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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Behavioral and socioemotional competence problems of extremely low birth weight children
M Peralta-Carcelen1, K Bailey, R Rector
1Department of Pediatrics, University of Alabama, Birmingham, AL, USA.
Insights
Behavioral and social-emotional problems are common in extremely low birth weight (ELBW) children, with low socioeconomic status and developmental scores linked to difficulties. Early identification and support are crucial for these vulnerable children.
Area of Science:
- Neonatal Research
- Developmental Pediatrics
- Child Psychology
Background:
- Extremely low birth weight (ELBW) infants face increased risks for developmental challenges.
- Understanding behavioral and social-emotional outcomes in ELBW children is critical for early intervention.
- Previous research highlights the vulnerability of ELBW survivors to neurodevelopmental issues.
Purpose of the Study:
- To investigate the prevalence of behavioral and social-emotional problems in ELBW children.
- To identify factors associated with behavioral and social competency in ELBW children at 30-36 months corrected age.
Main Methods:
- A cohort of 696 ELBW children (401-1000g) was studied.
- Parental reports using the Brief Infant-Toddler Social and Emotional Assessment were collected.
- Logistic regression analysis identified factors linked to behavioral outcomes.
Main Results:
- Behavioral problems were reported in 46.8% of ELBW children.
- Deficits in social-emotional competence were observed in 20.4% of ELBW children.
- Factors associated with problems included lower income, female gender, and low Bayley MDI/PDI scores.
Conclusions:
- Over half (51.9%) of ELBW children exhibited behavioral or social-emotional competence issues by 30 months.
- Low socioeconomic status and impaired cognitive scores (Bayley MDI/PDI) are significant risk factors.
- These findings underscore the need for targeted support for ELBW children facing developmental hurdles.
Objective:
To examine behavioral and social-emotional problems in extremely low birth weight (ELBW) children and to assess factors associated with behavioral and social competency outcomes at 30 to 36 months adjusted age.
Study Design:
A total of 696 ELBW (401 to 1000 g) children from the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network were included. Behavioral and social-emotional problems were assessed using the Brief Infant-Toddler Social and Emotional Assessment administered to parents. Unadjusted comparisons were performed between children with or without behavioral or social-emotional problems. Logistic regression was used to examine factors associated with behavioral outcomes.
Result:
Parents reported behavioral problems in 46.8%, deficits in social-emotional competence in 20.4% and having both behavioral and social-emotional competence problems in 15.4% of ELBW children. Characteristics associated with behavioral problems in logistic regression included female gender, lower household income and a Bayley Psychomotor Developmental Index (PDI)<70. Deficits in social competence were associated with Bayley Mental Developmental Index (MDI) and PDI scores<70 and Hispanic or Other races compared with White non-Hispanic.
Conclusion:
Half of the (51.9%) ELBW children showed behavioral or social-emotional competence problems at 30 months. Low socioeconomic status and low Bayley MDI and PDI scores were associated with behavioral and socioemotional difficulties.
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