Table 2.
Mean difference [95% CI] in children’s cognitive functionA from adjusted linear regression models describing the association of maternal depressive symptoms (Model 1) at 4 months and additionally, the interaction between maternal symptoms of clinical depression and maternal perceived social support at 4 months (Model 2) among a sample (n=137) of infants born preterm in Wisconsin.
| Child and Family Characteristic | Mean difference [95% CI] | |
|---|---|---|
|
| ||
| Model 1 | Model 2 | |
| Intercept | 74.41 [64.45, 84.39] | 73.92 [63.36, 84.49)] |
|
| ||
| Child’ race and ethnicity | ||
| White, non-Hispanic | −2.43 [−7.68, 2.82] | −2.47 [−7.77, 2.83] |
| Other race/ethnicity | Reference | Reference |
|
| ||
| Maternal Education | ||
| High school or less | Reference | Reference |
| Some college | 2.23 [−3.51, 7.99] | 2.20 [−3.60, 8.00] |
| Bachelor’s degree | 1.76 [−3.83, 7.37] | 1.61 [−4.12, 7.35] |
| Graduate degree | 5.63 [−0.62, 11.89] | 5.41 [−1.11, 11.91] |
|
| ||
| Family income | ||
| Less than $10,000 | Reference | Reference |
| $10,000 to less than $30,000 | 8.71 [−0.80, 18.21] | 8.61 [−1.09, 11.91] |
| $30,000 to $60,000 | 7.02 [−2.93, 16.97] | 7.01 [−3.13, 17.16] |
| Greater than $60,000 | 11.21 [0.68, 21.74] | 11.29 [0.61, 21.98] |
|
| ||
| Partner status | ||
| Married or cohabitating | −0.63 [−6.54, 5.28] | −0.76 [−6.78, 5.26] |
| Not married or cohabitating | Reference | Reference |
|
| ||
| Child’s sex | ||
| Male | Reference | Reference |
| Female | 4.50 [0.82, 8.18] | 4.45 [0.72, 8.18] |
|
| ||
| Maternal depressive symptomsB | ||
| CESD < 16 | Reference | Reference |
| CESD ≥ 16 | −5.22 [−10.19, − 0.25] | −5.15 [−10.19, −0.11] |
|
| ||
| Maternal social supportC | ||
| Low (<−1 SD below mean) | Reference | |
| Middle (between −1 and 1 SD from mean) | 0.86 [−4.92, 6.63] | |
| High (> 1 SD above mean) | 0.97 [−5.97, 7.90] | |
Children’s cognitive function was measured (at 16 months) using the Bayely Scale of Infant Development, Mental Developmental Index.
Postnatal depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale (CES-D). The CES-D asks mothers to report, on a 4-point scale (0=rarely/none of the time to 3=all of the time), their frequency of symptoms for 20 scale items. Scores of 16 or greater indicate symptoms of clinical depression.
Maternal perceived social support was measured at 4 months using the Maternal Support scale – a multidimensional index of emotional, informational, household, child care, financial, respite, and other support – collected about the baby’s father, mother’s parents, in-laws, and extended family. A total perceived social support score was calculated by summing the scores of each type of support (7) across the four sources resulting in a range from 0 to 28.