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Longitudinal predictors of maternal stress and coping after very low-birth-weight birth.
Arch Pediatr Adolesc Med. 2010 Jun; 164(6):518-24.AP

Abstract

OBJECTIVE

To determine longitudinal outcomes and contributors to parental stress and coping in mothers of very low-birth-weight (VLBW) children.

DESIGN

Prospective cohort follow-up of high-risk VLBW children (n = 113), low-risk VLBW children (n = 80), and term children (n = 122) and their mothers from birth to 14 years.

SETTING

Recruitment from level III neonatal intensive care and term nurseries in a large Midwestern region with follow-up at an academic medical center.

PARTICIPANTS

A total of 315 mother-infant dyads enrolled from November 8, 1989, to February 22, 1992.

MAIN EXPOSURES

High-risk VLBW infants had bronchopulmonary dysplasia. Comparison groups were demographically similar low-risk VLBW children (without bronchopulmonary dysplasia) and term children.

MAIN OUTCOME MEASURES

Child IQ and self-report measures of parenting stress, family impact, maternal coping, education, and social support.

RESULTS

After VLBW birth, mothers attained fewer additional years of education than term mothers (P = .04). Mothers of high-risk VLBW children felt more personal stress (P = .006) and family stress (P = .009) under conditions of low social support and had greater child-related stress than term mothers; however, they also expressed the highest levels of parenting satisfaction at 14 years. They became less likely to use denial (P = .02) and mental disengagement (P = .03) as coping mechanisms over time. Except for education attainment, mothers of low-risk VLBW infants did not differ from mothers of term children and at 14 years reported the lowest stress.

CONCLUSIONS

Parenting a VLBW child had both positive and negative outcomes, dependent on child medical risk, child IQ, social support, and maternal coping mechanisms, suggesting that mothers experience posttraumatic growth and resilience after significant distress post partum.

Authors+Show Affiliations

Department of General Medical Sciences, Case Western Reserve University, 11400 Euclid Ave, Cleveland, OH 44106, USA. lynn.singer@case.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

20530301

Citation

Singer, Lynn T., et al. "Longitudinal Predictors of Maternal Stress and Coping After Very Low-birth-weight Birth." Archives of Pediatrics & Adolescent Medicine, vol. 164, no. 6, 2010, pp. 518-24.
Singer LT, Fulton S, Kirchner HL, et al. Longitudinal predictors of maternal stress and coping after very low-birth-weight birth. Arch Pediatr Adolesc Med. 2010;164(6):518-24.
Singer, L. T., Fulton, S., Kirchner, H. L., Eisengart, S., Lewis, B., Short, E., Min, M. O., Satayathum, S., Kercsmar, C., & Baley, J. E. (2010). Longitudinal predictors of maternal stress and coping after very low-birth-weight birth. Archives of Pediatrics & Adolescent Medicine, 164(6), 518-24. https://doi.org/10.1001/archpediatrics.2010.81
Singer LT, et al. Longitudinal Predictors of Maternal Stress and Coping After Very Low-birth-weight Birth. Arch Pediatr Adolesc Med. 2010;164(6):518-24. PubMed PMID: 20530301.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Longitudinal predictors of maternal stress and coping after very low-birth-weight birth. AU - Singer,Lynn T, AU - Fulton,Sarah, AU - Kirchner,H Lester, AU - Eisengart,Sheri, AU - Lewis,Barbara, AU - Short,Elizabeth, AU - Min,Meeyoung O, AU - Satayathum,Sudtida, AU - Kercsmar,Carolyn, AU - Baley,Jill E, PY - 2010/6/10/entrez PY - 2010/6/10/pubmed PY - 2010/8/4/medline SP - 518 EP - 24 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 164 IS - 6 N2 - OBJECTIVE: To determine longitudinal outcomes and contributors to parental stress and coping in mothers of very low-birth-weight (VLBW) children. DESIGN: Prospective cohort follow-up of high-risk VLBW children (n = 113), low-risk VLBW children (n = 80), and term children (n = 122) and their mothers from birth to 14 years. SETTING: Recruitment from level III neonatal intensive care and term nurseries in a large Midwestern region with follow-up at an academic medical center. PARTICIPANTS: A total of 315 mother-infant dyads enrolled from November 8, 1989, to February 22, 1992. MAIN EXPOSURES: High-risk VLBW infants had bronchopulmonary dysplasia. Comparison groups were demographically similar low-risk VLBW children (without bronchopulmonary dysplasia) and term children. MAIN OUTCOME MEASURES: Child IQ and self-report measures of parenting stress, family impact, maternal coping, education, and social support. RESULTS: After VLBW birth, mothers attained fewer additional years of education than term mothers (P = .04). Mothers of high-risk VLBW children felt more personal stress (P = .006) and family stress (P = .009) under conditions of low social support and had greater child-related stress than term mothers; however, they also expressed the highest levels of parenting satisfaction at 14 years. They became less likely to use denial (P = .02) and mental disengagement (P = .03) as coping mechanisms over time. Except for education attainment, mothers of low-risk VLBW infants did not differ from mothers of term children and at 14 years reported the lowest stress. CONCLUSIONS: Parenting a VLBW child had both positive and negative outcomes, dependent on child medical risk, child IQ, social support, and maternal coping mechanisms, suggesting that mothers experience posttraumatic growth and resilience after significant distress post partum. SN - 1538-3628 UR - https://www.unboundmedicine.com/medline/citation/20530301/Longitudinal_predictors_of_maternal_stress_and_coping_after_very_low_birth_weight_birth_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpediatrics.2010.81 DB - PRIME DP - Unbound Medicine ER -