产后生长的动态变化预测了极低出生体重 (ELBW) 幸存者的青少年心理健康问题
Karen J Mathewson1, Christina A Brook1, Saroj Saigal2
1Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, ON, Canada.
Development and psychopathology
|June 20, 2023
概括
极低出生体重 (ELBW) 幸存者的产后生长会影响心理健康. 头部周长的早期增长可能预测ADHD,而沉思指数的变化与内化行为有关.
科学领域:
- 发展心理学 发展心理学
- 新生儿医学 新生儿医学
- 儿科精神病学 儿科精神病学
背景情况:
- 极低出生体重 (ELBW) 的婴儿面临更高的心理健康风险.
- 产后生长在这些风险中的作用尚未完全理解.
研究的目的:
- 调查早期产后生长 (体重指数和头周长) 如何预测ELBW幸存者的心理健康结果.
- 探索成长轨迹与内化/外化行为之间的关系.
主要方法:
- 对137名ELBW幸存者的前性队列研究.
- 在前3年分析体重指数 (PI) 和头周长 (HC) 的增长.
- 潜差分数 (LDS) 模型用于评估生长模式和预测行为.
主要成果:
- 第一年头周的补偿性增长预测了头部较小的婴儿在青少年中患有多动症.
- 在第一年增加的体重指数和在3年内较小的净下降预测了青少年的内化行为.
- 早期的生长模式偏重于身高与负面的心理健康结果有关.
结论:
- 早期的产后生长轨迹对于ELBW幸存者的心理健康至关重要.
- 特定的生长模式,特别是关于体重与身高的比率,可能会影响以后的行为和情感发展.
- 这些发现支持在极端早产的背景下发展编程理论.
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