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Neglect is the most prevalent form of maltreatment, but it has been understudied relative to abuse. Additionally, developmental outcomes associated with early maternal withdrawal have been understudied relative to outcomes associated with harsh treatment. However, a large body of studies on rodents has documented the causal effect of low maternal care on altered stress responses in offspring. Other evidence from human studies links early maternal withdrawal to clinical levels of neglect. Studies of both rodents and humans suggest that, rather than the aversive responses (e.g., fight, flight, freeze) modeled in relation to threat of attack or harsh treatment, early maternal withdrawal is associated with increased calling and contact seeking to mothers. Moreover, two longitudinal studies indicate that early maternal withdrawal, but not negative-intrusive interaction, contributes to adolescent borderline psychopathology. The field needs prospective studies with well-operationalized constructs of maternal withdrawal to delineate the distinct developmental pathways that may be associated with neglect.

Few studies have examined how mothering is organized in the first months of infancy, especially regarding risk‐related interactions. Person‐centred approaches, including latent profile analysis (LPA), add valuable insights about early parenting by identifying distinct profiles of interaction. First, this study aimed to identify profiles of disrupted maternal interaction during the Still‐Face Paradigm among 181 mothers and their 3‐ to 8‐month‐old infants. Second, the study assessed how each maternal profile was related to infant affect and interactive behaviour. The LPA identified four profiles of maternal interaction: optimal, negative/intrusive, withdrawing and pervasively disrupted. The pervasively disrupted profile, in particular, has not been identified in past research. Each profile was associated with specific aspects of infant affect and behaviour. Recognition of disrupted behavioural profiles among at‐risk mothers and infants in the early months could facilitate more precise tailoring of early interventions to the needs of mothers and infants with differing profiles of interactive risk. [ABSTRACT FROM AUTHOR]

Objective: The objective of this follow-up study was to assess the long-term effects of clinical infant home-visiting services on child outcomes at school entry. Method: Participants were 63 five-year-olds from low-income families, half of whom were referred to parent-infant home-visiting services during the first 18 months of life due to concerns about the caretaking environment. Families received between 0 and 18 months of weekly home visits based on infant age at entry into the study. At age 5, children were rated by teachers on the Preschool Behavior Questionnaire for behavior problems in the classroom and by parents both on the Simmons Behavior Checklist for behavior problems at home and on the Achenbach Social Competence ltems for positive play behaviors with friends. Results: With initial family risk status and child gender controlled, teacher-rated hostile behavior problems decreased in dose-response relation to the duration of early home-visiting services, which accounted for 15% of the variance in child hostile behavior. Parents' reports of positive play behaviors were positively linearly related to service duration. Parents' reports of behavior problems were less reliably related to service duration than teacher reports. Conclusions: Early home-visiting services reduced the incidence of aggressive behavior problems among socially at-risk children for up to 3.5 years after the end of services. J. Am. Acad. Child Adolesc. Psychiatry, 2004;43(6):699-707. Key Words: aggression, intervention, preschool, conduct disorder, oppositional disorder.

Examined predictive relations between infant assessments and behavior problems at age 7 in a low-income sample. Found that disorganized infant attachment behavior and below average mental development at 18 months were associated with externalizing behavior at 7 years. Avoidant infant attachment behavior was associated with later internalizing symptoms. (Author/KB)

Infants of depressed mothers who were visited at home outperformed infants of depressed mothers who received no intervention services by an average of 10 points on the Bayley Mental Scale and were twice as likely to be classified as securely attached. Unserved, high-risk infants showed a high rate of insecure-disorganized attachments. (RH)

Maternal childhood maltreatment (MCM) is associated with parenting disruptions which may contribute to the intergenerational transmission of negative health and social outcomes. Most prior work has used variable-centered approaches to assess MCM. Complementary person-centered approaches can identify groups of participants characterized by similar patterns of maltreatment. The current study assessed both types and patterns of MCM in relation to disrupted parenting among 179 mothers and their 4-month-olds. In variable-centered analyses, physical abuse was related to negative-intrusive maternal behavior and physical neglect to role-confused behavior. Person-centered analyses derived three classes of MCM, which differed in disrupted parenting. For example, mothers who experienced multiple types of maltreatment displayed more withdrawal than mothers in both other classes. Results document the differential effects of particular types and patterns of MCM on aspects of parenting and reveal that mother's history of maltreatment can affect the quality of mother-child interaction as early as 4 months of age. [ABSTRACT FROM AUTHOR]