B - 72 Cognitive Regulation as a Predictor of Parenting Distress

Abstract Objective To determine the relationship between adverse childhood events (ACE), executive function, and parenting. Method Pregnant individuals with and without a history of substance use were recruited to participate in a longitudinal study on perinatal reward processing and parenting. Data were collected from 111 pregnant participants, from which 43 contributed data at six months postpartum. Childhood trauma was collected via the ACE scale, and executive function (EF) challenges were measured using the Metacognition Index of the Behavior Ratings Inventory of Executive Functions for Adults (BRIEF-A). Parenting stress was assessed using the Parenting Stress Inventory, Short Form. The parental distress (PD) and parent perception of their child’s dysregulation (DC) scales were calculated from the PSI at the 6-month timepoint (N = 43 dyads, mean infant age = 27.14 (2.45) weeks.). A structural equation modeling approach was utilized to assess the direct and indirect effects of ACEs and EF challenges on PD and DC. A path mediation model was used. All models were estimated using the R Statistical Software Lavaan package. Bootstrapped confidence intervals were calculated for all paths. Missing data were handled using full information maximum likelihood. Results We found a significant indirect effect of ACEs on DC through metacognition (β = 0.1, 95% CI [0.01, 0.18], p = 0.026) and a significant indirect effect of ACEs on PD through metacognition (β = 0.13, 95% CI [0.02, 0.23], p = 0.019). There were no significant direct effects of ACE on PD or DC. Conclusion This analysis supports the hypothesis that EF, specifically cognitive regulation, impacts PS in the context of a history of ACE.