A longitudinal study on adaptation to elementary school in children born prematurely with birthweights of less than 1,500g from third to fourth grade

出生体重不足1500g早产儿三至四年级小学适应纵向研究

基本信息

批准号：
09610106
负责人：
WAKABA Yoko
金额：
$ 1.79万
依托单位：
Tokyo Gakugei University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 1998
项目状态：
已结题

项目摘要

A follow-up was conducted for 32 very-low- and extremely-low-birthweight children among the 42 children who had been followed by an interdisciplinary team during 1993-1995 (ages 5-7 years). Their neurological and intellectual development, academic achievement, possibility of learning disabilities, adaptation to schools and families were examined through various assessment tools on perceptuomotor, intellectual, socio-emotional, and academic skills, questionnares and parental interviews concerning problem behaviors, child-rearing, and adaptation to schools and home environment, Results of neurological examinations on contralateral associative movements during imitation tasks suggested a prematurity in the control system of the frontal lobe. In WISC-R, 15 subjects either exhibited the VIQ-PIQ score difference of greater than 11 points, or yielded a subtest with a standardized score of 5 or less. These subjects were suspected to be poorly adapted to academic learning. Overall, the results indicated that 18 children, including 9 suspected for LD and 15 with below-normal intellectual skills, showed learning and behavioral problems with poor adaptation to schools. The number of such children rose from 9 at age 7. Fourteen children showed good adaptation to schools and families. The parents of the children who needed support were advised on special considerations at home. The teachers of the children who did not appear well-supported in class were also advised through direct interviews or reports. We are also providing consultation to teachers and direct educational assistance to the children who are suspected to have LD in collaboration with educational officials in the local government. Reassessments will be conducted during the 5th grade for the children in need of follow-up assessments and 6 children whose parents requested further assessments.

1993年至1995年期间，跨学科小组对42名儿童（5岁至7岁）进行了随访，其中32名极低和极低出生体重儿童进行了随访。通过各种关于知觉运动、智力、社会情感和学术技能的评估工具、有关问题行为、育儿、以及对学校和家庭环境的适应，模仿任务期间对侧联想运动的神经学检查结果表明额叶控制系统早熟。在 WISC-R 中，15 名受试者的 VIQ-PIQ 分数差异大于 11 分，或者在分项测试中获得标准化分数为 5 分或更低。这些科目被怀疑不太适应学术学习。总体而言，结果显示，18名儿童（包括9名疑似智力障碍儿童和15名智力低于正常水平的儿童）表现出学习和行为问题，对学校适应较差。 7岁时，此类儿童的数量从9个增加到14个，其中14个孩子对学校和家庭表现出良好的适应能力。需要支持的孩子的父母被告知在家中需要考虑的特殊事项。那些在课堂上表现不佳的孩子的老师也通过直接访谈或报告得到了建议。我们还与当地政府的教育官员合作，为教师提供咨询，并为疑似患有智力障碍的儿童提供直接教育援助。需要后续评估的孩子和家长要求进一步评估的6名孩子将在五年级期间进行重新评估。