Maternal avoidance, anxiety cognitions and interactive behaviour predicts infant development at 12 months in the context of anxiety disorders in the postpartum period

Background Few studies have examined the relation between anxiety disorders in the postpartum period and cognitive as well as language development in infancy. Aims This longitudinal study investigated whether anxiety disorder in the postpartum period is linked to infant development at twelve months....

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Hauptverfasser: Reck, Corinna (VerfasserIn) , Tietz, Alexandra (VerfasserIn) , Ropeter, Anna (VerfasserIn) , Zipser, Britta (VerfasserIn) , Pauen, Sabina (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2018
In: Infant behavior and development
Year: 2018, Jahrgang: 50, Pages: 116-131
ISSN:1934-8800
DOI:10.1016/j.infbeh.2017.11.007
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1016/j.infbeh.2017.11.007
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0163638317301935
Volltext
Verfasserangaben:C. Reck, B. Van Den Bergh, A. Tietz, M. Müller, A. Ropeter, B. Zipser, S. Pauen

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520 |a Background Few studies have examined the relation between anxiety disorders in the postpartum period and cognitive as well as language development in infancy. Aims This longitudinal study investigated whether anxiety disorder in the postpartum period is linked to infant development at twelve months. A closer look was also taken at a possible link between maternal interaction and infant development. Study design Subjects were videotaped during a Face-to-Face-Still-Face interaction with their infant (M=4.0months). Specific maternal anxiety symptoms were measured by self-report questionnaires (Anxiety Cognition Questionnaire (ACQ), Body Sensations Questionnaire (BSQ), Mobility Inventory (MI)) to check for a connection with infant development. The Bayley Scales of Infant and Toddler Development-III (Bayley-III) were used to assess infant language and cognitive development at one year of age. Subjects n=34 mothers with anxiety disorder (SCID-I; DSM-IV) and n=47 healthy mothers with their infant. Outcome measures Infant performance on Bayley-III language and cognitive scales. Results Infants of mothers with anxiety disorder yielded significantly lower language scores than infants of controls. No significant group differences were found regarding infant cognitive development. Exploratory analyses revealed the vital role of “maternal avoidance accompanied” in infant language and cognitive development. Maternal neutral engagement, which lacks positive affect and vocalisations, turned out as the strongest negative predictor of cognitive development. Maternal anxiety cognitions and joint activity in mother-infant interaction were the strongest predictors of infant language performance. Conclusions Results underline the importance to also consider the interaction behaviour of women with anxiety disorders to prevent adverse infant development. 
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