在早产儿的执行和注意力功能干预:一个系统的审查
Yara Maalouf1,2, Sarah Provost1,2, Isabelle Gaudet1,3
1Neurodevelopmental Optical Imaging Laboratory (LIONlab), Research Center, CHU Sainte-Justine University Hospital Center, Montréal, QC, Canada.
Journal of pediatric psychology
|August 26, 2024
概括
干预措施有望改善早产儿的注意力和执行功能,许多研究表明短期的积极结果. 建议对临床实施进行基于年龄的仔细选择.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 儿科 儿科 儿科
背景情况:
- 早产会影响认知发展,特别是执行功能和注意力.
- 早期干预对于缓解这一群体长期神经发育挑战至关重要.
研究的目的:
- 系统地审查旨在提高早产儿执行功能和注意力的干预措施.
- 总结现有干预措施的有效性和质量.
主要方法:
- 按照PRISMA指导方针进行系统审查,搜索多个数据库 (PubMed,Medline,Embase,PsycINFO).
- 包括的研究重点是针对早产儿童 (出生至12岁) 的干预措施,针对注意力和执行功能.
- 方法质量和偏差风险使用适应的唐斯和黑名单和Cochrane偏差风险工具进行了评估.
主要成果:
- 17项研究评估了11种不同的干预措施,涉及517名儿童.
- 干预措施包括新生儿重症监护单位为基础的计划和认知培训 (例如,Cogmed,BrainGame Brian) 对于年长的孩子.
- 70%的研究报告了积极的短期结果,17%的研究报告了积极的长期结果,效果大小各不相同.
- 研究质量从44%到96%不等,其中50%的研究显示存在偏见的高风险.
结论:
- 干预措施显示出改善早产儿执行功能和注意力的潜力.
- 在审查的程序中存在显著的异质性,需要仔细的,个性化的选择.
- 在临床环境中实施需要考虑目标人群的年龄和特定需求.
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