Cited by 52Infant Development and Preterm CareMaternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal Healthcare

Postnatal Depressive Symptoms Among Mothers and Fathers of Infants Born Preterm: Prevalence and Impacts on Children's Early Cognitive Function

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Cheng, Erika R., Kotelchuck, Milton, Gerstein, Emily D., Taveras, Elsie M., Poehlmann-Tynan, Julie·2016·Journal of Developmental & Behavioral Pediatrics

Abstract

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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  1. [3]Msall ME Sullivan MC Park J Nosarti C Murray R Hack M Pathways of risk and resilience after prematurity: role of socioeconomic status Neurodevelopmental outcomes of preterm birth from childhood to adult life 2010 Cambridge University Press 224 236
  2. [33]McDowell I Measuring health: A guide to rating scales and questionnaires 2006 3 ed. New York Oxford University Press

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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)
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
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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