Evidence map›Paper›PMID 25493463›Full record

ArticleJournal of developmental and behavioral pediatrics : JDBP2015

Factors affecting parent-child relationships one year after positive newborn screening for cystic fibrosis or congenital hypothyroidism.

Audrey Tluczek, Roseanne Clark, Anne Chevalier McKechnie, Roger L Brown

Open access · greenAbstract read
In one paragraph

Article in Journal of developmental and behavioral pediatrics : JDBP, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Psychological Impact of NBS for CF.International journal of neonatal screening · 2020
    Review
  11. Newborn Screening for CF across the Globe-International journal of neonatal screening · 2020
    Review
  12. The future of cystic fibrosis care: a global perspective.The Lancet. Respiratory medicine · 2020
    Review
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Audrey Tluczek*School of Nursing, University of Wisconsin-Madison, Madison, WI; †Department of Psychiatry, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI; ‡School of Nursing, University of North Carolina-Chapel Hill, Chapel Hill, NC; §Department of Family Medicine, University of Wisconsin-Madison, Madison, WI.
Roseanne Clark
Anne Chevalier McKechnie
Roger L Brown
University of Wisconsin–Madison · USUniversity of North Carolina at Chapel Hill · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
Newborn Screening and the Parent-Infant RelationshipsK23HD042098 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI TLUCZEK, AUDREY · 2002 to 2006
$483k
NCATS NIH HHS UL1 TR000427NCRR NIH HHS UL1 RR025011NICHD NIH HHS K23 HD042098NICHD NIH HHS K23HD42098
6 · The paper itself

Abstract

objectiveExamine factors that mediate parent-infant relationships 12 months after positive newborn screening (NBS).

methodsWe examined effects of infant diagnosis, parents' perceptions of child vulnerability and child attachment, parental depression and anxiety on parent-infant feeding interactions for 131 mothers and 118 fathers of 131 infants whose NBS and diagnostics confirmed cystic fibrosis (CF, n = 23), congenital hypothyroidism (CH, n = 35), CF carrier status (CF-C, n = 38), or healthy normal NBS (H, n = 35).

resultsSeparate composite indicator structural equation models for mothers and fathers showed that neonatal diagnosis was not associated with increased anxiety or depression. In comparison with the healthy group, CF group parents reported higher perceptions of child vulnerability (p < .001, p = .002), and CF-C group fathers viewed their children as more attached (p = .021). High maternal perception of child vulnerability was associated with low perceptions of child attachment (p = .001), which was associated with task-oriented feeding behavior (p = .016, p = .029). Parental task-oriented feeding behavior was associated with less positive (p < .001, p < .001) and more negative interactions (p < .001, p = .001) with their infants. High paternal perception of child vulnerability was associated with negative parent interactions (p < .001). High parental affective involvement and verbalization was associated with high infant affective expressiveness, communicative skills, and social responsiveness (mothers' p < .001, fathers' p < .001). High parental negative effect and/or inconsistent and intrusive behavior were associated with infant dysregulation and irritability (mothers, p < .001, fathers, p < .001).

conclusionThe severity of conditions identified through NBS can affect parents' perceptions of their child's vulnerability and attachment. Infant feeding problems in the context of chronic health conditions, like CF, could represent signs of more deeply rooted concerns regarding the parent-child relationship that merit additional clinical evaluation.

Indexed as

Father-Child RelationsAdultBottle FeedingCongenital HypothyroidismCystic FibrosisFemaleHumansInfantInfant, NewbornMaleMother-Child RelationsNeonatal ScreeningObject AttachmentParents

Identifiers

PMID25493463
PMCPMC4276429
OpenAlexW2329166455

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.