Abstract
This study explores parental perception of child vulnerability (PPCV) and parent overprotection (POP) and their relationship to neonatal medical problems, child development and behavior. Participants included 90 lower income parents of NICU graduates ages 22–81 months consecutively enrolled at a high-risk neonatal developmental follow-up clinic. Parents completed the Child Vulnerability Scale (CVS), the Parent Protection Scale (PPS) and the Child Behavior Checklist (CBCL) regarding their children. Step-wise regression analysis revealed the CVS as the sole predictor of child behavior, accounting for 13% of the variance in the CBCL Total T-score (R2 = .13, $be = .86, p < .006). Neonatal medical problems, Child DQ, and most parental demographic variables did not correlate with CVS or PPS scores. A significant correlation between CVS and the separation subscale of the PPS was noted (r = .31, p < .01). We conclude that NICU graduates perceived vulnerable by their caretakers have significant behavioral difficulties compared to those perceived as not vulnerable. Future research should address early parental antecedents of PPCV, the persistence of PPCV, and its effects on behavioral outcomes.
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Bennett F, Scott D: Long term perspective on premature infant outcome and contemporary intervention issues. Semin Perinatol 21: 190-201, 1997.
Sameroff A, Chandler MJ: Reproductive risk and the continuum of caretaking casualty. In Horowitz FD (ed): Review of Child Development Research, vol. 4. Chicago, IL, University of Chicago Press, 1975.
Bendell D, McCaffree M, Culbertson J, Willis D: Empirically based assessment of the behavioral/emotional problems of 2 and 3 year old children. J Abnorm Child Psychol 15: 629-650, 1985.
Forsyth B., Leaf P, Horwitz S, Leventhal J: Refinement of the child vulnerability scale. Am J Dis Child 145: 408, 1991.
Boyce W: The vulnerable child: New evidence, new approaches. Adv Pediatr 39: 1-32, 1992.
Estroff D, Yando R Burke K Snyder D: Perceptions of preschooler's vulnerability by mothers who had delivered preterm. J Pediatr Psychol 19: 709-21, 1994.
Leslie LK, Boyce T: The vulnerable child. Pediatr Rev 17: 323-326, 1996.
Green M, Solnit AJ: Reactions to a threatened loss of a child: A vulnerable child syndrome. Pediatrics 34:58-66, 1964.
Thomasgard M, Metz P: The vulnerable child syndrome revisited. J Dev Behav Pediatr 16: 47-53, 1995(b).
Thomasgard M, Metz P, Edelbrock C, Shonkoff J: The vulnerable child syndrome and its relation to parental overprotection. J Dev Behav Pediatr 16: 251-256, 1995(a).
Forsyth BW: Mother's perceptions of their children's vulnerability after hospitalization for infection. Presented at the annual meeting of the Ambulatory Pediatrics Association. Anaheim, CA, May 1987.
Forsyth B, Horwitz S, Leventhal J, Burger J: The child vulnerability scale: an instrument to measure parental perceptions of child vulnerability. J Pediatr Psychol 21: 89-101, 1996.
Perrin EC, West PD, Culley BS: Is my child normal yet? Correlates of vulnerability. Pediatrics 83: 355-363, 1989.
Kemper KJ, Forsyth BW, McCarthy PL: Persistent perceptions of vulnerability following neonatal jaundice. Am J Dis Child 144: 238-241, 1990.
Warschausky S, Mackenzie J, Roth RH: Maternal distress and perceptions of infant development following ECMO and conventional ventilation for PPHN. Child Health Dev 21: 53-65, 1995.
Forsyth BW, Canny PF: Perceptions of vulnerability 3 12 years after problems of feeding and crying behavior in early infancy. Pediatrics 88: 757-763, 1991.
Bendell D, Field T, Yando R, Lang C, Martinez A, Pickens J: “Depressed” mothers perception of their preschool children's vulnerability. Child Psychiatry Hum Dev 24: 183-190, 1994.
Levy D: Maternal overprotection. New York, NY. WW Norton & Co., Inc., 1966.
McCormick MC, Brooks-Gunn J, Workman-Daniels K, Peckham GJ: Maternal rating of child health at school age: Does the vulnerable child syndrome persist? Pediatrics 92:380-387, 1993.
Wells RD, Schwebel AI: Chronically ill children and their mothers: predictors of resilience and vulnerability to hospitalization and surgical stress. J Dev Behav Pediatr 8: 83-89, 1987.
Thomasgard M, Metz P: Differences in health care utilization between parents who perceive their child as vulnerable versus overprotective parents. Clin Pediatr 35: 303-308, 1996(a).
Thomasgard M, Shonkoff J, Metz WP, Edelbrock C: Parent-child relationship disorders: part ii. The vulnerable child syndrome and its relation to parental overprotection. J Dev Behav Pediatr 16: 251-256, 1995 (d).
Thomasgard M, Metz WP: Parental overprotection and its relation to perceived child vulnerability. Am J Orthopsychiatry 67(2): 330-335, 1997.
Thomasgard M, Metz P: The 2-year stability of parental perceptions of child vulnerability and parental overprotection. J Dev Behav Pediatr 17: 222-228, 1996(b).
Thomasgard M, Metz P, Edelbrock C, Shonkoff, J: Parent-child relationship disorders: part i. Parental overprotection and the development of the parent protection scale. J Dev Behav Pediatr 16: 244-250, 1995 (c).
Achenbach T, Edelbrock C, Howell C: Empirically based assessment of behavioral/ emotional problems of 2-and 3-year old children. J Abnl Child Psychol 15: 629-650, 1987.
Achenbach, TM: Manual for the Child Behavior Checklist 4-18. Burlington, VT: University of Vermont, 1991.
Wachtel RC, Shapiro BK, Palmer FB, Allen MC, Capute AJ: CAT/CLAMS: A tool Child Psychiatry and Human Development 96 for the pediatric evaluation of infants and young children with developmental delay. Clin Pediatr 33:410-15, 1994.
Aylward GP: Bayley Infant Neurodevelopmental Screener. San Antonio, TX: The Psychological Corp., 1995.
Nicholson C, Hibpshman T: Slosson Intelligence Test-Revised. East Aurora, NY: Slosson Educational Publications Inc., 1990.
Beery, K: Developmental Test of Visual Motor Integration 3rd ed. Modern Curriculum Press, 1989.
Bayley N: Bayley Scales of Infant Development, 2nd edition. San Antonio, TX: The Psychological Corporation, 1993.
Thorndike R, Hagen E, Sattler J: Stanford Binet Intelligence Scale 4th ed. Chicago, IL: The Riverside Publishing Co., 1986.
Wechsler D: Wechsler Intelligence Scale for Children 3rd edition. San Antonio, TX: The Psychological Corporation, Harcourt Brace Jovanovich, 1991.
Elliot C: Differential Ability Scale. San Antonio, TX: The Psychological Corporation, 1990.
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De Ocampo, A.C., Macias, M.M., Saylor, C.F. et al. Caretaker Perception of Child Vulnerability Predicts Behavior Problems in NICU Graduates. Child Psychiatry Hum Dev 34, 83–96 (2003). https://doi.org/10.1023/A:1027384306827
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DOI: https://doi.org/10.1023/A:1027384306827