Supplemental Material Neurosciences of Infant Mental Health Development: Recent Findings and Implications for Counseling Psychology by A. Sampaio & K. Lifter, 2014, Journal of Counseling Psychology http://dx.doi.org/10.1037/cou0000035 Summary Table: Neural Correlates of Infant Mental Health Table S1 Infant mental health Perception, experience, recognition of emotion Face specialization Neural correlates 2 months - distributed brain cortical activation that overlaps the adult face-processing area (i.e., the fusiform face area and inferior occipital cortex) 4-months - enhanced amplitude of N170 to direct gaze Auditory specialization 4 months - smaller P350 and increased N450 amplitudes to mother voice when compared to unfamiliar voice Recognize different emotional states 4 months - increased Nc amplitude to happy expressions 7-month-old infants: - preferential attention to fearful expressions demonstrated by an increased Nc amplitude - integration of facial and vocal emotional information (ability to recognize emotional content and affect across modalities) Regulation of emotions 5 months - more intense startle responses in response to angry facial emotional expressions 6 months - greater physiological reactivity in infants exposed to anger, in terms of increased Respiratory Sinus Arrhythmia 7 months - angry prosody elicits a more negative ERP component than happy or neutral prosody 9 months - deceleration of the infant heart rate to infant-directed speech, independent of affective content; increased EEG power in the frontal regions in response to fear, as opposed to surprise and love/comfort 6- to 12 month-old infants - BOLD increased activation of the rostral anterior cingulate cortex, and subcortical regions as the caudate, thalamus and hypothalamus when exposed to higher inter-parental conflict (very angry tone of voice) Expression of emotions Newborn - lateralized brain response underlying stimulus-eliciting affective response 10 months - greater left frontal relative activation in response to happy than sad video stimuli, as well to mother than stranger approach Attachment Birth-2 years - cortical surface expansion of the superior and medial temporal, superior parietal, medial orbitofrontal, lateral anterior prefrontal, occipital cortices, and postcentral gyrus that is relatively larger than other regions 5–6 months - studies support a dynamic interplay between the maturation of the “social brain,” involving the orbitofrontal cortex, amygdala and temporal regions, and the establishment of an attachment relationship 8 months - increases in glucose uptake in these attachment-related brain regions, including frontal and various association regions Disruption of responsive caregiving Neglect Studies in infants - abnormal cortisol secretion in maltreated infants Studies in children - children who are neglected show atypical EEG power distribution, including lower absolute alpha power; abnormal activity in the amygdala and hippocampus as a consequence of neglect Maternal depression Infants of depressed mothers experience more negative expressions than infants of non-depressed mothers, showing altered EEG signature, namely greater relative right frontal activation Multisensorial integration Olfactory processing 6 hr - 192 hr after birth - differential pattern of changes in blood flow over the left orbitofrontal region when exposed to vanilla and colostrum smell; increased activation of the orbitofrontal cortex to maternal breast milk odor when compared to formula milk odor Somatosensory processing Newborns - Consistent neural responses (N1–P1–P2 and M60) distributed from posterior to anterior regions, generated in the primary cortex - fMRI evidence of an activation of the contralateral primary somatosensory cortex to tactile stimulation Visual processing Newborn - fast increase in synaptic density in the visual cortex in parallel with intense myelination of the visual tracts 1 month - early VEP components, such as N1, P1 and N2, play an important role in healthy brain development, as the presence of these components are associated with healthy visual stimuli processing 6 months - positive P2 component that has been associated with good neural maturation of the neonatal visual cortex Auditory processing Newborns to 12 months - P150, N250, P350, and N450 peaks components were identifiable both at birth and at 12 months 3 months of age - increase in the positive amplitudes (the P150 and P350 peaks) 6 months of age – increase in the N250 peak 6 to 9 months of age – increase in the negativities (the N250 and N450) Between 9 and 12 months of age - ERP morphology similar to the adult: P150-N250N450 complex Motor development Newborn - increased glucose metabolism in the primary sensorimotor cortex, cingulate cortex, thalamus, brain stem, cerebellum, and hippocampal region Language and cognitive development 3 months - infants are able to discriminate speech presented in normal and reversed order, exhibiting a greater functional activation of left temporal areas (similar to adults) to speech stimuli and a right frontal activation when processing normal speech 5 months - neural precursors (e.g. left dorsal prefrontal cortex) involved in joint attention processes are already being activated 9–10 months - neural signatures underlying infant attention allocation (increased Nc amplitude) were evident when 9-month-old infants viewed objects after an interactive joint attention task compared to a non-joint attention interaction