title: Interactive skills of infants with their high-risk mothers.
abstract: In this pilot study, the interactive skills of infants with their high-risk, substance-dependent mothers were explored in residential treatment from pregnancy until the infant was 6 months of age. Fourteen mother-infant pairs were videotaped in feeding and free play situations at 6 months after birth. A comparison, low-risk group consisted of 12 ordinary Finnish mother-infant pairs with minimal clinical risks. The findings show significantly higher levels of dyadic interactive deficiencies among the high-risk mother-infant pairs compared to the low-risk pairs, displayed especially in the feeding situation as lack of mutuality and flat, empty, constricted affective tone of interaction. Also, more interactive deficiencies were found among the high-risk infants compared to the low-risk infants, but the differences were not significant. In this study, this finding might reflect the reduced amount of somatic complications and the benefits of treatment, the impacts of which were not explored. The differences between the high- and low-risk infants were displayed as more withdrawal, depressed mood and avoiding behavior and as less alertness and attentional abilities, robustness and focus on parent's emotional state among the high-risk group.
authors.affiliation: Department of Child Psychiatry, University of Turku, Finland. elina.savonlahti@netti.fi
authors.forename: Elina
authors.initials: E
authors.lastname: Savonlahti
authors.forename: Marjaterttu
authors.initials: M
authors.lastname: Pajulo
authors.forename: Sari
authors.initials: S
authors.lastname: Ahlqvist
authors.forename: Hans
authors.initials: H
authors.lastname: Helenius
authors.forename: Heikki
authors.initials: H
authors.lastname: Korvenranta
authors.forename: Tuula
authors.initials: T
authors.lastname: Tamminen
authors.forename: Jorma
authors.initials: J
authors.lastname: Piha
mesh_terms: D000293:Adolescent; D000328:Adult; D016241:Child of Impaired Parents / Q000706:statistics & numerical data*; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D007223:Infant; D007398:Interpersonal Relations; D009034:Mother-Child Relations; D009035:Mothers; D010554:Personality Disorders / Q000453:epidemiology; D010865:Pilot Projects; D012918:Social Alienation; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology*