Monash Institute of Cognitive and Clinical Neurosciences and School of Psychological Sciences, Monash University, Melbourne, Australia; Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Australia.
Victorian Infant Brain Studies, Murdoch Children's Research Institute, Melbourne, Australia; Department of Adolescent Medicine, Royal Children's Hospital, Melbourne, Australia; Developmental Disability and Rehabilitation Research, Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia.
J Pediatr. 2019 Feb;205:195-201. doi: 10.1016/j.jpeds.2018.09.073. Epub 2018 Nov 14.
To examine factors associated with fathers' early parenting behaviors (including very preterm [VPT] birth, familial social risk, child sex, and child medical risk), and the relationship between fathers' early parenting behaviors and later child development.
Participants were 81 VPT (born <30 weeks of gestation) and 39 full-term father-child dyads. Parenting behaviors (sensitivity, structuring, nonintrusiveness, nonhostility) were assessed at 12 months of corrected age using the Emotional Availability Scales, with scores ranging from 1 (low) to 7 (high). At 24 months of corrected age, child cognitive, language, motor, and social-emotional development were assessed. Results are presented as (regression coefficients; 95% CIs).
There was little evidence that VPT birth, familial social risk, or child medical risk were associated with fathers' parenting behaviors. Fathers of girls tended to be more sensitive (0.42; 0.18, 0.65), less intrusive (0.36; 0.04, 0.70), and less hostile (0.26; 0.01, 0.50) compared with fathers of boys. Higher structuring was associated with more optimal cognitive (3.29; 1.25, 5.34), and language development (4.69; 2.26, 7.14). Higher sensitivity was associated with more optimal language development 3.35 (0.95, 5.75), and more intrusive behavior was associated with more externalizing symptoms (-1.68; -3.06, -0.31).
Early parenting did not differ between fathers with VPT and full-term children, but fathers' parenting did vary according to child sex. Fathers' early parenting was associated with future neurodevelopment, reinforcing the need to support fathers' parenting, and include fathers in early intervention programs.
探讨与父亲早期育儿行为相关的因素（包括极早产儿[VPT]出生、家庭社会风险、儿童性别和儿童医疗风险），以及父亲早期育儿行为与儿童后期发展之间的关系。
参与者为 81 名 VPT（出生<30 周）和 39 名足月父亲-儿童对子。使用情感可用性量表（Emotional Availability Scales）在矫正年龄 12 个月时评估育儿行为（敏感性、结构化、非侵入性、非敌意），评分范围为 1（低）至 7（高）。在矫正年龄 24 个月时，评估儿童认知、语言、运动和社会情感发展。结果以（回归系数；95%置信区间）表示。
几乎没有证据表明 VPT 出生、家庭社会风险或儿童医疗风险与父亲的育儿行为有关。与男孩的父亲相比，女孩的父亲往往更敏感（0.42；0.18，0.65）、不那么侵入性（0.36；0.04，0.70）和不那么敌对（0.26；0.01，0.50）。更高的结构化与更优的认知（3.29；1.25，5.34）和语言发展（4.69；2.26，7.14）相关。更高的敏感性与更优的语言发展（3.35；0.95，5.75）相关，而更具侵入性的行为与更多的外化症状（-1.68；-3.06，-0.31）相关。
VPT 儿童和足月儿童的父亲早期育儿行为没有差异，但父亲的育儿行为确实因儿童性别而异。父亲的早期育儿行为与未来的神经发育有关，这强化了支持父亲育儿的必要性，并将父亲纳入早期干预计划。
