Otten Daniëlle, Ernst Mareike, Schuster Alexander K, Tesarz Jonas, Gißler Sandra, Mildenberger Eva, Pfeiffer Norbert, Beutel Manfred E, Fieß Achim
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg, University Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.
Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, 89075 Ulm, Germany.
J Clin Med. 2024 Mar 21;13(6):1822. doi: 10.3390/jcm13061822.
: Preterm birth is a risk factor for a variety of detrimental health outcomes. Previous studies have identified recalled (or remembered) parental rearing behaviour as a potential modifier of preterm individuals' mental health in adulthood. However, no investigations to date have contrasted the parents' and children's views, explored whether their congruence is associated with preterm individuals' mental health, or tested associations with maternal self-reported first skin-on-skin contact. : This cohort study involved 199 participants of the Gutenberg Prematurity Eye Study (GPES), with prospective clinical examination and psychological assessment data available for individuals born preterm and term and their mothers' perspective on recalled parental rearing behaviour. Participants also completed the Patient Health Questionnaire-9 (PHQ-9). : There were substantial similarities between reported recalled maternal rearing behaviour of individuals born preterm and at term and their mothers, with individuals born preterm with lower gestational age (age of the pregnancy from the woman's last menstrual period) recalling mothers as comparatively more controlling and overprotective. Incongruence in recalled rejection/punishment was associated with more depressive symptoms. Late first skin-to-skin contact was related to more recalled maternal rejection/punishment, less emotional warmth, and more control/overprotection. : this study expands the knowledge about the interrelations of preterm birth, maternal rearing behaviour, and mental health, underscoring the relevance of first relationship experiences, including close intimate contact.
早产是多种有害健康后果的风险因素。先前的研究已将回忆起的(或记住的)父母养育行为确定为早产个体成年后心理健康的潜在调节因素。然而,迄今为止,尚无研究对比父母与子女的观点,探讨他们的一致性是否与早产个体的心理健康相关,或检验与母亲自我报告的首次皮肤接触的关联。
这项队列研究纳入了199名古登堡早产眼研究(GPES)的参与者,有早产和足月出生个体的前瞻性临床检查和心理评估数据,以及他们母亲对回忆起的父母养育行为的看法。参与者还完成了患者健康问卷9(PHQ-9)。
早产和足月出生个体报告的回忆起的母亲养育行为与他们母亲的报告之间存在显著相似之处,孕周较低(从女性最后一次月经开始计算的怀孕年龄)的早产个体回忆起母亲相对更具控制欲和过度保护欲。回忆起的拒绝/惩罚方面的不一致与更多的抑郁症状相关。首次皮肤接触较晚与更多回忆起的母亲拒绝/惩罚、较少的情感温暖以及更多的控制/过度保护有关。
这项研究扩展了关于早产、母亲养育行为和心理健康之间相互关系的知识,强调了包括亲密接触在内的首次关系经历的相关性。