TY - JOUR
T1 - Socioeconomic disadvantage and parental mood/affective problems links negative parenting and executive dysfunction in children born very preterm
AU - Lean, Rachel E.
AU - Gerstein, Emily D.
AU - Smyser, Tara A.
AU - Smyser, Christopher D.
AU - Rogers, Cynthia E.
N1 - Funding Information:
This work was supported by the National Institutes of Health (R01-HD057098, R01-MH113570, R01-MH113883, K02-NS089852, UL1-TR000448, K23-MH105179, K01-MH122735), Intellectual and Developmental Disabilities Research Center at Washington University (U54-HD087011), Cerebral Palsy International Research Foundation, The Dana Foundation, March of Dimes, The Child Neurology Foundation, The Doris Duke Charitable Foundation, and a NARSAD Young Investigator Grant (#28521) from the Brain & Behavior Research Foundation. We thank current and past members of the Washington University Neonatal Developmental Research Group for study coordination and data collection, the Intellectual and Developmental Disabilities Research Center at Washington University for assistance with data collection, and the families involved with the study.
Publisher Copyright:
© The Author(s), 2021. Published by Cambridge University Press.
PY - 2021
Y1 - 2021
N2 - Poverty increases the risk of poorer executive function (EF) in children born full-term (FT). Stressors associated with poverty, including variability in parenting behavior, may explain links between poverty and poorer EF, but this remains unclear for children born very preterm (VPT). We examine socioeconomic and parental psychosocial adversity on parenting behavior, and whether these factors independently or jointly influence EF in children born VPT. At age five years, 154 children (VPT = 88, FT = 66) completed parent-child interaction and EF tasks. Parental sensitivity, intrusiveness, cognitive stimulation, and positive and negative regard were coded with the Parent-Child Interaction Rating Scale. Socioeconomic adversity spanned maternal demographic stressors, Income-to-Needs ratio, and Area Deprivation Index. Parents completed measures of depression, anxiety, inattention/hyperactivity, parenting stress, and social-communication interaction (SCI) problems. Parental SCI problems were associated with parenting behavior in parents of children born VPT, whereas socioeconomic adversity was significant in parents of FT children. Negative parenting behaviors, but not positive parenting behaviors, were related to child EF. This association was explained by parental depression/anxiety symptoms and socioeconomic adversity. Results persisted after adjustment for parent and child IQ. Findings may inform research on dyadic interventions that embed treatment for parental mood/affective symptoms and SCI problems to improve childhood EF.
AB - Poverty increases the risk of poorer executive function (EF) in children born full-term (FT). Stressors associated with poverty, including variability in parenting behavior, may explain links between poverty and poorer EF, but this remains unclear for children born very preterm (VPT). We examine socioeconomic and parental psychosocial adversity on parenting behavior, and whether these factors independently or jointly influence EF in children born VPT. At age five years, 154 children (VPT = 88, FT = 66) completed parent-child interaction and EF tasks. Parental sensitivity, intrusiveness, cognitive stimulation, and positive and negative regard were coded with the Parent-Child Interaction Rating Scale. Socioeconomic adversity spanned maternal demographic stressors, Income-to-Needs ratio, and Area Deprivation Index. Parents completed measures of depression, anxiety, inattention/hyperactivity, parenting stress, and social-communication interaction (SCI) problems. Parental SCI problems were associated with parenting behavior in parents of children born VPT, whereas socioeconomic adversity was significant in parents of FT children. Negative parenting behaviors, but not positive parenting behaviors, were related to child EF. This association was explained by parental depression/anxiety symptoms and socioeconomic adversity. Results persisted after adjustment for parent and child IQ. Findings may inform research on dyadic interventions that embed treatment for parental mood/affective symptoms and SCI problems to improve childhood EF.
KW - executive function
KW - parenting
KW - poverty
KW - prematurity
UR - http://www.scopus.com/inward/record.url?scp=85119131399&partnerID=8YFLogxK
U2 - 10.1017/S0954579421000961
DO - 10.1017/S0954579421000961
M3 - Article
C2 - 34725016
AN - SCOPUS:85119131399
JO - Development and Psychopathology
JF - Development and Psychopathology
SN - 0954-5794
ER -