The development of preterm infants from low socio-economic status families: The combined effects of melatonin, autonomic nervous system maturation and psychosocial factors (ProMote): A study protocol.

Preterm births constitute a major public health issue and a chronic, cross-generational condition globally. Psychological and biological factors interact in a way that women from low socio-economic status (SES) are disproportionally affected by preterm delivery and at increased risk for the developm...

Full description

Saved in:
Bibliographic Details
Main Authors: Theano Kokkinaki, Nicole Anagnostatou, Maria Markodimitraki, Theano Roumeliotaki, Manolis Tzatzarakis, Elena Vakonaki, Giorgos Giannakakis, Aristidis Tsatsakis, Eleftheria Hatzidaki
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0316520
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841533233828724736
author Theano Kokkinaki
Nicole Anagnostatou
Maria Markodimitraki
Theano Roumeliotaki
Manolis Tzatzarakis
Elena Vakonaki
Giorgos Giannakakis
Aristidis Tsatsakis
Eleftheria Hatzidaki
author_facet Theano Kokkinaki
Nicole Anagnostatou
Maria Markodimitraki
Theano Roumeliotaki
Manolis Tzatzarakis
Elena Vakonaki
Giorgos Giannakakis
Aristidis Tsatsakis
Eleftheria Hatzidaki
author_sort Theano Kokkinaki
collection DOAJ
description Preterm births constitute a major public health issue and a chronic, cross-generational condition globally. Psychological and biological factors interact in a way that women from low socio-economic status (SES) are disproportionally affected by preterm delivery and at increased risk for the development of perinatal mental health problems. Low SES constitutes one of the most evident contributors to poor neurodevelopment of preterm infants. Maternal perinatal mental health disorders have persistent effects on behavioral and physiological functioning throughout the lifespan and may even be evident across generations. The overall objective of the proposed longitudinal, multi-disciplinary and multi-method study is to compare the association of psychosocial (maternal mental health, intersubjectivity, attachment, family functioning, dyadic coping and perceived social support), and biological factors (melatonin and heart rate variability) with preterm infants' development at 9 months (corrected age), between low and high SES families. We will collect data from preterm neonates (<37 weeks gestational age) hospitalized in the Department of Neonatology/Neonatal Intensive Care Unit of the University General Hospital of Heraklion, Greece, and their mothers. Data collection of psychosocial and biological factors will be carried out at birth, and at the corrected age of 6 and 9 months, while preterm infants' cognitive and social development will be assessed at 9 months corrected age. The findings of this study may highlight the need for early interventions for new mothers coming from low SES in order to promote their preterm infants' optimal early neurodevelopment and for community-evidence-based prevention efforts to restrict the cycle of health inequities and intergenerational mental disorders.
format Article
id doaj-art-5b764c6cba0d402da02e9079438358d6
institution Kabale University
issn 1932-6203
language English
publishDate 2025-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-5b764c6cba0d402da02e9079438358d62025-01-17T05:31:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031652010.1371/journal.pone.0316520The development of preterm infants from low socio-economic status families: The combined effects of melatonin, autonomic nervous system maturation and psychosocial factors (ProMote): A study protocol.Theano KokkinakiNicole AnagnostatouMaria MarkodimitrakiTheano RoumeliotakiManolis TzatzarakisElena VakonakiGiorgos GiannakakisAristidis TsatsakisEleftheria HatzidakiPreterm births constitute a major public health issue and a chronic, cross-generational condition globally. Psychological and biological factors interact in a way that women from low socio-economic status (SES) are disproportionally affected by preterm delivery and at increased risk for the development of perinatal mental health problems. Low SES constitutes one of the most evident contributors to poor neurodevelopment of preterm infants. Maternal perinatal mental health disorders have persistent effects on behavioral and physiological functioning throughout the lifespan and may even be evident across generations. The overall objective of the proposed longitudinal, multi-disciplinary and multi-method study is to compare the association of psychosocial (maternal mental health, intersubjectivity, attachment, family functioning, dyadic coping and perceived social support), and biological factors (melatonin and heart rate variability) with preterm infants' development at 9 months (corrected age), between low and high SES families. We will collect data from preterm neonates (<37 weeks gestational age) hospitalized in the Department of Neonatology/Neonatal Intensive Care Unit of the University General Hospital of Heraklion, Greece, and their mothers. Data collection of psychosocial and biological factors will be carried out at birth, and at the corrected age of 6 and 9 months, while preterm infants' cognitive and social development will be assessed at 9 months corrected age. The findings of this study may highlight the need for early interventions for new mothers coming from low SES in order to promote their preterm infants' optimal early neurodevelopment and for community-evidence-based prevention efforts to restrict the cycle of health inequities and intergenerational mental disorders.https://doi.org/10.1371/journal.pone.0316520
spellingShingle Theano Kokkinaki
Nicole Anagnostatou
Maria Markodimitraki
Theano Roumeliotaki
Manolis Tzatzarakis
Elena Vakonaki
Giorgos Giannakakis
Aristidis Tsatsakis
Eleftheria Hatzidaki
The development of preterm infants from low socio-economic status families: The combined effects of melatonin, autonomic nervous system maturation and psychosocial factors (ProMote): A study protocol.
PLoS ONE
title The development of preterm infants from low socio-economic status families: The combined effects of melatonin, autonomic nervous system maturation and psychosocial factors (ProMote): A study protocol.
title_full The development of preterm infants from low socio-economic status families: The combined effects of melatonin, autonomic nervous system maturation and psychosocial factors (ProMote): A study protocol.
title_fullStr The development of preterm infants from low socio-economic status families: The combined effects of melatonin, autonomic nervous system maturation and psychosocial factors (ProMote): A study protocol.
title_full_unstemmed The development of preterm infants from low socio-economic status families: The combined effects of melatonin, autonomic nervous system maturation and psychosocial factors (ProMote): A study protocol.
title_short The development of preterm infants from low socio-economic status families: The combined effects of melatonin, autonomic nervous system maturation and psychosocial factors (ProMote): A study protocol.
title_sort development of preterm infants from low socio economic status families the combined effects of melatonin autonomic nervous system maturation and psychosocial factors promote a study protocol
url https://doi.org/10.1371/journal.pone.0316520
work_keys_str_mv AT theanokokkinaki thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT nicoleanagnostatou thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT mariamarkodimitraki thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT theanoroumeliotaki thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT manolistzatzarakis thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT elenavakonaki thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT giorgosgiannakakis thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT aristidistsatsakis thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT eleftheriahatzidaki thedevelopmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT theanokokkinaki developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT nicoleanagnostatou developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT mariamarkodimitraki developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT theanoroumeliotaki developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT manolistzatzarakis developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT elenavakonaki developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT giorgosgiannakakis developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT aristidistsatsakis developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol
AT eleftheriahatzidaki developmentofpreterminfantsfromlowsocioeconomicstatusfamiliesthecombinedeffectsofmelatoninautonomicnervoussystemmaturationandpsychosocialfactorspromoteastudyprotocol