Joint attention in postpartum depressed and non-depressed mother-child dyads
DOI:
https://doi.org/10.34019/1982-1247.2023.v17.35651Keywords:
Joint attention, Mother-child interaction, Postpartum depressionAbstract
The purpose of the current study was to examine associations between PPD and joint attention during mother–infant face-to-face interactions. Participants were forty-two dyads of mothers and their babies. Observational analyses were conducted. Non-PPD dyads engaged more in joint attention and their episodes lasted longer. The mothers who engaged in joint attention had more years of schooling. There was an association between mother-boys dyads and the frequency of joint attention. However, the girls looked more at their mothers and for a longer time. Findings suggested that joint attention is influenced by PPD associated with the maternal lower level of education.
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Abuchaim, E. S. V., Caldeira, N. T., Lucca, M. M., Varela, M., & Silva, I. A. (2016). Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação [Postpartum depression and maternal self-efficacy for breastfeeding: prevalence and association]. Acta Paulista de Enfermagem, 29(6), 664-670. https://doi.org/10.1590/1982-0194201600093
Alvarenga, P., Souto, L. N., Oliveira, H. P. D., & Santana, L. G. (2018). Variáveis sociodemográficas e saúde mental materna em contexto de vulnerabilidade social. Psicologia, Saúde & Doenças, 19(3), 776-788. http://dx.doi.org/10.15309/18psd190324
Amano, S., Kezuka, E. M., & Yamamoto, A. (2004). Infant shifting attention from an adult’s face to an adult’s hand: A precursor of joint attention. Infant Behavior and Development, 27, 64–80. https://doi.org/10.1016/j.infbeh.2003.06.005
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Beebe, B., Jaffe, J., Buck, K., Chen, H., Cohen, P., Feldstein, S., & Andrews, H. (2008). Six-week postpartum maternal depressive symptoms and 4-month mother-infant self-and interactive contingency. Infant Mental Health Journal, 29, 442–471. https://doi.org/10.1002/imhj.20191
Boyd, R. C., Zayas, L. H., & McKee, M. D. (2006). Mother-infant interaction, life events and prenatal and postpartum depressive symptoms among urban minority women in primary care. Maternal and Child Health Journal, 10, 139-148. https://doi.org/10.1007/s10995-005-0042-2
Carpenter, M., & Call, J. (2013). How joint is the joint attention of apes and human infants? In J. Metcalfe & H. S. Terrace (Eds.), Agency and joint attention (pp. 49–61). New York: Oxford University Press.
Corrêa, H., Couto, T. C., Santos, W., Romano-Silva, M. A., & Santos, L. M. P. (2016). Postpartum depression symptoms among Amazonian and Northeast Brazilian women. Journal of Affective Disorders, 204, 214–218. https://doi.org/10.1016/j.jad.2016.06.026
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: development of the 10 item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150(6), 782- 786. https://doi.org/10.1192/bjp.150.6.782
Defelipe, R. P., Resende, B. D., David, V. F., & Bussab, V. S. R. (2017). Postpartum depression in high-risk Brazilian women: psychosocial predictors and effects on maternal vocalization. Early Child Development and Care, 187, 1-14. doi: https://doi.org/10.1080/03004430.2017.1389918
Felder, J. N., Epel, E., Lewis, J. B., Cunningham, S. D., Tobin, J. N., Rising, S. S., Thomas, M., & Ickovics, J. R. (2017). Depressive symptoms and gestational length among pregnant adolescents: Cluster randomized control trial of Centering pregnancy plus group prenatal care. Journal of Consulting and Clinical Psychology, 85(6), 574–584. https://doi.org/10.1037/ccp0000191
Figueira, P., Corrêa, H., Malloy-Diniz, L., & Romano-Silva, M. A. (2009). Escala de Depressão Pós-natal de Edimburgo para triagem no sistema público de saúde [Edinburgh postnatal depression scale for screening in the public health system]. Revista de Saúde Pública, 43(1), 79-84. https://doi.org/10.1590/S0034-89102009000800012
Goldsmith, D. F., & Rogoff, B. (1997). Mothers' and toddlers' coordinated joint focus of attention: Variations with maternal dysphoric symptoms. Developmental Psychology, 33, 113-119. https://doi.org/10.1037/0012-1649.33.1.113
Gueron-Sela, N., Camerota, M., Willoughby, M. T., Vernon-Feagans, L., & Cox, M. J. (2018). Maternal depressive symptoms, mother-child interactions, and children’s executive function. Developmental Psychology, 54(1), 71-82. https://doi.org/10.1037/dev0000389
Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and health predictors of national postpartum depression prevalence: a systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries. Frontiers in Psychiatry, 8 (248), 1-23. https://doi.org/10.3389/fpsyt.2017.00248
Henderson, E. N., & Jennings, K. D. (2003). Maternal depression and the ability to facilitate joint attention with 18-month-olds. Infancy, 4(1), 27-46. https://doi.org/10.1207/S15327078IN0401_2
Hentges, R. F., Graham, S. A., Plamondon, A., Tough, S., & Madigan, S. (2021). Bidirectional associations between maternal depression, hostile parenting, and early child emotional problems: Findings from the all our families cohort. Journal of Affective Disorders, 287, 397-404. https://doi.org/10.1016/j.jad.2021.03.056
Hirose, T., & Barnard, K. (1997) Interactions between depressed mothers and their infants: maternal verbal joint attention and its effect on the infant's cognitive development. Early Child Development and Care, 138 (1), 83-95. https://doi.org/10.1080/0300443971380107
Humphreys, K. L., King, L. S., Choi, P., & Gotlib, H. (2018). Maternal depressive symptoms, self-focus, and caregiving behavior. Journal of Affective Disorders, 238, 564-471. https://doi.org/10.1016/j.jad.2018.05.072
Jameson, P., Gelfand, D., Kulcsar, E., & Teti, D. (1997). Mother-toddler interaction patterns associated with maternal depression. Development and Psychopathology, 9, 537-550. https://doi.org/10.1017/S0954579497001296
Jarde, A., Morais, M., Kingston, D., Giallo, R., MacQueen, G. M., Giglia, L., Beyene, J., Wang, B. H. S, & McDonald, S. D. (2016). Neonatal outcomes in women with untreated antenatal depression compared with women without depression: A systematic review and meta-analysis. Journal of the American Medical Association Psychiatry, 73, 826-837. https://doi.org/10.1001/jamapsychiatry.2016.0934
Liu, C., Cnattingius, S., Bergström, M., Östberg, V., & Hjern, A. (2016). Prenatal parental depression and preterm birth: A national cohort study. International Journal of Obstretics and Gynaecology, 123, 1973-1982. https://doi.org/10.1111/1471-0528.13891
Liu, Y., Kaaya, J., Chai, D. C., McCoy, C., Surkan, P. J., Black, M. M., Sutter-Dallay, A. L., Verdoux, H., & Smith-Fawzi, M. C. (2017). Maternal depressive symptoms and early childhood cognitive development: A meta-analysis. Psychological Medicine, 47, 680-689. https://doi.org/10.1017/S003329171600283X
Mitchell, E. A., Nuttall, A. K., & Wittenborn, A. (2019). Maternal depressive symptoms and warm responsiveness across the transition to parenthood. Journal of Child and Family Studies, 28, 1604-1612. https://doi.org/10.1007/s10826-019-01392-x
Morais, M. L. S., Fonseca, L. A. M., David, V. F., Viegas, L. M., & Otta, E. (2015). Fatores psicossociais e sociodemográficos associados à depressão pós-parto: Um estudo em hospitais público e privado da cidade de São Paulo, Brasil [Psychosocial and sociodemographic factors associated with Postpartum depression: A study in private and public hospitals in São Paulo, Brazil]. Estudos de Psicologia (Natal), 20(1), 40-49. https://doi.org/10.5935/1678-4669.20150006
Murray, L. (1992). The impact of postnatal depression on infant development. Child Psychology & Psychiatry & Allied Disciplines, 33(3), 543-561. https://doi.org/10.1111/j.1469-7610.1992.tb00890.x
Murray, L., Kempton, C., Woolgar, M., & Hooper, R. (1993). Depressed mothers’ speech to their infants and its relation to infant gender and cognitive development. Journal of Child Psychology and Psychiatry, 34(7), 1083-1101. https://doi.org/10.1111/j.1469 7610.1993.tb01775.x
Niedźwiecka, A., Ramotowska, S., & Tomalski, P. (2018). Mutual gaze during early mother–infant interactions promotes attention control development. Child Development, 89(6), 2230-2244. https://doi.org/10.1111/cdev.12830
Norcross, P. L., Leerkes, E. M., & Zhou, N. (2017). Examining pathways linking maternal depressive symptoms in infancy to children’s behavior problems: The role of maternal unresponsiveness and negative behaviors. Infant Behavior and Development, 49, 238-247. https://doi.org/10.1016/j.infbeh.2017.09.009
O’Madagain, C., & Tomasello, M. (2019). Joint attention to mental content and the social origin of reasoning. Synthese, 198, 4057-4078. https://doi.org/10.1007/s11229-019-02327-1
Pinheiro, R. T., Trettim, J. P., Matos, M. B., Pinheiro, K. A. T., Silva, R. A., Martins, C. R., Cunha, G. K. Coelho, F. T., Motta, J. V., Coelho, F. M. C., Ghisleni, G., Nedel, F., Ardais, A. P., Stigger, R. S., Quevedo, L. A., & Souza, L. D. M. (2021). Brief cognitive behavioral therapy in pregnant women at risk of postpartum depression: pre-post therapy study in a city in southern Brazil. Journal of Affective Disorders, 290, 15-22. https://doi.org/10.1016/j.jad.2021.04.031
Rasmussen, M. L. H., Strom, M., Wohlfahrt, J., Videbech, P., & Melbye, M. (2017). Risk, treatment duration, and recurrence risk of postpartum affective disorder in women with no prior psychiatric history: a population-based cohort study. PLoS Med, 14(9), e1002392. https://doi.org/10.1371/journal.pmed.1002392
Reck, C., Tietz, A., Müller, M., Seibold, K., & Tronick, E. (2018). The impact of maternal anxiety disorder on mother-infant interaction in the postpartum period. PLoS ONE, 13(5), e0194763. https://doi.org/10.1371/journal.pone.0194763
Reilly, E. B., Stallworthy, I. C., Mliner, S. B., Troy, M. F., Elison, J. T., & Gunnar, M. R. (2021). Infants’ abilities to respond to cues for joint attention vary by family socioeconomic status. Infancy, 26, 204-222. https://doi.org/10.1111/infa.12380
Rezaie-Keikhaie, K., Arbabshastan, M. E., Rafiemanesh, H., Amirshahi M., Ostadkelayeh, S. M., & Arbabisarjou, A. (2020). Systematic review and meta-analysis of the prevalence of the maternity blues in the postpartum period. Journal of Obstetric Gynecology & Neonatal Nursing, 49, 127-136. https://doi.org/10.1016/j.jogn.2020.01.001
Righetti-Veltema, M., Conne-Perréard, E., Bousquet, A., & Manzano, J. (2002). Postpartum depression and mother-infant relationship at 3 months old. Journal of Affective Disorders, 70(3), 291-306. https://doi.org/10.1016/s0165-0327(01)00367-6
Rossmanith, N., Costall, A., Reichelt, A. F., López, B., & Reddy, V. (2014). Jointly structuring triadic spaces of meaning and action: Book sharing from 3 months on. Frontiers in Psychology, 5, 1-22. https://doi.org/10.3389/fpsyg.2014.01390
Rubio-Fernandez, P. (2020). Pragmatic markers: the missing link between language and Theory of Mind. Synthese, 199, 1125-1158. https://doi.org/10.1007/s11229-020-02768-z
Salo, V. C., Rowe, M. L., & Reeb‐Sutherland, B. C. (2018). Exploring infant gesture and joint attention as related constructs and as predictors of later language. Infancy, 23(3), 432-452. https://doi.org/10.1111/infa.12229
Santos, M. F. S., Martins, F. C., & Pasquali, L. (1999). Escalas de autoavaliação de depressão pós-parto: estudo no Brasil [Postpartum depression self-assessment scales: a study in Brazil]. Revista de Psiquiatria Clínica, 26(2), 32-40. Retrieved from https://pesquisa.bvsalud.org/portal/resource/pt/lil-240768
Santos, I. S., Munhoz, T. N., Blumenberg, C., Barcelos, R., Bortolotto, C. C., Matijasevich, A., Santos, H. G. Jr., Santos, L. M., Correia, L. L., Souza, M. R., Lira, P. I. C., Altafim, E., Marino, E., Macana, E. C., Silva, R. S. Ohana, E. F., Fontes, M. T. A., & Victora, C. G. (2021). Postpartum depression: a cross-sectional study of women enrolled in a conditional cash transfer program in 30 Brazilian cities. Journal of Affective Disorders, 281, 510-516. https://doi.org/10.1016/j.jad.2020.12.042
Santos, A. K., Santos, L. S., & Bussab, V. S. R. (2020). Infant-direct speech and mother-infant attention in depressed and nondepressed mothers. Interações em Psicologia, 24(1), 76-86. https://doi.org/10.5380/psi.v24i1.61959
Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: a systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235-248. https://doi.org/10.1016/j.jpsychires.2018.08.001
Silva, C. S., Lima, M. C., Sequeira-de-Andrade, L. A., Oliveira, J. S., Monteiro, J. S., Lima, N.M., Santos, R. M. A. B., & Lira, P. I. C. (2017). Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life. Jornal de Pediatria, 93, 356-64. https://doi.org/10.1016/j.jped.2016.08.005
Siposova, B., & Carpenter, M. (2019). A new look at joint attention and common knowledge. Cognition, 189, 260-274. https://doi.org/0.1016/j.cognition.2019.03.019
Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyére, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health, 15, 1-55. https://doi.org/10.1177/1745506519844044
Striano, T., Brennan, P. A., & Vanman, E. J. (2002). Maternal depressive symptoms and 6-month-old infants’ sensitivity to facial expressions. Infancy, 3(1), 115-126. https://doi.org/10.1207/S15327078IN03016_
Tomasello, M. (1995). Joint attention as social cognition. In C. Moore, & P. Dunham (Eds.), Joint attention: Its origins and role in development (pp. 103–130). Hillsdale, NJ: Lawrence Erlbaum.
Tomasello, M., Carpenter, M., Call, J., Behne, T., & Moll, H. (2005). Understanding and sharing intentions: The origins of cultural cognition. Behavioral and Brain Sciences, 28(5), 675-735. https://doi.org/10.1017/S0140525X05000129
Tomasello, M., & Todd, J. (1983). Joint attention and lexical acquisition style. First Language, 4, 197-212. https://doi.org/10.1177/014272378300401202
Tremblay, H., & Rovira, K. (2007). Joint visual attention and social triangular engagement at 3 and 6 months. Infant Behavior Development, 30, 366-379. https://doi.org/10.1016/j.infbeh.2006.10.004
Trevarthen, C., & Aitken, K. J. (2001). Infant intersujectivity: Research, theory, and clinical applications. Journal of Child Psychology and Psychiatry, 42(1), 3-48. https://doi.org/10.1111/1469-7610.00701
Vaezi, A., Soojoodi, F., Tehrani, A., & Nojomi, M. (2018). The association between social support and postpartum depression in women: A cross sectional study. Women Birth. 32(2), 238-242. https://doi.org/10.1016/j.wombi.2018.07.014
Wang, Y. (2018). Intergenerational transmission of depressive symptoms: The role of parental negative perceptions and behaviors. Child Psychiatry & Human Development, 49, 123–136. https://doi.org/10.1007/s10578-017-0734-z
White, H., Flanagan, T. J., Martin, A., & Silvermann, D. (2011). Mother–infant interactions in women with borderline personality disorder, major depressive disorder, their co-occurrence, and healthy controls. Journal of Reproductive and Infant Psychology, 29(3), 223-235. https://doi.org/10.1080/02646838.2011.576425
