Transactional processes in children born preterm: influences of mother–child interactions and parenting stress
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This prospective, longitudinal study examined the transactional relations among perceived maternal parenting stress, maternal insensitivity, and child behavior across toddlerhood through age 6 within families of a child born preterm. A sample of 173 mother-child dyads were followed from just before the infant was discharged from the neonatal intensive care unit to 6 years of age, with observational measurements of maternal insensitivity and child noncompliance (24 and 36 months), maternal self-reports of perceived parenting stress (24 months, 36 months, 6 years), and maternal reports of child externalizing behavior at 6 years. Results indicated that maternal insensitivity at 36 months significantly mediated the relation between parenting stress at 24 months and externalizing behaviors at 6 years. Parenting stress was also directly associated with child noncompliance at 36 months and with child externalizing behavior at 6 years. Neonatal risk was associated with increased maternal insensitivity at 24 months, but also decreased parenting stress at 24 months. No significant "child effects" from child behavior to either maternal insensitivity or parenting stress were found. Parenting stress appears to play a critical role for children born preterm, and it is associated with children's behavior both directly and through its influence on parenting. The role of neonatal risk needs continued investigation, as families traditionally considered to be at lower risk may still face significant challenges.
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At 24 months, lower neonatal risk was associated with higher parental stress.
“at 24 months, lower neonatal risk was associated with higher stress.”
From Parental stress and mental health outcomes following very preterm birth: A systematic review of recent findings (2024) · cites this paper as Gerstein and Poehlmann-Tynan, 2015
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Sandnes, R., Le Floch, M., Riquin, E., Nocus, I., Müller, J. B., & Bacro, F. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.03.154 · Cited by 57 · see citing works
- Authors
- Gerstein, E. D., & Poehlmann-Tynan, J.
- Affiliations
- University of Missouri–St. Louis (US)
- ORCID
- Gerstein, Emily D.
- Venue
- Journal of Family Psychology
- Published
- 2015-10
- Volume
- 29
- Issue
- 5
- Pages
- 777-787
- ISSN
- 0893-3200 (ISSN-L)
- 1939-1293
- PMC
- PMC4743934
- OpenAlex
- W2403171799
- Cited by
- 44
- References
- 50
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 6 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 2 · 2017: 4 · 2016: 1
- FWCI
- 2.33
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Family Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01 HD44163, T32 HD07489, and P30 HD03352)
- University of Wisconsin
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- preterm birth, maternal parenting stress, child noncompliance, child externalizing problems, mother-child interaction, transactional processes, neonatal risk, toddler development, child behavior
- MeSH terms
- Child, Child Behavior, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Infant, Premature, Longitudinal Studies, Male, Mother-Child Relations, Prospective Studies, Stress, Psychological, Transactional Analysis, Parenting, Premature Birth
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