“…It is well accepted that risk has a cumulative effect, such that the presence of several risk factors amplifies their negative effect on child development (e.g., Atzaba-Poria, Pike, & DeaterDeckard, 2004;Evans, Li, & Whipple, 2013) as well as on the family system (Browne, Leckie, Prime, Perlman, & Jenkins, 2016;Browne, Plamondon, Prime, Puente-Duran, & Wade, 2015). Importantly, cumulative risk has been found to be negatively associated with maternal sensitivity, involving distal environment and child-driven stress risk factors (Browne et al, 2016;Neuhauser, 2016;Smaling, Huijbregts, Suurland, et al, 2016). Furthermore, previous research has shown that environmentalfamilial risk among mothers of preterm infants predicted continuation of maternal emotional distress from birth to 24 months, suggesting that the combination of prematurity together with other environment-driven stressors may be associated with chronic stress (Poehlmann, Schwichtenberg, Bolt, & Dilworth-Bart, 2009).…”