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Published on: July 12, 2024
Socioeconomic disadvantage and parental mood/affective problems links negative parenting and executive dysfunction in
Rachel E Lean1, Emily D Gerstein2, Tara A Smyser1
1Psychiatry, Washington University School of Medicine, St. Louis, USA.
Insights
Poverty impacts children's executive function (EF). For very preterm (VPT) children, parental social-communication problems, not socioeconomic factors, affected parenting. Parental mood and social-communication issues explained negative parenting's link to poorer EF.
Area of Science:
- Developmental Psychology
- Neuroscience
- Pediatrics
Background:
- Poverty is linked to poorer executive function (EF) in full-term (FT) children, potentially mediated by parenting.
- The influence of socioeconomic and psychosocial adversity on parenting and EF in very preterm (VPT) children is less understood.
- Understanding these pathways is crucial for developing targeted interventions for vulnerable populations.
Purpose of the Study:
- To examine how socioeconomic and parental psychosocial adversity impact parenting behaviors in parents of VPT children.
- To determine if these factors independently or jointly influence EF in VPT children at age five.
- To investigate the mediating roles of parenting behaviors and parental mental health in the poverty-EF relationship.
Main Methods:
- Longitudinal study of 154 five-year-old children (88 VPT, 66 FT) and their parents.
- Assessment of socioeconomic adversity (demographics, income, neighborhood deprivation).
- Parental psychosocial factors (depression, anxiety, inattention, parenting stress, social-communication interaction (SCI) problems).
- Parent-child interactions coded for sensitivity, intrusiveness, stimulation, and regard.
- Executive function tasks administered to children.
- Statistical analyses adjusted for parent and child IQ.
Main Results:
- Parental SCI problems were associated with parenting behaviors in parents of VPT children.
- Socioeconomic adversity significantly impacted parenting in parents of FT children.
- Negative parenting behaviors, but not positive ones, were linked to child EF.
- This association was explained by parental depression/anxiety symptoms and socioeconomic adversity.
- Findings held after controlling for parent and child IQ.
Conclusions:
- Parental psychosocial factors, specifically social-communication interaction problems, play a significant role in parenting VPT children.
- Negative parenting mediates the relationship between parental mental health/adversity and child EF in VPT populations.
- Interventions targeting parental mood, affective symptoms, and SCI problems may improve executive function in VPT children.
Abstract:
Poverty increases the risk of poorer executive function (EF) in children born full-term (FT). Stressors associated with poverty, including variability in parenting behavior, may explain links between poverty and poorer EF, but this remains unclear for children born very preterm (VPT). We examine socioeconomic and parental psychosocial adversity on parenting behavior, and whether these factors independently or jointly influence EF in children born VPT. At age five years, 154 children (VPT = 88, FT = 66) completed parent-child interaction and EF tasks. Parental sensitivity, intrusiveness, cognitive stimulation, and positive and negative regard were coded with the Parent-Child Interaction Rating Scale. Socioeconomic adversity spanned maternal demographic stressors, Income-to-Needs ratio, and Area Deprivation Index. Parents completed measures of depression, anxiety, inattention/hyperactivity, parenting stress, and social-communication interaction (SCI) problems. Parental SCI problems were associated with parenting behavior in parents of children born VPT, whereas socioeconomic adversity was significant in parents of FT children. Negative parenting behaviors, but not positive parenting behaviors, were related to child EF. This association was explained by parental depression/anxiety symptoms and socioeconomic adversity. Results persisted after adjustment for parent and child IQ. Findings may inform research on dyadic interventions that embed treatment for parental mood/affective symptoms and SCI problems to improve childhood EF.
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