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Developmental Outcomes, Attachment and Parenting: Study of a Sample of Spanish Premature Children

  • Purificación Sierra-García (a1), María López-Maestro (a2), María José Torres-Valdivieso (a2), Celia Díaz-González (a3), Miguel Carrasco (a1), Susana Ares-Segura (a3), Gonzalo Duque de Blas (a1) and Carmen Pallás-Alonso (a2)...


The aim of this study is to provide an overview of the development of premature children, including attachment, child psychological adjustment and parental variables. 130 children < 1,500 g or < 32 weeks at birth from two public hospitals, assessed at two years corrected age, together with their parents. Parental socio-demographic data was collected. Infant development, attachment and child psychological adjustment were evaluated, as was parental stress. The percentage of preterm children with developmental delays ranged from 5% to 21%. Girls tend to show higher levels of development than boys with effect sizes ranging from small, η2p = .02, to medium, η2p = .07. Secure attachment was the most frequent pattern in the sample. No significant differences, p < .05, between preterm children and the normative population were found on children´s behavioral problems and maternal stress levels. Despite the fact prematurity is considered to be a risk factor for a child´s development, a significant proportion of these children do not show problems in terms of developmental levels, attachment pattern and maternal stress. However, socio-emotional and affective domains, as well as psychological support programs for parenthood, should be followed up from a multidisciplinary perspective.


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*Correspondence concerning this article should be addressed to Gonzalo Duque de Blas. Universidad Nacional de Educación a Distancia. Development and Educational Psychology. 28040 Madrid (Spain). E-mail:


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Sierra-García, P., López-Maestro, M., Torres-Valdivieso, M. J., Díaz-González, C., Carrasco, M., Ares-Segura, S., … Pallás-Alonso, C. (2017). Developmental outcomes, attachment and parenting: Study of a sample of Spanish premature children. The Spanish Journal of Psychology, 21. e20. Doi:10.1017/sjp.2018.22



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