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Trajectories of Overprotective Parenting and Hyperactivity-Impulsivity and Inattention Among Moderate-Late Preterm Children: A Population-Based Study

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Abstract

Parents of preterm children are more likely to adopt non-optimal parenting behaviors than parents of full-term (FT) children. However, there is a lack of studies on parents of children born moderate to late preterm (MLP; 32–36 gestational weeks). In this study, we aimed to examine: (1) the association between MLP birth status and the trajectory of parental overprotection throughout preschool years, and (2) the role of parental overprotection, MLP birth status, and their interaction in the prediction of the trajectories of hyperactivity-impulsivity and inattention throughout childhood. Data comes from a Canadian representative population-based cohort including 2028 FT, 100 MLP children, and their parents. Overprotective parenting was measured when children were 5, 17, and 29 months old. Hyperactivity-impulsivity and inattention symptoms were measured repeatedly from 4 to 8 years of age. Trajectories of parents’ overprotectiveness and children’s hyperactivity-impulsivity and inattention were modeled. MLP birth status was associated with an increase in parental overprotectiveness across the preschool period. MLP birth status and parental overprotection were both found to be associated with higher levels of hyperactivity-impulsivity symptoms across childhood. No interaction was found between birth status and parental overprotection. The results suggest that parents of MLP children become more overprotective across time compared to parents of FT children and that children born MLP and/or exposed to higher levels of parental overprotection demonstrated higher levels of hyperactivity-impulsivity symptoms across childhood.

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Funding

This project was supported by grants from the Ministère de la Famille, the Ministère de l’Éducation et de l’Enseignement supérieur, the Fondation Lucie et André Chagnon, the Institut de recherche Robert-Sauvé en santé et en sécurité du travail, the Centre hospitalier universitaire Sainte-Justine and the Institut de la statistique du Québec, all of whom conducted the Quebec Longitudinal Study of Child Development (QLSCD). Michel Boivin is supported by the Canada Research Chairs (Tier 1) program.

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Contributions

SF drafted the manuscript; SF and CMG performed statistical analysis and interpreted the data; TML, SC, RT and MB designed the study, contributed to interpretation of data, and provided critical revision. All authors contributed to and have approved the final manuscript.

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Correspondence to Sabrina Faleschini.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee of Institut de la statistique du Québec and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Written informed consent was obtained from the participating families at each assessment.

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Faleschini, S., Matte-Gagné, C., Luu, T.M. et al. Trajectories of Overprotective Parenting and Hyperactivity-Impulsivity and Inattention Among Moderate-Late Preterm Children: A Population-Based Study. J Abnorm Child Psychol 48, 1555–1568 (2020). https://doi.org/10.1007/s10802-020-00704-w

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