PMID- 24828833 OWN - NLM STAT- MEDLINE DCOM- 20150831 LR - 20140721 IS - 1467-9450 (Electronic) IS - 0036-5564 (Linking) VI - 55 IP - 4 DP - 2014 Aug TI - Mother-child interaction is associated with neurocognitive outcome in extremely low gestational age children. PG - 311-8 LID - 10.1111/sjop.12133 [doi] AB - Early mother-child interaction is one of the factors suggested to have an impact on neurocognitive development of extremely low gestational age (ELGA) children. Our aim was to examine associations of mother-child interaction with neurocognitive outcome, neurological impairments and neonatal brain injuries in ELGA children. A prospective study of 48 ELGA children, born before 28 gestational weeks (26.3 +/- 1.2 weeks, birth weight 876 g +/- 194 g), and 16 term controls. Brain MRI was performed at term-equivalent age. At two years of corrected age, the mother-child interaction was assessed in a structured play situation using the Erickson Scales and Mutually Responsive Orientation Scales. Neurocognitive outcome was assessed with Griffiths Mental Developmental Scales (GMDS) and Bayley Scales of Infant and Toddler Development - Third Edition (BSID-III) and with Hempel neurological examination. Among ELGA children, higher quality of dyadic relationship and maternal sensitivity, responsiveness, and supportiveness were associated with positive neurocognitive outcome measured both with GMDS and BSID-III (adjusted p < 0.05). This association remained after adjusting for mother's educational level. Neurological impairments at two years, white matter or gray matter abnormalities in MRI at term-equivalent age, and grade III-IV intraventricular hemorrhage during the neonatal period were not associated with mother-child interaction. This study emphasizes the importance of the quality of mother-child interaction after extremely preterm birth for neurocognitive development. Neonatal brain injury and neurological impairments were not associated with worse parent-child interaction after two years. CI - (c) 2014 Scandinavian Psychological Associations and John Wiley & Sons Ltd. FAU - Rahkonen, Petri AU - Rahkonen P AD - Children's Hospital, University of Helsinki, Helsinki University Central Hospital, Helsinki, Finland. FAU - Heinonen, Kati AU - Heinonen K FAU - Pesonen, Anu-Katriina AU - Pesonen AK FAU - Lano, Aulikki AU - Lano A FAU - Autti, Taina AU - Autti T FAU - Puosi, Riina AU - Puosi R FAU - Huhtala, Ea AU - Huhtala E FAU - Andersson, Sture AU - Andersson S FAU - Metsaranta, Marjo AU - Metsaranta M FAU - Raikkonen, Katri AU - Raikkonen K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140514 PL - England TA - Scand J Psychol JT - Scandinavian journal of psychology JID - 0404510 SB - IM MH - Brain/*pathology MH - Child Development/*physiology MH - Child, Preschool MH - Cognition/*physiology MH - Female MH - Humans MH - Infant, Extremely Premature/*psychology MH - Infant, Newborn MH - Magnetic Resonance Imaging MH - Male MH - Maternal Behavior MH - *Mother-Child Relations MH - Play and Playthings OTO - NOTNLM OT - Mother-child interaction OT - neonate OT - neurocognition OT - neurodevelopment OT - preterm EDAT- 2014/05/16 06:00 MHDA- 2015/09/01 06:00 CRDT- 2014/05/16 06:00 PHST- 2013/09/11 00:00 [received] PHST- 2014/03/11 00:00 [accepted] PHST- 2014/05/16 06:00 [entrez] PHST- 2014/05/16 06:00 [pubmed] PHST- 2015/09/01 06:00 [medline] AID - 10.1111/sjop.12133 [doi] PST - ppublish SO - Scand J Psychol. 2014 Aug;55(4):311-8. doi: 10.1111/sjop.12133. Epub 2014 May 14.