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Ollas-Skogster D, Rautakoski P, Bridgett D, Kataja EL, Karlsson H, Karlsson L, Nolvi S. Associations between observed and reported infant negative affectivity, fear and self-regulation, and early communicative development-Evidence from the FinnBrain Birth Cohort Study. INFANCY 2023; 28:410-434. [PMID: 36176177 DOI: 10.1111/infa.12508] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Revised: 06/30/2022] [Accepted: 09/06/2022] [Indexed: 02/05/2023]
Abstract
Self-regulation and language are intertwined abilities, but the nature of their relations in early childhood when both skills are still emerging is insufficiently understood. Our knowledge of the relations between early negative affectivity and preverbal and verbal communicative development is still limited. Further, observed and reported temperament capture how aspects of temperament operate in different settings but are rarely used in parallel in studies examining early language. During the period of rapid development, longitudinal studies are needed to identify early risk factors for delayed communicative development. We studied relations between aspects of emerging self-regulation and negative affectivity using both observations at 8 months and mother-reports at 6 and 12 months, and communicative development measured by gesturing and vocabulary at 14 and vocabulary at 30 months in 183 children. Mother-reported self-regulation was related to a higher use of communicative gestures and observed self-regulation by gaze aversion to poorer receptive and expressive vocabulary at 14 months, but neither was significantly associated with vocabulary at 30 months. We found little evidence for associations between negative affectivity and fear in infancy and communicative development. Our findings highlight different aspects of self-regulation as both potential risk and protective factors for communicative development. Mixed results indicate a need for a more detailed examination of different strategies of self-regulation in different conditions and developmental stages to yield a deeper understanding of the relations between self-regulation in infancy and communicative development.
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Affiliation(s)
- Denise Ollas-Skogster
- Department of Speech and Language Pathology, Abo Akademi University, Abo, Finland.,FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
| | - Pirkko Rautakoski
- Department of Speech and Language Pathology, Abo Akademi University, Abo, Finland.,FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland
| | - David Bridgett
- Department of Psychology, Northern Illinois University, DeKalb, Illinois, USA
| | - Eeva-Leena Kataja
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland.,Department of Psychology and Speech-Language Pathology, Turku Institute for Advanced Studies, University of Turku, Turku, Finland
| | - Hasse Karlsson
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland.,Department of Psychiatry, Turku University Hospital and University of Turku, Turku, Finland.,Centre for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland
| | - Linnea Karlsson
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland.,Department of Psychiatry, Turku University Hospital and University of Turku, Turku, Finland.,Centre for Population Health Research, Turku University Hospital and University of Turku, Turku, Finland.,Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland
| | - Saara Nolvi
- FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland.,Department of Psychology and Speech-Language Pathology, Turku Institute for Advanced Studies, University of Turku, Turku, Finland.,Institute of Medical Psychology, Charité - Universitätsmedizin Berlin, Berlin, Germany
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Beyene GM, Azale T, Gelaye KA, Ayele TA. The effect of antenatal depression on birth weight among newborns in South Gondar zone, Northwest Ethiopia: a population-based prospective cohort study. ACTA ACUST UNITED AC 2021; 79:121. [PMID: 34225799 PMCID: PMC8256480 DOI: 10.1186/s13690-021-00643-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 06/17/2021] [Indexed: 02/04/2023]
Abstract
Background There is a high prevalence of antenatal depression and low birth weight (LBW) (< 2.5 kg) in Ethiopia. Prior evidence revealed that the association between antenatal depression and LBW in high- and low-income countries is conflicting. The effect of antenatal depression on birth weight is under-researched in Ethiopia. We aimed to examine the independent effect of antenatal depression on newborn birth weight in an urban community in Northwest Ethiopia. Methods A total of 970 pregnant women were screened for antenatal depression in their second and third trimester of pregnancy through the use of the Edinburgh Postnatal Depression Scale (EPDS). A logistic regression model was used to adjust confounders and determine associations between antenatal depression and low birth weight. Information was collected on the birth weight of newborns and mother’s socio-demographic, anthropometric, obstetric, clinical, psychosocial, and behavioral factors. Results The cumulative incidence of LBW was found to be 27.76%. The cumulative incidence of LBW in those born from depressed pregnant women was 40% as compared to 21% in none depressed. While considering all other variables constant, mothers who had antenatal depression were 2.51 (COR = 2.51 (95 CI: 1.87, 3.37)) more likely to have a child with low birth weight. After adjusting for potential confounders, antenatal depression in the second and third trimester of pregnancy (AOR = 1.92 (95% CI: 1.31, 2.81)) remained significantly associated with LBW. Mid-Upper Arm Circumference (MUAC) ≤21, lack of ANC follow up, and preterm births were also associated with LBW. Conclusion This study showed that antenatal depression during the second and third trimester of pregnancy is associated with LBW of newborns and replicates results found in high-income countries. Linking early screening, detection, and treatment of antenatal depression into routine antenatal care could be essential to improve pregnancy outcomes.
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Affiliation(s)
- Getnet Mihretie Beyene
- Department of Psychiatry, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia. .,Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
| | - Telake Azale
- Department of Health Education and Behavioral Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Kassahun Alemu Gelaye
- Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Tadesse Awoke Ayele
- Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Desta M, Tadese M, Kassie B, Gedefaw M. Determinants and adverse perinatal outcomes of low birth weight newborns delivered in Hawassa University Comprehensive Specialized Hospital, Ethiopia: a cohort study. BMC Res Notes 2019; 12:118. [PMID: 30832723 PMCID: PMC6399950 DOI: 10.1186/s13104-019-4155-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 02/22/2019] [Indexed: 02/06/2023] Open
Abstract
Objective Globally an estimated 15% to 20% of all births are low birth weight, representing more than 20 million births a year. Low birth weights are at a greater risk of both short and long-term sequels. Therefore, this study was conducted to assess determinants and perinatal outcomes of low birth weight newborns delivered in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia. Results A total of 420 mothers were included in the study with a response rate of 97%. The mean birth weights of the neonate were 3360 (± 870 SD) grams and the incidence of low birth weight was found to be 16.6% (95% CI 13.46–18.38). Previous abortion [RR = 1.87 (2.53, 12.5)], hypertensive disorder [RR = 4.59 (4.93, 42.7)], having < 4 antenatal visits [RR = 3.45 (2.35, 13.8)] and prematurity [RR = 18.2 (6.24, 34.5)] was increased the risk of low birth weight. Low birth weight neonates were associated with a low Apgar score [RR = 18.2 (6.24, 34.5)] and early neonatal death [RR = 18.2 (6.24, 34.5)]. For this, identifying populations at the greatest risk of previous abortion, hypertensive disorders of pregnancy and prematurity were the major priorities aimed at reducing low birth weight. Incorporate mental health in the prenatal visit, improving the care for a high-risk pregnant woman was also recommended. Electronic supplementary material The online version of this article (10.1186/s13104-019-4155-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Melaku Desta
- Department of Midwifery, College of Medicine and Health Science, Debre Markos University, P.O. Box 226, Debre Markos, Ethiopia.
| | - Mesfin Tadese
- Department of Midwifery, College of Medicine and Health Science, Debre Berhan University, Debre Berhan, Amhara Region, Ethiopia
| | - Bekalu Kassie
- Department of Midwifery, College of Medicine and Health Science, Debre Markos University, P.O. Box 226, Debre Markos, Ethiopia
| | - Mihrete Gedefaw
- Department of Nursing, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia
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