Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition

Alessandra Biaggi; Katie Hazelgrove; Freddie Waites; Rebecca h. Bind; Andrew j. Lawrence; Montserrat Fuste; Susan Conroy; Louise m. Howard; Mitul a. Mehta; Maddalena Miele; Gertrude Seneviratne; Susan Pawlby; Carmine m. Pariante; Paola Dazzan

doi:10.1016/j.jad.2024.08.180

Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition

Alessandra Biaggi, Katie Hazelgrove, Freddie Waites, Rebecca h. Bind, Andrew j. Lawrence, Montserrat Fuste, Susan Conroy, Louise m. Howard, Mitul a. Mehta, Maddalena Miele, Gertrude Seneviratne, Susan Pawlby, Carmine m. Pariante, Paola Dazzan

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Limited research exists on mother-infant interaction in women at-risk-of postpartum psychosis (PP). This study aimed to investigate potential predictors of mother-infant interaction quality in women at-risk-of-PP during the first postnatal year. Potential predictors investigated were: maternal ability to recognize emotions, childhood maltreatment, parenting stress, and infant social-interactive behaviour at birth. Methods: 98 women (and their offspring) were included, 40 at-risk-of-PP because of a diagnosis of Bipolar Disorder, Schizoaffective Disorder or previous PP, and 58 with no current/previous mental illness or family history of PP. Mother-infant interaction was assessed using the CARE-Index at 8 weeks and 12 months postpartum. Maternal ability to recognize emotions was assessed with the VERT-K, maternal experience of childhood maltreatment with the CECA-Q, maternal parenting stress with the PSI-SF and infant social-interactive behaviour with the NBAS. Results: Women at-risk-of-PP were less able to recognize fear than healthy controls and this predicted the quality of the mother-infant interaction at 8 weeks' and 12 months' post partum, over and above the effect of maternal Group (respectively, β = 0.33, p = .015; β = 0.40, p = .006). Infant social-interactive behaviour at birth was a significant predictor for mother-infant interaction at 12 months (β = 0.32, p = .031), although this did not differ significantly between the groups. Limitations: A relatively small sample size precluded a more in-depth investigation of indirect pathways and other potential predictors. Conclusions: These results are important as they suggest that preventive interventions targeting emotion recognition may be implemented in women at-risk-of-PP, with the aim of improving mother-infant interaction and potentially also the infant long-term development.

Original language	English
Pages (from-to)	562-572
Number of pages	11
Journal	Journal of Affective Disorders
Volume	367
DOIs	https://doi.org/10.1016/j.jad.2024.08.180
Publication status	Accepted/In press - 27 Aug 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jad.2024.08.180Licence: CC BY

https://linkinghub.elsevier.com/retrieve/pii/S0165032724014125

Cite this

Biaggi, A., Hazelgrove, K., Waites, F., Bind, R. H., Lawrence, A. J., Fuste, M., Conroy, S., Howard, L. M., Mehta, M. A., Miele, M., Seneviratne, G., Pawlby, S., Pariante, C. M., & Dazzan, P. (Accepted/In press). Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition. Journal of Affective Disorders, 367, 562-572. https://doi.org/10.1016/j.jad.2024.08.180

@article{057839c007754ca1a593d20bb401445d,

title = "Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition",

abstract = "Background: Limited research exists on mother-infant interaction in women at-risk-of postpartum psychosis (PP). This study aimed to investigate potential predictors of mother-infant interaction quality in women at-risk-of-PP during the first postnatal year. Potential predictors investigated were: maternal ability to recognize emotions, childhood maltreatment, parenting stress, and infant social-interactive behaviour at birth. Methods: 98 women (and their offspring) were included, 40 at-risk-of-PP because of a diagnosis of Bipolar Disorder, Schizoaffective Disorder or previous PP, and 58 with no current/previous mental illness or family history of PP. Mother-infant interaction was assessed using the CARE-Index at 8 weeks and 12 months postpartum. Maternal ability to recognize emotions was assessed with the VERT-K, maternal experience of childhood maltreatment with the CECA-Q, maternal parenting stress with the PSI-SF and infant social-interactive behaviour with the NBAS. Results: Women at-risk-of-PP were less able to recognize fear than healthy controls and this predicted the quality of the mother-infant interaction at 8 weeks' and 12 months' post partum, over and above the effect of maternal Group (respectively, β = 0.33, p = .015; β = 0.40, p = .006). Infant social-interactive behaviour at birth was a significant predictor for mother-infant interaction at 12 months (β = 0.32, p = .031), although this did not differ significantly between the groups. Limitations: A relatively small sample size precluded a more in-depth investigation of indirect pathways and other potential predictors. Conclusions: These results are important as they suggest that preventive interventions targeting emotion recognition may be implemented in women at-risk-of-PP, with the aim of improving mother-infant interaction and potentially also the infant long-term development.",

author = "Alessandra Biaggi and Katie Hazelgrove and Freddie Waites and Bind, {Rebecca h.} and Lawrence, {Andrew j.} and Montserrat Fuste and Susan Conroy and Howard, {Louise m.} and Mehta, {Mitul a.} and Maddalena Miele and Gertrude Seneviratne and Susan Pawlby and Pariante, {Carmine m.} and Paola Dazzan",

year = "2024",

month = aug,

day = "27",

doi = "10.1016/j.jad.2024.08.180",

language = "English",

volume = "367",

pages = "562--572",

journal = "Journal of Affective Disorders",

issn = "0165-0327",

publisher = "Elsevier",

}

Biaggi, A , Hazelgrove, K , Waites, F , Bind, RH , Lawrence, AJ , Fuste, M , Conroy, S , Howard, LM , Mehta, MA, Miele, M, Seneviratne, G , Pawlby, S , Pariante, CM & Dazzan, P 2024, 'Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition', Journal of Affective Disorders, vol. 367, pp. 562-572. https://doi.org/10.1016/j.jad.2024.08.180

TY - JOUR

T1 - Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition

AU - Biaggi, Alessandra

AU - Hazelgrove, Katie

AU - Waites, Freddie

AU - Bind, Rebecca h.

AU - Lawrence, Andrew j.

AU - Fuste, Montserrat

AU - Conroy, Susan

AU - Howard, Louise m.

AU - Mehta, Mitul a.

AU - Miele, Maddalena

AU - Seneviratne, Gertrude

AU - Pawlby, Susan

AU - Pariante, Carmine m.

AU - Dazzan, Paola

PY - 2024/8/27

Y1 - 2024/8/27

N2 - Background: Limited research exists on mother-infant interaction in women at-risk-of postpartum psychosis (PP). This study aimed to investigate potential predictors of mother-infant interaction quality in women at-risk-of-PP during the first postnatal year. Potential predictors investigated were: maternal ability to recognize emotions, childhood maltreatment, parenting stress, and infant social-interactive behaviour at birth. Methods: 98 women (and their offspring) were included, 40 at-risk-of-PP because of a diagnosis of Bipolar Disorder, Schizoaffective Disorder or previous PP, and 58 with no current/previous mental illness or family history of PP. Mother-infant interaction was assessed using the CARE-Index at 8 weeks and 12 months postpartum. Maternal ability to recognize emotions was assessed with the VERT-K, maternal experience of childhood maltreatment with the CECA-Q, maternal parenting stress with the PSI-SF and infant social-interactive behaviour with the NBAS. Results: Women at-risk-of-PP were less able to recognize fear than healthy controls and this predicted the quality of the mother-infant interaction at 8 weeks' and 12 months' post partum, over and above the effect of maternal Group (respectively, β = 0.33, p = .015; β = 0.40, p = .006). Infant social-interactive behaviour at birth was a significant predictor for mother-infant interaction at 12 months (β = 0.32, p = .031), although this did not differ significantly between the groups. Limitations: A relatively small sample size precluded a more in-depth investigation of indirect pathways and other potential predictors. Conclusions: These results are important as they suggest that preventive interventions targeting emotion recognition may be implemented in women at-risk-of-PP, with the aim of improving mother-infant interaction and potentially also the infant long-term development.

AB - Background: Limited research exists on mother-infant interaction in women at-risk-of postpartum psychosis (PP). This study aimed to investigate potential predictors of mother-infant interaction quality in women at-risk-of-PP during the first postnatal year. Potential predictors investigated were: maternal ability to recognize emotions, childhood maltreatment, parenting stress, and infant social-interactive behaviour at birth. Methods: 98 women (and their offspring) were included, 40 at-risk-of-PP because of a diagnosis of Bipolar Disorder, Schizoaffective Disorder or previous PP, and 58 with no current/previous mental illness or family history of PP. Mother-infant interaction was assessed using the CARE-Index at 8 weeks and 12 months postpartum. Maternal ability to recognize emotions was assessed with the VERT-K, maternal experience of childhood maltreatment with the CECA-Q, maternal parenting stress with the PSI-SF and infant social-interactive behaviour with the NBAS. Results: Women at-risk-of-PP were less able to recognize fear than healthy controls and this predicted the quality of the mother-infant interaction at 8 weeks' and 12 months' post partum, over and above the effect of maternal Group (respectively, β = 0.33, p = .015; β = 0.40, p = .006). Infant social-interactive behaviour at birth was a significant predictor for mother-infant interaction at 12 months (β = 0.32, p = .031), although this did not differ significantly between the groups. Limitations: A relatively small sample size precluded a more in-depth investigation of indirect pathways and other potential predictors. Conclusions: These results are important as they suggest that preventive interventions targeting emotion recognition may be implemented in women at-risk-of-PP, with the aim of improving mother-infant interaction and potentially also the infant long-term development.

U2 - 10.1016/j.jad.2024.08.180

DO - 10.1016/j.jad.2024.08.180

M3 - Article

SN - 0165-0327

VL - 367

SP - 562

EP - 572

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

ER -

Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition

Abstract

UN SDGs

Access to Document

Fingerprint

Cite this