Document Detail

Mind-mindedness and maternal responsiveness in infant-mother interactions in mothers with severe mental illness.
MedLine Citation:
PMID:  20102664     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Previous cross-diagnosis studies of interaction between mothers with severe mental illness and their babies have concluded that mothers with schizophrenia have deficits in interaction, but these studies have not included healthy controls.
METHOD: In-patients on a mother and baby unit, with diagnoses of schizophrenia (n=15), depressive mood disorders with or without psychosis (n=23), or mood disorders where mania was the predominant feature, with or without psychosis (n=12), were observed interacting with their infants on admission and discharge. Mothers' mind-mindedness and other measures of the quality of maternal and infant behaviour were coded. Findings from this sample were compared with those from healthy mothers and their infants (n=49).
RESULTS: Compared with healthy controls, on admission depressed mothers were marginally less likely to comment appropriately on their infants' mental states. Both the depressed and mania groups were more likely to touch their babies and engage in attention-seeking behaviours. Interactional behaviours of mothers in the schizophrenia group were not markedly different from healthy controls. On discharge there were fewer differences between the clinical and healthy groups, although the depressed group continued to engage in more attention-seeking and touching behaviour and the mania group continued to touch their infants more. Only mothers in the schizophrenia group showed changes in interactional behaviours between admission and discharge, talking more to their infants.
CONCLUSIONS: The findings challenge previous conclusions that mothers with schizophrenia have deficits in their interactions with their babies, and demonstrate that mothers with severe mental illness are able to respond appropriately to their infants' cues.
S Pawlby; C Fernyhough; E Meins; C M Pariante; G Seneviratne; R P Bentall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-01-27
Journal Detail:
Title:  Psychological medicine     Volume:  40     ISSN:  1469-8978     ISO Abbreviation:  Psychol Med     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-09-30     Completed Date:  2011-01-21     Revised Date:  2014-02-19    
Medline Journal Info:
Nlm Unique ID:  1254142     Medline TA:  Psychol Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1861-9     Citation Subset:  IM    
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MeSH Terms
Bipolar Disorder / psychology
Case-Control Studies
Depressive Disorder / psychology
Infant Behavior / psychology
Mental Disorders / psychology*
Middle Aged
Mood Disorders / psychology
Mother-Child Relations*
Mothers / psychology
Psychotic Disorders / psychology
Schizophrenic Psychology
Theory of Mind
Young Adult
Grant Support
G108/603//Medical Research Council

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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