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Published on: June 13, 2021
Multiple Risk in Pregnancy- Prenatal Risk Constellations and Mother-Infant Interactions, Parenting Stress, and Child
Beate Helmikstøl1,2, Vibeke Moe3, Lars Smith3
1Department of Psychology, Ansgar University College, Fredrik Fransons Vei 4, 4635, Kristiansand, Norway. helmikstol@ansgarskolen.no.
Insights
Prenatal risk factors cluster into distinct constellations, impacting child development and parenting. Identifying these risk groups is crucial for understanding adverse developmental outcomes.
Area of Science:
- Developmental Psychology
- Maternal and Child Health
- Behavioral Science
Background:
- Multiple risk factors are linked to adverse developmental outcomes.
- Risk factors often cluster, necessitating investigation into risk constellations.
- Understanding these patterns is key to addressing child and parental outcomes.
Purpose of the Study:
- To identify patterns of prenatal risk factors using latent class analysis.
- To examine the relationship between these risk constellations and child/parental outcomes.
- To investigate the impact of prenatal risk clusters on interactional quality, parenting stress, and child behavior.
Main Methods:
- Latent class analysis was used to identify prenatal risk constellations.
- 1036 Norwegian pregnant women participated in a prospective longitudinal study.
- Mother-infant interactions, parenting stress, and child behaviors were assessed at 12 and 18 months.
Main Results:
- Three prenatal risk constellations were identified: broad risk (7.52%), mental health risk (21.62%), and low-risk (70.86%).
- Membership in the broad risk group was associated with lower interactional quality.
- Membership in the mental health risk group predicted poorer outcomes across all measures.
Conclusions:
- Prenatal risks cluster into specific constellations that have differential effects on parent-child outcomes.
- Identifying these risk constellations can inform targeted interventions.
- Understanding the interplay of prenatal risks is vital for supporting healthy child development and family well-being.
Abstract:
Multiple risk is associated with adverse developmental outcomes across domains. However, as risk factors tend to cluster, it is important to investigate formation of risk constellations, and how they relate to child and parental outcomes. By means of latent class analysis patterns of prenatal risk factors were identified, and relations to interactional quality, parenting stress, and child internalizing and externalizing behaviors were investigated. An array of prenatal risk factors was assessed in 1036 Norwegian pregnant women participating in a prospective longitudinal community-based study, Little in Norway. Mother-infant interactions were videotaped and scored with the Early Relational Health Screen (ERHS) at 12 months. The Parenting Stress Index (PSI) and Infant-Toddler Social and Emotional Assessment (ITSEA) were administered at 18 months. First, we analyzed response patterns to prenatal risks to identify number and characteristics of latent classes. Second, we investigated whether latent class membership could predict mother-child interactional quality, parenting stress, and child internalizing and externalizing behavior after the child was born. Results revealed three prenatal risk constellations: broad risk (7.52%), mental health risk (21.62%) and low-risk (70.86%). Membership in the broad risk group predicted lower scores on interactional quality, while membership in the mental health risk group predicted less favorable scores on all outcome measures. Prenatal risks clustered together in specific risk constellations that differentially related to parent, child and interactional outcomes.
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