Postnatal Depressive Symptoms Among Mothers and Fathers of Infants Born Preterm: Prevalence and Impacts on Children's Early Cognitive Function
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OBJECTIVE: Preterm birth is associated with lower cognitive functioning. One potential pathway is postnatal parental depression. The authors assessed depressive symptoms in mothers and fathers after preterm birth, and identified the impacts of both prematurity and parental depressive symptoms on children's early cognitive function. METHOD: Data were from the nationally representative Early Childhood Longitudinal Study, Birth Cohort (n = 5350). Depressive symptoms at 9 months were assessed by the Center for Epidemiologic Studies Depression Scale (CESD) and children's cognitive function at 24 months by the Bayley Short Form, Research Edition. Weighted generalized estimating equation models examined the extent to which preterm birth, and mothers' and fathers' postnatal depressive symptoms impacted children's cognitive function at 24 months, and whether the association between preterm birth and 24-month cognitive function was mediated by parental depressive symptoms. RESULTS: At 9 months, fathers of very preterm (<32 weeks gestation) and moderate/late preterm (32-37 weeks gestation) infants had higher CESD scores than fathers of term-born (≥37 weeks gestation) infants (p value = .02); preterm birth was not associated with maternal depressive symptoms. In multivariable analyses, preterm birth was associated with lower cognitive function at 24 months; this association was unaffected by adjustment for parental depressive symptoms. Fathers', but not mothers', postnatal depressive symptoms predicted lower cognitive function in the fully adjusted model (β = -0.11, 95% confidence interval, -0.18 to -0.03). CONCLUSION: Fathers of preterm infants have more postnatal depressive symptomology than fathers of term-born infants. Fathers' depressive symptoms also negatively impact children's early cognitive function. The national findings support early identification and treatment of fathers of preterm infants with depressive symptoms.
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Levels of psychological distress rise with the severity of prematurity, with fathers of very premature infants often experiencing greater distress compared to fathers of full-term infants.
“This is consistent with previous research indicating that levels of psychological distress rise with the severity of prematurity, with fathers of very premature infants often experiencing greater distress compared to fathers of full-term infants [45,46].”
From Fathers at risk: Effects of threatened and actual preterm birth on the course of paternal peripartum depression and anxiety (2026) · cites this paper as [46]
Evidence suggests that the severity of prematurity correlates with greater psychological strain in fathers, although this association was not explored in the present study.
“Fifth, evidence suggests that the severity of prematurity correlates with greater psychological strain in fathers [26,30,45,46], although this association was not explored in the present study.”
From Fathers at risk: Effects of threatened and actual preterm birth on the course of paternal peripartum depression and anxiety (2026) · cites this paper as [46]
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Supporting the Paternal Role and Transition Home From the NICU: A Mixed Method Study
Salazar, B. L. (2022) · The Open Journal of Occupational Therapy · doi:10.15453/2168-6408.1838 · Cited by 4 · see citing works
Mumin, J., Kader, S. B., Jeon, L., & Wells, M. B. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.121047 · Cited by 3 · see citing works
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Parental Depression After Preterm Birth: An Opportunity for Prevention
Yogman, M. W. (2021) · PEDIATRICS · doi:10.1542/peds.2021-051136 · Cited by 2 · see citing works
Hagen, I. H., Svindseth, M. F., & Vasset, F. P. (2023) · Klinisk Sygepleje · doi:10.18261/ks.37.1.3 · Cited by 1 · see citing works
A study of the infant's lived experience of neonatal intensive care
Duffy, N., Hickey, L. M., Treyvaud, K., & Delany, C. M. (2025) · Early Human Development · doi:10.1016/j.earlhumdev.2025.106254 · Cited by 1 · see citing works
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Family income trajectories and early child development: a latent class growth analysis
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“Fifth, evidence suggests that the severity of prematurity correlates with greater psychological strain in fathers [26,30,45,46], although this association was not explored in the present study.”
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Riera-Martín, A., Calvo, A., Estévez-Domingo, M., Olaskoaga, L. Z., Fernández-Jiménez, E., Sanz, Á. I., Torres, A., & Moreno-Íñiguez, M. (2026) · Early Human Development · doi:10.1016/j.earlhumdev.2026.106620
- Authors
- Cheng, E. R., Kotelchuck, M., Gerstein, E. D., Taveras, E. M., & Poehlmann-Tynan, J.
- Affiliations
- University of Wisconsin–Madison (US)
- Massachusetts General Hospital (US)
- University of Missouri–St. Louis (US)
- Corresponding author
- Cheng, Erika R.
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 2016-01
- Volume
- 37
- Issue
- 1
- Pages
- 33-42
- ISSN
- 0196-206X (ISSN-L)
- PMC
- PMC4691403
- OpenAlex
- W2104075172
- Cited by
- 50
- References
- 57
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 8 · 2021: 7 · 2020: 6 · 2019: 7 · 2018: 2 · 2017: 4 · 2016: 2
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Developmental & Behavioral Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Purdue University Indianapolis (Indiana University) (submittedVersion)
- Funders
- National Institutes of Health (5t32hd075727-02)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD075727-02, T32-HD075727)
- 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
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- preterm birth, postpartum depression, paternal depressive symptoms, maternal depressive symptoms, infant cognitive development, very preterm infants, term birth comparison
- MeSH terms
- Adult, Child Development, Child, Preschool, Cognition, Depression, Fathers, Female, Gestational Age, Humans, Infant, Infant, Premature, Longitudinal Studies, Male, United States, Prevalence, Depression, Postpartum
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