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Published on: January 7, 2020
Triadic interactions in families with preterm children: a comparative study with children born at term
Michela Gatta1,2, Marina Miscioscia2,3, Lorenza Svanellini2
1Childhood Adolescence Family Unit AULSS 6 Veneto.
Insights
Families with preterm infants show lower quality interactions compared to those with full-term infants. Parental stress and social support influence these family dynamics, highlighting the father
Area of Science:
- Developmental Psychology
- Family Studies
- Neonatal Care
Background:
- Parent-infant relationships are crucial for child development.
- Preterm birth can impact family dynamics and child psychological risk.
- Insensitive parenting is linked to emotional and behavioral issues in preterm children.
Purpose of the Study:
- Compare family interaction quality between preterm and at-term infants.
- Examine associations between family interactions and parental empowerment, child temperament, parenting stress, and social support.
Main Methods:
- Utilized the Lausanne Trilogue Play procedure to assess family interactions.
- Administered questionnaires on temperament, parental empowerment, social support, and parenting stress to the preterm group.
- Compared 25 families with preterm children to 26 families with at-term children.
Main Results:
- Significantly lower quality of family interactions observed in the preterm group compared to the at-term group.
- Parenting stress was associated with parental empowerment in both parents.
- Maternal stress was linked to partner's empowerment and perceived social support, indicating a protective role for fathers.
Conclusions:
- Preterm infants' families exhibit distinct interaction patterns compared to at-term infants' families.
- Parental empowerment and social support are key factors influencing parenting stress in families with preterm infants.
- Father's social support plays a protective role in maternal stress within the dyad.
Abstract:
The relationship between parents and infants born preterm is multifaceted and could present some relational patterns which are believed to predict psychological risk more than others. For example, insensitive parenting behavior has been shown to place very preterm children at greater risk of emotional and behavioral dysregulation. The main objective of this study was to compare the quality of family interactions in a sample of families with preterm children with one of the families with at-term children, exploring possible differences and similarities. The second aim of this research was to consider the associations among family interactions and parental empowerment, the child's temperament, parenting stress, and perceived social support. The sample consisted of 52 children and their families: 25 families, one with two preterm brothers with preterm children (mean 22.3 months, SD 12.17), and 26 families with children born at term (mean 22.2 months, SD 14.97). The Lausanne Trilogue Play procedure was administered to the two groups to assess the quality of their family interactions. The preterm group was also administered the Questionari Italiani del Temperamento, the Family Empowerment Scale, the Multidimensional Scale of Perceived Social Support, and the Parenting Stress Index - Short Form. Differences in the quality of family interactions emerged between the preterm and at-term groups. The preterm group showed significantly lower quality of family interactions than the at-term group. The parenting stress of both parents related to their parental empowerment, and maternal stress was also related to the partner's parental empowerment. Social support had a positive influence on parenting stress, with maternal stress also related to perceived social support from the partner, which underscores the protective role of the father on the dyad.
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