Abstract
Zusammenfassung.Fragestellung: Ziel der Längsschnittstudie ist es, herauszufinden, welche mütterlichen Faktoren die Auswirkungen adoleszenter Mutterschaft auf die kognitive und sprachliche Entwicklung sowie Verhaltensprobleme bei Kindern im Vorschulalter beeinflussen. Basierend auf dem aktuellen Stand der Literatur wurden mütterliche Feinfühligkeit (EA), Sozioökonomischer Status (SES) und psychische Belastung als mögliche Einflussfaktoren identifiziert. Methodik:N = 31 adoleszente und N = 47 adulte Mütter mit ihren Kindern im Alter von 3.0 bis 5.9 Jahren (M = 3.55) nahmen an der Studie teil. Kindliche Variablen beinhalteten die kognitive Entwicklung (WPPSI-III), Sprachentwicklung (SSV) und Verhaltensprobleme (SDQ). Mütterliche Faktoren umfassen mütterliche Feinfühligkeit in der Mutter-Kind Interaktion (EA), sozioökonomischen Status (SES) sowie psychische Belastung (BSI-18). Ergebnisse: Kinder adoleszenter Mütter erzielten schlechtere Leistungen in ihrer kognitiven und sprachlichen Entwicklung und wurden von ihren Müttern als verhaltensauffälliger beschrieben als Kinder adulter Mütter. Mediationsanalysen zeigten, dass der Effekt des Alters der Mütter auf die kognitive Entwicklung der Kinder über eine geringere Feinfühligkeit mediiert wurde. Ferner wurde der Zusammenhang zwischen mütterlichem Alter und kindlichen Verhaltensauffälligkeiten über eine höhere psychische Belastung der Mütter mediiert. Schlussfolgerung: Kinder adoleszenter Mütter weisen, verglichen mit gleichaltrigen Kindern adulter Mütter, im Vorschulalter Entwicklungsdefizite auf. Diese können teilweise durch eine geringere Feinfühligkeit und eine höhere psychische Belastung adoleszenter Mütter erklärt werden.
Abstract.Objective: This longitudinal study aims to identify relevant risk factors in adolescent mothers which might impact their child’s cognitive and speech development as well as behavior problems at preschool age. Based on earlier findings, maternal sensitivity (EA), socioeconomic status (SES) and psychological stress were identified as potentially influencing factors. Method: N = 31 adolescent and N = 47 adult mothers with their children aged 3;0 to 5;9 (M = 3;55) participated in this study. Child variables included cognitive development (WPPSI-III), language development (SSV), and behavioral problems (SDQ). Maternal factors were EA, SES, and mental health problems (BSI-18). Results: Children of adolescent mothers performed worse on cognitive and speech development and are described by their mothers as exhibiting more behavioral problems compared to children of adult mothers. Mediation analyses revealed that the effect of maternal age on children’s cognitive development is occurs through reduced maternal sensitivity of adolescent mothers. Further, higher psychological stress of adolescent mothers mediated the effect of maternal age on children’s behavior problems. Conclusion: Preschool children of adolescent mothers showed poorer developmental outcomes compared to children of adult mothers. This is partly explained by lower maternal sensitivity and higher rates of psychological stress among adolescent mothers.
Literatur
1979). Infant-mother attachment. American Psychologist, 34, 932–937.
(2007). Prediction of social skills in 6-year-old children with and without developmental delays: Contributions of early regulation and maternal scaffolding. American Journal on Mental Retardation, 112, 375–391.
(2016). Postnatal mother-to-infant attachment in subclinically depressed mothers: Dyads at risk? Psychopathology, 49, 269–276.
(2014). Emotional availability (EA): Theoretical background, empirical research using the EA Scales, and clinical applications. Developmental Review, 34, 114–167.
(2012). Emotional availability: Concept, research, and window on developmental psychopathology. Development and Psychopathology, 24, 1–8.
(2016). Verhaltens- und emotionale Probleme bei Vorschulkindern im Kontext der Mutter-Kind-Interaktion. Zum Einfluss der mütterlichen psychischen Gesundheit. Zeitschrift für Klinische Psychologie und Psychotherapie, 45, 234–244.
(1988). A secure base: Parent-child attachment and healthy human development. New York: Basic Books.
(2014).
(Sexual initiation and gender in Europe: A cross-cultural analysis of trends in the twentieth century . In M. Hubert, N. Bajos & T. Sandfort (Eds.), Sexual behaviour and HIV/AIDS in Europe: Comparisons of national surveys (pp. 37–67). London: UCL Press.2015). Risk factors for teenage childbirths among child welfare clients: Findings from Sweden. Children and Youth Services Review, 53, 44–51.
(1992). The origins of attachment theory: John Bowlby and Mary Ainsworth. Developmental Psychology, 28, 759–775.
(2014). Maternal age at childbirth and risk for ADHD in offspring: A population-based cohort study. International journal of epidemiology, 43, 1815–1824.
(2014). Executive function and mothering: Challenges faced by teenage mothers. Developmental Psychobiology, 56, 1027–1035.
(2015). Mothers with depression, anxiety or eating disorders: Outcomes on their children and the role of paternal psychological profiles. Child Psychiatry & Human Development, 46, 228–236.
(2013). The association between teenage motherhood and poor offspring outcomes: A national cohort study across 30 years. Twin Research and Human Genetics, 16, 679–689.
(2013). Adoleszente Mutterschaft. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 41, 407–418.
(2014). Psychopathology: Research, assessment and treatment in clinical psychology (2nd ed.). Chichester: BPS Wiley.
(2016). The effect(s) of teen pregnancy: Reconciling theory, methods, and findings. Demography, 53, 85–116.
(2017). Moving beyond correlations in assessing the consequences of poverty. Annual Review of Psychology, 68, 413–434.
(2010). Elterliche Feinfühligkeit bei Müttern und Vätern mit psychosozialen Belastungen. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz, 53, 1126–1133.
(2013). Explaining the association between adolescent parenting and preschoolers’ school readiness: A risk perspective. Journal of Community Psychology, 41, 692–708.
(2004). Parenting stress, infant emotion regulation, maternal sensitivity, and the cognitive development of triplets: A model for parent and child influences in a unique ecology. Child Development, 75, 1774–1791.
(2015). A mother-child intervention program in adolescent mothers and their children to improve maternal sensitivity, child responsiveness and child development (the TeeMo study): Study protocol for a randomized controlled trial. Trials, 16. https://doi.org/10.1186/s13063-015-0747-5
(2018). Cognitive development in children of adolescent mothers: The impact of socioeconomic risk and maternal sensitivity. Infant Behavior and Development, 50, 238–246.
(2011). Der Einsatz des Brief Symptom Inventory 18 (BSI-18) bei Psychotherapiepatienten. PPmP – Psychotherapie · Psychosomatik · Medizinische Psychologie, 61, 82–86.
(2017). Maternal perinatal and concurrent depressive symptoms and child behavior problems: A sibling comparison study. Journal of Child Psychology and Psychiatry, 58, 779–786.
(1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.
(2003). Sprachscreening für das Vorschulalter: Kurzform des SETK 3-5. Göttingen: Hogrefe.
(2008).
(A wider view of attachment and exploration: The influence of mothers and fathers on the development of psychological security from infancy to young adulthood . In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 857–879). New York: The Guilford Press.2015). Association of child poverty, brain development, and academic achievement. JAMA Pediatrics, 169, 822–829.
(2007). A behavior genetic investigation of adolescent motherhood and offspring mental health problems. Journal of Abnormal Psychology, 116, 667–683.
(2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). New York: The Guilford Press.
(1982). Relationship of security of attachment to exploration and cognitive mapping abilities in 2-year-olds. Developmental Psychology, 18, 751–759.
(2008). Kids having kids: Economic costs and social consequences of teen pregnancy, second edition. Verfügbar unter http://webarchive.urban.org/publications/211515.html
(2014). Parenting stress, social support, and depression for ethnic minority adolescent mothers: Impact on child development. Journal of Child and Family Studies, 23, 255–262.
(2010). Discrepancies between adolescent, mother, and father reports of adolescent internalizing symptom levels and their association with parent symptoms. Journal of Clinical Psychology, 66, 978–995.
(2017). Elterliche Belastung und die Zuverlässigkeit von Elternangaben in der Diagnostik psychisch und verhaltensauffälliger Kinder und Jugendlicher. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 45, 303–309.
(2001). Language development of pre-school children born to teenage mothers. Infant and Child Development, 10, 129–145.
(1997). Social consequences of psychiatric disorders, II: Teenage parenthood. American Journal of Psychiatry, 154, 1405–1411.
(2008). Economic deprivation, maternal depression, parenting and children’s cognitive and emotional development in early childhood. British Journal of Sociology, 59, 783–806.
(2016). Human maternal brain plasticity: Adaptation to parenting. New Directions for Child and Adolescent Development, 153, 47–58.
(2011). Breastfeeding, brain activation to own infant cry, and maternal sensitivity. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 52, 907–915.
(2013). Hirnentwicklung in der Adoleszenz. Deutsches Ärzteblatt, 110, 425–431.
(2013). Messung des sozioökonomischen Status in der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1). Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz, 56, 631–636.
(2001). Does early responsive parenting have a special importance for children’s development or is consistency across early childhood necessary? Developmental Psychology, 37, 387–403.
(2015). Cognitive ability at kindergarten entry and socioeconomic status. Pediatrics, 135, e440–e448.
(2011). Maternal sensitivity during distressing tasks: A unique predictor of attachment security. Infant Behavior & Development, 34, 443–446.
(2016). Parenting stress, child characteristics, and developmental delay from birth to age five in teen mother-child dyads. Journal of Child and Family Studies, 25, 1035–1043.
(2006). Predicting preschool cognitive development from infant temperament, maternal sensitivity, and psychosocial risk. Merrill-Palmer Quarterly (1982), 779–806.
(2001). Academic and behavioral outcomes among the children of young mothers. Journal of Marriage and Family, 63, 355–369.
(2016). Representational and questionnaire measures of attachment: A meta-analysis of relations to child internalizing and externalizing problems. Psychological Bulletin, 142, 367–399.
(1983). Exploration, play, and cognitive functioning related to infant-mother attachment. Infant Behavior and Development, 6, 167–174.
(2016). The influence of mothers’ and fathers’ sensitivity in the first year of life on children’s cognitive outcomes at 18 and 36 months. Child: Care, Health and Development, 42, 1–7.
(2006). Maternal sensitivity to infant distress and nondistress as predictors of infant-mother attachment security. Journal of Family Psychology, 20, 247–255.
(2013). A prospective study of perinatal depression and trauma history in pregnant minority adolescents. American Journal of Obstetrics and Gynecology, 208,
(211 .e1–211 .e7.2011). Adult attachment style and stress as risk factors for early maternal sensitivity and negativity. Infant Mental Health Journal, 32, 277–285.
(2015). Mothers’ and fathers’ sensitivity and children’s cognitive development in low-income, rural families. Journal of Applied Developmental Psychology, 38, 1–10.
(2002). Teen-aged mothers in contemporary Britain. Journal of Child Psychology and Psychiatry, 43, 727–742.
. (2017). Teenage mothers today: What we know and how it matters. Child Development Perspectives, 11, 63–69.
(2008). Both maternal sensitivity and atypical maternal behavior independently predict attachment security and disorganization in adolescent mother-infant relationships. Infant Behavior and Development, 31, 321–325.
(2004). Correlates of attachment at age 3: Construct validity of the preschool attachment classification system. Developmental Psychology, 40, 323–334.
(2012). The neural correlates of maternal sensitivity: An fMRI study. Developmental Cognitive Neuroscience, 2, 428–436.
(2008). Current sexual trauma among high-risk teen mother. Journal of Child and Adolescent Psychiatric Nursing, 21, 164–176.
(2007). Childhood maltreatment, complex trauma symptoms,and unresolved attachment in an at-risk sample of adolescent mothers. Attachment & Human Development, 9, 139–161.
(2007). Attachment and cognitive skills: An investigation of mediating mechanisms. Journal of Applied Developmental Psychology, 28, 458–476.
(2017). Identifying pathways between socioeconomic status and language development. Annual Review of Linguistics, 3, 285–308.
(2018). Maternal depression trajectories from pregnancy to 3 years postpartum are associated with children’s behavior and executive functions at 3 and 6 years. Archives of Women’s Mental Health, 21, 353–363.
(1990). Maternal sensitivity and the security of infant-mother attachment: A Q-sort study. Child Development, 61, 1974–1983.
(2012). Moderators of informant agreement in the assessment of adolescent psychopathology: Extension to a forensic sample. Psychological Assessment, 24, 386–401
(2012). Parenting stress mediates between maternal maltreatment history and maternal sensitivity in a community sample. Child Abuse & Neglect, 36, 433–437.
(2014). Wechsler Preschool and Primary Scale of Intelligence III – WPPSI-III (3., überarb. u. erw. Aufl.). Frankfurt a. M.: Pearson Assessment.
). (2004). A mediational model of the association between socioeconomic status and three-year-old language abilities: The role of parenting factors. Early Childhood Research Quarterly, 19, 528–547.
(2019). Frühkindliche Prädiktoren externalisierender Verhaltensauffälligkeiten: Evidenzen aus Längsschnittstudien. Kindheit und Entwicklung, 28, 19–32.
(2015). The complex interaction between home environment, socioeconomic status, maternal IQ and early child neurocognitive development: A multivariate analysis of data collected in a newborn cohort study. PLoS ONE, 10, e0127052.
(2006). Jugendschwangerschaften in Deutschland. Zeitschrift für Sexualforschung, 19, 334–358.
(2014). Einfluss kognitiver Merkmale und häuslicher Umgebung auf die Entwicklung numerischer Kompetenzen im Vorschulalter. Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie, 46, 24–34.
(2014). Adolescents, pregnancy, and mental health. Journal of Pediatric and Adolescent Gynecology, 27, 138–150.
(2006). The role of early maternal responsiveness in supporting school-aged cognitive development for children who vary in birth status. Pediatrics, 117, 1608–1617.
(2016). Teen mothers’ mental health. MCN: The American Journal of Maternal/Child Nursing, 41, 31–36.
(2011). The short version of the Brief Symptom Inventory (BSI-18): Preliminary psychometric properties of the German translation. Fortschritte der Neurologie · Psychiatrie, 79, 517–523.
(Statistisches Bundesamt . (2018). Datenreport 2018. Ein Sozialbericht für die Bundesrepublik Deutschland. Verfügbar unter https://www.destatis.de/DE/Service/Statistik-Campus/Datenreport/Downloads/datenreport-2018.htmlStatistisches Bundesamt . (2019). Statistisches Jahresbuch 2019. Verfügbar unter https://www.destatis.de/DE/Themen/Querschnitt/Jahrbuch/jb-bevoelkerung.html2017). Persistent maternal depressive symptoms trajectories influence children’s IQ: The EDEN mother-child cohort. Depression and Anxiety, 34, 105–117.
(2015). Maternal depression trajectories and children’s behavior at age 5 years. Journal of Pediatrics, 166, 1440–1448.e1.
(2012). War trauma lingers on: Associations between maternal posttraumatic stress disorder, parent-child interaction, and child development. Infant Mental Health Journal, 33, 459–468.
(2009). The impact of maternal psychopathology on child-mother attachment. Archives of Women’s Mental Health, 12, 123–134.
(1982). The relation between socioeconomic status and academic achievement. Psychological Bulletin, 91, 461–481.
(2002). Normierung und Evaluation der deutschen Elternversion des Strengths and Difficulties Questionnaire (SDQ): Ergebnisse einer repräsentativen Felderhebung. Zeitschrift für Kinder-und Jugendpsychiatrie und Psychotherapie, 30, 105–112.
(1999). Die Stellung von mütterlicher Sensitivität bei der transgenerationalen Übermittlung von Bindungsqualität. Praxis der Kinderpsychologie und Kinderpsychiatrie, 48, 86–100.
(2013). Bindung und Handlungssteuerung als frühe emotionale und kognitive Voraussetzungen von Bildung. Zeitschrift für Pädagogik, 59, 793–802.
(1996). Frühe Bindungserfahrungen und Verhaltensauffälligkeiten bei Kleinkindern in einer sozialen und kognitiven Anforderungssituation. Praxis der Kinderpsychologie und Kinderpsychiatrie, 45, 95–101.
(