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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Maternal play behaviors, child negativity, and preterm or low birthweight toddlers' visual-spatial outcomes: testing
Janean E Dilworth-Bart1, Kyle E Miller, Amanda Hane
1Department of Human Development and Family Studies, University of Wisconsin, Madison, WI, United States. jedilworth@wisc.edu
Insights
Child negative emotionality and parenting impact visual-spatial skills in preterm/low birthweight toddlers. Higher distress was linked to poorer visual-spatial skills when mothers were more flexible during play.
Area of Science:
- Developmental Psychology
- Neuroscience
- Pediatrics
Background:
- Preterm birth and low birthweight (PTLBW) are associated with developmental risks.
- Visual-spatial development is crucial for cognitive and academic success.
- Understanding factors influencing PTLBW toddler development is essential for early intervention.
Purpose of the Study:
- To investigate the combined influence of child negative emotionality and parenting on visual-spatial development in PTLBW toddlers.
- To determine if parenting behaviors moderate the relationship between negative emotionality and visual-spatial outcomes.
Main Methods:
- Longitudinal study assessing neonatal risk, child emotionality (9 months), dyadic play interaction (16 months), and neurocognitive outcomes (24 months).
- Utilized observer-rated and parent-rated measures of negative emotionality and parenting behaviors (task changes, flexibility).
- Hierarchical regression analyses were employed to examine predictive relationships.
Main Results:
- The hypothesis that negative emotionality would moderate parenting's effect on visual-spatial skills was not supported.
- Higher observer-rated distress and a composite negativity score were associated with poorer visual-spatial processing when mothers exhibited greater flexibility.
- Maternal flexibility did not interact with difficult temperament to predict visual-spatial outcomes.
Conclusions:
- Parenting flexibility may be a crucial factor influencing visual-spatial development in PTLBW toddlers, particularly those with higher negative emotionality.
- Specific aspects of negative emotionality, like observer-rated distress, are linked to visual-spatial outcomes in the context of maternal interaction style.
- Further research is needed to elucidate the complex interplay between early temperament, parenting, and neurocognitive development in at-risk populations.
Objective:
We examined the joint roles of child negative emotionality and parenting in the visual-spatial development of toddlers born preterm or with low birthweights (PTLBW).
Method:
Neonatal risk data were collected at hospital discharge, observer- and parent-rated child negative emotionality was assessed at 9-months postterm, and mother-initiated task changes and flexibility during play were observed during a dyadic play interaction at 16-months postterm. Abbreviated IQ scores, and verbal/nonverbal and visual-spatial processing data were collected at 24-months postterm.
Results:
Hierarchical regression analyses did not support our hypothesis that the visual-spatial processing of PTLBW toddlers with higher negative emotionality would be differentially susceptible to parenting behaviors during play. Instead, observer-rated distress and a negativity composite score were associated with less optimal visual-spatial processing when mothers were more flexible during the 16-month play interaction. Mother-initiated task changes did not interact with any of the negative emotionality variables to predict any of the 24-month neurocognitive outcomes, nor did maternal flexibility interact with mother-rated difficult temperament to predict the visual-spatial processing outcomes.
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