- 1Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
- 2Department of Psychology, University of Turin, Turin, Italy
Objective: Most studies investigating the role of parenting behaviors on a child’s development are directed to mothers. However, recent analyses show that mothers and fathers have a different influence on a child’s functioning, specifically her/his temperament. The present study explored the developmental change of parents’ perception of their daughters’ and sons’ temperament and its association with parental mental health problems.
Methods: The sample included 188 parents (94 couples) and their at-term 94 babies (55.3% boys, 44.7% girls). Assessments by self-reports were conducted at 3 (Time 1) and 12 (Time 2) months after the children’s birth; at Time 1, mothers and fathers independently answered: the State–Trait Anxiety Inventory (STAI), the Edinburgh Postnatal Depression Scale (EPDS), and the Infant Behavior Questionnaire (IBQ-R). At Time 2, EPDS, STAI, and IBQ-R were again administered to mothers and fathers.
Results: In general, mothers and fathers would give similar descriptions of their child’s temperament throughout the first year of life; however, infant temperament showed developmental changes as well as gender differences. Mother and father anxiety and depression symptoms are associated with the infants’ negative affectivity. Also, mothers with high anxiety and depression levels perceive their infants with a minor tendency to approach novelty, to seek environmental stimulation, and to express/experience positive emotions.
Conclusion: The results highlight the need to screen for infants’ temperament vulnerabilities in the context of maternal and paternal depression in order to protect the child from behavioral, cognitive, and emotional difficulties and to create specific programs aimed at preventing dysfunctional parent–infant relationships.
Introduction
Temperament may be defined “as the infant’s threshold for positive and negative reactivity and the intensity of its reaction to stimuli” (Austin et al., 2005, p.184), and it is assumed to be biologically based, although it is also shaped by environmental experiences (Zentner and Bates, 2008; Montirosso et al., 2011).
Difficult temperament is characterized by negative affect, feeding and sleeping problems, sensory difficulties, and trouble in adjusting to novelty (Henderson and Wachs, 2007; Zentner and Bates, 2008). These features seem to constitute a risk for later emotional and behavioral problems (Bates, 2001; Guerin et al., 2003; Posner and Rothbart, 2007).
It has been demonstrated that perinatal maternal anxiety and depression are related to infants’ higher stress sensitivity and inadequate affective and cognitive regulation (Essex et al., 2002; Austin et al., 2005; Coplan et al., 2005; Pesonen et al., 2004; Hammarberg et al., 2008).
Furthermore, it has been proven that depressed mothers tend to perceive their babies as difficult, possibly due to their trouble in understanding their infants’ signals (Schuetze and Zeskind, 2001; McGrath et al., 2008).
Most studies have targeted maternal perinatal anxiety and depression; however, a growing body of research indicates that fathers’ anxiety and depression is also relevant for the child’s development (Edhborg et al., 2005; van den Berg et al., 2009; Hohmann-Marriott, 2011). In fact, fathers with self-reported depression, like mothers, would also perceive their children as fussier and more difficult (Atella et al., 2003; Davé et al., 2005). Potapova et al. (2014) confirmed these findings, highlighting the relevance of paternal internalizing problems, parenting-related stress, and infant temperament for their child’s emotional and behavioral regulation capacity.
However, several scholars showed differences in the rates of child temperament on behalf of mothers and fathers. Huynh et al. (2014), for instance, showed that only maternal depression was directly linked with more difficult temperament, whereas paternal depression was significantly related with their child’s difficult temperament only in the presence of maternal depression.
Differences also emerge with respect to the infants’ gender. Else-Quest et al. (2006) meta-analysis indicated that – in children from 3 months to 13 years of age – inhibitory control and perceptual sensitivity are significantly higher among girls, whereas activity and high-intensity pleasure are higher among boys; no gender difference emerged in negative affectivity.
With respect to fathers, Crick and Zahn–Waxler (2003) demonstrated that fathers’ surgency predicted surgency at 4 months only for girls, whereas fathers’ parenting competence predicted regulation/orienting at 6 months only for boys. In addition, fathers’ reports seem to be more influenced by their child’s gender than mothers’ (Parade and Leerkes, 2008; Bayly and Gartstein, 2013). Indeed, Snow et al. (1983) found that fathers support and engage more with their daughters. Instead, fathers are mostly involved in developing early regulation in their infant boys (Schoppe-Sullivan et al., 2006).
Accordingly to the above the literature, the aims of this study were to:
(a) Evaluate differences between fathers’ and mothers’ postnatal anxiety and depression symptoms and the perception of infant temperament.
(b) Evaluate, separately for mothers and fathers, the developmental change in infant temperament and if the perception of child temperament is different with respect to the infants’ gender.
(c) Examine whether mother’s and father’s postnatal anxiety and depression, assessed at 3 and 12 months postpartum (Time 1 and Time 2), are associated with perceived infant’s temperament (Time 1 and Time 2).
Participants
The study participants were 188 parents (94 couples) and their 94 healthy babies (55.3% boys, 44.7% girls). Of the parents, 78.7% were married couples, and 21.3% were cohabiting; 6.4% of the mothers and 17% of the fathers had an elementary school qualification, 66% of the mothers and 63.8% of the fathers had a high-school qualification, and 27.7% of the mothers and 19.1% of the fathers a college degree. Mothers’ mean age ranged from 26 to 42 years (MAge = 34.9 years, SD = 3.6 years), and fathers’ mean age ranged from 27 to 55 years (MAge = 38.3 years, SD = 5 years). The median income of the parents belonged to the Italian middle working class and socioeconomic status as assessed by a detailed questionnaire and according to the Istituto Nazionale di Statistica classification (ISTAT, 2013). No participant was undergoing medical/psychological treatment at the time of assessment.
Measures
Parental Depression
To measure depression symptoms, we utilized the Edinburgh Postnatal Depression Scale (EPDS; Cox et al.1987). It is a self-report form containing 10 items focused on depression symptoms happening within the previous 7 days. The overall score is computed by adding items, each scored on a four-point Likert scale. The adopted cutoff score was >8/9, as recommended by the Italian validated translation (Benvenuti et al., 1999).
In the current study, the internal consistency coefficient for the mothers was α = 0.80 at Time 1 and α = 0.82 at Time 2; for the fathers, it was α = 0.77 at Time 1 and α = 0.75 at Time 2.
Parental Anxiety
To measure anxiety symptoms, we used the State–Trait Anxiety Inventory (STAI; Spielberger et al., 1983). It is a commonly used self-report form for trait and state anxiety. STAI has 20 items for evaluating trait anxiety (STAI-T) and 20 for state anxiety (STAI-S). The items are evaluated on a four-point Likert scale. The adopted cutoff score was >40, as recommended by the Italian validated translation (Pedrabissi and Santinello, 1989).
In the current study, the internal consistency coefficient for STAI-S was α = 0.89 at Time 1 and α = 0.90 at Time 2 for the mothers; for the fathers, it was α = 0.92 at Time 1 and α = 0.88 at Time 2. The internal consistency coefficient for STAI-T was α = 0.88 at Time 1 and α = 0.84 at Time 2 for the mothers; for the fathers, it was α = 0.91 at Time 1 and α = 0.87 at Time 2.
Child Temperament
To measure child temperament, we used the Infant Behavior Questionnaire [IBQ-R; Gartstein and Rothbart, 2003; Italian Validation by Montirosso et al. (2011)]. It is a 191-item parent-report form of temperament designed for use with children between ages 3 and 12 months. The IBQ-R yields 14 scales that form three higher-order factors (Montirosso et al., 2011): a Positive Affectivity/Surgency factor, containing approach, vocal reactivity, high-intensity pleasure, smiling and laughter, activity level, and perceptual sensitivity subscales; a Negative Affectivity factor, including sadness, distress to limitations, fear, and low falling reactivity subscales; and an Orienting/Regulatory Capacity factor, including low-intensity pleasure, cuddliness, duration of orienting, and soothability subscales.
Mothers and fathers rated the frequency of infant behaviors on a scale from 1 (never) to 7 (always). In the current study, the internal consistency coefficient was calculated for the three overarching factor scores of the IBQ-R for both mothers and fathers.
The alpha coefficients for Positive Affectivity/Surgency were α = 0.74 (Time 1) and α = 0.73 (Time 2) for the mothers; for the fathers, they were α = 0.76 (Time 1) and α = 0.73 (Time 2).
The alpha coefficients for Negative Affectivity were α = 0.72 (Time 1) and α = 0.74 (Time 2) for mothers; for the fathers, they were α = 0.71 (Time 1) and α = 0.73 (Time 2).
The alpha coefficients for Orienting/Regulatory Capacity were α = 0.72 (Time 1) and α = 0.75 (Time 2) for the mothers; for the fathers, they were α = 0.71 (Time 1) and α = 0.74 (Time 2).
The IBQ-R factor scale scores showed stability from 3 to 12 months (r = 0.55, p < 0.001, for Positive Affectivity/Surgency; r = 54, p < 0.001, for Negative Affectivity; and r = 0.61, p < 0.001 for Orienting/Regulatory Capacity). In addition, the Positive Affectivity/Surgency and Orienting/Regulatory Capacity factor scales are intercorrelated with each other (r = 0.48, p < 0.001, at Time 1 and r = 0.58, p < 0.001, at Time 2).
Procedure
The study design attained approval from academy ethics committees. All parents signed a written informed consent questionnaire and received an informative sheet on the investigation.
At 3 months after their child’s birth (Time 1), mothers and fathers independently filled out: the STAI (Spielberger et al., 1983), EPDS (Cox et al., 1987), and IBQ-R (Gartstein and Rothbart, 2003). At 12 months after their child’s birth (Time 2), mothers and fathers were again asked to fill out the EPDS, the STAI, and the IBQ-R.
Data Analysis
The data were preliminarily examined for errors and outliers. Preliminary analysis showed that data were mostly complete for both mother and father variables. Specifically, there were no missing data for mothers’ and fathers’ age, mothers’ and fathers’ educational levels, and mothers’ EPDS and STAI scores at Time 1. The following measures had missing data for fewer than 3% of the participants: fathers’ EPDS, STAI, and IBQR scores at Time 1, mothers’ EPDS and STAI at Time 2, and IBQR scores at Time 1 and Time 2. Finally, fathers’ EPDS, STAI, and IBQR scores at Time 2 had 4–5% of missing data. Missing data were corrected with mean imputation in total scores of scales (Graham, 2009).
Differences between mothers and fathers in anxiety, depression, and perception of infant temperament were investigated through a series of Student’s paired t-tests.
Repeated-measures analysis of variance (ANOVA) was applied to evaluate differences in temperament between boys and girls at each time of assessment. Specifically, for each IBQ-R factor scale and each temperament scale score, a within–between repeated-measures ANOVA was run to examine between-group (boys vs. girls) differences in temperament by time of evaluation (Time 1 and Time 2). To evaluate significant effects, Bonferroni correction for multiple comparisons was applied.
Effect sizes were estimated using Cohen’s d for t-test and partial eta squared (ηp2) for ANOVA (Gravetter and Wallnau, 2006).
Pearson correlation coefficients were calculated to test bivariate associations between the mothers’ or fathers’ anxiety/depressive symptoms and the perceived infants’ temperament scores at both Times 1 and 2.
Results
Differences Between Fathers’ and Mothers’ Postnatal Anxiety and Depression Symptoms and Perception of Infant Temperament
Table 1 presents the statistical results of the paired comparison t-test.
Table 1. Descriptive statistics and parents’ comparisons for the EPDS, STAI, and IBQ-R factor and dimension scores.
The results showed that mothers showed more depressive symptoms than their partners at both times (Time 1 and Time 2). However, the mean scores for both mothers and fathers were under the cutoff point for risk of clinical depression. Similarly, mothers showed more anxious symptoms than fathers at both times. Nevertheless, in this case, the mean scores for both mothers and fathers were under the STAI cutoff.
As concerns IBQ-R, differences between the mothers and fathers within each couple were found with respect to the specific dimensions of the infants’ Positive Affectivity/Surgency and Negative Affectivity. Specifically, at Time 1, the mothers perceived their infant as having more motor activity compared to their partners. Also, at Time 2, the mothers perceived their infant as more positively responsive in terms of their levels of high-intensity pleasure, vocal reactivity, approach, excitement, and positive anticipation of pleasurable activities compared to fathers.
The Developmental Change and Gender Differences in Perceived Infant Temperament
A 2 (gender: boys vs. girls) × 2 (time: Time 1 vs. Time 2) repeated-measures ANOVA was performed for each IBQR factor scale and subscale score.
Table 2 presents the statistical results of all main effects for gender, age, and interactions for each factor scale and IBQR subscale score. Means and SDs for all factor and subscales scores at Time 1 and Time 2 for boys and girls are shown in Table 3.
Table 3. Means and SDs of IBQ-R factor and dimension scores by children’s age (Time 1 and Time 2) and gender.
Mothers
Gender effects showed higher fear and cuddliness scores in girls: mothers perceived girls as more distressed in response to unexpected changes in stimulation as well as more positively responsive in terms of their levels of cuddliness compared to boys.
Age differences indicated that between 3 and 12 months of age, mothers perceive that their infants become higher on Positive Affectivity/Surgency and on all the subscales contributing to this factor as well as on Negative Affectivity and the associated subscales of distress to limitation and fear. No age effects were found for Orienting/Regulatory Capacity except for low pleasure and soothability subscales; mothers perceive that their infants become lower in low pleasure and higher on soothability.
Gender × children’s age interactions were significant for the activity level subscale. This significant interaction was interpreted using a follow-up test that examined the effect separately at Time 1 and Time 2. Results showed that at 12 months of age, mothers perceive boys as being characterized by more locomotor activity, movement of the arms and legs, and squirming than girls, t (92) = 2.33, p = 0.02, d = 0.49.
Fathers
As concerns fathers, gender effects showed higher high pleasure scores in boys and higher cuddliness scores in girls.
Fathers perceive their boys as more positively responsive in terms of their levels of high-intensity pleasure compared to girls, while they perceive girls as more positively responsive in terms of their level of cuddliness compared to boys.
Age differences indicated that between Time 1 and Time 2, fathers perceive that their infants become higher on Positive Affectivity/Surgency and on all subscales contributing to this factor as well as on Negative Affectivity and on the associated subscales of distress to limitation and fear. No age effects were found for Orienting/Regulatory Capacity and the associated subscales.
Finally, we did not find significant interactions between Gender and Children’s Age for any factor or subscale.
Associations Between Parent’s Postnatal Anxiety and Depression and Perceived Infant’s Temperament
Since the IBQ-R involves so many subscales, we examined the relationship between the EPDS and STAI scores and the IBQ-R factor scores. Pearson correlations between maternal and paternal measures and IBQ-R factors scores at Times 1 and 2 are shown in Table 4.
Mothers
As concerns mothers, the results showed that maternal anxiety and depression symptoms had a negative significant relationship with Positive Affectivity/Surgency and a positive significant relationship with Negative Affectivity at both times, whereas no significant correlations were observed between maternal depression and the Orienting/Regulatory Capacity factor scale at both times; instead, maternal anxiety had a significant relationship with Orienting/Regulatory Capacity at Time 2.
Fathers
As concerns fathers, the results showed that paternal anxiety and depression symptoms had a positive significant relationship with Negative Affectivity at both times, whereas no significant correlations were observed between paternal anxiety and depression and the Positive Affectivity/Surgency and Orienting/Regulatory Capacity scores at both times (Table 4).
Discussion
The main objective of our study was to assess differences and similarities between mothers’ and fathers’ perception of their infant’s temperament, to assess if the perception of infant temperament is different in reference to the age and gender of the baby and to evaluate the association between parents’ postnatal anxiety and depression symptoms and the perception of their infants’ temperament.
Differences and Similarities Between Mothers’ and Fathers’ Postnatal Anxiety and Depression Symptoms and the Perception of Their Infant’s Temperament at Time 1 and Time 2
We have confirmed that women presented higher scores of self-reported postnatal anxiety and depression compared to men, indicating that mothers, more than fathers, are at higher risk to develop affective issues after the birth of their child (Matthey et al., 2003; Cameron et al., 2016; Vismara et al., 2016).
In general, mothers and fathers would give similar descriptions of their child’s temperament throughout the first year of life, although a few noteworthy differences emerged. Specifically, at 3 months of age, the mothers perceive their infant as having more motor activity compared to their partners. This result may be explained by the fact that mothers are the primary caregiver in the earliest stages of life of their babies. Mothers are the person who is mainly engaged in her baby’s physical care and rearing and need to respond to their infants’ signals that they are learning to interpret. With time, mothers are more capable of acknowledging their child’s demands, and the interactions are easier and more meaningful. Indeed, at 12 months of age, the mothers perceive their infant as more positively responsive in terms of their levels of high-intensity pleasure, vocal reactivity, approach, excitement, and positive anticipation of pleasurable activities compared to fathers, who are at the beginning of their active involvement with their infant, who is, for her/his part, developing more and more social and interactive skills. These results are in line with other research (Prino et al., 2016; Vismara et al., 2016; Rollè et al., 2017).
Developmental Change and Gender Differences in Perceived Infant Temperament
In our group, most of the perceived temperamental characteristics showed developmental change for both mothers and fathers, as reported by other scholars (Planalp et al., 2013; Laceulle et al., 2014; Zhang et al., 2018). Also, in our sample, the global factors of Positive Affectivity/Surgency and Negative Affectivity increased. We also highlight the increase in the following subscales: activity level, distress to limitation, fear, smiling and laughter, high pleasure, perceptual sensitivity, approach, and vocal reactivity. Instead, only mothers reported a higher level of soothability and a decrease of low pleasure. The remaining subscales did not show significant variations but, rather, stability. These data seem to confirm how in early infancy, motor activity and the expression of positive and negative affectivity are crucial features of this developmental stage (Gartstein and Rothbart, 2003; Rothbart and Gartstein, 2008). Indeed, children’s improvements in motor skills are matched with more sophisticated cognitive abilities that allow better emotional and behavioral control (Planalp et al., 2017). Furthermore, temperament itself, although biologically based, may be changed by the interaction of the children with their milieu (Rothbart, 2011; Perry et al., 2018); therefore, environmental epigenetics processes may account for temperamental characteristics and their lack of stability (Gartstein and Skinner, 2018).
Additionally, we found, also in accordance with other research (Ready et al., 2005; Else-Quest et al., 2006; Cameron Ponitz et al., 2008; Else-Quest, 2012; Coe et al., 2020), differences in relation to the gender of parents and specific temperamental characteristics of girls and boys.
In particular, both mothers and fathers perceive girls as more positively responsive in terms of their levels of cuddliness compared to boys.
The mothers perceive girls as more distressed in response to unexpected changes in stimulation, novel physical objects, or social stimuli than boys. Also, only at 12 months of age, the mothers perceive boys as characterized by greater motor activity, squirming, and locomotor movement.
Fathers instead perceive boys as more positively responsive in terms of their levels of enjoyment associated with high stimulus intensity, rate, complexity, novelty, and incongruity compared to girls.
These data corroborate several scholars who proved that parents tend to behave differently with sons and daughters. These behaviors and attitudes appear to be neurobiologically grounded (Mascaro et al., 2017), as well as culturally defined (Lipowska et al., 2016). However, it is important to underline that both child and parent gender as well as dispositional characteristics may mutually influence the parent–child relationship (Sameroff, 2010).
Association Between Parents’ Postnatal Anxiety and Depression Symptoms and the Perception of Their Infants’ Temperament
Maternal and paternal anxiety and depression symptoms are associated with infants’ negative affectivity defined in terms of fear, sadness, frustration, and discomfort. Mothers with high anxiety and depression levels perceived their infants as having a lower tendency to approach novelty, to search for environmental stimulation, and to display and feel positive emotions. Finally, only at 12 months of age of the infants, maternal anxiety is negatively associated with infant duration of orienting attention, soothability, cuddliness, and enjoyment of low-intensity activities (Hanington et al., 2010; Prino et al., 2016).
These findings confirm that mothers who report prenatal and postnatal anxiety and depression tend to perceive their infants as fussier, slower to adapt to novelty, and more difficult than control groups (Austin et al., 2005; Blair et al., 2011). Less is known on fathers; however, the existing data show a similar association as in mothers: higher levels of reported depressive and anxiety symptoms are related to the perception of a more difficult-tempered infant, who is described as substantially fussier (Davé et al., 2005; Kerstis et al., 2013). We believe that these difficulties arise from the quality of the caregiving relationship in the context of parental anxiety and depressive symptoms. Interestingly, Hanington et al. (2010) found that fathers’ symptoms were significantly associated only with male children’s temperament.
Indeed, it is now consistently proven that boys exhibit higher activity levels and need their caregiver to function as an external regulator, while girls show higher shyness but better self-soothing abilities (Planalp et al., 2017; Arace et al., 2019). Certainly, we may then conceive emotion regulation as a central aspect of temperament, which is, in turn, linked to the risk of developing psychological difficulties (Gartstein and Skinner, 2018). Typically, girls show more internalizing problems, whereas boys have higher externalizing problems (Letourneau et al., 2019). However, such outcomes must consider the transactional processes among genes and environment, especially parental characteristics and caregiving abilities.
Limitations
Some limitations of the present study should be observed. First, maternal and paternal anxiety and depressive symptoms were self-reported; therefore, findings must be interpreted with caution in terms of the association between parental mental health problems and child temperament.
Indeed, the participants were all primiparous parents belonging to a non-clinical, low-psychosocial-risk sample; therefore, the generalizability of our results needs further confirmation.
Furthermore, child temperament is assessed in terms of parental perception, and it could be influenced by their mental health. However, it is important to consider these subjective experiences. Indeed, an active and challenging baby may be particularly difficult for a parent who is depressed and/or anxious, increasing the likelihood of poor outcomes for both the child and the parents (Austin et al., 2005). Also, even if there is some overlapping between parental perception and a professional’s observation of infant behavior (Planalp et al., 2017), both methods should be included in future studies to give a more reliable picture of the child’s characteristics.
Besides, gender differences in temperament may be influenced by moderating factors. Variables such as cultural and socioeconomic contexts, or participants belonging to a special population should be included in future studies. In a longitudinal perspective, the relation between parental characteristics – (such as parental stress, coping strategies, dyadic adjustment, and parental practices –), clinical depression/anxiety, and child temperament should be deepened.
Finally, future studies would benefit of from evaluating, within the above- described multifaceted perspective, the complex interplay between biology and environment and the possible existing relation between some specific genes, perinatal aspects, and infant temperament, as underlined by Gu et al. (2019).
Conclusion
An adequate, mutual interaction between environment and temperament favors the best developmental outcomes in children (Thomas and Chess, 1975). However, parents may adjust to their children’s characteristics. When a parents is are not able to adjust to their infant’s needs due to mental health and personal and contextual strains, their offspring may be at risk for developmental perturbations like behavioral and cognitive difficulties (Rollè et al., 2019).
Following the literature, we know that mother’s and father’s depression can influence their parenting, the relationship with their infant, and the latter’s temperament (Hanington et al., 2010).
Thus, providing support not only for mothers but also for fathers in the postnatal period may be an effective prevention strategy to enhance child’s development.
Regarding intervention strategies, it could be important to prevent dysfunctional parents—infant relationships by means of home-visiting programs (van Doesum et al., 2008) that aim to reduce risk factors for the child’s mental health as well as to enhance protective factors and resilience (Gelfand et al., 1996; Cicchetti et al., 2000). In particular, home-visiting mentalization-based interventions may contribute to improving parental depressive and anxiety symptoms, affective responsivity, and parent/child communicative exchanges, aiding in the prevention of negative developmental outcomes (Fonagy et al., 2002; Slade et al., 2005; Vismara et al., 2020).
Data Availability Statement
The datasets presented in this article are not readily available because our data are identifiable. Requests to access the datasets should be directed to Y3Jpc3RpbmEuc2VjaGlAdW5pY2EuaXQ=.
Ethics Statement
The studies involving human participants were reviewed and approved by the Comitato Etico del Dipartimento di Pedagogia, Psicologia, Filosofia dell’Università degli Studi di Cagliari. Written informed consent to participate in this study was provided by the participants’ legal guardian/next of kin. Written informed consent was obtained from the individual(s), and minor(s)’ legal guardian/next of kin, for the publication of any potentially identifiable images or data included in this article.
Author Contributions
CS contributed to organize the recruitment of the sample, prepared data set, performed statistical analyses, and contributed to all the sections of the manuscript. LV contributed to prepare the study design, organize the recruitment of the sample, and writing all the sections of the manuscript. LR and LP contributed to organize the recruitment of the sample and writing the manuscript s Introduction, Discussion, and References sections. LL contributed to prepare the study design, organize the recruitment of the sample, and supervised data collection and the research team. All authors reviewed and approved manuscript for publication.
Funding
This research was supported by grants from PRIN 2013/2016 – 20107JZAF4: “Maternal and paternal perinatal depression as risk factors for infant affect regulation development: evaluation of effects and early interventions” Scientific Coordinator: LL, University of Cagliari Italian Ministry for Education, University and Research (MIUR).
Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
Arace, A., Scarzello, D., Zonca, P., and Agostini, P. (2019). Early child care experiences and individual differences: the role of gender and temperament in social skills and problem behaviours in Italian toddlers. Early Child Dev. Care doi: 10.1080/03004430.2019.1655736
Atella, L. D., DiPietro, J. A., Smith, B. A., and St James-Roberts, I. (2003). More than meets the eye: parental and infant contributors to maternal and paternal reports of early infant difficultness. Parenting 3, 265–284. doi: 10.1207/s15327922par0304_1
Austin, M. P., Hadzi-Pavlovic, D., Leader, L., Saint, K., and Parker, G. (2005). Maternal trait anxiety, depression and life event stress in pregnancy: relationships with infant temperament. Early. Hum. Dev. 81, 183–190. doi: 10.1016/j.earlhumdev.2004.07.001
Bates, J. E. (2001). “Adjustment style in childhood as a product of parenting and temperament,” in Temperament in Context, eds T. D. Wachs and G. A. Kohnstamm (Mahwah, NJ: Lawrence Erlbaum Associates Publishers), 173–200.
Bayly, B., and Gartstein, M. (2013). Mother’s and father’s reports on their child’s temperament: does gender matter? Infant Behav. Dev. 36, 171–175. doi: 10.1016/j.infbeh.2012.10.008
Benvenuti, P., Ferrara, M., Niccolai, C., Valoriani, V., and Cox, J. L. (1999). The Edinburgh postnatal depression scale: validation for an Italian sample. J. Affect. Disord. 53, 137–141. doi: 10.1016/s0165-0327(98)00102-5
Blair, M. M., Glynn, L. M., Sandman, C. A., and Davis, E. P. (2011). Prenatal maternal anxiety and early childhood temperament. Stress 14, 644–651. doi: 10.3109/10253890.2011.594121
Cameron, E. E., Sedov, I. D., and Tomfohr-Madsen, L. M. (2016). Prevalence of paternal depression in pregnancy and the postpartum: an updated meta-analysis. J. Affect. Disord. 206, 189–203. doi: 10.1016/j.jad.2016.07.044
Cameron Ponitz, C. E., McClelland, M. M., Jewkes, A. M., Connor, C. M., Farris, C. L., and Morrison, F. J. (2008). Touch your toes! Developing a direct measure of behavioral regulation in early childhood. Early Child. Res. Q. 23, 141–158. doi: 10.1016/j.ecresq.2007.01.004
Cicchetti, D., Rogosch, F. A., and Toth, S. L. (2000). The efficacy of toddler-parent psychotherapy for fostering cognitive development in offspring. J. Abnorm. Child Psychol. 28, 135–148. doi: 10.1023/a:1005118713814
Coe, J. L., Micalizzi, L., Josefson, B., Parade, S. H., Seifer, R., and Tyrka, A. R. (2020). Sex differences in associations between early adversity, child temperament, and behavior problems. Int. J. Behav. Dev. doi: 10.1177/0165025420912012
Coplan, R. J., O’Neil, K., and Arbeau, K. A. (2005). Maternal anxiety during and after pregnancy and infant temperament at three months of age. J. Prenat. Perinat. Psychol. Health 19, 199–215. doi: 10.1108/17506200710779521
Cox, J. L., Holden, J. M., and Sagovsky, R. (1987). Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br. J. Psychiatry 150, 782–786. doi: 10.1192/bjp.150.6.782
Crick, N. R., and Zahn–Waxler, C. (2003). The development of psychopathology in females and males: current progress and future challenges. Dev. Psychopathol. 15, 719–742. doi: 10.1017/s095457940300035x
Davé, S., Nazareth, I., Sherr, L., and Senior, R. (2005). The association of paternal mood and infant temperament: a pilot study. Br. J. Dev. Psychol. 23, 609–621. doi: 10.1348/026151004x22962
Edhborg, M., Matthiesen, A. S., Lundh, W., and Widström, A. M. (2005). Some early indicators for depressive symptoms and bonding 2 months postpartum–a study of new mothers and fathers. Arch. Womens Ment. Health 8, 221–231. doi: 10.1007/s00737-005-0097-5
Else-Quest, N. M. (2012). “Gender differences in temperament,” in Handbook of Temperament, eds M. Zentner and R. L. Shiner (New York, NY: The Guilford Press), 479–496.
Else-Quest, N. M., Hyde, J. S., Goldsmith, H. H., and Van Hulle, C. A. (2006). Gender differences in temperament: a meta-analysis. Psychol. Bull. 132, 33–72. doi: 10.1037/0033-2909.132.1.33
Essex, M. J., Klein, M. H., Cho, E., and Kalin, N. H. (2002). Maternal stress beginning in infancy may sensitize children to later stress exposure: effects on cortisol and behavior. Biol. Psychiatry 52, 776–784. doi: 10.1016/s0006-3223(02)01553-6
Fonagy, P., Gergely, G., Jurist, E., and Target, M. (2002). Affect Regulation, Mentalization, and the Development of the Self. New York, NY: Other Press.
Gartstein, M. A., and Rothbart, M. K. (2003). Studying infant temperament via the revised infant behavior questionnaire. Infant Behav. Dev. 26, 64–86. doi: 10.1016/s0163-6383(02)00169-8
Gartstein, M. A., and Skinner, M. K. (2018). Prenatal influences on temperament development: the role of environmental epigenetics. Dev. Psychopathol. 30, 1269–1303. doi: 10.1017/S0954579417001730
Gelfand, D. M., Teti, D. M., Seiner, S. A., and Jameson, P. B. (1996). Helping mothers to fight depression: evaluation of a home-based intervention program for depressed mothers and their infants. J. Clin. Child Psychol. 25, 406–422. doi: 10.1207/s15374424jccp2504_6
Graham, J. W. (2009). Missing data analysis: making it work in the real world. Annu. Rev. Psychol. 60, 549–576. doi: 10.1146/annurev.psych.58.110405.085530
Gravetter, F. J., and Wallnau, L. B. (2006). Statistics for the Behavioral Sciences. Belmont, CA: Thomson/Wadsworth.
Gu, F., Yang, K. D., and Lei, X. M. (2019). Interactive influence of genetic and environmental factors on infant temperament. Chin. J. Child Health Care 9:11.
Guerin, D. W., Gottfried, A. W., Oliver, P. H., and Thomas, C. W. (2003). Temperament: Infancy through Adolescence. New York, NY: Kluwer Academic/Plenum.
Hammarberg, K., Fisher, J. R. W., and Wynter, K. H. (2008). Psychological and social aspects of pregnancy, childbirth and early parenting after assisted conception: a systematic review. Hum. Reprod. Update 14, 395–414. doi: 10.1093/humupd/dmn030
Hanington, L., Ramchandani, P., and Stein, A. (2010). Parental depression and child temperament: assessing child to parent effects in a longitudinal population study. Infant Behav. Dev. 33, 88–95. doi: 10.1016/j.infbeh.2009.11.004
Henderson, H. A., and Wachs, T. D. (2007). Temperament theory and the study of cognition–emotion interactions across development. Dev. Rev. 27, 396–427. doi: 10.1016/j.dr.2007.06.004
Hohmann-Marriott, B. (2011). Coparenting and father involvement in married and unmarried coresident couples. J. Marriage Fam. 73, 296–309. doi: 10.1111/j.1741-3737.2010.00805.x
Huynh, N., Finik, J., Ly, J., and Nomura, Y. (2014). Assessing the impact of parental depressive symptoms on offspring temperament and development in infancy. J. Depress. Anxiety 2014(Suppl. 1):005. doi: 10.4172/2167-1044.s1-005
Kerstis, B., Engström, G., Edlund, B., and Aarts, C. (2013). Association between mothers’ and fathers’ depressive symptoms, sense of coherence and perception of their child’s temperament in early parenthood in Sweden. Scand. J. Public Health 41, 233–239.
Laceulle, O. M., Ormel, J., Vollebergh, W. A., Van Aken, M. A., and Nederhof, E. (2014). A test of the vulnerability model: temperament and temperament change as predictors of future mental disorders–the TRAILS study. J. Child Psychol. Psychiatr. 55, 227–236. doi: 10.1111/jcpp.12141
Letourneau, N., Leung, B., Ntanda, H., Dewey, D., Deane, A. J., and Giesbrecht, G. F. (2019). Maternal and paternal perinatal depressive symptoms associate with 2-and 3-year-old children’s behaviour: findings from the APrON longitudinal study. BMC Pediatr. 19:435. doi: 10.1186/s12887-019-1775-1
Lipowska, M., Lipowski, M., and Pawlicka, P. (2016). Daughter and son: a completely different story? Gender as a moderator of the relationship between sexism and parental attitudes. Health Psychol. Rep. 4, 224–236. doi: 10.5114/hpr.2016.62221
Mascaro, J. S., Rentscher, K. E., Hackett, P. D., Mehl, M. R., and Rilling, J. K. (2017). Child gender influences paternal behavior, language, and brain function. Behav. Neurosci. 131, 262–273. doi: 10.1037/bne0000199
Matthey, S., Barnett, B., Howie, P., and Kavanagh, D. J. (2003). Diagnosing postpartum depression in mothers and fathers: whatever happened to anxiety? J. Affect. Dis. 74, 139–147. doi: 10.1016/s0165-0327(02)00012-5
McGrath, J. M., Records, K., and Rice, M. (2008). Maternal depression and infant temperament characteristics. Infant Behav. Dev. 31, 71–80. doi: 10.1016/j.infbeh.2007.07.001
Montirosso, R., Cozzi, P., Putnam, S. P., Gartstein, M. A., and Borgatti, R. (2011). Studying cross-cultural differences in temperament in the first year of life: United States and Italy. Int. J. Behav. Dev. 35, 27–37. doi: 10.1177/0165025410368944
Parade, S. H., and Leerkes, E. M. (2008). The reliability and validity of the Infant Behavior Questionnaire-Revised. Infant Behav. Dev. 31, 637–646. doi: 10.1016/j.infbeh.2008.07.009
Pedrabissi, L., and Santinello, M. (1989). Verifica della validità dello STAI forma Y di Spielberger. Giunti Organizzazioni Speciali.
Perry, N. B., Dollar, J. M., Calkins, S. D., and Bell, M. A. (2018). Developmental cascade and transactional associations among biological and behavioral indicators of temperament and maternal behavior. Child Dev. 89, 1735–1751. doi: 10.1111/cdev.12842
Pesonen, A.-K., Räikkönen, K., Strandberg, T., Keltikangas-Järvinen, L., and Järvenpää, A.-L. (2004). Insecure adult attachment style and depressive symptoms: implications for parental perceptions of infant temperament. Infant Ment. Health J. 25, 99–116. doi: 10.1002/imhj.10092
Planalp, E. M., Braungart-Rieker, J. M., Lickenbrock, D. M., and Zentall, S. R. (2013). Trajectories of parenting during infancy: the role of infant temperament and marital adjustment for mothers and fathers. Infancy 18, E16–E45. doi: 10.1111/infa.12021
Planalp, E. M., Van Hulle, C., Gagne, J. R., and Goldsmith, H. H. (2017). The infant version of the Laboratory Temperament Assessment Battery (Lab-TAB): measurement properties and implications for concepts of temperament. Front. Psychol. 8:846. doi: 10.3389/fpsyg.2017.00846
Posner, M. I., and Rothbart, M. K. (2007). Educating the Human Brain. Washington, DC: American Psychological Association. doi: 10.1037/11519-000
Potapova, N. V., Gartstein, M. A., and Bridgett, D. J. (2014). Paternal influences on infant temperament: effects of father internalizing problems, parenting-related stress, and temperament. Infant Behav. Dev. 37, 105–110. doi: 10.1016/j.infbeh.2013.12.014
Prino, L. E., Rollè, L., Sechi, C., Patteri, L., Ambrosoli, A., Caldarera, A. M., et al. (2016). Parental relationship with twins from pregnancy to 3 months: the relation among parenting stress, infant temperament, and well-being. Front. Psychol. 7:1628. doi: 10.3389/fpsyg.2016.01628
Ready, D. D., LoGerfo, L. F., Burkam, D. T., and Lee, V. E. (2005). Explaining girls’ advantage in kindergarten literacy learning: do classroom behaviors make a difference? Elem. Sch. J. 106, 21–38. doi: 10.1086/496905
Rollè, L., Gullotta, G., Trombetta, T., Curti, L., Gerino, E., Brustia, P., et al. (2019). Father involvement and cognitive development in early and middle childhood: a systematic review. Front. Psychol. 10:2405. doi: 10.3389/fpsyg.2019.02405
Rollè, L., Prino, L. E., Sechi, C., Vismara, L., Neri, E., Polizzi, C., et al. (2017). Parenting stress, mental health, dyadic adjustment: a structural equation model. Front. Psychol. 8:839. doi: 10.3389/fpsyg.2017.00839
Rothbart, M. K. (2011). Becoming Who We Are: Temperament and Personality in Development. New York, NY: Guilford Press.
Rothbart, M. K., and Gartstein, M. A. (2008). “Temperament,” in Encyclopedia of Infant and Early Childhood Development, eds M. M. Haith and J. B. Benson (San Diego, CA: Academic Press), 318–332. doi: 10.1016/b978-012370877-9.00161-4
Sameroff, A. (2010). A unified theory of development: a dialectic integration of nature and nurture. Child Dev. 81, 6–22. doi: 10.1111/j.1467-8624.2009.01378.x
Schoppe-Sullivan, S. J., Diener, M. L., Mangelsdorf, S. C., Brown, G. L., McHale, J. L., and Frosch, C. A. (2006). Attachment and sensitivity in family context: the roles of parent and infant gender. Infant Child Dev. 15, 367–385. doi: 10.1002/icd.449
Schuetze, P., and Zeskind, P. S. (2001). Relations between women’s depressive symptoms and perceptions of infant distress signals varying in pitch. Infancy 2, 483–499. doi: 10.1207/S15327078IN0204_06
Slade, A., Sadler, L., De Dios-Kenn, C., Webb, D., Currier-Ezepchick, J., and Mayes, L. (2005). Minding the baby: a reflective parenting program. Psychoanal. Study Child 60, 74–100. doi: 10.1080/00797308.2005.11800747
Snow, M. E., Jacklin, C. N., and Maccoby, E. E. (1983). Sex-of-child differences in father-child interaction at one year of age. Child Dev. 54, 227–232. doi: 10.2307/1129880
Spielberger, C. D., Gorsuch, R. L., Lushene, R. E., Vagg, P. R., and Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory STAI (Form Y). Palo Alto, CA: Consulting Psychologists Press.
Thomas, A., and Chess, S. (1975). A longitudinal study of three brain damaged children: infancy to adolescence. Arch. Gen. Psychiatry 32, 457–462. doi: 10.1001/archpsyc.1975.01760220069008
van den Berg, M. P., van der Ende, J., Crijnen, A. A., Jaddoe, V. W., Moll, H. A., Mackenbach, J. P., et al. (2009). Paternal depressive symptoms during pregnancy are related to excessive infant crying. Pediatrics 124, e96–e103. doi: 10.1542/peds.2008-3100
van Doesum, K. T., Riksen-Walraven, J. M., Hosman, C. M., and Hoefnagels, C. (2008). A randomized controlled trial of a home-visiting intervention aimed at preventing relationship problems in depressed mothers and their infants. Child Dev. 79, 547–561. doi: 10.1111/j.1467-8624.2008.01142.x
Vismara, L., Rollè, L., Agostini, F., Sechi, C., Fenaroli, V., Molgora, S., et al. (2016). Perinatal parenting stress, anxiety, and depression outcomes in first-time mothers and fathers: a 3-to 6-months postpartum follow-up study. Front. Psychol. 7:938. doi: 10.3389/fpsyg.2016.00938
Vismara, L., Sechi, C., and Lucarelli, L. (2020). Reflective parenting home visiting program: a longitudinal study on the effects upon depression, anxiety and parenting stress in first-time mothers. Heliyon 6:e04292. doi: 10.1016/j.heliyon.2020.e04292
Zentner, M., and Bates, J. E. (2008). Child temperament: an integrative review of concepts, research programs, and measures. Int. J. Dev. Sci. 2, 7–37. doi: 10.3233/dev-2008-21203
Zhang, W., Rajendran, K., Ham, J., Finik, J., Buthmann, J., Davey, K., et al. (2018). Prenatal exposure to disaster-related traumatic stress and developmental trajectories of temperament in early childhood: Superstorm Sandy pregnancy study. J. Affect. Disord. 234, 335–345. doi: 10.1016/j.jad.2018.02.067
Keywords: postnatal parental anxiety, postnatal parental depression, infant temperament, gender differences, longitudinal study
Citation: Sechi C, Vismara L, Rollè L, Prino LE and Lucarelli L (2020) First-Time Mothers’ and Fathers’ Developmental Changes in the Perception of Their Daughters’ and Sons’ Temperament: Its Association With Parents’ Mental Health. Front. Psychol. 11:2066. doi: 10.3389/fpsyg.2020.02066
Received: 21 April 2020; Accepted: 27 July 2020;
Published: 20 August 2020.
Edited by:
Susan Garthus-Niegel, Dresden University of Technology, GermanyReviewed by:
Maria Semkovska, University of Southern Denmark, DenmarkThorsten Mikoteit, University of Basel, Switzerland
Copyright © 2020 Sechi, Vismara, Rollè, Prino and Lucarelli. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Laura Vismara, dmlzbWFyYUB1bmljYS5pdA==