The Role of Family Function and Triadic Interaction on Preterm Child Development-A Systematic Review

A systematic review and meta-analysis of parental mentalization in fathers and mothers

Despite the growing literature on parental mentalization (including measures such as mind-mindedness, parental reflective functioning, and parental insightfulness), considerably less research on parental mentalization has been conducted with fathers than with mothers, leaving important gaps in our understanding of gender differences in the construct. Specifically, it is not clear whether mothers and fathers exhibit similar levels of parental mentalization, and whether their scores are correlated. This knowledge can help inform the literature on similarities and differences between maternal and paternal behaviors, as well as the literature on their correlates. This study sought to answer these questions using a systematic review and meta-analysis of studies evaluating parental mentalization capacities in partnered mothers and fathers. Across 36 studies (32 unique samples and 87 effect sizes, N = 3,996 fathers and 4,414 mothers), mainly from Europe and North America, the results show that fathers presented lower scores than mothers (d = -.17, p < .001). There was also a significant correlation in scores between mothers and fathers of the same family (r = .15, p < .001). There were no significant moderators. Findings from this study emphasize the need for research on parental mentalization to use a family system approach.

Effect of Model of Neonatal Care on Neurodevelopment at the 18 Month Follow-Up in Moderate and Late Preterm Infants

Background: Preterm birth, even for moderate or late preterm infants (MLPIs), is associated with longer-term developmental challenges. Family Integrated Care (FICare) models of care, like Alberta FICare, aim to improve outcomes by integrating parents into neonatal care during hospitalization. This follow-up study examined the association between models of care (Alberta FICare versus standard care) and risk of child developmental delay at 18 months corrected age (CA) and explored the influences of maternal psychosocial distress. Methods: We assessed 257 mothers and 298 infants from a cluster randomized controlled trial (ID: NCT0279799) conducted in ten Level II NICUs in Alberta, Canada. Risk of delay was assessed using developmental screening tests. Maternal psychosocial distress was assessed using self-reported measures of depressive symptoms, anxiety, parenting stress, and self-efficacy. Results: There was no association between model of care and risk of developmental delay. Higher maternal parenting stress was associated with increased risk of developmental delay. Conclusions: Alberta FICare was not associated with decreased risk of developmental delay at 18 months CA. Maternal parenting stress may play an important role in the development of MLPIs and should be addressed post-discharge.

Parental representations after preterm birth: a narrative review

Preterm birth accounts for nearly 15 million births annually worldwide and constitutes a considerable risk factor for atypical development. This birth context is a source of stress for the parents and often leads to an early separation between their child and them. Research on the influence of the birth status on the infant's attachment style has shown no systematic link between preterm birth and the development of insecure attachment in children born preterm. This has opened up research perspectives in understanding the role of environmental factors. A literature review was conducted to present an overview of the current findings on parental representations (PR), particularly maternal ones, and their role in the context of preterm birth. PR quality appears to be associated with specific dyadic interaction patterns, thus exposing vulnerability factors. Studies exploring PR have pointed out the importance of considering parental mental elaboration mechanisms and contextual moderators in supporting socio-emotional development among children born preterm. We discussed the challenges of investigating PR in the context of preterm birth for future studies and emphasized the need for research studies to be conducted according to a developmental and non-deterministic perspective. This narrative review also aimed to highlight the importance of family centered care interventions in the context of a public policy focused on the child's "First 1,000 days" of life.