The relationship between the parents and the premature baby

Abstract

The arrival of a newborn baby confronts the parents with the loss of their own childhood and the process of mourning that this entails. In the case of a premature birth, where the often brutal experience of birth is followed by a forced separation of hospitalization, the situation is even more complicated, making it sometimes difficult for the mother to invest in the baby libidinally. The presence of a psychoanalyst working with the resuscitation team can facilitate the encounter with the parents, the baby, and the caretakers, and can, by “supposing a subject” in the baby, help to restore the bond between mother and child.     

Impaired prospective memory but intact episodic memory in intellectually average 7- to 9-year-olds born very preterm and/or very low birth weight

Relatively little is known about episodic memory (EM: memory for personally-experienced events) and prospective memory (PM: memory for intended actions) in children born very preterm (VP) or with very low birth weight (VLBW). This study evaluates EM and PM in mainstream-schooled 7- to 9-year-olds born VP (≤ 32 weeks) and/or VLBW (< 1500 g) and matches full-term children for comparison (n = 35 and n = 37, respectively). Additionally, participants were assessed for verbal and non-verbal ability, executive function (EF), and theory of mind (ToM). The results show that the VP/VLBW children were outperformed by the full-term children on the memory tests overall, with a significant univariate group difference in PM. Moreover, within the VP/VLBW group, the measures of PM, verbal ability and working memory all displayed reliable negative correlations with severity of neonatal illness. PM was found to be independent of EM and cognitive functioning, suggesting that this form of memory might constitute a domain of specific vulnerability for VP/VLBW children.     

Predictors of Child Maltreatment Potential in a National Sample of Mothers of Young Children

Although previous studies have furthered our broad ability to predict child maltreatment potential, young children remain at the highest risk for experiencing maltreatment. Thus, several variables of relevance for this population were examined. A national community sample of 158 mothers with young children between ages 1.5 and 5 years rated their young children’s temperament as well as their own temperament, emotion regulation, stress, coping, and child maltreatment potential. Young children’s mood quality as well as mothers’ mood quality, flexibility/rigidity, emotion dysregulation, parenting stress, cumulated severity of stress, and emotion-focused coping added unique incremental variance to the prediction of child maltreatment potential, accounting for 67% of the variance overall. Further, mothers’ emotion dysregulation mediated the relationship between mothers’ flexibility/rigidity and child maltreatment potential. Consequently, emotion regulation skills represent an important point of intervention for mothers of young children who are at increased risk for child maltreatment due to difficult temperament characteristics.     

Early indications of delayed cognitive development in preschool children born very preterm: evidence from domain‐general and domain‐specific tasks

Cognitive impairment often follows preterm birth but its early underlying nature is not well understood. We used a novel approach by investigating the development of colour cognition in 54 very preterm children born ?30 weeks gestational age without severe neurosensory impairment and 37 age‐matched term‐born controls, aged 2–5 years. Quantitative and qualitative differences in the development of colour cognition are well charted throughout the preschool years, enabling delayed from deviant development to be determined. Standardized domain‐general and experimental colour‐specific tests of language, attention, and memory were employed. Very preterm children showed significantly depressed language than term controls, with very preterm group girls significantly outperforming boys. Very preterm children also showed poorer attention and memory than term controls, but not significantly so. Importantly, colour‐specific tests showed qualitatively similar performance, but for naming and executive planning quantitatively poorer performance, across groups, indicating typical but delayed development. Hence, even before school entry, compared with term‐born peers, very preterm children show delayed development of cognitive processes that underpin later scholastic abilities, but the nature by which these processes operate appears to be typical of term children. If left untreated these early developmental delays may underpin later deviations from the typical developmental trajectory. Copyright © 2010 John Wiley & Sons, Ltd.     

Single mothers raising children with "male-positive" attitudes

Among the challenges facing single mothers, a particularly difficult one is how to help children develop "male-positive" attitudes in situations when the parents have broken up and children have no active relationship with the father. Despite a large academic literature on single mothering, there is strikingly little discussion on this topic. Using symbolic interactionism and family systems theory, we offer psychoeducational messages for single mothers who want to raise their children with male-positive attitudes. We also call for a new cultural conversation on an issue ignored for too long.     

处于生存极限的低出生体重儿该如何决策救治

我国极低及超低出生体重儿的出生比例已接近发达国家。但因为经济、文化、技术及社会保障制度等原因,相当多的患儿得不到合理救治。这与发达国家相比有很大差距。让医护人员做到合理评估和告知,适时放弃治疗,完善社会保障制度,加强社会舆论监督和教育,加快相关制度、法规的建立等措施有望改变这一现状。     

Cumulative psychosocial and medical risk as predictors of early infant development and parenting stress in an African-American preterm sample

The present study examined predictive linkages between cumulative psychosocial and medical risk, assessed neonatally, and infant development and parenting stress at 4 months of infant corrected age. Predominantly low-income, African-American mothers and their preterm infants served as participants. Cumulative psychosocial risk predicted early mental, but not motor development, while cumulative medical risk predicted both mental and motor development. Cumulative psychosocial risk, but not medical risk, predicted parenting stress. Few studies of preterm infants have reported links between cumulative psychosocial risk and infant development at such an early age, nor has earlier work found associations between cumulative psychosocial risk and mothers' perceptions of parenting. Results support the premise that early intervention should target both the medical and psychosocial needs of low-income families with preterm infants, and that addressing psychosocial stressors shortly after birth may improve developmental outcomes in infancy.     

How Do Mothers in Prison Differ From Non-Mothers?

Adjustment patterns and criminal characteristics of 350 incarcerated mothers of children under 21 years of age were contrasted to those of 166 women from the same institution that had never had children. There were no observed differences between mothers and non-mothers in terms of self-reported mental illness symptoms, emotional distress, or conflict with other individuals at the prison. There were also no differences in terms of institutional infractions observed by prison officials. Consistent with previous research with the same sample, there were adjustment differences between mothers reporting high versus low levels of parenting stress, but neither group of mothers evidenced different adjustment patterns relative to non-mothers. However, there were differences in criminal characteristics. Mothers were more likely than non-mothers to be incarcerated for property or drug offenses, and were more likely to have at least one current or previous drug offense in their criminal history. Non-mothers were more likely than mothers to be incarcerated for violent offenses, including homicide. Results indicate that although there are differences between mothers and non-mothers in the contexts associated with criminal behavior, both groups show the same range of adjustment problems once in prison.     

The Impact of Maternal Depression and Parenting Behaviors on Adolescents' Psychological Functioning in Romania

We examined the impact of maternal depression and parenting behaviors on adolescents' psychological functioning in Romania. The direct and indirect links between maternal depression, maternal acceptance, behavioral control, psychological control and adolescent internalizing and externalizing behaviors were analyzed. The sample consisted of 239, 12–14 year-old adolescents and their mothers. Results indicated that higher maternal depression were associated with higher levels of psychological control and higher levels of internalizing and externalizing behaviors. Higher levels of behavioral control were associated with higher levels of internalizing and externalizing behaviors in adolescents.