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Maternal mental health and trajectories of Preterm Behavioural Phenotype in infants born after a threatened preterm labour

Published online by Cambridge University Press:  27 August 2024

J. Andreu ,
J. Buesa ,
B. Almansa ,
C. Zapata ,
M. Lizarán ,
N. Gómez ,
F. Ghosn ,
A. Moreno ,
L. Campos  and
A. García-Blanco
J. Andreu*
Affiliation:
1Psychiatry, Hospital Universitario y Politécnico La Fe de Valencia
J. Buesa
Affiliation:
1Psychiatry, Hospital Universitario y Politécnico La Fe de Valencia
B. Almansa
Affiliation:
2Psychology, La Fe Research Institute
C. Zapata
Affiliation:
3Psychology, Hospital Universitario y Politécnico La Fe de Valencia, Valencia, Spain
M. Lizarán
Affiliation:
2Psychology, La Fe Research Institute
N. Gómez
Affiliation:
2Psychology, La Fe Research Institute
F. Ghosn
Affiliation:
2Psychology, La Fe Research Institute
A. Moreno
Affiliation:
2Psychology, La Fe Research Institute
L. Campos
Affiliation:
1Psychiatry, Hospital Universitario y Politécnico La Fe de Valencia
A. García-Blanco
Affiliation:
3Psychology, Hospital Universitario y Politécnico La Fe de Valencia, Valencia, Spain
*
*Corresponding author.

Abstract

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Introduction

Infants born preterm usually show a Preterm Behavioural Phenotype, which includes mixed symptomatology characterized by lack of attention, anxiety and social difficulties, with a 3-4 times greater risk of disorders in further childhood. Critically, this behavioural pattern is also observed in infants born after a threated preterm labour (TPL), regardless of the presence of prematurity. It is known that the course of this Preterm Behavioural Phenotype shows high variability. Nevertheless, the predictors of this Preterm Behavioural Phenotype prognosis remain unknown.

Objectives

This study aimed to explore the predictors of change of Preterm Behavioural Phenotype symptomatology during preschool ages in order to improve prognosis.

Methods

In this prospective cohort study, 117 mother–child pairs who experienced TPL were recruited. Preterm Behavioural Phenotype symptoms were assessed at age 2 and 6 using Child Behaviour Checklist. Gestational age at birth, maternal anxiety trait, maternal history of psychological traumas, prenatal and postnatal maternal depression, anxiety, and cortisol as well as parenting stress were included as predictors in a regression model.

Results

Whereas increased internalizing problems were associated with a previous trauma history (p = .003), increased externalizing symptoms were linked to prenatal and postnatal maternal anxiety (p = .004 and p = .018, respectively).

Conclusions

Identifying modifiable risk factors, such as the history of maternal traumas and anxiety at TPL diagnosis and postpartum is recommendable to enhance better prognosis of Preterm Behavioural Phenotype in the offspring.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S811
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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