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Published on: February 8, 2019
Object exploration in extremely preterm infants between 6 and 9 months and relation to cognitive and language
Mariagrazia Zuccarini1, Annalisa Guarini1, Silvia Savini1
1Department of Psychology, University of Bologna, Via Berti Pichat, 5-40127 Bologna, Italy.
Insights
Extremely low gestational age infants show developmental changes in object exploration skills by 9 months. Early oral and manual exploration at 6 months predict later language and cognitive abilities.
Area of Science:
- Developmental psychology
- Pediatrics
- Neuroscience
Background:
- Early object exploration is crucial for development but understudied in extremely low gestational age (ELGA) infants due to motor delays.
- No prior research has linked ELGA infants' early object exploration to later cognitive and language skills.
Purpose of the Study:
- To examine developmental changes in Motor Object Exploration (MOE) in ELGA and full-term (FT) infants.
- To investigate the relationship between specific MOE types and later cognitive and language abilities in ELGA infants.
Main Methods:
- Longitudinal study observing 20 ELGA and 20 FT infants during play at 6 and 9 months.
- Assessed MOE duration and types (Holding, Oral, Manual, Manual Rhythmic Exploration).
- Correlated 6-month MOE with 24-month cognitive and language scores (GMDS-R).
Main Results:
- ELGA infants' MOE duration increased from 6 to 9 months, matching FT infants.
- ELGA infants exhibited a distinct oral exploration pattern, with no increase at 6 months and a decrease at 9 months.
- Six-month oral and manual exploration durations predicted 24-month language and cognitive scores, respectively.
Conclusions:
- ELGA infants demonstrate developmental catch-up in overall MOE by 9 months.
- Specific early MOE patterns in ELGA infants are linked to later developmental outcomes.
- Assessing early exploratory skills in ELGA infants is vital for targeted interventions.
Abstract:
Although early object exploration is considered a key ability for subsequent achievements, very few studies have analyzed its development in extremely low gestational age infants (ELGA- GA <28 weeks), whose early motor skills are delayed. Moreover, no studies have examined its developmental relationship with cognitive and language skills. The present study examined developmental change in Motor Object Exploration (MOE) and different types of MOE (Holding, Oral, Manual and Manual Rhythmic Exploration) in 20 ELGA and 20 full term (FT) infants observed during mother-infant play interaction at 6 and 9 months. It also explored whether specific types of MOE were longitudinally related to 24-month language and cognitive abilities (GMDS-R scores). ELGA infants increased MOE duration from 6 to 9 months, eliminating the initial difference with FT infants. In addition, ELGA infants showed a different pattern of Oral Exploration, that did not increase at 6 months and decrease at 9 months. Oral and Manual Exploration durations at 6 months were longitudinally related to 24-month GMDS-R language and cognitive performance scores respectively. We discuss the relevance of assessing early exploratory abilities in ELGA infants in order to implement customized intervention programs for supporting the development of these skills.
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