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18 Cards in this Set

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Depression (DSM-IV)
Depressed Mood OR Loss of Interest or Pleasure in Activities AND 4 of the following:
-weight loss or gain
-sleep disturbance
-psychomotor agitation
-fatigue/loss of energy
-difficulty concentrating/indecisiveness
-worthlessness/guilt
-suicidality
Maternal Depression is a ______disorder
recurrent, won't just have one episode
Postpartum Depression:
doesn't suddenly occur
most cases mom are depressed WHILE pregnant rather than after birth
Effects of In-Utero Depression:
infants have high levels of cortisol, lower birth weights, born earlier
effects of Maternal Depression on Infants:
Psychological effects: indeterminant sleep
Right frontal lobe EEG increased activation
Depressed HR
Elevated Levels of Stress Hormones
Facial expressions and infants with maternal depression:
more negative facial expressions
fewer facial expressions
prefer sad faces
Exploratory Behavior and infants with maternal depression:
less exploratory behavior at 12 mths and lower bailey scores
less likely to explore by mouth at 12 days
Parental Perceptions of Infants of Maternal Depression:
depressed moms perceived infant behavior as more negative and coded their own behavior as more positive
perceived preschoolers as more vulnerable
Profiles of Depressed Moms:
Withdrawn
Intrusive
Score 0 on depression inventories
Infants of Withdrawn Mothers vs Infants with Intrusive Mothers:
distinct EEG patterns
Parenting Styles of Depressed Moms:
Disengaged: overly permissive
Authoritarian: strict, not warm
Depressed mother-infant interaction:
less eye contact, speech and touch
more neg and less pos facial exp
infants begin to mimick parents behavior
Children and Adolescents of Maternal Depression
children have even higher rates of depression than those with parents with bipolar disorder
depression can show within 1month old
Effects of age of child when mom is depressed?
more detrimental in early infancy than toddler hood
no effect when looked at in adolescent
The Chronicity and Severity effects
related to more behavior problems and lower vocabulary levels
Depressed kids of Depressed moms vs depressed kids on nondepressed moms:
depressed kids of depressed moms showed more negative interpersonal stress and more negative interpersonal cognitions
Children of Depressed Father
parent child interaction more negative with depressed moms than with depressed dads
interventions for maternal sensitivity:
massage therapy
music mood induction
maternal imitation of infant behavior