2022 Pediatric Research Forum Session

Authors

Sofia Markee

Document Type

Presentation

Publication Date

4-21-2022

Abstract

Background: Studies investigating differences in regional brain volumes in children during early childhood are limited. Many theories suggest the anterior cingulate cortex (ACC) is at the center of the brain’s self-regulatory system playing a key role in learning and emotion. Our aim is to investigate the volume of the ACC identified with MRI and developmental outcomes in children at 18 months. We hypothesize the volume of the ACC will be larger in children who received more positive directing behaviors from their mothers during play and ACC volumes will be larger in children with higher cognitive and language scores as measured by the Bayley Scales of Infant Development (BSID-III).

Methods: Healthy term infants were recruited in Albuquerque, NM as part of a longitudinal study of parenting and child development. MRI scans were manually traced for volumes of the ACC (n=22). The BSID-III measured cognitive and language development. Maternal Attention Directing Manual (Landry 2000) was used to code free-play videos of maternal-child dyads, focusing on positive and negative maternal directing behaviors.

Results: Spearman correlation indicated an increased frequency of redirect commands, a negative maternal directing behavior, was significantly associated with smaller right ACC volumes (p=0.007); increased duration of redirect commands was negatively associated with both right-sided ACC volumes (p=0.004) and total ACC volumes (p=0.035). We also found a significant negative association between redirecting behavior and BSID-III language scores (p=0.018). Partial correlation controlling for maternal income maintained a significant negative association with redirecting commands.

Conclusion: We demonstrate a significant negative correlation between the right and total ACC volumes in children whose mothers used more redirecting commands, a form of negative maternal directing behavior. A negative impact was found between BSID-III language scores and maternal redirecting behavior. Overall, these results suggest that maternal redirecting may have a negative impact on ACC volumes and early child language development.

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