Prenatal Superstorm Sandy stress and postnatal affectionless control as a conjoint risk for child psychopathology
Sarah O'Neill1,2, Patricia M Pehme3, Barbara Kinsella-Kammerer4
1CUNY City College, Department of Psychology, 160 Convent Avenue, New York, NY 10031, USA.
Insights
Prenatal stress from Superstorm Sandy combined with negative parenting significantly increases young children's risk for anxiety and disruptive behavior disorders. These combined effects pose a synergistic risk, highlighting the need for targeted interventions.
Area of Science:
- Developmental Psychology
- Child Psychiatry
- Environmental Health
Background:
- Prenatal stress exposure is linked to adverse child developmental outcomes.
- Parenting styles, particularly those characterized by low affection and high control, can impact child psychopathology.
- Understanding the interplay of prenatal adversity and early parenting is crucial for identifying at-risk children.
Purpose of the Study:
- To investigate the combined effects of prenatal Superstorm Sandy stress and postnatal affectionless control on early childhood psychopathology.
- To determine if the combined risk for disorders is synergistic, exceeding the sum of individual risks.
- To identify children at high risk for psychopathology due to these combined exposures.
Main Methods:
- Longitudinal study of 154 children from ages 2-5 years.
- Maternal affectionless control assessed via the Parental Bonding Instrument.
- Child psychopathology diagnosed using the Preschool Age Psychiatric Assessment and clinical interviews based on DSM-IV criteria.
Main Results:
- Children exposed to both prenatal Superstorm Sandy stress and maternal affectionless control showed significantly higher risks for disorders.
- Over 5-fold increased risk for any anxiety disorder, 12-fold for disruptive behavior disorders, and nearly 5-fold for any disorder.
- Synergistic effects were observed, with combined risks exceeding the sum of independent risks.
Conclusions:
- The conjoint effect of prenatal stress and affectionless control presents a synergistic risk for childhood psychopathology.
- Identifying children with dual exposure is critical for early intervention.
- Findings can inform the development of multi-level interventions to mitigate child psychopathology.
Abstract:
The current study investigates the conjoint effect of prenatal Superstorm Sandy stress (SS) and postnatal parenting, as measured by affectionless control (AC), in determining the risk of early childhood psychopathology. The study included 154 children (45.5% males) longitudinally tracked from ages 2-5 years. Maternal AC was assessed using the Parental Bonding Instrument. The prevalence of child diagnostic outcomes (DSM-IV anxiety disorders, phobias, and disruptive behavior disorders) was ascertained by trained clinical interviewers using maternal responses to the Preschool Age Psychiatric Assessment. Children were stratified into four groups by SS and AC status to identify synergistic effects on psychopathology exceeding the risks expected in an additive model. Children exposed to both SS and AC had over 5-fold increased risk of any anxiety disorder, a 12-fold increased risk for disruptive behavior disorders, and a nearly 5-fold increased risk of any disorder relative to the reference group of children with neither exposure. The risks of anxiety, disruptive behavior, and any disorders were synergistically greater than the sum of independent effects of the two stressors, as evident in the synergy index. Evaluation of synergistically increased risks for childhood disorders will help to identify high-risk children, which in turn could inform design of multi-level interventions to mitigate child psychopathology.
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