Suzanne Tough
Biographic Data
| ID | 1731980 |
|---|---|
| NAME | Suzanne Tough |
| GIVEN NAMES | Suzanne |
| FAMILY NAME | Tough |
| SIGNATURE | TOUGH S |
| AFFILIATIONS | University of Calgary |
| ORCID | 0000-0001-5583-7404 |
| VERIFIED | Yes |
| TOTAL WORKS | 63 |
| TOTAL CITATIONS | 26 |
| AUTHOR COUNT | 63 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
Advancing understanding of the role of the family media ecology on child anxiety and depression in middle childhood
Exploring the Impact of Bullying and Friendship on Mental Health Outcomes Among Transgender, Gender Diverse (TGD), and Cisgender Lesbian, Gay, Bisexual (LGB+) Youth
Prejudice and discrimination put 2SLGBTQ+ youth at greater risk of developing poor mental health outcomes. Yet there is heterogeneity within this group, notably a greater risk for poor mental health outcomes in trans and gender diverse (TGD) youth. The goal of this study was to determine if the relationship between bullying and mental health outcomes, and the potential protective influence of peer friendship, differed between cisgender lesbian, g…
Listening to the Voices of Mothers Who Participated in a Video Feedback Intervention for Postpartum Depression
Postpartum depression (PPD) symptoms can negatively influence mother-infant interactions. Video-Feedback Interaction Guidance for Improving Interactions Between Depressed Mothers and their Infants (VID-KIDS) is a parenting intervention that allows mothers experiencing PPD symptoms to observe and improve their interactions with their infants. VID-KIDS has also positively influenced infants' stress (cortisol) patterns. There is limited research on …
Race as a determinant of prenatal depressive symptoms
Strategies to address socioeconomic status, stress, and social support among racialized minority women may reduce the risk for prenatal depression
Childcare use and the social-emotional and behavioural outcomes of late-preterm and early-term born children at age 5
Association between childhood adversities and premature and potentially avoidable mortality in adulthood
The findings imply that the psychological sequelae of childhood physical abuse and being sent away from home and subsequent uptake of adverse health behavior may lead to increased risk of potentially avoidable mortality. The potential mediators identified offer directions for future research to perform causal mediation analyses with suitable data and identify interventions aimed at preventing premature mortality due to potentially avoidable cause…
The transition to adult income supports for youth that received special education in British Columbia, Canada
Youth in special education have complex needs that are supported across multiple systems. Our research investigates the use of adult income assistance, as one structure that supports youth as they transition to adulthood. We created a cohort of youth (5-22 years old) using linked administrative data from British Columbia government ministries from 1996 to 2018. Youth were grouped by their special education funding (most to least; Level 1, Level 2…
Maternal depressive and anxiety symptoms before and during the Covid-19 pandemic in Canada
Developmental Pathways Between Infant Gestures and Symbolic Actions, and Children’s Communicative Skills at Age 5
Using data from the All Our Families study, a longitudinal study of 1992 mother-child dyads in Canada (47.7% female; 81.9% White), we examined the developmental pathways between infant gestures and symbolic actions and communicative skills at age 5. Communicative gestures at age 12 months (e.g., pointing, nodding head “yes”), obtained via parental report, predicted stronger general communicative skills at age 5 years. Moreover, greater use of sym…
Cross-Sectional Study Protocol for the Covid-19 Impact Survey of Mothers and Their 7–11 Year Old Children in Alberta, Canada
Objectives: Our aim is to understand the effect of the COVID-19 pandemic on families who have been followed longitudinally in two cohorts studied in Alberta, Canada. We will examine household infections during the COVID-19 pandemic, financial impact, domestic violence, substance use, child school and daily life and relationships in the home. We will identify risk and protective factors for maternal mental health outcomes using longitudinal data t…
Maternal depressive symptoms and language development
The current study examined the interaction between maternal depressive symptoms and child temperament in predicting subsequent child language skills. Participants were 252 mother-child dyads recruited from the All Our Families longitudinal cohort, a primarily middle-class sample (62.9% completed postsecondary education) from Alberta, Canada (90.5% White, 6% Asian, 3.5% other). Maternal depressive symptoms at age 3, controlling for prenatal depres…
Trajectories of screen use during early childhood
Longitudinal Predictors of Self-Regulation at School Entry
Self-regulation is the ability to manage emotions, modulate behaviors, and focus attention. This critical skill begins to develop in infancy, improves substantially in early childhood and continues through adolescence, and has been linked to long-term health and well-being. The objectives of this study were to determine risk factors and moderators associated with the three elements of self-regulation (i.e., inattention, emotional control, or beha…
Fetal Alcohol Spectrum Disorder among Aboriginal children under six years of age and living off reserve
Fetal Alcohol Spectrum Disorders (FASD) are caused by consumption of alcohol during pregnancy and the prevalence of these disorders in Canada is not well established. Statistics Canada’s Aboriginal Children’s Survey (2006) was used in the current study to assess the prevalence of FASD among Aboriginal children living off reserve across Canada. Characteristics of Aboriginal children with or without a diagnosis of FASD and living in Western Canada …
Maternal psychological distress and child weight at 24 months
Association Between Screen Time and Children’s Performance on a Developmental Screening Test
Importance: Excessive screen time is associated with delays in development; however, it is unclear if greater screen time predicts lower performance scores on developmental screening tests or if children with poor developmental performance receive added screen time as a way to modulate challenging behavior. Objective: To assess the directional association between screen time and child development in a population of mothers and children. Design, S…
Maternal adverse childhood experiences, attachment style, and mental health
Hypertensive Disorders of Pregnancy and Symptoms of Depression and Anxiety as Related to Gestational Age at Birth
OBJECTIVE: The aim of the study was to investigate whether symptoms of depression or state anxiety changed the strength or nature of the association between hypertensive disorders of pregnancy (HDP) and gestational age at birth. METHODS: We conducted a secondary analysis of data from the All Our Families Cohort, a prospective pregnancy cohort study based in Calgary, Alberta, Canada. Self-reported depressive symptoms and state anxiety were assesse…
Prediction and Understanding of Resilience in Albertan Families
Exposure to a natural disaster in childhood can have serious, long-lasting consequences, impacting physical and mental health, development, and learning. Although many children experience negative effects after a disaster, the majority do not, and what differentiates these groups is not well understood. Some of the factors that influence disaster-related outcomes in the midst of adversity include parents' mental health, the home environment, and …
Maternal perceptions of childhood vaccination
Vaccination decision making is complex and impacted by many factors that are similar but contribute to different decisions depending on mothers' perspectives. The results of this study indicate the need to examine new intervention approaches to increase uptake that recognize and address feelings of pressure and parental commitment to choice
Trajectory of service use among Albertan youth with complex service need
Caring for pregnant refugee women in a turbulent policy landscape
Health care providers caring for pregnant refugee women faced complex cultural and system-level barriers, and used multiple strategies to address these barriers. Additional system strains add extra pressure on health care professionals, requiring them to quickly adjust and accommodate for new demands
Vulnerable Women’s Perceptions of Individual Versus Group Prenatal Care
Social support and maternal mental health at 4 months and 1 year postpartum
BACKGROUND: Low social support is consistently associated with postpartum depression. Previous studies do not always control for previous mental health and do not consider what type of support (tangible, emotional, informational or positive social interaction) is most important. The objectives are: to examine if low social support contributes to subsequent risk of depressive or anxiety symptoms and to determine which type of support is most impor…
Comparison of Canadian and Dutch Urban Parents and Grandparents in Terms of Knowledge of Children's Cognitive and Social-Emotional Development
Knowledge of child development influences parental expectations of, and interactions with, children. Studies have shown that maternal knowledge supports cognitive and social-emotional development of young children and can have long-lasting benefits. Level of developmental knowledge of parents and grandparents has seldom been investigated on a population level. Our aim was to compare Canadian and Dutch samples of urban parents and grandparents in …
Is Paternal Age Associated with an Increased Risk of Low Birthweight, Preterm Delivery, and Multiple Birth
Risk Factors for Cessation of Breastfeeding Prior to Six Months Postpartum among a Community Sample of Women in Calgary, Alberta
Characteristics of Preterm Delivery and Low Birthweight Among 113,994 Infants in Alberta
What Do Women Know About the Risks of Delayed Childbearing
Social support and maternal mental health at 4 months and 1 year postpartum
BACKGROUND: Low social support is consistently associated with postpartum depression. Previous studies do not always control for previous mental health and do not consider what type of support (tangible, emotional, informational or positive social interaction) is most important. The objectives are: to examine if low social support contributes to subsequent risk of depressive or anxiety symptoms and to determine which type of support is most impor…
Timeliness and completeness of routine childhood vaccinations in children by two years of age in Alberta, Canada
Current state of inclusion of children with special needs in child care programmes in one Canadian province
Background: Access to quality child care is an important support for families with children with disabilities. The objectives of this study were to determine: (1) the current state of inclusion of children with special needs in child care programmes, and (2) the presence of child care staff practices and programme characteristics that support inclusion. Methods: Mail survey. Results: Centre based day care programmes (n = 318) and family day home …
Convergent validity between a discrete choice experiment and a direct, open-ended method
Comparison of Canadian and Dutch Urban Parents and Grandparents in Terms of Knowledge of Children's Cognitive and Social-Emotional Development
Knowledge of child development influences parental expectations of, and interactions with, children. Studies have shown that maternal knowledge supports cognitive and social-emotional development of young children and can have long-lasting benefits. Level of developmental knowledge of parents and grandparents has seldom been investigated on a population level. Our aim was to compare Canadian and Dutch samples of urban parents and grandparents in …
Parent Perspectives on Privacy and Governance for a Pediatric Repository of Non-Biological, Research Data
Research data repositories (RDRs) are data storage entities where data can be submitted, stored, and subsequently accessed for purposes beyond the original intent. There is little information relating to non-biological RDRs, nor considerations regarding pediatric data storage and re-use. We examined parent perspectives on pediatric, non-biological RDRs. Qualitative, descriptive methods including both interviews and focus groups were used. Purposi…
Characteristics of Preterm Delivery and Low Birthweight Among 113,994 Infants in Alberta
Is Paternal Age Associated with an Increased Risk of Low Birthweight, Preterm Delivery, and Multiple Birth
Reducing obesity and related chronic disease risk in children and youth
Childhood obesity is a global epidemic and rising trends in overweight and obesity are apparent in both developed and developing countries. Available estimates for the period between the 1980s and 1990s show the prevalence of overweight and obesity in children increased by a magnitude of two to five times in developed countries (e.g. from 11% to over 30% in boys in Canada), and up to almost four times in developing countries (e.g. from 4% to 14% …
Parents’ Global Rating of Mental Health Correlates with SF-36 Scores and Health Services Satisfaction
How Do You Evaluate a Network? A Canadian Child and Youth Health Network Experience
Over the past decade, approximately 20 child and youth health networks have been initiated in Canada. The value of any network depends on its effectiveness in achieving stated goals; however, description and measurement of network effectiveness is challenging, given the complex multi-sectoral and/or multidisci-plinary relationships involved and the relative dearth of evaluation methods specific to networks. Since its inception in 2001, the Southe…
The Content of Prenatal Care and Its Relationship to Preterm Birth in Alberta, Canada
Prenatal care is universally acknowledged as the hallmark of preventive care for pregnant women, and it is commonly assumed to have a positive influence on birth outcomes. The results of studies that have examined the impact of prenatal care on adverse birth outcomes, however, have been equivocal. These investigations have focused primarily on initiation of prenatal care and its timing, and not on the content of care received. Using data obtained…
What Do Women Know About the Risks of Delayed Childbearing
Retaining women in a prenatal care randomized controlled trial in Canada
Current Controlled Trials ISRCTN64070727
Factors Influencing Childbearing Decisions and Knowledge of Perinatal Risks among Canadian Men and Women
Factors Influencing Childbearing Decisions and Knowledge of Perinatal Risks among Canadian Men and Women
Fetal Alcohol Spectrum Disorder Prevention Approaches among Canadian Physicians by Proportion of Native/Aboriginal Patients
Risk Factors for Sub-Clinical and Major Postpartum Depression Among a Community Cohort of Canadian Women
Convergent validity between a discrete choice experiment and a direct, open-ended method
Risk Factors for Cessation of Breastfeeding Prior to Six Months Postpartum among a Community Sample of Women in Calgary, Alberta
Eliciting individual preferences for health care
Objective To demonstrate how a discrete choice experiment (DCE) can be used to elicit individuals’ preferences for health care and how these preferences can be incorporated into a cost–benefit analysis. Methods A DCE which elicited preferences for three perinatal services: specialist nurse appointments; home visits from a trained lay visitor; and home‐help. Cost was included to obtain a monetary measure of the value that individuals place on the …
Gauging knowledge of developmental milestones among Albertan adults
The majority of adults were unable to correctly answer questions related to when children under six years of age typically achieve developmental milestones. Knowledge of physical development exceeded knowledge about cognitive, emotional and social development. Adults were aware of the importance of positive experiences in influencing children's development. Strategies to improve awareness of developmental milestones combined with information on h…
P1-234 Prenatal screening for suboptimal mental health in the postpartum period
Postpartum depression (PPD) is the most common complication of pregnancy in developed countries, affecting 10%–15% of all new mothers. There's been a shift in thinking less in terms of PPD per se to poor psychosocial and transitioning outcomes after giving birth. The objective of this study was to develop a screening tool that identifies women at risk of distress in the postpartum period using information collected prenatally. We used data collec…
P1-242 Impact of work place policies and educational attainment on women's childbearing decisions in Canada
Under Canada's Employment Insurance (EI) system, parents are entitled to receive up to 50 weeks of parental leave at 55% of salary to a maximum of $413/week. In addition, many companies “top-up” these EI benefits so parents receive their full salary during parental leave. Despite this national policy, women with higher education are more likely to delay childbearing. Women who delay childbearing, particularly past age 35, are at increased risk of…
SP3-74 Expedited approach to disseminating evidence to policy makers in order to improve Aboriginal child health and well-being in Canada
Objectives To facilitate timely uptake of research evidence by policy makers and support the implementation of evidence-informed policies and practices to improve Aboriginal child health and well-being. Methods This work was initiated in response to national government interest in improving Aboriginal child health and well-being. The approach began with a synthesis review which critically and culturally appraised published papers to identify prom…
SP6-51 Effects of maternal history of abuse on child development at age 3
Introduction A community sample of pregnant women participated in a randomised controlled trial of prenatal care in Calgary, Alberta between 2001 and 2004. These women were followed-up when the child was 3 years old. Longitudinal data from these studies revealed that of children who were at high risk of developmental problems, 47% had mothers with a history of abuse. The primary objective was to test the hypothesis that maternal history of abuse …
P1-544 Viability of a single emotional health question compared to three self-report measures of mental health
Introduction Instruments designed to assess various aspects of mental health are commonly administered to women during pregnancy and the early postpartum period. The sensitivity, specificity and positive and negative predictive values of these instruments vary across study methodologies. The primary objective was to test the hypothesis that a single self-report emotional health question is effective in identifying women at risk of developing depr…
P1-235 Does social support buffer anxiety associated with returning to work or school for new mothers in the first year after giving birth
In Canada, maternity leave can last up to 1 year after giving birth. For some women, there may be associated anxiety with the prospect of having to return to work or school. We investigated the extent to which employment intentions during early postpartum were associated with symptoms of anxiety and whether this association was moderated by perceptions of social support. We used data from the All Our Babies Study, a community based prospective co…
P1-359 Public opinion of childcare providers in Alberta, Canada
Objective To assess public opinion about, and interactions with, childcare providers and programs. Methods Between September 2007 and March 2008, 1443 randomly selected adults living in Alberta, Canada, completed a telephone survey. Individuals were eligible to participate if they had interactions with a child <14 years of age in the past 6 months. Results Of the respondents, 52% believed the government should cover between 40 and 60% of daycare …
P2-528 Adult perceptions of youth mental health issues in a Canadian province
Although 15% of Canadian youth experience mental health problems, barriers to disclosure and treatment exist. This population-based study assessed adult's beliefs about the prevalence of mental illness among youth, treatment for mental illness, and comfort interacting with youth with moderate mental health problems. In 2010 a random sample of 1203 adults residing in Alberta Canada were surveyed. χ 2 Tests and t-tests were used to understand respo…
Prenatal and Postpartum Maternal Psychological Distress and Infant Development
Medicine (53 works) · Psychology (31 works) · Psychiatry (30 works) · Maternal Mental Health During Pregnancy and Postpartum (24 works) · Pregnancy (23 works) · Demography (20 works) · Environmental health (20 works) · Family medicine (16 works) · Nursing (16 works) · Population (15 works)