Social-emotional delays at 2 years in extremely low gestational age survivors: correlates of impaired orientation/engagement and emotional regulation.

Autor: Boyd LA; Department of Pediatrics, Loyola University Medical Center and Loyola University of Chicago Stritch School of Medicine, Maywood, IL, United States., Msall ME, O'Shea TM, Allred EN, Hounshell G, Leviton A
Jazyk: angličtina
Zdroj: Early human development [Early Hum Dev] 2013 Dec; Vol. 89 (12), pp. 925-30. Date of Electronic Publication: 2013 Oct 18.
DOI: 10.1016/j.earlhumdev.2013.09.019
Abstrakt: Background: Premature infants are less socially and emotionally competent at school age than infants born at term.
Aims: To evaluate the correlates of social and emotional delays at 2 years of age among prematurely born children.
Study Design: This is a prospective cohort study.
Subjects: 904 children born at <28 weeks gestation during 2002-2004 and enrolled in the ELGAN study who survived until age 2 years and returned for a developmental assessment.
Outcome Measures: The Bayley Behavior Rating Scale (BRS), a neurological examination, and the Bayley Scales of Infant Development II (BSID-II).
Results: Fully 31% of children had a non-optimal (14%) or questionable (17%) (NO/Q) BRS score for Emotional Regulation (ER), and 27% had a non-optimal (13%) or questionable (14%) score for Orientation/Engagement (O/E). Children with NO/Q scores on ER and O/E were more likely than others to have MDI and PDI scores <70 and be unable to walk. Antecedents of NO/Q OE scores included multi-fetal pregnancy, while antecedents of NO/Q scores for both ER and O/E included indicators of socioeconomic disadvantage, and male sex.
Conclusions: Over 25% of children born extremely premature exhibit socio-emotional delays during developmental assessment at age 2 years. Antecedents of these delays include sociodemographic characteristics, as well as those common antecedents of other impairments commonly observed among extremely preterm infants.
(© 2013.)
Databáze: MEDLINE
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