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Updated: May 29, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

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Effect of home environment on neuropsychiatric development in preterm infants discharged from NICU at 18 months

Yuan Tian1, Chuncao Zhang2, Feng Liu1

  • 1Department of Child Health Care, Shanghai Children's Hospital, Shanghai, China.

General Psychiatry
|February 3, 2025
PubMed

Insights

A supportive home environment significantly improves neuropsychological development in preterm infants, reducing risks of developmental delays. Prioritizing home environment assessment and enhancement is crucial for optimal outcomes in these vulnerable infants.

Area of Science:

  • Neonatal Development
  • Pediatric Neuropsychology
  • Environmental Influences on Child Development

Background:

  • Limited research exists on the home environment's impact on preterm infant development.
  • The specific aspects and extent of home environment influence on early neuropsychological outcomes remain unclear.

Purpose of the Study:

  • To analyze the effect of the home environment on preterm infants' neuropsychiatric development at 18 months corrected age.
  • To establish a basis for improving preterm infant neurodevelopment through home environment interventions.

Main Methods:

  • Retrospective cross-sectional study of 275 preterm infants discharged from the NICU.
  • Home Nurture Environment Questionnaire used to assess the home environment.
  • Gesell Developmental Scale evaluated developmental quotient and delays at 18 months corrected age.

Main Results:

  • Infants in moderate/unsupportive home environments had significantly higher risks of developmental delay (global, fine motor, language, personal-social).
  • Language and adaptive domains showed the highest rates of developmental delay.
  • Supportive home environments were associated with better neurodevelopmental outcomes.

Conclusions:

  • A supportive home environment is a critical protective factor for preterm infant neurodevelopment.
  • Higher developmental quotient scores and protection against delays are linked to nurturing home settings.
  • Integrating home environment assessment into preterm infant care management is essential for optimal neurodevelopment.
Abstract

Keywords:
child developmenthealth impact assessmentintelligence testsneurodevelopmental disordersparenting

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