MEDICAL COMPLICATIONS AND PARENTING-PRETERM DEVELOPMENT

医疗并发症和育儿-早产

• 批准号: 6182004
• 负责人: SUSAN LANDRY
• 金额: $ 35.81万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-06 至 2001-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6182004
• 关键词: attention; behavior prediction; behavior test; behavioral /social science research tag; central nervous system disorders; child behavior; child rearing; clinical research; cognition; disease /disorder proneness /risk; human subject; infant human (0-1 year); intelligence; learning; longitudinal human study; low birth weight infant human; maternal behavior; medical complication; mother child interaction; neuropsychological tests; preschool child (1-5); problem solving; psychomotor function; socializations

DESCRIPTION: A high incidence of social, behavioral and learning problems have recently been reported in school age children born at very low birth weight (VLBW). However, the basis of these problems is unclear. In their ongoing longitudinal studies of VLBW children's development, the investigators have identified deficits in the development of self-regulation and executive processing skills (SR/EP skills) which they have hypothesized may be an important contributing factor to these later difficulties. These deficits have been identified for a large cohort of tri-ethnic, socially disadvantaged, medically high risk and low risk VLBW children compared with demographically similar full-term controls followed from 6 months through 4 years of age. Objectives for this continuation study include continued evaluation of growth in SR/EP skills across four age points (3,4,6, and 8 years) and their influence on later social, behavioral, and learning outcomes at 8 years. At 3 and 4 years of age, the children were evaluated for growth in four areas related to SR/EP abilities (i.e. delayed search skills, independent goal-directed play, social initiative, social responsiveness. The investigators propose to continue study of these same areas of ability at 6 and 8 years of age. Four age points will allow the investigators to evaluate complex patterns of growth like those which proved significant in earlier studies of this sample. Both groups of VLBW children are expected to display slower rates of development of SR/EP skills based on findings that at 3 and 4 years. This slower rate of development is expected to predict lower scores on social, behavioral, and learning outcomes at 8 years of age that also place demands on children's regulation and organization of their behavior and flexibility in problem solving, including the presence of learning and attentional problems. The 8 year outcomes include peer competency, impulse control, and cognitive flexibility in social and nonsocial situations as well as measures of intelligence, adaptive behavior, academic and attentional skills. Measures of children's biological risk, neuromotor, cognitive-linguistic, and joint attention development and mothers' behavior collected in the first 24 months of life, will also be used in this study to examine the early precursors to the development of SR/EP skills. This study offers an opportunity to investigate whether there is a direct link between problems in the early development of SR/EP skills and the social, behavioral, and learning problems reported for VLBW children by 8 years. Empirical information on the developmental origins of these later school age problems would have important theoretical implications as few studies have examined this question.

描述：社会，行为和学习问题的高发病率 最近有报道说，出生时出生的学龄儿童 重量（VLBW）。 但是，这些问题的基础尚不清楚。 在他们的 VLBW儿童成长的纵向研究， 研究人员已经确定了自我调节发展的缺陷 以及他们假设的执行处理技能（SR/EP技能） 可能是造成后来困难的重要因素。 这些 已经确定了大量三民族队列的赤字 不利的，医学上的高风险和低风险VLBW儿童 人口统计学相似的完美控制措施，从6个月到4个 年龄。 这项延续研究的目标包括继续评估 在四个年龄点（3,4,6和8年）及其四个年龄段的SR/EP技能增长 对后来的社会，行为和学习成果的影响8年。 在 3岁和4岁，对儿童进行了四个地区的生长评估 与SR/EP能力有关（即延迟搜索技能，独立 目标定向游戏，社会倡议，社会响应能力。 这 调查人员建议在6点继续研究这些相同的能力领域 和8岁。 四个年龄点将使调查人员得以 评估复杂的增长模式，就像证明在 对该样本的早期研究。 两组VLBW儿童均应显示出较慢的率 根据3年和4年的发现，开发SR/EP技能。 这 预计发展速度较慢将预测社会分数较低， 行为和8岁以上的学习成果也提出了需求 关于儿童的行为和灵活性的监管和组织 在解决问题中，包括学习和注意力的存在 问题。 8年的成果包括同伴能力，冲动控制和 社会和非社会情况下的认知灵活性以及措施 智力，适应性行为，学术和注意力技能。 衡量儿童生物学风险，神经运动，认知语言的度量， 以及第一次收集的联合注意力发展和母亲的行为 生命的24个月也将在本研究中用于检查早期 SR/EP技能发展的前体。 这项研究提供了调查是否有直接的机会 在SR/EP技能的早期发展中问题与问题之间的联系 VLBW儿童报告的社交，行为和学习问题8 年。 有关这些发育起源的经验信息 学龄大问题将具有重要的理论意义，因为很少 研究检查了这个问题。