Patterns of mother-infant interaction from 3 to 12 months among dyads with substance abuse and psychiatric problems.
The aim of this study was to investigate the development of mother-infant interaction patterns from 3 to 12 months among three groups of mother-baby pairs recruited during pregnancy: one group from residential substance abuse treatment (n=28), a second group from psychiatric outpatient treatment (n=22), and a third group from well-baby clinics (n=30). The mother-infant interaction at 3 and 12 months was assessed by the Parent-Child Early Relational Assessment (PCERA), which consists of maternal, child and dyadic subscales (Clark, 2006). Linear mixed effects models were used to analyze group differences and the changes in mother-infant interaction from 3 to 12 months. At 3 months, pairwise comparisons showed that the group with psychiatric problems had significantly more difficulties in the mother-infant interaction than the two other groups. The group with substance abuse problems was not significantly different from the two other groups. At 12 months, the mother-infant pairs in the substance abuse group showed significantly more relational disturbances than the non-clinical pairs, as well as a poorer affective quality of interaction than the dyads in the group with psychiatric problems. Analysis of change from 3 to 12 months showed that difficulties in the interaction increased among the mother-baby pairs in the substance abuse group, while improvements were displayed in the two other groups. These results underline that mother-infant pairs at double risk due to maternal substance abuse and other non-optimal factors, are in need for long-term follow up in order to prevent the development of negative interactional patterns.
['Siqveland|Torill S|TS|', 'Haabrekke|Kristin|K|', 'Wentzel-Larsen|Tore|T|', 'Moe|Vibeke|V|']
D000328:Adult D002657:Child Development D017831:Diagnosis, Dual (Psychiatry) D005260:Female D006801:Humans D007223:Infant D008297:Male D001523:Mental Disorders D009034:Mother-Child Relations D009483:Neuropsychological Tests D010045:Outpatients D011247:Pregnancy D012114:Residential Treatment D012959:Socioeconomic Factors D016320:Substance Abuse Treatment Centers D019966:Substance-Related Disorders D055815:Young Adult
Long-term interaction patterns Maternal substance abuse and psychiatric problems Mother–infant interaction