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Updated: Mar 1, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Assessment: The Newborn
Rachel E Lean1, Chris D Smyser2, Cynthia E Rogers3
1Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8504, St Louis, MO 63110, USA.
Insights
Neonatal neurobehavioral assessments can predict later socioemotional development in infants. This review explores the links between early assessments and childhood temperament and socioemotional outcomes.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Neonatal neurobehavioral assessment is standard clinical practice for newborns.
- Established links exist between neonatal assessment and neurosensory/motor impairments in high-risk infants.
- The utility of neonatal assessment for predicting socioemotional impairments is less understood.
Purpose of the Study:
- To review longitudinal associations between neonatal neurobehavioral assessment and socioemotional outcomes in early childhood.
- To examine the relationship between neonatal assessment, infant temperament, and later socioemotional development.
Main Methods:
- Systematic literature review of longitudinal studies.
- Analysis of studies examining neonatal neurobehavioral assessments.
- Correlation of assessment findings with temperament and socioemotional measures in early childhood.
Main Results:
- Evidence suggests neonatal neurobehavioral assessment can identify infants at risk for socioemotional difficulties.
- Temperament in infancy, as indicated by neonatal assessment, is linked to childhood socioemotional adjustment.
- Further research is needed to fully elucidate these predictive relationships.
Conclusions:
- Neonatal neurobehavioral assessment holds potential for early identification of socioemotional risks.
- Integrating socioemotional considerations into neonatal assessments may improve early intervention targeting.
- Longitudinal studies are crucial for validating these predictive links.
Abstract:
Neonatal neurobehavioral assessment has become a standardized component of clinical care provided to newborn infants, guiding neonatal clinical care and subsequent access to early interventions and services. Links between neonatal assessment and neurosensory and motor impairments in high-risk infants have been relatively well established. In contrast, the extent to which newborn neurobehavioral assessment might also facilitate the early identification of infants susceptible to socioemotional impairments in early childhood is less well documented. This review examines longitudinal links between the neonatal neurobehavioral assessment, temperament, and socioemotional outcomes in early childhood.
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