Roseanne Clark

MATERNITY LEAVE AND WOMEN'S MENTAL HEALTH

The Wisconsin Maternity Leave and Health Study addresses an important policy issue, parental leave, by investigating the work status, maternity leave, and mental health of 570 women. In the longitudinal design, the women, all of whom were living with a husband or partner, were interviewed during the fifth month of pregnancy, 1 month postpartum, and 4 months postpartum. At 4 months postpartum, full-time workers, part-time workers, and homemakers did not differ in depression or anger, but full-time workers showed elevated anxiety compared with the other two groups. In multiple regression analyses, length of leave interacted significantly with marital concerns when predicting depression; women who took a short leave (6 weeks or less) and were high on marital concerns had the highest depression scores. Short maternity leave can be conceptualized as a risk factor that, when combined with other risk factors such as marital concerns, places women at greater risk for depression.

The Parent-Child Early Relational Assessment : A factorial validity study

The present study attempts to determine the factorial validity of scores on the Parent-Child Early Relational Assessment in a normative population of mothers and their 12-month-old infants. Parent, child, and dyadic items scored from free play interactions were analyzed as separate components of the instrument. Scores on three parent, three infant, and two dyadic subscales were examined for reliability and convergent and discriminant validity using confirmatory factor analysis. To provide confidence in the results, a factorial invariance study using multigroup confirmatory factor analysis was conducted using a separate sample. All subscale scores demonstrated high levels of internal consistency, with coefficients ranging from .75 to .96. Evidence was also found for convergent and discriminant validity.

The early relationship of drug abusing mothers and their infants: an assessment at eight to twelve months of age.

Ten mother-infant dyads in which the mother abused drugs during pregnancy were compared to 10 matched drug-free dyads using a short form of the Parent-Child Early Relational Assessment to analyze videotaped mother-infant interactions. Interactions consisted of two five-minute segments: structured and unstructured play. Infants were 8-12 months of age. There was a consistent tendency for the drug abusing group mean scores to separate from the controls. Drug abusing dyads had significantly more (r = .71, Fishers Exact Probability) ratings below 3.0 in the unstructured play situation for items that measured enthusiasm, responsivity to infant cues, and infant happiness. These categories provide preliminary evidence for those characteristics which may be most problematic in the relationship between drug abusing mothers and their infants, especially in situations in which mother is responsible for providing structure.

Dyadic disturbances in cocaine-abusing mothers and their infants

A recently developed instrument for the quantification of mother-infant interaction, the Parent-Child Early Relationship Assessment (PCERA), was used to observe drug-abusing mothers and their infants. Compared to the standardization sample used in the development of the PCERA, these drug-abusing mothers (N = 5) showed a tendency toward rigidity and overcontrol in their parenting, a lack of enjoyment and pleasure in relating to their infants, and limited emotional involvement and responsivity in their interaction. An analysis of the dyadic behaviors showed an overall reduction in reciprocity, mutual enjoyment, and regulation of interaction between mother and infant.

Maternity Leave, Role Quality, Work Involvement, and Mental Health One Year After Delivery:

Employment status, maternity leave, and role quality were investigated as predictors of womens mental health one year after delivery. Home-makers and part-time and full-time employees did not differ on measures of depression, anxiety, anger, or self-esteem. There were no main effects of leave length. Distress was associated with job overload, role restriction, and infant distress. Leave length interacted with the relative salience of work and family, and employment status interacted with employment preference to predict distress. Depression was greatest among women relatively high in work salience when leaves were long. Anxiety and anger were greatest among women whose employment status was not congruent with their preferences. These interactions underscore the importance of individual differences in responses to leave and work.

Breastfeeding, Bonding, and the Mother-Infant Relationship

Mothers often report that breastfeeding is an enjoyable and emotionally beneficial experience they share with their infants. However, little research has investigated the role of feeding method in the development of the maternal bond and the mother-infant relationship. This study tested two hypotheses—the bonding hypothesis and the good-enough caregiver hypothesis—regarding the association of breastfeeding with maternal bonding and the mother-infant relationship. Using data from a longitudinal study of 570 mother-infant pairs, bonding and the quality of the mother-infant relationship were measured at 4 and 12 months. Although breastfeeding dyads tended to show higher quality relationships at 12 months, bottlefeeding dyads did not display poor quality or precarious relationships. Such results are encouraging for nonmaternal caregivers and mothers who bottlefeed their children.

Sequelae of Cesarean and Vaginal Deliveries: Psychosocial Outcomes for Mothers and Infants.

Mother-infant dyads grouped according to whether the infants had been delivered vaginally (n = 74) or by planned (n = 37) or unplanned cesarean (n = 56) were compared on psychosocial outcomes at 4 and 12 months postpartum. Hypotheses were that unplanned cesarean delivery would be related to less optimal outcomes and that this relationship would be mediated by mothers appraisal of the delivery and would attenuate over time. No delivery-related differences in mother-infant interactions were found at 4 or 12 months postpartum with one exception: Women low in neuroticism who delivered by unplanned cesarean showed less positive affect toward their infants at 4 months than did women high in neuroticism who delivered by unplanned cesarean or women in any other group. There was some evidence of the mediating role of maternal appraisal of the delivery on these effects. In general, the results indicate little cause for concern about the quality of mother-infant interactions following cesarean deliveries.

Derivation and Prediction of Temperamental Types among Preschoolers.

The number and nature of temperamental types in 488 children aged 3 years 6 months was examined on the basis of a broad set of temperamental characteristics, including positive and negative emotionality and the attentional and behavioral control domains. Configural frequency analysis methods showed clear support for two temperament types: controlled-nonexpressive and noncontrolled-expressive. These types showed meaningful differences against external criteria related to a wide range of problem behaviors from the emotional, social, and attentional domains. The reports of problem behaviors were obtained contemporaneously from fathers and caregivers. These findings replicated a year later when children were aged 4 years 6 months. Furthermore, the findings showed that infant and toddler-age temperamental characteristics differentiated these preschool-aged types. The authors discuss the implications of the results for a categorical view of temperament-personality.

A mother–infant therapy group model for postpartum depression

This pilot study examined the feasibility and efficacy of a manualized, 12-week mother-infant therapy group (M-ITG) model for women with moderate to severe depressive symptoms during the postpartum period. Study participants were referred to the psychiatric clinic of a university medical center for assessment and treatment for postpartum depression. Results of pre- and post comparisons utilizing self-report and observational measures showed that women in the M-ITG groups (n = 18) reported significantly fewer depressive symptoms and experienced their infants as more reinforcing following 12 weeks of treatment than did the depressed women in the waitlist control group (WLCG) (n = 14). Mothers in the M-ITG group also were rated as exhibiting significantly more positive affective involvement and communication in interactions with their infants following treatment than did mothers in the WLCG. The M-ITG model is described, and the implications of utilizing a mother-infant treatment approach for postpartum depression that focuses on the relationships as well as the mothers depressive symptoms is discussed. The importance of further examining the efficacy of the M-ITG model for women with postpartum depression and their families in a large-scale, randomized clinical trial is underscored.

Maternity leave, women's employment, and marital incompatibility.

This research investigated the relationship between the length of womens maternity leave and marital incompatibility, in the context of other variables including the womans employment, her dissatisfaction with the division of household labor, and her sense of role overload. Length of leave, work hours, and family salience were associated with several forms of dissatisfaction, which in turn predicted role overload. Role overload predicted increased marital incompatibility for experienced mothers but did not for first-time mothers, for whom discrepancies between preferred and actual child care were more important. Length of maternity leave showed significant interactions with other variables, supporting the hypothesis that a short leave is a risk factor that, when combined with another risk factor, contributes to personal and marital distress.