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Published on: June 13, 2021
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.
Abstract:
Compared with full-terms, preterm individuals are more at risk from infancy to adulthood for developing internalizing symptoms. Early maternal interactive behavior, especially maternal sensitivity, has been found to be a resilience factor in the developmental outcome of preterm children. The present longitudinal study aimed at examining whether early interactive parenting behaviors have a long term impact on the internalizing symptoms of preterm-born young adolescents. A total sample of 36 very preterm and 22 full-term children participated in an 11-year follow-up study. Maternal interactive behavior was assessed during a mother-infant interaction when the infant was 18 months old. At 11 years, internalizing symptoms were assessed with the Child Behavior Checklist (CBCL). Hierarchical regression analyses revealed that the interaction between groups (preterm/full-term) and maternal sensitivity at 18 months significantly explained CBCL internalizing symptoms at 11 years (β = -0.526; p < 0.05). Specifically, although prematurity was related to internalizing problems, preterm children with higher maternal sensitivity did not differ from their full-term-born peers on the CBCL internalizing problems domain. These results suggest that maternal sensitivity is a long-term resilience factor preventing the development of internalizing problems at early adolescence in very preterm individuals.
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