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Temperament of preterm infants: its relationship to perinatal factors and one-year outcome
Insights
Preterm infants do not have more difficult temperaments than full-term infants. However, infant temperament is linked to perinatal factors and later cognitive development, impacting adaptability and persistence.
Area of Science:
- Developmental Psychology
- Neonatal Medicine
- Pediatrics
Background:
- Temperament differences between preterm and full-term infants are not well understood.
- The relationship between perinatal factors and infant temperament requires further investigation.
Purpose of the Study:
- To compare temperament in preterm versus full-term infants.
- To explore the association between perinatal factors and infant temperament.
- To examine the link between temperament and cognitive development in infants.
Main Methods:
- Parents completed the Toddler Temperament Scale (TTS) for 98 preterm and 89 full-term infants at 12 months post-term.
- Preterm infants underwent the Bayley Scales of Infant Development and cerebral palsy (CP) diagnosis.
- Temperament dimensions, perinatal factors (respiratory distress), and neurodevelopmental outcomes were analyzed.
Main Results:
- No significant differences in overall temperament or specific dimensions were found between preterm and full-term infants.
- Respiratory distress severity in preterm infants correlated with atypical temperament scores.
- Lower adaptability, persistence, and increased withdrawal were associated with poorer Bayley Mental Scales performance.
Conclusions:
- Infant temperament does not appear to differ based on birth status (preterm vs. full-term).
- Perinatal respiratory distress can influence temperament in preterm infants.
- Specific temperament traits are associated with cognitive development outcomes in infancy.
Abstract:
We studied preterm infants to determine whether they have more difficult temperaments than term infants, and whether temperament is related to perinatal factors and to later performance on infants tests. Parents of 98 preterm and 89 full-term infants completed the Toddler Temperament Scale (TTS) when their children were 12 months post-term. Ninety-five of the 98 preterm infants also received the Bayley Scales of infant Development and were diagnosed as to the presence and severity of cerebral palsy (CP) at one year post-term. Preterm and full-term infants did not differ significantly on overall temperament type or on any of nine temperament dimensions. Degree of respiratory distress was correlated significantly with premature infants' receiving scores significantly different from normal on some temperament dimensions. Poorer performance on the Bayley Mental Scales was significantly associated with temperament characteristics of lower adaptability, lower persistence, and more withdrawal from new stimulation.
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