Hurricane Katrina-Related Maternal Stress, Maternal Mental Health, and Early Infant Temperament
- 25 June 2009
- journal article
- research article
- Published by Springer Science and Business Media LLC in Maternal and Child Health Journal
- Vol. 14 (4), 511-518
- https://doi.org/10.1007/s10995-009-0486-x
Abstract
To investigate temperament in infants whose mothers were exposed to Hurricane Katrina and its aftermath, and to determine if high hurricane exposure is associated with difficult infant temperament. A prospective cohort study of women giving birth in New Orleans and Baton Rouge, LA (n = 288) in 2006–2007 was conducted. Questionnaires and interviews assessed the mother’s experiences during the hurricane, living conditions, and psychological symptoms, 2 months and 12 months postpartum. Infant temperament characteristics were reported by the mother using the activity, adaptability, approach, intensity, and mood scales of the Early Infant and Toddler Temperament Questionnaires, and “difficult temperament” was defined as scoring in the top quartile for three or more of the scales. Logistic regression was used to examine the association between hurricane experience, mental health, and infant temperament. Serious experiences of the hurricane did not strongly increase the risk of difficult infant temperament (association with three or more serious experiences of the hurricane: adjusted odds ratio (aOR) 1.50, 95% confidence interval (CI) 0.63–3.58 at 2 months; 0.58, 0.15–2.28 at 12 months). Maternal mental health was associated with report of difficult infant temperament, with women more likely to report having a difficult infant temperament at 1 year if they had screened positive for PTSD (aOR 1.82, 95% confidence interval (CI) 0.61–5.41), depression, (aOR 3.16, 95% CI 1.22–8.20) or hostility (aOR 2.17, 95% CI 0.81–5.82) at 2 months. Large associations between maternal stress due to a natural disaster and infant temperament were not seen, but maternal mental health was associated with reporting difficult temperament. Further research is needed to determine the effects of maternal exposure to disasters on child temperament, but in order to help babies born in the aftermath of disaster, the focus may need to be on the mother’s mental health.Keywords
This publication has 40 references indexed in Scilit:
- Trends in mental illness and suicidality after Hurricane KatrinaMolecular Psychiatry, 2008
- Symptoms of Posttraumatic Stress Disorder in a New Orleans Workforce Following Hurricane KatrinaJournal of Urban Health, 2007
- Housing conditions, perceived stress, smoking, and alcohol: determinants of fetal growth in Northwest RussiaActa Obstetricia et Gynecologica Scandinavica, 2004
- Maternal antenatal anxiety and behavioural/emotional problems in children: a test of a programming hypothesisJournal of Child Psychology and Psychiatry, 2003
- Stability and change in stress, resources, and psychological distress following natural disaster: Findings from hurricane AndrewAnxiety, Stress & Coping, 1999
- Received and perceived social support in times of stress: A test of the social support deterioration deterrence model.Journal of Personality and Social Psychology, 1996
- Infant Temperament Measured by Multiple Observations and Mother ReportChild Development, 1994
- Infants of postpartum depressed mothers: Temperament and cognitive status.Journal of Abnormal Psychology, 1989
- Infants of postpartum depressed mothers: Temperament and cognitive status.Journal of Abnormal Psychology, 1989
- Detection of Postnatal DepressionThe British Journal of Psychiatry, 1987