Evidence map›Paper›PMID 32271266›Full record

Observational studyJournal of developmental and behavioral pediatrics : JDBP2020

Beyond Early Adversity: The Role of Parenting in Infant Physical Health.

Jessica A Stern, Roseriet Beijers, Katherine B Ehrlich, Jude Cassidy, Carolina de Weerth

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of developmental and behavioral pediatrics : JDBP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Health and Psychological Predictors of Antibiotic Use in Infancy and Fathers' Role.European journal of investigation in health, psychology and education · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Jessica A SternDepartment of Psychology, University of Virginia, Charlottesville, VA.
Roseriet BeijersBehavioural Science Institute, Radboud University, Nijmegen, the Netherlands.
Katherine B EhrlichDepartment of Psychology, University of Georgia, Athens, GA.
Jude CassidyDepartment of Psychology, University of Maryland, College Park, MD.
Carolina de WeerthDepartment of Cognitive Neuroscience, Radboud University Medical Center, Nijmegen, the Netherlands.
University of Virginia · USRadboud University Nijmegen · NL

Funding

Innovative Approaches to the Study of Social Determinants of Health in ChildrenDP2MD013947 · NIMHD · UNIVERSITY OF GEORGIA · PI EHRLICH, KATHERINE BABCOCK · 2018 to 2018
$2.3M
Empathy Development in Infancy and Adolescence: The Role of AttachmentF32HD102119 · NICHD · UNIVERSITY OF VIRGINIA · PI STERN, JESSICA A · 2020 to 2022
$171k
NICHD NIH HHS F32 HD102119NIMHD NIH HHS DP2 MD013947
6 · The paper itself

Abstract

objectiveAlthough ample evidence indicates that child health is compromised by early adversity (e.g., abuse and poverty), less is known about the contribution of parenting in low-stress contexts to child health, especially in infancy. This longitudinal study extends previous research on early adversity to ask the question: Does quality of parental care predict infant health in a low-risk community sample?

methodParticipants were 187 healthy mothers and their full-term infants (86 girls) from the Netherlands, followed from birth to age 1. Home observations of mothers' behavior were conducted during a naturalistic task (bathing session) when infants were 5 weeks old. Trained researchers interviewed mothers about the infants' health and prescribed antibiotic use every month for 12 months. Infant health problems were categorized into 4 domains according to the International Classification of Primary Care to capture a range of outcomes: respiratory, digestive, skin, and general illnesses and symptoms.

resultsControlling for health-related covariates (e.g., maternal smoking and breastfeeding), maternal sensitivity predicted reduced rates of infant respiratory symptoms and skin conditions and marginally lower prescribed antibiotic use over the first year. Maternal behavior was unrelated to infant digestive and general illnesses.

conclusionEven in the absence of adversity, quality of maternal care may have implications for the development of physical health, beginning as early as the first year of life. That such findings emerge in a low-risk sample helps rule out potential confounders and underscores the importance of parenting for physical and psychological health outcomes.

Indexed as

Child RearingHealth StatusMaternal BehaviorParentingAdultAnti-Bacterial AgentsDigestive System DiseasesDrug PrescriptionsFemaleHumansInfantLongitudinal StudiesMaleMothersNetherlandsRespiration DisordersAnti-Bacterial Agents

Identifiers

PMID32271266
PMCPMC9364161
OpenAlexW3015762663

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.