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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neurodevelopmental origins of social competence in very preterm children
1Abigail Wexner Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, OH, USA.
Insights
Very preterm (VPT) children exhibit social deficits across cognition, interaction, and adjustment, impacting their social competence. These challenges are linked to early neural disruptions and environmental factors, requiring further study.
Area of Science:
- Developmental Psychology
- Neuroscience
- Pediatrics
Background:
- Social problems are a significant aspect of the preterm behavioral phenotype.
- These social issues are complex and multidimensional, necessitating a structured approach for understanding.
- A conceptual model of social competence, encompassing social cognition, interaction, and adjustment, aids in addressing these problems.
Purpose of the Study:
- To examine social deficits in very preterm (VPT) children.
- To investigate the components of social competence: social cognition, social interaction, and social adjustment in VPT individuals.
- To explore the origins and influencing factors of social difficulties in VPT children.
Main Methods:
- Review of existing literature on social cognition, interaction, and adjustment in VPT children.
- Analysis of studies involving interpretation of social cues for social cognition assessment.
- Structured observations of social interactions between VPT infants/children and adults.
- Evaluation of parent, teacher, and self-report data on social adjustment.
Main Results:
- VPT children show weaknesses in social cognition, particularly in interpreting social cues.
- Difficulties in social interaction are observed in VPT infants and young children during adult interactions.
- Problems in social adjustment are reported by parents, teachers, and VPT adults themselves.
Conclusions:
- VPT birth is associated with deficits in social cognition, interaction, and adjustment.
- These social deficits may originate from early neural development disruptions.
- Postnatal environmental factors likely influence the manifestation and severity of these social challenges.
Abstract:
Social problems are an important feature of the preterm behavioral phenotype but are diverse and multidimensional. A model of social competence comprised of the three interrelated components of social cognition, social interaction, and social adjustment is useful in conceptualizing these problems. Weaknesses in social cognition in very preterm (VPT) children, although rarely studied, are found on tasks involving interpretation of social cues. Difficulties in social interaction in VPT infants and young children are documented by structured observations of their interactions with adults. Problems in social adjustment are endorsed on parent and teacher ratings of VPT infants and youth and on self-reports of VPT adults. These multiple deficits likely stem from early disruptions in neural development, are related to other consequences of preterm birth, and subject to postnatal environment influences. Further research is needed to more fully account for the effects of VPT birth on the development of social competence.
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