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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Exploring an integrative model of infant behavior: what is the relationship among temperament, sensory processing,
Andrea DeSantis1, Debra Harkins, Ed Tronick
1Department of Developmental Medicine, Children's Hospital, Child Development Unit, 1295 Boylston Street, Boston, MA 02215, United States. andrea.desantis@childrens.harvard.edu
Insights
This study integrates infant behavior assessments, revealing a three-factor model linking temperament, sensory processing, and neurobehavioral factors. Findings offer new insights for infant assessment and intervention strategies.
Area of Science:
- Developmental Psychology
- Occupational Therapy
- Physical Therapy
- Behavioral Pediatrics
- Infant Neurobehavioral Research
Background:
- Infant behaviors are traditionally viewed through distinct disciplinary lenses: temperament (developmental psychology), sensory processing (occupational/physical therapy), and neurobehavioral perspectives (behavioral pediatrics).
- Lack of integrated models hinders comprehensive understanding and application of infant assessment findings across these fields.
Purpose of the Study:
- To examine the relationships between summary scores from three key infant assessments: the Early Infancy Temperament Questionnaire (EITQ), the Infant Sensory Profile (ISP), and the NICU Network Neurobehavioral Scale (NNNS).
- To develop an integrative model of infant behavior that bridges disciplinary perspectives and assessment methods.
Main Methods:
- A Principal Components Analysis was employed on selected subscale scores from the EITQ, ISP, and NNNS.
- The study included a healthy sample of 100 one-month-old infants.
Main Results:
- A three-factor model emerged from the analysis, identifying 'Sensory-Affective Reactivity,' 'Engagement,' and a factor linking 'State Regulation and Motor Competence.'
- Temperament and sensory processing scores showed strong correlations within the 'Sensory-Affective Reactivity' and 'Engagement' factors.
- State regulation and motor competence scores were strongly related on the third factor.
Conclusions:
- The findings support a new, integrative model of infant behavior that validates existing theoretical frameworks and expands explanations across disciplines.
- This integrated approach has significant implications for refining infant assessment, intervention, and management practices.
- The study highlights the interconnectedness of temperament, sensory processing, and neurobehavioral factors in early infant development.
Abstract:
Traditionally, developmental psychology, occupational/physical therapy, and behavioral pediatrics view similar infant behaviors from temperament, sensory processing, or neurobehavioral theoretical perspectives. This study examined the relations between similar and unique summary scores of three infant assessments (Early Infancy Temperament Questionnaire - EITQ, the Infant Sensory Profile - ISP, and the NICU Network Neurobehavioral Scale - NNNS) in a healthy sample of 100, one-month-old infants. A Principal Components Analysis of selected subscale scores derived from the three assessments suggested a three-factor model. Temperament and sensory summary scores had the strongest relations on two factors: Sensory-Affective Reactivity and Engagement. A third factor had strong relations between state regulation and motor competence. This new integrative model also validates an existing model and expands explanation of infant behavior across disciplines and methods which have significant implications for assessment, intervention, and management practices.
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