Maternal Sensitivity: a Resilience Factor against Internalizing Symptoms in Early Adolescents Born Very Preterm?

Noémie Faure1, Stéphanie Habersaat2, Mathilde Morisod Harari2

  • 1Clinic of Neonatology, Department of Pediatrics, University Hospital of Lausanne, Av. Pierre-Decker 2, 1011, Lausanne, Switzerland. Noemie.Faure@chuv.ch.

Insights

Maternal sensitivity in infancy acts as a protective factor for preterm children, reducing the risk of developing internalizing symptoms later in life. This early parenting behavior significantly impacts long-term developmental outcomes.

Area of Science:

  • Developmental Psychology
  • Neonatal Medicine
  • Child Psychiatry

Background:

  • Preterm individuals face increased risks for internalizing symptoms throughout development compared to full-term peers.
  • Early maternal interactive behavior, particularly maternal sensitivity, is recognized as a crucial resilience factor for preterm children's development.

Purpose of the Study:

  • To investigate the long-term effects of early interactive parenting behaviors on internalizing symptoms in preterm-born young adolescents.
  • To determine if maternal sensitivity during infancy mitigates developmental risks associated with prematurity.

Main Methods:

  • A longitudinal study followed 36 very preterm and 22 full-term children over 11 years.
  • Maternal interactive behavior, specifically maternal sensitivity, was assessed at 18 months postpartum.
  • Internalizing symptoms were evaluated at 11 years of age using the Child Behavior Checklist (CBCL).

Main Results:

  • A significant interaction was found between group (preterm/full-term) and maternal sensitivity at 18 months in predicting internalizing symptoms at 11 years (β = -0.526, p < 0.05).
  • Preterm children with high maternal sensitivity showed no significant difference in internalizing problems compared to full-term peers.
  • Prematurity was associated with internalizing problems, but maternal sensitivity appeared to buffer this effect.

Conclusions:

  • Maternal sensitivity in early infancy serves as a significant long-term resilience factor for very preterm individuals.
  • Positive early maternal interactions can prevent the development of internalizing problems in preterm children during early adolescence.
  • Interventions focused on enhancing maternal sensitivity may be beneficial for improving long-term mental health outcomes in preterm populations.

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