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Interaction of child disability and stressful life events in predicting maternal psychological health. Results of an area-based study of very preterm infants at two years corrected age |
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| Authors: | Laura Cacciani Domenico Di Lallo Simone Piga Carlo Corchia Virgilio Carnielli Valeria Chiandotto Mariacristina Fertz Silvana Miniaci Franca Rusconi Barbara Caravale Marina Cuttini |
| Affiliation: | 1. Regional Health Agency of Lazio, Via di S. Costanza 53, 00198 Rome, Italy;2. Unit of Epidemiology, Bambino Gesù Children''s Hospital, IRCCS, Piazza S. Onofrio 4, 00165 Rome, Italy;3. International Centre on Birth Defects and Prematurity, Via Carlo Mirabello 14, 00195 Rome, Italy;4. Maternal and Child Health Institute, Marche University and Salesi Hospital, Via Corridoni 11, 60123 Ancona, Italy;5. Neonatal Intensive Care Unit, S. Maria della Misericordia University Hospital, Piazzale Santa Maria della Misericordia 15, 33100 Udine, Italy;6. Neonatal Intensive Care Unit, Burlo Garofalo Maternal and Child Health Institute, IRCCS, Via dell’Istria 65/1, 34137 Trieste, Italy;7. Neonatal Intensive Care Unit, Pugliese-Ciaccio Hospital, Viale Pio X 1, 88100 Catanzaro, Italy;8. Unit of Epidemiology, Anna Meyer Children''s University Hospital and Regional Agency for Health of Tuscany, Viale Pieraccini 24, 50139 Florence, Italy;9. Department of Developmental and Social Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185 Rome, Italy |
| Abstract: | This study aimed at exploring the relationship between severe neuromotor and/or sensory disability in very preterm infants assessed at 2 years corrected age and their mothers’ psychological health. Data on 581 Italian singletons born at 22–31 weeks of gestation in five Italian regions and their mothers were analyzed. Maternal psychological distress was measured through the General Health Questionnaire short version (GHQ-12). The prevalence of any maternal distress (GHQ scores ≥ 2) and of clinical distress (scores ≥ 5) were 31.3% and 8.1% respectively. At multivariable analysis, we found a statistically significant association between child's disability and mothers’ GHQ scoring ≥5 (OR 3.45, 95% CI 1.07–11.15). Also lower maternal education appeared to increase the likelihood of psychological distress (OR 1.38, 95% CI 1.14–1.66). The impact of child disability was weaker in women who had experienced additional stressful life events since delivery, pointing to the existence of a “ceiling” effect. Maternal psychological assessment and support should be included in follow-up programs targeting very preterm infants. |
| Keywords: | Preterm birth Neurosensory disability Follow-up Maternal distress |
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