Maternal reflective functioning and precursors of theory of mind and executive functioning in 20-month-old children

Objective: To examine (a) the effect of maternal reflective functioning (RF) on precursors of theory of mind (ToM) and executive functioning (EF) in 20-month-old children, (b) the relation between ToM and EF at 20 months, and (c) the effectiveness of an early intervention program aimed, among others, at improving maternal RF. Method: The sample consisted of 118 mother-child dyads. Maternal RF was assessed during pregnancy using the Pregnancy Interview-Revised and at 20 months using the Parent Development Interview. At 20 months children’s ToM understanding was examined using a simple visual perspective (VP) taking task, a discrepant desires (DD) task and an imitation task; EF performance was assessed using a delay task (inhibition) and a working memory (WM) task called ‘hide the pots’. The Child Behavior Checklist was conducted to assess children’s problem behavior. Results: Children of mothers low on maternal RF, especially child-related RF, showed significantly worse VP-taking...Show moreObjective: To examine (a) the effect of maternal reflective functioning (RF) on precursors of theory of mind (ToM) and executive functioning (EF) in 20-month-old children, (b) the relation between ToM and EF at 20 months, and (c) the effectiveness of an early intervention program aimed, among others, at improving maternal RF. Method: The sample consisted of 118 mother-child dyads. Maternal RF was assessed during pregnancy using the Pregnancy Interview-Revised and at 20 months using the Parent Development Interview. At 20 months children’s ToM understanding was examined using a simple visual perspective (VP) taking task, a discrepant desires (DD) task and an imitation task; EF performance was assessed using a delay task (inhibition) and a working memory (WM) task called ‘hide the pots’. The Child Behavior Checklist was conducted to assess children’s problem behavior. Results: Children of mothers low on maternal RF, especially child-related RF, showed significantly worse VP-taking capacities compared with children of mothers average/high on RF. A significant moderating effect of children’s problem behavior was present; children with high attention problems or a high withdrawn level were more affected by their mothers’ low RF capacities. No unequivocal and significant effects of maternal RF on DD, imitation and EF performance were found. In addition, only a significant correlation between DD and WM performance was present. The effectiveness of the early intervention program regarding improving RF could not be confirmed. Conclusions: Early intervention programs should focus on improving child-related aspects of maternal RF of mothers at risk for being low on RF, especially when their children show problem behavior. Future research should reexamine both the effect of maternal RF on ToM and EF, and the relationship between ToM and EF at e.g. 2.5 years.Show less

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Maternal reflective functioning and precursors of theory of mind and executive functioning in 20-month-old children