The Predictive Power of Early Socio-Emotional Skills on Behavioral Outcomes in Very Preterm Preschoolers: A

Chiara Ionio1, Caterina Colombo2, Francesco Cavigioli2

  • 1CRIdee, Unità di Ricerca sul Trauma, Dipartimento di Psicologia, Facoltà di Psicologia, Università Cattolica del Sacro Cuore, 20123 Milan, Italy.

Pediatric Reports
|April 27, 2026
PubMed

Insights

Socio-emotional skills in very preterm children at 1 year old predict later behavioral issues. Early assessments at 1 year may help identify children needing closer developmental monitoring.

Area of Science:

  • Developmental Psychology
  • Pediatric Medicine
  • Behavioral Science

Background:

  • Preterm birth is linked to increased socio-emotional and behavioral problems later in life.
  • Early identification of at-risk children is crucial, but predictive accuracy of early socio-emotional assessments is unclear.

Purpose of the Study:

  • To investigate if socio-emotional skills assessed at 1, 2, and 3 years predict behavioral outcomes at 4 years in very preterm children.

Main Methods:

  • Longitudinal assessment of 57 very preterm children using the Bayley-III Socio-Emotional scale at 1, 2, and 3 years.
  • Behavioral outcomes assessed at 4 years using the CBCL 1.5-5.
  • Statistical analyses included correlations, repeated-measures ANOVA, and regression models.

Main Results:

  • Socio-emotional scores were generally within the normative range, showing a slight improvement by age 3.
  • Socio-emotional skills at 1 year were associated with internalizing and total behavioral problems at 4 years.
  • These associations weakened by age 2 and were not significant at age 3; unadjusted regression indicated only 1-year scores were predictive.

Conclusions:

  • Early socio-emotional competencies at 1 year are associated with later behavioral outcomes in very preterm children.
  • Findings suggest 1-year assessments could aid in identifying children requiring enhanced developmental surveillance.
  • Further research with adjusted models is necessary to confirm these predictive relationships.
Abstract

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