Table 1. Frequencies of child items on Interaction Rating Scale (18M, 30M, 42M, 7Y).
Items | Categories | 18M | 30M | 42M | 7Y | ||||
n | % | n | % | n | % | n | % | ||
Total | 231 | 100.0 | 344 | 100.0 | 207 | 100.0 | 82 | 100.0 | |
1. AUTONOMYa Child initiates interaction with caregiver. |
not evident at all | 0 | 0.0 | 1 | 0.3 | 0 | 0.0 | 0 | 0.0 |
not evident | 0 | 0.0 | 7 | 2.0 | 1 | 0.5 | 2 | 2.4 | |
neutral | 20 | 8.7 | 24 | 7.0 | 14 | 6.8 | 2 | 2.4 | |
evident | 80 | 34.6 | 118 | 34.3 | 108 | 52.1 | 29 | 35.4 | |
evident at high level | 131 | 56.7 | 194 | 56.4 | 84 | 40.6 | 49 | 59.8 | |
1. Child vocalizes while looking at the task materials. | No | 24 | 10.4 | 4 | 1.2 | 1 | 0.5 | 0 | 0.0 |
Yes | 207 | 89.6 | 340 | 98.8 | 206 | 99.5 | 82 | 100.0 | |
2. Child smiles or laughs during the episode. | No | 70 | 30.3 | 21 | 6.1 | 5 | 2.4 | 7 | 8.5 |
Yes | 161 | 69.7 | 323 | 93.9 | 202 | 97.6 | 75 | 91.5 | |
3. Child attempts to make eye contact with caregiver. | No | 40 | 17.3 | 56 | 16.3 | 9 | 4.4 | 19 | 23.2 |
Yes | 191 | 82.7 | 288 | 83.7 | 198 | 95.7 | 63 | 76.8 | |
4. Child initiates interaction with caregiver spontaneously. | No | 6 | 2.6 | 2 | 0.6 | 0 | 0.0 | 0 | 0.0 |
Yes | 225 | 97.4 | 342 | 99.4 | 207 | 100.0 | 82 | 100.0 | |
5. Child attempts to elicit caregiver’s response. | No | 50 | 21.7 | 52 | 15.1 | 23 | 11.1 | 5 | 6.1 |
Yes | 181 | 78.4 | 292 | 84.9 | 184 | 88.9 | 77 | 93.9 | |
2. RESPONSIVENESSb Child is responsive to caregiver’s behavioral cues. |
not evident at all | 0 | 0.0 | 1 | 0.3 | 0 | 0.0 | 0 | 0.0 |
not evident | 3 | 1.3 | 6 | 1.7 | 6 | 2.9 | 4 | 4.9 | |
neutral | 15 | 6.5 | 37 | 10.8 | 23 | 11.1 | 5 | 6.1 | |
evident | 77 | 33.3 | 119 | 34.6 | 110 | 53.1 | 22 | 26.8 | |
evident at high level | 136 | 58.9 | 181 | 52.6 | 68 | 32.9 | 51 | 62.2 | |
1. Child displays strong reaction during the interaction | No | 4 | 1.7 | 7 | 2.0 | 0 | 0.0 | 0 | 0.0 |
Yes | 227 | 98.3 | 337 | 98.0 | 207 | 100.0 | 82 | 100.0 | |
2. Child gazes at caregiver’s face or task materials after caregiver’s non-verbal behaviors. | No | 4 | 1.7 | 6 | 1.7 | 3 | 1.5 | 1 | 1.2 |
Yes | 227 | 98.3 | 338 | 98.3 | 204 | 98.5 | 81 | 98.8 | |
3. Child looks at caregiver’s face or eyes when caregiver attempts eye contact. | No | 55 | 23.8 | 107 | 31.1 | 20 | 9.7 | 42 | 51.2 |
Yes | 176 | 76.2 | 237 | 68.9 | 187 | 90.3 | 40 | 48.8 | |
4. Child vocalizes or babbles within five seconds after caregiver’s verbalization. | No | 44 | 19.1 | 3 | 0.9 | 2 | 1.0 | 0 | 0.0 |
Yes | 187 | 81.0 | 341 | 99.1 | 205 | 99.0 | 82 | 100.0 | |
5. Child vocalizes or babbles within five seconds of caregiver’s gestures, touch, or changes in facial expression. | No | 65 | 28.1 | 15 | 4.4 | 6 | 2.9 | 2 | 2.4 |
Yes | 166 | 71.9 | 329 | 95.6 | 201 | 97.1 | 80 | 97.6 | |
3. EMPATHYc Child behaves in accord with caregiver’s affective expression. |
not evident at all | 0 | 0.0 | 2 | 0.6 | 0 | 0.0 | 3 | 3.7 |
not evident | 3 | 1.3 | 25 | 7.3 | 15 | 7.3 | 2 | 2.4 | |
neutral | 26 | 11.3 | 70 | 20.4 | 44 | 21.3 | 9 | 11.0 | |
evident | 49 | 21.2 | 102 | 29.6 | 95 | 45.8 | 32 | 39.0 | |
evident at high level | 153 | 66.2 | 145 | 42.1 | 53 | 25.6 | 36 | 43.9 | |
1. Child gives, shows, or points to task material to share emotion with caregiver. | No | 32 | 13.9 | 57 | 16.6 | 18 | 8.7 | 11 | 13.4 |
Yes | 199 | 86.2 | 287 | 83.4 | 189 | 91.3 | 71 | 86.6 | |
2. Child looks at caregiver’s face to gather information/gain understanding. | No | 63 | 27.3 | 128 | 37.2 | 30 | 14.5 | 34 | 41.5 |
Yes | 168 | 72.7 | 216 | 62.8 | 177 | 85.5 | 48 | 58.5 | |
3. Child vocalizes or adjusts own behavior within five seconds in response to caregiver’s verbalization. (more than 50% of the time) |
No | 13 | 5.6 | 38 | 11.1 | 23 | 11.1 | 5 | 6.1 |
Yes | 218 | 94.4 | 306 | 89.0 | 184 | 88.9 | 77 | 93.9 | |
4. Child smiles at caregiver within five seconds of caregiver’s verbalization. | No | 105 | 45.5 | 50 | 14.5 | 5 | 2.4 | 17 | 20.7 |
Yes | 126 | 54.6 | 294 | 85.5 | 202 | 97.6 | 65 | 79.3 | |
5. Child behaves within five seconds in accord with caregiver’s gestures, touch, or changes in expression. | No | 52 | 22.5 | 72 | 20.9 | 59 | 28.5 | 4 | 4.9 |
Yes | 179 | 77.5 | 272 | 79.1 | 148 | 71.5 | 78 | 95.1 | |
4. MOTOR REGULATIONd Child’s behavior is clearly directed toward the task and he/she is not overactive/underactive. |
not evident at all | 0 | 0.0 | 1 | 0.3 | 0 | 0.0 | 3 | 3.7 |
not evident | 6 | 2.6 | 6 | 1.7 | 9 | 4.4 | 2 | 2.4 | |
neutral | 25 | 10.8 | 22 | 6.4 | 34 | 16.4 | 5 | 6.1 | |
evident | 65 | 28.1 | 100 | 29.1 | 103 | 49.7 | 11 | 13.4 | |
evident at high level | 135 | 58.5 | 215 | 62.5 | 61 | 29.5 | 61 | 74.4 | |
1. Child widens eyes and/or shows postural attention to task situation. | No | 1 | 0.4 | 3 | 0.9 | 0 | 0.0 | 0 | 0.0 |
Yes | 230 | 99.6 | 341 | 99.1 | 207 | 100.0 | 82 | 100.0 | |
2. Child becomes appropriately active in response to task situation. | No | 2 | 0.9 | 6 | 1.7 | 0 | 0.0 | 0 | 0.0 |
Yes | 229 | 99.1 | 338 | 98.3 | 207 | 100.0 | 82 | 100.0 | |
3. Child’s movements are clearly directed toward/away from the task or task material. | No | 1 | 0.4 | 1 | 0.3 | 0 | 0.0 | 1 | 1.2 |
Yes | 230 | 99.6 | 343 | 99.7 | 207 | 100.0 | 81 | 98.8 | |
4. Child makes clearly recognizable hand motions towards task materials during the episode. (60% or more of the time) | No | 2 | 0.9 | 7 | 2.0 | 4 | 1.9 | 2 | 2.4 |
Yes | 229 | 99.1 | 337 | 98.0 | 203 | 98.1 | 80 | 97.6 | |
5. Child is neither restless nor overactive. | No | 24 | 10.4 | 64 | 18.6 | 70 | 33.8 | 10 | 12.2 |
Yes | 207 | 89.6 | 280 | 81.4 | 137 | 66.2 | 72 | 87.8 | |
5. EMOTIONAL REGULATIONe Child adjusts his/her emotional state to a comfortable level. |
not evident at all | 1 | 0.4 | 0 | 0.0 | 0 | 0.0 | 1 | 1.2 |
not evident | 12 | 5.2 | 16 | 4.7 | 12 | 5.8 | 2 | 2.4 | |
neutral | 25 | 10.8 | 54 | 15.7 | 47 | 22.7 | 4 | 4.9 | |
evident | 80 | 34.7 | 112 | 32.5 | 88 | 42.5 | 22 | 26.8 | |
evident at high level | 113 | 48.9 | 162 | 47.1 | 60 | 29.0 | 53 | 64.7 | |
1. Child stops displaying distress cues without caregiver’s response. | No | 86 | 37.2 | 126 | 36.6 | 73 | 35.3 | 12 | 14.6 |
Yes | 145 | 62.8 | 218 | 63.4 | 134 | 64.7 | 70 | 85.4 | |
2. Child stops displaying distress cues without caregiver’s soothing attempts. | No | 70 | 30.3 | 87 | 25.3 | 45 | 21.7 | 4 | 4.9 |
Yes | 161 | 69.7 | 257 | 74.7 | 162 | 78.3 | 78 | 95.1 | |
3. Child stops displaying distress cues within 15 seconds after caregiver’s soothing attempts. | No | 1 | 0.4 | 49 | 14.2 | 28 | 13.5 | 3 | 3.7 |
Yes | 230 | 99.6 | 295 | 85.8 | 179 | 86.5 | 79 | 96.3 | |
4. Child asks caregiver for help or consolation. | No | 8 | 3.5 | 13 | 3.8 | 6 | 2.9 | 0 | 0.0 |
Yes | 223 | 96.5 | 331 | 96.2 | 201 | 97.1 | 82 | 100.0 | |
5. Child is not startled by caregiver’s movements or changes in his/her facial expression. | No | 3 | 1.3 | 0 | 0.0 | 0 | 0.0 | 1 | 1.2 |
Yes | 228 | 98.7 | 344 | 100.0 | 207 | 100.0 | 81 | 98.8 |
a–e: Tukey-Kramer multiple comparison tests (behavioral total score was used).
a18 < 30 < 42, 18 < 7Y, b18 < 30 < 42, 7Y < 42, c18 < 42, 30 < 42, d42 < 30, 42 < 18, 42 < 7Y, e18 < 7Y, 30 < 7Y, 42 < 7Y.