Mother–infant interaction in schizophrenia:Transmitting risk or resilience? A systematic review of the literature

Purpose: The parent–infant relationship is an important context for identifying very early risk and resilience factors and targets for the development of preventative interventions. The aim of this study was to systematically review studies investigating the early caregiver–infant relationship and attachment in offspring of parents with schizophrenia. Methods: We searched computerized databases for relevant articles investigating the relationship between early caregiver–infant relationship and outcomes for offspring of a caregiver with a diagnosis of schizophrenia. Studies were assessed for risk of bias. Results: We identified 27 studies derived from 10 cohorts, comprising 208 women diagnosed with schizophrenia, 71 with other psychoses, 203 women with depression, 59 women with mania/bipolar disorder, 40 with personality disorder, 8 with unspecified mental disorders and 119 non-psychiatric controls. There was some evidence to support disturbances in maternal behaviour amongst those with a diagnosis of schizophrenia and there was more limited evidence of disturbances in infant behaviour and mutuality of interaction. Conclusions: Further research should investigate both sources of resilience and risk in the development of offspring of parents with a diagnosis of schizophrenia and psychosis. Given the lack of specificity observed in this review, these studies should also include maternal affective disorders including depressive and bipolar disorders

Understanding challenging behaviour in people with severe and profound intellectual disability: a stress-attachment model

Background. Advances in our knowledge of attachment, stress and coping may foster new explanations for the development of challenging behaviour in people with intellectual disability (ID). Method. Research on stress and coping among people with ID was reviewed initially, and then studies on the security of the attachment relationships of people with ID with their caregivers were analysed. Results. There is evidence that people with ID are more vulnerable to stress and use less effective coping strategies. Furthermore, the body of studies on attachment indicates that people with ID are at risk for developing insecure, especially disorganized attachment. There is evidence from other populations that the combination of stress, and insecure or disorganized attachment may put people at risk for developing behaviour problems. Conclusion. A stress-attachment model of the development of challenging behaviour among people with ID shows promise as an explanatory frame-work. The uncovering of these developmental mechanisms may be particularly useful for the prevention of behavioural problems

Wellbeing and resilience:Mechanisms of transmission of health and risk in parents with complex mental health problems and their offspring—The WARM Study

The WARM study is a longitudinal cohort study following infants of mothers with schizophrenia, bipolar disorder, depression and control from pregnancy to infant 1 year of age. Background: Children of parents diagnosed with complex mental health problems including schizophrenia, bipolar disorder and depression, are at increased risk of developing mental health problems compared to the general population. Little is known regarding the early developmental trajectories of infants who are at ultra-high risk and in particular the balance of risk and protective factors expressed in the quality of early caregiver-interaction. Methods/Design: We are establishing a cohort of pregnant women with a lifetime diagnosis of schizophrenia, bipolar disorder, major depressive disorder and a non-psychiatric control group. Factors in the parents, the infant and the social environment will be evaluated at 1, 4, 16 and 52 weeks in terms of evolution of very early indicators of developmental risk and resilience focusing on three possible environmental transmission mechanisms: stress, maternal caregiver representation, and caregiver-infant interaction. Discussion: The study will provide data on very early risk developmental status and associated psychosocial risk factors, which will be important for developing targeted preventive interventions for infants of parents with severe mental disorder

Socioeconomic Impacts of Lignite Coal Resource Development

Future coal resource development projects in western North Dakota could have significant socioeconomic impacts, especially for the towns and cities near the project sites. Some of the cities could have relatively rapid and large increases in employment and population, especially during the construction phase of the projects. The likely result is for local units to have increases in public costs that exceed the increases in their public revenues. The reverse is true for state costs and revenues associated with the projects, and the state's fiscal surplus is projected to exceed the deficits of local units of government

Feasibility Studies Have High Payoff in North Dakota

The purpose of this article is to examine the effect that feasibility studies have had on economic development and employment in the state, to determine the cost of conducting feasibility studies in relation to the economic benefits, and to identify historic sources of funding. Authors of the various feasibility studies provided information regarding the number of plants constructed since publication of the study results. Where applicable, industry representatives were contacted to obtain the necessary data

Quality of infant-parent attachment as reflected in infant interactive behaviour during instructional tasks

Contains fulltext : 62423.pdf (publisher's version ) (Closed access)Background: The quality of attachment of 127 Dutch 15-month-old infants to their primary caregivers was assessed using an abbreviated version of Ainsworth's Strange Situation. Methods: In addition, infant–parent interaction was observed during a 12-minute series of instructional tasks both at home and in a lab setting. Infants were rated for 1) negativity, 2) avoidance, 3) compliance, and 4) positive affect shown towards the caregiver. Results: At home, avoidant and disorganised infants showed significantly less compliance and significantly more avoidance and negative behaviour than securely attached children. At the lab, avoidant infants were significantly less compliant and more avoidant than secure infants, while disorganised infants distinguished themselves from secure children by significantly lower compliance and significantly higher negativity scores. The resistant infants did not distinguish themselves from the secure infants on any of the four behavioural scales. Conclusion: The results show brief observation of parent–infant interactions to yield valuable information on infant–parent attachment quality

Stress responses at birth: Determinants of cord arterial cortisol and links with cortisol response in infancy

Objective To investigate (A) the determinants of infant stress response at delivery and (B) test the hypothesis that stress at birth, as reflected by cord arterial cortisol, influences cortisol response to vaccination at two months