The relationship between psychosocial factors and developmental outcome for very low and extremely low birthweight infants: a review
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Updated: Aug 4, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
L Gyler1, M Dudley, S Blinkhorn
1Department of Child and Adolescent Psychiatry, Prince of Wales Hospital, Sydney, New South Wales.
Insights
Improved survival rates for very low birthweight infants highlight the need to understand their long-term social and emotional development. Psychosocial factors significantly influence outcomes for these children.
Area of Science:
- Neonatal research
- Developmental psychology
- Child psychiatry
Background:
- Improved survival rates for very low birthweight (VLBW) infants have raised concerns about residual disabilities.
- While cognitive and neurodevelopmental outcomes are studied, long-term social and emotional development in VLBW infants remains less understood.
Purpose of the Study:
- To review current knowledge on the developmental and psychological outcomes of VLBW infants.
- To emphasize the critical role of psychosocial factors in the developmental trajectory of VLBW infants.
- To highlight the need for longitudinal research in this population.
Main Methods:
- Literature review of existing studies on VLBW infant outcomes.
- Analysis of cognitive, neurodevelopmental, social, and emotional development.
- Synthesis of findings to inform clinical practice and future research.
Main Results:
- Knowledge gaps exist regarding the long-term social and emotional development of VLBW infants.
- Psychosocial factors are identified as having paramount importance for developmental outcomes.
- Longitudinal research is crucial for clarifying predictive values of these factors.
Conclusions:
- A comprehensive understanding of VLBW infant outcomes requires attention to social and emotional development.
- Psychosocial factors are key determinants of long-term developmental trajectories.
- Further longitudinal studies are essential to guide interventions and support for VLBW infants and their families.
Abstract:
Over the last quarter century, the improved survival rate of very low birthweight infants has sharpened questions about their residual disabilities. Longitudinal studies have devoted attention to the cognitive and neurodevelopmental outcome of these infants, but much less is known about their long-term social and emotional development. Psychiatrists consulting to neonatal intensive care units and assessing these infants in their families, will be assisted by a better understanding of the developmental and psychological outcomes of such infants. This paper reviews the state of knowledge in both of these areas. It argues the paramount importance of psychosocial factors to the infants' developmental outcome, and the importance of longitudinal research in further clarifying the predictive value of these factors. In a subsequent paper, we consider the efficacy of interventions with this group.
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