1
|
Oliver C, Puiras E, Sharma V, Mazmanian D. Careful considerations for the treatment of posttraumatic stress disorder during and following pregnancy. Expert Rev Neurother 2024; 24:159-170. [PMID: 38196397 DOI: 10.1080/14737175.2024.2303430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Accepted: 01/05/2024] [Indexed: 01/11/2024]
Abstract
INTRODUCTION The focus on perinatal mental health has expanded recently, though there is less research on post-traumatic stress disorder (PTSD). Therefore, a review of the literature was undertaken and coupled with expert clinical insights to discuss current clinical practice recommendations for PTSD in the perinatal period. AREAS COVERED This review covers considerations for the assessment, prevention, and treatment of PTSD during the perinatal period. Within these sections, evidence-based and promising practices are outlined. Extra attention is afforded to treatment, which includes considerations from both psychotherapeutic and psychopharmacological perspectives. This review closes with coverage of three important and related areas of consideration, including bereavement, intimate partner violence, and childhood sexual abuse. EXPERT OPINION Psychotherapeutic interventions for PTSD during pregnancy are limited, and no strong recommendations can be supported at this time while evidence points toward the effectiveness of cognitive behavioral therapies and eye movement desensitization therapy as first-line treatments postpartum though research evidence is also limited. Research on psychopharmacological interventions is similarly scarce, though selective serotonin reuptake inhibitors may be beneficial. Clinicians should also be mindful of additional considerations that may be needed for the treatment of PTSD in the context of bereavement, intimate partner violence, and history of sexual violence.
Collapse
Affiliation(s)
- Casey Oliver
- Department of Psychology, Lakehead University, Thunder Bay, Ontario, Canada
| | - Erika Puiras
- Department of Psychology, Lakehead University, Thunder Bay, Ontario, Canada
| | - Verinder Sharma
- Department of Psychiatry, Western University, London, Ontario, Canada
- Department of Obstetrics & Gynecology, Western University, London, Ontario, Canada
- Parkwood Institute Mental Health, St. Joseph's Health Care, London, Ontario, Canada
| | - Dwight Mazmanian
- Department of Psychology, Lakehead University, Thunder Bay, Ontario, Canada
| |
Collapse
|
2
|
Badovinac SD, Chow C, Di Lorenzo-Klas MG, Edgell H, Flora DB, Riddell RRP. Parents' Physiological Reactivity to Child Distress and Associations with Parenting Behaviour: A Systematic Review. Neurosci Biobehav Rev 2023:105229. [PMID: 37196925 DOI: 10.1016/j.neubiorev.2023.105229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 05/01/2023] [Accepted: 05/07/2023] [Indexed: 05/19/2023]
Abstract
This systematic review and narrative synthesis characterized parents' physiological stress responses to child distress and how parents' physiological and behavioural responses relate. The review was pre-registered with PROSPERO (#CRD42021252852). In total, 3,607 unique records were identified through Medline, Embase, PsycINFO, and CINAHL. Fifty-five studies reported on parents' physiological stress responses during their young child's (0-3 years) distress and were included in the review. Results were synthesized based on the biological outcome and distress context used and risk of bias was evaluated. Most studies examined cortisol or heart rate variability (HRV). Small to moderate decreases in parents' cortisol levels from baseline to post-stressor were reported across studies. Studies of salivary alpha amylase, electrodermal activity, HRV, and other cardiac outcomes reflected weak or inconsistent physiological responses or a paucity of relevant studies. Among the studies that examined associations between parents' physiological and behavioural responses, stronger associations emerged for insensitive parenting behaviours and during dyadic frustration tasks. Risk of bias was a significant limitation across studies and recommendations for future research are discussed.
Collapse
Affiliation(s)
| | - Cheryl Chow
- Department of Psychology, York University, Toronto, Canada
| | | | - Heather Edgell
- School of Kinesiology & Health Science, York University, Toronto, Canada
| | - David B Flora
- Department of Psychology, York University, Toronto, Canada
| | - Rebecca R Pillai Riddell
- Department of Psychology, York University, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada.
| |
Collapse
|
3
|
Harris M, MacMillan H, Mepham J, Joshi D, Wekerle C, Atkinson L, Gonzalez A. Maternal Childhood Maltreatment History and Child Behavior Problems: Developmental Patterns and Mediation via Maternal Depressive Symptoms and Parenting Behavior. CHILD MALTREATMENT 2023; 28:254-264. [PMID: 35081793 PMCID: PMC10021123 DOI: 10.1177/10775595221074364] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Maternal exposure to childhood maltreatment (CM) is associated with offspring behavioral problems; however, little work has examined these associations longitudinally across child development. This study examined the effects of maternal history of CM on trajectories of child internalizing and externalizing behavior measured from toddlerhood to preschool, and the role of maternal depressive symptoms and parenting behavior as potential mediators. Participants included 115 mother-child dyads recruited from a hospital maternity ward. Maternal CM was measured at 3-months postpartum. At 18, 36, and 60 months, maternal depressive symptoms and child behavior were assessed via maternal report and parenting behavior was assessed through direct observation. Findings indicated that children of mothers exposed to CM demonstrated poorer trajectories of problem behavior across early childhood. Maternal depressive symptoms mediated the relation between CM and children's internalizing problems. Findings highlight the importance of screening for maternal depressive symptoms and early intervention for maternal and child mental health.
Collapse
Affiliation(s)
- Madeleine Harris
- Neuroscience Graduate Program,
McMaster
University, Hamilton, ON, Canada
- Offord Centre for Child
Studies, Hamilton, ON, Canada
| | - Harriet MacMillan
- Offord Centre for Child
Studies, Hamilton, ON, Canada
- Department of Psychiatry and
Behavioural Neurosciences, McMaster
University, Hamilton, ON, Canada
- Department of Pediatrics,
McMaster
University, Hamilton, ON, Canada
| | - Jennifer Mepham
- Neuroscience Graduate Program,
McMaster
University, Hamilton, ON, Canada
- Offord Centre for Child
Studies, Hamilton, ON, Canada
| | - Divya Joshi
- Department of Clinical Epidemiology
and Biostatistics, McMaster University, Hamilton, ON,
Canada
| | - Christine Wekerle
- Offord Centre for Child
Studies, Hamilton, ON, Canada
- Department of Pediatrics,
McMaster
University, Hamilton, ON, Canada
| | - Leslie Atkinson
- Department of Psychology,
Ryerson
University, Toronto, ON, Canada
| | - Andrea Gonzalez
- Offord Centre for Child
Studies, Hamilton, ON, Canada
- Department of Psychiatry and
Behavioural Neurosciences, McMaster
University, Hamilton, ON, Canada
| |
Collapse
|
4
|
Xu M, Zhang H, Liu A, Zhao C, Huang X, Berman S, Fang H, Guan H. Effectiveness and cost-effectiveness of a group-based intervention to improve social-emotional development of young children in poverty-stricken areas: A cluster randomized controlled trial. J Glob Health 2023; 13:04017. [PMID: 36734398 PMCID: PMC9896863 DOI: 10.7189/jogh.13.04017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Background Social-emotional ability is key to the well-being and future success of children; however, disparities in social-emotional development during an individual's early age can last a lifetime, which is particularly evident among children living in poverty-stricken areas. We aimed to determine the effectiveness, cost-effectiveness, and feasibility of a group-based intervention called the Care Group on social-emotional development for families living in poverty-stricken counties. Methods We conducted a cluster (township) randomized controlled trial (C-RCT) every two weeks from July 2019 to June 2020 in a poverty-stricken area located in Shanxi, China. The outbreak of the COVID-19 pandemic suspended the implementation of the intervention in January 2020. The caregiver-child pairs in the intervention group participated in 12 group-based sessions with a structured curriculum and learning materials emphasizing nurturing ability and early childhood development. We applied a difference-in-differences (DID) model to estimate the intervention's impact. The analysis follows the intention-to-treat (ITT) principle. We used standard economic costing methods to estimate the cost of implementing the Care Group over the intervention period and adopted a societal perspective in the analysis. Results We included 322 eligible caregiver-child pairs in the baseline (intervention n = 136, control n = 186) and surveyed 258 pairs in the endline (intervention n = 117, control n = 141). Compared with the control group, children in the intervention group had significantly fewer social-emotional problems (adjusted mean difference of Z score = -0.374, 95% CI = -0.718, -0.030, P = 0.033) six months after intervention. In the first year, the annual cost of implementing Care Group was US$146.10 per child, reduced to US$47.20 per child in the second year due to the exclusion of non-recurrent costs. The incremental cost-effectiveness ratio (ICER) was US$390.60. Conclusions Care Group is an effective approach for promoting children's social-emotional development in poverty-stricken areas at an affordable cost and with high feasibility for scale-up. Considering the planned per capita health expenditure of the Chinese government for 2022, we believe that the presented evidence makes a solid scientific and financial case for integrating the Care Group intervention into the basic public health services (BPHS) package. Registration Chinese Clinical Trials Registry (ChiCTR): ChiCTR1900022894.
Collapse
Affiliation(s)
- Mengxue Xu
- Nurturing Care Research and Guidance Center, Capital Institute of Pediatrics, Beijing, China
| | - Haijun Zhang
- China Center for Health Development Studies, Peking University, Beijing, China,Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China
| | - Aihua Liu
- Department of Integrated Early Childhood Development, Capital Institute of Pediatrics, Beijing, China
| | - Chunxia Zhao
- Child Development Research Centre, China Development Research Foundation
| | - Xiaona Huang
- Child Health and Development, UNICEF China, Beijing, China
| | - Stephen Berman
- Center for Global Health (CGH), University of Colorado Anschutz Medical Campus Aurora, Colorado, USA,WHO Collaborating Center to Promote Family and Child Health, University of Colorado Anschutz Medical Campus Aurora, Colorado, USA,Colorado School of Public Health, University of Colorado Anschutz Medical Campus Aurora, Colorado, USA
| | - Hai Fang
- China Center for Health Development Studies, Peking University, Beijing, China,Peking University Health Science Center – Chinese Center for Disease Control and Prevention Joint Research Center for Vaccine Economics, Beijing, China,Institute for Global Health and Development, Peking University, Beijing, China
| | - Hongyan Guan
- Nurturing Care Research and Guidance Center, Capital Institute of Pediatrics, Beijing, China
| |
Collapse
|
5
|
Klimes-Dougan B, Papke V, Carosella KA, Wiglesworth A, Mirza SA, Espensen-Sturges TD, Meester C. Basal and reactive cortisol: A systematic literature review of offspring of parents with depressive and bipolar disorders. Neurosci Biobehav Rev 2022; 135:104528. [PMID: 35031342 DOI: 10.1016/j.neubiorev.2022.104528] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 01/06/2022] [Accepted: 01/07/2022] [Indexed: 11/19/2022]
Abstract
One of the most consistent biological findings in the study of affective disorders is that those with depression commonly show abnormal cortisol response, which suggests dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. Children of parents with mood disorders offer the opportunity to explore the biological pathways that may confer risk for psychopathology. This review explores basal and reactive cortisol in the offspring of parents who are currently depressed or have had a history of a depressive or bipolar disorder. Using PRISMA guidelines, search terms yielded 2002 manuscripts. After screening, 87 of these manuscripts were included. Results from the literature suggest that while the degree and direction of dysregulation varies, offspring of a parent with depression tend to show elevations in both basal (particularly morning and evening) and reactive (tentatively for social stressors) cortisol levels. There were few studies focused on offspring of parents with bipolar disorder. This review also discusses implications and recommendations for future research regarding the HPA axis in the intergenerational transmission of depressive disorders.
Collapse
Affiliation(s)
- Bonnie Klimes-Dougan
- Department of Psychology, University of Minnesota, 75 East River Parkway, Minneapolis, MN 55455, USA.
| | - Victoria Papke
- Department of Psychology, University of Minnesota, 75 East River Parkway, Minneapolis, MN 55455, USA
| | - Katherine A Carosella
- Department of Psychology, University of Minnesota, 75 East River Parkway, Minneapolis, MN 55455, USA
| | - Andrea Wiglesworth
- Department of Psychology, University of Minnesota, 75 East River Parkway, Minneapolis, MN 55455, USA
| | - Salahudeen A Mirza
- Department of Psychology, University of Minnesota, 75 East River Parkway, Minneapolis, MN 55455, USA
| | - Tori D Espensen-Sturges
- Department of Psychology, University of Minnesota, 75 East River Parkway, Minneapolis, MN 55455, USA
| | - Christina Meester
- Department of Psychology, University of Minnesota, 75 East River Parkway, Minneapolis, MN 55455, USA
| |
Collapse
|
6
|
Caron EB, Kipp EC, Costello AH, Bernard K, Schein SS, Roben CKP, Dozier M. Parent Coaching Fidelity Trajectories of In-Person and Telehealth Sessions during the COVID-19 Pandemic. EVIDENCE-BASED PRACTICE IN CHILD AND ADOLESCENT MENTAL HEALTH 2022; 7:341-348. [PMID: 36212784 PMCID: PMC9536531 DOI: 10.1080/23794925.2021.1996300] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The COVID-19 pandemic has posed significant challenges to delivery of preventive and mental health services, and providers have rapidly transitioned to telehealth service provision. Factors such as sudden isolation, financial strain, and physical and mental health stress presented unique challenges for providers and families and highlight the need for accessible and effective services. Thus, providers' fidelity of implementation during the pandemic is an important area for research. The current observational study compared providers' fidelity across in-person and telehealth-delivered sessions before and during the COVID-19 pandemic in Attachment and Biobehavioral Catch-up (ABC), a preventive parent coaching intervention for infants and toddlers. Participants included 24 providers (95% female, 42% White, M age = 37) who participated in ABC training and consultation during the COVID-19 pandemic. Providers' fidelity data (N = 593 sessions) were modeled longitudinally using hierarchical linear modeling, and separate intercepts and slopes were estimated for in-person and telehealth-delivered sessions. When data were modeled across all available sessions, results indicated that providers demonstrated improving fidelity over the course of training. When in-person and telehealth-delivered sessions were compared, providers' fidelity in telehealth-delivered ABC sessions was not significantly different from their fidelity in in-person sessions. Providers demonstrated improving fidelity over time in telehealth-delivered sessions. Thus, providers were able to maintain and improve ABC fidelity during the COVID-19 pandemic when provided with implementation support. Rapid transition to telehealth delivery can be successful when ongoing support such as consultation is provided.
Collapse
Affiliation(s)
- EB Caron
- Department of Psychological Science, Fitchburg State University, Fitchburg, MA
| | - Evan C. Kipp
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| | - Amanda H. Costello
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| | - Kristin Bernard
- Department of Psychology, Stony Brook University, Stony Brook, NY
| | - Stevie S. Schein
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| | - Caroline K. P. Roben
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| | - Mary Dozier
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE
| |
Collapse
|
7
|
DiLorenzo MG, Bucsea O, Rumeo C, Waxman JA, Flora DB, Schmidt LA, Riddell RP. Caregiver and Young Child Biological Attunement In Distress Contexts: A Systematic Review and Narrative Synthesis. Neurosci Biobehav Rev 2021; 132:1010-1036. [PMID: 34742924 DOI: 10.1016/j.neubiorev.2021.10.045] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 10/22/2021] [Accepted: 10/31/2021] [Indexed: 02/02/2023]
Abstract
The objective of the current study was to systematically review the literature on caregiver-child biological attunement within distress contexts during the first three years of life. A total of 9932 unique abstracts were identified through Medline, Embase, PsycINFO, CINAHL, and Scopus databases. Thirty-six studies provided data from caregivers and their infants or toddlers within a distress paradigm, used biological indicators of distress, and assessed the relations between caregiver and child biological indicators. Findings were synthesized based on biological indicators, type of analysis, and measurement epochs pre- and post-distress. Most articles examined cortisol. Associations between caregiver and child cortisol indicators were moderate to large, though findings varied depending on the analysis used and measurement epochs examined. Many of the findings examining relations between mother and child cardiac, sAA, and EEG indicators were weak or inconsistent, likely due to the limitations of methodological approaches used to capture the complexity of the caregiver-child attunement process. Gaps in the literature and suggestions for future research are discussed.
Collapse
Affiliation(s)
| | - Oana Bucsea
- Department of Psychology, York University, Toronto, Canada
| | - Carla Rumeo
- Department of Psychology, York University, Toronto, Canada
| | | | - David B Flora
- Department of Psychology, York University, Toronto, Canada
| | - Louis A Schmidt
- Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, Canada
| | - Rebecca Pillai Riddell
- Department of Psychology, York University, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Department of Psychiatry, The Hospital for Sick Children, Toronto, Canada.
| |
Collapse
|
8
|
Kolk TA, Nath S, Howard LM, Pawlby S, Lockwood-Estrin G, Trevillion K. The association between maternal lifetime interpersonal trauma experience and perceived mother-infant bonding. J Affect Disord 2021; 294:117-127. [PMID: 34280788 PMCID: PMC8424749 DOI: 10.1016/j.jad.2021.06.069] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 06/19/2021] [Accepted: 06/27/2021] [Indexed: 01/17/2023]
Abstract
BACKGROUND Interpersonal traumas are common among expectant and new mothers and are found to have considerable impacts on women's mental health. These experiences may disrupt maternal perceptions of the mother-infant relationship, which is essential for healthy infant development, but findings are inconsistent. This study aims to explore associations between lifetime interpersonal traumas and their impact on self-reported mother-infant bonding. METHODS Secondary data analysis of a representative cohort of 453 women attending at a South London maternity service. Lifetime interpersonal trauma experience and its association with self-reported mother-infant bonding (Postpartum Bonding Questionnaire) was assessed in uni- and multivariable linear regressions, the latter adjusted to account for antenatal depressive and posttraumatic symptoms, measured using the Edinburgh Postnatal Depression Scale and Posttraumatic Stress Disorder Scale, and key sociodemographic risk factors. RESULTS Maternal lifetime trauma was not associated with perceived difficulties in mother-infant bonding at three months postnatal; however antenatal depressive symptoms, both with continuous EPDS score (0.33, 95% CI 0.17-0.50, p<0.001) and clinical cut-off ≥13 (4.26, 95% CI 2.02-6.49, p<0.001) were associated with self-reported bonding difficulties. LIMITATIONS The composite trauma measurement did not allow for a comprehensive assessment of individual trauma types. CONCLUSIONS There was no evidence for a link between maternal lifetime trauma experiences and self-reported bonding difficulties. However, an association between antenatal depressive symptoms and perceived postpartum bonding impairment was found. This highlights the importance of identification and treatment of depressive symptoms during pregnancy and offering women support in facilitating a positive mother-infant relationship.
Collapse
Affiliation(s)
- Tessel Annejo Kolk
- Section of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK..
| | - Selina Nath
- Section of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK
| | - Louise Michele Howard
- Section of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK
| | - Susan Pawlby
- Division of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK
| | - Georgia Lockwood-Estrin
- Henry Wellcome Building, Centre for Brain and Cognitive Development, Birkbeck College, 32 Torrington Square, London WC1E 7JL, UK
| | - Kylee Trevillion
- Section of Women's Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London SE5 8AF, UK
| |
Collapse
|
9
|
Traube DE, Molina AP, YingWangKay S, Kemner A. Perinatal Mental Health Support and Early Childhood Home Visitation During COVID-19. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2021; 23:260-270. [PMID: 34718948 PMCID: PMC8557704 DOI: 10.1007/s11121-021-01313-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2021] [Indexed: 11/30/2022]
Abstract
COVID-19 has disrupted many of the preventive service sectors designed to serve mothers at-risk for developing postpartum depression, forcing a rapid transition to telehealth-based modes of delivery. The purpose of this study was to explore differences in early childhood home visitation service provision (enrollment and depression screening) among mothers receiving home visitation services prior to and after the onset of the COVID-19 pandemic. Additional factors related to receipt of virtual home visitation services, family risk factors, and the maternal depressive symptoms were examined. Linear and logistic regression were utilized to examine whether there were differences in family risk factors, the percentage of mothers being screened for depression and maternal depressive symptoms, and associations between risk factors and positive depression screenings, while accounting for clustering by site. Samples compared outcomes for families enrolled during the pre-pandemic period (defined as March 16th to July 27th, 2019, n = 4,743) and the post-pandemic period (defined as March 16th to July 27th, 2020, n = 2,049). Families enrolled after the onset of the pandemic were significantly less likely to be impacted by housing instability, have a child with a disability, or be involved with the military, but more likely to have a history of child abuse or neglect. Fewer mothers were screened for depression during the pandemic and maternal report of depressive symptoms decreased. Virtual home visitation is currently attracting some groups of mothers who are experiencing fewer stressors, which may place them at decreased risk for exhibiting depressive symptoms. There may be aspects of the virtual depression screening experience that make detection more difficult. As a result, many mothers at risk for maternal depression may not receive adequate prevention services.
Collapse
Affiliation(s)
- Dorian E Traube
- USC Suzanne Dworak Peck School of Social Work, 669 W 34th Street, Los Angeles, CA, 90089, USA.
| | - Abigail Palmer Molina
- USC Suzanne Dworak Peck School of Social Work, 669 W 34th Street, Los Angeles, CA, 90089, USA
| | - Sheila YingWangKay
- USC Suzanne Dworak Peck School of Social Work, 669 W 34th Street, Los Angeles, CA, 90089, USA
| | - Allison Kemner
- Parents as Teachers National Center, Los Angeles, CA, 90089, USA
| |
Collapse
|
10
|
Cho J, Chien LC, Holditch-Davis D. Associations Between Hormonal Biomarkers and Preterm Infant Health and Development During the First 2 Years After Birth. Biol Res Nurs 2021; 23:188-197. [PMID: 32700638 PMCID: PMC8264856 DOI: 10.1177/1099800420942893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Testosterone levels have been used to examine infant boys' vulnerability to health and developmental problems, following the general theories of gender differences and the theory of extreme male brain of autism. OBJECTIVES As testosterone is a representative androgen hormone and is higher in preterm than full-term infants, we used this steroid to determine if hypothalamic pituitary hormones, testosterone, and cortisol, were related to physical growth, health, and development of very-low-birthweight (VLBW, BW < 1,500 g) infants. METHOD For this comparative longitudinal study, 40 VLBW infants were recruited from a neonatal intensive care unit of a tertiary medical center. Data were collected from medical record reviews, questionnaires, and assessments of infant development at 6, 12, and 24 months. We collected saliva at the three time points and measured hormones using enzyme-immunoassays. RESULTS General and generalized mixed models showed that a 1pg/ml increment of testosterone was related to a -0.42% decrease in body weight, a -0.18% decrease in length, and a -0.10% decrease in head circumference. Cortisol levels were not associated with any outcome variable. The interactions between testosterone and time on physical growth and socioemotional development also occurred. DISCUSSION Elevated testosterone levels can be a biological risk factor for poor infant growth and development. Theories about the effects of elevated prenatal testosterone could be useful in predicting health and developmental outcomes among VLBW infants. Research beyond the first 2 years will be needed as infants show more socioemotional and behavioral problems as they grow older.
Collapse
Affiliation(s)
- June Cho
- School of Nursing, University of Nevada, Las Vegas, NV, USA
| | - Lung-Chang Chien
- Epidemiology and Biostatistics program, Department of Environmental
and Occupational Health, School of Public Health, University of Nevada Las Vegas,
NV, USA
| | - Diane Holditch-Davis
- Marcus E. Hobbs Professor Emeritus, School of Nursing, Duke University, DUMC, Durham, NC, USA
| |
Collapse
|
11
|
Bader LR, Tan L, Gonzalez R, Saini EK, Bae Y, Provenzi L, Volling BL. Adrenocortical interdependence in father-infant and mother-infant dyads: Attunement or something more? Dev Psychobiol 2021; 63:1534-1548. [PMID: 33615462 DOI: 10.1002/dev.22110] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 01/21/2021] [Accepted: 01/25/2021] [Indexed: 11/10/2022]
Abstract
Father-infant and mother-infant (one-year-olds) adrenocortical attunement was explored during the Strange Situation Procedure (SSP) among 125 father-infant and 141 mother-infant dyads. Cortisol was assessed at baseline (T1), 20 (T2), and 40 minutes (T3) after the first parent-infant separation. Initial correlations indicated significant associations between father-infant and mother-infant cortisol at each time. Cortisol interdependence was further explored using Actor-Partner Interdependence Models. There was no evidence supporting cortisol interdependence based on within-time residual correlations between parent-infant cortisol, once stability and cross-lagged paths were controlled. Infant cortisol at T2 predicted T3 cortisol for fathers and mothers resulting in a series of follow-up exploratory analyses to examine mediating processes which revealed that infant distress during the SSP predicted infant T2 cortisol, which, in turn, predicted infant negativity during the 15-min mother-infant teaching task that followed the SSP. Among father-infant dyads, infant T2 cortisol predicted infant negativity during father-infant interaction, with infants expressing more negativity having less sensitive fathers. Findings provide little support of parent-infant adrenocortical attunement across either father-infant or mother-infant dyads during the SSP, but preliminary evidence indicates infant distress as a potential mediator. Future research may want to focus on affective and behavioral processes that underlie the concept of parent-infant adrenocortical attunement.
Collapse
Affiliation(s)
- Lauren R Bader
- Institute for Advanced Study in Toulouse, University of Toulouse Capitole, Toulouse, France
| | - Lin Tan
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Richard Gonzalez
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Ekjyot K Saini
- Department of Human Development and Family Science, Auburn University, Auburn, AL, USA
| | - Yeonjee Bae
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Livio Provenzi
- Child Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy
| | - Brenda L Volling
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| |
Collapse
|
12
|
A systematic review of caregiver-child physiological synchrony across systems: Associations with behavior and child functioning. Dev Psychopathol 2021; 32:1754-1777. [PMID: 33427185 DOI: 10.1017/s0954579420001236] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Extensive research has established a positive association between caregiver-child behavioral synchrony and child developmental functioning. Burgeoning research examining physiological synchrony has yet to elucidate its impact for children's developing self-regulation. The objectives of this systematic review were to: 1) determine whether there is evidence that caregiver-child physiological synchrony promotes positive child development, 2) examine developmental differences in physiological synchrony and its correlates, and 3) explore whether context, risk, and/or stress influence patterns of synchrony. Sixty-nine studies met the following criteria on PubMed and PsycINFO: 1) peer-reviewed empirical articles in English that 2) examine autonomic, hypothalamic-pituitary-adrenocortical, and/or central nervous system activity 3) for caregivers and children 4) in response to a task and 5) directly examine the association between caregiver and child physiology. Findings varied based on developmental period and current behavioral context. Functional differences may exist across physiological systems and contexts. Synchrony may have different developmental consequences for dyads with and without certain risk factors. Few studies examine physiological synchrony across multiple systems or contexts, nor do they measure child characteristics associated with synchrony. Statistical and methodological challenges impede interpretation. Findings generally support the idea that physiological synchrony may support children's developing self-regulation. Longitudinal research is needed to examine child developmental outcomes over time.
Collapse
|
13
|
Khoury JE, Bosquet Enlow M, Patwa MC, Lyons-Ruth K. Hair cortisol in pregnancy interacts with maternal depressive symptoms to predict maternal disrupted interaction with her infant at 4 months. Dev Psychobiol 2020; 62:768-782. [PMID: 32037544 PMCID: PMC7415595 DOI: 10.1002/dev.21950] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Revised: 11/01/2019] [Accepted: 01/02/2020] [Indexed: 12/12/2022]
Abstract
Disrupted maternal interaction in early infancy is associated with maladaptive child outcomes. Thus, identifying early risk factors for disrupted interaction is an important challenge. Research suggests that maternal depressive symptoms and maternal cortisol dysregulation are associated with disrupted maternal interaction, but both factors have rarely been considered together as independent or interactive predictors of disrupted interaction. In a sample of 51 women, hair cortisol concentrations (HCC) and depressive symptoms were assessed during pregnancy, and depressive symptoms were assessed again at 4-month postpartum. Maternal disrupted interaction was assessed during the Still-Face Paradigm at 4 months. Results indicated that HCC and depressive symptoms interacted to predict both maternal withdrawing and inappropriate/intrusive interaction. Withdrawing interaction was associated with high levels of HCC in pregnancy in the context of high depressive symptoms at 4 months; inappropriate/intrusive interaction was associated with high levels of HCC in the context of low depressive symptoms. Thus, high HCC potentiated both forms of disrupted interaction. Results raised questions about the meaning of very low reported depressive symptoms, and underscored the importance of chronic stress physiology and maternal depressed mood as risk factors for distinct forms of maternal disrupted interaction, both of which are deleterious for infant development.
Collapse
|
14
|
Changing parental depression and sensitivity: Randomized clinical trial of ABC's effectiveness in the community. Dev Psychopathol 2020; 33:1026-1040. [DOI: 10.1017/s0954579420000310] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
AbstractAttachment and Biobehavioral Catch-up (ABC) demonstrates efficacy in improving parent and child outcomes, with preliminary evidence for effectiveness in community settings. The objective of this study was to assess the effectiveness of a community-based ABC implementation in improving parent outcomes as well as to examine potential mediators and moderators of intervention effectiveness. Two hundred parents and their 5- to 21-month-old infants recruited from an urban community were randomly assigned to receive ABC or be placed on a waitlist. The majority of participants had a minority racial or ethnic background. Before intervention, parents completed questionnaires about sociodemographic risk and adverse childhood experiences. At both baseline and follow-up, parents reported depression symptoms and were video-recorded interacting with their infant, which was coded for sensitivity. The ABC intervention predicted significant increases in parental sensitivity and, among parents who completed the intervention, significant decreases in depression symptoms. Changes in parental depression symptoms did not significantly mediate the intervention effects on sensitivity. Risk variables did not moderate the intervention effects. The results indicate that ABC shows promise for improving parent outcomes in community settings, supporting dissemination.
Collapse
|
15
|
Hernández‐Martínez C, Voltas Moreso N, Arija Val V, Jardí Piñana C, Bedmar Carretero C, Canals J. The role of maternal emotional states during pregnancy and early infancy on infant cortisol levels: A prospective study. INFANT AND CHILD DEVELOPMENT 2019. [DOI: 10.1002/icd.2149] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Carmen Hernández‐Martínez
- Departament de Psicologia, Centre de Recerca en Avaluació i Mesura de la ConductaUniversitat Rovira i Virli Tarragona Spain
| | - Nuria Voltas Moreso
- Departament de Psicologia, Centre de Recerca en Avaluació i Mesura de la ConductaUniversitat Rovira i Virli Tarragona Spain
| | - Victoria Arija Val
- Departament de Ciències Mèdiques Bàsiques, Institut d'Investigació Sanitària Pere VirgiliUniversitat Rovira i Virgili Tarragona Spain
| | - Cristina Jardí Piñana
- Departament de Ciències Mèdiques Bàsiques, Institut d'Investigació Sanitària Pere VirgiliUniversitat Rovira i Virgili Tarragona Spain
| | - Cristina Bedmar Carretero
- Departament de Ciències Mèdiques Bàsiques, Institut d'Investigació Sanitària Pere VirgiliUniversitat Rovira i Virgili Tarragona Spain
| | - Josefa Canals
- Departament de Psicologia, Centre de Recerca en Avaluació i Mesura de la ConductaUniversitat Rovira i Virli Tarragona Spain
| |
Collapse
|
16
|
Braren SH, Perry RE, Ursache A, Blair C. Socioeconomic risk moderates the association between caregiver cortisol levels and infant cortisol reactivity to emotion induction at 24 months. Dev Psychobiol 2019; 61:573-591. [PMID: 30820941 PMCID: PMC6488391 DOI: 10.1002/dev.21832] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 01/09/2019] [Accepted: 01/11/2019] [Indexed: 01/09/2023]
Abstract
Relations between maternal baseline cortisol and infant cortisol reactivity to an emotion induction procedure at child ages 7, 15, and 24 months were analyzed using data from the Family Life Project (N = 1,292). The emotion induction consisted of a series of standardized and validated tasks, including an arm restraint, toy removal, and mask presentation, intended to elicit responses of fear and frustration. Results revealed that at 7 and 15 months, maternal baseline cortisol was negatively related to child cortisol reactivity, such that children of mothers with lower cortisol exhibited steeper cortisol increases in response to the emotion induction. At 24 months, the association between mother and infant cortisol was moderated by socioeconomic risk, such that maternal baseline cortisol was associated with child cortisol reactivity only in dyads characterized by low socioeconomic risk. Furthermore, at 24 months, children of mothers with low baseline cortisol and low socioeconomic risk exhibited decreasing cortisol responses, whereas children of mothers with low baseline cortisol but high risk exhibited flat cortisol responses. Children in dyads characterized by high baseline maternal cortisol also exhibited flat cortisol responses regardless of socioeconomic risk. The role of caregiver physiology in the regulation of the child's stress response in the context of adversity is discussed.
Collapse
Affiliation(s)
- Stephen H. Braren
- Department of Applied Psychology, 246 Greene Street, Kimball Hall, 8 Floor, New York University, New York, NY, 10012, United States
| | - Rosemarie E. Perry
- Department of Applied Psychology, 246 Greene Street, Kimball Hall, 8 Floor, New York University, New York, NY, 10012, United States
| | - Alexandra Ursache
- Department of Population Health, 227 East 30th Street, 7 Floor, New York University School of Medicine, New York, NY, 10016, United States
| | - Clancy Blair
- Department of Applied Psychology, 246 Greene Street, Kimball Hall, 8 Floor, New York University, New York, NY, 10012, United States
| |
Collapse
|
17
|
Nofech-Mozes J, Pereira J, Gonzalez A, Atkinson L. Cortisol secretion moderates the association between mother-infant attachment at 17 months and child behavior at age 5 years. Dev Psychobiol 2018; 61:239-253. [DOI: 10.1002/dev.21799] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Revised: 08/21/2018] [Accepted: 09/26/2018] [Indexed: 01/14/2023]
Affiliation(s)
| | - Jessica Pereira
- Department of Applied Psychology and Human Development; University of Toronto; Toronto Ontario Canada
| | - Andrea Gonzalez
- Department of Psychiatry and Behavioral Neurosciences, Oxford Centre for Child Studies; McMaster University; Hamilton Ontario Canada
| | - Leslie Atkinson
- Department of Psychology; Ryerson University; Toronto Ontario Canada
| |
Collapse
|
18
|
Jonas W, Bisceglia R, Meaney MJ, Dudin A, Fleming AS, Steiner M. The role of breastfeeding in the association between maternal and infant cortisol attunement in the first postpartum year. Acta Paediatr 2018; 107:1205-1217. [PMID: 29405436 DOI: 10.1111/apa.14256] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Revised: 01/15/2018] [Accepted: 01/29/2018] [Indexed: 12/30/2022]
Abstract
AIM To explore the role of breastfeeding as a possible link between maternal and infant cortisol attunement across the first postpartum year. METHODS Mothers (n = 93) provided salivary samples for cortisol levels over a two-day period during mid-pregnancy and at three, six and 12 months and infants at six and 12 months postpartum. Breastfeeding status was established at these same time points. RESULTS Among breastfeeding mothers, positive correlations were found between maternal cortisol levels during pregnancy and at three months postpartum and infant cortisol at six or 12 months postpartum. Among nonbreastfeeding mothers, these same maternal and infant cortisol relations were inverse and less pronounced. Further, in breastfeeding mothers, the relationship between maternal prenatal cortisol and infant cortisol at 12 months was mediated through maternal cortisol at three months postpartum. CONCLUSION These results suggest that maternal cortisol levels are positively associated with cortisol levels of the infant, among mothers who breastfeed. This relationship persists over a one-year period.
Collapse
Affiliation(s)
- Wibke Jonas
- Department of Psychology; University of Toronto at Mississauga; Mississauga ON Canada
- Women's Health Concerns Clinic; St. Joseph's Healthcare; Hamilton ON Canada
- Department of Women's and Children's Health; Karolinska Institutet; Stockholm Sweden
| | - Rossana Bisceglia
- Department of Psychology; University of Toronto at Mississauga; Mississauga ON Canada
| | - Michael J. Meaney
- Ludmer Centre for Neuroinformatics and Mental Health; Douglas Institute; McGill University; Montreal QC Canada
| | - Aya Dudin
- Department of Psychology; University of Toronto at Mississauga; Mississauga ON Canada
| | - Alison S. Fleming
- Department of Psychology; University of Toronto at Mississauga; Mississauga ON Canada
| | - Meir Steiner
- Women's Health Concerns Clinic; St. Joseph's Healthcare; Hamilton ON Canada
- Departments of Psychiatry, Behavioral Neurosciences and Obstetrics and Gynecology; McMaster University; Hamilton ON Canada
| | | |
Collapse
|
19
|
Contextual stress and maternal sensitivity: A meta-analytic review of stress associations with the Maternal Behavior Q-Sort in observational studies. DEVELOPMENTAL REVIEW 2018. [DOI: 10.1016/j.dr.2018.02.002] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
|
20
|
Ludmer JA, Gonzalez A, Kennedy J, Masellis M, Meinz P, Atkinson L. Association between maternal childhood maltreatment and mother-infant attachment disorganization: Moderation by maternal oxytocin receptor gene and cortisol secretion. Horm Behav 2018; 102:23-33. [PMID: 29673618 DOI: 10.1016/j.yhbeh.2018.04.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 04/10/2018] [Accepted: 04/13/2018] [Indexed: 10/17/2022]
Abstract
This study examined maternal oxytocin receptor (OXTR, rs53576) genotype and cortisol secretion as moderators of the relation between maternal childhood maltreatment history and disorganized mother-infant attachment in the Strange Situation Procedure (SSP). A community sample of 314 mother-infant dyads completed the SSP at infant age 17 months. Self-reported maltreatment history more strongly predicted mother-infant attachment disorganization score and disorganized classification for mothers with more plasticity alleles of OXTR (G), relative to mothers with fewer plasticity alleles. Maltreatment history also more strongly predicted mother-infant attachment disorganization score and classification for mothers with higher SSP cortisol secretion, relative to mothers with lower SSP cortisol secretion. Findings indicate that maltreatment history is related to disorganization in the next generation, but that this relation depends on maternal genetic characteristics and cortisol.
Collapse
Affiliation(s)
- Jaclyn A Ludmer
- Department of Psychology, Ryerson University, 350 Victoria Street, M5B 2K3 Toronto, Ontario, Canada.
| | - Andrea Gonzalez
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Offord Centre for Child Studies, 1280 Main Street West, Hamilton, Ontario, Canada.
| | - James Kennedy
- Department of Psychiatry, University of Toronto, 250 College Street, M5T 1R8 Toronto, Ontario, Canada; Psychiatric Neurogenetics Section, Center for Addiction and Mental Health, 250 College Street, M5T 1R8 Toronto, Ontario, Canada.
| | - Mario Masellis
- Department of Neurology, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, M4N 3M5 Toronto, Ontario, Canada.
| | - Paul Meinz
- Cosumnes River College, 8401 Center Parkway, Sacramento, CA 95823-5704, USA
| | - Leslie Atkinson
- Department of Psychology, Ryerson University, 350 Victoria Street, M5B 2K3 Toronto, Ontario, Canada.
| |
Collapse
|
21
|
Pereira J, Ludmer JA, Gonzalez A, Atkinson L. Mothers' Personal and Interpersonal Function as Potential Mediators Between Maternal Maltreatment History and Child Behavior Problems. CHILD MALTREATMENT 2018; 23:147-156. [PMID: 29034733 DOI: 10.1177/1077559517734937] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This study examined maternal depressive symptoms, social support, parenting, and adult attachment as mediators explaining the relation between maternal childhood maltreatment and child behavior in offspring. We assessed a community sample of 96 mother-child dyads. At child age 16 months, mothers self-reported maltreatment history, adult attachment, depressive symptoms, and social support, and maternal sensitivity was assessed via 2 hr of direct behavioral observation. Maternal reports of child behavior were collected at 5 years. Single and parallel mediation models were constructed. Only maternal depressive symptoms mediated the relation between maternal maltreatment history and children's internalizing problems. Maternal sensitivity emerged as a suppressor variable. With respect to the relation between maternal maltreatment history and children's externalizing problems, when entered singly, maternal depressive symptoms, social support, and avoidant attachment emerged as mediators. When examined in parallel, only maternal depressive symptoms and avoidant attachment accounted for unique mediating variance. Findings have implications with respect to important maternal factors that might be targeted to reduce the probability of maladaptive child behavior.
Collapse
Affiliation(s)
- Jessica Pereira
- 1 Department of Applied Psychology and Human Development, University of Toronto, Toronto, Ontario, Canada
| | - Jaclyn A Ludmer
- 2 Department of Psychology, Ryerson University, Toronto, Ontario, Canada
| | - Andrea Gonzalez
- 3 Department of Psychiatry and Behavioral Neurosciences, Oxford Centre for Child Studies, McMaster University, Hamilton, Ontario, Canada
| | - Leslie Atkinson
- 2 Department of Psychology, Ryerson University, Toronto, Ontario, Canada
| |
Collapse
|
22
|
Bernard K, Nissim G, Vaccaro S, Harris JL, Lindhiem O. Association between maternal depression and maternal sensitivity from birth to 12 months: a meta-analysis. Attach Hum Dev 2018; 20:578-599. [PMID: 29374991 DOI: 10.1080/14616734.2018.1430839] [Citation(s) in RCA: 112] [Impact Index Per Article: 18.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Maternal sensitivity plays a central role in shaping children's development across a number of domains, and may be disrupted by depression. The current meta-analysis quantified the magnitude of the association between depression and maternal sensitivity, defined broadly as timely, contingent, and appropriate responding to infants' cues, from birth to 12 months. Across k = 48 studies and n = 4,934 mother-infant dyads, the aggregate effect size between depression and maternal sensitivity was r = -.16, p < .0001, indicating that mothers with higher depression levels were less sensitive than mothers with lower depression levels. Studies that compared a depressed group with a nondepressed/control group had larger effect sizes (r = -.35, p < .0001) than studies that examined depression within a single sample of either unselected cases or clinical-only cases (r = -.11, p < .001), suggesting that clinical levels of depression may pose a particular threat to sensitive parenting. Clinical implications (e.g. screening, prevention) are discussed.
Collapse
Affiliation(s)
- Kristin Bernard
- a Department of Psychology , Stony Brook University , Stony Brook , NY, USA
| | - Galia Nissim
- a Department of Psychology , Stony Brook University , Stony Brook , NY, USA
| | - Suzanne Vaccaro
- a Department of Psychology , Stony Brook University , Stony Brook , NY, USA
| | - Jordan L Harris
- b Western Psychiatric Institute and Clinic , University of Pittsburgh Medical Center, PA, USA
| | - Oliver Lindhiem
- c Department of Psychiatry , University of Pittsburgh School of Medicine , PA , USA
| |
Collapse
|
23
|
Maternal DRD2, SLC6A3, and OXTR genotypes as potential moderators of the relation between maternal history of care and maternal cortisol secretion in the context of mother-infant separation. Biol Psychol 2017; 129:154-164. [DOI: 10.1016/j.biopsycho.2017.09.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 09/02/2017] [Accepted: 09/05/2017] [Indexed: 01/14/2023]
|
24
|
Atkinson L, Jamieson B, Khoury J, Ludmer J, Gonzalez A. Stress Physiology in Infancy and Early Childhood: Cortisol Flexibility, Attunement and Coordination. J Neuroendocrinol 2016; 28. [PMID: 27344031 DOI: 10.1111/jne.12408] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Revised: 06/24/2016] [Accepted: 06/24/2016] [Indexed: 12/14/2022]
Abstract
Research on stress physiology in infancy has assumed increasing importance due to its lifelong implications. In this review, we focus on measurement of hypothalamic-pituitary-adrenal (HPA) function, in particular, and on complementary autonomic processes. We suggest that the measure of HPA function has been overly exclusive, focusing on individual reactivity to single, pragmatically selected laboratory challenges. We advocate use of multiple, strategically chosen challenges and within-subject designs. By administering one challenge that typically does not provoke reactivity and another that does, it is possible to represent allostatic load in terms of "flexibility," the capacity to titrate response to challenge. We also recommend assessing infant reactivity in the context of the primary caregiver's physiological function. Infant-mother "attunement" is central to developmental psychology, permeating diverse developmental domains with varied consequences. A review of adrenocortical attunement suggests that attunement is a reliable process, manifest across varied populations. However, attunement appears stronger in the context of more highly stressful circumstances, such that administration of multiple, selected challenges may help evaluate the degree to which individuals titrate attunement to challenge and determine the correlates of this differential attunement. Finally, we advocate studying the "coordination" of HPA function with other aspects of stress physiology and variation in the degree of this coordination. The use of multiple stressors is important here because each stress system is differentially sensitive to different types of challenge. Therefore, use of single stressors in between-subject designs impedes full recognition of the role played by each system. Overall, we recommend measure of flexibility, attunement, and coordination in the context of multiple challenges to capture allostasis in environmental and physiological context. The simultaneous use of such inclusive and integrative metrics may yield more reliable findings than has hitherto been the case. The interrelation of these metrics can be understood in the context of the adaptive calibration model..
Collapse
Affiliation(s)
- L Atkinson
- Department of Psychology, Ryerson University, Toronto, Canada
| | - B Jamieson
- Department of Psychology, Ryerson University, Toronto, Canada
| | - J Khoury
- Department of Psychology, Ryerson University, Toronto, Canada
| | - J Ludmer
- Department of Psychology, Ryerson University, Toronto, Canada
| | - A Gonzalez
- Departments of Psychiatry and Behavioural Neurosciences and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
| |
Collapse
|