Department of Pediatrics, Turku University Hospital, Turku, Finland.
Acta Paediatr. 2011 Dec;100(12):1555-60. doi: 10.1111/j.1651-2227.2011.02428.x. Epub 2011 Aug 11.
To assess the associations between cognitive development of very low birth weight (VLBW) infants and measures of parental psychological well-being.
In this prospective cohort study, 182 VLBW infants born 1/2001-12/2006 at the Turku University Hospital, Finland, were followed up. At 2 years corrected age, cognitive development of the child was assessed using the Mental Development Index of Bayley Scales, and both parents filled in validated questionnaires defining parental psychological well-being (Beck Depression Inventory, Parenting Stress Index and Sense of Coherence Scale).
The cognitive delay of the infant was associated with paternal symptoms of depression (p = 0.007) and parenting stress (p = 0.03). Mothers of the infants with cognitive delay reported increased parenting stress related to the difficulty to accept the child (p = 0.001). Weak sense of coherence predicted depressive symptoms in both parents (p < 0.0001).
Even if the fathers of VLBW infants experienced depressive symptoms less often than the mothers, the ability of the fathers to cope was significantly associated with the cognitive development of the infant. In addition, the fathers reported more parenting stress if the infant had a cognitive delay. The mothers reported more parenting stress related to accepting the VLBW infant with cognitive delay.
评估极低出生体重儿（VLBW）认知发育与父母心理幸福感测量指标之间的关联。
在这项前瞻性队列研究中，对 1999 年 1 月至 2006 年 12 月在芬兰图尔库大学医院出生的 182 名 VLBW 婴儿进行了随访。在 2 岁时，使用贝利婴幼儿发展量表的精神发育指数评估儿童的认知发育，父母双方均填写了定义父母心理幸福感的有效问卷（贝克抑郁量表、父母压力指数和心理韧性量表）。
婴儿的认知发育迟缓与父亲的抑郁症状（p = 0.007）和育儿压力（p = 0.03）相关。婴儿认知发育迟缓的母亲报告称，由于难以接受孩子，育儿压力增加（p = 0.001）。心理韧性较弱预测了父母双方的抑郁症状（p < 0.0001）。
尽管 VLBW 婴儿的父亲比母亲较少出现抑郁症状，但父亲应对的能力与婴儿的认知发育显著相关。此外，如果婴儿认知发育迟缓，父亲报告的育儿压力更大。母亲报告说，接受认知发育迟缓的 VLBW 婴儿会带来更多的育儿压力。
