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Published on: August 25, 2014
Development and behavior of non-handicapped preterm children from a developing country
Aylin Ozbek1, Suha Miral, Neslihan Eminagaoglu
1Department of Child Psychiatry, Dokuz Eylul University School of Medicine, Izmir, Turkey. aylin.ozbek@deu.edu.tr
Insights
Preterm children in developing countries show developmental delays and increased somatic complaints. Birth weight and parenting styles significantly impact their developmental and behavioral outcomes.
Area of Science:
- Pediatrics
- Developmental Psychology
- Child Health
Background:
- Limited research exists on developmental and behavioral outcomes of preterm children in developing countries.
- Most studies focus on industrialized nations, leaving a knowledge gap for other populations.
Purpose of the Study:
- To investigate the developmental, emotional, and behavioral outcomes of preterm children in a developing country context (Turkey).
- To compare these outcomes with those of term-born children and identify influencing factors.
Main Methods:
- A cohort of 43 non-handicapped Turkish preterm children (15 very low birth weight, 28 low birth weight) and 36 term controls were assessed at preschool age.
- Data collection involved hospital record reviews and parent/child questionnaires and inventories.
Main Results:
- Preterm children exhibited significant general developmental delays and an increased incidence of unexplained somatic complaints.
- Very low birth weight preterm children specifically showed delays in language and cognitive development.
- Developmental outcomes correlated with birth weight and authoritarian parenting, while behavioral outcomes were influenced by birth weight.
Conclusions:
- Developmental delays in Turkish preterm children align with findings from industrialized countries.
- The elevated rate of somatic complaints may be culturally influenced and warrants further investigation.
Background:
There are many studies, mainly conducted in industrialized countries, concerning developmental and behavioral outcomes of preterm children. However, little is known about the outcomes of preterm children from developing countries.
Method:
Forty-three non-handicapped Turkish preterm children, 15 with very low birth weight and 28 with low birth weight at preschool age, as well as 36 term controls were compared on rates of developmental, emotional and behavioral impairments. Data were collected by review of hospital records and application of various questionnaires and inventories to both children and their parents.
Results:
Preterm children had significant delays in general development and significant rise in somatic complaints with unknown medical etiologies. The very low birth weight group also had significant delay in language and cognitive development. Parents of the preterm children displayed significantly higher rates of democratic attitudes. Developmental outcome was significantly associated with birth weight and authoritarian parental attitudes where behavioral outcome was significantly influenced by birth weight.
Conclusion:
Presence of developmental delay is in accordance with existing data on the outcomes of preterm children from industrialized countries. An isolated increase in somatic complaints is an uncommon finding which might also be related to cultural factors.
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