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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Infant development and developmental risk: a review of the past 10 years
C H Zeanah1, N W Boris, J A Larrieu
1Division of Infant, Child and Adolescent Psychiatry, Louisiana State University School of Medicine, New Orleans 70112-2822, USA.
Insights
Infant development is influenced by complex interactions of risk and protective factors, with caregiving relationships mediating these effects. Understanding these evolving relationships is key to preventing developmental psychopathology.
Area of Science:
- Developmental Psychology
- Pediatrics
- Child Psychiatry
Background:
- Infant development is a critical period influenced by numerous intrinsic and extrinsic factors.
- Understanding developmental risk is crucial for early identification and intervention.
- Research over the past decade has increasingly focused on the complex interplay of these factors.
Purpose of the Study:
- To critically review research on infant developmental risk published in the last 10 years.
- To identify major risk conditions and protective factors impacting infant development.
- To synthesize current understanding of the complex interactions between risk and protective factors.
Main Methods:
- A framework of infant development in the first three years was established.
- A review of pertinent studies on developmental risk was conducted.
- Key risk conditions (e.g., prematurity, parental psychopathology, poverty) and protective factors were analyzed.
Main Results:
- Risk and protective factors interact in complex, non-linear ways.
- Caregiving relationships significantly mediate the impact of risk conditions on infant development.
- Specific, linear links between risk conditions and long-term outcomes are rare.
Conclusions:
- Linear cause-and-effect models are insufficient for understanding developmental psychopathology.
- The interrelationships among risk factors are complex and evolving.
- Future research should focus on refining risk markers and developing effective preventive interventions.
Objective:
To review critically the research on infant developmental risk published in the past 10 years.
Method:
A brief framework on development in the first 3 years is provided. This is followed by a review of pertinent studies of developmental risk, chosen to illustrate major risk conditions and the protective factors known to affect infant development. Illustrative risk conditions include prematurity and serious medical illness and infant temperament, infant-caregiver attachment, parental psychopathology, marital quality and interactions, poverty and social class, adolescent parenthood, and family violence.
Results:
Risk and protective factors interact complexly. There are few examples of specific or linear links between risk conditions and outcomes during or beyond the first 3 years of life. Infant development is best appreciated within the context of caregiving relationships, which mediate the effects of both intrinsic and extrinsic risk conditions.
Conclusions:
Complex and evolving interrelationships among risk factors are beginning to be elucidated. Linear models of cause and effect are of little use in understanding the development of psychopathology. Refining our markers of risk and demonstrating effective preventive interventions are the next important challenges.
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