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Journal of Pediatrics, The

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Influence of Fathers' Early Parenting on the Development of Children Born Very Preterm and Full Term - 24/01/19

Doi : 10.1016/j.jpeds.2018.09.073 
Grace E. McMahon, BPsych(Hons) 1, 2, Megan M. Spencer-Smith, PhD 1, 2, Carmen C. Pace, PhD 2, 3, 4, 5, Alicia J. Spittle, PhD 2, 6, 7, Paulina Stedall, BPsych(Hons) 1, 2, Kate Richardson, BA(Hons) 1, 2, Jeanie L.Y. Cheong, MD 2, 7, 8, Lex W. Doyle, MD 2, 5, 7, 8, Peter J. Anderson, PhD 1, 2, Karli Treyvaud, DPsych 2, 5, 7, 9, *
1 Monash Institute of Cognitive and Clinical Neurosciences and School of Psychological Sciences, Monash University, Melbourne, Australia 
2 Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Australia 
3 Department of Adolescent Medicine, Royal Children's Hospital, Melbourne, Australia 
4 Developmental Disability and Rehabilitation Research, Murdoch Children's Research Institute, Melbourne, Australia 
5 Department of Paediatrics, University of Melbourne, Melbourne, Australia 
6 Department of Physiotherapy, University of Melbourne, Melbourne, Australia 
7 Newborn Research, Royal Women's Hospital, Melbourne, Australia 
8 Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Australia 
9 Department of Psychology and Counseling, La Trobe University, Melbourne, Australia 

*Reprint requests: Karli Treyvaud, DPsych, Department of Psychology and Counselling, La Trobe University, Plenty Road & Kingsbury Drive, Bundoora, Victoria 3086, Australia.Department of Psychology and CounsellingLa Trobe UniversityPlenty Road & Kingsbury DriveBundooraVictoria3086Australia

Abstract

Objectives

To examine factors associated with fathers' early parenting behaviors (including very preterm [VPT] birth, familial social risk, child sex, and child medical risk), and the relationship between fathers' early parenting behaviors and later child development.

Study design

Participants were 81 VPT (born <30 weeks of gestation) and 39 full-term father-child dyads. Parenting behaviors (sensitivity, structuring, nonintrusiveness, nonhostility) were assessed at 12 months of corrected age using the Emotional Availability Scales, with scores ranging from 1 (low) to 7 (high). At 24 months of corrected age, child cognitive, language, motor, and social-emotional development were assessed. Results are presented as (regression coefficients; 95% CIs).

Results

There was little evidence that VPT birth, familial social risk, or child medical risk were associated with fathers' parenting behaviors. Fathers of girls tended to be more sensitive (0.42; 0.18, 0.65), less intrusive (0.36; 0.04, 0.70), and less hostile (0.26; 0.01, 0.50) compared with fathers of boys. Higher structuring was associated with more optimal cognitive (3.29; 1.25, 5.34), and language development (4.69; 2.26, 7.14). Higher sensitivity was associated with more optimal language development 3.35 (0.95, 5.75), and more intrusive behavior was associated with more externalizing symptoms (-1.68; -3.06, -0.31).

Conclusions

Early parenting did not differ between fathers with VPT and full-term children, but fathers' parenting did vary according to child sex. Fathers' early parenting was associated with future neurodevelopment, reinforcing the need to support fathers' parenting, and include fathers in early intervention programs.

Le texte complet de cet article est disponible en PDF.

Keywords : father-child relationship, prematurity, neurodevelopment, outcome

Abbreviations : EAS, VPT


Plan


 Supported by National Health and Medical Research Council (Center for Research Excellence in Newborn Medicine 1060733; project grants 1024516, 1028822; Career Development Fellowship 1108714 [to A.S.]; Senior Research Fellowship 1081288 [to P.A.]; Career Development Fellowship 1141354 [to J.C.]). Murdoch Children's Research Institute is supported by Victorian Government's Operational Infrastructure Support Program. Funders had no involvements in study design; collection, analysis or interpretation of data; writing this article; or the decision to submit the article for publication. The authors declare no conflicts of interest.


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Vol 205

P. 195-201 - février 2019 Retour au numéro
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