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.
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.
Authors: Myriam Peralta-Carcelen; Waldemar A Carlo; Athina Pappas; Yvonne E Vaucher; Keith Owen Yeates; Vivien A Phillips; Kathryn E Gustafson; Allison H Payne; Andrea F Duncan; Jamie E Newman; Carla M Bann Journal: Pediatrics Date: 2017-06 Impact factor: 7.124
Authors: Maria G Kroupina; Liza Toemen; Musa M Aidjanov; Michael Georgieff; Mary O Hearst; John H Himes; Dana E Johnson; Bradley S Miller; Aigul M Syzdykova; Toregeldy S Sharmanov Journal: Matern Child Health J Date: 2015-06
Authors: A F Duncan; C Bann; C Boatman; S R Hintz; Y E Vaucher; B R Vohr; K Yolton; R J Heyne Journal: J Perinatol Date: 2015-01-29 Impact factor: 2.521
Authors: C Papini; T P White; A Montagna; P J Brittain; S Froudist-Walsh; J Kroll; V Karolis; A Simonelli; S C Williams; R M Murray; C Nosarti Journal: Psychol Med Date: 2016-08-15 Impact factor: 7.723