Maternal stress and behavior modulate relationships between neonatal stress, attention, and basal cortisol at 8 months in preterm infants

Tu, Mai Thanh; Grunau, Ruth E.; Petrie-Thomas, Julie; Haley, David; Weinberg, Joanne; Whitfield, Michael F.

doi:10.1002/dev.20204

Cited by 119 publications

(107 citation statements)

References 105 publications

(123 reference statements)

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“…Tu et al (2007), for example, observed significant associations among maternal reports of stress, child stress, and child salivary cortisol levels in a sample of preterm infants. Less clear, however, is whether the intervention effects that impact caregiver stress show concordant effects on child cortisol levels.…”

Section: Caregiver Stress and Foster Children's Hpa Axis Activitymentioning

confidence: 99%

Intervention effects on foster parent stress: Associations with child cortisol levels

Fisher

Stoolmiller²

2008

Dev Psychopathol

151

124

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Foster children exhibit high rates of atypical neuroendocrine functioning compared to children in the general population. In particular, alterations in the daytime diurnal activity of the hypothalamic-pituitary-adrenal (HPA) axis have been observed in foster children, often characterized by blunted salivary cortisol levels (i.e., low morning levels that remain low throughout the day). There is emerging evidence that therapeutic interventions for foster children can affect this pattern of HPA axis activity, but the specific intervention components responsible for change have not been fully explicated. Within a randomized trial to evaluate a therapeutic intervention for foster preschoolers (n = 57 intervention condition; n = 60 comparison condition; n = 60 community comparison condition), the present study examined whether diurnal cortisol activity was associated with caregiver self-reported stress in response to child problem behavior. Results showed immediate reductions in caregiver stress that were sustained through 12 months postbaseline in the intervention condition. In contrast, caregivers in the regular foster care condition showed higher rates of stress across time and increased stress sensitivity to child problem behaviors. In addition, among caregivers in regular foster care, higher self-reported stress was associated with lower morning cortisol levels and more blunted diurnal cortisol activity. These results provide evidence that interventions can simultaneously impact caregiver stress and buffer children from the negative impacts of caregiver stress on HPA axis regulation Keywords foster care; cortisol; problem behavior; caregiver stress; preschool Prevention science has great potential to improve outcomes of children in the foster care system. This is an issue of considerable public health significance given that there are more than 500,000 children in foster care in the United States, one third of whom are age 5 years or younger (U.S. Department of Health and Human Services, Administration on Children, Youth and Families, 2005). Moreover, foster care is increasingly being employed as an alternative to institutional care in developing countries (George, van Oudenhoven, & Wazir, 2001). Studies of foster children have consistently found high rates of psychosocial maladjustment and emotional/behavioral disorders (Landsverk, Garland, & Leslie, 2002). Among infants and young children in foster care, developmental delays are also very prevalent (Klee, Kronstat, & Zlotnick 1997 NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptThat such disparities exist in foster care is not surprising. In addition to maltreatment (e.g., neglect, physical abuse, and sexual abuse), foster children undergo at least one and often numerous caregiver transitions. Many of these transitions occur without warning to the child and result in the immediate loss of contact with prior caregivers, sometimes permanently (Fisher & Kim, 2007). Compounding this situation, some of these children have lacked a ...

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Section: Caregiver Stress and Foster Children's Hpa Axis Activitymentioning

confidence: 99%

Intervention effects on foster parent stress: Associations with child cortisol levels

Fisher

Stoolmiller²

2008

Dev Psychopathol

151

124

View full text Add to dashboard Cite

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“…Stress is known to be diff erent in mothers of preterm and term infants and infl uences mother-child interaction and therefore might infl uence neurodevelopment outcome of preterm infants [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

“…Stress is known to infl uence the mother-child interaction, which potentially infl uences neurobehavioral development of preterm infants [2,3]. At the age of two years very preterm infants show higher rates of behavioral problems and lower social competence scores compared to their peers born at term [5].…”

Section: Introductionmentioning

confidence: 99%

Prematurity: Influence on mother's locus of control

Pichler-Stachl

Pichler

Gramm

et al. 2011

Wien Klin Wochenschr

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The aim of the present study was to compare the beliefs of mothers of term infants with the beliefs of mothers of preterm infants in regards to their locus of control mainly influencing their personal health and well-being. Mother's beliefs regarding the level of internal (self), social external (other individuals) and fatalistic external control (e.g. chance, destiny, and religion) were assessed while mothers were admitted to hospital postnatally. Thirty-five mothers of preterm infants under 32 weeks of gestation, and 35 mothers of term infants (≥ 37 weeks of gestation) were included and participated within the first three days after delivery. Between the group of mothers of term infants and the group of mothers of preterm infants there was a significant difference in the level of fatalistic external control of health and disease they experienced. Mother's beliefs regarding internal and social external control did not differ between the two groups. When dealing with the mothers of preterm infants one should consider their strong beliefs that health and disease are largely dependent on fatalistic external factors. This might help to improve mother-child interaction and as a consequence also neurobehavioral development of the preterm infant.

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“…Aside from post-partum depression, stress has also been shown to adversely affect infant development. High levels of parental stress have been correlated with maladaptive parentinfant interactions [25,26] and lower cognitive resilience in infants [27]. Consequently, clinicians ask about parental stress and emphasize the importance of monitoring their own health.…”

Section: ) Parent-infant Dyadmentioning

confidence: 99%

Balancing Caregiver and Clinician Needs in a Mobile Health Informatics Tool for Preterm Infants

Tang¹,

Hirano²,

Cheng³

et al. 2012

Proceedings of the 6th International Conference on Pervasive Computing Technologies for Healthcare

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Abstract-Preterm infants have significantly higher rates of functional limitations and are at risk for delays in cognitive, motor, and other skills. Through high-risk infant follow-up (HRIF) programs and other early detection methods, these delays and complications can be reduced. However, these interventions require substantial resources and can create extra burden on families. In this paper, we present the results of a qualitative design study to understand the needs of these families and their professional caregivers. These results reveal diverse challenges facing parents and clinicians attempting to document, understand, and share infant health data that must be balanced in any pervasive health solution. In particular, parents described struggling with when to collect data, while clinicians reported being more concerned about what and how parents track infant health. Based on these results, we present five design implications for applications for preterm infant care, which we incorporated into the design of Estrellita, a mobile health informatics tool to support caregivers of preterm infants.

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Maternal stress and behavior modulate relationships between neonatal stress, attention, and basal cortisol at 8 months in preterm infants

Cited by 119 publications

References 105 publications

Intervention effects on foster parent stress: Associations with child cortisol levels

Intervention effects on foster parent stress: Associations with child cortisol levels

Prematurity: Influence on mother's locus of control

Balancing Caregiver and Clinician Needs in a Mobile Health Informatics Tool for Preterm Infants

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