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INTRODUCTION: The quality of mother-infant interactions is crucial for child development. Studies show that breastfeeding contributes to maternal sensitivity and the development of a positive mother-infant bond. Maternal mental health difficulties negatively impact both maternal sensitivity and breastfeeding. Thus, it is unclear whether breastfeeding contributes to the quality of mother-infant interactions independent from mental health. The purpose of this study is to examine the contribution of exclusive breastfeeding at 3 months postpartum to the quality of the mother-infant relationship at 6 months postpartum, controlling for maternal mental health in a community sample of mothers in Chile. MATERIALS AND METHOD: Eighty women completed self-report measures of mental health and breastfeeding during the third trimester of pregnancy and 3 and 6 months postpartum. At 6 months after childbirth, the mother-infant interaction was assessed by coding a free-play session between mothers and infants. Logistic regression analysis was used to examine the contribution of breastfeeding practices and mental health to the quality of mother-infant interactions. RESULTS: Exclusive breastfeeding at 3 months postpartum increased the likelihood of displaying positive mother-infant interactions controlling for maternal mental health. Mothers who continued to breastfeed at 6 months postpartum reported less symptoms of antenatal depression and anxiety and higher levels of sensitivity and cooperation towards their infants. CONCLUSION: Breastfeeding contributes to maternal sensitivity and cooperation even when controlling for maternal mental health. Implications for health practitioners and limitations due to the sample characteristics are discussed.

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Abstract Objective: To verify whether the time spent in prone, supine, or seated positions differed between term and preterm infants; and to determine whether a single verbal guidance session for parents changed the time spent in different positions, and, consequently, the motor development scores, after one month in preterm infants. Methods: Sixty-one infants from a full-term and preterm group from Brazil were included. Motor development was assessed by the Alberta Infant Motor Scale (AIMS) and the parents registered the time spent in each position on a 24-hour schedule. A month after verbal guidance, a second assessment was performed only on the preterm infants. Results: The positioning times awake determined for the full-term and preterm parents were similar. Preterm infants spent more time in the prone sleeping position (2.1 vs. 0.8 h; p=0.037) than full-term infants. The AIMS percentile scores did not differ significantly between the groups. For preterm infants, the time spent in all positions did not change during the second assessment (n=18). Conclusions: The fact that some parents position their infants in the prone posture during sleeping periods reinforce the importance of parental education approaches for sudden infant death syndrome (SIDS) prevention during the first months of life. The verbal guidance provided to parents of preterm infants did not influence the AIMS percentile and time spent in various positions but increased preterm parents' confidence in placing their infants in a prone position to play.

RESUMO Objetivo: Verificar se o tempo nas posições prono, supino ou sentado difere entre lactentes a termo e pré-termo; bem como determinar se uma única sessão de orientação verbal aos pais alterou o tempo despendido nas diferentes posições e, consequentemente, o escore de desenvolvimento motor, após um mês em lactentes pré-termo. Métodos: Foram incluídos 61 lactentes brasileiros nos grupos a termo e pré-termo. O desenvolvimento motor foi avaliado pela Alberta Infant Motor Scale (AIMS), e os pais registraram o tempo despendido em cada posição em uma linha do tempo de 24 horas. Um mês após a orientação verbal, uma segunda avaliação foi realizada apenas nos lactentes pré-termo. Resultados: O tempo de posicionamento acordado determinado pelos pais de lactentes a termo e pré-termo foi semelhante. Os lactentes pré-termo passaram mais tempo dormindo na posição prona (2,2 vs. 0,8 h; p=0,037) do que os lactentes a termo. Os escores de percentil AIMS não diferiram significativamente entre os grupos. Para lactentes pré-termo, o tempo despendido em todas as posições não se modificou durante a segunda avaliação (n=18). Conclusões: O fato de alguns pais posicionarem os lactentes em decúbito ventral durante os períodos de sono reforça a importância das abordagens educativas parentais para a prevenção da síndrome da morte súbita do lactente (SMSL) durante os primeiros meses de vida. A orientação verbal fornecida aos pais de prematuros não influenciou o percentil da AIMS e o tempo de permanência em várias posições, mas aumentou a confiança dos pais de lactentes prematuros em utilizar a posição prona para brincar.

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Abstract Objective: To verify whether the time spent in prone, supine, or seated positions differed between term and preterm infants; and to determine whether a single verbal guidance session for parents changed the time spent in different positions, and, consequently, the motor development scores, after one month in preterm infants. Methods: Sixty-one infants from a full-term and preterm group from Brazil were included. Motor development was assessed by the Alberta Infant Motor Scale (AIMS) and the parents registered the time spent in each position on a 24-hour schedule. A month after verbal guidance, a second assessment was performed only on the preterm infants. Results: The positioning times awake determined for the full-term and preterm parents were similar. Preterm infants spent more time in the prone sleeping position (2.1 vs. 0.8 h; p=0.037) than full-term infants. The AIMS percentile scores did not differ significantly between the groups. For preterm infants, the time spent in all positions did not change during the second assessment (n=18). Conclusions: The fact that some parents position their infants in the prone posture during sleeping periods reinforce the importance of parental education approaches for sudden infant death syndrome (SIDS) prevention during the first months of life. The verbal guidance provided to parents of preterm infants did not influence the AIMS percentile and time spent in various positions but increased preterm parents' confidence in placing their infants in a prone position to play.

RESUMO Objetivo: Verificar se o tempo nas posições prono, supino ou sentado difere entre lactentes a termo e pré-termo; bem como determinar se uma única sessão de orientação verbal aos pais alterou o tempo despendido nas diferentes posições e, consequentemente, o escore de desenvolvimento motor, após um mês em lactentes pré-termo. Métodos: Foram incluídos 61 lactentes brasileiros nos grupos a termo e pré-termo. O desenvolvimento motor foi avaliado pela Alberta Infant Motor Scale (AIMS), e os pais registraram o tempo despendido em cada posição em uma linha do tempo de 24 horas. Um mês após a orientação verbal, uma segunda avaliação foi realizada apenas nos lactentes pré-termo. Resultados: O tempo de posicionamento acordado determinado pelos pais de lactentes a termo e pré-termo foi semelhante. Os lactentes pré-termo passaram mais tempo dormindo na posição prona (2,2 vs. 0,8 h; p=0,037) do que os lactentes a termo. Os escores de percentil AIMS não diferiram significativamente entre os grupos. Para lactentes pré-termo, o tempo despendido em todas as posições não se modificou durante a segunda avaliação (n=18). Conclusões: O fato de alguns pais posicionarem os lactentes em decúbito ventral durante os períodos de sono reforça a importância das abordagens educativas parentais para a prevenção da síndrome da morte súbita do lactente (SMSL) durante os primeiros meses de vida. A orientação verbal fornecida aos pais de prematuros não influenciou o percentil da AIMS e o tempo de permanência em várias posições, mas aumentou a confiança dos pais de lactentes prematuros em utilizar a posição prona para brincar.

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INTRODUCTION: Moderate preterm infants, born between 320/7 and 336/7 weeks, represent a significant number of preterm-born infants; however, they remain a poorly studied group despite their vulnerability. The objective of this correlational study is to describe the impact of having a moderate preterm infant hospitalised in the NICU on the mothers' mental health and how this relates to the interaction between the dyad. METHOD: During the hospitalisation period, 85 moderate preterm mother-infant dyads participated in this study. The participants provided self-reports of depression, parental stress, and skin to skin and breastfeeding practices. Also, mother-infant interaction was assessed in the NICU with an observational scale. RESULTS: Mothers evidenced high levels of stress and depressive symptoms during the hospitalization. The stress experienced by these women was significant, although weakly, associated with the interaction with their babies; and mothers of small for gestational age babies showed difficulties in this area. CONCLUSIONS: The results of this study could represent a contribution to a better understanding of the relation between the characteristics of moderate preterm babies, maternal emotional wellbeing, and the quality of mother-infant interactions in NICU settings.

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This study aimed to investigate the association between maternal psychological distress and impairment in mother-child relationship in a sample from a Northeast capital city in Brazil with a low Human Development Index, using directed acyclic graphs (DAG). A total of 3,215 women were evaluated for the presence of psychological distress through the Self Reporting Questionnaire instrument and for the mother-child relationship by the first factor of Postpartum Bonding Questionnaire, considered the most appropriate in the literature. Demographic and socioeconomic variables were used to construct a theoretical model and, after this, multivariate logistic regression was performed using variables suggested by Directed Acyclic Graphs (DAG). Psychological distress was present in 22.7% of the women and 12.6% of them presented impaired mother-child relationships. After adjustment, the variable 'maternal mental distress' remained associated with impaired mother-child relationship (RR=3.03), and among the explanatory variables only 'primary school level' (RR=1.48) was associated as a risk factor to this outcome. The results indicated that, in this population, women with psychological distress and lower schooling are more likely to present impaired mother-child relationships.

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Once considered uniquely human, mother-infant face-to-face interactions (FF) were observed in a few captive primates. In these studies, FF were correlated to physical contact suggesting a mechanism mediating proximity between mother and infant, as is the case for humans. We investigated this hypothesis in wild capuchin monkeys (Sapajus libidinosus) during the first year of life of eight female infants. Data were weekly focal-day videos of infants from which we recorded FF with mothers. We expected FF would increase with infants' age (as time in contact with mothers decreased) and would more likely occur in the absence of physical contact between the dyad. There was no effect of age in the proportion of interaction time spent in FF, nor in types of FF. A quarter of FF episodes occurred in the absence of physical contact between the dyad, and in most of them physical contact was resumed following the FF. Contrary to predictions, the stability in the first year, mainly when mothers-female infants were in contact, indicates that FF act primarily promoting opportunities for affective communication and intuitive care. However, we found some supportive evidence for the hypothesis that FF regulate proximity between mother and infant, mainly in resume physical contact.

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Prior research in Western countries (mostly the US, Canada and northern Europe) indicates that mothers' representations are associated with mother-infant interaction quality and their child's attachment security later in the first year. Fewer studies, however, have evaluated whether these associations hold for mother-infant dyads in other countries, such as Brazil and Portugal. Although these countries share a similar language and culture, they differ on societal dimensions that may affect parenting attitudes and mother-infant relationships, such as economic stress, social organisation, social policy, and the availability of services for young families. In this longitudinal study, we followed two independent samples of Brazilian and Portuguese mother-infant dyads from the perinatal period to 12 months post-partum. We assessed mothers' perinatal representations using semi-structured interviews in the first 48 hours after the infant's birth, and evaluated the associations of these representations with mother interaction quality at 9 months and infant attachment at 12 months. Results were similar in each country, corroborating prior research in single Western countries: Mothers with more positive perinatal representations were more sensitive to their infants during free play at 9 months and were more likely to have infants classified as securely attached at 12 months.

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The objectives of this project were to systematically review the impact of mother-infant interaction on the development of infants 12 months or younger and determine factors that mediate this relationship and early development. We systematically reviewed the literature and identified 21 papers which fulfilled inclusion and exclusion criteria. The majority of the studies found significant association between mother-infant interaction and language, cognition, motor, and social development during the first year of life. Only seven studies assessed motor development and four studies found significant relationship between motor development and mother-infant interaction. Prematurity, infant age, multiples births, maternal anxiety, maternal opioid exposure, history of foster care, and criminal record were the only factors found to mediate the relationship between mother-infant interaction and social, cognitive, and language development. The quality of the interactions between a mother and infant can both positively and negatively influence cognitive, language, and social outcomes during the first year of life. Additional research is needed to determine the influence of mother-infant interaction on motor development. Future research is needed on the efficacy of interventions designed to alter mother-infant interaction with the ultimate goal of achieving positive developmental outcomes during the first year of life.

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Antenatal and postnatal depression are independently associated with an increased risk of adverse infant development. A key linking mechanism is the quality of mother-infant interaction. OBJECTIVES: This study assesses the association between postnatal depressive symptoms (PDS) and their severity, with the quality of mother-infant interaction and compare the quality of mother-infant interaction and severity of the symptoms depending on the presence or absence of antenatal depressive symptoms (ADS). METHODS: observational study in 177 psychosocial risk mother-infant dyads from Chile (infant aged 2-12 months). RESULTS: Mothers with PDS had lower maternal sensitivity and a more intrusive/controlling style than mothers without PDS, although the severity of the symptoms was not associated with lower maternal sensitivity. Maternal sensitivity did not differ in the postnatal depressed mothers depending on the presence of ADS, although the mothers differed in interaction style and the severity of symptoms. Mothers with ADS and PDS presented with a predominant intrusive/controlling interaction style and more severe depressive symptoms, whereas those with only PDS presented with a predominant nonresponsive/passive interaction style and reduced severity of symptoms. CONCLUSIONS: The results corroborate the need to offer treatment and dyadic interventions to antenatal and postnatal depressive mothers and postulate that the presence of antenatal depressive symptoms may influence the subsequent mother-infant interaction style and greater severity of symptoms.

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Resumo Quando buscamos entender o comportamento humano, comparações com primatas não humanos são especialmente relevantes para identificar homoplasias (características semelhantes que evoluem independentemente em diferentes espécies). Neste artigo, apresentamos um estudo longitudinal de dois anos sobre o comportamento materno de macacos-prego (Sapajus spp.) em condições naturalísticas. Nossos resultados permitiram identificar estilos de cuidado distintos dentro de um contínuo de permissividade a proteção. O desenvolvimento observado do vínculo entre mães e filhotes sugere que o período de dependência de filhotes de macaco-prego envolve, além de processos de maturação física, o estabelecimento e desenvolvimento de processos psicológicos associados ao sistema de apego. É possível que a variabilidade de estilos maternos resultante da combinação de características de mães, filhotes e contextos socioecológicos, aliada ao prolongamento do vínculo de apego, pavimente caminhos para diferentes trajetórias de desenvolvimento. Como em humanos, esse pode ser um dos mecanismos pelos quais surgem e se consolidam as diferenças interindividuais nas populações adultas.

Résumé Lorsque nous cherchons à comprendre le comportement humain, les comparaisons avec les primates non humains sont particulièrement pertinentes pour identifier les homoplasies (caractéristiques similaires qui évoluent indépendamment dans différentes espèces). Dans cet article, nous présentons les résultats d'une étude longitudinale de deux ans sur le comportement maternel du Sapajou capucin (Sapajus spp.) dans des conditions naturelles. Nos résultats nous ont permis d'identifier différents styles de soins maternels dans un continuum de permissivité à la protection. Nous avons observé que le modèle de lien d'attachement entre la mère et la progéniture suggère que la période de dépendance des bébés singes implique, en plus des processus de maturation physique, l'établissement et le développement de processus psychologiques associés au système d'attachement. Il est possible que la variabilité des styles maternels résultant de la combinaison des caractéristiques de la mère, de la progéniture et du contexte socioécologique, ainsi que l'extension du lien d'attachement, ouvrent la voie à différentes trajectoires de développement. Comme les humains, il peut être un des mécanismes par lequel les différences interindividuelles apparaissent et se consolident au sein des populations adultes.

Resumen Cuando buscamos entender el comportamiento humano, comparaciones con primates no humanos son especialmente relevantes para identificar homoplasias (características similares que evolucionan independientemente en diferentes especies). En este artículo, presentamos los resultados de un estudio longitudinal de dos años sobre el comportamiento materno de monos capuchinos (Sapajus spp.) en condiciones naturales. Los resultados permitieron identificar estilos de cuidado materno distintos dentro de un continuo de permisividad a la protección. Se observó que el patrón de desarrollo del vínculo de apego entre madre y cría sugiere que el período de dependencia de la cría de monos capuchinos involucra, además de procesos de maduración física, el establecimiento y desarrollo de procesos psicológicos asociados al sistema de apego. Es posible que la variabilidad de estilos maternos resultante de la combinación de características de madres, crías y contextos socioecológicos, aliada a la prolongación del vínculo de apego, establezca caminos para diferentes trayectorias de desarrollo. Tal como en humanos, este puede ser uno de los mecanismos por los que surgen y se consolidan las diferencias interindividuales en las poblaciones adultas.

Abstract When aiming understand the human behavior, comparisons with nonhuman primates are especially relevant to identify homoplasies (similar characteristics that evolve independently in different species). In this paper, we present a two-year longitudinal study on the maternal behavior of capuchin monkeys (Sapajus spp.) under naturalistic conditions. Our results revel distinct maternal care styles within a continuum ranging from permissiveness (laissez-faire) to protectiveness. The observed development of mothers and infants bond suggests that the dependence period of capuchin monkeys infants involves, in addition to physical maturation processes, the establishment and development of psychological processes associated with the attachment system. It is possible that the variability of maternal styles - resulting from the combination of mothers' and infants' characteristics, as well as socioecological contexts, along with the extension of the attachment bond - are responsible for paving the way for different developmental trajectories. This may be one of the mechanisms underlying interindividual differences arise in adult populations, as seen in humans.

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Abstract The maternal speech oriented to the baby has been widely studied due to its importance for the child's development. In this article we present a research method and a set of content categories of maternal speech directed to the child. This methodological proposal is based on a survey of 80 dyads of mothers and babies, with and without postpartum depression (PPD). The distribution of frequency of the categories was similar in both groups. There was no statistical difference in the means of categories for mothers with and without PPD, indicating that there is no change in speech style due to maternal depression. In our view, these categories could be applied to study the speech of both healthy mothers and those with postpartum depression.

Resumo O discurso materno direcionado ao bebê tem sido amplamente estudado devido a sua importância no desenvolvimento infantil. Neste artigo apresentamos um método de investigação e um conjunto de categorias de conteúdo do discurso materno direcionado à criança. Esta proposta metodológica baseia-se numa pesquisa realizada com 80 díades de mães e bebês, com e sem depressão pós-parto (DPP). A distribuição das frequências das categorias foi semelhante nos dois grupos. Não houve diferença estatística nas médias das categorias para as mães com e sem DPP, indicando que não há mudança no estilo de discurso em função da depressão materna. Consideramos que as categorias podem ser aplicadas no estudo do discurso de mães saudáveis ou com depressão pós-parto.

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Los niños construyen conocimientos sobre los sistemas de representación externa en interacción con adultos que obran como mediadores de sus procesos cognitivos. Distintas investigaciones muestran que los niños reconocen el dibujo a partir de los 2 años y medio y pueden diferenciar entre dibujo, escritura y numerales alrededor de los 4 años. En este estudio se examinan los conocimientos sobre las propiedades formales y la función referencial de estos tres sistemas que niños de 2 años y medio y 4 años despliegan junto con sus madres durante la lectura compartida de un libro. Para ello se utilizó un libro que presenta en cada página dibujos de un animal, su nombre escrito y el numeral correspondiente a la cantidad de animales (1 a 9). Los análisis se centran en el foco de atención de las díadas, los aspectos del conocimiento notacional y las bases comunicativo-educativas de las interacciones, en función de la edad de los niños. Los resultados indican que las díadas centraron su atención en la función referencial del dibujo, como representación de la identidad del referente a los 2 años y medio, y de la identidad y la cantidad a los 4 años. Aunque la atención en la escritura y los numerales fue menor, las madres de los niños más pequeños brindaron información sobre las propiedades formales de los numerales, y las madres y los niños de 4 años elaboraron este aspecto del conocimiento de ambos sistemas. Se discuten estos resultados en relación con el potencial de la lectura compartida para la apropiación temprana del conocimiento notacional.

Children acquire knowledge about external representational systems in interaction with adults who operate as mediators of their cognitive processes. Several studies have shown that 2.5-year-old children are able to recognize drawings, and 4-year-old children can distinguish between drawing, writing and numerals. The present study focuses on a developmental analysis of the knowledge about the formal properties and the referential function of these three systems that 2.5- and 4-year-old children unfold with their mothers during shared reading sessions. The referential function is the representational relation between the system and the referent. Each system has a referential function that is the result of a social convention: figurative drawing depicts the identity and characteristics of the referent, writing is a graphic representation of oral language and numerals represent numerical information. The formal properties include the name of the representational systems and their graphic units, the form of the strokes, their spatial disposition and their compositional rules. Our specific goals were:(1) to establish which representational system isthe main focus of attention; (2) to describe and analyze whether and how mothers and children elaborate knowledge about the formal properties and referential function of the systems; (3) to understand how notational knowledge emerges describing the educative-communicative basis of the interactions; and (4) to compare the focus of attention, notational knowledge and the educative-communicative basis of interactions as a function of children's age. Twenty-six mothers and their 2.5- (n = 13) and 4-year-old children (n = 13) participated. They were given a book and told to look at it together. The book was specially designed for this study; it includes in each page drawings of an animal, its written name and the numeral for the number of animals depicted (1 to 9). We designed a system of categories with three levels of analysis, related to the specific goals of the study: focus of attention, notational knowledge and educative-communicative basis. We performed non-parametric statistical analysis: Wilcoxon test and Mann- Whitney's U test. Results show that dyads of both age groups focused their attention on drawings more than on writing and numerals. However, 4-year-old children and their mothers made significantly more utterances about writing and numerals than the other group. Attention to writing and numerals in the older group seemed to be guided by mothers' interest to teach those systems to their children. Dyads talked especially about the referential function of drawing, as a representation of the identity of the referent at 2.5 years of age and as a representation of the identity and quantity at 4 years. Although less attention was paid to writing and numerals, the youngest children's mothers provided information about the formal properties of numerals and the mothers and the 4-year-old children elaborated this aspect of knowledge of both representational systems. Furthermore, in the older group, dyads started to discuss the referential function of numerals. With regard to the educative-communicative basis of the interactions, the mothers of both age groups tended to request information about the referents of drawings more than to provide their children with this kind of information. The mothers in the 2.5-year-olds' group provided information about the formal properties of numerals, while in the 4-year-olds' group the mothers both requested and provided this kind of information. Finally, the formal properties of writing were elaborated only by mothers in the older group. We discuss these results in terms of the potential of shared reading for the early acquisition of notational knowledge.

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A idade gestacional é uma medida importante, pois quando o bebê nasce antes da 37ª semana há riscos para alterações do desenvolvimento. A relação dos bebês com pais fornece base para o desenvolvimento dos padrões de autorregulação, para o aumento da sensibilidade materna, e para o desenvolvimento do apego. Permeando a hipótese de que, a idade gestacional pode influenciar no desenvolvimento infantil, o objetivo do estudo foi verificar a influência da idade gestacional nas habilidades do desenvolvimento infantil (motora grossa, motora fina-adaptativa, pessoal-social e de linguagem) e a qualidade da interação na díade mãe-bebê, ao longo do primeiro ano de vida (três, nove e 12 meses). Cumpriram-se os princípios éticos. Participaram do estudo 28 díades mãe-bebê, com crianças nascidas entre a 32ª a 40ª semana de gestação, recrutadas ao nascimento. Aos três meses os familiares foram contatados para a primeira avaliação, que constou da aplicação do protocolo de anamnese, aplicação do procedimento Face to Face Still-Face (FFSF) e do Teste de Screnning de Desenvolvimento Denver II (TSDD-II). Aos nove meses repetiu-se a aplicação do FFSF, TSDD-II e foi verificada a qualidade da interação por meio do Child-Adult Relationship Experimental Index (CARE-Index). Aos 12 meses repetiu-se a medida do desenvolvimento TSDD-II e foi aplicada o paradigma laboratorial da Situação Estranha (SE). O tratamento estatístico constou de análise descritiva e aplicação do Teste de Correlação de Spearman, Teste exato de Fischer, Teste de Mann-Whitney e Teste Anova de Medições Repetidas. Os resultados indicaram influência da idade gestacional nas habilidades do desenvolvimento infantil (motora grossa, motora finaadaptativa, pessoal-social e de linguagem), aos três, nove e doze meses, com valor maior nível de significância aos três meses. A qualidade da interação avaliada por meio do CARE-index, indicou predomínio de mães com alto nível de sensibilidade (81,82%). Os padrões de autorregulação avaliados por meio do procedimento FFSF indicaram que 57,14% da casuística apresentaram orientação social não positiva e 42,86% orientação social positiva aos três e aos nove meses 78,57% orientação social não positiva e 21,43% orientação social positiva. O padrão de Apego, avaliado pela SE, verificou apego inseguro para 60,71% e apego seguro em 39,29% da casuística.(AU)

Gestational age is an important baseline because when the infant is born before the 37th week there are risks for developmental changes. The relationship between infants and parents provides a basis for the development of self-regulation standards, for the increase of maternal sensitivity, and for the development of attachment. Permeating the hypothesis that gestational age may influence infant development, this study aimed to verify the influence of gestational age on infants developmental skills (gross motor, fine-adaptive motor, personal-social and language), and the quality of gestational age of the mother-infant dyad interaction during the first year of life (three, nine and 12 months). Ethical principles were fulfilled. The study included 28 mother-infant dyads, with children born between the 32nd and 40th weeks of gestation, recruited at birth. At three months old the family members were contacted for the first evaluation, which included the application of the protocol of anamnesis, application of the Face to Face Still-Face (FFSF) procedure and the Denver Development Screening Test II (DDST-II). At nine months the FFSF, DDST-II was repeated and the quality of the interaction was verified through the Child-Adult Relationship Experimental Index (CARE-Index). At 12 months the DDST-II development measurement was repeated and the laboratory paradigm of the Strange Situation (SE) was applied. The statistical treatment consisted of descriptive analysis and application of Spearman's Correlation Test, Fischer's Exact Test, Mann-Whitney Test and Repeated Measures Anova Tests. The results indicated the influence of gestational age on infant's developmental abilities (gross motor, fine-adaptive motor, personal-social and language) at three, nine and twelve months, with a higher level of significance at three months old. The quality of the interaction evaluated through CARE-index, indicated predominance of mothers with a high level of sensitivity (81.82%). Self-regulation standards assessed through the FFSF procedure indicated that 57.14% of the case analysis had non-positive social guidance and 42.86% had positive social guidance at three, and at nine months 78.57% non-positive social guidance and 21.43% positive social orientation. The Attachment pattern, evaluated by the SE, found unsafe attachment to 60.71% and Secure attachment in 39,29% of the cases analysis.(AU)

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INTRODUÇÃO:Neonatos prematuros com baixo peso ao nascer podem apresentar déficits neurológicos e alterações no desenvolvimento sociocomunicativo. Interações iniciais mãe-bebê são importantes para avaliar esse processo de risco, verificado a partir de alterações na comunicação não verbal. OBJETIVO: verificar a relação entre fatores de risco, sociodemográficos e desenvolvimento sociocomunicativo de prematuros para cada grupo de díades em quatro momentos do desenvolvimento. MéTODO: participaram 18 díades com idade gestacional < 36 6/7 semanas e peso ao nascer < 2.500 gramas. As sessões aconteceram aos três, seis, nove e doze meses de vida. RESULTADOS: verificou-se que somente as crianças do grupo MP iniciaram interações triádicas aos nove meses (M = 0,16; DP = 0,40). Habilidade envolvendo pessoa, aos três meses, estava positivamente associada ao peso ao nascer (0,812; p < 0,05) e ao apgar 5 (0,861; p < 0,05). CONCLUSÃO: fatores de riscos e sociodemográficos interferem no desenvolvimento sociocomunicativo de prematuros.

INTRODUCTION:Premature infants with low birth weight can have neurologicals deficits and changes in social and communicative development. early mother-infant interactions are important to evaluate the process of risk, checked from changes in non-verbal communication. OBJECTIVE: Check the relationship between risk factors, socioeconomic and social communicative development of preterms to each group in four stages of development. METHODS: eigtheen dyads participated with gestational age < 36 6/7 weeks and birth weight <2500 grams. The sessions took place at three, six, nine and twelve months. RESULTS: Was found that only children in the MP group initiated triadic interactions at nine months (M = 0,16; DP = 0,40). The ability involving person at three months was positively associated with weight at birth (0,812; p < 0,05), the apgar 5 (0,861; p < 0,05). CONCLUSION: Risk and socioeconomic factors influence the social communicative development of preterms.

INTRODUCCIÓN:los recién nacidos prematuros con bajo peso al nacer pueden tener déficits neurológicos y cambios en el desarrollo de la atención. Interacciones tempranas madre-hijo son importantes para evaluar el proceso de riesgo, comprobado por los cambios en la comunicación no verbal. META: Compruebe la relación entre los factores de riesgo, socioeconómico y atención el desarrollo de cada grupo en cuatro etapas de desarrollo. MÉTODOS: Incluyendo 18 díadas con edad gestacional < 36 semanas 06/07 y el peso al nacer <2.500 gramos. Las sesiones tuvieron lugar en tres, seis, nueve y doce meses. RESULTADOS: Se encontró que sólo los niños del grupo MP empezaron interacciones triádicas a los nueve meses (M = 0,16, SD = 0,40). Habilidad implica persona a los tres meses se asoció positivamente con el peso al nacer (0,812; p < 0,05) y apgar5 (0,861; p < 0,05). CONCLUSIÓN: factores de riesgo y socioeconómicos interfieren en el desarrollo atención de los bebés prematuros

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O presente trabalho tem como objetivo apresentar uma revisão da literatura científica nacional sobre as repercussões para o desenvolvimento emocional, social, comportamental e cognitivo do bebê, em contexto de depressão puerperal materna. Nesta revisão, foram recuperados trabalhos segundo os seguintes critérios de inclusão: artigos científicos de periódicos indexados, com publicação entre 2006 e 2012, no idioma português e que correlacionassem depressão pós-parto e desenvolvimento infantil. Foram excluídos livros, capítulos, notícias, resenhas, dissertações, teses, monografias, artigos com publicação anterior a 2005, trabalhos em idiomas estrangeiros e artigos que tratassem da depressão pós-parto somente em seus aspectos etiológicos. Foi observado que a depressão pós-parto é um fator de risco para o desenvolvimento infantil, pois os bebês que viveram tal contexto apresentam apego inseguro, menos exploração do ambiente, sono irregular, baixa autoestima, ansiedade e maior probabilidade de desenvolverem depressão na idade adulta. É essencial que o transtorno seja identificado para que a mãe e o bebê recebam cuidado profissional adequado, minimizando os prejuízos da depressão pós-parto para ambos e para a família.

This work aims to present a review of the scientific literature on the domestic repercussions for the emotional, social, behavioral and cognitive development baby on the context of maternal postpartum depression. In this review, papers were recovered according to the following inclusion criteria: scientific articles in indexed journals, having published between 2006 and 2012 in Portuguese and correlating postpartum depression and child development. Were excluded books, chapters, news, reviews, dissertations, theses, monographs, articles with publication prior to 2005, works in foreign languages and articles that treat postpartum depression only in their etiological aspects. It was observed that postpartum depression is a risk factor for child development because babies who have lived this context exhibit insecure attachment, less environmental exploration, irregular sleep, low self-esteem, anxiety and more likely to develop depression in adulthood . It is essential that the disorder is identified for the mother and baby receive appropriate professional care, minimizing the losses of postpartum depression for both and for the family.

Este trabajo tiene como objetivo presentar una revisión de la literatura científica sobre las repercusiones para el desarollo emocional, social, cognitivo y de comportamento del bebé en el contexto de la depresión posparto materna. En esta revisión, los documentos fueron recuperados de acuerdo con los siguientes criterios de inclusión: artículos científicos en revistas indexadas, después de haber publicado entre 2006 y 2012, en portugués y en la correlación de la depresión post-parto y el desarrollo del niño. Fueron excluidos los libros, capítulos, noticias, reseñas, tesinas, tesis, monografías, artículos con publicación antes de 2005, las obras en lenguas extranjeras y artículos que tratan la depresión posparto sólo en sus aspectos etiológicos. Se observó que la depresión posparto es un factor de riesgo para el desarrollo del niño, porque los bebés que han vivido este contexto exposición apego inseguro, exploración ambiental menor, sueño irregular, baja autoestima, ansiedad y más propensos a desarrollar depresión en la edad adulta. Es esencial que el trastorno se identifica para la madre y el bebé reciben atención profesional adecuada, minimizando las pérdidas de la depresión posparto para ambos e para la família.

Assuntos

RESUMO

O presente trabalho tem como objetivo apresentar uma revisão da literatura científica nacional sobre as repercussões para o desenvolvimento emocional, social, comportamental e cognitivo do bebê, em contexto de depressão puerperal materna. Nesta revisão, foram recuperados trabalhos segundo os seguintes critérios de inclusão: artigos científicos de periódicos indexados, com publicação entre 2006 e 2012, no idioma português e que correlacionassem depressão pós-parto e desenvolvimento infantil. Foram excluídos livros, capítulos, notícias, resenhas, dissertações, teses, monografias, artigos com publicação anterior a 2005, trabalhos em idiomas estrangeiros e artigos que tratassem da depressão pós-parto somente em seus aspectos etiológicos. Foi observado que a depressão pós-parto é um fator de risco para o desenvolvimento infantil, pois os bebês que viveram tal contexto apresentam apego inseguro, menos exploração do ambiente, sono irregular, baixa autoestima, ansiedade e maior probabilidade de desenvolverem depressão na idade adulta. É essencial que o transtorno seja identificado para que a mãe e o bebê recebam cuidado profissional adequado, minimizando os prejuízos da depressão pós-parto para ambos e para a família.(AU)

This work aims to present a review of the scientific literature on the domestic repercussions for the emotional, social, behavioral and cognitive development baby on the context of maternal postpartum depression. In this review, papers were recovered according to the following inclusion criteria: scientific articles in indexed journals, having published between 2006 and 2012 in Portuguese and correlating postpartum depression and child development. Were excluded books, chapters, news, reviews, dissertations, theses, monographs, articles with publication prior to 2005, works in foreign languages and articles that treat postpartum depression only in their etiological aspects. It was observed that postpartum depression is a risk factor for child development because babies who have lived this context exhibit insecure attachment, less environmental exploration, irregular sleep, low self-esteem, anxiety and more likely to develop depression in adulthood . It is essential that the disorder is identified for the mother and baby receive appropriate professional care, minimizing the losses of postpartum depression for both and for the family.(AU)

Este trabajo tiene como objetivo presentar una revisión de la literatura científica sobre las repercusiones para el desarollo emocional, social, cognitivo y de comportamento del bebé en el contexto de la depresión posparto materna. En esta revisión, los documentos fueron recuperados de acuerdo con los siguientes criterios de inclusión: artículos científicos en revistas indexadas, después de haber publicado entre 2006 y 2012, en portugués y en la correlación de la depresión post-parto y el desarrollo del niño. Fueron excluidos los libros, capítulos, noticias, reseñas, tesinas, tesis, monografías, artículos con publicación antes de 2005, las obras en lenguas extranjeras y artículos que tratan la depresión posparto sólo en sus aspectos etiológicos. Se observó que la depresión posparto es un factor de riesgo para el desarrollo del niño, porque los bebés que han vivido este contexto exposición apego inseguro, exploración ambiental menor, sueño irregular, baja autoestima, ansiedad y más propensos a desarrollar depresión en la edad adulta. Es esencial que el trastorno se identifica para la madre y el bebé reciben atención profesional adecuada, minimizando las pérdidas de la depresión posparto para ambos e para la família.(AU)

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RESUMO

OBJECTIVE: this study explores Brazilian women's experiences of mothering of their infants while experiencing postnatal depression. DESIGN: a cross-language qualitative descriptive design. METHOD: the sample was composed of 15 women diagnosed with postnatal depression in a psychiatric institute in São Paulo, Brazil. Open-ended interviews were conducted and the data underwent thematic analysis. RESULTS: 13 women worried that harm would come to their infants. Seven of these women self-identified as potential sources of harm, with two women physically hurting their infants. The remaining six women worried about unknown agents, such as disease, hurting their infants. In response to these bad thoughts, women mothered their infants in one of four ways: (1) transferred care, completely delegating this task to family members; (2) shared care, asking family members to share the responsibility; (3) sole care, having to look after their infants by themselves because they had no available family support; (4) and smother care, being hyper-vigilant, constantly watching their infants and not trusting infant care to anyone else. CONCLUSIONS: the bad thoughts influenced the women's adaptation to mothering their infants. Health professionals should assess these thoughts early in the postnatal period and the women's mothering responses for the protection of mother and child.

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RESUMO

O objetivo desta pesquisa foi analisar comparativamente as possíveis correlações entre índices de risco ao desenvolvimento infantil e estado ansioso materno. O método utilizado foi o quantitativo descritivo, com caráter comparativo sobre as manifestações comportamentais do processo interativo mãe-bebê. A amostra foi constituída de 182 díades mães-bebês. Foi realizada uma entrevista, aplicada a escala de ansiedade de Beck, o protocolo IRDIs e filmada a interação da díade mãe-bebê. Os resultados demonstraram que há uma correlação positiva entre presença de risco ao desenvolvimento infantil e estado materno ansioso. Contudo, o risco ao desenvolvimento infantil é multifatorial. A ansiedade parece, por outro lado, ser um sintoma visível, entre outros possíveis, de problemáticas pessoais que afetam a constituição da experiência da maternidade em algumas mulheres, e que pode trazer risco ao desenvolvimento do bebê.(AU)(AU)

The goal of this research was to analyze possible correlations between the rates of risks in children development and maternal anxiety. The method used was the quantitative descriptive type, with comparative character about the behavioral manifestations of the mother-baby interactive process. The sample was formed by 182 mothers-babies groups. An interview was held, the anxiety scale of Beck was applied, as well as the IRDIs protocol and the interaction of the dyad mother-baby was filmed. The results showed that there is a positive correlation between the presence of risk to the child development and the maternal, anxious state. However, the risk to child development is multifactorial. Moreover, anxiety seems to be a visible symptom, among other possible personal problems that affect the experience of motherhood in some women, and may bring risk to the baby?s development.(AU)(AU)

El objetivo de esta investigación fue analizar comparativamente las posibles correlaciones entre los índices de riesgo al desarrollo infantil y estados de ansiedad maternal. El método utilizado fue el cuantitativo descriptivo de carácter comparativo sobre las manifestaciones conductuales del proceso interactivo madre-bebé. La muestra se constituyó de 182 díadas madres-bebés. Se realizó una entrevista, donde se aplicó la escala de ansiedad de Beck, el protocolo IRDIs (Índice de Riesgo al Desarrollo Infantil) y se filmó la interacción de la díada. Los resultados demostraron que hay una correlación positiva entre la presencia del riesgo al desarrollo infantil e el estado de ansiedad maternal. Sin embargo, el riesgo al desarrollo infantil es multifactorial. Por otra parte, la ansiedad parece ser un síntoma visible, entre otros posibles, de problemáticas personales que afectan la constitución de la experiencia de maternidad en algunas mujeres y que pueden traer riesgos al desarrollo del bebé.(AU)(AU)

Assuntos

RESUMO

Los impactos más importantes de las expresiones tempranas del daño neurológico en los niños, son las dificultades para establecer intercambios con su medio social, afectando en la etapa inicial las primeras interacciones con su madre. Niños con riesgo biológico muestran grandes dificultades para iniciar interacciones. Cuando las madres se ajustan en una relación bidireccional se logra un aumento en las iniciaciones del niño; si las madres responden menos, los niños disminuyen las iniciaciones y aumentan la irritabilidad. Los programas de intervención temprana que integran en sus estrategias el manejo de las interacciones madre-niño se han considerado exitosos por sus implicaciones directas en el desarrollo del niño. Se requiere mayor soporte empírico sobre la influencia de patrones específicos de interacciones tempranas madre-hijo y el desarrollo posterior de niños con daño neurológico perinatal, en términos de prevención de alteraciones o discapacidad. Se realizó un estudio longitudinal y se reporta el efecto de las interacciones de reciprocidad madre-hijo en el desarrollo motor observado en niños a los 4, 8 y 12 meses de edad, a través del empleo del Modelo de Ecuaciones Estructurales (Curva de Crecimiento Latente). Se concluye que el modelo permitió mostrar que en niños de riesgo perinatal, las interacciones madre-hijo representan un buen predictor del desarrollo motor en el primer año de vida. Estos hallazgos tienen importantes implicaciones en la práctica clínica como estrategia integral para el diseño de acciones de intervención temprana debido a que los logros motores en los primeros meses representan un indicador predictivo del desarrollo infantil posterior.

The most important impact of early expressions of neurological damage in children is the difficulty of mixing up in their social environment which at the beginning affects their interactions with their mother. Children with biological risks show great difficulties to begin interactions. When mothers get adjusted to bidirectional relations with neurologically damaged children, an increase in the commencement of interactions by a child is achieved, while fewer responses of the mother to child produce fewer interactions and increases irritability. Early intervention programs which contain in their strategies management of mother-infant interactions have been considered effective for child development. However, further empirical studies are required, concerning the influence of specific patterns of early mother-infant interaction and future development of children with perinatal neurological damage, in terms of prevention of alterations or disability. The present longitudinal study reports the effect of reciprocity of mother-infant interactions in the motor development observed in children of 4, 8, and 12 months old, latent growth curve in structural equation modeling. This model permits the identifications of causal factors that could affect the results in different age groups and provides predictions of the relations in a more complex form than lineal relations. Based on the model designed, it could be shown that mother-infant interactions of reciprocity best characterized children with higher development level while the absence is seen in children with retarded development. We classified mothers and children in two types, respectively: interactive and organized mothers vs. non-interactive and disorganized ones; interactive and responsive children vs. non-interactive and non-responsive ones. Subjecting these two types of mothers and children to four possible combinations, the model results showed different motor development predictions in the children. On one hand, we estimated regression coefficient of four dyadic systems, obtained by combinations of different types of mothers and children: interactive and organized mother with interactive and responsive child (Dyadic system 1); interactive and organized mother with non-interactive and non-responsive child (Dyadic system 2); non-interactive and disorganized mother with interactive and responsive child (Dyadic system 3); and non-interactive and disorganized mother with non-interactive and non-responsive child (Dyadic system 4). Dyadic system 1 was associated with a better motor development in children with a mayor regression coefficient (19.82), followed by System 2 and System 3 (regression coefficient of 17.54 and 11.46, respectively). System 4 had a negative estimate value of regression coefficient (-11.27) in our model. On the other hand, we estimated intercept values according to the interactive type of these mothers and children. Among the four interactive types, solely two of them had statistically significant intercepts (p < .05), or = 66.13 for interactive children and or = 42.76, for non-interactive children. To predict the motor development of 4, 8, and 12 months old children, the slope with attenuation permitted to give a mayor model fitting, with the regression coefficient of 0, 1 and 1.5, respectively. This model presented excellent values of model fitting indicators (X² = .96, p = .97, CFI = 1.00, RMSEA = .00). This line of study should be widened, because motor development is the principal domain consolidated in the first months of life. It is fundamental in domain organizations of higher complexity as cognition and language. We conclude that this model showed that in high risk perinatal children, early mother-child interactions represent a good predictor of motor development in the first year of life. Moreover, we found that motor achievements in the first months of life can be a strong predictive indicator of future development of a child. These findings suggest the importance in clinical practice of observation and registration of mother-child interactions as part of an integral strategy of child evaluation.

RESUMO

Los impactos más importantes de las expresiones tempranas del daño neurológico en los niños, son las dificultades para establecer intercambios con su medio social, afectando en la etapa inicial las primeras interacciones con su madre. Niños con riesgo biológico muestran grandes dificultades para iniciar interacciones. Cuando las madres se ajustan en una relación bidireccional se logra un aumento en las iniciaciones del niño; si las madres responden menos, los niños disminuyen las iniciaciones y aumentan la irritabilidad. Los programas de intervención temprana que integran en sus estrategias el manejo de las interacciones madre-niño se han considerado exitosos por sus implicaciones directas en el desarrollo del niño. Se requiere mayor soporte empírico sobre la influencia de patrones específicos de interacciones tempranas madre-hijo y el desarrollo posterior de niños con daño neurológico perinatal, en términos de prevención de alteraciones o discapacidad. Se realizó un estudio longitudinal y se reporta el efecto de las interacciones de reciprocidad madre-hijo en el desarrollo motor observado en niños a los 4, 8 y 12 meses de edad, a través del empleo del Modelo de Ecuaciones Estructurales (Curva de Crecimiento Latente). Se concluye que el modelo permitió mostrar que en niños de riesgo perinatal, las interacciones madre-hijo representan un buen predictor del desarrollo motor en el primer año de vida. Estos hallazgos tienen importantes implicaciones en la práctica clínica como estrategia integral para el diseño de acciones de intervención temprana debido a que los logros motores en los primeros meses representan un indicador predictivo del desarrollo infantil posterior.(AU)

The most important impact of early expressions of neurological damage in children is the difficulty of mixing up in their social environment which at the beginning affects their interactions with their mother. Children with biological risks show great difficulties to begin interactions. When mothers get adjusted to bidirectional relations with neurologically damaged children, an increase in the commencement of interactions by a child is achieved, while fewer responses of the mother to child produce fewer interactions and increases irritability. Early intervention programs which contain in their strategies management of mother-infant interactions have been considered effective for child development. However, further empirical studies are required, concerning the influence of specific patterns of early mother-infant interaction and future development of children with perinatal neurological damage, in terms of prevention of alterations or disability. The present longitudinal study reports the effect of reciprocity of mother-infant interactions in the motor development observed in children of 4, 8, and 12 months old, latent growth curve in structural equation modeling. This model permits the identifications of causal factors that could affect the results in different age groups and provides predictions of the relations in a more complex form than lineal relations. Based on the model designed, it could be shown that mother-infant interactions of reciprocity best characterized children with higher development level while the absence is seen in children with retarded development. We classified mothers and children in two types, respectively: interactive and organized mothers vs. non-interactive and disorganized ones; interactive and responsive children vs. non-interactive and non-responsive ones. Subjecting these two types of mothers and children to four possible combinations, the model results showed different motor development predictions in the children. On one hand, we estimated regression coefficient of four dyadic systems, obtained by combinations of different types of mothers and children: interactive and organized mother with interactive and responsive child (Dyadic system 1); interactive and organized mother with non-interactive and non-responsive child (Dyadic system 2); non-interactive and disorganized mother with interactive and responsive child (Dyadic system 3); and non-interactive and disorganized mother with non-interactive and non-responsive child (Dyadic system 4). Dyadic system 1 was associated with a better motor development in children with a mayor regression coefficient (19.82), followed by System 2 and System 3 (regression coefficient of 17.54 and 11.46, respectively). System 4 had a negative estimate value of regression coefficient (-11.27) in our model. On the other hand, we estimated intercept values according to the interactive type of these mothers and children. Among the four interactive types, solely two of them had statistically significant intercepts (p < .05), or = 66.13 for interactive children and or = 42.76, for non-interactive children. To predict the motor development of 4, 8, and 12 months old children, the slope with attenuation permitted to give a mayor model fitting, with the regression coefficient of 0, 1 and 1.5, respectively. This model presented excellent values of model fitting indicators (X² = .96, p = .97, CFI = 1.00, RMSEA = .00). This line of study should be widened, because motor development is the principal domain consolidated in the first months of life. It is fundamental in domain organizations of higher complexity as cognition and language. We conclude that this model showed that in high risk perinatal children, early mother-child interactions represent a good predictor of motor development in the first year of life. Moreover, we found that motor achievements in the first months of life can be a strong predictive indicator of future development of a child. These findings suggest the importance in clinical practice of observation and registration of mother-child interactions as part of an integral strategy of child evaluation.(AU)