Emotional Responses of Mothers of Late‐Preterm and Term Infants

Brandon, Debra; Tully, Kristin P.; Silva, Susan G.; Malcolm, William; Murtha, Amy P.; Turner, Barbara S.; Holditch‐Davis, Diane

doi:10.1111/j.1552-6909.2011.01290.x

Cited by 131 publications

(102 citation statements)

References 44 publications

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“…Furthermore, in preterm children whose mother experienced the perinatal period as stressful, the impact of early adversities on behavioural problems and psychiatric disorders at preschool age is greater [30,35,36]. Even mothers of children born late preterm (34-37 weeks gestation) experienced significantly higher levels of emotional stress than mothers of term-born children [26]. Parents of MP children may experience more emotional stress due to worry about the child's health, anxiousness, and depressed feelings, and this may coincide with less attentive or less sensitive parenting [26,37].…”

Section: Discussionmentioning

confidence: 97%

“…As far as we know, combined effects of SES and MP birth on behavioural and emotional problems have not been assessed before. However, prior studies have shown that low SES and preterm birth are both adverse and stressful experiences for children and their parents, [7,16,26,27] for example due to hospitalization at the neonatal intensive care unit [28].…”

Section: Discussionmentioning

confidence: 99%

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Behavioural and emotional problems in moderately preterm children with low socioeconomic status: a population-based study

Potijk

Winter

Bos

et al. 2014

Eur Child Adolesc Psychiatry

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Moderately preterm (MP) birth is associated with higher rates of behavioural and emotional problems. To determine the extent to which low socioeconomic status (SES) contributes to these higher rates, we assessed independent and joint effects of MP birth and low SES, overall and by gender. Dutch preventive child health care centres provided a population-based sample of 915 MP children (32-36 weeks gestation) and 543 term-born children, born in 2002/2003. In multivariable logistic regression analyses, we determined the risk of behavioural and emotional problems per standard deviation (SD) decrease in gestational age and SES, using standardized measures for both. We also assessed three SES categories, being low (1SD or more below mean of standardized SES), intermediate (mean ± 1SD), and high (greater than mean + 1SD). The Child Behavior Checklist for 1.5-5 years was used to assess behavioural (externalizing), emotional (internalizing), and total problems at age 4 years. MP children with low SES had significantly higher total problem scores than those with high SES (11.3 vs. 5.1%, respectively). Each SD decrease in SES was associated with a 42% higher odds of elevated total problem scores (OR 1.42, 95% CI 1.14-1.77). No joint effects were found, meaning that lower gestational age independently added to the risk of behaviour problems (OR 1.24, 95% CI 1.00-1.56). Effects of MP birth and low SES were more pronounced in girls. In conclusion, MP birth and low SES multiply the risk of behavioural and emotional problems. The combination of risk factors identifies children who could benefit greatly from early intervention.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Behavioural and emotional problems in moderately preterm children with low socioeconomic status: a population-based study

Potijk

Winter

Bos

et al. 2014

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

show abstract

“…Construct validity has been demonstrated for the state anxiety subscale through concordance with the Anxiety Sensitivity Index (Peterson and Reiss 1987), while strong correlation with both the Anxiety Scale Questionnaire and Manifest Anxiety Scales (Tilton 2008) has provided evidence of concurrent validity for the trait anxiety subscale. This instrument has been successfully used among new mothers of both term and preterm infants (Brandon et al 2011;Dayan et al 2006;Kikkert et al 2010;Neu et al 2014). There is no standard cutoff for referral; however, we used a score of 30 as a threshold to signify elevated levels of anxiety.…”

Section: Psychological Evaluationmentioning

confidence: 99%

Depression and anxiety symptoms of mothers of preterm infants are decreased at 4 months corrected age with Family Nurture Intervention in the NICU

Welch

Halperin

Austin

et al. 2015

Arch Womens Ment Health

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Preterm delivery can precipitate maternal psychological morbidities. Family Nurture Intervention (FNI) was designed to minimize these by facilitating the emotional connection between mother and infant, beginning early in the infant's neonatal intensive care unit (NICU) stay. We examined depression and anxiety symptoms of mothers of preterm infants at 4 months infant corrected age (CA). One hundred fifteen mothers who delivered between 26 and 34 weeks gestational age were randomized to receive standard care (SC) or standard care plus FNI. Mothers' self-reported depressive symptoms (Center for Epidemiologic Studies Depression Scale: CES-D) and state anxiety (Spielberger State-Trait Anxiety Inventory: STAI) symptoms were assessed at enrollment, near to term age, and 4 months (CA). At 4 months CA, mean CES-D and STAI scores were significantly lower in FNI mothers compared to SC mothers. Effectiveness of FNI can only be evaluated as an integrated intervention strategy as it was not possible to control all aspects of FNI activities. Although there was considerable loss to follow-up, analyses suggest that resulting biases could have masked rather than inflated the measured effect size for depressive symptoms. FNI may be a feasible and practicable way to diminish the impact of premature delivery on maternal depressive and anxiety symptoms.

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“…Third, preterm birth has been associated with adverse mental and physical health of the mother. [42][43][44][45] Poor health of the mother may affect her possibility to foster the child 46,47 and to provide support to the offspring in adulthood, which all may impair the offspring' s ability to fulfill her or his potential. Finally, we cannot rule out that a common genetic basis may underlie the results.…”

Section: Discussionmentioning

confidence: 99%

Late-Preterm Birth and Lifetime Socioeconomic Attainments: The Helsinki Birth Cohort Study

et al. 2013

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OBJECTIVE: We examined if those born late-preterm (at 34 to 36 weeks of gestation) differed from those born at term in their maximum attained lifetime socioeconomic position (SEP) across the adult years up to 56 to 66 years, and in intergenerational social mobility from childhood parental SEP to own attained SEP. METHODS: Participants were 8993 Finnish men and women of the Helsinki Birth Cohort Study born between 1934 and 1944. Gestational age was extracted from hospital birth records and socioeconomic attainments from Finnish National Census. RESULTS: Compared with those born at term, those born late-preterm were more likely to be manual workers, have a basic or upper secondary level of education, belong to the lowest third based on their incomes, and less likely to belong to the highest third based on their incomes. Late-preterm individuals were also less likely to be upwardly mobile and more likely to be downwardly mobile; they were less likely to have higher occupations and more likely to have lower occupations than their fathers. They were also less likely to be upwardly mobile if incomes were used as the outcome of own attained SEP, and men were more likely to be downwardly mobile if education was used as the outcome of own attained SEP. CONCLUSIONS: This study demonstrates that there are considerable long-term socioeconomic disadvantages associated with late-preterm birth, which are not explained by the parent-of-origin SEP.

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Emotional Responses of Mothers of Late‐Preterm and Term Infants

Cited by 131 publications

References 44 publications

Behavioural and emotional problems in moderately preterm children with low socioeconomic status: a population-based study

Behavioural and emotional problems in moderately preterm children with low socioeconomic status: a population-based study

Depression and anxiety symptoms of mothers of preterm infants are decreased at 4 months corrected age with Family Nurture Intervention in the NICU

Late-Preterm Birth and Lifetime Socioeconomic Attainments: The Helsinki Birth Cohort Study

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