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Maternal intelligence quotient (IQ) predicts IQ and language in very preterm children at age 5 years
Rachel E Lean1, Rachel A Paul1, Christopher D Smyser2,3,4
1Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Insights
Maternal intellectual ability significantly impacts cognitive and language development in children born very preterm (VPT). Parental involvement in developmental activities can support VPT children, especially those born to mothers with lower intellectual ability.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Sociodemographic factors influence cognitive outcomes in children born very preterm (VPT).
- The role of maternal intellectual ability, a heritable trait, in VPT children's development is largely unknown.
- The interaction between maternal intellectual ability, child intellectual ability, and home cognitive stimulation requires further investigation.
Purpose of the Study:
- To investigate the association between maternal intellectual ability and cognitive/language outcomes in very preterm (VPT) and full-term (FT) children.
- To examine the influence of home cognitive stimulation, specifically parental involvement, on these associations.
- To determine if prematurity modifies the relationship between maternal and child intellectual ability.
Main Methods:
- Neurodevelopmental assessments (intellectual ability, language) at age 5 in 84 VPT and 38 FT children.
- Maternal intellectual ability estimated using the Wechsler Test of Adult Reading.
- Home cognitive stimulation measured by the StimQ-Preschool questionnaire; linear mixed-effects models used for analysis.
Main Results:
- Maternal intellectual ability independently predicted child intellectual and language abilities in both VPT and FT children.
- Associations between maternal and child intellectual ability were stronger in FT than VPT dyads.
- Mothers of VPT children reported lower levels of specific parental involvement and verbal responsiveness, with differences persisting after social background adjustment.
Conclusions:
- Maternal intellectual ability is a significant factor in the intellectual and language development of both VPT and FT children.
- Prematurity introduces variability in the heritability of intellectual ability, potentially altering expected outcomes based on maternal ability.
- Enhanced parental involvement in skill-building activities may foster cognitive development in VPT children, particularly those with mothers of lower intellectual ability.
Background:
Sociodemographic factors are linked to cognitive outcomes in children born very preterm (VPT; ≤30 weeks gestation). The influence of maternal intellectual ability, a heritable trait, is unknown. Also undetermined is the extent to which associations between maternal and child intellectual ability vary according to parenting behaviors that target cognitive stimulation in the home.
Methods:
At age 5 years, 84 VPT and 38 demographically matched full-term (FT) children underwent neurodevelopmental assessment. Children's intellectual ability was assessed using The Wechsler Preschool Primary Scale of Intelligence-III, and language was assessed with the Clinical Evaluation of Language Fundamentals Preschool-2. The Wechsler Test of Adult Reading estimated maternal intellectual ability. The StimQ-Preschool questionnaire provided a measure of cognitive stimulation in the home. Linear mixed-effects models examined independent effects and interactions between maternal intellectual ability and cognitive stimulation on children's outcomes.
Results:
After covariate adjustment, maternal intellectual ability was associated with child intellectual (p < .001) and language (p = .002) abilities. Stronger associations were observed in FT mother-child dyads (B = .63, p = .04) than VPT dyads (B = .42, p = .01). Mothers of VPT children reported lower levels of Parental Involvement in Developmental Advance (p = .007) and Parental Verbal Responsiveness (p = .04). Group differences in Parental Involvement in Developmental Advance, but not Parental Verbal Responsivity, persisted after adjusting for social background (p = .03). There was no evidence of an interaction between maternal intellectual ability and Parental Involvement in Developmental Advance (p = .34). Instead, maternal intellectual ability (p < .001) and Parental Involvement in Developmental Advance (p = .05) independently predicted VPT children's outcomes.
Conclusions:
Maternal intellectual ability is an important trait linked to VPT and FT children's intellectual and language outcomes. Prematurity increases variation in the heritability of intellectual ability and shifts children from the expected range based on maternal ability. Parental involvement in activities that help children master new skills may promote cognitive development in VPT children born to mothers of lower intellectual ability.
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