Socio-emotional development trajectories in infants at high risk of cerebral palsy: A longitudinal cohort study
Julie Enkebølle Hansen1, Mette Skovgaard Væver1,2, Anne Stuart1
1Centre of Excellence in Early Intervention and Family Studies, Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
Insights
Infants at high risk for cerebral palsy (CP) show more socio-emotional difficulties, with parenting stress being a key predictor. Early support for parent-infant relationships is vital for intervention.
Area of Science:
- Pediatrics
- Developmental Psychology
- Neuroscience
Background:
- Infants at high risk of cerebral palsy (CP) may experience socio-emotional challenges.
- Understanding early predictors is crucial for timely intervention.
- Parenting stress can influence infant development.
Purpose of the Study:
- To examine socio-emotional development trajectories in high-risk infants for CP.
- To identify early predictors of socio-emotional difficulties in this population.
- To compare high-risk infants with typically developing peers.
Main Methods:
- Prospective, longitudinal study of Danish infants at high risk for CP and controls.
- Socio-emotional development assessed using the Ages & Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2) at multiple time points.
- Communicative, motor development, and parenting stress measured early; generalized estimating equations used for analysis.
Main Results:
- High-risk infants had significantly higher ASQ:SE-2 scores, indicating more socio-emotional difficulties.
- Both groups peaked in difficulties around 9 months.
- Parenting stress, not motor or language skills, predicted socio-emotional outcomes.
Conclusions:
- Early parenting stress significantly impacts infant socio-emotional development in high-risk CP contexts.
- Routine screening and support for parent-infant relationships are essential for early intervention.
- Integrative approaches may mitigate later mental health risks in children with CP.
Aim:
To examine trajectories of socio-emotional difficulties and identify early predictors in infants at high risk of cerebral palsy (CP) compared with typically developing peers.
Method:
This prospective, longitudinal study included Danish infants with high risk of CP, their parents, and a comparison group of typically developing peers. Socio-emotional development was assessed using the Ages & Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2) at 15 weeks, 9 months, and 15 months corrected age. Communicative development (Bayley Scales of Infant and Toddler Development, Third Edition), motor development (Alberta Infant Motor Scale), and parenting stress (Parenting Stress Index-Short Form) were measured at 15 weeks. Group differences and changes over time in socio-emotional development were examined using generalized estimating equations.
Results:
Infants at high risk of CP had significantly higher ASQ:SE-2 scores than typically developing infants, with 38% to 47% scoring above the cut-off for difficulties compared with 0% to 22% in the low-risk group. Both groups showed a peak in difficulties at 9 months. Parenting stress, but not early motor or language development, predicted socio-emotional outcomes.
Interpretation:
Findings highlight the impact of early parenting stress on infant socio-emotional development in the context of a high-risk CP diagnosis. Routine screening and early support for parent-infant relationships are crucial considerations in early intervention. These integrative efforts may help reduce later mental health risks in children with CP. Replication in larger, more diverse samples is needed.
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