Perlstein Samantha C, Njoroge Wanjikũ F M, White Lauren K, Parish-Morris Julia, Williams Alasia I, Malone Kayla S, Rodriguez Yuheiry, Sun Sydney, Wisniewski Kate, Popoola Ayomide, Flum Michaela, Kornfield Sara L, Seidlitz Jakob, Chaiyachati Barbara H, Barzilay Ran, Gur Raquel E, Waller Rebecca
Department of Psychology, University of Pennsylvania, Stephen A. Levin Building, 425 South University Avenue, Philadelphia, PA, 19104, USA.
Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, USA.
Res Child Adolesc Psychopathol. 2025 Apr;53(4):485-497. doi: 10.1007/s10802-025-01308-y. Epub 2025 Mar 24.
Social communication difficulties are a transdiagnostic risk factor for psychopathology. However, few studies have examined prospective risk for social communication difficulties in young children within an ecological systems framework. Our sample was 251 parent-child dyads assessed during pregnancy, postpartum, and toddlerhood (child ages 1 and 2). We leveraged observer ratings of child behavior, parent-reported questionnaires, and geocoded data. We examined prospective risk factors for social communication difficulties at ages 1 and 2, including at the level of the child (gestational age), family (household income, maternal mental health, maternal-child bonding), and neighborhood (neighborhood resources). Fewer neighborhood resources were associated with more social communication difficulties at age 1, but only among dyads with impaired maternal bonding. Lower gestational age, lower household income, and impaired maternal bonding were associated with more child social communication difficulties at age 2. Fewer neighborhood resources were also related to more social communication difficulties at age 2, specifically among families with low household incomes. Findings provide insight into families who may benefit from early intervention to reduce transdiagnostic risk for child psychopathology across ecological systems, including efforts to target maternal bonding and poverty.
社交沟通困难是精神病理学的一个跨诊断风险因素。然而，很少有研究在生态系统框架内考察幼儿社交沟通困难的前瞻性风险。我们的样本包括251对亲子二元组，在孕期、产后以及幼儿期（孩子1岁和2岁时）进行评估。我们利用了对儿童行为的观察者评分、家长报告的问卷以及地理编码数据。我们考察了1岁和2岁时社交沟通困难的前瞻性风险因素，包括儿童层面（胎龄）、家庭层面（家庭收入、母亲心理健康、母婴联结）和邻里层面（邻里资源）。较少的邻里资源与1岁时更多的社交沟通困难相关，但仅在母婴联结受损的二元组中如此。较低的胎龄、较低的家庭收入以及受损的母婴联结与2岁时更多的儿童社交沟通困难相关。较少的邻里资源也与2岁时更多的社交沟通困难相关，特别是在家庭收入低的家庭中。研究结果为那些可能从早期干预中受益的家庭提供了见解，以降低跨生态系统的儿童精神病理学的跨诊断风险，包括针对母婴联结和贫困的努力。
