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Six‐week postpartum maternal depressive symptoms and 4‐month mother–infant self‐ and interactive contingency

Bibliographic Data

ID11275883
AuthorsBeatrice Beebe (0000-0002-2887-3853, New York State Psychiatric Institute, corresponding author), Joseph Jaffe (New York State Psychiatric Institute), Karen A Buck (New York State Psychiatric Institute), Karen Buck, Henian Chen (0000-0003-1297-4622, New York State Psychiatric Institute), Patricia Cohen (New York State Psychiatric Institute), Stanley Feldstein (New York State Psychiatric Institute), Howard F Andrews (0000-0002-7726-0551, New York State Psychiatric Institute), Howard Andrews
Year2008
Volume29
Issue5
Pages442-471
Publication date2008-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInfant Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0163-9641 • E-ISSN: 1097-0355
PublisherWiley (PUBLISHER • GB)
DOI10.1002/imhj.20191
PMID28636220
OpenAlexW2130700262
LanguageEN
Citations received37
References cited48

Associations of 6‐week maternal depressive symptoms [Center for Epidemiological Studies Depression Scale (CES‐D)] with 4‐month mother–infant self‐ and interactive contingency patterns during face‐to‐face play were investigated in 132 dyads. Self‐ and interactive contingency (auto‐ and lagged cross‐correlation, respectively) were assessed by multilevel time‐series analysis. Infant and mother gaze, facial and vocal affect, touch, and spatial orientation behaviors were coded second‐by‐second from split‐screen videotape, and a multimodal measure of facial–visual “engagement” was constructed, generating nine modality pairings. With higher CES‐D, the self‐contingency of both partners was lowered in most modalities. With higher CES‐D, interactive contingency values were both heightened (in some modalities) and lowered (in others), varying by partner. These results are consistent with an optimal midrange model. With higher CES‐D, interactive contingency showed the following patterns: (a) Mothers and their infants had a reciprocal orientational sensitivity; (b) mothers and infants manifested a reciprocal intermodal discordance in attention versus affect coordination, lowering gaze coordination, but heightening affective coordination; (c) infants heightened, but mothers lowered, touch coordination with partner touch—an “infant approach–mother withdraw” touch pattern. Nonlinear analyses indicated that altered self‐ and interactive contingency were similar at both the low (“denial”) as well as the high (“endorsement”) poles of depressive symptoms, in half the findings. These complex, multimodal findings define different aspects of communication disturbance, with relevance for therapeutic intervention

Contingency · Developmental psychology · Gaze · Modalities · Psychiatry · Attachment and Relationship Dynamics · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Communication · Maternal Mental Health During Pregnancy and Postpartum · Psychology

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Unique citing works37
Citations per year2,06
Citation span2008 - 2026 (19)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 28

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