Mira Huhtala1, Riikka Korja2, Liisa Lehtonen3, Leena Haataja4, Helena Lapinleimu3, Päivi Rautava5. 1. Department of Public Health, University of Turku, Turku, Finland; Department of Pediatrics, Turku University Hospital, Turku, Finland. Electronic address: mira.huhtala@utu.fi. 2. Department of Child Psychiatry, Turku University Hospital, Turku, Finland. 3. Department of Pediatrics, Turku University Hospital, Turku, Finland. 4. Department of Pediatric Neurology, Turku University Hospital and University of Turku, Turku, Finland. 5. Turku Clinical Research Centre, Turku University Hospital, Turku, Finland; The Department of Public Health, University of Turku, Turku, Finland.
Abstract
BACKGROUND: Preterm children are at risk for developing behavioral and emotional problems, as well as being less socially competent. Premature birth causes chronic distress in the parents. AIMS: The aim of the paper is to discover whether parental psychological well-being is associated with the social, behavioral, and functional development of very low birth weight (VLBW, ≤1500g) children at 5years of age. STUDY DESIGN: A longitudinal prospective cohort study. SUBJECTS: A cohort of 201 VLBW infants (≤1500g, <37weeks of gestation) born during 2001-2006 in Turku University Hospital, Finland was studied. OUTCOME MEASURES: At 4-year chronological age of their child, parents independently completed validated questionnaires (Beck Depression Inventory, Parenting Stress Index and Sense of Coherence Scale). At 5years, parents and day-care providers evaluated the development of the child by completing the Five to Fifteen questionnaire. RESULTS: The parents of VLBW children reported significantly more problems in child development compared to the Finnish normative data. Depressive symptoms and weaker sense of coherence in mothers, but not in fathers, were associated with more problems in child development. Parenting stress, for both mothers and fathers, was associated with developmental problems in their child at 5years of age. CONCLUSIONS: Maternal depressive symptoms and parenting stress of both parents may be risk factors for the social, behavioral, and functional development of 5-year-old preterm children. On the other hand, stronger maternal sense of coherence may be a protective factor.
BACKGROUND: Preterm children are at risk for developing behavioral and emotional problems, as well as being less socially competent. Premature birth causes chronic distress in the parents. AIMS: The aim of the paper is to discover whether parental psychological well-being is associated with the social, behavioral, and functional development of very low birth weight (VLBW, ≤1500g) children at 5years of age. STUDY DESIGN: A longitudinal prospective cohort study. SUBJECTS: A cohort of 201 VLBW infants (≤1500g, <37weeks of gestation) born during 2001-2006 in Turku University Hospital, Finland was studied. OUTCOME MEASURES: At 4-year chronological age of their child, parents independently completed validated questionnaires (Beck Depression Inventory, Parenting Stress Index and Sense of Coherence Scale). At 5years, parents and day-care providers evaluated the development of the child by completing the Five to Fifteen questionnaire. RESULTS: The parents of VLBW children reported significantly more problems in child development compared to the Finnish normative data. Depressive symptoms and weaker sense of coherence in mothers, but not in fathers, were associated with more problems in child development. Parenting stress, for both mothers and fathers, was associated with developmental problems in their child at 5years of age. CONCLUSIONS:Maternal depressive symptoms and parenting stress of both parents may be risk factors for the social, behavioral, and functional development of 5-year-old preterm children. On the other hand, stronger maternal sense of coherence may be a protective factor.
Authors: Marieke R Potijk; Andrea F de Winter; Arend F Bos; Jorien M Kerstjens; Sijmen A Reijneveld Journal: Eur Child Adolesc Psychiatry Date: 2014-10-08 Impact factor: 4.785
Authors: Rachel S Bergmans; Lawrence M Berger; Mari Palta; Stephanie A Robert; Deborah B Ehrenthal; Kristen Malecki Journal: Soc Sci Med Date: 2017-11-22 Impact factor: 4.634
Authors: Sanne A A de Laat; Marie-Louise Essink-Bot; Aleid G van Wassenaer-Leemhuis; Tanja G Vrijkotte Journal: Eur Child Adolesc Psychiatry Date: 2015-11-12 Impact factor: 4.785