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Subject: Maternal depression

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    Article
    Citation - WoS: 6
    Citation - Scopus: 8
    Preterm Birth and Maternal Sensitivity: Findings From a Non-Western Country
    (Elsevier Science inc, 2020) Akkus, P. Zengin; Saygan, B. Bahtiyar; Bahadur, E. Ilter; Ozdemir, G.; Ozmert, E. N.; Bahtiyar Saygan, B.; Ilter Bahadur, E.; Zengin Akkus, P.
    Introduction: Although there are several studies on maternal sensitivity of preterm-born children conducted in Western countries, the factors affecting the sensitivity of mothers of preterm infants have not been investigated outside the Western context. Objectives: This study aimed to compare maternal sensitivity of preterm children at 18 months of corrected age with their healthy term-born peers and explore the factors associated with maternal sensitivity in a middle-income non-Western country. Moreover, the associations of maternal sensitivity with socio-demographic factors, maternal depression, and social-emotional competency and behavior problems of infants were investigated. Methods: In total, 70 (40 preterm-born and 30 term-born) mother-child dyads participated in this study. An observation-based measurement tool, Maternal Sensitivity Scale, was used to assess maternal sensitivity. Social-emotional competency and behavior problems of infants were evaluated via The Turkish version of the Brief Infant-Toddler Social Emotional Assessment. Maternal depressive symptoms were assessed via the Beck Depression Inventory. In addition, a demographic information form was filled out by the mothers. Results: Maternal sensitivity scores of preterm infants were significantly lower compared to term infants. Depressive symptoms scores and employment status of mothers, socio-economic status (SES), gestational age, breastfeeding duration, and behavior problems of children were the factors related to maternal sensitivity scores. In hierarchical regression analysis, SES and gestational age were the strongest predictors of maternal sensitivity. After controlling SES and gestational age, maternal depressive symptoms scores negatively predicted maternal sensitivity scores. Conclusion: This study pointed out the factors associated with the maternal sensitivity of preterm infants outside the Western context. Interventions to improve sensitive parenting behaviors of preterm infants are needed, especially in socio-economically disadvantaged groups.
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    Article
    Citation - WoS: 7
    Citation - Scopus: 8
    Do Preterm Babies Sleep Differently Than Their Peers? Sleep Characteristics and Their Associations With Maternal Depression and Parenting Stress
    (Elsevier, 2022) Akkus, Pinar Zengin; Bahtiyar-Saygan, Bahar; Zengin Akkus, Pınar
    Objectives: The findings regarding the association between prematurity, sleep problems, and maternal psychological well-being are mixed. This study examined preterm- and term-born infants' sleep patterns, ecology, and problems, in addition to the associations of these patterns with maternal parenting stress and depressive symptomatology. Methods: In total, 84 mothers of infants between 6 and 17 months of corrected age, in which 40 were preterm infants and 44 were healthy full-term infants, participated in the study. Children's sleep was evaluated by the Brief Infant Sleep Questionnaire. Maternal depressive symptoms were screened by the Edinburgh Postnatal Depression Scale. Maternal parenting stress was measured via the Parenting Stress Index-Short Form. Results: In preterm infants, lower total and nocturnal sleep duration and later falling asleep time were identified compared to term infants. Regarding sleep ecology, the percentages of poor sleepers, mother's perception of child's and her own sleep problems were similar in both groups. While the most common method of falling asleep was 'rocking the baby' in the preterm group, it was 'breastfeeding' in the term group. In both groups, the maternal perception of sleep problems positively predicted maternal parenting stress. Lastly, compared to good sleepers, higher maternal parenting stress, higher maternal perception of mother's and child's sleep problems, and lower infants' age were identified among poor sleepers. Conclusions: Despite many similarities in the sleep characteristics of preterm and term infants, several differences in sleep patterns and sleep ecology of preterm infants were identified. Since the maternal perception of sleep problems was found to predict parenting stress, guidance on infant sleep is suggested to support families. (C) 2022 Elsevier B.V. All rights reserved.