Adolescent Internalizing, Externalizing, and Social Problems Following Iron Deficiency at 12-18 Months: The Role of Maternal Responsiveness

Child Dev. 2020 May;91(3):e545-e562. doi: 10.1111/cdev.13266. Epub 2019 Jun 2.

Abstract

This study tested whether maternal responsiveness moderated or mediated pathways from iron deficiency (ID) at 12-18 months to adolescent behavior problems. Participants were part of a large Chilean cohort (N = 933). Iron status was assessed at 12 and 18 months. Maternal responsiveness was assessed at 9 months and 5 years. Parents reported their child's symptomology at 5 years, 10 years, and adolescence (11-17 years; M = 14.4). Structural equation modeling identified a previously unrecognized pathway by which child externalizing problems and negative maternal responsiveness at 5 years mediated associations between ID at 12-18 months and adolescent internalizing, externalizing, and social problems. Positive maternal responsiveness in infancy did not buffer those with ID anemia from developing 5-year internalizing problems.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Anemia, Iron-Deficiency / complications
  • Anemia, Iron-Deficiency / psychology*
  • Child
  • Child Behavior Disorders / etiology*
  • Child, Preschool
  • Chile
  • Cohort Studies
  • Female
  • Humans
  • Infant
  • Iron Deficiencies*
  • Male
  • Mother-Child Relations / psychology*
  • Psychology, Adolescent*