Interaction of child disability and stressful life events in predicting maternal psychological health. Results of an area-based study of very preterm infants at two years corrected age

Laura Cacciani, Domenico Di Lallo, Simone Piga, Carlo Corchia, Virgilio Carnielli, Valeria Chiandotto, Mariacristina Fertz, Silvana Miniaci, Franca Rusconi, Barbara Caravale, Marina Cuttini

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This study aimed at exploring the relationship between severe neuromotor and/or sensory disability in very preterm infants assessed at 2 years corrected age and their mothers' psychological health. Data on 581 Italian singletons born at 22-31 weeks of gestation in five Italian regions and their mothers were analyzed. Maternal psychological distress was measured through the General Health Questionnaire short version (GHQ-12). The prevalence of any maternal distress (GHQ scores. ≥. 2) and of clinical distress (scores. ≥. 5) were 31.3% and 8.1% respectively. At multivariable analysis, we found a statistically significant association between child's disability and mothers' GHQ scoring ≥5 (OR 3.45, 95% CI 1.07-11.15). Also lower maternal education appeared to increase the likelihood of psychological distress (OR 1.38, 95% CI 1.14-1.66). The impact of child disability was weaker in women who had experienced additional stressful life events since delivery, pointing to the existence of a "ceiling" effect. Maternal psychological assessment and support should be included in follow-up programs targeting very preterm infants.

Original languageEnglish
Pages (from-to)3433-3441
Number of pages9
JournalResearch in Developmental Disabilities
Volume34
Issue number10
DOIs
Publication statusPublished - 2013

Fingerprint

Premature Infants
Mothers
Psychology
Health
Maternal Health
Education
Pregnancy

Keywords

  • Follow-up
  • Maternal distress
  • Neurosensory disability
  • Preterm birth

ASJC Scopus subject areas

  • Clinical Psychology
  • Developmental and Educational Psychology

Cite this

Interaction of child disability and stressful life events in predicting maternal psychological health. Results of an area-based study of very preterm infants at two years corrected age. / Cacciani, Laura; Di Lallo, Domenico; Piga, Simone; Corchia, Carlo; Carnielli, Virgilio; Chiandotto, Valeria; Fertz, Mariacristina; Miniaci, Silvana; Rusconi, Franca; Caravale, Barbara; Cuttini, Marina.

In: Research in Developmental Disabilities, Vol. 34, No. 10, 2013, p. 3433-3441.

Research output: Contribution to journalArticle

Cacciani, Laura ; Di Lallo, Domenico ; Piga, Simone ; Corchia, Carlo ; Carnielli, Virgilio ; Chiandotto, Valeria ; Fertz, Mariacristina ; Miniaci, Silvana ; Rusconi, Franca ; Caravale, Barbara ; Cuttini, Marina. / Interaction of child disability and stressful life events in predicting maternal psychological health. Results of an area-based study of very preterm infants at two years corrected age. In: Research in Developmental Disabilities. 2013 ; Vol. 34, No. 10. pp. 3433-3441.
@article{ff5a0c16eda04d6b90cce6a48e804307,
title = "Interaction of child disability and stressful life events in predicting maternal psychological health. Results of an area-based study of very preterm infants at two years corrected age",
abstract = "This study aimed at exploring the relationship between severe neuromotor and/or sensory disability in very preterm infants assessed at 2 years corrected age and their mothers' psychological health. Data on 581 Italian singletons born at 22-31 weeks of gestation in five Italian regions and their mothers were analyzed. Maternal psychological distress was measured through the General Health Questionnaire short version (GHQ-12). The prevalence of any maternal distress (GHQ scores. ≥. 2) and of clinical distress (scores. ≥. 5) were 31.3{\%} and 8.1{\%} respectively. At multivariable analysis, we found a statistically significant association between child's disability and mothers' GHQ scoring ≥5 (OR 3.45, 95{\%} CI 1.07-11.15). Also lower maternal education appeared to increase the likelihood of psychological distress (OR 1.38, 95{\%} CI 1.14-1.66). The impact of child disability was weaker in women who had experienced additional stressful life events since delivery, pointing to the existence of a {"}ceiling{"} effect. Maternal psychological assessment and support should be included in follow-up programs targeting very preterm infants.",
keywords = "Follow-up, Maternal distress, Neurosensory disability, Preterm birth",
author = "Laura Cacciani and {Di Lallo}, Domenico and Simone Piga and Carlo Corchia and Virgilio Carnielli and Valeria Chiandotto and Mariacristina Fertz and Silvana Miniaci and Franca Rusconi and Barbara Caravale and Marina Cuttini",
year = "2013",
doi = "10.1016/j.ridd.2013.07.018",
language = "English",
volume = "34",
pages = "3433--3441",
journal = "Research in Developmental Disabilities",
issn = "0891-4222",
publisher = "Elsevier Inc.",
number = "10",

}

TY - JOUR

T1 - Interaction of child disability and stressful life events in predicting maternal psychological health. Results of an area-based study of very preterm infants at two years corrected age

AU - Cacciani, Laura

AU - Di Lallo, Domenico

AU - Piga, Simone

AU - Corchia, Carlo

AU - Carnielli, Virgilio

AU - Chiandotto, Valeria

AU - Fertz, Mariacristina

AU - Miniaci, Silvana

AU - Rusconi, Franca

AU - Caravale, Barbara

AU - Cuttini, Marina

PY - 2013

Y1 - 2013

N2 - This study aimed at exploring the relationship between severe neuromotor and/or sensory disability in very preterm infants assessed at 2 years corrected age and their mothers' psychological health. Data on 581 Italian singletons born at 22-31 weeks of gestation in five Italian regions and their mothers were analyzed. Maternal psychological distress was measured through the General Health Questionnaire short version (GHQ-12). The prevalence of any maternal distress (GHQ scores. ≥. 2) and of clinical distress (scores. ≥. 5) were 31.3% and 8.1% respectively. At multivariable analysis, we found a statistically significant association between child's disability and mothers' GHQ scoring ≥5 (OR 3.45, 95% CI 1.07-11.15). Also lower maternal education appeared to increase the likelihood of psychological distress (OR 1.38, 95% CI 1.14-1.66). The impact of child disability was weaker in women who had experienced additional stressful life events since delivery, pointing to the existence of a "ceiling" effect. Maternal psychological assessment and support should be included in follow-up programs targeting very preterm infants.

AB - This study aimed at exploring the relationship between severe neuromotor and/or sensory disability in very preterm infants assessed at 2 years corrected age and their mothers' psychological health. Data on 581 Italian singletons born at 22-31 weeks of gestation in five Italian regions and their mothers were analyzed. Maternal psychological distress was measured through the General Health Questionnaire short version (GHQ-12). The prevalence of any maternal distress (GHQ scores. ≥. 2) and of clinical distress (scores. ≥. 5) were 31.3% and 8.1% respectively. At multivariable analysis, we found a statistically significant association between child's disability and mothers' GHQ scoring ≥5 (OR 3.45, 95% CI 1.07-11.15). Also lower maternal education appeared to increase the likelihood of psychological distress (OR 1.38, 95% CI 1.14-1.66). The impact of child disability was weaker in women who had experienced additional stressful life events since delivery, pointing to the existence of a "ceiling" effect. Maternal psychological assessment and support should be included in follow-up programs targeting very preterm infants.

KW - Follow-up

KW - Maternal distress

KW - Neurosensory disability

KW - Preterm birth

UR - http://www.scopus.com/inward/record.url?scp=84882651472&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84882651472&partnerID=8YFLogxK

U2 - 10.1016/j.ridd.2013.07.018

DO - 10.1016/j.ridd.2013.07.018

M3 - Article

C2 - 23920026

AN - SCOPUS:84882651472

VL - 34

SP - 3433

EP - 3441

JO - Research in Developmental Disabilities

JF - Research in Developmental Disabilities

SN - 0891-4222

IS - 10

ER -