尼泊尔婴儿的社会退缩行为和与未来神经发育的关系;一个纵向队列研究
Ingrid Kvestad1,2, Manjeswori Ulak3,4, Suman Ranjitkar4
1Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway.
BMC pediatrics
|March 19, 2024
概括
婴儿社会退缩与较低的早期语言技能有关,但与尼泊尔儿童的晚期认知发展无关. 这一发现强调了早期社会情感评估对于预测发育轨迹的重要性.
科学领域:
- 发展心理学是发展心理学.
- 儿科神经科学 儿科神经科学
- 全球儿童健康 儿童健康
背景情况:
- 婴儿的社会退缩可以表明痛苦,并预测不理想的发育结果.
- 早期识别社会退缩对于及时干预至关重要.
- 了解婴儿社会退缩对神经发育的长期影响至关重要.
研究的目的:
- 调查婴儿社会退缩和尼泊尔儿童4岁前神经发育结果之间的关联.
- 为了确定早期的社会退缩是否预测了以后的认知和语言能力.
- 探索社会退缩对发展的持续影响随时间的推移.
主要方法:
- 在597名尼泊尔婴儿 (6-11个月) 的长度研究中,使用了修改后的警报困境婴儿量表 (m-ADBB).
- 神经发育评估包括婴儿和幼儿发展的贝利尺度 (Bayley-III) 在幼儿时期,以及Wechsler学前和小学智力尺度 (WPPSI-IV) 和4岁的NEPSY-II.
- 使用回归模型分析了m-ADBB得分与神经发育结果之间的关系.
主要成果:
- 显示出社会退缩的婴儿在幼儿时期在贝利-III上表现出明显较低的语言分数 (平均差异为 -2.6).
- 这种关联主要是由表达式沟通技巧驱动的,而不是受ceptive语言.
- 在其他贝利-III领域或4年后的认知分数 (WPPSI-IV,NEPSY-II) 中没有发现显著差异.
结论:
- 婴儿社会退缩与早期语言发展的缺陷有关,特别是表达性沟通.
- 社会退缩对语言发展的影响似乎不延伸到4岁时的认知功能.
- 这些发现强调了监测早期社会行为对语言发展的重要性,而认知结果可能更有弹性.
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