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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Behaviour problems and developmental status of 3-month-old infants in relation to organic and psychosocial risks

G Esser1, M Laucht, M Schmidt

  • 1Zentralinstitut für Seelische Gesundheit, Kinder- und Jugendpsychiatrische Klinik, Mannheim, Federal Republic of Germany.

European Archives of Psychiatry and Neurological Sciences
|January 1, 1990
PubMed

Insights

Organic risk factors significantly impact infant development across all areas by 3 months. Psychosocial risks affect cognition and behavior, but high-risk infants adapting well show good development.

Area of Science:

  • Developmental psychology
  • Pediatric health
  • Child development

Background:

  • Infant development is influenced by a complex interplay of organic and psychosocial factors.
  • Early identification of risk factors is crucial for timely intervention.
  • Longitudinal studies provide valuable insights into developmental trajectories.

Purpose of the Study:

  • To investigate the distinct and combined effects of organic and psychosocial risk factors on infant development.
  • To identify specific developmental parameters influenced by different risk types.
  • To explore the developmental outcomes of high-risk infants based on early adaptation.

Main Methods:

  • Prospective longitudinal study design.
  • Inclusion of 384 infants and their families from birth.
  • Categorization of subjects into a 3x3 factorial design based on organic and psychosocial risk levels.

Main Results:

  • Organic risk factors demonstrated a significant impact on all developmental parameters by 3 months of age.
  • Psychosocial risks were primarily associated with cognitive development and behavioral issues.
  • Infants with high organic risk who adapted well post-birth exhibited a particularly positive developmental status.

Conclusions:

  • Organic factors play a foundational role in early infant development.
  • Psychosocial influences become more apparent in cognitive and behavioral domains.
  • Early adaptation is a critical protective factor for high-risk infants, underscoring the importance of resilience.

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