Screening for sustained social withdrawal behaviors in six-month-old infants during pediatric primary care visits: Results from an at-risk latino immigrant sample with high rates of maternal major depressive disorder

Nina Burtchen, Mar Alvarez-Segura, Alan L. Mendelsohn, Benard P. Dreyer, Francisco X. Castellanos, Peter Catapano, Antoine Guedeney

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

To examine relations between infant social withdrawal behavior and maternal major depression (MDD), 155 mother-infant dyads were evaluated at the 6-month primary care visit. Maternal depression was determined based on a psychiatric interview. Infant social withdrawal behavior was assessed with the Alarm Distress Baby Scale (ADBB; A. Guedeney & J. Fermanian, 2001) based on videotaped mother-infant interactions. Of the sample, 18.7% of mothers were diagnosed with MDD, and 39.4% of infants scored above the clinical ADBB cutoff. Infants of depressed mothers were more likely to score positive on the ADBB (75.8 vs. 31.0%, p < .001) and showed distinct patterns of withdrawal behavior. Within the group of withdrawn infants, however, no differential patterns of behavior could be identified for infants of depressed mothers as compared to infants of mothers with no depression. These findings confirm the validity of the ADBB for detection of infant social withdrawal in the context of MDD. At the same time, they support evidence that the ADBB identifies nonspecific infant distress behaviors. Future studies will need to determine if and how positive ADBB screening results in the absence of maternal MDD might be associated with other maternal psychiatric disorders such as anxiety or borderline personality disorder. These results have important implications for screening guidelines in primary care.

Original languageEnglish (US)
Pages (from-to)542-552
Number of pages11
JournalInfant Mental Health Journal
Volume34
Issue number6
DOIs
StatePublished - Nov 2013
Externally publishedYes

Fingerprint

Major Depressive Disorder
Hispanic Americans
Primary Health Care
Mothers
Pediatrics
Depression
Psychiatry
Infant Behavior
Mother-Child Relations
Maternal Behavior
Borderline Personality Disorder
Anxiety
Guidelines
Interviews

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health
  • Pediatrics, Perinatology, and Child Health

Cite this

Screening for sustained social withdrawal behaviors in six-month-old infants during pediatric primary care visits : Results from an at-risk latino immigrant sample with high rates of maternal major depressive disorder. / Burtchen, Nina; Alvarez-Segura, Mar; Mendelsohn, Alan L.; Dreyer, Benard P.; Castellanos, Francisco X.; Catapano, Peter; Guedeney, Antoine.

In: Infant Mental Health Journal, Vol. 34, No. 6, 11.2013, p. 542-552.

Research output: Contribution to journalArticle

Burtchen, Nina ; Alvarez-Segura, Mar ; Mendelsohn, Alan L. ; Dreyer, Benard P. ; Castellanos, Francisco X. ; Catapano, Peter ; Guedeney, Antoine. / Screening for sustained social withdrawal behaviors in six-month-old infants during pediatric primary care visits : Results from an at-risk latino immigrant sample with high rates of maternal major depressive disorder. In: Infant Mental Health Journal. 2013 ; Vol. 34, No. 6. pp. 542-552.
@article{33faa92533fe46e4a78c64f293812053,
title = "Screening for sustained social withdrawal behaviors in six-month-old infants during pediatric primary care visits: Results from an at-risk latino immigrant sample with high rates of maternal major depressive disorder",
abstract = "To examine relations between infant social withdrawal behavior and maternal major depression (MDD), 155 mother-infant dyads were evaluated at the 6-month primary care visit. Maternal depression was determined based on a psychiatric interview. Infant social withdrawal behavior was assessed with the Alarm Distress Baby Scale (ADBB; A. Guedeney & J. Fermanian, 2001) based on videotaped mother-infant interactions. Of the sample, 18.7{\%} of mothers were diagnosed with MDD, and 39.4{\%} of infants scored above the clinical ADBB cutoff. Infants of depressed mothers were more likely to score positive on the ADBB (75.8 vs. 31.0{\%}, p < .001) and showed distinct patterns of withdrawal behavior. Within the group of withdrawn infants, however, no differential patterns of behavior could be identified for infants of depressed mothers as compared to infants of mothers with no depression. These findings confirm the validity of the ADBB for detection of infant social withdrawal in the context of MDD. At the same time, they support evidence that the ADBB identifies nonspecific infant distress behaviors. Future studies will need to determine if and how positive ADBB screening results in the absence of maternal MDD might be associated with other maternal psychiatric disorders such as anxiety or borderline personality disorder. These results have important implications for screening guidelines in primary care.",
author = "Nina Burtchen and Mar Alvarez-Segura and Mendelsohn, {Alan L.} and Dreyer, {Benard P.} and Castellanos, {Francisco X.} and Peter Catapano and Antoine Guedeney",
year = "2013",
month = "11",
doi = "10.1002/imhj.21418",
language = "English (US)",
volume = "34",
pages = "542--552",
journal = "Infant Mental Health Journal",
issn = "0163-9641",
publisher = "John Wiley and Sons Inc.",
number = "6",

}

TY - JOUR

T1 - Screening for sustained social withdrawal behaviors in six-month-old infants during pediatric primary care visits

T2 - Results from an at-risk latino immigrant sample with high rates of maternal major depressive disorder

AU - Burtchen, Nina

AU - Alvarez-Segura, Mar

AU - Mendelsohn, Alan L.

AU - Dreyer, Benard P.

AU - Castellanos, Francisco X.

AU - Catapano, Peter

AU - Guedeney, Antoine

PY - 2013/11

Y1 - 2013/11

N2 - To examine relations between infant social withdrawal behavior and maternal major depression (MDD), 155 mother-infant dyads were evaluated at the 6-month primary care visit. Maternal depression was determined based on a psychiatric interview. Infant social withdrawal behavior was assessed with the Alarm Distress Baby Scale (ADBB; A. Guedeney & J. Fermanian, 2001) based on videotaped mother-infant interactions. Of the sample, 18.7% of mothers were diagnosed with MDD, and 39.4% of infants scored above the clinical ADBB cutoff. Infants of depressed mothers were more likely to score positive on the ADBB (75.8 vs. 31.0%, p < .001) and showed distinct patterns of withdrawal behavior. Within the group of withdrawn infants, however, no differential patterns of behavior could be identified for infants of depressed mothers as compared to infants of mothers with no depression. These findings confirm the validity of the ADBB for detection of infant social withdrawal in the context of MDD. At the same time, they support evidence that the ADBB identifies nonspecific infant distress behaviors. Future studies will need to determine if and how positive ADBB screening results in the absence of maternal MDD might be associated with other maternal psychiatric disorders such as anxiety or borderline personality disorder. These results have important implications for screening guidelines in primary care.

AB - To examine relations between infant social withdrawal behavior and maternal major depression (MDD), 155 mother-infant dyads were evaluated at the 6-month primary care visit. Maternal depression was determined based on a psychiatric interview. Infant social withdrawal behavior was assessed with the Alarm Distress Baby Scale (ADBB; A. Guedeney & J. Fermanian, 2001) based on videotaped mother-infant interactions. Of the sample, 18.7% of mothers were diagnosed with MDD, and 39.4% of infants scored above the clinical ADBB cutoff. Infants of depressed mothers were more likely to score positive on the ADBB (75.8 vs. 31.0%, p < .001) and showed distinct patterns of withdrawal behavior. Within the group of withdrawn infants, however, no differential patterns of behavior could be identified for infants of depressed mothers as compared to infants of mothers with no depression. These findings confirm the validity of the ADBB for detection of infant social withdrawal in the context of MDD. At the same time, they support evidence that the ADBB identifies nonspecific infant distress behaviors. Future studies will need to determine if and how positive ADBB screening results in the absence of maternal MDD might be associated with other maternal psychiatric disorders such as anxiety or borderline personality disorder. These results have important implications for screening guidelines in primary care.

UR - http://www.scopus.com/inward/record.url?scp=84887627541&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887627541&partnerID=8YFLogxK

U2 - 10.1002/imhj.21418

DO - 10.1002/imhj.21418

M3 - Article

AN - SCOPUS:84887627541

VL - 34

SP - 542

EP - 552

JO - Infant Mental Health Journal

JF - Infant Mental Health Journal

SN - 0163-9641

IS - 6

ER -