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Erickson, Sarah J.; Kubinec, Nicole; Vaccaro, Suzanne; Moss, Natalia; Avila-Rieger, Rebecca; Rowland, Andrew; Lowe, Jean R.
Early human development, December 2021, 2021-12-00, 20211201, Volume: 163Journal Article
Background: Emotion regulation develops through bidirectional affective communication. Aim: To investigate the role of maternal interactive behavior in predicting infant affect among preterm versus full-term infants. Study Design: The association between maternal interactive behavior (contingent, attention seeking, watching) and infant affect during a modified Still Face (SF) paradigm in a sample of 22 preterm and 28 full term infants (3 ½ - 4 ½ months old) was investigated. Methods: Maternal behavior and infant affect were coded in one second intervals. Results: Maternal contingent interaction was positively correlated with positive infant affect (p < 0.001 for Play; p < 0.001 for Reunion#1; p < 0.01 for Reunion#2, respectively), with a stronger association during the second reunion for preterm infants (p < 0.001). In the preterm sample but not in the full-term sample, attention seeking maternal interaction at Play (baseline), Reunion#1, and Reunion#2 were all positively correlated with negative infant affect at Still Face#2. Maternal watching was negatively associated with positive infant affect for the full sample for both Reunion episodes (p < 0.05). Full term infants' negative affect increased from baseline to the first SF episode and then plateaued, whereas preterm infants demonstrated greater negative affect and less recovery throughout. Mothers of full-term infants showed increased contingent responding after the first SF stressor, while mothers of preterm infants did not (p < 0.05). Conclusions: Preterm infants may be more susceptible to both positive and negative maternal behaviors and mothers of full-term infants may be more responsive to infants' increased distress. Relationship-focused interventions addressing maternal behaviors may enhance positive emotionality and improve self-regulation in medically at-risk infants. •Preterm infants appear more susceptible to positive aspects of maternal interaction.•Preterm infants appear more susceptible to negative aspects of maternal interaction.•Mothers of full-term infants may respond better to their infants' increased distress.•Maternal behaviors can be targeted to improve self-regulation in at-risk infants.
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