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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Mental health concerns of the premature infant through the lifespan
Douglas Vanderbilt1, Mary Margaret Gleason
1Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA.
Insights
Preterm birth survivors often face neurodevelopmental and mental health challenges. This overview helps clinicians understand these issues and manage behavioral problems in high-risk children and families.
Area of Science:
- Child Psychiatry
- Developmental Psychology
- Neonatology
Background:
- Increased survival rates of preterm infants present unique challenges.
- Preterm birth is associated with neurodevelopmental issues and chronic medical conditions.
- Complex family dynamics often accompany prematurity.
Purpose of the Study:
- To provide child psychiatrists with an overview of prematurity outcomes.
- To contextualize mental health problems in the preterm population.
- To examine the relationship between prematurity, parental mental health, and infant outcomes.
Main Methods:
- Literature review of prematurity outcomes.
- Examination of prematurity's impact on attention problems and psychiatric disorders.
- Analysis of family well-being in the context of prematurity.
Main Results:
- Preterm infants are at higher risk for behavioral and mental health issues.
- Parental mental health is significantly impacted by having a preterm infant.
- Complex interactions exist between prematurity, child development, and family systems.
Conclusions:
- Understanding prematurity outcomes is crucial for effective mental health care.
- Evidence-based treatments are essential for prevention and management.
- A holistic approach addressing child and family well-being is necessary.
Abstract:
Because of increased survival rates, neurodevelopmental issues, chronic medical problems, and sometimes complex family issues involved with prematurity, mental health clinicians commonly assess preterm clients and manage their behavioral and mental health problems. Understanding prematurity survival and neurodevelopmental outcomes is important for contextualizing the mental health problems seen in this high-risk population. This article provides a brief overview of prematurity outcomes in the domains of prematurity relevant to practicing child psychiatrists. Prematurity is also examined as it relates to parental mental health challenges, infant mental health outcomes, high frequency attention problems, and psychiatric disorders. The complex interactions between prematurity and family well-being are also highlighted. Finally, evidence-based treatment modalities involved in prevention and management are explored.
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