[article] 
inJournal of Child Psychology and Psychiatry > 50-12 (December 2009) . - p.1451-1458

Titre :	Psychological vulnerability in children next-born after stillbirth: a case–control follow-up study
Type de document :	Texte imprimé et/ou numérique
Auteurs :	Penelope TURTON, Auteur ; Susan PAWLBY, Auteur ; William BADENHORST, Auteur ; Sarah WHITE, Auteur ; Patricia HUGHES, Auteur
Année de publication :	2009
Article en page(s) :	p.1451-1458
Langues :	Anglais (eng)
Mots-clés :	Stillbirth perinatal-loss psychological-impact siblings replacement-child vulnerable-child
Index. décimale :	PER Périodiques
Résumé :	Background: Case studies and anecdotal accounts suggest that perinatal loss may impact upon other children in the family, including those born subsequent to loss. However, there is a dearth of systematically collected quantitative data on this potentially vulnerable group. Methods: Case-controlled follow-up of 52 mothers with history of stillbirth with their next-born children aged 6–8 years, and 51 control mother–child dyads. Previously reported baseline data included maternal antenatal and postnatal psychological assessment, and infant security of attachment at 12 months. Follow-up assessments included maternal psychiatric and socio-demographic data, mother and teacher-rated scales of the child's strengths and difficulties, child IQ, observer-rated mother–child interaction and maternal reports of child health. Results: There were no significant between-group differences in child cognitive or health assessments, or in teacher-rated child difficulties. However, mothers with history of stillbirth (the index group) reported increased child difficulties, in particular peer problems, and more adverse interaction was observed in respect of higher levels of maternal criticism of the child's actions, more overall controlling behaviour by the mother, a less harmonious emotional atmosphere and a lower level of maternal engagement with the child. Some of these effects appeared to be mediated by maternal perinatal psychological symptoms and family breakdown. Conclusions: This study provides no evidence to suggest that siblings born after stillbirth are clinically at risk but does lend empirical support to clinical reports that such children are seen by their mothers as having problems and that they are exposed to less optimal interaction with their mothers. Possible interpretations of these findings are discussed in the context of theoretical accounts of 'replacement child' and 'vulnerable child' syndromes.
En ligne :	http://dx.doi.org/10.1111/j.1469-7610.2009.02111.x
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=882

[article] Psychological vulnerability in children next-born after stillbirth: a case–control follow-up study [Texte imprimé et/ou numérique] / Penelope TURTON, Auteur ; Susan PAWLBY, Auteur ; William BADENHORST, Auteur ; Sarah WHITE, Auteur ; Patricia HUGHES, Auteur . - 2009 . - p.1451-1458.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 50-12 (December 2009) . - p.1451-1458

Mots-clés :	Stillbirth perinatal-loss psychological-impact siblings replacement-child vulnerable-child
Index. décimale :	PER Périodiques
Résumé :	Background: Case studies and anecdotal accounts suggest that perinatal loss may impact upon other children in the family, including those born subsequent to loss. However, there is a dearth of systematically collected quantitative data on this potentially vulnerable group. Methods: Case-controlled follow-up of 52 mothers with history of stillbirth with their next-born children aged 6–8 years, and 51 control mother–child dyads. Previously reported baseline data included maternal antenatal and postnatal psychological assessment, and infant security of attachment at 12 months. Follow-up assessments included maternal psychiatric and socio-demographic data, mother and teacher-rated scales of the child's strengths and difficulties, child IQ, observer-rated mother–child interaction and maternal reports of child health. Results: There were no significant between-group differences in child cognitive or health assessments, or in teacher-rated child difficulties. However, mothers with history of stillbirth (the index group) reported increased child difficulties, in particular peer problems, and more adverse interaction was observed in respect of higher levels of maternal criticism of the child's actions, more overall controlling behaviour by the mother, a less harmonious emotional atmosphere and a lower level of maternal engagement with the child. Some of these effects appeared to be mediated by maternal perinatal psychological symptoms and family breakdown. Conclusions: This study provides no evidence to suggest that siblings born after stillbirth are clinically at risk but does lend empirical support to clinical reports that such children are seen by their mothers as having problems and that they are exposed to less optimal interaction with their mothers. Possible interpretations of these findings are discussed in the context of theoretical accounts of 'replacement child' and 'vulnerable child' syndromes.
En ligne :	http://dx.doi.org/10.1111/j.1469-7610.2009.02111.x
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=882