Infant Mental Health Home Visiting Mitigates Impact of Maternal Adverse Childhood Experiences on Toddler Language Competence: A Randomized Controlled Trial.
Journal
Journal of developmental and behavioral pediatrics : JDBP
ISSN: 1536-7312
Titre abrégé: J Dev Behav Pediatr
Pays: United States
ID NLM: 8006933
Informations de publication
Date de publication:
01 05 2022
01 05 2022
Historique:
received:
13
01
2021
accepted:
02
09
2021
pubmed:
27
10
2021
medline:
3
5
2022
entrez:
26
10
2021
Statut:
ppublish
Résumé
The goal of this study was to test the impact of maternal adverse childhood experiences (ACEs) on subsequent child language competence; higher parental ACEs were expected to predict risk of toddler language delay. Participation in Infant Mental Health Home Visiting (IMH-HV) treatment, which aims to enhance responsive caregiving and improve child social-emotional development, was expected to mitigate this association. A randomized controlled trial (RCT) design was used. ACEs data were collected at baseline. Child language screening (using the Preschool Language Scales Screening Test) was conducted 12 months later by masters-level evaluators who were blind to treatment condition. Visits occurred in participants' homes. Participants were community-recruited and were randomized to treatment (psychotherapeutic IMH-HV) or control (treatment as usual). Data come from 62 families who participated in all waves of an RCT testing the efficacy of IMH-HV; mothers were eligible based on child age (<24 mo at enrollment) and endorsement of ≥2 sociodemographic eligibility criteria (economic disadvantage, depression, perceived parenting challenges, and/or high ACEs). The age of mothers enrolled in this ranged from 19 to 44 years (M = 31.91; SD = 5.68); child age at baseline ranged from prenatal to 26 months (M = 12.06; SD = 6.62). The maternal ACE score predicted child language competence (t (5,55) = -3.27, p = 0.002). This effect was moderated by treatment (t (6,54) = 1.73, p = 0.04), indicating no association between maternal ACEs and child language for those randomized to IMH-HV. The results highlight that the effects of parent ACEs on early childhood outcomes may be buffered by participation in psychotherapeutic home visiting (trial registration: NCT03175796).
Identifiants
pubmed: 34698704
doi: 10.1097/DBP.0000000000001020
pii: 00004703-202205000-00010
doi:
Banques de données
ClinicalTrials.gov
['NCT03175796']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
e227-e236Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: The authors declare no conflict of interest.
Références
Felitti VJ, Anda RF, Nordenberg D, et al. The relationship of adult health status to childhood abuse and household dysfunction. Am J Preventative Med. 1998;14:245–258.
Giovanelli A, Reynolds AJ, Mondi CF, et al. Adverse childhood experiences and adult well-being in a low-income, urban cohort. Pediatrics. 2016;134:1–11.
Nurius PS, Green S, Logan-Greene P, et al. Life course pathways of adverse childhood experiences toward adult psychological well-being: a stress process analysis. Child Abuse Negl. 2015;45:143–153.
Hammen C, Henry R, Daley SE. Depression and sensitization to stressors among young women as a function of childhood adversity. J Consult Clin Psychol. 2000;68:782–787.
van der Kolk BA. The neurobiology of childhood trauma and abuse. Child Adolesc Psychiatr Clin. 2003;12:293–317.
Overeek G, Stattin H, Vermulst A, et al. Parent-child relationships, partner relationships, and emotional adjustment: a birth-to-maturity prospective study. Dev Psychol. 2007;45:429–437.
Narayan AJ, Rivera LM, Bernstein RE, et al. Positive childhood experiences predict less psychopathology and stress in pregnant women with childhood adversity: a pilot study of benevolent childhood experiences (BCEs) scale. Child Abuse Neglect. 2017;78:19–30.
Hambrick EP, Brawner TW, Perry BD, et al. Beyond the ACE score: examining relationships between timing of developmental adversity, relational health and developmental outcomes in children. Arch Psychiatr Nurs. 2019;33:238–247.
Huth-Bocks AC, Levendosky AA, Semel MA. The direct and indirect effects of domestic violence on young children's intellectual functioning. J Fam Violence. 2001;16:269–290.
Folger AT, Eismann EA, Stephenson NB, et al. Parental adverse childhood experiences and offspring development at 2 years of age. Pediatrics. 2018;141:1–9.
Stepleton K, Bosk EA, Duron JF, et al. Exploring associations between maternal adverse childhood experiences and child behavior. Child Youth Serv Rev. 2018;95:80–87.
Lyons-Ruth K, Block D. The disturbed caregiving system: relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Ment Health J. 1996;17:257–275.
Lange BCL, Callinan LS, Smith MV. Adverse childhood experiences and their relation to parenting stress and parenting practices. Community Ment Health J. 2018;55:651–662.
Lovejoy MC, Graczyk PA, O'Hare E, et al. Maternal depression and parenting behavior: a meta-analytic review. Clin Psychol Rev. 2000;20:561–592.
Levendosky AA, Leahy KL, Bogat GA, et al. Domestic violence, maternal parenting, maternal mental health, and infant externalizing behavior. J Fam Psychol. 2006;20:544–552.
Eismann EA, Folger AT, Stephenson NB, et al. Parental adverse childhood experiences and pediatric healthcare use by 2 years of age. J Pediatr. 2019;211:146–151.
Barnett MA, Gustafsson H, Deng M, et al. Bidirectional associations among sensitive parenting, language development, and social competence. Infant Child Dev. 2012;21:374–393.
Madigan S, Prime H, Graham SA, et al. Parenting behavior and child language: a meta-analysis. Pediatrics. 2019;144:e20183556.
Torrisi R, Arnautovic E, Pointet Perizzolo VC, et al. Developmental delay in communication among toddlers and its relationship to caregiving behavior among violence-exposed, posttraumatically stressed mothers. Res Dev Disabil. 2018;82:67–78.
Heidlage JK, Cunningham JE, Kaiser AP, et al. The effects of parent-implemented language interventions on child linguistic outcomes: a meta-analysis. Early Child Res Q. 2019;50:6–23.
Guttentag CL, Landry SH, Williams JM, et al. “My baby and me”: effects of an early, comprehensive parenting intervention on at-risk mothers and their children. Dev Psychol. 2014;50:1482–1496.
Bernard K, Hyoeun Lee A, Dozeir M. Effects of ABC intervention on foster children's receptive vocabulary: follow-up results from a randomized clinical trial. Child Maltreat. 2017;22:174–179.
Lawler JM, Rosenblum KL, Muzik M, et al. A collaborative process for evaluating infant mental health home visiting in Michigan. Psychiatr Serv. 2017;68:535–538.
Zimmerman IL, Steiner VG, Pond RE. Preschool Language Scales. 5th ed. Bloomington, MN: PsychCorp; 2012.
Weatherston D, Tableman B. Infant Mental Health Home Visiting Supporting Competencies/reducing Risks: Manual for Early Attachments: IMH Home Visiting. Southgate, MI: Michigan Association for Infant Mental Health; 2015.
Huth-Bocks AC, Jester JM, Stacks AM, et al. Infant mental health home visiting therapists' fidelity to the IMH-HV model in community practice settings. Infant Ment Health J. 2020;41:1–14.
Weatherston DJ, Ribaudo J. The Michigan infant mental health home visiting model. Infant Ment Health J. 2020;41:166–177.
Weatherston DJ, Kaplan-Estrin M, Goldberg S. Strengthening and recognizing knowledge, skills, and reflective practice: the Michigan Association for Infant Mental Health competency guidelines and endorsement process. Infant Ment Health J. 2009;30:648–663.
Hayes AF. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York, NY: The Guildford Press; 2018.
Young AR, Beitchman JH, Johnson C, et al. Young adult academic outcomes in a longitudinal sample of early identified language impaired and control children. J Child Psychol Psychiatry. 2002;43:635–645.
Brownlie EB, Beitchman JH, Escobar M, et al. Early language impairment and young adult delinquent and aggressive behavior. J Abnorm Child Psychol. 2004;32:453–467.
Hentges RF, Devereux C, Graham SA, et al. Child Language Difficulties and Internalizing and Externalizing Symptoms: A Meta-Analysis. Child Development; 2021. doi: 10.1111/cdev.13540.
Baldwin JR, Reuben A, Newbury JB, et al. Agreement between prospective and retrospective measures of childhood maltreatment: a systematic review and meta-analysis. JAMA Psychiatry. 2019;76:584–593.
Bair-Merritt MH, Zuckerman B. Exploring parents' adversities in pediatric primary care. JAMA Pediatr. 2016;170:313–314.