Developmental care, neonatal behavior and postnatal maternal depressive symptomatology predict internalizing problems at 18 months for very preterm children

R. Montirosso; L. Giusti; Lorenzo Giusti; P. De Carli; E. Tronick; R. Borgatti; Renato Borgatti; Fabio Mosca; Odoardo Picciolini; Roberto Bellù; Alberto Del Prete; Rinaldo Zanini; Stefano Visentin; Nadia Battajon; Maria Lucia Di Nunzio; Fiorina Ramacciato; Laura Barberis; Emmanuele Mastretta; Giovanna Carli; Michela Alfiero Bordigato; Valeria Chiandotto; Cristiana Boiti; Rosangela Litta; Giovanna Minelli; Marcello Napolitano; Alessandro Arco; Palma Mammoliti; Cinzia Fortini; Paolo Tagliabue; Lorenzo Quartulli; Giuliana Motta; Paola Introvini; Rosetta Grigorio; Paola Mussini; Giulia Pomero; Carlo Poggiani; Ananda Bauchiero

doi:10.1038/jp.2017.148

Developmental care, neonatal behavior and postnatal maternal depressive symptomatology predict internalizing problems at 18 months for very preterm children

R. Montirosso, L. Giusti, Lorenzo Giusti, P. De Carli, E. Tronick, R. Borgatti, Renato Borgatti, Fabio Mosca, Odoardo Picciolini, Roberto Bellù, Alberto Del Prete, Rinaldo Zanini, Stefano Visentin, Nadia Battajon, Maria Lucia Di Nunzio, Fiorina Ramacciato, Laura Barberis, Emmanuele Mastretta, Giovanna Carli, Michela Alfiero BordigatoValeria Chiandotto, Cristiana Boiti, Rosangela Litta, Giovanna Minelli, Marcello Napolitano, Alessandro Arco, Palma Mammoliti, Cinzia Fortini, Paolo Tagliabue, Lorenzo Quartulli, Giuliana Motta, Paola Introvini, Rosetta Grigorio, Paola Mussini, Giulia Pomero, Carlo Poggiani, Ananda Bauchiero

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Abstract

OBJECTIVE: To provide a prospective developmental model for behavioral outcomes in preterm infants in relation to developmental care (DC) practices and postnatal maternal depression. STUDY DESIGN: A longitudinal, multicenter, follow-up study conducted in 25 Italian tertiary neonatal intensive care units (NICUs). Participants were 162 healthy very preterm infants and their mothers. The level of quality of DC was assessed for each hospital. Infant's neurobehavioral profile was evaluated twice: at discharge (T1) and at 18 months for behavioral problems (T3). Maternal depressive symptomatology was measured at T1 and at 6 months (T2). RESULTS: Low-quality DC in NICUs was associated with lower levels of infant neurobehavioral adaptability and higher levels of maternal depressive symptoms. Maternal depressive symptomatology in conjunction with higher infant dysregulation predicted more internalizing problems at 18 months of age. CONCLUSION: DC interventions and postnatal maternal depression, as well as infant behavior have an impact on short- and long-term infant outcomes.

Original language	English
Pages (from-to)	191-195
Number of pages	5
Journal	Journal of Perinatology
Volume	38
DOIs	https://doi.org/10.1038/jp.2017.148
Publication status	Published - 2018
Externally published	Yes

Keywords

neonatal behavior

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10.1038/jp.2017.148

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Montirosso, R., Giusti, L., Giusti, L., De Carli, P., Tronick, E., Borgatti, R., Borgatti, R., Mosca, F., Picciolini, O., Bellù, R., Del Prete, A., Zanini, R., Visentin, S., Battajon, N., Di Nunzio, M. L., Ramacciato, F., Barberis, L., Mastretta, E., Carli, G., ... Bauchiero, A. (2018). Developmental care, neonatal behavior and postnatal maternal depressive symptomatology predict internalizing problems at 18 months for very preterm children. Journal of Perinatology, 38, 191-195. https://doi.org/10.1038/jp.2017.148

@article{1deb9759496e4f92ad2d041f14061720,

title = "Developmental care, neonatal behavior and postnatal maternal depressive symptomatology predict internalizing problems at 18 months for very preterm children",

abstract = "OBJECTIVE: To provide a prospective developmental model for behavioral outcomes in preterm infants in relation to developmental care (DC) practices and postnatal maternal depression. STUDY DESIGN: A longitudinal, multicenter, follow-up study conducted in 25 Italian tertiary neonatal intensive care units (NICUs). Participants were 162 healthy very preterm infants and their mothers. The level of quality of DC was assessed for each hospital. Infant's neurobehavioral profile was evaluated twice: at discharge (T1) and at 18 months for behavioral problems (T3). Maternal depressive symptomatology was measured at T1 and at 6 months (T2). RESULTS: Low-quality DC in NICUs was associated with lower levels of infant neurobehavioral adaptability and higher levels of maternal depressive symptoms. Maternal depressive symptomatology in conjunction with higher infant dysregulation predicted more internalizing problems at 18 months of age. CONCLUSION: DC interventions and postnatal maternal depression, as well as infant behavior have an impact on short- and long-term infant outcomes.",

keywords = "neonatal behavior, neonatal behavior",

author = "R. Montirosso and L. Giusti and Lorenzo Giusti and {De Carli}, P. and E. Tronick and R. Borgatti and Renato Borgatti and Fabio Mosca and Odoardo Picciolini and Roberto Bell{\`u} and {Del Prete}, Alberto and Rinaldo Zanini and Stefano Visentin and Nadia Battajon and {Di Nunzio}, {Maria Lucia} and Fiorina Ramacciato and Laura Barberis and Emmanuele Mastretta and Giovanna Carli and Bordigato, {Michela Alfiero} and Valeria Chiandotto and Cristiana Boiti and Rosangela Litta and Giovanna Minelli and Marcello Napolitano and Alessandro Arco and Palma Mammoliti and Cinzia Fortini and Paolo Tagliabue and Lorenzo Quartulli and Giuliana Motta and Paola Introvini and Rosetta Grigorio and Paola Mussini and Giulia Pomero and Carlo Poggiani and Ananda Bauchiero",

year = "2018",

doi = "10.1038/jp.2017.148",

language = "English",

volume = "38",

pages = "191--195",

journal = "Journal of Perinatology",

issn = "0743-8346",

publisher = "Nature Publishing Group:Brunel Road Houndmills, Basingstoke RG21 6XS United Kingdom:011 44 20 78334000, EMAIL: institutions@natureny.com, INTERNET: http://www.nature.com, Fax: 011 44 20 78434640",

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Montirosso, R, Giusti, L, Giusti, L, De Carli, P, Tronick, E, Borgatti, R, Borgatti, R, Mosca, F, Picciolini, O, Bellù, R, Del Prete, A, Zanini, R, Visentin, S, Battajon, N, Di Nunzio, ML, Ramacciato, F, Barberis, L, Mastretta, E, Carli, G, Bordigato, MA, Chiandotto, V, Boiti, C, Litta, R, Minelli, G, Napolitano, M, Arco, A, Mammoliti, P, Fortini, C, Tagliabue, P, Quartulli, L, Motta, G, Introvini, P, Grigorio, R, Mussini, P, Pomero, G, Poggiani, C & Bauchiero, A 2018, 'Developmental care, neonatal behavior and postnatal maternal depressive symptomatology predict internalizing problems at 18 months for very preterm children', Journal of Perinatology, vol. 38, pp. 191-195. https://doi.org/10.1038/jp.2017.148

TY - JOUR

T1 - Developmental care, neonatal behavior and postnatal maternal depressive symptomatology predict internalizing problems at 18 months for very preterm children

AU - Montirosso, R.

AU - Giusti, L.

AU - Giusti, Lorenzo

AU - De Carli, P.

AU - Tronick, E.

AU - Borgatti, R.

AU - Borgatti, Renato

AU - Mosca, Fabio

AU - Picciolini, Odoardo

AU - Bellù, Roberto

AU - Del Prete, Alberto

AU - Zanini, Rinaldo

AU - Visentin, Stefano

AU - Battajon, Nadia

AU - Di Nunzio, Maria Lucia

AU - Ramacciato, Fiorina

AU - Barberis, Laura

AU - Mastretta, Emmanuele

AU - Carli, Giovanna

AU - Bordigato, Michela Alfiero

AU - Chiandotto, Valeria

AU - Boiti, Cristiana

AU - Litta, Rosangela

AU - Minelli, Giovanna

AU - Napolitano, Marcello

AU - Arco, Alessandro

AU - Mammoliti, Palma

AU - Fortini, Cinzia

AU - Tagliabue, Paolo

AU - Quartulli, Lorenzo

AU - Motta, Giuliana

AU - Introvini, Paola

AU - Grigorio, Rosetta

AU - Mussini, Paola

AU - Pomero, Giulia

AU - Poggiani, Carlo

AU - Bauchiero, Ananda

PY - 2018

Y1 - 2018

N2 - OBJECTIVE: To provide a prospective developmental model for behavioral outcomes in preterm infants in relation to developmental care (DC) practices and postnatal maternal depression. STUDY DESIGN: A longitudinal, multicenter, follow-up study conducted in 25 Italian tertiary neonatal intensive care units (NICUs). Participants were 162 healthy very preterm infants and their mothers. The level of quality of DC was assessed for each hospital. Infant's neurobehavioral profile was evaluated twice: at discharge (T1) and at 18 months for behavioral problems (T3). Maternal depressive symptomatology was measured at T1 and at 6 months (T2). RESULTS: Low-quality DC in NICUs was associated with lower levels of infant neurobehavioral adaptability and higher levels of maternal depressive symptoms. Maternal depressive symptomatology in conjunction with higher infant dysregulation predicted more internalizing problems at 18 months of age. CONCLUSION: DC interventions and postnatal maternal depression, as well as infant behavior have an impact on short- and long-term infant outcomes.

AB - OBJECTIVE: To provide a prospective developmental model for behavioral outcomes in preterm infants in relation to developmental care (DC) practices and postnatal maternal depression. STUDY DESIGN: A longitudinal, multicenter, follow-up study conducted in 25 Italian tertiary neonatal intensive care units (NICUs). Participants were 162 healthy very preterm infants and their mothers. The level of quality of DC was assessed for each hospital. Infant's neurobehavioral profile was evaluated twice: at discharge (T1) and at 18 months for behavioral problems (T3). Maternal depressive symptomatology was measured at T1 and at 6 months (T2). RESULTS: Low-quality DC in NICUs was associated with lower levels of infant neurobehavioral adaptability and higher levels of maternal depressive symptoms. Maternal depressive symptomatology in conjunction with higher infant dysregulation predicted more internalizing problems at 18 months of age. CONCLUSION: DC interventions and postnatal maternal depression, as well as infant behavior have an impact on short- and long-term infant outcomes.

KW - neonatal behavior

UR - http://hdl.handle.net/10807/134487

UR - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041339401&doi=10.1038%2fjp.2017.148&partnerid=40&md5=4777531881832f07dfe46a43076087f4

U2 - 10.1038/jp.2017.148

DO - 10.1038/jp.2017.148

M3 - Article

SN - 0743-8346

VL - 38

SP - 191

EP - 195

JO - Journal of Perinatology

JF - Journal of Perinatology

ER -

Developmental care, neonatal behavior and postnatal maternal depressive symptomatology predict internalizing problems at 18 months for very preterm children

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Keywords

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