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Published on: August 25, 2014
Parental psychological well-being and cognitive development of very low birth weight infants at 2 years
Mira Huhtala1, Riikka Korja, Liisa Lehtonen
1Department of Pediatrics, Turku University Hospital, Turku, Finland. mira.huhtala@utu.fi
Insights
Parental psychological well-being impacts very low birth weight (VLBW) infant cognitive development. Paternal coping and maternal stress in accepting VLBW infants are key factors influencing cognitive outcomes.
Area of Science:
- Neonatal Development
- Developmental Psychology
- Parental Mental Health
Background:
- Very low birth weight (VLBW) infants face developmental challenges.
- Parental psychological well-being is crucial for child development.
- Understanding the link between parental factors and VLBW infant cognition is vital.
Purpose of the Study:
- To investigate associations between parental psychological well-being and cognitive development in VLBW infants.
- To identify specific parental factors that correlate with cognitive outcomes in VLBW children.
Main Methods:
- Prospective cohort study of 182 VLBW infants followed up to 2 years corrected age.
- Cognitive development assessed using the Bayley Scales Mental Development Index.
- Parental psychological well-being measured via validated questionnaires (e.g., Beck Depression Inventory, Parenting Stress Index).
Main Results:
- Infant cognitive delay associated with paternal depression and parenting stress.
- Mothers of infants with cognitive delay reported higher parenting stress, particularly related to child acceptance.
- Low sense of coherence predicted depressive symptoms in both parents.
Conclusions:
- Paternal coping ability significantly correlates with VLBW infant cognitive development.
- Fathers reported increased parenting stress when their VLBW infant had cognitive delays.
- Maternal stress related to accepting a cognitively delayed VLBW infant was elevated.
Aim:
To assess the associations between cognitive development of very low birth weight (VLBW) infants and measures of parental psychological well-being.
Methods:
In this prospective cohort study, 182 VLBW infants born 1/2001-12/2006 at the Turku University Hospital, Finland, were followed up. At 2 years corrected age, cognitive development of the child was assessed using the Mental Development Index of Bayley Scales, and both parents filled in validated questionnaires defining parental psychological well-being (Beck Depression Inventory, Parenting Stress Index and Sense of Coherence Scale).
Results:
The cognitive delay of the infant was associated with paternal symptoms of depression (p = 0.007) and parenting stress (p = 0.03). Mothers of the infants with cognitive delay reported increased parenting stress related to the difficulty to accept the child (p = 0.001). Weak sense of coherence predicted depressive symptoms in both parents (p < 0.0001).
Conclusion:
Even if the fathers of VLBW infants experienced depressive symptoms less often than the mothers, the ability of the fathers to cope was significantly associated with the cognitive development of the infant. In addition, the fathers reported more parenting stress if the infant had a cognitive delay. The mothers reported more parenting stress related to accepting the VLBW infant with cognitive delay.
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