Abstract
Objectives The importance of mother-child interaction in early infancy on child development has been well documented. The purpose of this study was to assess the feasibility of using the Still Face Paradigm to measure mother interactive style, infant affect and emotional regulation in a rural Ecuador setting. Methods Infant’s emotional regulation and the quality of mother’s interaction were measured with the Still Face Paradigm at 4 months of age (±15 days). Twenty-four infants and their mothers were assessed in their home. Mother interactive style was coded for attention seeking and contingent responding. Emotional regulation was described by change in infant affect between Still Face episodes. Results A significant difference was found for infant affect between the five Still Face episodes (F1,118 = 9.185, p = 0.003). A significant negative correlation was found for infant affect between episode 3 and 2 with attention seeking mother interactive style during episode 3 (rho = −0.44, p = 0.03), indicating that mothers using more contingent-responding interactions had infants with more positive affect. Conversely, a significant positive association was found for infant affect between episode 3 and 2 and contingent responding mother interactive style during episode 3 (rho = 0.46, p = 0.02), indicating that mothers who used more attention seeking play had infants who showed less positive affect. Conclusion for Practice Study results demonstrate feasibility in using the Still Face Paradigm in working populations residing in a rural region in Ecuadorian highlands and may be feasible in other similar populations in Latin America, and as a successful approach to measuring maternal-child interactions within a field-based epidemiological study design.
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References
Aksoy, M. A., & Behgin, J. C. (Eds.). (2005). Global agricultural trade and developing countries. World Bank.
Blair, C. (2002). Early intervention for low birth weight, preterm infants: The role of negative emotionality in the specification of effects. Development and Psychopathology, 14(2), 311–332.
Bornstein, M., & Tamis-LeMonda, C. S. (1989). Maternal responsiveness and cognitive development in children. In M. H. Bornstein (Ed.), Maternal responsiveness: Characteristics and consequences (pp. 49–61). San Francisco: Jossey-Bass.
Bradley, R. H., & Corwyn, R. F. (2005). Caring for children around the world: A view from HOME. International Journal of Behavioral Development, 29(6), 468–478.
Brooks-Gunn, J., Han, W. J., & Waldfogel, J. (2010). First-year maternal employment and child development in the first seven years. Monographs of the Society for Research in Child Development, 75(2), 7–9.
Buitelaar, J. K., Huizink, A. C., Mulder, E. J., Robles de Medina, P. G., & Visser, G. H. A. (2003). Prenatal stress and cognitive development and temperament in infants. Neurobiology of Aging, 24(1), S53–S60.
Conradt, E., & Ablow, J. C. (2010). Infant physiological response to the still-face paradigm: Contributions of maternal sensitivity and infants’ early regulatory behavior. Infant Behavior and Development, 33(3), 251–265.
Davis, E. P., Glynn, L. M., Dunkel Schetter, C., Hobel, C., Chicz-DeMet, A., & Sandman, C. (2007). A prenatal exposure to maternal depression and cortisol influences infant temperament. Journal of the American Academy of Child and Adolescent Psychiatry, 46(6), 737–746.
Deave, T., Heron, J., Evans, J., & Emond, A. (2008). The impact of maternal depression in pregnancy on early child development. BJOG : An International Journal of Obstetrics and Gynaecology, 115(8), 1043–1051.
Direccion de Inteligencia Comercial e Inversiones. (2011). Analisis Sectorial de Flores. ProEcuador. Instituto de Promocion de Exportaciones e Inversiones. Ministerio de Relaciones Exteriores Comercio e Integracion.
Erickson, S., & Lowe, J. (2008). The role of maternal responsiveness in predicting infant affect during the still face paradigm with infants born very low birthweight. Infant Mental Health Journal, 29(2), 114–132.
Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior & Development, 33(1), 1–6.
Fuentes, M., Lopes-dos-Santos, P., Beeghly, M., & Tronick, E. (2007). Infant coping and maternal interactive behavior predict attachment in a portuguese sample of healthy preterm infants. European Psychologist, 14(4), 320–331.
Grant, K. A., McMahon, C., Reilly, N., & Austin, M. P. (2010). Maternal sensitivity moderates the impact of prenatal anxiety disorder on infant responses to the still-face procedure. Early Human Development, 86(9), 551–556.
Haley, D. W., Handmaker, N. S., & Lowe, J. (2006). Infant stress reactivity and prenatal alcohol exposure. Alcoholism-Clinical and Experimental Research, 30(12), 2055–2064.
Haley, D., & Stansbury, K. (2003). Infant stress and parent responsiveness: Regulation of physiology and behavior during still-face and reunion. Child Development, 74(5), 1534–1546.
Hallam, D., Liu, P., Lavers, G., Pilkauskas, P., Rapsomanikis, G., & Claro, J. (2004). The market for nontraditional agricultural exports. Italy, Rome: FAO, Raw Material, Tropical and Horticultural Products Service Commodities and Trade Division.
Handal, A. J., Harlow, S. D., Breilh, J., Lozoff, B. (2008). Occupational exposure to pesticides during pregnancy and neurobehavioral development of infants and toddlers. Epidemiology, 19(6), 851–859.
Handal, A. J., Hund, L., Páez, M., Bear, S., Greenberg, C., Fenske, R. A., Barr, D. B. (2016). Characterization of pesticide exposure in a sample of pregnant women in Ecuador. Archives of Environmental & Occupational Health, 70(4), 627–639.
Handal, A. J., Lozoff, B., Breilh, J., Harlow, S. D. (2007a). Sociodemographic and nutritional correlates of neurobehavioral development: A study of young children in a rural region of Ecuador. Pan American Journal of Public Health, 21(5), 292–300.
Handal, A. J., Lozoff, B., Breilh, J., Harlow, S. D. (2007b). Neurobehavioral development in children with potential exposure to pesticides. Epidemiology, 18(3), 312–320.
Handal, A. J., Lozoff, B., Breilh, J., Harlow, S. D. (2007c). Effect of community of residence on neurobehavioral development in infants and young children in a flower-growing region of Ecuador. Environmental Health Perspectives, 115(1), 128–133.
Handal, A. J., McGough-Maduena, A., Páez, M., Skipper, B., Rowland, A. S., Fenske, R. A., Harlow, S. D. (2015). A pilot study comparing observational and questionnaire surrogate measures of pesticide exposure among residents impacted by the Ecuadorian flower industry. Archives of Environmental & Occupational Health, 70(4), 232–240.
Horowitz, J. A., Logsdon, C., & Anderson, J. K. (2005). Measurement of maternal-infant interaction. Journal of the American Psychiatric Nurses Association, 11(3), 164–172.
Kaitz, M., Shalev, I., Sapir, N., Devor, N., Samet, Y., Mankuta, D., et al. (2010). Mothers’ dopamine receptor polymorphism modulates the relation between infant fussiness and sensitive parenting. Developmental Psychobiology, 52(2), 149–157.
Kisilevsky, B. S., Hains, S. M., Lee, K., Muir, D. W., Xu, F., & Fu, G. (1998). The still-face effect in Chinese and Canadian 3 to 6 month olds. Developmental Psychology, 34(4), 629–639.
Lemelin, J. P., Tarabulsy, G. M., & Provost, M. A. (2006). Predicting preschool cognitive development from infant temperament, maternal sensitivity, and psychosocial risk. Merrill-Palmer Quarterly, 52(4), 779–806.
Levendosky, A. A., Huth-Bocks, A. C., Shapiro, D. L., & Semel, M. A. (2003). The impact of domestic violence on the maternal-child relationship and preschool-age children’s functioning. Journal of Family Psychology, 17(3), 275–287.
Lowe, J., Handmaker, N., & Aragón, C. (2006). Impact of mother interactive style on infant affect among babies exposed to alcohol in utero. Infant Mental Health Journal, 27(4), 371–382.
Lowe, J. R., MacLean, P. C., Duncan, A. F., Aragón, C., Schrader, R. M., Caprihan, A., et al. (2012). Association of maternal interaction with emotional regulation in 4- and 9-month infants during the still face paradigm. Infant Behavior and Development, 35(2), 295–302.
Mesman, J., van Ijzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2009). The many faces of the still-face paradigm: A review and meta-analysis. Developmental Review, 29, 120–162.
Montirosso, R., Riccardi, B., Molteni, E., Borgatti, R., & Reni, G. (2010). Infant’s emotional variability associated to interactive stressful situation: A novel analysis approach with sample entropy and lempel-ziv complexity. Infant Behavior and Development, 33(3), 346–356.
Posada, G., Jacobs, A., Richmond, M. K., Carbonell, O. A., Alzate, G., Bustamante, M. R., et al. (2001). Maternal caregiving and infant security in two cultures. Developmental Psychology, 38(1), 67–78.
Richman, A., Miller, P., & LeVine, R. (1992). Cultural and educational variations in maternal responsiveness. Developmental Psychology, 28(4), 614–621.
Sawers, L. (2005). Nontraditional or new traditional exports: Ecuador’s flower boom. Latin American Research Review, 40(3), 40–67.
Tronick, E., Als, H., Adamson, L., Wise, S., & Brazelton, T. B. (1978). Infants response to entrapment between contradictory messages in face-to-face interaction. Journal of the American Academy of Child and Adolescent Psychiatry, 17, 1–13.
Ursache, A., Blair, C., Stifter, C., & Voegtline, K. (2013). Emotional reactivity and regulation in infancy interact to predict executive functioning in early childhood. Developmental Psychology, 49(1), 127–137.
Weinberg, M. K., Olson, K. L., Beeghly, M., Tronick, E. Z. (2006). Making up is hard to do, especially for mothers with high levels of depressive symptoms and their infant sons. Journal of Child Psychology and Psychiatry, 47(7), 670–683.
Weinberg, M. K., & Tronick, E. Z. (1996). Infant affective reactions to the resumption of maternal interaction after the still-face. Child Development, 67(3), 905–914.
Witt, A., Theurel, A., Tolsa, C. B., Lejeune, F., Fernaneds, L., van Hanswijcke de Jonge, L., et al. (2014). Emotional and effortful control abilities in 42-month old very preterm and full-term children. Early Human Development, 90, 565–569.
Yato, Y., Kawai, M., Negayama, K., Sogon, S., Tomiwa, K., & Yamamoto, H. (2008). Infant responses to maternal still-face at 4 and 9 months. Infant Behavior and Development, 31(4), 570–577.
Acknowledgments
We thank our consortium partners in Ecuador: Dr. William Waters, Director of the Research Institute for Health and Nutrition-Universidad de San Francisco de Quito (USFQ), and the USFQ Center for Technology Development and Transfer (USFQ-CTT). We thank our study team Maritza Paez, Katty Turqueres, and Luis Pena. We also thank the staff at the Casa Campesina Cayambe, the members of the Community Advisory Board, the local community leaders and local hospital and clinic staff, and most importantly, the study participants. Dr. Handal was supported by a National Institutes of Health/National Institute of Environmental Health Sciences Grant #5R21ES19285-2, Faculty Field Research Grants from the University of New Mexico Latin American and Iberian Institute (LAII), Dedicated Health Research Funds from the University of New Mexico School of Medicine, and the National Center for Research Resources and the National Center for Advancing Translational Sciences of the National Institutes of Health through Grant Number 8UL1TR000041, The University of New Mexico Clinical and Translational Science Center.
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Handal, A.J., Garcia Saavedra, L., Schrader, R. et al. Assessment of Maternal-Infant Interaction: Application of the Still Face Paradigm in a Rural Population of Working Women in Ecuador. Matern Child Health J 21, 458–466 (2017). https://doi.org/10.1007/s10995-016-2123-9
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DOI: https://doi.org/10.1007/s10995-016-2123-9