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Updated: Aug 5, 2025
Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Emotional Regulation Interventions on Developmental Course for Preterm Children: A Systematic Review of Randomized
Vincenza Dell'Aversana1, Marco Tofani2, Donatella Valente2
1MSc in Rehabilitaiton Sciences for Healthcare Professions, Sapienza University of Rome, 00185 Rome, Italy.
Insights
Parent training and mindfulness interventions show promise for improving emotional regulation in children born preterm. Further research is needed due to small sample sizes limiting statistical power.
Area of Science:
- Developmental Psychology
- Pediatric Rehabilitation
- Neonatal Medicine
Background:
- Children born preterm (<37 weeks gestation) face higher risks of socio-emotional challenges.
- Effective rehabilitation strategies are crucial for supporting their development.
Purpose of the Study:
- To systematically review the effects of rehabilitation interventions on emotional regulation in preterm infants.
- To identify evidence-based interventions for improving socio-emotional outcomes in this population.
Main Methods:
- A systematic review adhering to PRISMA guidelines was conducted.
- Literature searches were performed on PubMed, Scopus, and Web of Science.
- Five randomized controlled trials (RCTs) were selected for qualitative synthesis, with quality assessed using JADAD and PEDro scales.
Main Results:
- Parent training interventions, specifically Parent-Child Interaction Therapy (PCIT), demonstrated statistically significant benefits (p < 0.05).
- Mindfulness interventions led to improvements in daily executive functioning and reduced behavioral problems.
- Group-based physiotherapy showed clinical but not statistical efficacy.
Conclusions:
- Parent training and mindfulness interventions are potentially effective rehabilitation techniques for preterm children's emotional regulation.
- The findings, while promising, should be interpreted cautiously due to limited statistical power from small sample sizes.
- Further research with larger cohorts is recommended to confirm efficacy and explore intervention mechanisms.
Abstract:
Children born preterm (<37 weeks of gestation) are at increased risk of socio-emotional difficulties. This study aims to determine the effects of rehabilitation intervention on the emotional regulation of children born preterm through a systematic review. We conducted a systematic review according to PRISMA guidelines. The literature screening was carried out on PUBMED, SCOPUS and WEB OF SCIENCE in August 2022. An author identified eligible studies based on predefined inclusion criteria and extracted the data. RCT quality was assessed using the JADAD and PEDro scales. We selected five RCTs for qualitative synthesis, having the common objective of evaluating the changes in emotional regulation after a rehabilitation intervention. Evidence of benefits was found after parent training intervention (PCIT; p < 0.05). Moreover, there was an improvement in day-to-day executive life and fewer behavioral problems after mindfulness intervention. Clinical, but not statistical, efficacy was found for the group-based physiotherapy intervention. In conclusion, parent training and mindfulness interventions can be helpful rehabilitation techniques, but the relatively small sample limited statistical power, so the discovery needs to be interpreted cautiously. Further research on these aspects is recommended.
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