Cocaine exposure is associated with subtle compromises of infants' and mothers' social-emotional behavior and dyadic features of their interaction in the face-to-face still-face paradigm.

Prenatal cocaine and opiate exposure are thought to subtly compromise social and emotional development. The authors observed a large sample of 236 cocaine-exposed and 459 nonexposed infants (49 were opiate exposed and 646 nonexposed) with their mothers in the face-to-face still-face paradigm. Infant and maternal behaviors were microanalytically coded. No opiate-exposure effects were detected. However, mothers of cocaine-exposed infants showed more negative engagement than other mothers. The cocaine-exposed dyads also showed higher overall levels of mismatched engagement states than other dyads, including more negative engagement when the infants were in states of neutral engagement. Infants exposed to heavier levels of cocaine showed more passive-withdrawn negative engagement and engaged in more negative affective matching with their mothers than other infants. Although effect sizes were small, cocaine exposure, especially heavy cocaine exposure, was associated with subtly negative interchanges, which may have a cumulative impact on infants' later development and their relationships with their mothers.

The impact of maternal psychiatric illness on infant development.

Maternal depression and anxiety are associated with compromises in infant and maternal social and emotional functioning. In this paper, we briefly review the literature on this topic and present some preliminary findings on a group of mothers in treatment for major depressive disorder, panic disorder, or obsessive-compulsive disorder. The findings suggest that the symptom reports of treated mothers with established DSM diagnoses were similar overall to those of control mothers. However, the mothers' psychiatric illness had a compromising effect on their interactions with their infants and on their infants' social and emotional functioning. The implications of these results are discussed.

Gender differences in emotional expressivity and self-regulation during early infancy.

Eighty-one 6-month-old infants and their mothers were videotaped in Tronick's face-to-face still-face paradigm to evaluate gender differences in infant and maternal emotional expressivity and regulation. Male infants had greater difficulty than female infants in maintaining affective regulation during each episode, including the still face. Mother-son dyads had higher synchrony scores than mother-daughter dyads but took longer in repairing interactive errors. In addition, maternal affect, matching, rate of change between matching and mismatching states, and synchrony in the play preceding the still face differentially mediated male and female infants' responses to the still face and reunion play. The developmental implications of these gender differences are discussed.

Subsyndromal depressive symptoms and major depression in postpartum women.

This study documents differences in the psychosocial functioning of women three months postpartum with subclinical depression, major depression prior to the birth of the baby, major depression both pre- and post-birth, and no depression. An understanding of these differences may have implications for intervention insofar as maternal depression places at risk not only the mother's functioning but her infant's development, as well.

Beyond the face: an empirical study of infant affective configurations of facial, vocal, gestural, and regulatory behaviors.

This article evaluates the extent to which infants' expressive modalities of face, gaze, voice, gesture, and posture form coherent affective configurations and whether these configurations are related to specific interactive contexts. 50 6-month-old infants and their mothers were videotaped in Tronick's Face-to-Face Still-Face Paradigm. The infants' gaze, voice, gestures, self-regulatory, and withdrawal behaviors were coded with the Infant Regulatory Scoring System (IRSS). The infants' facial expressions were coded with Izard's AFFEX system. Contingency analyses of IRSS behaviors and AFFEX expressions revealed 4 distinct affective configurations: Social Engagement, Object Engagement, Passive Withdrawal, and Active Protest. These affective configurations were differentially distributed among the different interactive contexts of the Face-to-Face Still-Face Paradigm. It is suggested that behaviors and facial expressions are fundamental expressive units flexibly organized into configurations that convey messages about the infant's internal state and intentions. Furthermore, it is hypothesized that the basic units of the infant's experience are these distinct affective configurations of emotion and behavior.

Infant affective reactions to the resumption of maternal interaction after the still-face.

To investigate infants' reactions to the Face-to-Face Still-Face Paradigm and in particular the reunion episode, 50 6-month-olds' affective, behavioral, and physiologic reactions were recorded and analyzed. Infants reacted to the still-face with negative affect, a drop in vagal tone, and an increase in heart rate. By contrast, they reacted to the reunion episode with a mixed pattern of positive and negative affect. There was a carryover of negative affect from the still-face, an increase in fussiness and crying, and a rebound of positive affect. During this episode, the infants' heart rate and vagal tone returned to initial levels. The data indicate that infant affective displays are specifically related to different interactive events, but that their physiologic reactions do not show the same level of specificity. The findings also highlight the complexity of the affective and reparatory processes that take place in mother-infant interactions.

Emotional characteristics of infants associated with maternal depression and anxiety.

Infants as young as 3 months are able to detect depression in their mothers. Depressed mothers are sufficiently different from nondepressed mothers in affect and interaction that the social, emotional, and cognitive functioning of their infants are compromised. This article reviews current findings on the effects of maternal depression and psychiatric illness on infants.