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Effect of maternal psychopathology on neurodevelopmental outcome and quality of the dyadic relationship in preterm infants: an explorative study.
J Matern Fetal Neonatal Med. 2020 Jan; 33(1):103-112.JM

Abstract

Background:

The literature shows that parents of preterm infants are at risk of psychological distress and that this may impact on the quality of the parent-child relationship and on the child's development.

Aim:

This longitudinal study was conducted to examine in preterm infants relationships between maternal psychological variables, parental protective factors, perinatal infant variables, and neurodevelopmental outcome. Furthermore, we explored the impact of these variables on the quality of the mother-infant relationship (dyadic synchrony).Subjects and methods: A total of 29 preterm infants (GA < 34 weeks) and their mothers were evaluated twice: at t0, during the infant's hospitalization in the neonatal intensive care unit (NICU), and at 12 months of infant corrected age (t2).

Results:

With the exception of decreases in anxiety and perceived social support and an increase in the rate of severe depression at follow-up, there were no significant changes between t0 and t1 assessments. The infant's perinatal risk status was the variable that impacted most on maternal psychopathology. Furthermore, our data revealed that baseline maternal stress related to the appearance of the child and to the mother's perception of her parenting role represent a risk factor in relation to developmental outcome at 12 months of corrected age. Finally, no correlations emerged between dyadic synchrony and infant perinatal data, maternal psychological variables (at t0 and at t1), or child developmental outcome at t1.

Conclusions:

Our results underline the need to identify negative maternal affective states early in the mother-child relationship and to provide mothers with adequate support in the NICU, to enhance their parental role.

Authors+Show Affiliations

Neonatal Intensive Care Unit, IRCCS Foundation Policlinico San Matteo, Pavia, Italy.Child Neurology and Psychiatry Unit, C. Mondino National Neurological Institute, Pavia, Italy.Child Neurology and Psychiatry Unit, C. Mondino National Neurological Institute, Pavia, Italy.Child Neurology and Psychiatry Unit, C. Mondino National Neurological Institute, Pavia, Italy.Neonatal Intensive Care Unit, IRCCS Foundation Policlinico San Matteo, Pavia, Italy.Epidemiology and Biometric Unit, IRCCS Foundation Policlinico San Matteo, Pavia, Italy.Consultation-Liaison Psychological Medicine Program, IRCCS Foundation Policlinico San Matteo, Pavia, Italy.Child Neurology and Psychiatry Unit, C. Mondino National Neurological Institute, Pavia, Italy. Department of Brain and Behavioural Sciences, Child Neurology and Psychiatry Unit, University of Pavia, Pavia, Italy.Neonatal Intensive Care Unit, IRCCS Foundation Policlinico San Matteo, Pavia, Italy.Child Neurology and Psychiatry Unit, C. Mondino National Neurological Institute, Pavia, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30021468

Citation

Pisoni, C, et al. "Effect of Maternal Psychopathology On Neurodevelopmental Outcome and Quality of the Dyadic Relationship in Preterm Infants: an Explorative Study." The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, vol. 33, no. 1, 2020, pp. 103-112.
Pisoni C, Spairani S, Fauci F, et al. Effect of maternal psychopathology on neurodevelopmental outcome and quality of the dyadic relationship in preterm infants: an explorative study. J Matern Fetal Neonatal Med. 2020;33(1):103-112.
Pisoni, C., Spairani, S., Fauci, F., Ariaudo, G., Tzialla, C., Tinelli, C., Politi, P., Balottin, U., Stronati, M., & Orcesi, S. (2020). Effect of maternal psychopathology on neurodevelopmental outcome and quality of the dyadic relationship in preterm infants: an explorative study. The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 33(1), 103-112. https://doi.org/10.1080/14767058.2018.1487935
Pisoni C, et al. Effect of Maternal Psychopathology On Neurodevelopmental Outcome and Quality of the Dyadic Relationship in Preterm Infants: an Explorative Study. J Matern Fetal Neonatal Med. 2020;33(1):103-112. PubMed PMID: 30021468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of maternal psychopathology on neurodevelopmental outcome and quality of the dyadic relationship in preterm infants: an explorative study. AU - Pisoni,C, AU - Spairani,S, AU - Fauci,F, AU - Ariaudo,G, AU - Tzialla,C, AU - Tinelli,C, AU - Politi,P, AU - Balottin,U, AU - Stronati,M, AU - Orcesi,S, Y1 - 2018/07/18/ PY - 2018/7/20/pubmed PY - 2020/4/2/medline PY - 2018/7/20/entrez KW - Motherhood KW - neurodevelopmental outcome KW - preterm birth KW - stress SP - 103 EP - 112 JF - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JO - J. Matern. Fetal. Neonatal. Med. VL - 33 IS - 1 N2 - Background: The literature shows that parents of preterm infants are at risk of psychological distress and that this may impact on the quality of the parent-child relationship and on the child's development.Aim: This longitudinal study was conducted to examine in preterm infants relationships between maternal psychological variables, parental protective factors, perinatal infant variables, and neurodevelopmental outcome. Furthermore, we explored the impact of these variables on the quality of the mother-infant relationship (dyadic synchrony).Subjects and methods: A total of 29 preterm infants (GA < 34 weeks) and their mothers were evaluated twice: at t0, during the infant's hospitalization in the neonatal intensive care unit (NICU), and at 12 months of infant corrected age (t2).Results: With the exception of decreases in anxiety and perceived social support and an increase in the rate of severe depression at follow-up, there were no significant changes between t0 and t1 assessments. The infant's perinatal risk status was the variable that impacted most on maternal psychopathology. Furthermore, our data revealed that baseline maternal stress related to the appearance of the child and to the mother's perception of her parenting role represent a risk factor in relation to developmental outcome at 12 months of corrected age. Finally, no correlations emerged between dyadic synchrony and infant perinatal data, maternal psychological variables (at t0 and at t1), or child developmental outcome at t1.Conclusions: Our results underline the need to identify negative maternal affective states early in the mother-child relationship and to provide mothers with adequate support in the NICU, to enhance their parental role. SN - 1476-4954 UR - https://www.unboundmedicine.com/medline/citation/30021468/Effect_of_maternal_psychopathology_on_neurodevelopmental_outcome_and_quality_of_the_dyadic_relationship_in_preterm_infants:_an_explorative_study_ L2 - http://www.tandfonline.com/doi/full/10.1080/14767058.2018.1487935 DB - PRIME DP - Unbound Medicine ER -