1211 Psychomotor and Emotional Development at 12 Months of Very Preterm Infants with Bronchopulmonary Dysplasia

Autor: Tolsa, Borradori C, Van Hanswijck De Jonge, L, Langerock, N, Monnier, M, Bickle-Graz, M, Barisnikov, K, Hüppi, P S
Zdroj: Pediatric Research; November 2010, Vol. 68 Issue: 1, Number 1 Supplement 1 p600-600, 1p
Abstrakt: Cognitive, behavioral and emotional problems have been extensively reported for preterm children. BPD has been outlined in many studies as having an additional deleterious effect on early development. Our aim was to examine neurodevelopment and emotional regulation (ER) in preterm infants with BPD within the first year of life.38 preterm infants (GA: 27.3 ± 1.01.wks) were seen at 12 months corrected age, of which 19 have had BPD. Four components of the Laboratory Temperament Assessment Battery (Lab TAB) were administered in addition to the Bayley scales (MDI/ PDI). ER was derived from scores on the two trials of the anger evaluation of the Lab TAB.By age of 12 months, mean PDI were lower in BPDgroup (p< 0.05) compared to non- BPD-group. No significant difference between groups was found for the MDI. Correlation analysis revealed a significant negative correlation between ER on the first anger trial and BW (p < 0.01) as well as with GA (p< 0.05), only for the BPD- group. These findings were no longer significant in the second trial. However, a trend indicated an improvement of ER over the two trials in the non-BPD group but not in the BPDgroup.These results indicate that in children born preterm with BPD a higher BW as well as GA are protective factors allowing for better ER. These results add to the breadth of the literature indicating not only motor and intellectual development to be influenced by BPD at a young age but also the capacity to regulate emotions.
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