Preterm birth and maternal sensitivity: Findings from a non-western country |
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| Affiliation: | 1. Hacettepe University Faculty of Medicine, Department of Pediatrics, Division of Developmental Pediatrics, Ankara, Turkey;2. Atılım University, Department of Psychology, Ankara, Turkey;1. Department of Linguistics and Translation, International Laboratory for Brain, Music & Sound Research (BRAMS), University of Montreal, C. P. 6128, Succursale Centre-ville, Montréal, Québec H3C 3J7, Canada;2. Department of Psychology, Huron University College at Western, London, Ontario, Canada;1. University of Cincinnati College of Nursing, 3110 Vine St, Cincinnati, OH 45221, United States;2. The Crane Center for Early Childhood Research and Policy, College of Education and Human Ecology, The Ohio State University, 175 East 7th Ave, Columbus, OH 43201, United States;3. The Ohio State University College of Nursing, 1585 Neil Ave, Columbus, OH 43214, United States;4. The Ohio State University College of Public Health, Cunz Hall, 1841 Neil Ave, Columbus, OH 43210, United States;1. Department of Tranzo, Scientific Center for Care and Welfare, Tilburg University, The Netherlands;2. International Victimology Institute Tilburg, Tilburg University, The Netherlands;3. Centre for Educational Measurement, University of Oslo, Norway;4. Department of Medical and Clinical Psychology, Tilburg University, The Netherlands;5. Virenze: Centre for Infant Mental Health, The Netherlands;6. Herlaarhof: Centre for Child and Adolescent Psychiatry, The Netherlands;1. Department of Psychology, University of Bologna, Bologna, Italy;2. Paediatric and Neonatal Intensive Care Unit, Bufalini Hospital, Cesena, Italy;1. Department of Psychology, Faculty of Philosophy, Sciences and Letters, University of São Paulo, Brazil;2. Department of Neurosciences and Behavior, Ribeirão Preto Medical School, University of São Paulo, Brazil |
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| Abstract: | IntroductionAlthough there are several studies on maternal sensitivity of preterm-born children conducted in Western countries, the factors affecting the sensitivity of mothers of preterm infants have not been investigated outside the Western context.ObjectivesThis study aimed to compare maternal sensitivity of preterm children at 18 months of corrected age with their healthy term-born peers and explore the factors associated with maternal sensitivity in a middle-income non-Western country. Moreover, the associations of maternal sensitivity with socio-demographic factors, maternal depression, and social-emotional competency and behavior problems of infants were investigated.MethodsIn total, 70 (40 preterm-born and 30 term-born) mother-child dyads participated in this study. An observation-based measurement tool, Maternal Sensitivity Scale, was used to assess maternal sensitivity. Social-emotional competency and behavior problems of infants were evaluated via The Turkish version of the Brief Infant-Toddler Social Emotional Assessment. Maternal depressive symptoms were assessed via the Beck Depression Inventory. In addition, a demographic information form was filled out by the mothers.ResultsMaternal sensitivity scores of preterm infants were significantly lower compared to term infants. Depressive symptoms scores and employment status of mothers, socio-economic status (SES), gestational age, breastfeeding duration, and behavior problems of children were the factors related to maternal sensitivity scores. In hierarchical regression analysis, SES and gestational age were the strongest predictors of maternal sensitivity. After controlling SES and gestational age, maternal depressive symptoms scores negatively predicted maternal sensitivity scores.ConclusionThis study pointed out the factors associated with the maternal sensitivity of preterm infants outside the Western context. Interventions to improve sensitive parenting behaviors of preterm infants are needed, especially in socio-economically disadvantaged groups. |
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| Keywords: | Maternal sensitivity Mother-child dyads Maternal depression Social-emotional development Preterm birth Non-western context |
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