Trilingualism and reading difficulty in a third (school) language: A case study of an at-risk child in French immersion

This longitudinal study documents a trilingual child’s struggle with decoding and word recognition, the remedies sought to help him start reading in his second language (English) while he was in French immersion, and his performance after the intervention on tests of phonological awareness in L1 Romanian, L2 English, and L3 French. The study commenced at age 5;6, when the child, Alex, was in English kindergarten and diagnosed with a reading deficit. The initial diagnostic assessment uncovered his near-complete lack of phonological awareness, a key ingredient of emergent reading. An intervention using a multisensory approach to reading was used twice a week until the child was 7;9, at which point he was completing grade 2 in French immersion. Alex’s phonological processing abilities were assessed in all three languages immediately after remediation in order to determine: (i) whether his phonological processing skills improved in English, the language of the intervention; (ii) whether there were similar effects in the two non-remediation languages (Romanian and French); and, finally, (iii) whether children at-risk for reading difficulties are able to continue their education in an L3, such as French in an immersion context.

The Response to Stress Questionnaire for Parents Following Neonatal Brain Injury

Objective The Response to Stress Questionnaire-Brain Injury (RSQ-BI) was adapted utilizing a patient-oriented approach, exploring parental stress, coping, and associated mental health outcomes in parents of children with neonatal brain injury. The contributions of social risk, child adaptive functioning, and brain injury severity were also explored. Methods Using a mixed-method design, this study explored adapted stressor items on the RSQ-BI. Parents and clinicians engaged in semistructured interviews to examine key stressors specific to being a parent of a child with neonatal brain injury. The adapted RSQ-BI was piloted in a parent sample (N = 77, child mean age 1 year 7 months) with established questionnaires of social risk, child adaptive functioning, severity of the child’s injury, coping style, and parent mental health. Descriptive statistics and correlations examined parent stress, coping, and their association with parent mental health. Results The final RSQ-BI questionnaire included 15 stressors. Factor analysis showed stressors loaded onto two factors related to (a) daily role stressors and (b) brain injury stressors. Using the RSQ-BI, parents reported brain injury stressors as more stressful than daily role stressors. When faced with these stressors, parents were most likely to engage in acceptance-based coping strategies and demonstrated lower symptoms of parent depression and anxiety. Conclusions The RSQ-BI provides a valuable adaptation to understand both stressors and coping specific to being a parent of a child with neonatal brain injury. Relevant interventions that promote similar coping techniques are discussed for future care and research.

Preterm Birth and Maternal Mental Health: Longitudinal Trajectories and Predictors

Objective To examine trajectories of psychological distress in mothers of children born very preterm (VPT, <30 weeks gestation) and full term from 2 to 13 years after the birth, and examine predictors of maternal psychological distress over time within the VPT group. Methods Mothers of children born VPT (n = 159) and full term (n = 71) completed questionnaires assessing their psychological distress when their child was 2, 7, and 13 years of age. Mixed models were used to examine differences between groups in maternal psychological distress over time. Family social risk, child neonatal medial risk, child sex, multiple pregnancy, and child’s neurodevelopmental impairment in early childhood were examined as potential predictors of maternal psychological distress within the VPT group. Results Mothers of children born VPT displayed elevated psychological distress compared with mothers of full-term children, and this difference was consistent over time. Higher family social risk was associated with elevated maternal psychological distress throughout childhood across all time-points. There was evidence that mothers of children at higher neonatal medical risk displayed increasing psychological distress over time. Conclusions Mothers of children born VPT show prolonged psychological distress. Mothers from socially disadvantaged background and those whose child has neonatal medical complications may require extensive support to prevent prolonged psychological distress and promote optimal outcomes for children and families.