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Published on: June 13, 2021
The Caregiving Environment and Developmental Outcomes of Preterm Infants: Diathesis Stress or Differential
Noa Gueron-Sela1, Naama Atzaba-Poria1, Gal Meiri2
1Ben-Gurion University of the Negev.
Insights
Premature infants
Area of Science:
- Developmental Psychology
- Infant Health
- Family Studies
Background:
- Premature birth poses risks to infant development.
- The caregiving environment significantly influences child outcomes.
- Understanding these interactions is crucial for early intervention.
Purpose of the Study:
- To examine how premature birth and caregiving environment interact.
- To assess impacts on infant cognitive and social functioning.
- To explore differing effects based on prematurity status.
Main Methods:
- 150 infants (83 preterm, 67 full-term) and parents participated.
- Maternal emotional distress and family interactions assessed at 6 months.
- Infant cognitive and social functioning assessed at 12 months.
Main Results:
- Prematurity moderated effects of maternal distress and family interactions.
- Cognitive outcomes aligned with a diathesis-stress model.
- Social outcomes aligned with a differential susceptibility model.
Conclusions:
- Caregiving environment impacts preterm infants differently than full-term infants.
- Cognitive development may follow a vulnerability-stress pathway.
- Social development may be more susceptible to environmental influences.
Abstract:
The interactions between premature birth and the caregiving environment on infants' cognitive and social functioning were examined. Participants were 150 infants (83 preterm, 67 full-term) and their parents. When infants were 6 months old, parents reported on their levels of emotional distress, and triadic family interactions were filmed and coded. At 12 months of age, the infants' cognitive and social functioning was assessed. Prematurity moderated the effects of maternal (but not paternal) emotional distress and triadic interactions on infants' cognitive and social outcomes. Whereas for cognitive functioning the interactions were consistent with a diathesis-stress approach, for social functioning the interactions were consistent with a differential susceptibility approach. The differential effects of the caregiving environment between groups and outcomes are discussed.
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