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Social-emotional and behavioural issues after very preterm birth: Parental and teachers experiences
Lisette Jansen1,2, Sylke Steggerda3, Monique Rijken3
1Department of Medical Psychology, Leiden University Medical Center, Leiden, Netherlands.
Insights
Caregivers of preterm infants report social-emotional and behavioral concerns. At 10 years, parents focus on emotional development, while teachers note peer interaction challenges in very preterm children.
Area of Science:
- Pediatrics
- Developmental Psychology
- Child Behavior
Background:
- Infants born preterm (<32 weeks gestation) face heightened risks for social-emotional and behavioral issues.
- Understanding caregiver perspectives is crucial for supporting these children's development.
Purpose of the Study:
- To explore the day-to-day experiences and concerns of parents and teachers regarding the social-emotional and behavioral development of very preterm infants.
- To identify key themes in caregiver concerns and positive aspects at different developmental stages.
Main Methods:
- Qualitative thematic content analysis of open-ended questionnaire responses from parents (at 2 and 10 years) and teachers (at 10 years).
- Behavioral questionnaires were also administered.
Main Results:
- At 2 years, parental concerns focused on developmental milestones, physical development, and self/other relations.
- At 10 years, parents highlighted emotional development, whereas teachers focused on peer interaction difficulties stemming from social skill deficits.
Conclusions:
- Caregiver perspectives offer valuable insights into the social-emotional and behavioral trajectories of children born very preterm.
- Addressing specific parental and teacher concerns during follow-up care is essential for optimizing outcomes.
Abstract:
Preterm infants are at risk of developing social-emotional and behavioural difficulties. To understand the experiences of their caregivers in day-to-day life, parents (at 2 and 10 years) and teachers (at 10 years) completed a behavioural questionnaire and answered two open-ended questions addressing their concerns and the most positive aspects regarding their child and/or pupil (born <32 weeks gestation). Their answers were analyzed using thematic content analysis. Parental concerns at two years related equally to themes in the clusters Developmental Milestones, Physical Development and Development in Relation to the Self and Others. At 10 years, both parents and teachers reported mainly within the cluster Development in Relation to the Self and Others, but the underlying themes differed. While parents more often mentioned their child's emotional development, teachers were more concerned about their pupils' difficulties interacting with their peers, due to a lack of social skills. In-depth qualitative analysis of what parents and teachers experience from day-to-day improves our understanding of the social-emotional and behavioural development of children born very preterm, revealing important topics that should be addressed during follow-up.
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