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Intervention effects on emotion regulation in preterm infants with very low birth weight: A randomize controlled

Ying-Chin Wu1, Wu-Shiun Hsieh2, Chyong-Hsin Hsu3

  • 1School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.

Research in Developmental Disabilities
|November 3, 2015
PubMed

Insights

Intervention programs for very low birth weight (VLBW) preterm infants improved emotion regulation. Both clinic-based and home-based programs helped VLBW infants manage stress responses by toddler age.

Area of Science:

  • Neonatal development
  • Developmental psychology
  • Pediatric intervention

Background:

  • Preterm infants, particularly those with very low birth weight (VLBW), face heightened risks for emotional and behavioral challenges.
  • Effective emotion regulation is crucial for healthy development in VLBW infants.

Purpose of the Study:

  • To compare the effects of clinic-based intervention programs (CBIP) and home-based intervention programs (HBIP) against usual care (UCP) on stress-related emotion regulation in VLBW preterm infants.
  • To assess the long-term impact of these interventions up to 24 months corrected age.

Main Methods:

  • 178 VLBW preterm infants were randomly assigned to CBIP, HBIP, or UCP.
  • Interventions included child-, parent-, and dyad-focused components, delivered during hospitalization and post-discharge (clinics or home).
  • Behavioral reactivity and regulation were observed using a stress-evoking procedure at 12, 18, and 24 months corrected age.

Main Results:

  • Home-based intervention (HBIP) infants showed reduced visual orientation to a toy during stress.
  • Clinic-based intervention (CBIP) infants demonstrated decreased avoidance behaviors when faced with stress.
  • No significant differences in overall stress reactivity were found between intervention groups and usual care.

Conclusions:

  • Comprehensive interventions, whether clinic- or home-based, positively influence emotion regulation in VLBW preterm infants during toddlerhood.
  • These findings highlight the importance of tailored support services for enhancing emotional development in vulnerable preterm populations.

Keywords:
BehaviorDevelopmentEarly interventionEffectivenessEmotion regulationPreterm infants

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