The Recorded Interaction Task: A Validation Study of a New Observational Tool to Assess Mother-Infant Bonding

Social reward responsiveness as a moderator of the association between perceived bonding with infants and depressive symptoms in postpartum women

There is a need to identify neurobiological and psychosocial risk processes for postpartum depression (PPD). Previous research links low reward responsiveness with lower reported affiliation or bond to one's infant and PPD symptoms, but the potential moderating role of reward processing in the relationship between bonding with infants and PPD has yet to be examined. The current study (n = 117) used a personally salient social reward task to examine whether neural reward responsiveness moderates the association between bonding difficulties and PPD symptoms. Postpartum women (n = 93) completed the Postpartum Bonding Questionnaire biweekly following childbirth until 8 weeks postpartum, with responses averaged across timepoints. At 8 weeks postpartum, participants completed an electroencephalogram (EEG) Social Incentive Delay task, which included social reward feedback indicating participants would see a personally salient social reward (i.e., cute photo of their infant) and neutral feedback indicating participants would see a neutral image while electroencephalogram data were collected. Participants also self-reported depressive symptoms. A larger social RewP was associated with greater perceived bonding difficulties, and social RewP and self-reported bonding interacted to predict PPD symptoms. The association between bonding difficulties and greater PPD symptoms was statistically significant only for women low in social reward responsiveness. RewP to personally salient infant social reward may be a relevant measure of brain function in the context of maternal perceived bonding and PPD risk.

Exogenous oxytocin administered to induce or augment labour is positively associated with quality of observed mother-infant bonding

Oxytocin is a key hormone in the transition to motherhood. The maternal endogenous oxytocin system facilitates many physiological and biological adaptations, including breastfeeding, maternal wellbeing, and brain plasticity. Additionally, maternal endogenous oxytocin works as a finetuned orchestrator prior to, during, and after the birth of a child to support birth progression and mother-infant bonding. Exogenous oxytocin may be administered to induce or augment labour when this is not progressing naturally and is a common obstetric intervention worldwide. However, the lasting impact of these widely varying levels of systemic exogenous oxytocin on mother-infant bonding is currently unknown. This study aimed to investigate the association between exogenous oxytocin administered to induce or augment labour and quality of observed mother-infant bonding. Thirty-eight mother and infant dyads participated (mothers aged 24-48 years; infants aged 2-5 months). Mother-infant bonding quality was assessed via the Recorded Interaction Task and hospital birth records were consulted to obtain exogenous oxytocin administration data. Demographic information and possible confounding factors were collected from dyads, and salivary oxytocin concentration was measured for both mother and infant. Mother's perception of infant sleep difficulty was identified as a confounding factor for quality of mother-infant bonding. After controlling for the confounding factor, receiving exogenous oxytocin to induce or augment labour, as opposed to not, was found to be significantly positively associated with higher quality of observed mother-infant bonding (p = 0.029). These novel findings highlight the need for further exploration, both of the impact of the treatment and of the mechanisms of action of intrapartum exogenous oxytocin on the endogenous oxytocin system. It is argued that particular focus be given to investigate action on the central oxytocin receptors, and if this may play a role in subsequent mother-infant bonding outcomes. It is vital to understand the full breadth and the clinical implications of this commonplace procedure.

Assessing mother-infant bonding: reliability of the recorded interaction task

OBJECTIVE

This study examined the intra- and inter-rater reliability of the Recorded Interaction Task (RIT); a novel tool to assess mother-infant bonding via observational methods.

BACKGROUND

Mother-infant bonding describes the reciprocal early emotional connection between mother and infant. Whilst various tools exist to assess mother-infant bonding, many incorrectly confuse this construct with mother-infant attachment. Further, available tools are limited to those that employ self-report methods, thus may reflect perceived behaviour, rather than actual behaviour. The RIT is a novel tool for observational assessment of mother-infant bonding. A standard interaction between mother and infant is recorded, and later assessed against specified bonding-related behaviours. Before its use in research, reliability testing must be undertaken to ensure the RIT may be used consistently.

METHODS

The RIT was administered to 15 mother-infant dyads. Participant recordings were assessed by three trained raters at two time points, using the RIT observation scoring sheet. Intra-rater reliability was determined by comparing scores at each time point for each rater. Inter-rater reliability was determined by assessing reliability of scores at the first time point.

RESULTS

Strong intra-rater reliability (ICC >0.86) and fair inter-rater reliability (ICC = 0.55) were observed.

CONCLUSION

The current findings support the RIT's potential to reliably assess mother-infant bonding.