Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-06T12:02:23.719Z Has data issue: false hasContentIssue false

Maternal mind–mindedness and toddler behavior problems: The moderating role of maternal trauma and posttraumatic stress

Published online by Cambridge University Press:  17 April 2017

M. Ann Easterbrooks*
Affiliation:
Tufts University
Molly K. Crossman
Affiliation:
Tufts University
Alessandra Caruso
Affiliation:
Tufts University
Maryna Raskin
Affiliation:
Tufts University
Claudia Miranda-Julian
Affiliation:
Tufts University
*
Address correspondence and reprint requests to: M. Ann Easterbrooks, Eliot-Pearson Department of Child Study and Human Development, Tufts University, 105 College Avenue, Medford, MA 02155; E-mail: [email protected].

Abstract

Maternal mind–mindedness (MM) reflects a caregiver's tendency to view a child as an individual with an independent mind. Research has linked higher MM with more favorable parenting and child adaptation. The aim of this study was to examine whether MM was associated with toddlers’ behavior problems and competence, and the moderating role of trauma and posttraumatic stress disorder (PTSD) in a sample (N = 212) of adolescent mothers and their toddlers. MM was coded from maternal utterances during free play; mothers completed the University of California at Los Angeles Trauma and Posttraumatic Stress Disorder Reaction Index and reported on children's behavior problems and competence using the Brief Infant–Toddler Social and Emotional Assessment. The majority of mothers (84%) experienced trauma; 45% of these mothers met criteria for partial or full PTSD. Trauma was related to greater behavior problems, and PTSD moderated MM–child functioning relations. When mothers experienced full PTSD, there was no relation between MM and behavior problems. With child competence, when compared to children of mothers with no trauma exposure, children of mothers experiencing partial PTSD symptoms were more likely to have delays in competence when mothers made more MM comments. Results are discussed in light of how MM, in the context of trauma and PTSD, may affect parenting.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Funding was provided by the Children's Trust, Massachusetts, Grant 5014. We are grateful for the support of colleagues at the Tufts Interdisciplinary Evaluation Research Group and for the participation of the research participants.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (text revision) . Arlington, VA: Author.Google Scholar
Arnott, B., & Meins, E. (2008). Continuity in mind-mindedness from pregnancy to the first year of life. Infant Behavior and Development, 31, 647654.Google Scholar
Bernier, A., Carlson, S. M., Deschênes, M., & Matte-Gagné, C. (2012). Social factors in the development of early executive functioning: A closer look at the caregiving environment. Developmental Science, 15, 1224.Google Scholar
Bernier, A., Carlson, S. M., & Whipple, N. (2010). From external regulation to self-regulation: Early parenting precursors of young children's executive functioning. Child Development, 81, 326339.CrossRefGoogle ScholarPubMed
Bernier, A., & Dozier, M. (2003). Bridging the attachment transmission gap: The role of maternal mind-mindedness. International Journal of Behavioral Development, 27, 355365.Google Scholar
Bert, S. C., Guner, B. M., & Lanzi, R. G. (2009). The influence of maternal history of abuse on parenting knowledge and behavior. Family Relations, 58, 176187.CrossRefGoogle ScholarPubMed
Briggs-Gowan, M. J., & Carter, A. S. (2002). Brief Infant-Toddler Social and Emotional Assessment (BITSEA): Manual. Version 2.0. New Haven, CT: Yale University Press.Google Scholar
Briggs-Gowan, M. J., Carter, A. S., Irwin, J. R., Wachtel, K., & Cicchetti, D. V. (2004) The Brief Infant–Toddler Social and Emotional Assessment: Screening for social-emotional problems and delays in competence. Journal of Pediatric Psychology, 29, 143155.Google Scholar
Cicchetti, D., & Curtis, W. J. (2007). Multilevel perspectives on pathways to resilient functioning. Development and Psychopathology, 19, 627629.Google Scholar
Demers, I., Bernier, A., Tarabulsy, G. M., & Provost, M. A. (2010). Maternal and child characteristics as antecedents of maternal mind-mindedness. Infant Mental Health Journal, 31, 94112.Google Scholar
De Paul, J., & Domenech, L. (2000). Childhood history of abuse and child abuse potential in adolescent mothers: A longitudinal study. Child Abuse & Neglect, 24, 701713.Google Scholar
DiLillo, D., & Damashek, A. (2003). Parenting characteristics of women reporting a history of childhood sexual abuse. Child Maltreatment, 8, 319333.Google Scholar
East, P. L., Matthews, K. L., & Felice, M. E. (1994). Qualities of adolescent mothers’ parenting. Journal of Adolescent Health, 15, 163168.Google Scholar
Epley, N., & Waytz, A. (2009). Mind perception. In Fiske, S. T., Gilbert, D. T., & Lindzey, G. (Eds.), Handbook of social psychology (5th ed., Vol. 2). Hoboken, NJ: Wiley.Google Scholar
Fonagy, P., Steele, M., Steele, H., Moran, G., & Higgins, A. (1991). The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 12, 201218.3.0.CO;2-7>CrossRefGoogle Scholar
Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: A developmental model for understanding mechanisms of transmission. Psychological Review, 106, 458.Google Scholar
Jacobs, F., Easterbrooks, M. A., Goldberg, J., Mistry, J., Bumgarner, E., Raskin, M., … Fauth, R. (2016). Improving adolescent parenting: Results from a randomized controlled trial of a home visiting program for young families. American Journal of Public Health, 106, 342349.Google Scholar
Karabekiroglu, K., Rodopman-Arman, A., Ay, P., Ozkesen, M., Akbas, S., Tasdemir, G. N., Boke, O., & Peksen, Y. (2009). The reliability and validity of the Turkish version of the Brief Infant-Toddler Social Emotional Assessment (BITSEA). Infant Behavior & Development, 32, 291297.Google Scholar
Kennedy, A. C., & Bennett, L. (2006). Urban adolescent mothers exposed to community, family, and partner violence: Is cumulative violence exposure a barrier to school performance and participation? Journal of Interpersonal Violence, 21, 750773.Google Scholar
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593602.Google Scholar
Kruizinga, I., Jansen, W., De Haan, C. L., Van der Ende, J., Carter, A. S., & Raat, H. (2012). Reliability and validity of the Dutch version of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA). PLOS ONE, 7, e38762.Google Scholar
Lang, A. J., Gartstein, M. A., Rodgers, C. S., & Lebeck, M. M. (2010). The impact of maternal childhood abuse on parenting and infant temperament. Journal of Child and Adolescent Psychiatric Nursing, 23, 100110.Google Scholar
Laranjo, J., Bernier, A., & Meins, E. (2008). Associations between maternal mind-mindedness and infant attachment security: Investigating the mediating role of maternal sensitivity. Infant Behavior and Development, 31, 688695.Google Scholar
Layne, C. M., Pynoos, R. S., Saltzman, W. R., Arslanagić, B., Black, M., Savjak, N., … Houston, R. (2001). Trauma/grief-focused group psychotherapy: School-based postwar intervention with traumatized Bosnian adolescents. Group Dynamics: Theory, Research, and Practice, 5, 277.Google Scholar
Leadbeater, B., & Way, N. (2001). Growing up fast: Transitions to early adulthood of inner-city adolescent mothers. Mahwah, NJ: Erlbaum.Google Scholar
Leen-Feldner, E. W., Feldner, M. T., Knapp, A., Bunaciu, L., Blumenthal, H., & Amstadter, A. B. (2013). Offspring psychological and biological correlates of parental posttraumatic stress: Review of the literature and research agenda. Clinical Psychology Review, 33, 11061133.Google Scholar
Lesaffre, E., Rizopoulos, D., & Trsonaka, R. (2007). The logistic transform for bounded outcome scores. Biostatistics, 8, 7285.Google Scholar
Lok, S. M., & McMahon, C. A. (2006). Mothers’ thoughts about their children: Links between mind-mindedness and emotional availability. British Journal of Developmental Psychology, 24, 477488.Google Scholar
Lorber, M. F., & Egeland, B. (2011). Parenting and infant difficulty: Testing a mutual exacerbation hypothesis to predict early onset conduct problems. Child Development, 82, 20062020.Google Scholar
Luster, T. (1998). Individual differences in the caregiving behavior of teenage mothers: An ecological perspective. Clinical Child Psychology and Psychiatry, 3, 341360.Google Scholar
Luster, T., & Brophy-Herb, H. (2000). Adolescent mothers and their children. In Osofsky, J. D. & Fitzgerald, H. E. (Eds.), WAIMH handbook of infant mental health (Vol. 4, pp. 372413). New York: Wiley.Google Scholar
McElwain, N. L., Booth-LaForce, C., & Wu, X. (2011). Infant–mother attachment and children's friendship quality: Maternal mental-state talk as an intervening mechanism. Developmental Psychology, 47, 1295.Google Scholar
McMahon, C. A., & Meins, E. (2012). Mind-mindedness, parenting stress, and emotional availability in mothers of preschoolers. Early Childhood Research Quarterly, 27, 245252.Google Scholar
Meade, C. S., Kershaw, T. S., & Ickovics, J. R. (2008). The intergenerational cycle of teenage motherhood: An ecological approach. Health Psychology, 27, 419429.Google Scholar
Meins, E., Centifanti, L. C. M., Fernyhough, C., & Fishburn, S. (2013). Maternal mind-mindedness and children's behavioral difficulties: Mitigating the impact of low socioeconomic status. Journal of Abnormal Child Psychology, 41, 543553.Google Scholar
Meins, E., & Fernyhough, C. (2010). Mind-mindedness coding manual, version 2.0. Unpublished manuscript, Durham University.Google Scholar
Meins, E., Fernyhough, C., Arnott, B., Leekam, S. R., & de Rosnay, M. (2013). Mind-mindedness and theory of mind: Mediating roles of language and perspectival symbolic play. Child Development, 84, 17771790.Google Scholar
Meins, E., Fernyhough, C., Arnott, B., Turner, M., & Leekam, S. R. (2011). Mother- versus infant-centered correlates of maternal mind-mindedness in the first year of life. Infancy, 16, 137165.Google Scholar
Meins, E., Fernyhough, C., de Rosnay, M., Arnott, B., Leekam, S. R., & Turner, M. (2012). Mind-mindedness as a multidimensional construct: Appropriate and nonattuned mind-related comments independently predict infant–mother attachment in a socially diverse sample. Infancy, 17, 393415. doi:10.1111/j.1532-7078.2011.00087.x Google Scholar
Meins, E., Fernyhough, C., Fradley, E., & Tuckey, M. (2001). Rethinking maternal sensitivity: Mothers’ comments on infants’ mental processes predict security of attachment at 12 months. Journal of Child Psychology and Psychiatry, 42, 637648.Google Scholar
Mains, E., Fernyhough, C., & Harris-Waller, J. (2014). Is mind-mindedness trait-like or a quality of close relationships? Evidence from descriptions of significant others, famous people, and works of art. Cognition, 130, 417427.Google Scholar
Meins, E., Fernyhough, C., Wainwright, R., Gupta, M. D., Fradley, E., & Tuckey, M. (2002). Maternal mind-mindedness and attachment security as predictors of theory of mind understanding. Child Development, 73, 17151726.CrossRefGoogle ScholarPubMed
Moehler, E., Biringen, Z., & Poustka, L. (2007). Emotional availability in a sample of mothers with a history of abuse. American Journal of Orthopsychiatry, 77, 624.Google Scholar
Najavits, L. M., Gotthardt, S., Weiss, R. D., & Epstein, M. (2004). Cognitive distortions in the dual diagnosis of PTSD and substance use disorder. Cognitive Therapy and Research, 28, 159172.CrossRefGoogle Scholar
Noll, J. G., Trickett, P. K., Harris, W. W., & Putnam, F. W. (2008). The cumulative burden borne by offspring whose mothers were sexually abused as children. Journal of Interpersonal Violence, 10, 126.Google Scholar
Nygaard, E., Jensen, T. K., & Dyb, G. (2012). Stability of posttraumatic stress reaction factors and their relation to general mental health problems in children: A longitudinal study. Journal of Clinical Child and Adolescent Psychology, 41, 1526.Google Scholar
Oppenheim, D., & Koren-Karie, N. (2002). Mothers’ insightfulness regarding their children's internal worlds: The capacity underlying secure child–mother relationships. Infant Mental Health Journal, 23, 593605.Google Scholar
Pawlby, S., Fernyhough, C., Meins, E., Pariante, C. M., Seneviratne, G., & Bentall, R. P. (2010). Mind-mindedness and maternal responsiveness in infant–mother interactions in mothers with severe mental illness. Psychological Medicine, 40, 18611869.CrossRefGoogle ScholarPubMed
Putnam, F. W. (2006). The impact of trauma on child development. Juvenile and Family Court Journal, 57, 111.Google Scholar
Pynoos, R., Rodriguez, N., Steinberg, A., Stuber, M., & Frederick, C. (2001). The University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index (UCLA-PTSD RI) for DSM–IV (revision 1) . Los Angeles: UCLA Trauma Psychiatry Program.Google Scholar
Roussos, A., Goenjian, A. K., Steinberg, A. M., Sotiropoulou, C., Kakaki, M., Kabakos, C., Karagianni, S., & Manouras, V. (2005). Posttraumatic stress and depressive reactions among children and adolescents after the 1999 earthquake in Ano Liosia, Greece. American Journal of Psychiatry, 162, 530537.Google Scholar
Sarri, R., & Phillips, A. (2004). Health and social services for pregnant and parenting high risk teens. Children and Youth Services Review, 26, 537560.Google Scholar
Schacht, R., Hammond, L., Marks, M., Wood, B., & Conroy, S. (2013). The relation between mind-mindedness in mothers with borderline personality disorder and mental state understanding in their children. Infant and Child Development, 22, 6884.Google Scholar
Schechter, D. S., Myers, M. M., Brunelli, S. A., Coates, S. W., Zeanah, C. H. Jr., Davies, M., … Liebowitz, M.R. (2006). Traumatized mothers can change their minds about their toddlers: Understanding how a novel use of videofeedback supports positive change of maternal attributions. Infant Mental Health Journal, 27, 429447.Google Scholar
Scheeringa, M. S., & Zeanah, C. H. (2001). A relational perspective on PTSD in early childhood. Journal of Traumatic Stress, 14, 799815.Google Scholar
Sharp, C., & Fonagy, P. (2008). The parent’s capacity to treat the child as a psychological agent: Constructs, measures and implications for developmental psychopathology. Social Development, 17, 737754.Google Scholar
Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. Journal of the American Medical Association, 301, 22522259.Google Scholar
Slade, A., Grienenberger, J., Bernbach, E., Levy, D., & Locker, A. (2005). Maternal reflective functioning, attachment, and the transmission gap: A preliminary study. Attachment & Human Development, 7, 283298.CrossRefGoogle ScholarPubMed
Steinberg, A. M., Brymer, M. J., Decker, K. B., & Pynoos, R. S. (2004). The University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index. Current Psychiatry Reports, 6, 96100.CrossRefGoogle ScholarPubMed
Stevens, J., Ammerman, R. T., Putnam, F. G., & Van Ginkel, J. B. (2002). Depression and trauma history in first-time mothers receiving home visitation. Journal of Community Psychology, 30, 551564.Google Scholar
van IJzendoorn, M. (1995). Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis on the predictive validity of the Adult Attachment Interview. Psychological Bulletin, 117, 387.Google Scholar
Walker, T. M., Wheatcroft, R., & Camic, P. M. (2012). Mind-mindedness in parents of pre-schoolers: A comparison between clinical and community samples. Clinical Child Psychology and Psychiatry, 17, 318335.Google Scholar