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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Infant temperament and high-risk environment relate to behavior problems and language in toddlers
Chris Derauf1, Linda LaGasse, Lynne Smith
1Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, 1319 Punahou Street, Honolulu, HI 96826, USA. dderauf@hawaii.edu
Insights
Children with an easy temperament showed fewer behavioral problems, especially in low-risk environments. An easy temperament may protect social-emotional development despite adverse social conditions.
Area of Science:
- Child Development
- Developmental Psychology
- Behavioral Science
Background:
- High social risk environments pose challenges to child development.
- Infant temperament is a key individual difference factor.
- Understanding protective factors is crucial for intervention.
Purpose of the Study:
- To investigate the influence of easy infant temperament and environmental risk on cognitive, language, and behavioral outcomes at age 3.
- To examine the interplay between temperament and environment in predicting child development.
- To assess the role of caregiver language as a potential protective factor.
Main Methods:
- Longitudinal study of 290 mother-infant dyads with 3-year follow-up.
- Temperament assessed using the Infant Behavior Questionnaire at 12 months.
- Statistical analyses included linear regression and hierarchical linear modeling.
Main Results:
- Easy temperament was associated with lower internalizing and externalizing behaviors, particularly in less risky environments.
- Caregiver receptive language correlated with fewer internalizing behaviors.
- Neither temperament nor environmental risk predicted cognitive or motor outcomes.
- Prenatal methamphetamine exposure did not impact 3-year outcomes or temperament's protective effects.
Conclusions:
- An easy infant temperament can buffer against behavioral problems in adverse social environments, suggesting a role in resilience.
- Adverse social environments are linked to increased behavioral issues and language deficits.
- Targeting temperament and environmental support may enhance social-emotional development in at-risk children.
Objective:
This study examined the role that easy infant temperament and cumulative environmental risk play in predicting cognitive, language, and behavioral outcomes in 3-year-old children at high social risk.
Methods:
Subjects were 412 mother-infant dyads, recruited at birth, participating in a longitudinal study examining the effects of prenatal methamphetamine on child development. This analysis includes a subsample (n = 290) of the study with a completed 3-year visit. Temperament was assessed by the Infant Behavior Questionnaire at 12 months. Factor analysis from well-validated measures generated “easy” and “difficult” temperament profiles and a profile for high-risk environment. Caretaker receptive vocabulary served as a proxy for intelligence quotient. Outcomes at 3 years included motor and mental development, behavior problems, and language. Linear regression and hierarchical linear modeling examined the effects of temperament, high-risk environment, and caregiver receptive language on outcomes adjusting for maternal drug use and demographic and socioeconomic covariates.
Results:
Internalizing and externalizing behaviors were lower in children with easy temperament and higher with increased environmental risk. Easy temperament attenuated behavioral problems only in the setting of lower environmental risk. Caregiver receptive language was associated with lower internalizing scores. High-risk environment and temperament factors were not related to cognitive or motor outcomes. Prenatal methamphetamine exposure was not associated with 3-year-old outcomes, nor did it alter the protective effects of an easier temperament on child behavior.
Conclusions:
CHILDREN growing up in adverse social environments had increased behavioral problems and compromised language development. Conversely, an easy temperament acts as a protective factor for social-emotional development and could be related to resilience.
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