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Updated: Dec 26, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Early brain abnormalities in infants born very preterm predict under-reactive temperament
Leanne Tamm1, Meera Patel2, James Peugh1
1Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 7039, Cincinnati, OH 45229-3039, United States of America; University of Cincinnati College of Medicine, United States of America.
Brain abnormalities in very preterm infants are linked to altered temperament, including reduced pleasure, vocalization, and emotional responses. This suggests a neurobiological basis for under-reactive temperaments in these infants.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Infant Psychology
Background:
- Early temperament may link brain abnormalities after preterm birth to neurodevelopmental outcomes.
- Brain abnormalities in preterm infants are a significant concern for long-term development.
Purpose of the Study:
- To investigate if brain abnormalities in very preterm infants predict specific aspects of infant temperament.
- To explore the relationship between structural brain differences and early behavioral characteristics.
Main Methods:
- Structural MRI was performed on preterm infants at term-equivalent age.
- Maternal depression symptoms and infant temperament (using the Infant Behavior Questionnaire-Revised-Short) were assessed.
- Multivariate regression analyses were used to examine the associations.
Main Results:
- White matter abnormalities correlated with lower High Intensity Pleasure and Vocal Reactivity.
- Grey matter abnormalities were associated with lower High Intensity Pleasure and Cuddliness.
- Cerebellar abnormalities predicted lower ratings on Fear and Sadness.
Conclusions:
- Early brain abnormalities in preterm infants are associated with temperamental differences, including reduced engagement and emotional reactivity.
- These findings suggest a potential neurobiological basis for under-reactive temperaments in infants born preterm.
- Further research is needed to confirm these associations.
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