Relating the adolescent mother—child relationship to preschool outcomes

Hann, Della M.; Osofsky, Joy D.; Culp, Anne McDonald

doi:10.1002/(sici)1097-0355(199624)17:4<302::aid-imhj2>3.0.co;2-o

Cited by 42 publications

(17 citation statements)

References 10 publications

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“…[3][4][5][6][7] Infants of adolescent mothers also have adverse developmental outcomes on a variety of measures. [8][9][10] There is limited research on the combined risk of extreme prematurity and having an adolescent mother. A large body of literature indicates that socioeconomic status (SES) influences development.…”

Section: What This Study Addsmentioning

confidence: 99%

Developmental Outcomes of Extremely Preterm Infants Born to Adolescent Mothers

et al. 2015

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BACKGROUND AND OBJECTIVES: Extremely preterm infants and infants born to adolescent mothers are at risk for adverse developmental. The objectives were to evaluate development and behavior outcomes of extremely low birth weight (ELBW) infants born to adolescent mothers ,20 compared with adult mothers $20 years and to identify socioeconomic risk factors that affect outcomes.METHODS: Retrospective cohort analysis of 211 infants .27 weeks of adolescent mothers and 1723 infants of adult mothers at Neonatal Research Network centers from 2008 to 2011. Groups were compared and regression models were run to predict 18-to 22-month adverse outcomes. Primary outcomes were Bayley-III scores, neurodevelopmental impairment, and Brief Infant Toddler Social Emotional Assessment problem scores (BITSEA/P) $75th percentile.RESULTS: Adolescent mothers were more often single, Hispanic, less educated, and had public insurance. By 18 to 22 months, their children had significantly increased rates of having lived $3 places (21% vs 9%), state supervision (7% vs 3%), rehospitalization (56% vs 46%), and BITSEA/ P $75th percentile (50% vs 32%) and nonsignificant Bayley-III language scores ,85 (56% vs 49%, P = .07). In regression analysis, children of adolescent mothers were more likely to have BITSEA/P $75th percentile (relative risk 1.50, 95% confidence interval 1.08-2.07). Living $3 places and nonwhite race were predictors of adverse behavior. State supervision was an independent predictor of each Bayley-III composite ,70 and neurodevelopmental impairment.CONCLUSIONS: ELBW infants of adolescent mothers experience high social and environmental risks that are associated with adverse behavior outcomes. These findings inform the need for comprehensive follow-up, coordinated care services, and behavior interventions for ELBW infants of adolescent mothers.WHAT'S KNOWN ON THIS SUBJECT: Infants born extremely premature and infants born to adolescent mothers are at risk for adverse developmental and behavior outcomes. There is limited research on the dual risk imparted to infants born extremely premature to adolescent mothers. WHAT THIS STUDY ADDS:Extremely premature infants of adolescent mothers have significantly increased rates of behavior problems. Nonwhite race and living in $3 places by 18 to 22 months of age are risk factors for adverse behavior outcomes among infants of adolescent mothers. Dr Hoffman conceptualized and designed the study, drafted the initial manuscript, and approved the final manuscript as submitted; Dr Bann performed all the statistical analysis; Dr Higgins reviewed and approved the research protocol and final manuscript; and Dr Vohr mentored and assisted Dr Hoffman in conceptualizing and designing the study, revising the manuscript, and approving of the final manuscript as submitted. There are multiple coexisting socioeconomic and biologic factors that place extremely preterm infants of adolescent mothers at increased risk for adverse developmental and behavioral outcomes. Previous studies of extremely preterm in...

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Section: What This Study Addsmentioning

confidence: 99%

Developmental Outcomes of Extremely Preterm Infants Born to Adolescent Mothers

et al. 2015

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“…A meta-analysis of the association between attachment security and later language reported an effect size of r = .28 (van IJzendoorn, Dijkstra, & Bus, 1995), suggesting that language development is promoted within the context of a secure relationship between caregiver and child. Hann, Osofsky, and Culp (1996) demonstrated, in a sample of adolescent mothers, that indicators of mother and child interaction were strong predictors of 44-month language performance even after controlling for demographic risk. Luster and Vandenbelt (1999) reported that parent-child interactions, as assessed by multiple methods including videotaped assessment of Nursing Child Assessment Teaching Scale (NCATS; Barnard, 1979) and assessments by project staff who provided services to mothers and their children, were significantly associated with language skills at 30 months of age for children of lowincome adolescent mothers.…”

Section: Introduction: Early Language and Emerging Literacymentioning

confidence: 96%

Preschool language development among children of adolescent mothers

Oxford

Spieker

2006

Journal of Applied Developmental Psychology

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This longitudinal study examined a comprehensive set of predictors of preschool language performance in a sample of children of adolescent mothers. Six domains of risk (low maternal verbal ability, intergenerational risk, contextual risk, relational risk, home environmental risk, and child characteristics) for poor preschool language development, measured throughout early childhood, were examined in a sample of 154 children born to adolescent mothers. Logistic regression revealed that having a poor language-learning home environment was associated with children's low language scores even after accounting for mothers' below-average verbal ability. More importantly, however, was the exploration of the 'dual risk' hypothesis that evaluated the effects of combined risk factors. Being reared by a mother with low verbal ability amplified the risk of a poor quality home linguistic environment, whereas having a poor home linguistic environment did not adversely affect the language development of children with mothers of average verbal ability. Implications for intervention are discussed with regard to specificity of intervention efforts within subpopulations of risk identified in this paper.

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“…This is not only because of its high rate, but also because of its association with social exclusion, lower social class, and lower educational attainment in mothers (e.g., Coley & Chase-Lansdale, 1998;Figueiredo, Pacheco, & Magarinho, 2005;Pacheco, Costa, & Figueiredo, 2003;Social Exclusion Unit UK, 1999;Stevens-Simon & McAnarney, 1996). It is also highly associated with mothers' depression (Deal & Holtz, 1998;Hudson, Elek, & Campbell-Grossman, 2000;Leadbeater & Linares, 1992;Prodromidis, Abrams, Field, Scafidi, & Rahdert, 1994;Troutman & Cutrona, 1990) and with subsequent poor parenting of the child (e.g., Barnard, Osofsky, Beckwith, Hammond, & Appelbaum, 1996;Hann, Osofsky, & Culp, 1996), including child maltreatment and neglect (e.g., Baranowski, Schilmoeller, & Higgins, 1990;Brown, Cohen, Johnson, & Salzinger, 1998;Zuravin & DiBlasio, 1996). In terms of prevalence, the highest European fertility rates between the ages of 15 and 19 are in the UK (0.023) followed by Portugal women with poor early relationships tend to have less satisfaction and perceive lower availability of partner's support, which in turn increase vulnerability for depression during the transition to parenthood (e.g., .…”

Section: Introductionmentioning

confidence: 99%

Teenage pregnancy, attachment style, and depression: A comparison of teenage and adult pregnant women in a Portuguese series

Figueiredo

Bifulco

Pacheco

et al. 2006

Attachment & Human Development

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The aim of this Portuguese study is to compare the experience of pregnancy in teenage years and later adulthood and to examine insecure attachment style as a risk factor for depression during pregnancy. The Attachment Style Interview (ASI; Bifulco, Moran, Ball, & Bernazzani, 2002) and the Edinburgh Postnatal Depression Scale (EPDS; Cox, Holden, & Sagovsky, 1987) were administered to 66 pregnant adolescents and 64 adult women. Pregnant teenagers were found to be nearly three times more likely to have an insecure attachment style of Enmeshed, Angry-Dismissive, or Fearful style than adults, all at high levels of impairment (54% vs.19%, p 5 .02). Logistic regression showed, when all risk factors were entered, highly Enmeshed style and poor partner support provided the best model for depression with age at pregnancy no longer adding. Insecure attachment style should be addressed in prevention and intervention strategies with teenage mothers.

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Relating the adolescent mother—child relationship to preschool outcomes

Cited by 42 publications

References 10 publications

Developmental Outcomes of Extremely Preterm Infants Born to Adolescent Mothers

Developmental Outcomes of Extremely Preterm Infants Born to Adolescent Mothers

Preschool language development among children of adolescent mothers

Teenage pregnancy, attachment style, and depression: A comparison of teenage and adult pregnant women in a Portuguese series

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