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.
Abstract

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