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BACKGROUND: Postpartum depression (PPD) affects 30-50% of women with a history of previous depression or bipolar disorder and 8% of women with no history of depression. Negative cognitive biases in the perception of infant cues and difficulties with emotion regulation are replicated risk factors. Current interventions focus on detecting and treating rather than preventing PPD. The aim of this randomized controlled intervention trial is therefore to investigate the potential prophylactic effects of prenatal affective cognitive training for pregnant women at heightened risk of PPD. METHODS: The study will enrol a total of 292 pregnant women: 146 at high risk and 146 at low risk of PPD. Participants undergo comprehensive assessments of affective cognitive processing, clinical depressive symptoms, and complete questionnaires at baseline. Based on the responses, pregnant women will be categorized as either at high or low risk of PPD. High-risk participants will be randomized to either prenatal affective cognitive training (PACT) or care as usual (CAU) immediately after the baseline testing. The PACT intervention is based on emerging evidence for efficacy of affective cognitive training approaches in depression, including cognitive bias modification, attention bias modification, mindfulness-inspired emotion regulation exercises, and working memory training. Participants randomised to PACT will complete five individual computerised and virtual reality-based training sessions over 5 weeks. The primary outcome is the difference between intervention arms in the incidence of PPD, assessed with an interview 6 months after birth. We will also assess the severity of depressive symptoms, rated weekly online during the first 6 weeks postpartum. DISCUSSION: The results will have implications for future early prophylactic interventions for pregnant women at heightened risk of PPD. If the PACT intervention reduces the incidence of PPD, it can become a feasible, non-invasive prophylactic strategy during pregnancy, with positive mental health implications for these women and their children. TRIAL REGISTRATION: ClinicalTrials.gov NCT06046456 registered 21-09-2023, updated 08-07-2024.

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When infants start mastering their first language, they may start to notice when words are used incorrectly. Around 14-months of age, infants detect incorrect labeling when they are presented with an object which is labeled while still visible. However, things that are referred to are often out of sight when we communicate about them. The present study examined infants' detection of semantic mismatch when the object was occluded at the time of labeling. Specifically, we investigated whether mislabeling that referred to an occluded object could elicit a semantic mismatch. We showed 14-month-old Danish-speaking infants events where an onscreen agent showed an object and then hid it in a box. This was followed by another agent's hand pointing at the box, and a concurrent auditory category label played, which either matched or did not match the hidden object. Our results indicate that there is an effect of semantic mismatch with a larger negativity in incongruent trials. Thus, infants detected a mismatch, as indicated by a larger n400, when occluded objects were mislabeled. This finding suggests that infants can sustain an object representation in memory and compare it to a semantic representation of an auditory category label.

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Young learners would seem to face a daunting challenge in selecting to what they should attend, a problem that may have been exacerbated in human infants by changes in carrying practices during human evolution. A novel theory proposes that human infant cognition has an altercentric bias whereby early in life, infants prioritize encoding events that are the targets of others' attention. We tested for this bias by asking whether, when the infant and an observing agent have a conflicting perspective on an object's location, the co-witnessed location is better remembered. We found that 8- but not 12-month-olds expected the object to be at the location where the agent had seen it. These findings suggest that in the first year of life, infants may prioritize the encoding of events to which others attend, even though it may sometimes result in memory errors. However, the disappearance of this bias by 12 months suggests that altercentricism is a feature of very early cognition. We propose that it facilitates learning at a unique stage in the life history when motoric immaturity limits infants' interaction with the environment; at this stage, observing others could maximally leverage the information selection process.

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People sometimes commit 'egocentric errors', failing to ignore their own perspective when interpreting others' communication. Training imitation-inhibition, when participants perform the opposite action from another person, facilitates subsequent perspective-taking in adults. This study tested whether imitation-inhibition training also facilitates perspective-taking in 3- to 6-year-olds, an age where egocentric perspective may be particularly influential. Children participated in a 10-min imitation-inhibition, imitation, or non-social-inhibition training (white, n = 25 per condition, 33 female, period: 2018-2021), then the communicative-perspective-taking Director task. Training had a significant effect (F(2, 71) = 3.316, p = .042, η2  = .085): on critical trials, the imitation-inhibition-group selected the correct object more often than the other groups. Imitation-inhibition training specifically enhanced the perspective-taking process possibly by highlighting the distinction between self and other.

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The capacity to take another's perspective appears to be present from early in life, with young infants ostensibly able to predict others' behaviour even when the self and other perspective are at odds. Yet, infants' abilities are difficult to reconcile with the well-known problems that older children have with ignoring their own perspective. Here we show that it is the development of the self-perspective, at around 18 months, that creates a perspective conflict between self and other during a non-verbal perspective-tracking scenario. Using mirror self-recognition as a measure of self-awareness and pupil dilation to index conflict processing, our results show that mirror recognisers perceive greater conflict during action anticipation, specifically in a high inhibitory demand condition, in which conflict between self and other should be particularly salient.

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As adults, not only do we choose what we prefer, we also tend to adapt our preferences according to our previous choices. We do this even when choosing blindly and we could not have had any previous preference for the option we chose. These blind choice-induced preferences are thought to result from cognitive dissonance as an effort to reconcile our choices and values. In the present preregistered study, we asked when this phenomenon develops. We reasoned that cognitive dissonance may emerge around 2 years of age in connection with the development of children's self-concept. We presented N = 200 children aged 16 to 36 months with a blind choice between two toys, and then tested whether their choice had induced a preference for the chosen, and a devaluation of the discarded, toy. Indeed, children's choice-induced preferences substantially increased with age. 26- to 36-months-old children preferred a neutral over the previously blindly discarded toy, but the previously chosen over the neutral toy, in line with cognitive dissonance predictions. Younger infants showed evidence against such blind choice-induced preferences, indicating its emergence around 2 years of age. Contrary to our hypotheses, the emergence of blind choice-induced preferences was not related to measures of self-concept development in the second year of life. Our results suggest that cognitive dissonance develops around 2 years. We speculate about cognitive mechanisms that underlie this development, including later-developing aspects of the self-concept and increasingly abstract representational abilities.

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The current study probed whether infants understand themselves in relation to others. Infants aged 16-26 months (n = 102) saw their parent wearing a sticker on their forehead or cheek, depending on experimental condition, placed unwitnessed by the child. Infants then received a sticker themselves, and their spontaneous behavior was coded. Regardless of age, from 16 months, all infants who placed the sticker on their cheek or forehead, placed it on the location on their own face matching their parent's placement. This shows that infants as young as 16 months of age have an internal map of their face in relation to others that they can use to guide their behavior. Whether infants placed the sticker on the matching location was related to other measures associated with self-concept development (the use of their own name and mirror self-recognition), indicating that it may reflect a social aspect of children's developing self-concept, namely their understanding of themselves in relation and comparison to others. About half of the infants placed the sticker on themselves, while others put it elsewhere in the surrounding, indicating an additional motivational component to bring about on themselves the state, which they observed on their parent. Together, infants' placement of the sticker in our task suggests an ability to compare, and motivation to align, self and others.

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Rhythm production is a critical component of human interaction, not least forming the basis of our musicality. Infants demonstrate a spontaneous motor tempo (SMT), or natural rate of rhythmic movement. Here, we ask whether infant SMT is influenced by the rate of locomotion infants experience when being carried. Ten-month-old, non-walking infants were tested using a free drumming procedure before and after 10 min of being carried by an experimenter walking at a slower (98 BPM) or faster (138 BPM) than average tempo. We find that infant SMT is differentially impacted by carrying experience dependent on the tempo at which they were carried: infants in the slow-walked group exhibited a slower SMT from pre-test to post-test, while infants in the fast-walked group showed a faster SMT from pre-test to post-test. Heart rate data suggest that this effect is not due to a general change in the state of arousal. We argue that being carried during caregiver locomotion is a predominant experience for infants throughout the first years of life, and as a source of regular, vestibular, information, may at least partially form the basis of their sense of rhythm.

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Spontaneous Motor Tempo (SMT) is influenced by individual differences in age and body size. We present the first data documenting the SMT of infants from 5 to 37 months of age using a simple drumming task. As in late childhood and adulthood, we predicted that infant SMT would slow across the first years of life. However, we find that older infants drum more quickly than younger infants. Furthermore, studies of adults suggest larger bodies prefer slower rhythms. This relationship may be the product of biomechanical resonance, or effects may be driven by rhythmic experience, such as of locomotion. We used infants, whose body size is dissociated from their predominant experience of locomotion as their parent often carries them, to test this argument. We reveal that infant SMT is predicted by parent, but not own, body size, supporting a passive experience-based argument, and propose that early rhythm may be set by repetitive vestibular stimulation when carried by the caregiver.

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Humans are ultrasocial, yet, theories of cognition have often been occupied with the solitary mind. Over the past decade, an increasing volume of work has revealed how individual cognition is influenced by the presence of others. Not only do we rapidly identify others in our environment, but we also align our attention with their attention, which influences what we perceive, represent, and remember, even when our immediate goals do not involve coordination. Here, we refer to the human sensitivity to others and to the targets and content of their attention as 'altercentrism'; and aim to bring seemingly disparate findings together, suggesting that they are all reflections of the altercentric nature of human cognition.

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Mimicry is suggested to be one of the strategies via which we enhance social affiliation. Although recent studies have shown that, like adults, young children selectively mimic the facial actions of in-group over out-group members, it is unknown whether this early mimicry behavior is driven by affiliative motivations. Here we investigated the functional role of facial mimicry in early childhood by testing whether observing third-party ostracism, which has previously been shown to enhance children's affiliative behaviors, enhances facial mimicry in 30-month-olds. Toddlers were presented with videos in which one shape was ostracized by other shapes or with control videos that did not show any ostracism. Before and after this, the toddlers observed videos of models performing facial actions (e.g., eyebrow raising, mouth opening) while we measured activation over their corresponding facial muscles using electromyography (EMG) to obtain an index of facial mimicry. We also coded the videos of the sessions for overt imitation. We found that toddlers in the ostracism condition showed greater facial mimicry at posttest than toddlers in the control condition, as indicated by both EMG and behavioral coding measures. Although the exact mechanism underlying this result needs to be investigated in future studies, this finding is consistent with social affiliation accounts of mimicry and suggests that mimicry may play a key role in maintaining affiliative bonds when toddlers perceive the risk of social exclusion.

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The default mode network (DMN) is a network of brain regions that is activated while we are not engaged in any particular task. While there is a large volume of research documenting functional connectivity within the DMN in adults, knowledge of the development of this network is still limited. There is some evidence for a gradual increase in the functional connections within the DMN during the first 2 years of life, in contrast to other functional resting-state networks that support primary sensorimotor functions, which are online from very early in life. Previous studies that investigated the development of the DMN acquired data from sleeping infants using fMRI. However, sleep stages are known to affect functional connectivity. In the current longitudinal study, fNIRS was used to measure spontaneous fluctuations in connectivity within fronto-temporoparietal areas-as a proxy for the DMN-in awake participants every 6 months from 11 months till 36 months. This study validates a method for recording resting-state data from awake infants, and presents a data analysis pipeline for the investigation of functional connections with infant fNIRS data, which will be beneficial for researchers in this field. A gradual development of fronto-temporoparietal connectivity was found, supporting the idea that the DMN develops over the first years of life. Functional connectivity reached its maximum peak at about 24 months, which is consistent with previous findings showing that, by 2 years of age, DMN connectivity is similar to that observed in adults.

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From early in life, human infants appear capable of taking others' perspectives, and can do so even when the other's perspective conflicts with the infant's perspective. Infants' success in perspective-taking contexts implies that they are managing conflicting perspectives despite a wealth of data suggesting that doing so relies on sufficiently mature Executive Functions, and is a challenge even for adults. In a new theory, I propose that infants can take other's perspectives because they have an altercentric bias. This bias results from a combination of the value that human cognition places on others' attention, and an absence of a competing self-perspective, which would, in older children, create a conflict requiring resolution by Executive Functions. A self-perspective emerges with the development of cognitive self-awareness, sometime in the second year of life, at which point it leads to competition between perspectives. This theory provides a way of explaining infants' ability to take others' perspectives, but raises the possibility that they could do so without representing or understanding the implications of perspective for others' mental states. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

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How and when a concept of the 'self' emerges has been the topic of much interest in developmental psychology. Self-awareness has been proposed to emerge at around 18 months, when toddlers start to show evidence of physical self-recognition. However, to what extent physical self-recognition is a valid indicator of being able to think about oneself, is debated. Research in adult cognitive neuroscience has suggested that a common network of brain regions called Default Mode Network (DMN), including the temporo-parietal junction (TPJ) and the medial prefrontal cortex (mPFC), is recruited when we are reflecting on the self. We hypothesized that if mirror self-recognition involves self-awareness, toddlers who exhibit mirror self-recognition might show increased functional connectivity between frontal and temporoparietal regions of the brain, relative to those toddlers who do not yet show mirror self-recognition. Using fNIRS, we collected resting-state data from 18 Recognizers and 22 Non-Recognizers at 18 months of age. We found significantly stronger fronto-temporoparietal connectivity in Recognizers compared to Non-Recognizers, a finding which might support the hypothesized relationship between mirror-self recognition and self-awareness in infancy.

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Mimicry, the spontaneous copying of others' behaviors, plays an important role in social affiliation, with adults selectively mimicking in-group members over out-group members. Despite infants' early documented sensitivity to cues to group membership, previous work suggests that it is not until 4 years of age that spontaneous mimicry is modulated by group status. Here we demonstrate that mimicry is sensitive to cues to group membership at a much earlier age if the cues presented are more relevant to infants. 11-month-old infants observed videos of facial actions (e.g., mouth opening, eyebrow raising) performed by models who either spoke the infants' native language or an unfamiliar foreign language while we measured activation of the infants' mouth and eyebrow muscle regions using electromyography to obtain an index of mimicry. We simultaneously used functional near-infrared spectroscopy to investigate the neural mechanisms underlying differential mimicry responses. We found that infants showed greater facial mimicry of the native speaker compared to the foreign speaker and that the left temporal parietal cortex was activated more strongly during the observation of facial actions performed by the native speaker compared to the foreign speaker. Although the exact mechanisms underlying this selective mimicry response will need to be investigated in future research, these findings provide the first demonstration of the modulation of facial mimicry by cues to group status in preverbal infants and suggest that the foundations for the role that mimicry plays in facilitating social bonds seem to be present during the first year of life.

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During social interactions we often have an automatic and unconscious tendency to copy or 'mimic' others' actions. The dominant view on the neural basis of mimicry appeals to an automatic coupling between perception and action. It has been suggested that this coupling is formed through associative learning during correlated sensorimotor experience. Although studies with adult participants have provided support for this hypothesis, little is known about the role of sensorimotor experience in supporting the development of perceptual-motor couplings, and consequently mimicry behaviour, in infancy. Here we investigated whether the extent to which an observed action elicits mimicry depends on the opportunity an infant has had to develop perceptual-motor couplings for this action through correlated sensorimotor experience. We found that mothers' tendency to imitate their 4-month-olds' facial expressions during a parent-child interaction session was related to infants' facial mimicry as measured by electromyography. Maternal facial imitation was not related to infants' mimicry of hand actions, and instead we found preliminary evidence that infants' tendency to look at their own hands may be related to their tendency to mimic hand actions. These results are consistent with the idea that mimicry is supported by perceptual-motor couplings that are formed through correlated sensorimotor experience obtained by observing one's own actions and imitative social partners.

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Mimicry, the tendency to spontaneously and unconsciously copy others' behaviour, plays an important role in social interactions. It facilitates rapport between strangers, and is flexibly modulated by social signals, such as eye contact. However, little is known about the development of this phenomenon in infancy, and it is unknown whether mimicry is modulated by social signals from early in life. Here we addressed this question by presenting 4-month-old infants with videos of models performing facial actions (e.g., mouth opening, eyebrow raising) and hand actions (e.g., hand opening and closing, finger actions) accompanied by direct or averted gaze, while we measured their facial and hand muscle responses using electromyography to obtain an index of mimicry (Experiment 1). In Experiment 2 the infants observed the same stimuli while we used functional near-infrared spectroscopy to investigate the brain regions involved in modulating mimicry by eye contact. We found that 4-month-olds only showed evidence of mimicry when they observed facial actions accompanied by direct gaze. Experiment 2 suggests that this selective facial mimicry may have been associated with activation over posterior superior temporal sulcus. These findings provide the first demonstration of modulation of mimicry by social signals in young human infants, and suggest that mimicry plays an important role in social interactions from early in life.

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Tracking the connectivity of the developing brain from infancy through childhood is an area of increasing research interest, and fNIRS provides an ideal method for studying the infant brain as it is compact, safe and robust to motion. However, data analysis methods for fNIRS are still underdeveloped compared to those available for fMRI. Dynamic causal modelling (DCM) is an advanced connectivity technique developed for fMRI data, that aims to estimate the coupling between brain regions and how this might be modulated by changes in experimental conditions. DCM has recently been applied to adult fNIRS, but not to infants. The present paper provides a proof-of-principle for the application of this method to infant fNIRS data and a demonstration of the robustness of this method using a simultaneously recorded fMRI-fNIRS single case study, thereby allowing the use of this technique in future infant studies. fMRI and fNIRS were simultaneously recorded from a 6-month-old sleeping infant, who was presented with auditory stimuli in a block design. Both fMRI and fNIRS data were preprocessed using SPM, and analysed using a general linear model approach. The main challenges that adapting DCM for fNIRS infant data posed included: (i) the import of the structural image of the participant for spatial pre-processing, (ii) the spatial registration of the optodes on the structural image of the infant, (iii) calculation of an accurate 3-layer segmentation of the structural image, (iv) creation of a high-density mesh as well as (v) the estimation of the NIRS optical sensitivity functions. To assess our results, we compared the values obtained for variational Free Energy (F), Bayesian Model Selection (BMS) and Bayesian Model Average (BMA) with the same set of possible models applied to both the fMRI and fNIRS datasets. We found high correspondence in F, BMS, and BMA between fMRI and fNIRS data, therefore showing for the first time high reliability of DCM applied to infant fNIRS data. This work opens new avenues for future research on effective connectivity in infancy by contributing a data analysis pipeline and guidance for applying DCM to infant fNIRS data.

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