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新生儿重症监护病房(NICU)中的育儿方式是稳定的、可测量的,并且能够预测两年后的育儿方式。

Parenting style in the NICU is stable, measurable, and predictive of 2-year parenting style.

作者信息

Neel Mary Lauren, Kjeldsen Caitlin, Srinivas Rachelle, McGovern Kevin, He Zhulin, Maitre Nathalie

机构信息

Emory University School of Medicine.

Emory University.

出版信息

Res Sq. 2024 Aug 10:rs.3.rs-4693703. doi: 10.21203/rs.3.rs-4693703/v1.

DOI:10.21203/rs.3.rs-4693703/v1
PMID:39149450
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11326385/
Abstract

OBJECTIVE

To establish psychometric properties of Baby Care Questionnaire (BCQ) in preterm infants, individual level stability of BCQ scores from NICU to 2 years corrected gestational age (CGA), and to determine whether early BCQ scores predict 2-year parenting styles.

STUDY DESIGN

In this prospective study, the BCQ assessed early parental structure and attunement at 4 time points between NICU and 2-years CGA. The Parenting Styles and Dimensions Questionnaire (PSDQ) at 2-years evaluated authoritative, authoritarian, and permissive parenting styles. Intraclass correlations analyzed reliability and Reliable Change Index (RCI) studied individual-level stability. Multivariate regression examined predictive properties.

RESULTS

n=162 parent/preterm infant dyads were followed sequentially. Cronbach's α BCQ structure and attunement were 0.9 and 0.8. RCI showed high individual level stability of both constructs. Higher early structure scores were associated higher 2-year authoritative scores.

CONCLUSIONS

Early parenting characteristics beginning in the NICU are stable in infancy, measurable, reliable, and predictive of 2-year parenting styles. Early parental structure correlates with 2-year authoritative parenting style.

摘要

目的

建立《婴儿护理问卷》(BCQ)在早产儿中的心理测量学特性,确定BCQ分数从新生儿重症监护病房(NICU)到矫正胎龄2岁时的个体水平稳定性,并确定早期BCQ分数是否能预测2岁时的养育方式。

研究设计

在这项前瞻性研究中,BCQ在NICU和矫正胎龄2岁之间的4个时间点评估早期父母的结构和协调性。2岁时的《养育方式与维度问卷》(PSDQ)评估权威型、专制型和放任型养育方式。组内相关分析可靠性,可靠变化指数(RCI)研究个体水平稳定性。多变量回归检验预测特性。

结果

对162对父母/早产儿进行了连续随访。BCQ结构和协调性的Cronbach's α系数分别为0.9和0.8。RCI显示这两个结构在个体水平上具有高度稳定性。早期结构得分越高,2岁时的权威得分越高。

结论

从NICU开始的早期养育特征在婴儿期是稳定的、可测量的、可靠的,并且能预测2岁时的养育方式。早期父母结构与2岁时的权威养育方式相关。

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本文引用的文献

1
National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis.2020 年全球、区域和国家早产估计数及其 2010 年以来的变化趋势:系统分析。
Lancet. 2023 Oct 7;402(10409):1261-1271. doi: 10.1016/S0140-6736(23)00878-4.
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Parenting Style Interventions in Parents of Preterm and High-Risk Infants: Controversies, Cost, and Future Directions.对早产及高危婴儿父母的育儿方式干预:争议、成本及未来方向
Clin Perinatol. 2023 Mar;50(1):179-213. doi: 10.1016/j.clp.2022.10.008.
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Parenting beliefs about attunement and structure are related to observed parenting behaviours.
关于协调与规则的育儿观念与观察到的育儿行为有关。
Cogent Psychol. 2022 Jun 5;9(1):2082675. doi: 10.1080/23311908.2022.2082675. eCollection 2022.
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Exceeding expectations after perinatal risks for poor development: associations in term- and preterm-born preschoolers.围产期发育不良风险后超出预期:足月和早产儿学龄前儿童的关联。
J Perinatol. 2022 Apr;42(4):491-498. doi: 10.1038/s41372-021-01254-9. Epub 2021 Oct 28.
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Parenting and Neurobehavioral Outcomes in Children Born Moderate-to-Late Preterm and at Term.中-晚期早产儿与足月产儿的养育方式与神经行为结局。
J Pediatr. 2022 Feb;241:90-96.e2. doi: 10.1016/j.jpeds.2021.10.038. Epub 2021 Oct 24.
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Vulnerable Child Syndrome.脆弱儿童综合征
Pediatr Rev. 2019 Jun;40(6):313-315. doi: 10.1542/pir.2017-0243.
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Parenting style associations with sensory threshold and behaviour: a prospective cohort study in term/preterm infants.养育方式与感觉阈和行为的关联:一项足月/早产儿的前瞻性队列研究。
Acta Paediatr. 2019 Sep;108(9):1616-1623. doi: 10.1111/apa.14761. Epub 2019 Mar 11.
8
Parenting style impacts cognitive and behavioural outcomes of former preterm infants: A systematic review.养育方式对 former preterm infants 的认知和行为结果有影响:一项系统综述。 (这里“former preterm infants”表述不太准确,推测可能是“former premature infants”,即“ former premature infants”应翻译为“曾经的早产儿” ) 完整准确译文:养育方式对曾经的早产儿的认知和行为结果有影响:一项系统综述。
Child Care Health Dev. 2018 Jul;44(4):507-515. doi: 10.1111/cch.12561. Epub 2018 Mar 25.
9
The role of early developmental intervention to influence neurobehavioral outcomes of children born preterm.早期发育干预对早产出生儿童神经行为结局的影响作用。
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