Vol.:(0123456789) 1 3
Child Psychiatry & Human Development
https://doi.org/10.1007/s10578-020-01046-w
ORIGINAL ARTICLE
Patterns of Associations Between Maternal Symptoms and Child
Problem Behaviors: The Mediating Role of Mentalization, Negative
Intentionality, and Unsupportive Emotion Socialization
Gizem Arikan
1
· Asiye Kumru
1
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract
We examined how maternal depression, anxiety, hostility, mentalization, negative intentionality (NI), and unsupportive
emotion socialization (UES) predict child internalizing and externalizing problem behaviors (CIEPB). Mothers (N = 537)
of toddlers (M
age
= 23.26 months, Range 10–44 months) completed the Brief Symptom Inventory, the Parental Refective
Functioning Questionnaire, the Infant Intentionality Questionnaire, the Coping with Children’s Negative Emotions Scale,
and the Child Behavior Checklist. All maternal symptoms negatively predicted mentalization and positively predicted NI,
UES, and CIEPB. NI and UES mediated the relationship between maternal symptoms and CIEPB. Negative intentionality
mediated the link between maternal hostility and internalizing behaviors, indicating a possible intervention area. Mentali-
zation had an efect on externalizing behaviors only for high-SES, anxious mothers, underscoring the role of SES. Thus,
the relationship between maternal symptoms, cognitive and behavioral parenting characteristics and CIEPB supports the
multifnality principle for early childhood psychopathology development and shows the importance of screening for maternal
symptoms and CIEPB.
Keywords Maternal symptoms · Mentalization · Negative intentionality · Unsupportive emotion socialization · Child
problem behaviors
Early childhood problem behaviors are known to be the frst
indicators of adjustment issues [1, 2], which are leading fac-
tors in the development of various psychological problems
such as depression [3], substance abuse, and anxiety [4].
Two categories of problem behaviors have been extensively
explored—namely, internalizing and externalizing behav-
iors [5]. Externalizing behaviors involve aggressive behav-
iors and hyperactivity in children, triggered by anger, fear,
and frustration, whereas internalizing behaviors typically
indicate anxiety and depression in the form of social with-
drawal and fearfulness [5]. These problem behaviors become
detectable from as early as 12 months [6, 7] and are likely
to persist from early childhood [8] into adolescence [9] and
adulthood [10].
A wide array of environmental factors and parental char-
acteristics, such as personality [11] and parenting behav-
iors can contribute to the complexity of child development
[12] and the occurrence of problem behaviors. Individual
diferences in parental psychopathology, cognitions about
parenting, and emotion socialization are highly salient fac-
tors in child development. In the relevant literature, parental
psychopathology, cognitions, and socializing behaviors are
listed as critical etiological factors with unique as well as
joint contributions to problem behaviors in young children
[13]. For example, maternal depressive symptomatology
[14] and maternal anxiety [15] have been associated with
both externalization and internalization problems in chil-
dren [16–18]. Since psychopathology is also linked with
negative cognitions about the self, the world, and the future
[19], it can also contribute to negative cognitions and attri-
butions towards children [20] as well as negative maternal
parenting behaviors and unsupportive emotion socialization
[21]. However, there is a lack of research focusing on how
* Gizem Arikan
gizem.arikan@ozyegin.edu.tr
Asiye Kumru
asiye.kumru@ozyegin.edu.tr
1
Department of Psychology, Ozyegin University, Nisantepe
Mah. Orman Sok. Cekmekoy, Istanbul, Turkey