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Updated: Apr 7, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
The attachment of prematurely born children at school age: A pilot study
Francesca Nuccini1, Marcella Paterlini2, Giancarlo Gargano3
1Neonatal Intensive Care Unit, Obstetric, Gynecology and Pediatric Department, Hospital Arcispedale Santa Maria Nuova-Istituto di Ricovero e Cura a Carattere Scientifico, Italy francesca.nuccini@gmail.com.
Abstract:
This prospective longitudinal study compared the psychological development and patterns of attachment of 20 prematurely born children and 20 full-term children at 7 years of age. The School-age Assessment of Attachment (SAA) was used, and hypotheses and interpretation of the findings were drawn from the Dynamic-Maturational Model of Attachment and Adaptation (DMM). Significant differences between prematurely born and full-term children were found: 10% versus 0% at "high" risk, 55% versus 25% at "moderate" risk, and 35% versus 75% at "low" risk. There were no differences in the percentage of psychological trauma between samples, but there was a difference in the types of experiences leading to trauma. For prematurely born children, it was most often illness, whereas for full-term children, it was family problems. We discuss the implications for clinicians.
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