Parental Mental Health and Parenting Behaviors Following Very Preterm Birth: Associations in Mothers and Fathers and Implications for Child Cognitive Outcome.

Autor:	McMahon GE; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Australia.; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Australia., Treyvaud K; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Australia.; Department of Psychology and Counselling, La Trobe University, Australia.; Department of Paediatrics, University of Melbourne, Australia.; Neonatal Services, Royal Women's Hospital, Australia., Spittle AJ; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Australia.; Neonatal Services, Royal Women's Hospital, Australia.; Department of Physiotherapy, University of Melbourne, Australia., Giallo R; Centre for Social and Early Emotional Development, School of Psychology, Faculty of Health, Deakin University, Australia.; Intergenerational Health, Murdoch Children's Research Institute, Australia., Lee KJ; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Australia.; Department of Paediatrics, University of Melbourne, Australia.; Clinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Australia., Cheong JL; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Australia.; Neonatal Services, Royal Women's Hospital, Australia.; Department of Obstetrics and Gynaecology, University of Melbourne, Australia., Doyle LW; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Australia.; Department of Paediatrics, University of Melbourne, Australia.; Neonatal Services, Royal Women's Hospital, Australia.; Department of Obstetrics and Gynaecology, University of Melbourne, Australia., Spencer-Smith MM; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Australia.; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Australia., Anderson PJ; Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Australia.; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Australia.
Jazyk:	angličtina
Zdroj:	Journal of pediatric psychology [J Pediatr Psychol] 2023 Mar 20; Vol. 48 (3), pp. 293-304.
DOI:	10.1093/jpepsy/jsac094
Abstrakt:	Objectives: To investigate the longitudinal associations between parental mental health symptoms within 4 weeks of birth, parenting behaviors at 1 year, and child general cognitive ability at 4.5-5 years in a sample of children born very preterm (VP). This study also examined whether these associations differed based on level of family social risk. Methods: Participants were 143 children born <30 weeks' gestation and their parents. Within 4 weeks of birth, mothers' and fathers' depressive and anxiety symptoms were assessed using the Center for Epidemiologic Studies Depression Scale and Hospital Anxiety Depression Scale-Anxiety Subscale. Parents' sensitive and structuring parenting behaviors were assessed at 1 year using the Emotional Availability Scales. Child general cognitive ability was assessed at 4.5-5 years using the Wechsler Preschool & Primary Scale of Intelligence-Fourth Edition. Results: Higher maternal depressive symptoms were associated with lower levels of sensitive and structuring parenting behavior, while higher maternal anxiety symptoms were associated with higher levels of structuring parenting behavior. There was weak evidence for positive associations between mothers' sensitive parenting behavior and fathers' structuring parenting behavior and child general cognitive ability. There was also weak evidence for stronger associations between mothers' mental health symptoms, parenting behaviors, and child general cognitive ability, in families of higher compared with lower social risk. Conclusions: Depressive and anxiety symptoms experienced by mothers in the initial weeks following VP birth can have long-term effects on their parenting behaviors. Enquiring about parents' mental health during their child's hospitalization in the neonatal intensive care unit is crucial. (© The Author(s) 2023. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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