Maternal sensitivity in rural Andean and Amazonian Peru

Cultural considerations in the assessment of sensitivity in low-income caregivers in Ethiopia

Background

Caregiver sensitivity is associated with positive child outcomes, and improving sensitivity is often the aim of parenting-directed interventions. However, sensitivity was conceptualized in Western cultures, and its application in populations with different backgrounds is still limited.

Objective

This study aimed to foster a contextualized cultural understanding of the meaning and nature of sensitivity by assessing the possibility of evaluating sensitivity in a low-income population living in Ethiopia and describing the nature of (in)sensitive parenting. Moreover, the associations between sensitivity and discipline, the quality of the environment, and individual characteristics were explored.

Methods

Parental sensitivity was coded on naturalistic video-recorded observations of free interactions between 25 female primary caregivers and their children. Caregivers completed questionnaires on discipline strategies and the level of satisfaction with the environment (access to basic needs, quality of house condition, community and family support, quality of learning opportunities, and working conditions).

Results

The assessment of sensitivity in this population was possible, with caregivers showing the full range of sensitivity levels. A description of manifestations of sensitivity in this population is provided. A K-means cluster analysis evidenced that high sensitivity was associated with high satisfaction regarding housing conditions and family environment. No association between sensitivity and discipline emerged.

Conclusion

The findings show the feasibility of assessing sensitivity in this sample. The descriptions of observed behaviors contribute to understanding culturally specific aspects of sensitivity to consider when assessing sensitivity in similar populations. The study provides considerations and guidelines to inform the structure of culturally-based interventions to promote sensitive parenting in similar cultural and socioeconomic situations.

Universality without uniformity - infants' reactions to unresponsive partners in urban Germany and rural Ecuador

Previous studies based on non-WEIRD (Western, Educated, Industrialized, Rich, and Democratic) samples provide initial evidence that the still-face effect is universal. Based on the assumption that - independent of their cultural niches - infants share some fundamental expectations of social interactions, we put forth the assumption that a universal response exists for when a social interaction is interrupted. At the same time, we hypothesized that the size of the effect depends on the typicality of the interaction that precedes the adult partners' interruption. To test these hypotheses, we conducted the Still-Face Paradigm (SFP) with infants (3- and 4.5-month-olds) from two cultural milieus, namely Münster (urban Germany) and the Kichwa ethnic group from the northern Andes region (rural Ecuador), as these contexts presumably offer different ways of construing the self that are associated with different parenting styles, namely distal and proximal parenting. Furthermore, we developed a paradigm that comes much closer to the average expected environment of Kichwa infants, the "No-Touch Paradigm" (NTP). Overall, the results support our initial hypothesis that the still-face effect is universal. Moreover, infants from both cultural milieus responded to the no-touch condition with a change in negative affect. At the same time, some of the infants' responses were accentuated in a culture-specific way: Kichwa infants had a stronger response to an interruption of proximal interaction patterns during the NTP. While our findings underline infants' universal predisposition for face-to-face interaction, they also suggest that cultural differences in internalized interactions do influence infant behavior and experience and, in turn, development.

Strategies and behaviors used by mothers in interactions with their young children during a mealtime in peri-urban areas of Huánuco, Peru

This study aimed to gain an in-depth understanding about different strategies used by mothers to feed their 6-23-month-old children, as well as to learn about mothers' behaviors in response to situations of food refusal by her child, in order to generate evidence that contributes to the information gap on responsive feeding in Peru. The study was conducted in the city of Huánuco, a peri-urban area of Peru, with mothers of children in the complementary feeding stage participating. An in-depth 5-hour home observation was conducted in eight mother-child dyads. Both the mothers' and children's mealtime and food-related behaviors were coded and an inductive thematic analysis was applied. The primary objective of many of the strategies used by the mothers was to get their child to eat a little more. Six strategies were identified: pressure, encouragement, facilitating intake, acceptance, negotiation and reasoning. Certain differences were found in the strategies employed by the mother according to the age of her child, with mothers of younger children using more encouragement and mothers of older children using more pressure for their child to eat. The mothers' behavior in response to the child's refusal of food was both responsive and non-responsive (controlling), depending on the reason for the refusal. The findings are of great value for understanding about the feeding interactions of mother-child dyads in Peru and they start to address the information gap and can support the development of nutritional intervention strategies for use with children.

Latin American Attachment studies: A narrative review

Attachment theory´s core hypotheses (universality, normativity, sensitivity, and competence) are assumed to be applicable worldwide. However, the majority of studies on attachment theory have been conducted in Western countries, and the extent to which these core hypotheses are supported by research conducted in Latin America has never been systematically addressed. The purpose of this systematic narrative literature review is to provide an integrative discussion of the current body of empirical studies concerning attachment theory conducted in Latin American countries. For that purpose, a search was conducted in four electronic databases (Web of Science, PsycInfo, SciELO, and Redalyc) and 82 publications on attachment and/or sensitivity met inclusion criteria. None of the studies reported cases in which an attachment relationship was absent, and a predominance of secure attachment patterns was found, mainly for non-risk samples (NRS). Sensitivity levels were generally deemed adequate in NRS, and related to attachment quality. Attachment security and caregivers' sensitivity were positively associated with child outcomes. Attachment-based intervention studies mostly showed efficacy. In conclusion, Latin American research supports the key theoretical assumptions of attachment theory, mainly in samples of urban middle-class NRS. However, the field of attachment-related research would be enriched by also investing in Latin American studies on caregiving rooted in local concepts and theories.

Attachment theory's core hypotheses in rural Andean Peru

This is the first study aiming to test two universality claims of attachment theory within a rural Andean sample from Cusco, Peru. A total of 69 mothers and their children (6 to 36 months) participated. Child attachment security was assessed with the Attachment Q-set (AQS), maternal sensitivity was measured during three naturalistic episodes (free interaction, bathing, and feeding) with the Ainsworth sensitivity scale and the Maternal Behavior Q-sort (MBQS), and a cumulative maternal risk variable was calculated. Results revealed that most children displayed less characteristic secure base behaviors in the interactions with their mothers, compared to other reference samples. Furthermore, an association between maternal sensitivity and child attachment security was found, and a negative relation between maternal sensitivity and the cumulative risk variable. These results support some of the attachment theory's universality claims, and suggest new avenues for research on assessment issues in rural samples in the Global South.

Using video observation in the family context: The association between camera-related behaviors and parental sensitivity

Research on parental sensitivity often relies on video observation of parent-infant dyads. However, to date, no study has assessed both infants' and parents' interactions with the camera, and how this relates to parental sensitivity levels. This exploratory study micro-coded camera-related behaviors (CRB) by 4-month olds and their mothers and fathers on a 1-s time base, and examined the associations between those behaviors and parental sensitivity in 75 Dutch families. While parents' CRB made up only 0.8% of total interaction time, infants' made up 12%. Multi-level time-series analyses showed that infants' CRB predicted mothers'. Infants' CRB predicted fathers' CRB, and vice versa. Maternal sensitivity was significantly lower when children looked at the camera for over one-third of total interaction time (Cohen's d = 1.26). These findings indicate further research is required to better understand how video observation might threaten ecological validity.

Mother Behavior Q-Set (MBQS)Dimensionalidad del Q-set del comportamiento materno en muestras de México, Colombia y Uruguay

La sensibilidad se refiere a la capacidad del cuidador para percibir las señales del niño, interpretarlas correctamente y responder a ellas de manera contingente y apropiada. El Q Set del Comportamiento Materno (MBQS) fue creado a partir de descripciones teóricas y empíricas de la sensibilidad. Los Q-sorts se asocian con la metodología cuantitativa debido a que asignan puntajes; además, combinan la metodología cualitativa al hacer un estudio sistemático de la subjetividad. Son pocos los artículos que se ocupan de explorar el análisis, la validez interna, la confiabilidad o la replicabilidad externa de los Q-sorts. Usualmente los datos se reducen por medio de un análisis de componentes principales o análisis factorial. Sin embargo, en los Q-sorts se correlacionan los participantes para dilucidar las relaciones entre ellos en lugar de correlacionar las variables. El objetivo de la presente investigación fue encontrar evidencia respecto a la validez basada en la estructura interna del MBQS con el apoyo del software R y el paquete qmethod. Colaboraron 37 díadas mexicanas mamá-bebés, 35 colombianas y 24 uruguayas. En el 2002, Posada y colaboradores propusieron siete escalas. Las escalas en las que nuestro modelo factorial presentó un buen ajuste son las que tienen menos ítems, lo cual puede ser indicativo de que la falta de ajuste tiene que ver con la identificación del modelo debido a que se cuenta con pocas observaciones. Consideramos que tanto el uso del MBQS para evaluar la sensibilidad como del paquete qmethod para realizar el análisis resulta novedoso, relevante y pertinente.