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Premature infants have significant risk for later behavior problems. This study examined growth trajectories of three problem behaviors across five developmental age points from preschool to early adulthood in a well-characterized sample of premature infants. The effects of neonatal risk, gender, and socioeconomic context were modeled on these trajectories. The longitudinal sample was comprised of preterm infants (N = 160) with full variation of neonatal morbidity and birth weight (640–1,950 g). Trajectories of externalizing, internalizing and attention problem behaviors from 4 to 23 years, measured by the Child Behavior Checklist, were tested using latent growth curve modeling. The results indicate individual variation in the number of externalizing and internalizing problems over time. Externalizing problems were not significantly different for males and females, but male scores were consistently higher. Neonatal risk was significantly associated with higher internalizing problems at age 4, but was not predictive at school age and beyond. Attention-problem scores increased from early preschool through adolescence for males, but females had little change over the same ages. SES was not predictive of any problem behavior trajectories and no significant two-way interactions were found. The results advance understanding of stability and change of three important problem behaviors through preschool, childhood, and adolescence to young adulthood in prematurely born infants in order to inform clinicians about timely assessment and the refinement of effective interventions. [ABSTRACT FROM AUTHOR]

This study examined the effects of prematurity, cumulative medical risk, and proximal and distal social forces on individual differences in the activity of the hypothalamic–pituitary–adrenal (HPA) axis in young adulthood. A prospective sample of 149 infants born healthy preterm (PT; n = 22), sick PT (n = 93, medical illness, neurological illness, small for gestational age), and full term (n = 34) was recruited from a Level III neonatal intensive care unit in southern New England between 1985 and 1989 and followed to age 23 years. Cumulative medical risk was indexed across seven assessment waves (spanning 17 years) using medical and neurological health status at birth, toddlerhood (ages 18 and 30 months), childhood (ages 4 and 8 years), and adolescence (ages 12 and 17 years). Distal risk included socioeconomic status (SES) at birth. Proximal social factors were indexed from assessments of the home environment and measures of child vulnerability and maternal self-esteem, involvement, and control style from birth, 4 years, 8 years, and 12 years. At age 23 years, five saliva samples were collected upon awakening, 45 min after waking, 4 hr after waking, 8 hr after waking, and bedtime (later assayed for cortisol). Results reveal effects of cumulative medical risk on the diurnal pattern of HPA axis activity, with moderating effects of SES and proximal social factors. Findings are discussed in terms of implications for contemporary theories related to developmental sensitivity and susceptibility to context and the developmental origins of health and disease theory. [ABSTRACT FROM AUTHOR]

The article describes research which sought to determine the behavioral and academic outcomes of children at age twelve who had been born preterm. The article notes that research demonstrated that preterm infants had poorer academic and behavioral outcomes than those born full-term. In addition, preterm infants with the greatest perinatal morbidity had more negative academic and behavioral outcomes at age twelve than preterm infants who had not experienced medical complications at birth.

Comments on the study "Teenage Mothers at 30," the fourth in a series of interpretive phenomenological studies which aims to explore how women who gave birth as teenagers "experienced the self and future during a 12 year period." Challenge to the predominant view that the lives of teenage mothers are derailed when they begin parenting during adolescence; Topic of methodological rigor in qualitative research; Congruency in methodology and data analysis given underlying philosophies in qualitative approaches; Implications for discipline's scientific knowledge development.

Presents information on a study which investigated the maternal control style within the role theory perspective and its association with maternal characteristics in mothers of preschool children. Proximal and distal correlation with maternal control style; Procedures; Methodology; Results and discussion.