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The role of infants' mother-directed gaze, maternal sensitivity, and emotion recognition in childhood callous unemotional behaviours.
Eur Child Adolesc Psychiatry. 2017 Aug; 26(8):947-956.EC

Abstract

While some children with callous unemotional (CU) behaviours show difficulty recognizing emotional expressions, the underlying developmental pathways are not well understood. Reduced infant attention to the caregiver's face and a lack of sensitive parenting have previously been associated with emerging CU features. The current study examined whether facial emotion recognition mediates the association between infants' mother-directed gaze, maternal sensitivity, and later CU behaviours. Participants were 206 full-term infants and their families from a prospective longitudinal study, the Durham Child Health and Development Study (DCHDS). Measures of infants' mother-directed gaze, and maternal sensitivity were collected at 6 months, facial emotion recognition performance at 6 years, and CU behaviours at 7 years. A path analysis showed a significant effect of emotion recognition predicting CU behaviours (β = -0.275, S.E. = 0.084, p = 0.001). While the main effects of infants' mother-directed gaze and maternal sensitivity were not significant, their interaction significantly predicted CU behaviours (β = 0.194, S.E. = 0.081, p = 0.016) with region of significance analysis showing a significant negative relationship between infant gaze and later CU behaviours only for those with low maternal sensitivity. There were no indirect effects of infants' mother-directed gaze, maternal sensitivity or the mother-directed gaze by maternal sensitivity interaction via emotion recognition. Emotion recognition appears to act as an independent predictor of CU behaviours, rather than mediating the relationship between infants' mother-directed gaze and maternal sensitivity with later CU behaviours. This supports the idea of multiple risk factors for CU behaviours.

Authors+Show Affiliations

Biostatistics and Health Informatics Department, Institute of Psychology, Psychiatry and Neuroscience, King's College London, London, England. rachael.bedford@kcl.ac.uk.Human Development and Quantitative Methodology, University of Maryland, College Park, USA.Human Development and Family Studies Department, University of North Carolina-Greensboro, Greensboro, USA.Center for Developmental Science, University of North Carolina-Chapel Hill, Chapel Hill, USA.RTI International, Research Triangle Park, NC, USA.Human Development and Family Studies Department, University of North Carolina-Greensboro, Greensboro, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28247068

Citation

Bedford, R, et al. "The Role of Infants' Mother-directed Gaze, Maternal Sensitivity, and Emotion Recognition in Childhood Callous Unemotional Behaviours." European Child & Adolescent Psychiatry, vol. 26, no. 8, 2017, pp. 947-956.
Bedford R, Wagner NJ, Rehder PD, et al. The role of infants' mother-directed gaze, maternal sensitivity, and emotion recognition in childhood callous unemotional behaviours. Eur Child Adolesc Psychiatry. 2017;26(8):947-956.
Bedford, R., Wagner, N. J., Rehder, P. D., Propper, C., Willoughby, M. T., & Mills-Koonce, R. W. (2017). The role of infants' mother-directed gaze, maternal sensitivity, and emotion recognition in childhood callous unemotional behaviours. European Child & Adolescent Psychiatry, 26(8), 947-956. https://doi.org/10.1007/s00787-017-0967-1
Bedford R, et al. The Role of Infants' Mother-directed Gaze, Maternal Sensitivity, and Emotion Recognition in Childhood Callous Unemotional Behaviours. Eur Child Adolesc Psychiatry. 2017;26(8):947-956. PubMed PMID: 28247068.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of infants' mother-directed gaze, maternal sensitivity, and emotion recognition in childhood callous unemotional behaviours. AU - Bedford,R, AU - Wagner,N J, AU - Rehder,P D, AU - Propper,C, AU - Willoughby,M T, AU - Mills-Koonce,R W, Y1 - 2017/02/28/ PY - 2016/10/31/received PY - 2017/02/21/accepted PY - 2017/3/2/pubmed PY - 2018/1/26/medline PY - 2017/3/2/entrez KW - Callous unemotional behaviours KW - Emotion recognition KW - Face KW - Infant KW - Sensitive parenting SP - 947 EP - 956 JF - European child & adolescent psychiatry JO - Eur Child Adolesc Psychiatry VL - 26 IS - 8 N2 - While some children with callous unemotional (CU) behaviours show difficulty recognizing emotional expressions, the underlying developmental pathways are not well understood. Reduced infant attention to the caregiver's face and a lack of sensitive parenting have previously been associated with emerging CU features. The current study examined whether facial emotion recognition mediates the association between infants' mother-directed gaze, maternal sensitivity, and later CU behaviours. Participants were 206 full-term infants and their families from a prospective longitudinal study, the Durham Child Health and Development Study (DCHDS). Measures of infants' mother-directed gaze, and maternal sensitivity were collected at 6 months, facial emotion recognition performance at 6 years, and CU behaviours at 7 years. A path analysis showed a significant effect of emotion recognition predicting CU behaviours (β = -0.275, S.E. = 0.084, p = 0.001). While the main effects of infants' mother-directed gaze and maternal sensitivity were not significant, their interaction significantly predicted CU behaviours (β = 0.194, S.E. = 0.081, p = 0.016) with region of significance analysis showing a significant negative relationship between infant gaze and later CU behaviours only for those with low maternal sensitivity. There were no indirect effects of infants' mother-directed gaze, maternal sensitivity or the mother-directed gaze by maternal sensitivity interaction via emotion recognition. Emotion recognition appears to act as an independent predictor of CU behaviours, rather than mediating the relationship between infants' mother-directed gaze and maternal sensitivity with later CU behaviours. This supports the idea of multiple risk factors for CU behaviours. SN - 1435-165X UR - https://www.unboundmedicine.com/medline/citation/28247068/The_role_of_infants'_mother_directed_gaze_maternal_sensitivity_and_emotion_recognition_in_childhood_callous_unemotional_behaviours_ L2 - https://dx.doi.org/10.1007/s00787-017-0967-1 DB - PRIME DP - Unbound Medicine ER -