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ARTICLE Longitudinal Predictors of Maternal Stress and Coping After Very Low-Birth-Weight Birth Lynn T. Singer, PhD; Sarah Fulton, MA, CCC-SLP; H. Lester Kirchner, PhD; Sheri Eisengart, PhD; Barbara Lewis, PhD; Elizabeth Short, PhD; Meeyoung O. Min, PhD; Sudtida Satayathum, MS; Carolyn Kercsmar, MD; Jill E. Baley, MD Objective: To determine longitudinal outcomes and con- Results: After VLBW birth, mothers attained fewer tributors to parental stress and coping in mothers of very additional years of education than term mothers low-birth-weight (VLBW) children. (P=.04). Mothers of high-risk VLBW children felt more personal stress (P=.006) and family stress (P=.009) Design: Prospective cohort follow-up of high-risk VLBW under conditions of low social support and had greater children (n=113), low-risk VLBW children (n=80), and child-related stress than term mothers; however, they term children (n=122) and their mothers from birth to also expressed the highest levels of parenting satisfac- 14 years. tion at 14 years. They became less likely to use denial (P=.02) and mental disengagement (P=.03) as coping Setting: Recruitment from level III neonatal intensive mechanisms over time. Except for education attain- care and term nurseries in a large Midwestern region with ment, mothers of low-risk VLBW infants did not differ follow-up at an
JAMA Pediatrics – American Medical Association
Published: Jun 1, 2010
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