Abstract:
Infants born low birth weight (LBW) and preterm are at risk for developmental delay and cognitive deficits. These deficits can lead to lifelong learning difficulties and high-risk behaviors. Preterm (PT) and full-term (FT) groups were compared across infant and toddler measures of behavior and development to extract early indicators of executive function (EF). The goal was to extract indicators of EF from standardized infant assessments. PT (<2500 grams and <37 weeks) and FT (> 2500 grams and >37 weeks) were compared across assessment and EF components were identified from the BSID-III. A multivariate linear model was used to examine group differences. All children (99 PT and 46 FT) were administered the Bayley III and the DMQ assessments for session 1 (6-8 months). During session 2, N=78 PT and 37 FT (18-20 months), the CBCL was added to previous assessments, and the BRIEF-P was added to previous assessments in session 3, N= 52 PT and 36 FT for session 3 (See Table 1). Significant change scores were found on BSID-III subtests and EF components across all 3 sessions. The PT group also showed significantly more behavioral concerns on the CBCL at 18 months and 36 months and had lower scores on the BRIEF-P than their FT peers. The number of children born PT (N = 27, 52%) who were in Early Intervention (EI) increased across the 3 sessions. Examining early indicators of EFs supported the development of early identification that could lead to decrease adverse outcomes often associated with preterm birth.
摘要:
出生的低出生体重(LBW)和早产的婴儿有发育迟缓和认知障碍的风险。这些缺陷可能导致终身学习困难和高风险行为。比较早产(PT)和足月(FT)组的婴儿和幼儿行为和发育指标,以提取执行功能(EF)的早期指标。目标是从标准化的婴儿评估中提取EF指标。在评估中比较PT(<2500克和<37周)和FT(>2500克和>37周),并从BSID-III中鉴定EF组分。使用多元线性模型来检查组差异。所有儿童(99PT和46FT)均接受了BayleyIII和DMQ评估,为期1(6-8个月)。在第二次会议期间,N=78PT和37FT(18-20个月),CBCL被添加到以前的评估中,和BRIEF-P被添加到以前的评估中,N=52PT和36FT(参见表1)。在所有3个疗程的BSID-III子测试和EF组件上发现了显着变化分数。PT组在18个月和36个月时对CBCL的行为关注也明显更多,并且在BRIEF-P上的得分低于FT同行。在3个疗程中,接受早期干预(EI)的出生PT的儿童数量(N=27,52%)增加。检查EF的早期指标支持早期识别的发展,这可能导致减少通常与早产相关的不良结局。