Related Experiment Video
Updated: Sep 28, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Temperament characteristics of premature infants in the first year of life
Mary B Hughes1, Justine Shults, Jacqueline McGrath
1International Center for Research of Vulnerable Women, Children and Families, School of Nursing, University of Pennsylvania, Philadelphia, USA. hughes@nigthingale.rutgers.edu
Insights
Preterm infants exhibit distinct temperaments in early life, presenting unique parenting challenges. Their temperament evolves, but persistence remains lower at 12 months, influenced by prematurity factors.
Area of Science:
- Neonatal Development
- Infant Psychology
Background:
- Parenting preterm infants post-discharge is demanding.
- Preterm infant temperament at <3 months is not well-documented.
Purpose of the Study:
- To compare 6-week temperament of preterm infants to full-term norms.
- To analyze temperament changes in preterm infants up to 12 months.
Main Methods:
- 74 preterm infants (24-32 weeks gestational age) were studied.
- Mothers rated infant temperament at 6 weeks, 6 months, and 12 months (adjusted).
Main Results:
- At 6 weeks, preterm infants were less rhythmic, more distractible, less approaching, and less intense than full-term norms.
- Temperament moderated, but persistence remained significantly lower at 12 months.
Conclusions:
- Preterm infants may initially pose greater parenting challenges.
- Temperament changes suggest influence from biological and environmental factors of prematurity.
Abstract:
Parenting preterm infants in the first months after hospital discharge is challenging. Although preterm infants are considered to be difficult, preterm temperament at less than 3 months is unknown empirically. The purpose of this analysis was to investigate the 6-week temperament characteristics of preterm infants in comparison with standardized norms of full-term infants. The sample of 74 infants with gestational ages at birth between 24 and 32 weeks were enrolled in a study of preterm infant neurobehavioral outcomes. Mothers rated temperament at 6 weeks, 6 months, and 12 months of age (adjusted for prematurity). At 6 weeks the premature infants were significantly less rhythmic (regular), more distractible (soothable), less approaching (more withdrawing), and less intense than standardized norms for full-term infants. From these data we conclude that premature infants may be initially more challenging to parent. Temperament moderated over time but remained significantly lower in persistence at 12 months. Considerable change in temperament in the first 12 months of life may be influenced by biological and environmental factors common to the premature birth experience.
More Related Videos
Related Concept Videos
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...
Attachment
Personality Theory by Eysenck and Eysenck
In the extroversion/introversion dimension, highly extroverted people are sociable, outgoing, and easily connect with others. In contrast,...
Piaget's Stage 1 of Cognitive Development
Exploration...
Relationship with Parents: Attachment
The Nativist Approach

