Infant regulatory problems and the quality of dyadic emotional connection-a proof-of-concept study in a multilingual
Julia Jaekel1,2, Anne-Kathrin Dathe2,3,4, Maire Brasseler2,4
1Unit of Psychology, Faculty of Education and Psychology, University of Oulu, Oulu, Finland.
Insights
Infant regulatory problems are linked to weaker parent-child emotional connections. The universal Welch Emotional Connection Screen (uWECS) reliably assesses these bonds across diverse families, aiding early intervention for infant well-being.
Area of Science:
- Developmental Psychology
- Infant Mental Health
- Clinical Psychology
Background:
- Infant regulatory problems (RPs) such as crying, sleeping, and feeding issues have increased.
- Close autonomic emotional connections are vital for infant homeostasis and development.
- Existing assessment methods may not be universally applicable across diverse populations.
Purpose of the Study:
- To establish proof-of-concept for a reliable, brief screening of dyadic autonomic emotional connection in infants and parents.
- To assess the association between persistent infant RPs and the quality of dyadic emotional connection in a pilot sample.
- To validate the universal Welch Emotional Connection Screen (uWECS) across linguistic and cultural differences.
Main Methods:
- A pilot study assessed 30 infants (aged 3-68 months) and their parents in Germany.
- Infant RPs were reported by parents during routine neonatal follow-up visits.
- Dyadic interactions were rated using the standardized uWECS by a multilingual team.
Main Results:
- The uWECS demonstrated high inter-rater reliability (ICC > .98) and was effective across language barriers.
- Persistent infant RPs were significantly associated with lower uWECS scores (β = -.53, p = .017).
- The uWECS can be reliably administered to socio-culturally and linguistically diverse samples.
Conclusions:
- The uWECS is a viable tool for assessing infant-parent emotional connection in clinical practice.
- Persistent infant regulatory problems are negatively associated with dyadic autonomic emotional connection quality.
- Further research with larger samples is needed to confirm findings and develop interventions for emotion regulation.
Background And Aims:
Close autonomic emotional connections with others help infants reach and maintain homoeostasis. In recent years, infant regulatory problems (RPs, i.e., crying, sleeping, and feeding or eating problems) have surged. This study has two aims: (1) Provide proof-of-concept that dyadic autonomic emotional connection between infants and parents can be reliably assessed with a brief screening, irrespective of language and culture. (2) Assess in a heterogeneous pilot sample whether the persistence of RPs during infancy is negatively associated with the quality of dyadic autonomic emotional connection.
Methods:
30 children aged 3-68 months (47% female) and their parents (83% mothers) were assessed during regular neonatal follow-up visits in Germany. Seven (23%) dyads were immigrants whose primary language was not German. At each assessment, paediatricians asked parents about infant's crying, sleeping, and feeding or eating problems. Dyadic interactions were rated by a multilingual team with the standardised universal Welch Emotional Connection Screen (uWECS) on four dimensions (attraction, vocalisation, facial communication, sensitivity/reciprocity).
Results:
Aim 1: An international team of raters was trained remotely to rate the uWECS. Reliability of α > .90 with standard raters was achieved irrespective of language mismatches (i.e., all raters scored several videos with languages they did not understand). Intra-class correlation coefficients (ICCs) among five main raters for the four uWECS dimensions ranged from .98-.99. Aim 2: Infants (n = 15 assessed longitudinally) had mean RP scores of 1.20 (SD = 1.26). Dyads had mean uWECS scores of 7.06 (SD = 2.09). Linear regression analysis showed that more persistent RPs in infancy were associated with lower uWECS scores [β = -.53, 95% CI = (-1.47, -.18), p = .017], after controlling for child sex and gestational age.
Conclusion:
This study provides proof-of-concept that the quality of mutual autonomic emotional connection among socio-culturally and linguistically heterogeneous samples can be reliably assessed with the uWECS, a brief screening that can be easily implemented in clinical practice. Pilot data suggests that persistent RPs during infancy are negatively associated with the quality of dyadic autonomic emotional connection. Replication of these findings in larger samples is warranted. Future studies need to address how to facilitate successful emotion regulation for today's children and future generations.
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