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Journal of Pediatric Psychology 22(4) pp. 439-453, 1997
© 1997 Society of Pediatric Psychology

other

Face-to-Face Interaction Between Infants with Orofacial Clefts and Their Mother1

Marya C. Endriga and Matthew L. Speltz2,

Children's Hospital and Medical Center Seatle, University of Washington School of Medicine

2All correspondence concerning this article should be addressed to Marya C. Endriga, Children's Hospital and Medical Center, P.O. Box 5371, Mailstop 08, Seattle, Washington 98105-0371

Compared mother-infant face-to-face (en face) interaction among 3-month-old infants with cleft lip and palate (CLP), infants with isolated cleft palate (CP), or nonimpaired infants (NI). The Monadic Phase system (Tronick, Als, & Brazelton, 1980) was used to describe patterns of laboratory en face interaction in 116 mother-infant dyads. Diagnostic group comparisons of percentages of monadic phases and infant-mother monadic phase sequences revealed more similarities than differences. However, CP group mothers appeared less involved in en face interaction than mothers in the CLP group. Low maternal involvement in the combined cleft groups was predicted by concurrent measures of infant characteristics including infant negative reactivity, whereas low maternal involvement in the comparison group was predicted by maternal characteristics including low psychological distress. There was little evidence to suggest that anomalous facial appearance is a significant factor influencing the quality of early mother-infant interaction. Assessing other characteristics of the infant and the broader social context is also important.

Key words: cleft lip and palate; mother-infant interaction; sequencial analysis; facial disfigurement; infant temperament; social support.


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