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执行功能和早产:一项纵向研究
Patricia M Blasco1, Serra Acar2, Sybille M Guy3
1Oregon Health & Science University, OR, United States of America.
Early human development
|April 25, 2024
概括
过早出生的婴儿表现出早期的执行功能缺陷和更多的行为问题,与满期婴儿相比. 早期识别这些执行功能指标可以帮助减少与早产相关的不良结果.
科学领域:
- 发育儿科 发育儿科
- 神经科学是一个神经科学.
- 儿童心理学 儿童心理学
背景情况:
- 低出生体重 (LBW) 和早产的婴儿患发育迟缓和认知缺陷的风险增加.
- 这些缺陷可能会持续,导致终身学习困难和高风险行为.
研究的目的:
- 通过使用标准化评估,识别早产婴儿执行功能 (EF) 的早期指标.
- 为了比较早产 (PT) 和满产 (FT) 婴儿之间的行为和发育指标.
主要方法:
- 一项纵向研究比较PT和FT婴儿在三个评估会议 (6-8个月,18-20个月和第三次会议) 中.
- 使用贝利婴儿和幼儿发展尺度,第三版 (BSID-III),丹佛发育查测试 (DMQ),儿童行为检查表 (CBCL) 和执行功能行为评级库存学前教育 (BRIEF-P).
- 多变量线性模型被用来分析群体差异.
主要成果:
- 在所有三个评估会议中,BSID-III子测试和EF组件的显著差异被观察到.
- 在18个月和36个月,早产婴儿在CBCL上表现出更多的行为担忧,在BRIEF-P上得分较低,相比于满期同龄人.
- 在整个研究期间,需要早期干预服务的早产婴儿比例增加了.
结论:
- 在早产婴儿中早期识别执行功能指标是通过标准化评估可行的.
- 这些发现支持开发早期检测策略,以减轻与早产相关的不良结果.
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