Mother–infant interaction is influenced by the amount of holding in preterm infants

Korja, Riikka; Maunu, Jonna; Kirjavainen, Jarkko; Savonlahti, Elina; Haataja, Leena; Lapinleimu, Helena; Manninen, Hanna E.; Piha, Jorma; Lehtonen, Liisa

doi:10.1016/j.earlhumdev.2007.06.006

Cited by 64 publications

(67 citation statements)

References 36 publications

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“…This is a very relevant finding and reinforces the importance for parents of an early physical contact with their baby, both to reduce stress and to promote positive early interactions that will favor a secure attachment. 27,28 This is also consistent with studies that suggest that physical contact and emotional closeness between mother and child are critical for the physical and emotional well-being of both. 29 In addition, our results show that the most stressful factor for parents in relation to their baby's condition is the requirement of respiratory support.…”

Section: Discussionsupporting

confidence: 86%

Stress in parents of very low birth weight preterm infants hospitalized in neonatal intensive care units. A multicenter study

Wormald

Tapia

Torres³

et al. 2015

Arch Argent Pediat

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Section: Discussionsupporting

confidence: 86%

Stress in parents of very low birth weight preterm infants hospitalized in neonatal intensive care units. A multicenter study

Wormald

Tapia

Torres³

et al. 2015

Arch Argent Pediat

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“…8,9 It has been previously indicated that prolonged crying in preterm infants, but not in full-term infants, is associated with less maternal emotional involvement and communication, suggesting that the mothers of preterm infants are more vulnerable to the impact of prolonged crying. 33 Furthermore, our findings indicated a strong association between maternal stress and parentreported behavioral problems. This result suggests that parental stress may have a mediating role between crying and behavior.…”

Section: Discussionmentioning

confidence: 52%

Preterm Infant’s Early Crying Associated With Child’s Behavioral Problems and Parents’ Stress

Korja¹,

Huhtala

Maunu³

et al. 2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Preterm infants are at an increased risk of regulatory difficulties during infancy and of behavioral problems in childhood. In the full-term population, persistent crying problems that last beyond 3 months of age have been related to later behavioral problems. WHAT THIS STUDY ADDS:Excessive crying by a preterm infant may reflect an increased risk for later behavioral problems and higher parenting stress even years later. Therefore, it is clinically relevant to assess systematically the crying behavior of preterm infants.abstract OBJECTIVE: To study how the early crying behavior of preterm infants at term, 6 weeks, and 5 months of corrected age is related to later behavioral problems at age 3 and 4 years and parenting stress at 2 and 4 years. METHODS:The study group included 202 live-born, low birth weight infants (birth weight #1500 g) born from January 2001 through December 2006 at the Turku University Hospital, Finland. A Baby Day Diary was used to assess the preterm infants' crying behavior at term, 6 weeks, and 5 months of corrected age. The children' s behavior was assessed using the Child Behavior Check List at 3 and 4 years old, and parenting stress was assessed by using the Parenting Stress Index when the child was 2 and 4 years old. RESULTS:The duration and frequency of crying bouts in infancy was associated with Child Behavior Check List scores at 4 years old and to both mothers' and fathers' stress when the child was 2 and 4 years old.CONCLUSIONS: Early excessive crying, especially if lasting up to 5 months of corrected age, is a clinically relevant signal in preterm infants because it may reflect infants' regulatory problems and/or parenting stress. The crying behavior of preterm infants should be systematically inquired about at well-baby clinics. Copyright © 2014 by the American Academy of Pediatrics FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. FUNDING:Funding for the full-time research work was received from the Emil Aaltonen Foundation and by the Hospital District of South-West Finland. The funding sources had no role in the study design; in the collection, analysis, or interpretation of data; in the writing of the article; or in the decision to submit it for publication. POTENTIAL CONFLICT OF INTEREST:The authors have indicated they have no potential conflicts of interest to disclose. Preterm infants are at a higher risk than term-born infants for regulatory difficulties during infancy and for behavioral problems in childhood. [1][2][3][4] During infancy, 1 sign of regulatory problems is excessive crying and fussing. It has been suggested that an infant' s crying pattern is biologically based but may be modified by environmental factors, such as caregiving styles and physical holding. [5][6][7][8] In test situations in previous studies, preterm infants exhibited more irritability and difficulties in negative affect and state regulation. 9,10 However, in the home environment, preterm infa...

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“…A number of social environment factors have also been found to influence long-term VLBW outcomes. Socio-economic position, family structure, and parenting educational levels have all been shown to affect outcomes of children born low birth weight [13,14] as well as early parent-child interactions and the home environment, such as parenting practices and home resources [15]. In addition, there is evidence that child-specific 'developmental' factors (early behavior problems, previous psychopathology, self-esteem and intelligence) may predict later psychological functioning [16,17].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Predictors of Psychiatric Disorders in Very Low Birth Weight Adults

Westrupp

Northam

Doyle

et al. 2011

Child Psychiatry Hum Dev

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The purpose of this study was to determine risk and protective factors for adult psychiatric disorders in very low birth weight (VLBW, birth weight <1,501 g) survivors. 79 of 154 (51%) VLBW subjects recruited at birth were assessed in early adulthood (24-27 years). Participants were screened for a psychiatric disorder; those elevated were invited to attend a structured clinical interview to determine a clinical diagnosis. Longitudinal variables measured from birth and at ages 2, 5, 14 and 18 years were included in analyses. Perinatal, developmental and social environmental risk factors failed to predict psychiatric disorder in adulthood in this cohort of VLBW survivors. Instead, low self-esteem at age 18 (odds ratio [OR] = 1.05, 95% confidence interval [CI] = 1, 1.11, p = 0.05) and the adult social environment (high rates of negative life event stress at the time of assessment: OR = 1.39, CI = 1.10, 1.76, p = 0.02), contributed significantly to adult psychiatric outcomes.

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Mother–infant interaction is influenced by the amount of holding in preterm infants

Cited by 64 publications

References 36 publications

Stress in parents of very low birth weight preterm infants hospitalized in neonatal intensive care units. A multicenter study

Stress in parents of very low birth weight preterm infants hospitalized in neonatal intensive care units. A multicenter study

Preterm Infant’s Early Crying Associated With Child’s Behavioral Problems and Parents’ Stress

Longitudinal Predictors of Psychiatric Disorders in Very Low Birth Weight Adults

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