão Pós-Parto , Masculino , Feminino , Humanos , Criança , Depressão/psicologia , Estudos Longitudinais , Filho de Pais com Deficiência/psicologia , Depressão Pós-Parto/psicologia , Pai/psicologia , Mães/psicologiaRESUMO
This study investigates differences in dyadic mother-infant and father-infant interaction patterns at infant age 12 months, and the relation between different parent-infant gender compositions and the dyadic interaction. Data were drawn from a large-scale, population-based Norwegian community sample comprising 671 mother-infant and 337 father-infant interactions. The Early Relational Health Screen (ERHS), a screening method for observing dyadic parent-infant interactions, was used to assess the parent-infant interactions. Scores on the ERHS were employed to investigate dyadic differences in the overall interaction scores, and dyadic interaction on seven sub-dimensions between mother-infant and father-infant pairs. The relation between different parent-infant gender compositions and the dyadic interaction scores was also examined. As expected in a normative sample, most parent-infant interactions received scores in the upper rating levels. Differences between mother-infant and father-infant patterns were generally small, but mother-infant dyads tended to obtain slightly higher scores. The mother-infant dyads received higher scores on the dimensions of engagement and enjoyment, but no other significant differences between the parent-infant pairs were found for the remaining dimensions. We did not find evidence for a moderation effect of child gender. However, parent-daughter dyads received somewhat higher scores than the parent-son dyads.
Este estudio investiga las diferencias en los patrones de interacción de las díadas madre-infante y padre-infante a los 12 meses de edad del infante, y la relación entre las diferentes composiciones de género de progenitor-infante y la interacción diádica. Los datos se obtuvieron de un grupo muestra a gran escala con base en la población en una comunidad noruega y el mismo comprendía 671 interacciones madre-infante y 337 padre-infante. La Temprana Detección de Salud de la Relación (ERHS), un método de examinación para observar las interacciones progenitor-infante, se usó para evaluar las interacciones progenitor-infante. Los puntajes de ERHS se emplearon para investigar las diferencias diádicas dentro de los puntajes de interacción generales, y las interacciones diádicas acerca de siete sub-dimensiones entre los pares de madre-infante y padre-infante. También se examinó la relación entre las diferentes composiciones de género progenitor-infante y la interacción diádica. Como se esperaba en un grupo muestra normativo, la mayoría de las interacciones progenitor-infante recibió puntajes en los niveles superiores de la evaluación. Las diferencias entre los patrones madre-infante y padre-infante fueron generalmente pequeñas, pero las díadas madre-infante tendieron a recibir puntajes un poquito más altos. Las díadas madre-infante recibieron más altos puntajes en las dimensiones de participación y disfrute, pero no se encontraron otras diferencias significativas entre los pares progenitor-infante en el resto de las dimensiones. No encontramos evidencia de un efecto de moderación del género del infante. Sin embargo, las díadas padre-hija recibieron hasta cierto punto puntaje más altos que las díadas padre-hijo.
Cette étude porte sur les différences dans les patterns d'interaction dyadique mère-nourrisson et père-nourrisson à l'âge de 12 mois pour le bébé, et la relation entre les différentes compositions de genre parent-bébés et l'interaction dyadique. Les données ont été extraites d'un échantillon communautaire norvégien de grande taille, basé sur la population, comprenant 671 interactions mère-nourrisson et 337 interactions père-nourrisson. Le Dépistage Précoce de Santé Relationnelle (ERHS), une méthode de dépistage pour l'observation des interactions dyadiques parent-bébé, a été utilisé afin d'évaluer les interactions parent-bébé. Les scores au ERHS ont été employés pour rechercher les différences entre les scores d'interaction généraux et l'interaction dyadique concernant sept sous-dimensions entre les paires mère-bébé et père-bébé. La relation entre les différentes compositions de genre parent-bébé et les scores d'interaction dyadique a également été examinée. Comme prévu dans un échantillon normatif la plupart des interactions parent-bébé ont reçu des scores dans les niveaux les plus hauts. Les différences entre les patterns mère-bébé et père-bébé étaient généralement petites mais les dyades mère-bébé ont eu tendance à obtenir des scores un peu plus élevés. Les dyades mère-bébé ont reçu de meilleurs scores quant aux dimensions d'engagement et de plaisir, mais aucune autre différence importante n'a été trouvée entre les paires parent-bébé pour les autres dimensions. Nous n'avons pas trouvé de preuves d'un effet de modération pour le genre de l'enfant. Cependant les dyades parent-fille ont reçu des scores un peu plus élevés que les dyades parent-fils.
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Relações Interpessoais , Pais , Emoções , Feminino , Humanos , Lactente , Masculino , Relações Mãe-Filho , Mães , PrazerRESUMO
A recent Registered Replication Report (RRR) of the development of verbal rehearsal during serial recall (Elliott et al., 2021) revealed that children verbalized at younger ages than previously thought (Flavell et al., 1966), but did not identify sources of individual differences. Here we use mediation analysis to reanalyze data from the 934 children ranging from 5 to 10 years old from the RRR for that purpose. From ages 5 to 7, the time taken for a child to label pictures (i.e. isolated naming speed) predicted the child's spontaneous use of labels during a visually-presented serial reconstruction task, despite no need for spoken responses. For 6- and 7-year-olds, isolated naming speed also predicted recall. The degree to which verbalization mediated the relation between isolated naming speed and recall changed across development. All relations dissipated by age 10. The same general pattern was observed in an exploratory analysis of delayed recall for which greater demands are placed on rehearsal for item maintenance. Overall, our findings suggest that spontaneous phonological recoding during a standard short-term memory task emerges around age 5, increases in efficiency during the early elementary school years, and is sufficiently automatic by age 10 to support immediate serial recall in most children. Moreover, the findings highlight the need to distinguish between phonological recoding and rehearsal in developmental studies of short-term memory.
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How depressive symptoms unfold within a couple during the perinatal events of pregnancy, childbirth, and early parenthood is poorly understood. In this prospective study, we aim to investigate the reciprocal relation between maternal and paternal depressive symptomatology, specifically how symptoms in 1 partner relate to subsequent symptom level changes in the other partner throughout the perinatal period. Further, we aim to identify parents who are particularly vulnerable to the development of disruptive processes of negative mood states. Data were collected from 1,036 mothers and 878 fathers participating in the Little in Norway study from midpregnancy until 12 months postpartum. Depressive symptoms were assessed at 7 time points (4 prenatally) in both parents. Partner-related attachment was measured early in pregnancy. By using an autoregressive latent trajectory modeling approach, accounting for time invariant confounding, we found mothers' depressive symptoms late in pregnancy to predict elevated symptom levels in fathers 6 weeks after birth, with a small effect size. No other time-adjacent effects were observed among partners at other time points or with the opposite directionality. However, moderation analyses revealed that among parents characterized by insecure partner-attachment styles, additional cross-lagged pathways were evident during pregnancy and throughout the first year of parenthood. Clinicians need to be aware of fathers' vulnerability to symptom development in instances of maternal perinatal depressive states at the time around childbirth, and tailor preventive and treatment efforts to address both parents' needs. Further, particular attention should be directed to parents with heightened susceptibility to prolonged depression contagion processes. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Depressão/psicologia , Transtorno Depressivo/psicologia , Pai/psicologia , Mães/psicologia , Apego ao Objeto , Complicações na Gravidez/psicologia , Cônjuges/psicologia , Adulto , Depressão Pós-Parto/psicologia , Feminino , Humanos , Masculino , Noruega , Gravidez , Estudos Prospectivos , Transtornos Puerperais/psicologia , Adulto JovemRESUMO
Maternal postnatal depression has been associated with a broad range of developmental risk among children. However, there has been less focus on disentangling the effects of pre- and postnatal depressive symptoms, as well as examining the symptoms of both parents. This study aims to investigate the separate effects of pre- and postnatal depressive symptoms in mothers and fathers, and parents' differential effects on child social-emotional, cognitive, and language development at 18 months of age. Further, we investigate whether effects of depressive symptomatology on child outcomes are particularly strong when both parents evinced high symptom loads and whether parenting stress mediates associations between perinatal depressive symptoms and child developmental outcomes. The study used data from 1036 families participating in a community-based study from mid-pregnancy until 18 months postpartum. Depressive symptoms were assessed at seven time points (four prenatally). Within a structural equation framework, we found that parental perinatal depressive symptoms predicted child social-emotional functioning, specifically externalizing, internalizing, and dysregulation problems, as well as language developmental delay at 18 months. Controlling for postnatal symptoms we found no independent effect of prenatal depressive symptoms on any child outcomes. A differential effect was evident, linking maternal symptoms to social-emotional outcomes, and paternal symptoms to language outcomes. There was no evidence of stronger associations between depressive symptoms and child outcomes when both parents showed high symptom loads. However, parenting stress mediated most relations between parental depressive symptoms and child outcomes. Findings demonstrate the importance of including paternal depressive symptoms in both clinical and research contexts.
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Sintomas Comportamentais/fisiopatologia , Desenvolvimento Infantil/fisiologia , Filho de Pais com Deficiência , Transtorno Depressivo/fisiopatologia , Pai , Comportamento do Lactente/fisiologia , Mães , Poder Familiar , Complicações na Gravidez/fisiopatologia , Estresse Psicológico/fisiopatologia , Adulto , Depressão Pós-Parto/fisiopatologia , Feminino , Humanos , Lactente , Estudos Longitudinais , Masculino , GravidezRESUMO
PURPOSE: The Little in Norway (LiN) project is a cross-disciplinary prospective longitudinal study starting in pregnancy. It was set up to investigate maternal and paternal mental health functioning in the transition to parenthood, detect pathways to healthy and aberrant child development and generate new knowledge about mechanisms underlying differential child mental health susceptibility. PARTICIPANTS: The LiN cohort is a community-based sample comprising 1036 families (1036 mothers, 884 partners, 1017 children). All pregnant women and their partners receiving routine prenatal care at well-baby clinics at nine geographically selected sites across Norway were invited to participate. Enrolment took place from September 2011 to October 2012. This cohort profile comprises 10 data collection waves spanning from enrolment in pregnancy until child age 18 months. FINDINGS TO DATE: Four types of information have been collected: multi-informant questionnaire reports, direct observation of interaction, test data and biological samples. The most significant findings so far relate to three domains of results. First, when examining risk factors for parental mental health problems, results showed that the parents' own adverse childhood experiences and attachment style were related to anxiety, depression and stress in the perinatal period. The perception of difficult child temperament was also found to contribute to parenting stress in the first year after birth. Second, we studied how parental mental health risk factors were related to later child development and social emotional functioning, for example, linking maternal symptoms to social-emotional outcomes and paternal symptoms to language outcomes. Third, we investigated the relation between maternal nutrition during pregnancy and aspects of early child development. Results showed that mild to moderate maternal iodine deficiency in pregnancy was associated with poorer language skills up to 18 months, but not with reduced cognitive or fine and gross motor skills. FUTURE PLANS: A data collection point at 36 months is completed and currently being analysed. A new data collection wave is planned when the children are 8 years of age. TRIAL REGISTRATION NUMBER: ISRCTN66710572.
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Desenvolvimento Infantil , Pai , Transtornos Mentais/epidemiologia , Saúde Mental , Mães , Adulto , Estudos de Coortes , Feminino , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino , Noruega , Gravidez , Estudos ProspectivosRESUMO
Parenting stress can influence caregiving behavior negatively, which in turn may harm children's development. Identifying precursors of parenting stress, preferably beginning during pregnancy and throughout the first year of life, is therefore important. The present study aims to provide novel knowledge on this issue through a detailed examination of the association between maternal attachment style and later parenting stress. Moreover, we examine the role of several additional risk factors, specificially the mothers' own adverse childhood experiences (ACE), as well as infants' temperamental characteristics. Data from a community based longitudinal study of 1,036 Norwegian mothers, collected during pregnancy and 12 months after childbirth, were used. Results showed that attachment style in pregnancy predicted parenting stress 1 year after birth. In addition, it was demonstrated that the mothers' own ACEs predicted postnatal parenting stress, and that attachment style operated as a mediator of this association. A significant association between perceived infant temperament and parenting stress was also found. The study illustrates the importance of understanding the multifactorial antecedents of parenting stress. The results may inform early intervention efforts aimed at supporting mothers and their partners in the potentially difficult transition period around childbirth.
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Depressive symptoms among pregnant and postpartum women are common. However, recent studies indicate that depressive symptoms in the perinatal period do not follow a uniform course, and investigations of the heterogeneity of time courses and associated factors are needed. The aim of this study was to explore whether depressive symptoms in the perinatal period could be categorized into several distinct trajectories of symptom development among subgroups of perinatal women, and to identify predictors of these trajectory groups. The study used data from 1,036 Norwegian women participating in a community-based prospective study from midpregnancy until 12-months postpartum. Depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale at 7 time points (4 during pregnancy). Partner-related attachment, stress, childhood adversities, pregnancy-related anxiety, previous psychopathology, and socioeconomic conditions were assessed at enrollment. By means of growth mixture modeling based on piecewise growth curves, 4 classes of depressive symptom trajectories were identified, including (a) pregnancy only (4.4%); (b) postpartum only (2.2%); (c) moderate-persistent (10.5%); and (d) minimum symptoms (82.9%) classes. Multinomial logistic regression analyses showed that membership in the pregnancy only and postpartum only classes primarily was associated with pregnancy-related anxiety and previous psychopathology, respectively, whereas the moderate-persistent class was associated with diverse psychosocial adversity factors. Findings suggest heterogeneity in temporal patterns of elevated depressive mood, relating specific trajectories of time courses with distinct adversity factors. Researchers and clinicians should be aware of possible multiple courses of elevated perinatal depressive mood, and inquire about possible diverse adversity factors, aberrant pathways, and prognoses. (PsycINFO Database Record