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Parental stress and toddler behaviour at age 18 months after pre-term birth
Karin Jackson1, Britt-Marie Ternestedt, Anders Magnuson
1Department of Health Science, Orebro University, Orebro, Sweden. karin.jackson@hi.oru.se
Insights
Parental stress and child behavior assessments were similar between mothers and fathers at 18 months post-preterm birth. Parents of very preterm infants reported higher stress and perceived behavioral differences in their children.
Area of Science:
- Developmental Psychology
- Neonatal Care
- Parenting Studies
Background:
- Preterm birth presents unique challenges for infant development and parental well-being.
- Understanding parental perceptions of stress and child behavior is crucial for early intervention.
- The impact of prematurity, gestational age, and multiple births on parent-child dynamics requires further investigation.
Purpose of the Study:
- To assess parental stress and child behavior at 18 months post-preterm birth.
- To explore correlations between parental assessments, neonatal morbidity, gestational age, and multiple births.
- To compare perceptions between mothers and fathers of preterm infants.
Main Methods:
- A cohort of 21 mothers and 19 fathers of preterm infants participated.
- Participants completed the Swedish Parenthood Stress Questionnaire (SPSQ) and the Toddler Behaviour Questionnaire (TBQ).
- Data analysis explored relationships between parental stress, child behavior, and birth characteristics.
Main Results:
- Mothers reported slightly higher parental stress than fathers.
- Parents of infants born between 25-30 weeks gestational age and those with twins/triplets reported increased stress, though not statistically significant.
- Parents of infants born between 25-30 weeks gestational age rated their children's intensity/activity significantly higher (p = 0.002); significant correlation found between parental stress and child behavior regularity (p = 0.016).
Conclusions:
- Mothers' and fathers' assessments of their stress and children's behavior were largely consistent.
- Parents of very preterm infants experienced greater stress and perceived some social behavior delays in their children, potentially linked to lower gestational age.
- Findings highlight the need for targeted support for parents of very preterm infants.
Aim:
To describe the parent's judgement of their own stress and the child's behaviour at 18 months after pre-term birth and if there are any correlations between these assessments, the morbidity in the neonatal period, the gestational age at birth and the occurrence of twin/triplet births.
Method:
Twenty-one mothers and 19 fathers of pre-term infants answered two questionnaires, The Swedish Parenthood Stress Questionnaire (SPSQ) and The Toddler Behaviour Questionnaire (TBQ).
Results:
Mothers scored somewhat higher than fathers concerning parental stress. Parents with twins/triplets and of children born in gestational week 25-30 felt more stress, though the differences were not statistically significant. High-risk diagnoses did not correlate to any of the dimensions. The parents judged the behaviour of the children similar except that parents of children born in gestational week 25-30 scored significantly higher for intensity/activity (p = 0.002). The correlation between parental stress and judgement of their children's behaviour did not show any significant association except for the dimension regularity in TBQ (p = 0.016).
Conclusions:
The mothers' and fathers' assessments of their own stress and of the children's behaviour were similar. Parents of very pre-term children felt more stress and judged the children somewhat delayed in their social behaviours, probably due to their low gestational age.
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