Parenting and Neurobehavioral Outcomes in Children Born Moderate-to-Late Preterm and at Term.

Autor: McMahon GE; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Victoria, Australia; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia., Treyvaud K; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia; Department of Psychology and Counselling, La Trobe University, Victoria, Australia; Department of Paediatrics, University of Melbourne, Victoria, Australia; Neonatal Services, Royal Women's Hospital, Victoria, Australia., Spencer-Smith MM; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Victoria, Australia; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia., Spittle AJ; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia; Neonatal Services, Royal Women's Hospital, Victoria, Australia; Department of Physiotherapy, University of Melbourne, Victoria, Australia., Lee KJ; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia; Department of Paediatrics, University of Melbourne, Victoria, Australia; Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Victoria, Australia., Doyle LW; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia; Department of Paediatrics, University of Melbourne, Victoria, Australia; Neonatal Services, Royal Women's Hospital, Victoria, Australia; Department of Obstetrics and Gynaecology, University of Melbourne, Victoria, Australia., Cheong JL; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia; Neonatal Services, Royal Women's Hospital, Victoria, Australia; Department of Obstetrics and Gynaecology, University of Melbourne, Victoria, Australia., Anderson PJ; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Victoria, Australia; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia. Electronic address: peter.j.anderson@monash.edu.
Jazyk: angličtina
Zdroj: The Journal of pediatrics [J Pediatr] 2022 Feb; Vol. 241, pp. 90-96.e2. Date of Electronic Publication: 2021 Oct 24.
DOI: 10.1016/j.jpeds.2021.10.038
Abstrakt: Objectives: To compare the parenting environment and the relationships between parenting behaviors and concurrent child neurobehavioral outcomes at 2 years of corrected age between children born moderate-to-late preterm (MLP; 32-36 weeks of gestation) and at term (≥37 weeks of gestation).
Study Design: Participants were 129 children born MLP and 110 children born at term and their mothers. Mothers' parenting behaviors (sensitivity, structuring, nonintrusiveness, nonhostility) were assessed at 2 years of corrected age using the Emotional Availability Scales. Child cognitive and language development were assessed using the Bayley Scales of Infant and Toddler Development, and social-emotional competence using the Infant Toddler Social and Emotional Assessment.
Results: Mothers of children born MLP and at term displayed similar parenting behaviors overall, with slightly lower nonintrusiveness in mothers of children born MLP (adjusted mean difference -0.32 [-0.60, -0.04]; P = .03). In both groups of children, greater maternal sensitivity was associated with better cognitive development (P < .001 MLP; P = .02 term), increased maternal structuring was associated with better social-emotional competence (P = .02 MLP; P = .03 term), and higher maternal nonintrusiveness was associated with better cognitive, language, and social-emotional outcomes (all P < .04). Greater maternal sensitivity and structuring were associated with better language development in children born MLP but not in children born at term.
Conclusions: Parenting behaviors are important for neurobehavioral outcomes in children born MLP and at term. Language development may be more strongly influenced by select parenting behaviors in children born MLP compared with children born at term.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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