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Published on: September 19, 2019
Associations between parental psychological well-being and socio-emotional development in 5-year-old preterm children
Mira Huhtala1, Riikka Korja2, Liisa Lehtonen3
1Department of Public Health, University of Turku, Turku, Finland; Department of Pediatrics, Turku University Hospital, Turku, Finland.
Insights
Parental psychological well-being impacts very low birth weight (VLBW) children's development. Maternal depression and parenting stress in both parents are risk factors for developmental issues in VLBW children.
Area of Science:
- Developmental Psychology
- Pediatric Health
- Maternal Mental Health
Background:
- Preterm children face risks for behavioral, emotional, and social challenges.
- Premature birth significantly impacts parental psychological well-being.
Purpose of the Study:
- To investigate the association between parental psychological well-being and the development of very low birth weight (VLBW) children.
- To assess social, behavioral, and functional development at five years of age.
Main Methods:
- Longitudinal prospective cohort study of 201 VLBW infants (≤1500g).
- Parental psychological well-being assessed at child's 4 years using validated questionnaires.
- Child development evaluated at 5 years by parents and day-care providers.
Main Results:
- VLBW children's parents reported more developmental problems than normative data.
- Maternal depressive symptoms and lower sense of coherence linked to child developmental issues.
- Parenting stress in both mothers and fathers associated with child developmental problems.
Conclusions:
- Maternal depression and parenting stress are potential risk factors for VLBW children's development.
- Stronger maternal sense of coherence may act as a protective factor for child development.
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.
Related Concept Videos
Socioemotional Development during Infancy
Primary Temperament Types
Relationship with Parents: Attachment
Social Relationships and Well-Being
Socioemotional Experience and Gender Development
Self-Evaluation: Self-Enhancement and Self-Verification
Relationship with Other Adult Family Members and Siblings

