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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.
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.
Background:
Preterm birth increases the risk of socio-emotional difficulties and later behavioral problems. Early identification is essential, but the predictive value of socio-emotional assessments at different ages remains uncertain.
Aim:
This study sought to examine whether socio-emotional skills at 1, 2, and 3 years predict behavioral outcomes at 4 years in very preterm children.
Methods:
Fifty-seven preterm children were assessed longitudinally with the Bayley-III Socio-Emotional scale at 1, 2, and 3 years, and with the CBCL 1.5-5 at 4 years. Analyses included correlations, repeated-measures ANOVA, and regression models.
Results:
Mean socio-emotional scores were within the normative range at all ages, with a modest increase by age 3. Associations were observed between socio-emotional skills at 1 year and behavioral outcomes at 4 years, particularly internalizing and total problems. These associations were weaker at 2 years and not evident at 3 years. Regression analyses indicated that only 1-year socio-emotional scores were significantly associated with later outcomes, although models were unadjusted.
Conclusions:
Socio-emotional competencies at 1 year were associated with later behavioral outcomes in this sample of very preterm children. These findings suggest that early assessments may contribute to identifying children who could benefit from closer developmental monitoring, although further research with adjusted models is needed.
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