Journal of Pediatric Psychology Advance Access published online on June 8, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp048
Maternal Scaffolding and Preterm Toddlers Visual-Spatial Processing and Emerging Working Memory
University of Wisconsin
All correspondence concerning this article should be addressed to Janean Dilworth-Bart, 1500 Highland Avenue, Madison, WI 53705-2280. E-mail: jedilworth{at}wisc.edu
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Objective We examined longitudinal associations among neonatal and socioeconomic risks, maternal scaffolding behaviors, and 24-month visual-spatial processing and working memory in a sample of 73 toddlers born preterm or low birthweight (PT LBW). Methods Risk data were collected at hospital discharge and dyadic play interactions were observed at 16-months postterm. Abbreviated IQ scores, verbal/nonverbal working memory, and verbal/nonverbal visual-spatial processing data were collected at 24-months postterm. Results Higher attention scaffolding and lower emotion scaffolding during 16-month play were associated with 24-month verbal working memory scores. A joint significance test revealed that maternal attention and emotion scaffolding during 16-month play mediated the relationship between socioeconomic risk and 24-month verbal working memory. Conclusions These findings suggest areas for future research and intervention with children born PT LBW who also experience high socioeconomic risk.
Key words: parenting; prematurity; risk.
Received October 28, 2008; revision received May 10, 2009; accepted May 11, 2009