6.129 LOWER EARLY PARENTAL MENTALIZATION AS A RISK FACTOR FOR CHILD MENTALIZATION ABILITIES IN EARLY ADOLESCENCE IN VERY PRETERM-BORN CHILDREN: A LONGITUDINAL STUDY
Objectives: Children born very preterm (VP) are at a higher risk for emotional deregulation, which might be linked to deficits in mentalizing later in life. Adolescence is such a period of intense life changes putting teenagers at risk for the development of socio-emotional difficulties, including p...
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| creator | Dimitrova, Nevena, PhD Turpin, Hélène Borghini, Ayala, PhD Ansermet, François, MD Urben, Sébastien, PhD Muller-Nix, Carole, MD |
| description | Objectives: Children born very preterm (VP) are at a higher risk for emotional deregulation, which might be linked to deficits in mentalizing later in life. Adolescence is such a period of intense life changes putting teenagers at risk for the development of socio-emotional difficulties, including poor mentalization. We know that parental mentalization influences children's developmental outcome. However, it remains unknown whether parental mentalization plays a role in children's own mentalization abilities. We aimed at examining whether the poor maternal mentalization abilities of parents who have experienced perinatal stress (i.e. premature delivery) account for the mentalization deficits found in VP-born young adolescents. Methods: Thirty-six VP (gestational age range=26-33 weeks) and 22 full-term children (gestational age range=37-41 weeks) participated in an 11-year-long study. At 18 months, maternal mentalization was assessed with the reflective functioning scale on the Working Model of the Child Interview and maternal stress related to premature delivery was measured with the Perinatal Posttraumatic Stress Questionnaire. At 11 years, children's mentalization was assessedwith the reflective functioning scale of the Friends and Family Interview. Results: We found group differences (VP/full-term) in maternal mentalization at 18 months (t(53)=2.43, p |
| doi_str_mv | 10.1016/j.jaac.2016.09.445 |
| format | Article |
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Adolescence is such a period of intense life changes putting teenagers at risk for the development of socio-emotional difficulties, including poor mentalization. We know that parental mentalization influences children's developmental outcome. However, it remains unknown whether parental mentalization plays a role in children's own mentalization abilities. We aimed at examining whether the poor maternal mentalization abilities of parents who have experienced perinatal stress (i.e. premature delivery) account for the mentalization deficits found in VP-born young adolescents. Methods: Thirty-six VP (gestational age range=26-33 weeks) and 22 full-term children (gestational age range=37-41 weeks) participated in an 11-year-long study. At 18 months, maternal mentalization was assessed with the reflective functioning scale on the Working Model of the Child Interview and maternal stress related to premature delivery was measured with the Perinatal Posttraumatic Stress Questionnaire. At 11 years, children's mentalization was assessedwith the reflective functioning scale of the Friends and Family Interview. Results: We found group differences (VP/full-term) in maternal mentalization at 18 months (t(53)=2.43, p<.05) and in child mentalization at 11 years (t(55)=2.11, p<.05). A hierarchical regression model controlling for socioeconomical status (step 1, as groups differ on this variable) including group (VP/full-term), perinatal stress, maternal mentalization, and the interaction terms between these variables (step 2) explained a significant part of the variance of child mentalization scores, F(6, 52)=4.05, p<.01, R2=.346. More specifically, the interaction term between group and maternal mentalization significantly predicted child mentalization scores (β=.-307, p=.017). A closer look at this interaction revealed that, whereas full-term children benefited considerably from parental mentalization, this propensity in VP children was much weaker. Conclusions: These results suggest that VP-born adolescents do not benefit from maternal mentalization abilities in order to develop their own mentalization abilities as much as their full-term peers.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1016/j.jaac.2016.09.445</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>Baltimore: Elsevier Inc</publisher><subject>Ability ; Adolescents ; At risk ; Child & adolescent psychiatry ; Children ; Deregulation ; Early Adolescents ; Emotional development ; Emotions ; Friendship ; Gestational age ; Interaction terms ; Life changes ; Longitudinal Studies ; Maternal stress ; Parents & parenting ; Pediatrics ; Perinatal ; Post traumatic stress disorder ; Posttraumatic Stress Disorder ; Premature ; Psychiatry ; Questionnaires ; Regression analysis ; Risk assessment ; Self control</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 2016-10, Vol.55 (10), p.S245-S245</ispartof><rights>2016</rights><rights>Copyright Lippincott Williams & Wilkins Oct 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaac.2016.09.445$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,30997,45993</link.rule.ids></links><search><creatorcontrib>Dimitrova, Nevena, PhD</creatorcontrib><creatorcontrib>Turpin, Hélène</creatorcontrib><creatorcontrib>Borghini, Ayala, PhD</creatorcontrib><creatorcontrib>Ansermet, François, MD</creatorcontrib><creatorcontrib>Urben, Sébastien, PhD</creatorcontrib><creatorcontrib>Muller-Nix, Carole, MD</creatorcontrib><title>6.129 LOWER EARLY PARENTAL MENTALIZATION AS A RISK FACTOR FOR CHILD MENTALIZATION ABILITIES IN EARLY ADOLESCENCE IN VERY PRETERM-BORN CHILDREN: A LONGITUDINAL STUDY</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><description>Objectives: Children born very preterm (VP) are at a higher risk for emotional deregulation, which might be linked to deficits in mentalizing later in life. Adolescence is such a period of intense life changes putting teenagers at risk for the development of socio-emotional difficulties, including poor mentalization. We know that parental mentalization influences children's developmental outcome. However, it remains unknown whether parental mentalization plays a role in children's own mentalization abilities. We aimed at examining whether the poor maternal mentalization abilities of parents who have experienced perinatal stress (i.e. premature delivery) account for the mentalization deficits found in VP-born young adolescents. Methods: Thirty-six VP (gestational age range=26-33 weeks) and 22 full-term children (gestational age range=37-41 weeks) participated in an 11-year-long study. At 18 months, maternal mentalization was assessed with the reflective functioning scale on the Working Model of the Child Interview and maternal stress related to premature delivery was measured with the Perinatal Posttraumatic Stress Questionnaire. At 11 years, children's mentalization was assessedwith the reflective functioning scale of the Friends and Family Interview. Results: We found group differences (VP/full-term) in maternal mentalization at 18 months (t(53)=2.43, p<.05) and in child mentalization at 11 years (t(55)=2.11, p<.05). A hierarchical regression model controlling for socioeconomical status (step 1, as groups differ on this variable) including group (VP/full-term), perinatal stress, maternal mentalization, and the interaction terms between these variables (step 2) explained a significant part of the variance of child mentalization scores, F(6, 52)=4.05, p<.01, R2=.346. More specifically, the interaction term between group and maternal mentalization significantly predicted child mentalization scores (β=.-307, p=.017). A closer look at this interaction revealed that, whereas full-term children benefited considerably from parental mentalization, this propensity in VP children was much weaker. Conclusions: These results suggest that VP-born adolescents do not benefit from maternal mentalization abilities in order to develop their own mentalization abilities as much as their full-term peers.</description><subject>Ability</subject><subject>Adolescents</subject><subject>At risk</subject><subject>Child & adolescent psychiatry</subject><subject>Children</subject><subject>Deregulation</subject><subject>Early Adolescents</subject><subject>Emotional development</subject><subject>Emotions</subject><subject>Friendship</subject><subject>Gestational age</subject><subject>Interaction terms</subject><subject>Life changes</subject><subject>Longitudinal Studies</subject><subject>Maternal stress</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><subject>Perinatal</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Premature</subject><subject>Psychiatry</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Risk assessment</subject><subject>Self control</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9UsFq3DAQNaGFbNP-QE-CXnqxM5JtWS6l4Hi1iahjF9tpSS_ClrVg11knVjaQ_-mHVu4GCnvoQcwwvDfviTeO8x6DhwHT88EbmkZ5xPYexF4QhCfOCockcsMAs1fOClgMLgtpdOq8MWYAABwxtnJ-Uw-TGGXFD14inpTZLfqWlDyvkwxd_y3iZ1KLIkdJhRJUiuor2iRpXZRoY196JbL1MfBCZKIWvEIif1mZrIuMVynPU74Mv_PSypS85uW1e1GU-WGPlf1kNbIivxT1zVrk1kNlm9u3zuttMxr97qWeOTcbXqdXblZcijTJXEUwwW5LfQIUWojDtlMAZLuFiGpCW1BEtQwHLSOaEBo2UefHWHUQhI2vY8V0owH8M-fjYe_9PD3stXmUd71RehybnZ72RmIWQsRIHGAL_XAEHab9vLPuLCrAEbDQJxZFDig1T8bMeivv5_6umZ8lBrkEJwe5BCeX4CTE0gZnSZ8PJG2_-tTrWRrV653SXT9r9Si7qf8__csRXY39rlfN-Es_a_PPpjREgqyWy1gOA1Mf0ygI_D8_UadZ</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Dimitrova, Nevena, PhD</creator><creator>Turpin, Hélène</creator><creator>Borghini, Ayala, PhD</creator><creator>Ansermet, François, MD</creator><creator>Urben, Sébastien, PhD</creator><creator>Muller-Nix, Carole, MD</creator><general>Elsevier Inc</general><general>Elsevier BV</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope></search><sort><creationdate>20161001</creationdate><title>6.129 LOWER EARLY PARENTAL MENTALIZATION AS A RISK FACTOR FOR CHILD MENTALIZATION ABILITIES IN EARLY ADOLESCENCE IN VERY PRETERM-BORN CHILDREN: A LONGITUDINAL STUDY</title><author>Dimitrova, Nevena, PhD ; Turpin, Hélène ; Borghini, Ayala, PhD ; Ansermet, François, MD ; Urben, Sébastien, PhD ; Muller-Nix, Carole, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2121-b632060b095bdc002ff076e26b0c2cb814b82e2265a7d391cd045a3e9c8eae003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Ability</topic><topic>Adolescents</topic><topic>At risk</topic><topic>Child & adolescent psychiatry</topic><topic>Children</topic><topic>Deregulation</topic><topic>Early Adolescents</topic><topic>Emotional development</topic><topic>Emotions</topic><topic>Friendship</topic><topic>Gestational age</topic><topic>Interaction terms</topic><topic>Life changes</topic><topic>Longitudinal Studies</topic><topic>Maternal stress</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><topic>Perinatal</topic><topic>Post traumatic stress disorder</topic><topic>Posttraumatic Stress Disorder</topic><topic>Premature</topic><topic>Psychiatry</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Risk assessment</topic><topic>Self control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dimitrova, Nevena, PhD</creatorcontrib><creatorcontrib>Turpin, Hélène</creatorcontrib><creatorcontrib>Borghini, Ayala, PhD</creatorcontrib><creatorcontrib>Ansermet, François, MD</creatorcontrib><creatorcontrib>Urben, Sébastien, PhD</creatorcontrib><creatorcontrib>Muller-Nix, Carole, MD</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dimitrova, Nevena, PhD</au><au>Turpin, Hélène</au><au>Borghini, Ayala, PhD</au><au>Ansermet, François, MD</au><au>Urben, Sébastien, PhD</au><au>Muller-Nix, Carole, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>6.129 LOWER EARLY PARENTAL MENTALIZATION AS A RISK FACTOR FOR CHILD MENTALIZATION ABILITIES IN EARLY ADOLESCENCE IN VERY PRETERM-BORN CHILDREN: A LONGITUDINAL STUDY</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><date>2016-10-01</date><risdate>2016</risdate><volume>55</volume><issue>10</issue><spage>S245</spage><epage>S245</epage><pages>S245-S245</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>Objectives: Children born very preterm (VP) are at a higher risk for emotional deregulation, which might be linked to deficits in mentalizing later in life. Adolescence is such a period of intense life changes putting teenagers at risk for the development of socio-emotional difficulties, including poor mentalization. We know that parental mentalization influences children's developmental outcome. However, it remains unknown whether parental mentalization plays a role in children's own mentalization abilities. We aimed at examining whether the poor maternal mentalization abilities of parents who have experienced perinatal stress (i.e. premature delivery) account for the mentalization deficits found in VP-born young adolescents. Methods: Thirty-six VP (gestational age range=26-33 weeks) and 22 full-term children (gestational age range=37-41 weeks) participated in an 11-year-long study. At 18 months, maternal mentalization was assessed with the reflective functioning scale on the Working Model of the Child Interview and maternal stress related to premature delivery was measured with the Perinatal Posttraumatic Stress Questionnaire. At 11 years, children's mentalization was assessedwith the reflective functioning scale of the Friends and Family Interview. Results: We found group differences (VP/full-term) in maternal mentalization at 18 months (t(53)=2.43, p<.05) and in child mentalization at 11 years (t(55)=2.11, p<.05). A hierarchical regression model controlling for socioeconomical status (step 1, as groups differ on this variable) including group (VP/full-term), perinatal stress, maternal mentalization, and the interaction terms between these variables (step 2) explained a significant part of the variance of child mentalization scores, F(6, 52)=4.05, p<.01, R2=.346. More specifically, the interaction term between group and maternal mentalization significantly predicted child mentalization scores (β=.-307, p=.017). A closer look at this interaction revealed that, whereas full-term children benefited considerably from parental mentalization, this propensity in VP children was much weaker. Conclusions: These results suggest that VP-born adolescents do not benefit from maternal mentalization abilities in order to develop their own mentalization abilities as much as their full-term peers.</abstract><cop>Baltimore</cop><pub>Elsevier Inc</pub><doi>10.1016/j.jaac.2016.09.445</doi></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | Ability Adolescents At risk Child & adolescent psychiatry Children Deregulation Early Adolescents Emotional development Emotions Friendship Gestational age Interaction terms Life changes Longitudinal Studies Maternal stress Parents & parenting Pediatrics Perinatal Post traumatic stress disorder Posttraumatic Stress Disorder Premature Psychiatry Questionnaires Regression analysis Risk assessment Self control |
| title | 6.129 LOWER EARLY PARENTAL MENTALIZATION AS A RISK FACTOR FOR CHILD MENTALIZATION ABILITIES IN EARLY ADOLESCENCE IN VERY PRETERM-BORN CHILDREN: A LONGITUDINAL STUDY |
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