Early Emergence of Behavior and Social-Emotional Problems in Very Preterm Infants

Spittle, Alicia J; Treyvaud, Karli; Doyle, Lex W.; Roberts, Gehan; Lee, Katherine J.; Inder, Terrie E.; Cheong, Jeanie L.Y.; Hunt, Rod W.; Newnham, Carol; Anderson, Peter J.

doi:10.1097/chi.0b013e3181af8235

Cited by 215 publications

(197 citation statements)

References 55 publications

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“…In this context, it is important to inform pediatricians, psychologists, and other associated professionals, of the large number of papers that have highlighted the importance of early care (early intervention) as a means to reduce or prevent the risk of cognitive, communicative and social-emotional problems in these children (42,45,47,48,50,51). The majority of these studies highlight early care as a predictor of successful outcomes in the cognitive (42,47,48,50,51,67) communicativelinguistic (45,47) and emotional domains (48,70,71). Early intervention is the most important way to prevent and/or reduce academic, communicative and social-emotional (anxiety/depression) problems, and improve long-term adaptation to the environment, self-regulation, communication skills, social competence and academic performance in general.…”

Section: Resultsmentioning

confidence: 99%

“…Although no differences were found in the children's ability to move from one task to another, there were differences in levels of persistence that were demonstrated during problem solving tasks. Spittle et al (70) found that preterm children at 2 years presented more problems in internalizing behavior (withdrawal, sadness, enjoyment, fear), in behavior management (negative emotions, difficulties with eating and sleeping) and in social competence (acceptance of norms, cooperation, social games, and imitating other children). However, no differences were found compared to full-term children in externalizing behaviors (motor activity, defiance, and aggression).…”

Section: Personal and Social Development Studiesmentioning

confidence: 99%

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Early Psychological Development of Very Preterm and/or Low Birth Weight Children: A Review of the Literature

2015

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Objective -The aim of this paper is to describe the psychological development in three areas (cognitive, communicative-linguistic and social-emotional domains) of very preterm children and/or low birth weight, aged from 0 to 6 years, to discover if problems exist and if these difficulties remain, decrease or increase over time, up to 6 years of age, through of review of studies done in this population. Materials and methods -Seven databases were searched. The search yielded 975 studies and those related to cognitive, communicative-linguistic and social-emotional development in children without physical problems, ranging in age from birth to 6 years, gestational age less than 32 weeks and/or birth-weight less than 2499 grams were analyzed. Most of the 47 studies analyzed were conducted after 2005, focused on children aged 3-5 years, and compared preterm and full-term infants. ResultsThe studies agree that preterm children differ in many developmental domains but there is no consensus on others. Several studies found a close association between the three different areas analyzed. Conclusion -Early intervention of preterm and/or low birth weight children is the most important way to prevent and/or reduce academic, communicative and social-emotional (anxiety/depression) problems, and improve long-term adaptation to the environment, self-regulation, communication skills, social competence and academic performance in general.

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Section: Resultsmentioning

confidence: 99%

Section: Personal and Social Development Studiesmentioning

confidence: 99%

Early Psychological Development of Very Preterm and/or Low Birth Weight Children: A Review of the Literature

2015

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“…and colleagues (see Ranger and Grunau,3 with references therein) identified internalizing behaviours prevalent in children born pre-term, compared with full-term control subjects, that persisted into adolescence and beyond (see Spittle et al 7 ). Here again, parsing the neurobiological mechanisms that drive these changes is confounded by the interactions of nociception and stress.…”

Section: Highlightsmentioning

confidence: 99%

Long-Term Consequences of Neonatal Injury

Beggs

2015

Can J Psychiatry

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The maturation of the central nervous system's (CNS's) sensory connectivity is driven by modality-specific sensory input in early life. For the somatosensory system, this input is the physical, tactile interaction with the environment. Nociceptive circuitry is functioning at the time of birth; however, there is still considerable organization and refinement of this circuitry that occurs postnatally, before full discrimination of tactile and noxious input is possible. This fine-tuning involves separation of tactile and nociceptive afferent input to the spinal cord's dorsal horn and the maturation of local and descending inhibitory circuitry. Disruption of that input in early postnatal life (for example, by tissue injury or other noxious stimulus), can have a profound influence on subsequent development, and consequently the mature functioning of pain systems. In this review, the impact of neonatal surgical incision on nociceptive circuitry is discussed in terms of the underlying developmental neurobiology. The changes are complex, occurring at multiple anatomical sites within the CNS, and including both neuronal and glial cell populations. The altered sensory input from neonatal injury selectively modulates neuronal excitability within the spinal cord, disrupts inhibitory control, and primes the immune system, all of which contribute to the adverse long-term consequences of early pain exposure. W W W Conséquences à long terme d'une blessure néonataleLa maturation de la connectivité sensorielle du système nerveux central (SNC) est dictée par les intrants sensoriels propres aux modalités, en début de vie. Pour le système somatosensoriel, ces intrants sont l'interaction physique, tactile avec l'environnement. La circuiterie nociceptive fonctionne au moment de la naissance; cependant, une part considérable de l'organisation et du raffinement de cette circuiterie se produit en période postnatale, avant que la pleine discrimination entre intrants tactiles et nuisibles ne soit possible. Ce raffinement implique la séparation des intrants afférents tactiles et nociceptifs à la corne dorsale de la moelle épinière, et la maturation de la circuiterie inhibitoire locale et descendante. La perturbation de ces intrants en début de vie postnatale (par exemple, par une lésion des tissus ou un autre stimulus nuisible) peut avoir une influence profonde sur le développement subséquent et par conséquent, sur le fonctionnement mature des systèmes de la douleur. Dans cette revue, nous présentons l'impact d'une incision chirurgicale néonatale sur la circuiterie nociceptive, en ce qui concerne la neurobiologie développementale sous-jacente. Les changements sont complexes et se produisent à de multipes sites anatomiques du SNC, incluant des populations cellulaires à la fois neuronales et gliales. Les intrants sensoriels altérés par une blessure néonatale modulent sélectivement l'excitabilité neuronale de la moelle épinière, perturbent le contrôle inhibitoire, et préparent le système immunitaire, et tout cela contribue à des conséquences i...

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“…Systematic evaluation of motor changes and associated morbidities in neonates in the Neonatal Intensive Care Unit (NICU) may provide important information about neurodevelopmental outcomes 1 and may accelerate the initiation of intervention and facilitate the future development of these children 2 . The number of adverse morbidities in the peri-and neonatal periods increases the risk of delayed developmental changes between 18 and 24 months of corrected age 3 .…”

Section: Introductionmentioning

confidence: 99%

Factors Related to Motor Developmental Delay of Newborns

Silva

Neves

Frônio

et al. 2014

J. Hum. Growth Dev.

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Artigo baseado em dissertação de mestrado cujos resultados, discussão e resultados serão apresentados em forma de artigos sendo este um deles. Defesa em 2011. Instituição UFJF. INTRODUCTIONSystematic evaluation of motor changes and associated morbidities in neonates in the Neonatal Intensive Care Unit (NICU) may provide important information about neurodevelopmental outcomes 1 and may accelerate the initiation of intervention and facilitate the future development of these children 2 . The number of adverse morbidities in the peri-and neonatal periods increases the risk of delayed developmental changes between 18 and 24 months of corrected age 3 . Studies demonstrate that newborns from the NICU, mainly the extremely preterm newborns, may have delay in their neuromotor and cognitive development due to their biological characteristics (such as gestational age and birth weight) 4,5 or interventions and complications in the peri-and neonatal periods [6][7][8] . Identifying factors which may increase an infant's risk of delay would allow clinicians to focus on children with higher risk and would also allow the enforcement of preventive measures aiming at avoiding the occurrence of such factors.Evaluations of the practices carried out in the maternal and infant units are widely discussed in developed countries. In developing countries, systematic evaluation is just beginning, and data is available through databases such as the Vermont Oxford Network and the Brazilian Net of Neonatal Research 9 .Studies about the relationship between the delay in developmental motor and events observed during the neonatal period usually involve clinical assessments carried out after hospital discharge. In such cases, the links identified might suffer from the interference of factors that took place between discharge from the NICU and the assessment: socioeconomic and stimulation conditions. Assessing the newborns before hospital discharge may prevent these effects.A development evaluation at the time of discharge from the NICU couldbe used by hospital service to evaluate the discharge conditions of its users and to improve services quality, preventing risk factors to motor development delay in newborns. The aim of this study is to verify the . ABSTRACT Introduction: Studies on the association between motor developmental delay and events observed during the neonatal period are performed after discharge. In such cases, the associations found may be interfered by factors occurring between discharge from the NICU and evaluation. Evaluate newborns before hospital discharge can prevent these effects.The purpose of this study is to identify factors related to motor developmental delay of newborns when being discharged from Neonatal Intensive Care Unit. The method chosen to carry out this investigation was a prospective cohort, populationbased and analytic-descriptive study, and 178 newborns were assessed through the Test of Infant Motor Performance. Binomial logistic regression has been developed for analyzing the associated factors. Among th...

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Early Emergence of Behavior and Social-Emotional Problems in Very Preterm Infants

Cited by 215 publications

References 55 publications

Early Psychological Development of Very Preterm and/or Low Birth Weight Children: A Review of the Literature

Early Psychological Development of Very Preterm and/or Low Birth Weight Children: A Review of the Literature

Long-Term Consequences of Neonatal Injury

Factors Related to Motor Developmental Delay of Newborns

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